Amoena Life Spring 2013 by Amoena

Feeling good, looking great.

www.amoena.us | www.amoena.ca

LIFE Spring 2013

Painting a Brighter Picture One womanâ&#x20AC;&#x2122;s creation of beauty over trauma

Smooth Moves

Try these gentle, safe yoga poses

Is Green the new Pink?

Lifestyle changes after breast cancer

PLUS: HEALTH | BEAUTY | PORTRAITS | AND MUCH MORE

Four Corners, One Journey Survivors around the globe share their stories

LO G s i h et t

She’s not thinking about her breast form. But we are.

Spring 2013

10 Features

Contents 18 16

In every issue & Reviews | Art from 4 News the heart; Things that grow;

Is Green the New Pink? Lifestyle changes after breast cancer

our Save the Ta-tas scholarship winners; and more

Live Free! Products that get our ‘green’ light

Portrait | 2012 Club 22 Survivor Amoena Essay Winner Teresa

Painting a Brighter Picture One woman’s creation of beauty over trauma

Portrait | 23 Professional Steadfast for the cause:

Four Corners of the Earth, One Journey of Hope Survivors around the globe share inspiring stories

| Follow-Up Fears: 26 Report When an apple a day can’t

Smooth Moves Try these gentle, safe yoga poses to boost mobility

Fashion

Get this Glow Our survivor-models show off Amoena’s 2013 swimwear.

Luxuriously You Let your inner diva shine in sexy new fashions.

Werth’s ”This Is The New Me”

Beverly Vote

keep worry away Kinda Funny | Dianne 29 Feelin’ tries to keep up with all the green trends On the cover | Our cover model, Michele, age 51, is a two-year breast cancer survivor. Hair and make-up John Elliott; photographer Dorothea Craven.

From the

Amoena is a registered trademark of Amoena Medizin-Orthopädie-Technik GmbH

Editor

When spring fever calls, you’ll be ready with the cool breeze of Amoena’s Energy breast form with Comfort+ temperature-equalizing technology. Comfort+ and air-flow technologies work together to increase ventilation and reduce perspiration behind the form, leaving you cool and comfortable. Enjoy the breeze of Amoena’s Energy breast forms— you may even forget you’re wearing one. To find a retailer near you, visit our store locator at www.amoena.us or call 1-800-741-0078. In Canada, visit www.amoena.ca.

ecause our cover features a question, I am going to start with a declarative statement: We have missed you. I know that it’s been a while since the last issue of Amoena Life magazine (June, 2012 was our most recent print mailing). During the time that has passed, our team has gotten bigger—we’re now collaborating with our friends around the globe to create story ideas, conduct interviews, do photography and plan layouts. As a result, I believe Amoena Life has, well… more life! For example: 1. Our front cover features Michele, 51, a recent double mastectomy patient—a fighter just like you, who wears Amoena

products—and we’ve committed to showcasing survivor-models on the front cover going forward. 2. New fonts and layout styles will delight you visually! Our aim is to keep the look clean, fresh, fashionable and flirty! 3. Speaking of fashion, we’re focusing on it more than ever. Check out the chic swim styles on page 12 and the luxurious lingerie available in stores now, on page 16. We hope that our effort to liven up the content with a new attitude lifts your spirits, as well as helping you dig deep into some of the news and issues about your health. “Is Green the New Pink?” does just that—it questions the important topic of environment and lifestyle, and how they impact —or if they actually cause—breast cancer. This is something that none of us should ignore; we’re

fortunate to live in a time where much is being discovered about food, chemistry and our bodies. Let’s take advantage of the good information and share it. One other thing we’ve freshened up—our Amoena website! We invite you to take a look at www.amoena.us—the section called “Your Lifestyle” has more informative articles that you can share in social media and otherwise. We value your feedback now, as always—please be part of our survey (page 30), and let us know what you think of our new Life!

Lee Thrash, Editor info@amoena.com

Absorbs. Stores. Releases. Publisher Amoena USA Corporation | Editor Lee Thrash | Contributors Christina Relf, Dianne Armitage, Beth Leibson, Teresa Werth Design Shan Willoughby | Photography Dorothea Craven, iStockPhoto, Veer Contact Amoena Life, 1701 Barrett Lakes Blvd., Ste. 410, Kennesaw, GA USA 30144, 1-800-741-0078, amoenalife@amoena.com

www.amoena.us

The entire contents of this publication is copyrighted by Amoena, Kennesaw, GA, USA 2013. All rights reserved. Reproduction or use of the contents in any manner is strictly prohibited without prior written permission from the publisher. Amoena Life magazine is published twice a year and is available by request. Amoena Life magazine is distributed to subscribers, retailers and medical facilities. No liability for unsolicited manuscripts. Amoena cannot be liable for pictorial or typographical errors. While every effort is taken to ensure the information contained in this magazine is accurate, the publisher cannot be held responsible for any use of or reliance on the accuracy of such information. Any information provided is not a substitute for professional care and should not be used for diagnosing or treating a health problem or disease. If you have, or suspect you have a health problem, you should consult your doctor. The editor reserves the right to edit or abridge letters.

Amoena Life | 3

>>> NEWS & REVIEWS

Upfront

love!

Sunflowers vs. skin disease, Ginkgo for asthma, and even breast regrowth

MedicalNewsToday.com reports sunflowers possess a protein that can help human skin regenerate, and thus aid in improving eczema, dermatitis and rosacea. The tiny proteins, called peptides, have been engineered by Australian researchers at Queensland University of Technology (QUT), and can serve as protease inhibitors for the skin. “Proteases in the skin are primarily involved with shedding old cells from the skin’s surface by breaking the connections which normally hold them together as part of a protective barrier,” one scientist said. Using the sunflower peptides, the team hopes to create a better binding surface and “help restore the skin to its original state.”

From infomercials to back-of-the-magazine ads to food and drink labels, it’s likely you’ve heard of Gingko biloba. An ancient Chinese tree whose leaves have long been associated with medicinal use, including memory enhancement and prevention of Alzheimer’s disease, Gingko is one of the most popular—and still officially unproven—herbs in use today. Recently, reports from The National Center for Complementary and Alternative Medicine (NCCAM, www.nccam.nihs.gov) indicate that a new possibility for the plant may be the reduction of airway inflammation for asthma patients.

One day, a woman’s post-mastectomy choices might include breast regrowth instead of breast reconstruction. If a woman’s body could be prompted to grow a new breast, we could eliminate the cost, time, angst, scarring, recovery and discomfort inherent with reconstruction. Tissue engineering seems to be the answer: In the future, physicians may “nudge” a woman’s stem cells to grow a new breast. Sounds a bit far-fetched or like a sci-fi plot line? Scientists have already successfully mixed stem cells with a growth factor to generate breasts in the lab. Within a year, the stem cells, which grow into a biodegradable breast-shaped scaffolding implanted at the mastectomy site, form a new breast.

4 | Amoena Life

the prognosis was terrible—in 1957, when she was 43. She lived the (she lived until she was 90). Jacobson takes the word “miracle” pretty seriously, and so the discovery of the art of “milagro del cuervo”

to Ready

A Round-Up of Green Medicine News

Leslie Jacobson’s mother was diagnosed with breast cancer—and told rest of her life with incredible grace, thinking she might die any day

The latest news and tidbits relevant to you

Things that Grow:

Jewelry designer creates a wearable miracle

give

Art from the heart

(miracle of the body) was significant for her. Milagros are typically Latin American, but cultures around the world make and wear these small, metal shapes of body parts for which they seek healing. “My mother had no place to put her fears and hopes,” until Jacobson created her Breast Milagro® pendants, which are often mistaken for being heart-shaped. That’s on purpose: “I wanted a breast cancer survivor to have the option to keep it private; it can just be a piece of pretty jewelry.” The hope is that it’s much more—that it will offer

These big dreams are going to happen!

empowerment, comfort and maybe the miracle of good health. The Breast Milagro is available online at www.thebreastmilagro.com and in breast centers around the U.S.

