Spring/Summer 2013 Catalog

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Medically correct fashion for lymphedema.

Transcript of Spring/Summer 2013 Catalog

  • s p r i n g / s u m m e r 2 0 1 3

  • 2r a c h e l l e v i n T r o x e l l 1970 - 2008

  • O u r S t O r y

    The story of LympheDIVAs began in Philadelphia when two young breast cancer survivors,

    Rachel Troxell and Robin Miller, developed lymphedema, a side effect of breast cancer

    treatment that can cause permanent swelling in the arms. Their physicians and lymphedema

    therapists recommended a compression sleeve as the most effective way of controlling the

    swelling. When they researched the options for the sleeve they found that the only ones

    available were rough textured, heavy, hot, beige, and bandage-like. Frustrated and dismayed

    over the lack of options they had for compression sleeves, Robin and Rachel met with Kristin

    Dudley, a fashion designer, to discuss their idea of creating a more elegant and comfortable

    compression sleeve.

    In late 2007, Robin left the company. Soon after, Rachel discovered her breast cancer had

    returned. While she was being treated, she continued building LympheDIVAs, which brought

    her much joy during a difficult time in her life. Rachel died January 22, 2008, at the age of

    37. Her determination and compassion to improve the lives of breast cancer survivors is very

    much ingrained in the spirit of LympheDIVAs.

    Today, LympheDIVAs products can be found in retail locations nationwide and internationally.

    At Rachels request, her father Dr. Howard Levin and her mother, Judy Levin took over the

    responsibility of running the company which their daughter helped found. In August of 2010,

    Rachels little brother, Josh Levin, joined the company and is now running it with his parents.

    They all hope that LympheDIVAs compression apparel will continue to inspire breast cancer

    survivors everywhere to feel as beautiful, strong and confident as Rachel was.


  • a b O u t ly m p h e d e m aWhat is the lymphatic system and lymphedema? The lymphatic system is structured

    like a web, occasionally draining into small nodes that filter the lymphatic fluid. The system

    works through the pumping power of the bodys muscles. When the muscles contract they

    increase pressure within the lymph vessels, which causes the fluid to move. A series of one-

    way valves ensure that the lymphatic fluid moves in the right direction. Lymphedema is a

    build up of protein rich fluid in the subcutaneous interstitial compartment. This occurs when

    either lymph fluid is impeded from flowing through the lymph vessels and lymphatic system

    or there is an excess of fluid that exceeds the carrying capacity of the lymph system. The

    fluid collects in the subcutaneous and deep tissues causing swelling of the affected area

    and predisposes to chronic inflammation.

    What happens when lymphedema occurs in people after breast cancer treatment?

    When a sentinel node is removed, a number of nodes are removed, or if the nodes receive

    radiation therapy, the body is at risk for lymphedema. The loss of lymph nodes and vessels

    can result in lymphedema in the arm or other parts of the body. The amount of fluid

    collected is variable and at this time is unpredictable because of the variability of the

    insults and the lymphatic system itself.

    Why is it important to be aware of this? Any event which stimulates the formation of

    increased protein fluid and floating cells between the cells in the arm (such as infection,

    trauma and sun burn) or slows the flow of lymph fluid out of the arm (such as having blood

    pressure taken with a cuff) can increase the chance of fluid accumulating in the arm. Since

    no truly curative therapies exist, medical intervention is focused on preventing occurrences

    and recurrences and is most often dependent on patient self-management and adherence.

    Prolonged or severe fluid build up can result in a more severe and permanent lymphedema.

    How do LympheDIVAs sleeves and gauntlets help manage lymphedema?

    Lymphedema is managed and treated through a variety of therapies. Compression garments

    are one such therapy. Our sleeves and gauntlets are Class 1 (20-30mmHg) and Class 2

    (30-40mmHg) medical devices. Like other sleeves they utilize graduated compression with

    the highest pressure at the wrist and hand, which acts as a pump to encourage the lymph

    vessels to push the lymph fluid toward the body. Our garments are regularly tested to

    ensure proper compression.

    How do LympheDIVAs sleeves and gauntlets make lymphedema management easier?

