Twin Tiers Health - October 2016

Oct/Nov 2016 • Vol. 1/Iss. 4

Olean Times Herald • The Bradford Era

CANCER AWARENESS

Supporting someone with cancer Coping with cancer’s side effects

Local woman’s fight with brain cancer

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Twin Tiers Health

October/November 2016

Bradford Publishing

Bradford Publishing

October/November 2016 Volume 1 • Issue 4

What’s inside...

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ASK US | Fighting Breast Cancer Together

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Twin Tiers Health

October/November 2016

Let me walk you through your personal hearing journey with patience, dedication & commitment.

Tracie D. Edwards

LOCAL IMPACT | Radiation Therapy Improves Cancer Treatment

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HOME & FAMILY | Day by Day — Supporting Someone Who Has Cancer

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MIND & BODY | What exactly is cancer?

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MIND & BODY | Coping With Cancer

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FEATURE | Rolling thunder: Kids and Cancer Benefit Motorcycle Run a roaring success

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FEATURE | Local brain cancer survivor Rakocy is fighting again

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FOOD & NUTRITION | Reduce your risk of cancer

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FITNESS & EXERCISE | Planning begins for McKean County Relay For Life

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OFF YOUR ROCKER | Older people need to know all cancer treatment options

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LOCAL UPDATE | Bolivar’s The Hearing Aid Shop celebrates commemorates milestone anniversary

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LOCAL UPDATE| OGH / BRMC / Cole Memorial

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For the Whole Month of October We are Celebrating the 10th Anniversary of Our Fall Event.

Call 877-EAR-LADY today to “test drive” a set of hearing aids at no cost! Wear them in your environments before you make a decision. Get your questions answered! Call today!

Tracie D. Edwards HIS, COHC

HEALTH NEWS | Cancer in a social world...

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VITALS | Guide to wigs and head coverings

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HOLIDAY | Safe ways to trick-or-treat

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Twin Tiers Health

Bradford Publishing

October/November 2016

ASK US

By Ahmad Awada, MD, OB/GYN Special to Twin Tiers Health

Fighting Breast Cancer Together COUDERSPORT, PA — Breast cancer is the most common cancer in females in the United States and the second most common cause of cancer death in women. About half of all newly diagnosed breast cancer cases can be explained by known risk factors. An additional 10% are labeled as familial breast cancer, meaning it is hereditary.

In the United States, one in eight women will develop invasive breast cancer in their lifetime. Breast cancer accounts for over 230,000 cancer cases each year and is responsible for over 40,000 deaths annually. While men can be diagnosed with breast cancer, it’s important to note that breast cancer is 100 times more common in women.

It is important to understand the risk factors of breast cancer so that you can be proactive in your health and your care. For example, did you know the risk increases with age? Women in their 50s have a 1 in 45 chance of developing breast cancer but by age 70 that risk increases to a 1 in 15 chance.

Race and ethnicity also play a role in breast cancer risk, as studies have shown that white women carry the highest risk.

Reproductive factors have shown to be correlated to the risk of breast

cancer. Women who started their period at an earlier age or experience menopause at a later age are at higher risk for breast cancer. The same heightened risk is reported to be true for women with infertility, women who gave birth to their first child at an older age, and women who were never pregnant.

A family history of breast cancer also increases your risk of breast cancer.

For example, just one affected firstdegree relative (parent, sibling or child) doubles an individual’s risk. A personal history of breast cancer also increases the risk in the opposite breast if it was not yet affected.

Other risk factors are related to body image. As a matter of fact, being tall (> 69 inches) increases your risk of breast cancer when compared to a height of less than 63 inches. Obesity also increases the risk of breast cancer.

Also women with denser breast tissue, a largely inherited trait, are reported to have increased risk.

Smoking, alcohol and night shift work have also been associated with an increased risk of breast cancer.

There are also factors that help to reduce the risk of breast cancer. For instance, breastfeeding has been shown to be protective against breast cancer

in multiple studies. One study revealed that for every 12 months of breastfeeding there is a 4% reduction in the relative risk of breast cancer. Furthermore, regular physical activity appears to reduce risk of breast cancer especially in postmenopausal women.

There are many resources for screening including digital mammography, ultrasound and MRI. Doctors also work to identify patients that are at high-risk for breast cancer so that early prevention or interventional measures to decrease their risk of developing breast cancer can be discussed.

The American College of Obstetrics and Gynecology recommends starting routine mammogram in average risk women at age of 40 and continue on a yearly basis. I urge you to ask your healthcare provider to order a mammogram if you’re due for an exam. Mammograms remain the most used modality and the most effective way to screen for breast cancer. Cole Memorial has state-of–the-art digital mammography equipment and announces periodic free mammogram screenings at their website ColeMemorial.org.

Additionally, several breast cancer risk assessment tools are available to stratify a woman’s risk for breast cancer.

Although these tools are less accurate, they can be beneficial. Moreover, doctors have the ability to perform extremely accurate genetic testing to look for specific genetic mutations in women thought to be high risk for breast cancer.

Those patients could be candidates for medical or surgical treatment to prevent breast cancer.

It’s important to know that only 5-10% of breast cancer cases are due to inherited genetic mutation, and BRCA mutation is only one of the many gene-related causes of breast cancer.

Therefore, not everyone with a family history of breast cancer needs genetic testing to look for those specific mutations. In fact, the U.S. Preventive Services Task Force recommends specific criteria before suggesting patients undergo genetic testing for breast cancer.

With breast cancer the old adage rings true - “an ounce of prevention is worth a pound of cure.” Team-up with your OB/GYN or primary care provider to fight against breast cancer together!

For more information or to make an appointment with the Women’s Health Center at Cole Memorial, call 814-2747101.