Amoena helps two women Save the Ta-Tas

Last fall, Amoena was honored to join with the Save the Ta-Tas® Foundation to award $1,000 scholarships to two inspiring women in the annual Save the Ta-Tas College Scholarship Contest. Both winners battled cancer, and both have big plans to help others. Megan Murphy, 18, was diagnosed with rhabdomyosarcoma, a rare, malignant tumor of the muscles, when she was just two years old. Surprisingly, she remembers a lot of the pain and anxiety she experienced at such a young age, enduring not only chemotherapy but also intensive radiation therapy to shrink the inoperable tumor in her leg. Now in college, she’s studying medicine and dreams of researching a cure for cancer. Her fervent wish is that no other child will have to suffer like she did. Laura Pexton, 39, is a seasoned healthcare professional and every bit as ambitious as she continues to fight metastatic breast cancer. Diagnosed at 28, Laura bravely answered the call of her heart to travel with U.S. medical teams to poor countries, despite the fact that she was, and still is, a patient herself. She’s served in Peru, Ethiopia, Vietnam, India, China and Senegal and learned firsthand that one person really can make a difference. Now preparing to earn a doctorate, she aspires to transition to research and help bring the world closer to finding a cure. Congratulations to both of these incredible women! www.savethetatas.org

A good read for mind & body. Poser: My Life in Twenty-Three Yoga Poses | By Claire Dederer

Beginning in early motherhood, a yoga practice creates the framework for this memoir; literally, each chapter is named for a different yoga pose. Author and narrator, Claire Dederer, embraces her role as an earnest new mommy—Dansko clogs, perfectionism, co-op schools and all. She symbolically connects each pose with her relationships and makes enviable effort at continuous self-improvement. But don’t think it’s all deep breath and “ohm.” Her writing style is laugh-outloud funny, and her slightly tilted perspective on marriage —she talks about her communespeckled, wandering childhood in the seventies—is an accompanying subject, and more than intriguing. (Farrar, Straus and Giroux, 2011.) | Try a few poses yourself! Turn to pg.24.

Freshclickings Our bright new online presence If you haven’t yet visited Amoena’s all-new website, click on www.amoena.us today to find everything you need, all in one place. Look out for some practical new features, including an updated Store Locator with integrated Google maps; a faceted search function—you can filter for “all white bras,” for example; plus a focus on you with high-impact photography and inspiring, informative articles. Sign up for e-newsletters and read the latest issue of Amoena Life. What’s not to love?

Amoena Life | 5

>>> COVER STORY

green

Lifestyle changes after breast cancer:

the new

pink?

Seldom does a day go by without a headline about something that will either cause or prevent cancer. Our report looks at some of the research behind these sensationalized headlines to see if there is any real evidence that lifestyle or environmental factors increase your risk, and whether significant changes make sense following diagnosis.

nce they have emerged from the ordeal of breast cancer treatment, it is understandable that many women are determined to do all they can to avoid anything that could cause a recurrence, while doing ‘the right things’ to prevent the disease. The problem is knowing where to start. It could be very easy to feel overwhelmed by conflicting reports and scare stories. As the “green” movement has made it clear that our Western habits have grown increasingly unnatural, even more potential risks have come to light in our foods as well as our personal care products like makeup, shampoo and lotions. We’ve never questioned these products on a large scale, relative to our overall health—but perhaps we should have, all along. On the other hand, could it be that the Internet Age is helping make mountains out of molehills? Not everyone who is exposed to DNA-mutating influences will develop cancer. So how do we get the headlines into perspective? And if we want to reduce our risk of breast cancer and recurrence, how do we prioritize so that we focus on the real ‘baddies’ and understand the reality behind some of the tabloid scares?

Biology 101: DNA mutations U.S. expert Dr. Greg Orloff developed an award-winning website, CancerQuest.org, when his wife was diagnosed with breast cancer in 1998. As his site points out, “... simply put, cancer is the result of unregulated cell division. Cancer cells divide when they are not supposed to, don’t stop dividing when they are supposed to and don’t die when they should. In the worst cases, cancer cells leave the area in which they arose and travel to other parts of the body.” It seems that the reason cancer cells behave in this way lies in their genes. In cancer cells, changes (mutations) to key genes cause the cells to act abnormally. Because there are many different things that are capable of causing mutation, there are an equally large number of potential causes of cancer. These include: Over-exposure to certain minerals and chemicals in the environment including asbestos and toxic waste, and to the sun (in the case of skin cancer); Dietary factors such as too much fat and alcohol; Lifestyle factors such as smoking and too little exercise.

• • •

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The lifestyle lowdown Some reliable conclusions about cancer prevention are emerging. For example, there is increasing evidence that lifestyle plays a part. In December 2011, Cancer Research UK published the results of the most comprehensive study undertaken to date on the effects of lifestyle on cancer. The study concluded that 45 percent of all cancers in men could be prevented, and 40 percent of all cancers in women. This staggering figure takes into account every type of cancer—not just breast cancer—but it still provides some serious food for thought. The charity estimated that tobacco smoking, dietary factors, drinking alcohol and body weight accounted for 34 percent of UK cancers during 2010. While acknowledging that in most cases, cancers have multiple causes, Dr. Harpal Kumar, the charity’s chief executive, said: “Leading a healthy life doesn’t guarantee that a person won’t get cancer but this study shows that healthy habits can significantly stack the odds in our favor. We know that cancer risk can be affected by family history and getting older, but these figures show that we can take positive steps to help reduce our risk of the disease.” Like any statistical information, these conclusions need to be put into perspective when it comes to breast cancer, for which it remains the case that being female and over 50 are the two highest risk factors overall; however, it’s impossible to ignore the conclusions of this research.

Think before you eat Scientists predict that the continuation of existing trends in obesity could lead to about 500,000 additional cases of cancer in the United States by 2030. There is no reason to question the medical community’s insistence that healthier diets are our first line of defense, and the general recommendations are becoming a familiar refrain: Replace animal fats with polyunsaturated fats (found in many vegetable oils) and monounsaturated fats (such as olive oil); Get more isoflavones (found in peas and beans) and lignans (found in vegetables, fruits, grains, tea and coffee); >>

• •

“Leading a healthy life doesn’t guarantee that a person won’t get cancer but studies show that healthy habits can significantly stack the odds in our favor.” Amoena Life | 7

>>> COVER STORY

NO-BRAINERS 5 changes you can make NOW at more fiber from wheat bran, cereals, • Ebeans, fruits and vegetables; M ake sure you have enough calcium in • your diet—from low-fat milk, cheese and

•

BE DRINK AWARE Alcohol is toxic and the body’s detoxification process can cause DNA damage. What’s more, research has shown that alcohol is a particular risk factor for breast cancer. According to Cancer Research UK, two large combined reviews of the published evidence and the UK Million Women Study showed an increase in breast cancer risk of about seven to 12% with every extra unit of alcohol consumed per day. (One unit is a half pint of beer, a small glass of wine or a measure of liquor.) To be on the safe side, it is best for women not to drink more than 14 units of alcohol per week. Experts also advise having at least two alcoholfree days each week, believing it important that alcohol consumption is not an everyday occurrence.

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yogurts, green vegetables (such as broccoli, cabbage and okra), nuts, bread and fish; Eat foods high in carotenoids (chemicals that the body changes to vitamin A) such as carrots, sweet potatoes, spinach, kale and tomatoes.

We also know that a woman’s stage of life is a factor—breast cancer in post-menopausal women is more likely if they are overweight, due to the high levels of estrogen present in their body fat. However, this is not the case in pre-menopausal women, where it’s thought that because women who are overweight ovulate less than their slimmer sisters, they are exposed to lower levels of estrogen. It’s best, in either case, to maintain a healthy weight (go to Cancer Research UK’s website for a Body Mass Index, or BMI, calculator) and avoid gaining that dreaded ‘fat around the middle’ that seems to beset anyone who is either heading for a natural menopause or plunged into one by breast cancer treatment.