    We believe that a majority of sleeves that are prescribed and purchased are worn a few

    times and then hidden in a drawer because of distaste and discomfort. Knowing that a


  • compression sleeve cannot reduce the chance of occurrence or swelling by remaining in the

    drawer, we have made lymphedema management easier by creating a fashionable garment

    with superior comfort. A LympheDIVA enjoys wearing her sleeve because it is stylish,

    fashionable and fun. Women are more likely to derive the benefits of the garments simply

    because they are more likely to wear them and less likely to suffer from complications!

    Who should wear a LympheDIVAs sleeve? Our garments are appropriate for those

    with mild to moderate lymphedema, or for those at risk. Our Class 1 sleeves are not

    recommended for severe swelling.

    When should a sleeve be worn? We recommend consulting with a doctor or lymphedema

    therapist in order to find the most appropriate therapy for you. All women who are at risk for

    lymphedema or who have mild to moderate lymphedema should, at a minimum, wear their

    sleeve and gauntlet during air travel and while exercising.

    r i S k r e d u c t i O nGuidelines for reducing the risk of lymphedema for those who have had lymph node removal and/or radiation

    av o i D B u r n sProtect your arm from sunburn. Use oven mitts when cooking & avoid splash burns from steaming foods. Do not use hot tubs or saunas.

    K e e p a h e a lT y D i e TMaintaining a healthy weight lowers the risk for developing lymphedema. Lower sodium intake.

    av o i D m u s c l e s T r a i nIt is okay to do normal activities & exercise with the affected arm, but dont overdo it! Consult with you doctor about the level of activity that is right for you.

    av o i D i n f e c T i o nHave blood drawn & shots given on the unaffected arm. Keep your skin clean and protected from cuts and scratches. Always carry band-aids!

    K e e p s K i n p r o T e c T e DUse pH balanced lotions and soaps. Protect hands with gloves when cleaning.

    av o i D r e s T r i c T i v e c l o T h i n gWearing tight jewelry on the affected arm or hand will create a tourniquet effect. Blood pressure should be taken on the unaffected arm or thigh when both arms are affected. Carry briefcases and/or purses on the opposite arm.

    Do WAtcH for: a full feeling in your arm a difference in size between the affected and non-affected arm weakness in your arm or not being able to move it as far when pressing on the affected arm for twenty seconds, the impression of the finger remains


  • m e d i c a l a d v i S O r SLympheDIVAs works with physicians, physical therapists, nurses, nurse practitioners and

    physician assistants to assure our customers that the products we design are medically

    correct. Our medical advisory team oversees the development of our products and helps us

    monitor product testing.

    a n D r e a l . c h e v i l l e , m . D .Medical School: Harvard Medical School

    fellowship: Memorial Sloan Kettering Cancer Center

    Dr. Cheville currently is Senior Associate Consultant at

    the Mayo Clinic in Rochester, MN, specializing in cancer

    rehabilitation, lymphedema, and survivorship. Until August

    2006, Dr. Cheville directed the Cancer Rehabilitation and

    Lymphedema Programs at the Hospital of the University of

    Pennsylvania in Philadelphia, PA. A leader in the field of

    cancer rehabilitation, pain control and symptom management,

    Dr. Cheville has published papers on cancer rehabilitation and is a nationally recognized

    h o wa r D a . l e v i n , m . D .Medical School: New York University, 1966

    Dr. Levin is the father of the founder of LympheDIVAs, LLC,

    Rachel Levin Troxell. Following graduation from Medical

    School, he was trained in Internal Medicine in the Harvard

    training program at Beth Israel Hospital, Boston, Mass.

    He spent the next four years as a post doctoral fellow in

    Immunology and Rheumatology at Harvard University and

    a year at the Weizmann Institute of Science in Israel as a

    Fullbright Scholar. In 1972 he then received an appointment

    as Senior Staff Fellow in the Immunology Department of the

    National Cancer Institute in Bethesda, Maryland. From 1976-1988 he practiced Internal

    Medicine and Rheumatology and served as Medical Director of the 70 physician San

    Jose Medical Group in San Jose, California. After several years as a medical director for

    an insurance company he spent 10 years as a management consultant and partner with

    Milliman, USA, an Actuarial and Management Consulting Company. Dr. Levin is currently vice

    president and chief medical officer for LympheDIVAs.


  • expert in this field. Lymphedema is a primary focus of Dr. Chevilles research, and she

    serves on the Medical Advisory Committee of the National Lymphedema Network and is

    a board member of the Lymphology Association of North America