Bradford Publishing

October/November 2016

5

Twin Tiers Health

LOCAL IMPACT

By Gregory B. Hare, MD Special to Twin Tiers Health

Radiation Therapy Improves Cancer Treatment

Dr. Gregory Hare says improved technology at the Olean General Hospital Mildred Milliman Radiation Medicine Center is good for patients.

our patients now receive daily low-

with RPCI, all patients and their radia-

dose highly specialized daily imaging

tion treatment plans are presented and

technology for this reason. Recently,

reviewed with the radiation oncology

we installed cone-beam CT technol-

physicians, medical physicists and

receive radiation. One of the latest evo-

ogy on our linear accelerator. This very

dosimetry staff at Roswell Park. This is

is used for almost half of all cancer

lutions of linear accelerator technology

low radiation dose daily localization CT

one of the primary ways that allows

patients at some point during their treat-

is called RapidArc or VMAT (volumetric

scan allows for highly accurate tumor

modulated arc therapy). Our linear

alignment. After obtaining this cone-

the center to maintain the mission that

ment course. Modern radiation therapy is associated with fewer side effects

accelerator has this upgrade which has

beam CT scan, we are able to move

during treatment and often with lower

greatly shortened the time it takes to

the patient to the precise location for

long-term complications than ever

treat our patients. Some clinicians be-

optimum targeting inside the body. This

Olean General’s Mildred Milliman Radiation Medicine Center Upgrades Benefit Patients OLEAN, NY — Radiation therapy

before. Over the past 15 years, there has lieve that RapidArc may eventually be shown to improve cancer control as this been an explosion in radiation treat-

has allowed for the reduction of radiation field sizes which now excludes the

ment technology that has resulted in im-

has been speculated to be associated

extra tissue that was previously being

proved patient outcomes. This technol-

with a more rapid delivery of radiation.

irradiated. Previously, radiation field sizes

ogy has allowed us to treat patients with

In addition, this technology often allows

had to be larger in order to account

greater accuracy and more curative

for a reduced dose to non-targeted

for these small tumor movements which

doses of radiation while generally de-

tissues around a patient’s tumor. For

now the technology accounts for.

creasing the side effect profile of treat-

example, since using the RapidArc tech-

ment. Olean General Hospital’s Mildred

nology, our prostate cancer treatment

that improves the therapeutic outcome

Milliman Radiation Medicine Center, a

computerized plans have shown greatly

of treatment (used with our left sided

premier affiliate of Roswell Park Cancer

reduced hip and rectal doses which

breast cancer patients) is called respira-

Institute (RPCI, Buffalo), has recently sub- may decrease long-term side effects.

As many tumors move slightly stantially upgraded its already impres-

Another technology at our center

tory gating. As patients take a deep

patients treated in Olean will receive the same quality of care that they would receive at Roswell Park. Physicians, physicists and dosimetry professionals at the Mildred Milliman Radiation Medicine Center are all employed by RPCI. This affiliation allows for the truly multidisciplinary approach to patient treatment as the care team has access to all of the cancer specialists (including surgical, radiation and medical oncologist) at RPCI for the benefit of the patients it serves.

Gregory B. Hare, MD, is director of

breath in, the heart usually falls away

radiation medicine at Olean General

inside the body (such as the prostate

from the chest wall which often greatly

Hospital’s Mildred Milliman Radiation

with bowel and bladder filling or lung

reduces the radiation dose to the heart.

Medicine Center, a premier affiliate of

involves delivery of radiation therapy

tumors with respiration), highly targeted

Depending on the patient, this can also

Roswell Park Cancer Institute (RPCI), Buf-

using a machine called a linear accel-

treatments require very accurate ways

improve other treatment parameters as

falo. A board certified radiation oncolo-

erator. These machines are used in the

of knowing the exact position of these

well.

gist, Dr. Hare is an active staff member

treatment of about 90% of those that

tumors on a frequent basis. Many of

sive patient-related technologies.

Day-to-day treatment of patients

As our treatment center is affiliated

at RPCI and Olean General.

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Twin Tiers Health

Day by Day — Supporting Someone Who Has Cancer

By Deb Wuethrich

developed support groups where

Special to Twin Tiers Health

people share stories of what they are

Bradford Publishing

October/November 2016

HOME & FAMILY

going through. Pink Pumpkin sponsored OLEAN, NY — Cancer. The diagnosis

an all expenses paid trip to Niagara Falls

can knock down the strongest person.

this summer for local families and offers

At one time cancer was rarely discussed

special events such as painting therapy,

openly and some faced it alone, but

music therapy and yoga. They recently

today’s counselors are more inclined

held a dinner at the Old Library.

to recommend patients accept all the help and support available.

One of the door openers for the

“Our main fundraiser is our pumpkin sale, but we do use our dinner event to celebrate fighters and survivors and also

cancer conversation came with a mid-

to remember those who received their

1970s book and TV movie. Mary Tyler

heavenly healing,” Anzivine said.

Moore took the lead role in, “First You

In her book, “Passages in Caregiv-

Cry: The Betty Rollins Story,” about fac-

ing: Turning Chaos Into Confidence,”

ing breast cancer.

author Gail Sheehy notes that almost

During the ensuing years, not only

one-third of American households has

has medical science advanced, na-

someone in the family serving as an

tional and local support groups, books

unpaid caregiver. Drawing from her

and literature now offer suggestions

experience with her late husband Clay

for coping with cancer and supporting

Felker, who founded New York maga-

someone who has been diagnosed with

zine, Sheehy shares lessons she learned

the disease.

when his diagnosis of cancer changed

“We have learned through serving others what type of support people

everything.

The author works from a metaphor

need,” said Lynn Anzivine, who founded

of a labyrinth and points out no one can

the local nonprofit Pink Pumpkin Project

do it alone and needs a circle of care.

in 2012 (www.thepinkpumpkinproject.

Her book is part memoir and part practi-

org). The group holds an annual fund-

cal suggestions, describing eight stages

raiser each fall and will this year paint

of caregiving:

1,200 pumpkins with proceeds benefiting local men and women battling breast cancer in the area.