Where lifestyle and environment intersect Does your healthy diet need to be all-natural or organic to provide the best protection against cancer? It’s difficult to say. For one thing, the definitions of “organic” are still emerging, and can differ from nation to nation. Sometimes foods or food additives are blamed for directly causing cancer and described as carcinogenic. These can include: Growth hormones and antibiotics in animal farming; Pesticides and herbicides in plant farming; Bisphenol A (BPA) in some types of packaging.

• • •

Other researchers doubt that this is really true, claiming that although sometimes a food is found to contain a substance that can cause cancer, it is present in such small amounts that we could never eat enough of it to do any harm. According to the American Cancer Society’s (ACS) Guidelines on Nutrition, these additives and compounds may not directly cause cancer, but they may influence cancer risk in other ways—for example, by acting as hormone-like substances in the body. Its website says, “Whether organic

foods carry a lower risk of cancer because they are less likely to be contaminated by compounds that might cause cancer is largely unknown.” However, unprocessed and organic foods are typically more nutrient-dense, and less likely to include artificial and unintended ingredients. They may be a better nutritional choice for your peace of mind and for their other benefits: they are good for our planet, the welfare of farm animals and—because this seems to be the direction in which agriculture is heading—the livelihood of local farmers. Marie Spano, a nutrition communications expert and member of the American Dietetic Association, agrees. “At this time, research hasn’t clearly indicated that pesticides cause cancer or eating an organic diet prevents cancer,” she confirms. “However, for many people, choosing organic foods after a cancer diagnosis or when going into remission may put them at ease and it won’t hurt. Does it help? I don’t think we know the answer to this question yet.” Spano recommends a few initial considerations, for people making small dietary changes: Start with foods with an edible skin (berries, for example) versus a skin you peel off and discard, like a banana. “There are other aspects of a healthy diet that may possibly reduce one’s risk of developing some types of cancer, including reducing intake of red meat and packaged luncheon meats, cutting off any charred portions of meat, cooking low and slow instead of fast/high heat, and cutting off burnt crust on pies and baked goods,” she adds.

What about chemicals on the skin? A synthetic preservative found in many food and cosmetic products, parabens are one of the media’s favorite chemical ‘nasties’ and have been found to have an estrogenmimicking effect, although this is at a far lower level than the amount of estrogen produced naturally in the body. As of our publication date, there have been no conclusive studies to support any connection between parabens and breast cancer, and in fact several groups have spoken out to try to calm consumers’ fears. Sense about Science—a UK charitable trust that equips people to make sense of scientific and medical claims in public discussion— even issued a news release in January 2012 stating there is no evidence that parabens increase the risk of breast cancer.

Links are often made between cancer and chemicals in deodorants and antiperspirants but these, too, are refuted by cancer charities. Breakthrough Breast Cancer’s publication, The facts: deodorants and antiperspirants, concludes, again, that there is no reliable evidence to suggest that using these personal care products increases the risk of cancer. Nevertheless, the cosmetics industry has begun in the last several years, to re-evaluate and reformulate, making many all-natural products available if women choose them. Ultimately, this change is a good thing, says Alison Raffaele, founder and Chief Creative Officer of New Yorkbased Alison Raffaele Cosmetics. Raffaele’s company began a product overhaul in 2007, after careful study of the parabens debate. “When we reformulated,” she says, “I asked, ‘What ingredients can I live with, and what do we need to get out?’” She and her team determined that the following could easily be replaced with equally effective and less dangerous preservatives instead: Parabens. Endocrine disruptors; the parabens that are used commercially are synthetically produced, although they can be identical to those found in nature. Talc. “In pressed form it’s not an issue,” Raffaele says, “but in a loose form it’s a major inhalation risk. It doesn’t break down in the body and can potentially form cysts.” Synthetic fragrances. Mineral oil and petrolatum. A by-product of petroleum, significant exposure to mineral oil mist (usually in industrial settings) has been shown to cause an increased risk of developing some cancers. Propylene-gycol. At 100% concentration, propylene-gycol is found as antifreeze. In beauty products, it is not used at such a high concentration but is nonetheless a potential skin irritant.

• • • • •

The best choice is your choice To date, then, scientific research does not point to increased risk from chemicals in our food or in health and beauty care products. However, many women remain convinced that reducing the chemical assault on their bodies has to be a good line of defense against cancer.

Stop smoking! You know it makes sense. Go to www.QuitNet.com for expert advice, email tips and a community forum to get you started.

break; bike to the park rather than taking the car; get together with friends for an early morning swim a few times a week.

Eat fresh! Avoid processed foods like white breads, sugary drinks, chips, cakes and cookies. Snack on nuts and dried fruit if you get the munchies; remember your 5-a-day of vegetables and fruits; get plenty of fiber and focus on whole foods and lean protein like grilled fish or chicken to curb hunger.

Get out there! Add a little more activity into your daily life. Go for a 20-minute walk on your lunch

Amoena Life talked to several women who have taken their own approach, making certain lifestyle changes that fit with their own values and ease their personal fears. Sandi [who asked to remain anonymous] believes that the effect of the changes she has made, like giving up most processed food and using organic skincare, is more to do with peace of mind than a tangible benefit. “We all know how dangerous these things can be and although we can’t avoid all of them, we can do a little bit,” she says. “For yourself and for the environment and future generations, it’s important to think about changing our chemical world and living more naturally.” Nutritionist Susannah Olivier’s book, The Breast Cancer Prevention and Recovery Diet, has been very popular since it was first published in 2001. Since reading it, Mary Jennings has cut down her intake of dairy products, salt and sugar, and tries to follow Susannah’s recommendations. Mary finds that she has more energy and has been able to keep her weight down since following the plan, which can only be a good thing: “Although I have been vegetarian and eaten quite healthily for many years, I have found that by cutting out dairy, plus some wheat products, and eating smaller, regular meals, I feel extremely healthy from the inside out!” Many of the women we spoke to about lifestyle changes were convinced that eating more fresh fruit and vegetables

Cut back on the drinks! Try to limit your alcohol intake to just a few units every now and then, and don’t make alcohol a daily habit.

Get your rest! Create a sleep schedule and stick to it (even on weekends), so you get the recommended seven to nine hours a night. This can help with weight loss, mood and concentration and is a relatively easy—and totally natural—way to “up” your overall health.

and cutting back on saturated fats and processed meats helped them feel better and stay trim. And while the cancercausing properties of some of the foods women had cut out are not scientifically proven, the protective benefits of healthier eating and maintaining a sensible weight certainly chime with the recent advice published by Cancer Research UK. In conclusion, if you feel better about the choices you make, and if you read widely and make sure you stay in touch with what leading research organizations have to say about the key issues, you can only benefit from those choices as part of a healthy lifestyle. Perhaps green is your new pink. You can work to understand the risks and precautions associated with certain lifestyle choices, and decide which steps you want to take to help arm yourself against cancer. “It’s like avoiding a car accident,” concludes Dr. Orloff. “You can limit your risks by wearing a seat belt, not going out late at night and not driving while talking on your cell phone. But all these things can’t guarantee that you won’t be involved in a crash. The same goes for cancer. Individuals have to decide what they want to live with.” |

Amoena Life | 9

>>> BEAUTY & NUTRITION

Live free! These products get our ‘green’ light Are you ready to make changes in your food and beauty products? Ready to freshen up your kitchen and bathroom cabinets with some chemical-free choices? We’ve collected a few examples for you.

1 1

6 5

Pure from the Garden: Eden Foods is the oldest natural

and organic food company in North America. Most of their products—including Japanese traditional foods, juices and teas, beans and sea vegetables, and snack foods—are sold in natural grocery stores and co-ops nationwide. Interestingly, you won’t find the USDA Organic seal on Eden foods; the minimum government requirements for the seal do not meet Eden’s own extremely high organic standards. Locate a store at www.edenfoods.com.

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Did you know? Amoena’s skin

care products have recently been reformulated and no longer include parabens or any trace of aluminum, so they’re even gentler for your sensitive post-surgery skin. Ask for them at your Amoena retailer. Visit the store locator at www.amoena.us.

Favorite Food Group: Chocolate… Artisan

chocolate… Made with natural ingredients. It doesn’t get much better than that, folks, and Wild Ophelia is here to take it up one more notch— flavors like Salted Chowchilla Almond (shown here), Beef Jerky, Sweet Cherry Pecan, New Orleans Chili and (oh my) Peanut Butter and Banana. All-natural, often organic farms provide all the ingredients you need for a clean chocolate fix. (We’d call it hippie values with a foodie taste level!) More info at www.wildophelia.com.

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What’s Up, Doc? Yes To™ brands address a

variety of skin and hair care needs naturally, like this SPF 15 moisturizer which nourishes dry skin with carrots, shea butter and almond oil. Free of parabens, sodium laurel sulfate and petroleum; even better, a portion of proceeds builds the Yes to Seed Fund, which aims to connect kids with Mother Nature. Carrots, Cucumbers, Blueberries, and other varieties are available in stores nationwide, or visit their website: www.yestocarrots.com.

Mystery in your make-up bag? There’s more to discover about the organic movement in cosmetics and beauty products. Read our extra article in Your Lifestyle at www.amoena.us.

Color Me Clean: Alison Raffaele Cosmetics contain an exclusive Frutta di Vita anti-aging, antioxidant complex comprised of goji berry, resveratrol and pomegranate, so they’re nourishing your skin naturally while making you look and feel gorgeous. These foundations, luminizers and powders are free of parabens, talc, fragrance, mineral oil and gluten. Available at www.alisonraffaele.com.

Body Beauty: Get your beauty from the ground up! These luxurious

Dirty Beauty cleansers and body products are loaded with beautifying plant extracts. Shown here: Oatmeal Papaya Face Wash, Fresh Body Butter (preservative-free, so keep it in the fridge), Sugar Body Polish (certified Fair Trade USA), and Carrot Complexion Cream. They’re almost yummy! Available at www.dirtybeauty.com. Photo by Tolbert Graphics.

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>>> SWIMWEAR

Worn by

Annette, 47 & Michele, 51

survivor models

This time of year, nothing sounds more inviting than the warm glow of the sun. We made it easy to glow in this seasonâ&#x20AC;&#x2122;s dramatic swimwear styles and colors.

Get this Glow! Coral Sea Stunning tankini and side-shirred tank in brown, splashed with bright turquoise.

Solomon Sea A sporty tank with modern zipper detail in slimming black. Tank, 10-22

Tankini, 8-18; Tank, 8-20

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>>> SWIMWEAR

Gulf of Mexico, Tankini, 10-18

Caribbean Sea, Tank, 8-18

Tasman Sea, Tank, 8-18

Dive inâ&#x20AC;Ś

A few more of this seasonâ&#x20AC;&#x2122;s exciting styles.

Want to see mor e?

Tasman Sea, Swimdress, 10-22

Atlantic Ocean, Surplice Tank, 10-22

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To view the complete 2013 Amoena swimwear collection, visit www.amoena.us. Click on the Store Locator to find a retailer near you or call 1-800-741-0078. In Canada, visit www.amoena.ca.

Black Sea A shirred bust design sets the elegant tone of this flattering tankini and tank. Tankini, 10-18; Tank, 10-22

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>>> LINGERIE

If you’ve ever fancied channelling your inner diva, this is your ideal fashion moment. Get Your Top Drawer in Top Form Fill it with these must-haves for luxury and style

hether you line it with patterned paper, tuck a lavender sachet into the corner or use organizational drawer dividers (you fancy-pants, you!), your lingerie drawer can reflect—and perfect—your personality. Believe us! When your “foundational garments” make you feel confident and beautiful, that shows in your attitude. We asked one of the experts from LiviRae Lingerie and star of the new Lifetime® hit reality show, Double Divas, Molly Hopkins, to give us her top-drawer tips. What does every woman need in that all-important bureau bin?

In stores now! “You should have a good-fitting bra for every day of the week, because you wear them every day of the week,” she says on the show’s website. Start with three or four, and build up to seven, replacing as needed each season. In addition, Hopkins suggests:

Smooth Lara Satin with rhinestone detail Soft Cup | 34-40 AA; 32-40 A,B,C; 34-40 D Panty | 6-16

Fabric Care | Lasting Care Quick-Fix Clothing Sponge. An ingenious little tool! Now you don’t have to wash your whole blouse when you get a minor deodorant stain. The Quick-Fix sponge works to remove marks and streaks in seconds, and has a coarser side for tougher removals.

luxuriously you

Panty Perfection | No-Show panties. One staple that a lot of women fear is a set or two of no-show panties. Even if you can’t abide a classic thong, there are new hip-hugger versions with stretch fabrics that might be right for you. Laser-cut edges will lay extra-flat against your skin for low visibility. Your fashionably fitted pants will thank you.

Good things come… Available in June, Lacy Rebecca Soft Cup | 36-48 A; 34-48 B,C,D; 36-46 DD; 38-46 DDD Underwire | 34-48 B,C,D; 36-46 DD Panty | 8-20

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Get Even | A comfortable enhancer. Amoena’s Balance symmetry shapers fit the bill. Made to create an even silhouette—if your breasts are different sizes, or you’ve had breast surgery—these silicone enhancers have the thinnest edges, so they’re always invisible. “You can get a little ‘boost’ without having to wear another garment,” Hopkins advises. Don’t forget something lacy or embellished that makes you feel really pretty, and your drawer will be outfitted for the perfect attitude, every day (and night)! For more tips, visit www.liviraelingerie.com.

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>>> REAL LIFE

Painting a brighter picture W

“

How could I turn this whole experience into something special for myself, to help me get over it and even look forward to the end result?

“

18 | Amoena Life

hen Julia Savidge was diagnosed with breast cancer she wanted to create something beautiful out of the trauma. Diagnosed in 2008 at age 52, Julia had recently gone through a distressing divorce after 26 years’ marriage, and was devastated to be losing her breast too. She admits that the impact of these events was enormous, leaving her at a crossroads where the outlook seemed pretty bleak. When she and her husband divorced in 2004, Julia had never dated any other man. “I had been with him since I was 17—30 years in all. He was good-looking and we led a fantastic, active, outdoorsy life. We had lived in Sydney for a couple of years, and back home we had a big house, big garden—all I could have wished for.” Determined to rebuild her personal life, Julia had finally gathered up the courage to try internet dating in October 2007. “I looked at some dating sites, signing up to one in October,” she says, admitting that once she got over her initial reservations, she had fun meeting new men—in fact, one of them even turned into her first one night stand. “I met this guy just once and surprised myself by going to dinner with him. Then I went back to his apartment and ended up staying the night. I’m really glad it happened, although I’ve never done anything like that before.” Understandably, Julia’s diagnosis slowed down her dating activities—there was simply too much to deal with all at once. “I’d had enormous fun. I didn’t really think anyone could ever measure up to my ex-husband but I was enjoying the process of meeting new people,” she says. Some of her acquaintances from the dating sites turned out to be very supportive when she was reeling from the shock of her diagnosis. “I felt comfortable telling them about my fears—moreso, perhaps, than I would have been with a husband or permanent partner. They had no vested interest in an ongoing relationship so I didn’t need to be guarded. The night before surgery, I called one of the guys at 2:00 a.m. and he was really reassuring.” She also saw her ‘one night stand’ friend again —he offered her a champagne dinner just before her surgery.

‘Little sparks of loveliness’ Having these men in her life at such a distressing time made Julia feel a bit special. “Little unexpected sparks of loveliness were coming out,” she says. “Each man in his way played such an important part in helping me cope. Their attitudes were reassuring because my body, my sexuality, was the core of my concern over my breast cancer diagnosis. They were part of my healing.” Once Julia had recovered sufficiently from her surgery, she surprised herself by arranging to meet up with Ian, one of the men she had met online. “I hadn’t been that interested in his photo but he was much better looking in person—tall, slim, quiet and very nice. It’s important to share. When we share each other’s life stories, we learn about ourselves, too. Search for “story” at www.amoena.us to read more Real Life articles like this one.