“Sometimes it’s just being there for

• Shock and mobilization — teaching patients and caregivers to fight rather than flee.

• The New Normal — using the jour-

that person so they have someone they

ney to still find pleasurable activities

can turn to,” Anzivine said. “Maybe it’s

in life.

just to send a card to let someone know

• The Boomerang — learning to ex-

Pastor Vicki Hedlund, who heads the Pastoral Care Chaplaincy at Olean General Hospital, offers literature and spiritual support to patients and families facing a cancer diagnosis.

a God, “but you ain’t it.”

• “I Can’t Do It Anymore” — Even

General Hospital.

“I believe it all works together,” said

those who hit a wall can learn to

Hedlund. “Holistic health care, along

ask for help and strengthen their

with mental and spiritual aspects, all

spiritual reserves.

work together.”

• Coming Back — realizing the old life never comes back but there can be new understanding about what has occurred.

• The In-Between — making decisions about care, such as palliative or hospice care.

• The Long Goodbye — facing medical decisions and end-of-life conversations. Hope remains but many wish they’d had such discussions with loved ones.

Hope is a crucial component of the

Hedlund’s chaplaincy office is on the second floor of the hospital and she and other chaplains offer support not only to patients but family members who stop by and even some hospital staff members who seek them out.

“We have some literature we can give to them,” said Hedlund. Pamphlets include a series called “Care Notes” and a resource titled, “Fighting Cancer as a Family.” Hedlund can also help point them in the direction of other medical and community resources.

“I think it does mean a lot to them

equation in providing care and support,

to have that spiritual support,” she said.

not just for one who has cancer, but

“After dealing with an initial diagnosis,

you’re thinking of them or praying for

pand the circle of care, even when

any type of medical situation, accord-

some of these resources help families

them.”

new obstacles block the way.

ing to Pastor Vicki Hedlund, who heads

learn to cope with cancer one day at a

the Pastoral Care Chaplaincy at Olean

time.”

The Pink Pumpkin Project has also

• Playing God — Sheehy says there is

Bradford Publishing

October/November 2016

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Twin Tiers Health

MIND & BODY

What exactly is cancer?

Cancer is treated in various ways

Cancer can affect anyone. Sometimes it strikes with no warning, while

and depends on the cancer’s stage,

other times people may have a genetic

type and effects on the body. A per-

predisposition. Various medical organi-

son’s age as well as his or her current

zations say there are between 100 and

health status also may play a role in

200 different types of cancer. Everyone

treatment decisions made by both the

has heard of cancer, but some are still

patient and his or her medical team.

unsure of what cancer is.

Surgery may be conducted to remove a tumor, while chemotherapy employs

Defining cancer

chemicals to kill cancerous cells. Radia-

The organization Cancer Research

tion therapy, which uses X-rays to direct

UK defines cancer as abnormal cell

radiation toward cancerous cells, is

growth. Cancer cells are cells that

another potential cancer treatment. The

divide in an uncontrolled way. New

side effects of each treatment vary, and

human cells normally grow and divide

there are ways to mitigate these effects.

to form new cells as the body requires

Why does cancer occur?

them. As healthy cells grow old or become damaged, they die off and new

which means they can spread into, or

anywhere in the body. Cancers of the

cells take their place. However, when

invade, nearby tissues. Cancer stages

breast, lung, colon, and prostate can-

sons — some of which may not be fully

cancer develops, this process goes

actually are determined based by how

cers affect males and females in high

understood. The National Cancer Insti-

haywire. Damaged cells become even

far cancerous cells have spread beyond numbers.

Classifying cancer involves undertheir point of origin.

more abnormal and can survive when they would normally die. These cells keep multiplying and eventually can form lumps or masses of tissue called

Cancer stages Cancer is staged according to par-

Cancer develops for various rea-

tute states genetic changes that cause cancer can be inherited from a person’s

standing where the cancer originated.

parents. Cancers can also arise during

Cancer Treatment Centers of America

a person’s lifetime as a result of errors

offers these classifications:

that occur as cells divide or because of

tumors. This is the case in most cancers,

ticular criteria based on each individual

with the exception of leukemia, wherein

type of cancer. Generally speaking,

cancer prohibits normal blood func-

lower stages of cancer, such as stage

tion due to abnormal cell division in the

1 or 2, refer to cancers that have not

cartilage, fat, muscle or other con-

tobacco smoke. Ultraviolet rays from the

bloodstream.

spread very far. Higher stages of cancer,

nective tissues.

sun also have been linked to cancer.

Not all lumps in the body are tumors. Lumps that remain in place and do not spread to other areas of

such as 3, mean cancer has branched out more. Stage 4 refers to cancer that has spread considerably.

the body can be harmless or benign.

According to the American Cancer Society, cancerous tumors are malignant,

• Carcinomas begin in the skin or tis-

damage to DNA that results from certain

sues that line the internal organs.

environmental exposures. Cancer-caus-

• Sarcomas develop in the bone,

• Leukemia begins in the blood and bone marrow.

• Lymphomas start in the immune system.

Common forms of cancer Cancer can occur just about

• Central nervous system cancers develop in the brain and spinal cord.

ing substances include the chemicals in

Learning more about cancer can help people reduce their risk for developing this potentially deadly disease. Individuals should always speak with their physicians if they have specific questions about cancer.