I thought I would never have another relationship again, so I was probably fairly cool at our initial meeting. We met another three or four times over the next few months, however, and I began to really like him.” Julia knew she had to tell Ian about her breast cancer experience. “I broke it to him one Saturday morning. He was surprised, but by that time we had something going together. I had stopped the online dating and decided I would just see Ian. And we are still together—nearly four years later.”

The eye of the needle Before her surgery, Julia had promised herself that she would emerge from breast cancer treatment with something beautiful and utterly personal to show for it. This is what led her to take the unusual step of creating a beautiful tattoo that would cover her reconstructed breast. Her decision felt both courageous and defiant—and it surprised her as much as anybody else, she confides. “I opted for a mastectomy with immediate reconstruction, but I got a shock when the surgeon told me that, even with a lat flap reconstruction, I would lose my nipple,” she explains. She worried that there would be a very noticeable difference between her breasts even after the reconstruction. But driving home later, Julia started to think about something that she had never considered before. “How could I turn this whole experience into something special for myself, to help me get over it and even look forward to the end result?” She considered having her nipple pierced once she’d had it reconstructed. “Then I thought, why not cover the new breast with a tattoo?” Her first concern was safety, so she asked her surgeon about this at her next appointment and was told that she would have to be very careful with cleanliness to avoid infection, but otherwise everything was fine. “I asked her for a letter saying it was safe to go ahead, so that I could reassure whoever was going to do the tattoo.” Julia had her nipple reconstructed—“It was the same diameter as my other nipple but completely flat, like a button”— and then she set about finding a tattoo artist. “I just couldn’t imagine how to start, what the design would be like, who I would get to do it—most tattoo artists are male and I wanted a female. My friends were horrified—why would I put myself through all that? What about the risk of infection? But I was determined.” It took about a year to find the right person. “Eventually I found Hai. I wasn’t sure anyone would want to tattoo a reconstructed breast, but when I emailed Hai she said she was OK with it—her grandmother had had breast cancer, so she knew what I had been through. She was lovely when we spoke. I explained that it would have to be very clean to avoid infection.” Next came the design of Julia’s tattoo: “I wanted something delicate, twirly, maybe flowery but I didn’t have any fixed ideas. Hai said she would take a picture of my breast and create some images and email them to me. She then sent me some drawings superimposed on the photo of my breast which were amazing. I was thrilled with the design, which had tendrils— one that comes out over the top of my bra and one below. I had decided that the center would be a large flower because of the nipple area.” The tattoo itself was created over the course of three visits. “Luckily, on the reconstructed breast you don’t feel anything!”

Julia spread the visits out over about a year. “She drew it on first, so I could see what it would look like when finished. I didn’t want anything brash or obvious—I wanted to be able to wear T-shirts that showed a couple of leaves but mostly you don’t see it at all when I’m dressed.” Her final visit was in September 2010.

Picture this Some men may have balked at Julia’s next move—to have her tattoo professionally photographed—but Ian, who had helped her design the tattoo and thought the results were amazing, was with her all the way. “I was so pleased with the tattoo that I wanted to see what it actually looked like,” she explains. “I had only seen it in the mirror or just looking down on it. I wanted a photograph that I could frame and put in my bedroom. I wanted a very professional job and, oddly, a male photographer. A friend recommended someone who turned out to be a really nice guy. I met him and told him I didn’t want anything sexy or raunchy. He assured me that he’d had other commissions from women who wanted photos of their tattoos. He was fantastic—he put me at ease.” Despite some nerves, by the end Julia thought the session was pretty fun. “I did my own hair and make-up and we used my own clothes, because I wanted it to reflect who I really am. When the CD finally arrived I couldn’t look at it for about two weeks! I felt slightly embarrassed that I had had photos taken of me, naked.” When she eventually did look at the pictures, she was delighted. They really do show how Julia has embraced the challenges that breast cancer threw at her and turned them into something positive and empowering: “This has been part of my personal journey—I thought out each step carefully and each one had to make me feel good.”

Look how far I’ve come Julia knows she has come a long way in the past few years. “The whole tattooing thing—I didn’t know how Ian would view it, but he loves it. It looks just stunning and it makes me feel so good about myself. I hadn’t expected to feel this way, but I am so proud of it. I am not suggesting every woman who has breast cancer should have her boob tattooed. But I think every woman should just have something lined up for herself that perhaps she wouldn’t have done if she hadn’t had this trauma in her life.” Many women who find themselves newly single after many years are daunted by the prospect of online dating, regardless of whether they’ve had breast surgery or not. Julia was no exception—and she thought that following her diagnosis she would never have another relationship. “The outcome was absolutely the opposite of what I had expected. Not only did I meet my partner Ian but I also found it helped me at a very difficult time. If I hadn’t already been internet dating before my surgery, I probably wouldn’t have had the courage to sign up after my diagnosis. I hope my experiences will give other single women the courage to give it a try.” |

Amoena Life | 19

>>> FEATURE

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There is only one cancer center in the country of Zambia, so when Rachael found a lump in her left breast at age 37, she traveled six hours to get there from her hometown. But this wasn’t the most difficult aspect of her cancer experience. She was pregnant at the time of her diagnosis and had to wait until after delivery of her healthy baby boy to begin the costly treatments; during the treatments, she was away from her family for almost a year. Moreover, the state of medical delivery in one of Africa’s poorer developing nations meant that she didn’t have access to certain medications in use in Western medicine, so chemo took its toll: “I was put on medication to stop lactating after my son was born and then I had surgery; underwent chemotherapy for 5 months and radiation treatment for 6 weeks. My hair fell out and I was vomiting all the time,” she remembers. Healthcare advocates like the Cancer Support Network of Zambia say that proper care during and after cancer wouldn’t even be possible without generous contributions from charitable organizations. They and others have helped distribute breast forms and pocketed bras to women like Rachael. As improvements continue being made in Zambia, Rachael and her husband now serve as community advocates and educators, giving other women courage and hope.

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At the time of Mrs. Wang’s mastectomy, the incidence of breast cancer in women her age (she was 25) in China was extremely low. There was undoubtedly some distress and stigma associated with the disease, which shaped her experience. She had a Halsted radical mastectomy in 1991, years after the procedure had been mostly phased out in Western practice. Concern and fear before the surgery, and the physical pain afterwards, were her most difficult experiences. Of course, her surgery, which removed lymph nodes and chest muscles, required major rehab for recovery, which was given by her medical personnel and patient support groups. She mentions, “The advanced rehabilitation knowledge and products surely helped me come back to life and be a woman again.” Mrs. Wang is a relatively new user of Amoena breast forms and bras, as the company has only recently begun expansion into Asia. She wears an Individual Light with Comfort+ and likes it because it is more comfortable than standard weight forms. She told Amoena Life that her husband and son have given her loving support all the way through her journey. Today, she’s a very optimistic survivor who runs 5 km a day and travels frequently with her husband.

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Suzanne realizes she is one of the lucky women, as far as medical coverage is concerned—her surgeries and treatments were covered under her employment-based health insurance with a well-known U.S. insurance company. But her journey was full of healthcare delivery problems. “I vaguely remember receiving a [postmammogram] phone call saying, ‘Something suspicious, but not cancer,’” she says. In fact, Suzanne got that message twice more, but after several additional tests, a surgeon she had never seen before asked her abruptly, “What are we going to do about your breast cancer?” To say she was shocked is an understatement. In retrospect, Suzanne wishes that she’d been given better information and the compassion she knows she deserved. This fast-paced, impersonal care is one of the common complaints about U.S. healthcare; as a prime example, when she asked her insurance company about support groups in her area, they suggested that she start her own! She also says that her recovery time in the hospital was too short—she felt “pushed out the door.” Like many women, her journey included heartbreak, depression and ultimately, newfound strength. Suzanne left her unsupportive husband, lost more than 100 pounds and started wearing Amoena Contact breast forms, which she has loved. Despite 12 years of saying “no more” to hospitals and surgeries, Suzanne is currently making her second attempt at reconstruction.