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Twin Tiers Health

TYPES OF CANCER

SYMPTOMS: bloody stool, abdominal pain, fatique, change in bowel habits DIAGNOSIS: colonoscopy, digital rectal exam, fecal occult-blood test TREATMENT: surgery, chemotherapy, radiation therapy RISK FACTORS: high fat diet, obesity 5 YEAR SURVIVAL RATE: 65.1%

5 YEAR SURVIVAL RATE: 17.7% ESTIMATED NEW CASES IN 2016: 224,390

Bradford Publishing

COMMON

LUNG & BRONCHUS COLON & RECTUM SYMPTOMS: persistent cough, chest pain, difficulty breathing, wheezing DIAGNOSIS: CT scan, chest x-ray, needle biopsy, physical exam TREATMENT: surgery, chemotherapy, radiation therapy RISK FACTORS: smoking, exposure to air-borne industrial pollutants

October/November 2016

ESTIMATED NEW CASES IN 2016: 134,490

BREAST SYMPTOMS: lump in armpit or breast, dark-colored discharge from nipple, itchy breasts, painful breasts DIAGNOSIS: physical exam, mammogram, biopsy, breast MRI TREATMENT: surgery, chemotherapy, radiation therapy, hormone therapy RISK FACTORS: heredity, late menopause

TESTIS SYMPTOMS: lump in testicle, swollen testicle, pain in lower abdomen DIAGNOSIS: physical exam, biopsy, ultrasound, blood test TREATMENT: surgery, chemotherapy. radiation therapy RISK FACTORS: heredity, undescended testicle

PANCREAS SYMPTOMS: jaundice, dark urine, weight loss, vomiting, abdominal pain DIAGNOSIS: CT scan, biopsy, MRI, barium swallow TREATMENT: surgery, chemotherapy, radiation therapy, biologic therapy RISK FACTORS: smoking, diabetes, obesity, heredity, alcoholism

5 YEAR SURVIVAL RATE: 89.7%

5 YEAR SURVIVAL RATE: 95.4%

5 YEAR SURVIVAL RATE: 7.7%

ESTIMATED NEW CASES IN 2016: 246,660

ESTIMATED NEW CASES IN 2016: 8,720

ESTIMATED NEW CASES IN 2016: 53,070

NH LYMPHOMA

LEUKEMIA

LIVER & BILE DUCT

OVARIAN

BRAIN & NERVE

SYMPTOMS: enlarged lymph nodes, chest pain, loss of appetite, anemia DIAGNOSIS: physical exam, biopsy, x-ray TREATMENT: chemotherapy, stem cell transplant, immunotherapy, radiation therapy RISK FACTORS: heredity, exposure to pollutants, autoimmune diseases

SYMPTOMS: persistent fatique, easy bruising, bone pain, tiny red spots on skin DIAGNOSIS: blood test, bone marrow biopsy, needle biopsy TREATMENT: chemotherapy, radiation therapy, bone marrow transplant RISK FACTORS: heredity, previous cancer treatment, smoking

SYMPTOMS: jaundice, weight loss, abdominal swelling DIAGNOSIS: blood test, CT scan, MRI, biospy TREATMENT: liver transplant, tumor ablation, chemotherapy, radiation therapy RISK FACTORS: chronic viral hepatitis, alcoholism, exposure to vinyl chloride

SYMPTOMS: persistent abdominal indigestion, weight loss, pressure in lower back, frequent urination, changes in bowels DIAGNOSIS: transvaginal ultrasound, blood test TREATMENT: surgery, chemotherapy, hormone therapy, radiation therapy RISK FACTORS: heredity, obesity

SYMPTOMS: persistent severe headaches, confusion, seizures DIAGNOSIS: CT scan, blood test, MRI, needle biopsy, lumbar puncture TREATMENT: neurosurgery, chemotherapy, radiation therapy, targeted therapy RISK FACTORS: heredity, radiation exposure

5 YEAR SURVIVAL RATE: 70.7%

5 YEAR SURVIVAL RATE: 59.7%

5 YEAR SURVIVAL RATE: 17.5%

5 YEAR SURVIVAL RATE: 46.2%

5 YEAR SURVIVAL RATE: 33.8%

ESTIMATED NEW CASES IN 2016: 72,580

ESTIMATED NEW CASES IN 2016: 60,140

ESTIMATED NEW CASES IN 2016: 39,230

ESTIMATED NEW CASES IN 2016: 22,280

ESTIMATED NEW CASES IN 2016: 23,770

Bradford Publishing

October/November 2016

Twin Tiers Health

MIND & BODY

By Neeta Soni, M.D., Oncology Special to Twin Tiers Health

Coping With Cancer Cancer causes a lot of upheaval in the life of not only the patient, but also his or her family. Coping with cancer is a very difficult endeavor.

More than 1.68 million people are expected to be diagnosed with cancer in the United States in 2016 and 595,690 people are expected to die of the disease. Global cancer rates are also increasing with an associated rise in number of cancer survivors living with symptoms and disabilities as a result of the disease and/or its treatment.

During the last 20 years an increasing amount of attention has been paid to quality of life issues in oncology throughout the disease trajectory.

Palliative care has developed into an integral part of comprehensive cancer treatment. National Comprehensive Cancer Network (NCCN) defines palliative care as a special kind of patient and family centered healthcare. It focuses on effective management of pain and other distressing symptoms while incorporating psychosocial and spiritual care according to the patient/family needs, values, beliefs and culture.

The goal of palliative care is to anticipate, prevent and reduce suffering, and to support the best possible quality

of life for patients and their families, regardless of the stage of the disease, or need for other therapies. Palliative care begins with the diagnosis and should be delivered concurrently with disease-directed life prolonging therapies, including surgery, chemotherapy, radiation therapy.

A cancer diagnosis triggers a gamut of feelings that one has to cope with. For many, the initial reaction is a feeling of being overwhelmed followed by denial and then anger and fear.

Typically anxiety and worry follow as patients work toward feelings of hope and willingness to fight the battle.

After a diagnosis, the best way to battle feeling overwhelmed and anxious is to gain insight and education about the type of cancer and available treatment options. Patients should be encouraged to ask their doctor questions and not be afraid to speak up when they do not understand.

Another way to try and cope is to maintain a feeling of control over one’s life. Many patients find that if they stay busy and active they experience less anxiety and worry. Many patients are able to continue working through

...continued on page 10

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Twin Tiers Health

Bradford Publishing

October/November 2016

MIND & BODY their various treatments. Some patients

experience moderate-to-severe pain.

advanced cancer. Potential causes of

psychosocial symptoms in the weeks to

also find solace in new activities such as

The World Health Organization (WHO)

weight loss include constipation, vomit-

months before death. Palliative care is

music, crafts, or reading.

employs a three step ladder for cancer

ing, mouth sores, depression, decreased

especially important during this phase to

Sleep disturbances and depression

pain relief. There are three catego-

gastric emptying, pain on swallowing,

are also common after a cancer diag-

ries of medicines, opioid analgesics,

food aversions and fat malabsorption.

nosis but can be easily managed with

non-opioid analgesics and adjuvant

Nutritional counseling can help in im-

medication and counselling.

therapies, that can be used to manage

proving daily caloric intake and nutri-

chronic cancer-related pain. Palliative

tional supplements have been found to

not be present, depending on the type

approach includes an around-the-clock

be useful.

and stage. For early stage cancer, there

management strategy for continuous

The lack of eating does not usually

fering, and supporting the best possible

may be a lump that can be felt or is vis-

baseline pains and supplements with

affect the patient as much as it affects

quality of life for patients and their fami-

ible. A tumor or lump is usually removed,

additional medications for breakthrough the caregivers and family members.

and the patient may have to deal with

or instant pain relief.

Physical symptoms of cancer may

loss of an organ and/or function, as well

Fatigue is another common symp-

Lack of nutrition sometimes causes more emotional problems and distress for

insure a patient’s comfort as well as to counsel their families.

The goal of a medical oncologist, in addition to prolonging survival, is to focus on preventing and relieving suf-

lies facing cancer. Fortunately, effective treatment can successfully alleviate and possibly eliminate the majority of symp-

tom of cancer and it can be made

family members rather than the patient,

worse by treatments including surgery,

due to the perceived loss of a nurturing

noticable when the cancer is at an

radiation, and chemotherapy. Patients

opportunity. It helps to teach the family

advanced stage. Palliative care for

are encouraged to discuss fatigue with

to substitute other nurturing activities,

patients with advanced cancer has

their physician and caregivers. Patients

like bathing or massage.

been shown to reduce the intensity of

with cancer associated fatigue should

symptoms helping to create a better

be evaluated for coexisting conditions

or difficulty swallowing, which affects

Cancer Institute in Buffalo, N.Y. She

well being during treatment. Typically

such as depression, anemia, thyroid dys-

about 23% of patients with advanced

has more than 20 years experience in

patients experiences multiple physical

function and electrolyte disorders. If no

cancer and constipation which report-

symptoms, in complex and shifting pat-

correctable cause is found, one way to

ed in 50 to 80% of terminally-ill patients.

terns. A comprehensive assessment of

deal with fatigue is to listen to your body

It can be physically, emotionally and

symptoms pertaining to all extant issues

and rest, or exercise as tolerated.

socially stressful for the patient and care-

as changes in body image.

Symptoms of cancer are most

is important.

Pain is one of the most prevalent

Approximately 15 to 40% of patients have involuntary weight loss and loss of

Other symptoms include dysphagia

givers.

Lastly, and most unfortunately, most

toms that arise in cancer patients.

Neeta Soni, MD is board certified in Medical Oncology and has completed extensive training at Roswell Park

cancer care . Her training includes a clinical fellowship in Medical Oncology with additional emphasis on breast and gastrointestinal malignancies. She is accepting new patients at her practice

symptoms of advanced cancer. 50 to

appetite during the early stages of can-

patients in the terminal phase of cancer, Southern Tier Cancer Care on Delaware

90% of patients with advanced cancer

cer and as many of 80% of patients with

develop devastating physical and

Ave, in Olean, NY.

Bradford Publishing

October/November 2016

Twin Tiers Health

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11

Twin Tiers Health | FEATURE

Rolling thunder: Kids and Cancer Benefit Motorcycle Run a roaring success

By Amanda Nichols Special to Twin Tiers Health The 19th annual Kids and Cancer Benefit Motorcycle Run fundraiser kicked into high gear on July 23, raising approximately $65,000 to help children fighting the disease.

Beverly Sherman, secretary/treasurer of the event, said that nearly 500 motorcycles were brought out for the 130-mile run through the region, and many more people joined the riders at the after party on Mechanic Street in downtown Bradford.

She said it was a great turnout and comparable to the numbers the event has drawn in previous years when the weather was accommodating.

The amount raised is also right within goal as the committee typically sets its sights on the $60-70,000 range, according to Sherman.

“It was a really good one,” she said of the event. “It went really, really well, the weather couldn’t have been better

even though it was hot.”

Sherman explained the money raised is divvied up between various hospitals and organizations that have benefitted from the event over the years. For example, the event committee has worked with the Bradford Hospital Foundation for some time and donates money toward the purchase of pediatric equipment the Foundation relates that the hospital needs, according to Sherman.

She said other recipients include Children’s Hospital of Buffalo, N.Y.; Children’s Hospital of Pittsburgh, St. Jude Children’s Research Hospital and Roswell Park Cancer Institute in Buffalo, among others.

The donations go out after the event, but money raised continues to be allocated throughout the year to families with children diagnosed with cancer or other life-threatening illnesses that cause financial hardship, Sherman noted.

The event began at the Zippo Manufacturing Co. parking lot on Congress Street, heading then to five waypoints along the route: Derrick City Volunteer Fire Department, Kinzua Bridge State

Park, Crosby American Legion, Wilcox American Legion and finally to Mechanic Street. Sherman said participants were particularly enthralled with the new visitors center at Kinzua Bridge, taking time to explore the museum and interactive displays before continuing on the route.