Amoena

Suzanne, age 62, United States Bilateral Mastectomy (2000/2001)

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While many of the emotional aspects of breast cancer are shared globally, we can’t begin to know the daily nuances of every breast cancer patient’s journey. Healthcare delivery is unique the world over—if it exists at all in a particular location—and of course, family and other circumstances play a role, as well. We think it’s valuable to peer into other women’s lives for a moment—to understand some of their daily healthcare trials and triumphs. If you’ve ever wondered what having breast cancer can be like in other countries, here are the personal stories from survivors around the globe.

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omen in some countries have yearly mammograms; in others, a lump might be found without having visited a doctor in a decade. Breast surgeries are routinely performed in western hospitals but might be more difficult to arrange across the globe. No matter where we experience ss up in pink. , d re y breast cancer, though, this truth remains: It’s a journey that changes our lives, and we will r Ga forever share survivorship in common with women around the world. d,

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The opening ceremonies of 2012’s Summer Olympics showed the world that the UK’s National Health System (NHS) is a point of great pride—and Pauline credits it for her excellent medical care throughout her cancer journey. “The dedication and access to treatments has been fantastic,” she says. Able to receive medications through drug trials and the National Cancer Drugs fund, she recognizes that this system is helping her live life to the fullest while she continues to battle secondary cancer in her liver. She was disappointed when costs and NICE (National Institute for Health & Clinical Excellence) guidelines required her to be taken off Herceptin after three and a half years, while other women continue on it longer in the hopes of slowing down the disease. Otherwise, she’s had strong medical support. After her first treatment round, Pauline experienced the fear of “What if it comes back?” which she knows is universal. “I think that never leaves your thoughts. I know ladies after 20 years who still have that fear.” But she also knows there is life after cancer. Amoena Life helped her feel less alone, she says and then, she helped the magazine in return! She and some friends wrote in, suggesting that “Real Women” should serve as models alongside the professional models. We wanted more ladies to think, ‘Well, we could look great in that, too!’” Pauline modeled swimwear for us in 2005, and had a great time. She has now had reconstruction, but continues to wear Amoena apparel, and loves them!

Four corners of the earth, one journey of hope

Pauline, age 49, Great Britain Lumpectomy followed by Mastectomy (2001)

Amoena Life | 21

>>> PORTRAITS

This is the New Me Amoena Life was pleased to host its third annual Club Amoena essay contest and to announce the winners in September, 2012. First place went to Teresa Schrieber Werth, 65, a freelance writer and communications specialist by trade and a wise survivor of Stage III breast cancer. Here, she shares how she acknowledges and lives her “new normal.”

omeone once suggested to me that one way to make use of life experiences – good or bad – is to ask yourself: What have I learned from this? With no suggestion of guilt or judgment, it is just a call for honest reflection that could make a difference down the road. If you are a person who searches for “the meaning” of things, this is the question that can give meaning to the struggle or the miracle. This is probably a good question for cancer survivors to ask themselves: What have I learned from this? I have read many articles that tip-toe around this issue, perhaps because many cancer survivors feel like “victims.” They didn’t knowingly do anything to bring on cancer. It has negatively altered their health, their body and their spirit and so drawing lessons from it seems like too much to ask, if not just plain wrong! But one answer I have often seen goes something like, “In some ways, cancer has been a gift.” I think I have said it myself. But upon closer examination, I have to say, REALLY? A gift? Come on! What I meant, and what I think survivors mean when they say this, is that this experience of having cancer has presented unexpected opportunities to receive kindness, compassion, generosity and to reflect on one’s life from a new perspective. It invites me to take a hard look at reality and to become definite about what matters most and not at all. The lesson is that even something bad can produce something good. So I asked myself the question and came up with five lessons that now define “the new me” and how I am living my life.

ONE I use all of my senses. The cliché would be, “Stop and smell the roses.” But I don’t want to just smell the roses. I want to see the roses, touch the roses, plant the roses, pick the roses. I want to hear the birds and the traffic sounds, hear and smell the crashing waves, feel the silky sand between my toes, notice the sound of children laughing, remember the strong hug you gave me and the way my favorite wine tastes. I don’t want to miss any of it but I can only take it in if I live intentionally.

TWO I practice gratitude. My mother was a tyrant when it

Writing thank you notes was never optional. They would be done well and in a timely manner. As odd as it seems, I do believe that is where I learned to practice gratitude for the big presents and the little niceties of life. Whether you thank a Higher Power, a stranger, a family member or service provider, you contribute to the kindness of our species and become more fully human in doing so,

Meet Beverly Vote, helping women celebrate life right now.

THREE I recognize what gives me joy. Since my cancer diagnosis, I have cultivated a new habit. Every night the last thought I have before I close my eyes is, “What brought me joy today?” I always have an answer because all day long I am looking for it. Most days there are so many examples I can’t remember them all. Some days I struggle but I find one. I have learned that not a day of my life is lacking joy if I will only take the time to recognize it.

FOUR I invest myself in making memories. Living intentionally requires living in the present tense when it may seem easier, more comfortable, to dwell on the past. That is as unproductive as worrying about the future over which I have little control. The logical, and sometimes more challenging choice, is to enjoy each day. Making memories with family and friends is a gift we give each other by sharing time and experiences. Lacking any guarantee about the number of days, months or years anyone has to make those precious memories, I am committed to investing my whole heart in making them every day.

FIVE I allow myself to grieve…briefly. Any serious illness translates into a sense of loss: loss of health, energy, peace of mind, loss of sound sleep, appetite, sex drive, loss of hair, breasts, dreams, loss of financial resources, strength and innocence. To mourn these losses is appropriate and necessary. A stiff upper lip will not take away the very real pain I experience confronting the reality of these losses, and so I will allow myself a moment, here and there, to feel the loss, but even the pain lets me know that I am alive! “So much has been given to me,” said Helen Keller, “I have no time to ponder over that which has been denied.” And so I live. Refer to lesson number 1. |

came to teaching her children to express gratitude for gifts.

22 | Amoena Life

Steadfast for the

Comments welcome! If you’d like to congratulate Teresa on her essay, please visit the Amoena Lifelines blog at Amoena.com/blog/us and leave a comment! You’ll also see the second place winner’s lovely submission. Congratulations to all our writers!

Beverly’s eBook How We Became Breast Cancer Thrivers is now available in paperback. It was written to help women connect with their thriving spirit. There are 44 stories in the book, written by thrivers now living with conviction, clarity, passion and purpose. Their stories are personal messages of how they reframed their diagnostic perspective about healing and what each did to make a difference in their own healing experiences.

ince her breast cancer diagnosis in 1992, Beverly Vote has devoted much of her time, energy, and inspiration to empowering other women with the disease. Whether she’s at the helm of the magazine she created in 2006 (Breast Cancer Wellness) mapping out content for the next issue; making plans for BCW’s 7th Annual Thrivers Cruise in April of 2013; or brainstorming new ways to reach out to those she serves, like the Thriving Caregiver™; Beverly Vote’s enthusiasm, charisma and faith never seem to flag. Not only has her passion never diminished, her commitment to staying focused on the current needs of women dealing with breast cancer is evident every step of the way. Because she doesn’t rest on her laurels, she never forgets that times, social mores and needs change. Beverly not only welcomes change, she embraces it wholeheartedly. “Empowering mind, body and spirit has always been our tagline,” says Vote. “That term was just being accepted on a global level when we started out. Over the years we’ve shifted our focus to helping women connect with the thriving spirit we all have. ‘Thriver’ can be such a misnomer. Women think in order to be a ‘thriver’ you have to survive breast cancer for five years. Wow, talk about missing a five-year opportunity because of that belief! I’m all about helping women celebrate their life in the here and now. Regardless of where they find themselves physically, emotionally or spiritually, I feel this assists in the healing process. “Don’t get me wrong,” she continues: “When I was diagnosed I had a tremendous fear of death. Actually, I was not just afraid of dying; I was also terrified of how this would affect my family. I spent an immense