“Everybody really enjoyed the route, I heard comments about how beautiful it was and that the roads were in good condition,” Sherman said.

At each stop along the way, participants rolled the dice and took the sum of those rolls when they got to the end of the line. Tom Thomas of Oribest, Ohio, had the highest roll total at 136, while Julie VanSky from New York state got the lowest roll total at 82 — both received a plaque and $100 in prize money.

But, the big prize was the 2016 Harley Davidson Road King, touring model and decked out in two-tone vivid black and jade pearl green. A great deal of money was raised through raffle tickets as many hoped to take home the bike, but it was Alison Connolly of Springville, N.Y., whose name was drawn as the winner, accord-

ing to Sherman. “She was very excited.

Everybody was, that’s what they wait for.”

Other giveaway winners included Joe Tomeswski of Gowanda, N.Y., who won two Watkins Glen tickets donated by Zippo and $250 cash provided through the event; and Jim Bartlett, also of Gowanda, who won a $250 gift certificate donated by Harley Davidson of Jamestown, N.Y. Additionally, oldest participant Bill Bridges, age 79, won lottery tickets; youngest participant Theayn Lindell, 6 1/2, won a Walmart gift card; and furthest traveled, Doug and Sandy Scowden of Texas, won a Sunoco gas card.

Sherman said one thing the organizers love to see is the participation of families that have benefitted from the event. This year, she was impressed by the involvement of Travis Fye, 17, of Jamestown, and his parents. The teenager was diagnosed last year with thyroid cancer and is now in remission and doing well, Sherman said, noting how grateful the

...continued on page 12

12

Twin Tiers Health

xx committee was for the Fye family’s volunteerism at the event.

“Things like that are very touching

October/November 2016

Bradford Publishing

Twin Tiers Health | FEATURE

In other sad news relating to the event, Don Ishman, former fire chief of the Hilltop Volunteer Fire Department, was

to us,” she said. “We know what we’re

helping direct a tanker apparatus back doing is important, but when we have the into the fire station after providing service families give back or validate it to us, it’s detail ensuring the safety of motorcycles just priceless.”

The committee was also grateful to receive a giant check in the amount of $2,600 from young Bradfordian Adilynn Brown and her friends, who raised the money as the result of an idea at a slumber party last year and holding two hot dog sales at the Foster Brook Walmart.

“It’s all very inspiring,” Sherman said.

along the run when the truck hit and killed him.

“It is my understanding that it was the Hilltop Volunteer Fire Department conducting the service detail to ensure all motorcycles crossed safely across the hilltop at the intersections,” Sherman said.

“I realize it was an accident back at the

“We are very happy and humbled by the

station, but I wish to acknowledge that

support. We know that cancer is some-

they were out putting their lives on the

thing that affects everybody in some

line in order to keep ours safe. Kids and

way, shape or form, but when it’s kids it’s

Cancer extends our thoughts and prayers

especially heartbreaking.”

to the Ishman family.”

Era photo by Wade Aiken A sea of motorcycles ride down Main Street in Bradford on July 23 during the start of the Kids and Cancer Benefit Motorcycle Run. Organizers said about $65,000 was raised, and more than 500 motorcycles participated in the 130-mile run through the region.

Bradford Publishing

October/November 2016

13

Twin Tiers Health

xx

Twin Tiers Health | FEATURE

Local brain cancer survivor Rakocy is fighting again

By Amber Turba Special to Twin Tiers Health Local cancer survivor Ann Rakocy is no stranger to perseverance. And now, with the unfortunate return of the brain cancer she’s beaten once, Ann is fighting again.

“Our sister, Ann, is continuing to stay positive and persevere through whatever trials God gives her, and this time is no exception,” Rakocy’s sister Theresa L. Morgan stated on the GoFundMe Page set up for Ann. “She has recently received the news that her brain cancer is back, and we ask for continued prayers and strength.”

In 2005, at age 32, Rakocy was first diagnosed with Oligodendroglioma Brain Cancer. The illness caused extreme headaches, numbness on one side of her body, seizures and occasional falling.

She underwent a craniotomy — surgery to resect the tumor, Morgan explained — which resulted in some memory and concentration difficulties, but, as her sisters describe, Rakocy has been strong and had been in remission until July of this year.

“She started to have piercing headaches, memory difficulty, vision problems and hand tremors,” Morgan noted. “Her recent MRI revealed a new 1.9 cm tumor that is more infiltrative and, due to the

location, inoperable.”

In August, Rakocy started a six-week course of radiation treatment. In mid-September, she finished that treatment.

“It was very, very exhausting, both mentally and physically, again,” Rakocy stated. “This is my second time with the same cancer I had in 2005 before I had a craniotomy. After that surgery, I felt much better in the time between. Every six months, I would go in for an MRI to double-check and make sure I was cancer-free. This last time, I put the appointment off for over 13 months thinking

‘I’m fine now,’ but I wasn’t fine. Sometimes I still have to convince myself that this is actually happening — that I have brain cancer, again, and I just finished six weeks of radiation.”

The first week in October, Rakocy will begin chemotherapy.

“Last time, the doctors didn’t think I needed chemotherapy or radiation treatment, so this is my first time for both, and it’s been a tough journey,” she said.

“I have more weakness, fatigue and confusion than before, and it’s really hard to process that, let alone overcome it,

but I’m doing that day by day. I’m afraid of what comes next because I just don’t know what to expect; I’ve never been through this sort of treatment, and that’s one of the hardest parts — uncertainty.”

During this process, Rakocy said her biggest blessing has been her unyielding support system.

“I have a very good friend in Rixford who just found out that she has brain cancer, also,” Rakocy continued. “Her and I have been battling together, and she lifts my heart. Just having someone there to understand completely what you’re going through is so uplifting. But even the people who don’t know what this feels like have been supportive — my friends and family have made all of the difference.”

Rakocy has three children, including a son who lives in Michigan, a daughter in cosmetology school and an autistic son who is at home with her.

Rakocy has been a caregiver for others in their homes for the past few years as a Certified Nursing Assistant. “Not only is it her passion, but also her sole income,” Morgan explained.

Rakocy began these new treatments thinking she might still be able to work; however, extreme headaches and fatigue due to the concentrated radiation to her head have prevented her from be-

...continued on page 14

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Twin Tiers Health

October/November 2016

xx ing able to continue providing for herself

especially his ability to touch people’s

and her family.

hearts. If you would like to donate and

one and get a second opinion, because

Rakocy decided to share her story,

it might just save your life when things like

not only to bring light to her situation, but

have hearts aching to help her,” Morgan

anonymous, or for convenience, please

to share a message of hope for any oth-

said, which is why they’ve set up the Go

donate using this GoFundMe Page,”

ers throughout the community who may

Fund Me Page in order to help Rakocy

Morgan said.

be fighting a similar battle.

pay for her hospital and treatment bills, groceries and transportation.

However, the family is also accepting donations by mail. They ask donors to

“My sister put in an $8,000 goal online write a check to Ann Rakocy and mail to

Twin Tiers Health | FEATURE

she described on the GoFundMe Page.

are not in the area, want to remain

“Suzanne, our youngest sister, and I

Bradford Publishing

“The biggest and best part about living in a community is having a commu-

this happen. And they do.”

And, above all, stay positive, Rakocy encourages, for, as her favorite quote states, “The God who created your heart can most definitely heal it.”

nity support system, and you can’t have

“Sometimes I get angry and feel

without me knowing,” Rakocy stated. “It

Theresa Morgan, 3395 Toomer Kiln Circle,

that if you aren’t willing to come to terms

lost, but then I think to myself: ‘I have too

meant so much to me to see that kind of

Mount Pleasant, S.C., 29466. In the memo

with your battle and seek commonality

much to live for,’” Rakocy said. “And I’m

support from not only my sisters, but also

line write “donation.”

with others,” Rakocy said. “My advice to

so thankful that I’m in this community in

those who suffer is to stay strong and stick

Otto-Eldred where I know people and

those within the community who’ve do-

“I will be depositing them for her in

nated out of the kindness of their hearts.”

an account for her bills and needs,” Mor-

together, because it’s easier when you’re

So far, the page has raised $1,264

gan said. “Our sister is a blessing to all of

not alone. And my word of wisdom for

and has been “a huge help,” according

those she touches and a part of who we

everyone else is to go — go to the doctor,

to Rakocy.

are: our beating hearts and every breath

go get a timely exam. Even if you don’t

are with Ann and the pain she is enduring

think it’s something serious, if you feel

“We know God has a plan and a purpose in all of this. We trust Him and are

right now. Thank you, and blessings to you off in any way, go get checked out, go

in constant awe of His mercy in all things,

and your families who are reading this,”

consult a professional, go talk to some-

have a support system. That I’m in this family I can call home. That God watches over me and touches my life through the kindness of others. It’s been truly a gift to be here, and it’s what will carry me through — whatever comes next.”

Bradford Publishing

October/November 2016

Twin Tiers Health

Reduce your risk of cancer

15

Food & Nutrition

Local health providers say no specific food or activity alone can reduce cancer risks

By Tom Dinki

and vegetables may reduce the risk of some cancers, but there is no definitive Special to Twin Tiers Health experimental data that confirms this,” OLEAN, NY — Whether it’s snacking Gellen said. on things like grapefruit and broccoli, or She said one un-definitive theory is drinking a glass of red wine every night, that foods that decrease transit time in people are always looking for different the colon — like foods high in fiber and foods, drinks and rituals to reduce their less so in animal protein and fat — prerisk of cancer. vent colon cancer.

But according to local health “This was first looked at when providers, there’s no shortcuts, gimmicks second-generation immigrants from or secrets when it comes to preventing India began having similar rates of colon the deadly disease; the only thing you cancer as the U.S. population comcan do is maintain an overall healthy pared with the very low rates of relalifestyle. tives back in India,” she said. “This was “So don’t focus on food,” said assumed to be due to the high amounts Gregory Hare, MD, who works in Olean of animal protein and fat in the typical General Hospital’s Mildred Milliman American diet.”

Radiation Medicine Center, an affiliate But how exactly do foods reduce of Roswell Park Cancer Institute, in an people’s risk of cancer — even if just email. “Stop smoking and moderate the theoretically? alcohol intake.”

Gellen said it’s all about the food’s Oncologists from OGH said people antioxidant properties. shouldn’t stress about eating certain “Antioxidant vitamins reduce free food or doing certain activities to preradicals making gene mutations from vent cancer; if they’re maintaining a the activity of free radicals less likely,” healthy lifestyle — eating well, staying she said. “Increasing amount of gene active, not heavily drinking or smokmutations from free radicals theoreticaling — then they’re doing all they can to ly increases one’s cancer risk over time.” reduce their risks.

And just as there may be foods that The internet is abound with lists — reduce risk of cancer, there’s also food from both health professionals and non- that can potentially increase the risk of health professionals — about what foods cancer.

Hare clarifying said there’s no food will lower your risk of getting cancer. This that directly causes cancer, other than is a controversial subject however, said perhaps a large diet of raw or heavily Judit Gellen, MD, a hematologist and oncologist who works at OGH and Brad- smoked food, which can cause gastric cancer. Gellen added that cured meats ford Regional Medical Group. high in nitrates have shown to increase “It appears that diets full of fruits

it comes to getting cancer.

Gellen said alcohol can increase the risk of cancers in the head and neck risk of colon cancer. if the person is also smoking. It’s theoYet both Hare and Gellen said the thing most likely to cause cancer isn’t a rized that alcohol allows some of the toxic components in smoke to dissolve, kind of food at all — it’s smoking. which may in turn increase the contact “Nothing comes even close as far time between the chemicals and muas carcinogens as smoking,” Hare said.