amount of time trying to discover why my fear was so great. I did a lot of reading and searching, which brought me peace so I could focus on healing. I’m a firm believer in the adage, (When the student is ready the teacher will come.) This is one of my cornerstones of trust. When I am ready, not only will the lesson show up, the trust will be there so the answers can be revealed. We have to show up with an open heart and mind so we can see when the teacher has arrived. I’m sure this is why I try to do work that takes the fright out of the journey so women realize they are not powerless over breast cancer.” In keeping with this issue of Amoena Life’s focus on making pink a bit greener, Beverly has some sage advice. “When I went on my healing quest, I found that I could not change the world, but I could change myself. I realized I could clean my personal environment: my home, my body, my work surroundings. Even doing work I love can be demanding when I’m involved 24/7. When I realize I’m too saturated, I recognize it and make a point of doing something healthy for myself. I walk barefoot on the grass to reconnect with Mother Nature. I go have a massage. I remember to live by the three principle rule whenever I feel overwhelmed, which essentially boils down to, what three things can I do today? Whether I choose to pray, go to a funny movie, get a cup of coffee with a friend, take a walk, listen to the birds or play some music I enjoy—any of these pursuits provides power over my life again. This simple philosophy helps many women make a significant shift in their day, which is a step to making a change in their life.” | For more information about Beverly and all things relating to Breast Cancer Wellness, just visit Breastcancerwellness.org. Amoena Life | 23

>>> MIND & BODY 1

Try these gentle, safe yoga poses to boost mobility.

2 Raise your arms parallel to the floor and reach

them out to the sides, shoulder blades wide, palms down.

Smoothmoves

3 Turn your right foot in slightly and your left foot

out to the left 90 degrees. Align the left heel with the right heel. 4 Exhale and bend your left knee over the left

Maintaining mobility after breast cancer treatment is important, and a little yoga is a great way to get started. We asked Pippa Plaisted, who teaches yoga and Pilates at The Haven breast cancer support center in London, to recommend her favorite yoga poses that are gentle and safe for everyone—no matter what their level of fitness*.

ankle, so that the shin is perpendicular to the floor. Don’t lean your torso over your left thigh. 5 Turn your head to the left and look out over

Tadasanapose Before you start any of the following poses, stand in Tadasana (Mountain pose), looking straight ahead, legs straight and feet together, arms by your sides, shoulders relaxed.

RaisedHandspose 1

your fingers. 6 Hold for 30 seconds to one minute. 7 Inhale and then return to a standing position.

Repeat on the other side.

Warriorpose Benefits Strengthens and stretches your legs and ankles, stretches your groin, chest, lungs and shoulders and stimulates your abdominal organs.

From Tadasana, breathe out and bring your arms out to the side and up.

2 Press the palms together, keeping your arms

straight, and gaze up towards your thumbs.

Beginner’s tip If you have neck problems, do not turn your head to look over your hand—instead, look straight ahead. 1

4 Hold for 30 seconds to one minute. 5 Inhale and take your arms out to the sides

and slowly back down.

Benefits Great for shoulder mobility and for improving lymph flow.

Want to see more? Visit www.amoena.us to view the complete line. Our survivor models, Michele, 51 and Annette, 47, are wearing styles from Amoena’s new activewear collection.

Exhale and extend your torso to the right, directly over the plane of the right leg, bending from the hip joint, not the waist. keeping the two sides equally long. Let your left hip come slightly forward and lengthen your tailbone towards the back heel.

Try this pose seated on a chair with your feet flat on the floor and knees parallel, or standing with your back against a wall.

Amoena’s fabulous new line of activewear is perfect for your workouts. Choose from a racer-back or tank-style top (or both!), all with a built-in shelf bra with pockets for your breast form or symmetry shaper. We’ve even integrated Comfort+ temperature-equalizing fabric in just the right places to help absorb body heat and reduce perspiration, helping you stay fresh and comfy at all times – always a bonus when working up a sweat! Team with sassy capris and your fashionably fabulous look will not go unnoticed!

Turn your left foot in slightly and your right foot out 90 degrees. Align the right heel with the left heel.

5 Rotate your torso to the left,

Beginner’s tip

rt Looking the pa

Stand in Tadasana. Breathe out and step your feet apart.

2 Raise your arms parallel to the floor and reach them out to the sides, shoulder blades wide, palms down.

3 Slide your shoulder blades down your back.

24 | Amoena Life

From Tadasana, breathe out and step your feet apart.

Rest your right hand on your shin or ankle (but not on your knee joint).

7 Stretch your left arm towards

the ceiling, in line with the tops of your shoulders. Keep your head in a neutral position or turn it to the left, eyes gazing at your left thumb.

8 Hold this pose for 30 seconds

to one minute. 9 Inhale and return to a standing

position. Repeat on the other side.

Benefits Stretches and strengthens your thighs, knees and ankles, stretches your hips, groin, hamstrings and calves and your shoulders, chest and spine, as well as stimulating your abdominal organs.

Beginner’s tip Brace your back heel and the back of your torso against a wall if you feel unsteady in this pose.

Trianglepose

*Consult your physician before beginning any new exercise program.

Amoena Life | 25

>>> REPORT

When an apple a day can’t keep worry away. Understanding the persistence of follow-up fears by Beth Leibson

26 | Amoena Life

usan, a New York-based writer, finished with breast cancer treatment six years ago. Since then, life has returned to normal. That is, until she has to go see her doctor for a check-up, which she does about every three months. “I have my next appointment on the 25th, so I won’t start worrying about it full-scale until the first,” she explains. “But I know that it’s not going to be a productive month.” She worries about what her doctor will find. Susan isn’t alone in her concerns, explains Elissa Bantug, Project Coordinator of the Breast Cancer Survivorship Program at the Johns Hopkins Sidney Kimmel Comprehensive Cancer Center and herself a two-time breast cancer survivor. “Studies show that upwards of 80% of survivors worry about recurrence,” she adds. “For some women, these worries can be so strong that they impact their treatment decisions, symptom reporting and screening behaviors and overall quality of life,” says Nancy K. Janz, Ph.D., professor of health behavior and health education at the University of Michigan School of Public Health and researcher at the University of Michigan Comprehensive Cancer Center. Recurrence isn’t the only concern. Some survivors worry about getting another type of cancer, feel like they’re losing control just when they were getting back into the driver’s seat of their lives, or simply remember the nausea of chemotherapy and feel their stomachs clench just by walking over the threshold of the hospital door. These feelings can take a toll. For some survivors, simply seeing a doctor’s appointment loom in their datebook might lead to difficulty sleeping, poor appetite, mood swings or increased aches and pains, according to Cancer Council Victoria, a Melbourne, Australia-based nonprofit involved in cancer research, support and advocacy. And, to some extent thanks to improved treatment, more and more people face these challenges. In the 1970s, less than 50% of people with cancer lived five years or more after diagnosis. These days, close to 70% of people with cancer live at least five years—and, partly as a result, the number of survivors has grown to about 12 million, according to

CancerCare, a New York-based cancer support organization. Not all cancer survivors have the same check-up schedule. The frequency of follow-up appointments varies by the type of cancer, the treatment received and the survivor’s overall health. And different doctors take the reins of post-treatment follow-up. Some women see their breast surgeons while others check in with their oncologists, gynecologists or even their internists. Some survivors are even followed by several physicians, such as an oncologist and a surgeon. Whoever is overseeing the process, though, people usually go back every three to four months during the first few years and then once or twice a year after that, according to the National Cancer Institute. Some of these appointments just involve physical examinations and check-ins; others may require bloodwork, imaging (such as mammograms or sonograms), or other tests. When the Calendar Makes You Nervous

Ann Fry, who finished breast cancer treatment about two and a half years ago, thought she would get calmer as time went on. She has found, unfortunately, that she has not. “I wasn’t so nervous at the beginning,” she says, explaining that she figured she was done with treatment and, therefore, done with cancer. But when she went for her two-year check-up, the doctor found a few suspicious spots; two turned out to be nothing, but the third was precancerous, and Fry ended up with a lumpectomy. She is less confident that her cancer story is over. “Now, when I look at the calendar and see that I have an appointment with the doctor in a few days, I feel a twinge,” says Fry, who holds an MSW and is founder of iamathriver.com, a website geared to survivors. “On the subway on the way to the appointment, I’m nervous that the doctor is going to see something new.” “Coming back from a life-threatening illness can be very hard, very traumatic,” agrees Bantug, speaking from personal experience. As a runner, she used to worry post-treatment whenever her legs felt sore, even though she knew it was more likely to be shin splints than tumors. Over time, though, she has become more secure in her health – and determined to help other patients find their ‘new normal.’ When

How much women worry about recurrence is often not aligned with their actual risk for cancer recurrence. Bantug was going through diagnosis and treatment, she felt as though she had to fight every step of the way; she became an advocate for women living with breast cancer as a result of her experiences. She wants to try to make it easier for others. “You can point out that if someone spends a lot of time worrying about cancer that either they won’t have cancer—in which case they’ve spent a lot of time worrying for no reason—or they will have cancer—and they still wasted all that time,” Bantug reasons. “But you can’t just tell someone to stop worrying.” It simply won’t work. “It’s a matter of finding the right way to do it, finding something that works in your life, a way that is culturally sensitive and meaningful.” So—to reference writer and professional optimist Dale Carnegie— how do you stop worrying and start living? First of all, experts agree, it is important to get good information. Researchers at the University of Michigan Comprehensive Cancer Center found that women who report understanding the information about their disease and treatment better, women who receive more help with their symptoms, and those who have more coordinated care are less likely to worry about recurrence than women who lack these resources. Being Proactive Helps

Beyond gaining information, Bantug emphasizes healthy living. “Get active and stay active,” she exhorts cancer survivors. “Eat healthy and don’t smoke.” Knowing that you’re doing everything you can to keep cancer at bay can help alleviate some of the fear, she explains. Speaking as a healthcare provider as well as a survivor, Bantug explains that Amoena Life | 27

>>> REPORT

“I am a firm believer that especially after cancer, you want to live every day as fully as you can.” | Ann Fry | 28 | Amoena Life

>>> FEELIN’ KINDA FUNNY

“it also helps to give people signs to look for—signs of recurrence or of a new cancer,” she says. Many Read other articles people find that having something practical and about life after breast proactive to do, such as regular breast exams, can cancer in the stave off feelings of fear and anxiety. Daily Living section of And the research bears this out. “The challenge Amoena Life online: is to ensure women are aware of the signs of www.amoenalife.com. recurrence while not increasing anxious preoccupation with excessive worry. How much women worry about recurrence is often not aligned with their actual risk for cancer recurrence,” says Janz. It can also be useful, Bantug points out, to have someone to talk with. “That can be a support group, a social worker or therapist—or even just a friend who understands,” she explains. “Try to find someone to connect with.” Fry, agrees that support groups can be very helpful—they have been to her—but points out that it is important to find a good fit. If, for instance, everyone in the group is 30 years older than you, it might be hard to take comfort from the meetings. Both Bantug and Fry agree that it is important to find someone who is a good role model. “Look at survivors who are doing well, who are thriving after cancer,” suggests Bantug. Fry has developed a website devoted to the notion of thriving after cancer and other life-threatening illnesses and circumstances. Fry also has some very practical recommendations from her own life. “If I start to feel nervous, I go out, sit at a café, and have a glass of wine.” She tries to bring a friend—but even if no one is available, Fry will still go out. “I take myself to the movies, listen to music, or write my blog. I try to distract myself in a positive way.” Positive distraction was Fry’s approach even when she was in treatment. “The night before my lumpectomy, I went to a Christmas party. I didn’t eat or have alcohol, but I sipped a diet soda and danced.” She was a little nervous as she walked to the subway to go home, she says, but at least she hadn’t spent the whole evening worrying. “I want to be living every day,” she says. She’s found this method works well for her. At the same time, though, Fry thinks it is important not to deny your feelings. “If I have to cry, I cry,” she says. “I don’t pretend that the feeling isn’t there—I just try not to dwell on it.” Bantug maintains, as well, that the passing of time can help survivors worry less about routine check-ups. “Time heals a lot,” she says. “I am a firm believer that especially after cancer, you want to live every day as fully as you can,” says Fry. “I believe that if we let this disease beat us up, we’re hanging on by our fingernails,” she explains. “My major message is to live every day with purpose—love your children, love your mate, enjoy the work you do, take care of yourself and take pleasure in your life.” | Beth Leibson lives and writes in New York City. She is author of I’m Too Young to Have Breast Cancer (LifeLine Press, 2004).

The other side of the fence Dianne Armitage comes to grips with what it means to be green

kay, I’ll be the first to admit it. I’m lazy. That’s right. L-A-Z-Y, with a capital L. My lethargy doesn’t affect my commitment to exercise, work or even my undying desire to make people laugh. Nope, in those areas I’m the proverbial Energizer Bunny™. But when it comes to trying to unravel the never-ending onslaught of what’s good, what’s bad, what’s in and what’s out on the “green” scene, I’m pooped before I even get started! Of course, I don’t litter. And I make every attempt to use glass instead of plastic. Organic instead of pesticide-laden. Free-range, grass-fed and humanely treated rather than corporate farmed. Heirloomed instead of perfumed … wait … I’m not sure that’s actually a choice…. which brings me to my point. How the heck can anyone keep up with all of this stuff? Not only keep up with it, but keep it all straight? At about the time I’m worrying myself sick because there is a massive island of plastic the size of Texas floating in the Pacific Ocean (and if you’ve ever driven across Texas, you know this is NOT good), I hear that it is also toxic. I found this even more disconcerting because for one brief moment I’d hoped that perhaps the Polar Bears, who are losing their habitat due to global warming, could just hop a ride on the plastic island. Apparently, things are never that easy. Then I heard that cosmetics can be laced with lead and other things known to be hazardous to our health. At first I thought this wasn’t going to be such a tough problem to overcome. I found a website that showed me how to make an avocado face mask. Another that pointed out how sliced cucumbers could be used to get rid of puffiness under the eyes. And still another that assured me using yogurt on my hair was

a great way to get rid of tangles. Unfortunately, avocado and yogurt make a great dip for cucumbers. I know, I know—but I was hungry. To make matters worse, I happen to live in California. Usually that’s a good thing, but when it comes to being trendy, in-the-know, up-to-the-minute—and all sorts of other hyphenated words—Californians like to think they are numero uno (we’re politically correct, too)! I can’t just walk into a store and buy something that is bad for me without getting: (a) startled looks, (b) rolling eyes, (c) shaking heads or (d) all of the above. Most of the time the answer is (d) but I can never be quite sure if the person in question is actually reprimanding me or has already made this same poor choice and can no longer control their bodily functions. Is it too much to ask for someone to come up with a list— that doesn’t change with every news cycle—of all the things we should and shouldn’t be doing? And then, would it be silly for me to wish someone would open a store filled with everything good so I can simply go there and know, regardless of the choice I make, it will be right? Would it be possible that I not have to take a second job to pay for these things? Could the Easter Bunny, Santa Claus and the Tooth Fairy run the checkout lines? (I just added that for those of you who feel I’m being childishly naïve—hey, are you from California?) In conclusion, let me just say that yes, in my case, the grass is always greener on the other side of the fence, and do you want to know why? It’s because I’m so busy trying to figure out all the ways to be more “green” that I don’t have time to water my lawn. |

Dianne (Browne) Armitage was born in Indianapolis, Indiana. The eldest of six children, her early aspiration was to write the great American novel. Diagnosed with breast cancer in 1996 and again in 2005, she realises that humour has helped her deal with her diagnosis and just might be therapeutic to others as well. In addition to her work with Amoena, Dianne has written for Dr Susan Love’s website and is a frequent contributor to several other health-related sites.

Amoena Life | 29

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