According to the American Cancer cosa in the throat and pharynx, she said.

When it comes to activities that will Society, more than 480,000 people each prevent cancers, Gellen said there isn’t year in the U.S. die from illnesses relata strong consensus in the oncologic ing to tobacco use and that smoking treatment community regarding certain accounts for 30 percent of all cancer activities lowering risk of cancer. deaths. Lung cancer is also one of the “There are cancers that have an most difficult cancers to treat. association with obesity and if a causal And despite the fact a glass of red effect is found in the future, then activwine is often cited as a way to reduce ity could play a very important part in risk of cancer due to its antioxidants, decreasing one’s weight and lowering Hare and Gellen said people shouldn’t the risk for cancer,” she said. assume alcohol can’t increase their risk For locals looking to stay healthy of cancer. and reduce their risk of cancer, Gel“Alcohol intake can lead to cirrhosis len simply suggested shopping at area of the liver which can greatly increases grocery stores with large selections of one’s risk of liver cancer,” Gellen said. organic fruits and vegetables.

And combining smoking and alco“It would really pay off to take advantage of this,” she said. hol can be especially dangerous when the risk of stomach cancer and foods

high in fat can theoretically increase the

16

Twin Tiers Health

Bradford Publishing

October/November 2016

FITNESS & EXERCISE

Planning begins for McKean County Relay For Life

By Joellen Wankel

American Cancer Society. Meanwhile,

Special to Twin Tiers Health

there were roughly 28,700 deaths in PA

Cancer is a disease that can affect any individual of any age, from infants to the elderly, no one is immune to the

as a result of the disease. The most common types of cancer for the year 2016 in Pennsylvania were breast cancer for women and prostate cancer for men.

risk. It can affect any part of the body,

As of 2014, over 14 million Ameri-

from the skin to the breast or colon. The

cans had fought cancer and survived.

most common forms of cancer in the

Meanwhile, during the year of 2016, it

United States are breast cancer, lung

was estimated that 595,690 Americans

cancer and prostate cancer.

would die from this disease.

In 2016, there were roughly 83,560

The Relay for Life is a long-standing

new cases of cancer diagnosed in the

fund-raising event that allows communi-

state of Pennsylvania, according to the

ties to band together to recognize and

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Era file photo by Francie Long Participants take part in the Relay for Life held in Bradford Township over the summer. The event has become increasingly popular in the area.

celebrate the survivors of cancer, mourn

Shane Launer, Community Manager for

those lost and raise money toward

the Relay for Life, East Central Division

research to eradicate the disease for

of the American Cancer Society, in

current sufferers and those who will face

2016, 16 teams raised $68,682 for cancer

the diagnosis in the future.

research. The event saw 151 participants

The event is attended by more than 3.5 million people nationwide, who flock to the 24-hour event and take turns walking or running around the track in recognition of the fact that cancer never sleeps.

There are 20 communities in other countries and more than 5,000 communities in the United States that schedule this annual fundraiser.

In Bradford, the event has been held at Bradford Area High School and,

and 54 survivors take part. Tyler’s Krispy Kritters was the top fundraising team, with $19,137 raised. Other teams included BRMC, Team Hope, Bradford Manor, Pitt Crew, OEEA, A Bunch of Friends, Money Love Cure, Family Ties, October Tears, Action Club, Spirit of Life, Positive “Addy” Tude, Team Donna, Backroad Hulligans and Sherry Comilla.

The planning for 2017 kicked off Oct. 3, with a meeting at the Church of

in more recent years, on the campus

the Ascension. Stacy Williams will take

of the University of Pittsburgh at Brad-

the helm as the volunteer event lead for

ford. Local residents create teams that

2017.

include family, friends and work col-

For more information on participat-

leagues and raise money to donate to

ing or volunteering in the Relay for Life,

the American Cancer Society.

visit www.relayforlife.org/pamckean-

According to statistics provided by

county.

Bradford Publishing

October/November 2016

Twin Tiers Health

Older people need to know all cancer treatment options

By Rick Miller Special to Twin Tiers Health According to Cancer.net, 60 percent of people 65 and older have had cancer, and 60 percent of cancer survivors are age 65 or older.

As we get older, the chances that we will be diagnosed with cancer increase. And as Americans, we are living longer than ever before.

Are the elderly at risk of not being given all treatment options by their physicians? Are there additional questions you and your family or other health advocate should be asking after a diagnosis of cancer?

Dr. Gilbert Witte, a family medicine physician with Olean Medical Group and medical director for the Cattaraugus County Health Department, pointed out in an interview that in his experience, physicians generally explain the full range of treatment options.

Because people’s health needs and health status differ, People are always offered the full range of treatments, but with the side effects and toxicities of medicines what works for one person may not be such a good idea for someone else.

“Some may not be able to tolerate the same drug as another person,” Witte said. “Age shouldn’t disqualify someone from learning about all treatment options, “ he added.

“Whenever you are having a serious conversation with your doctor, you often want family involved. As a person gets older and doesn’t hear as well, or may not understand as well, it’s good to have an advocate as an extra ear and an eye” when it involves a cancer diagnosis and treatment options.

“Most physicians are aware of that and oncologists always encourage involvement of family members in decisions,” Witte said. “Having family or close friends involved is important.”

Medicare has recognized this, and now has a separate billing code for family counseling.

Cancer.Net points out the elderly and their advocates should know that age is just one factor in cancer and treatment.

The best treatment plan for you depends on your general health, lifestyle, wishes, and other factors.

The information on these pages can help you learn your options, cope with concerns, and plan for treatment and recovery, the website states.

Also, it is important for your cancer doctor to discuss your medical condition with your other doctors — especially if you have another medical condition or disease.

Other concerns may include: • Worrying about getting to treatment and appointments.

• Needing help with daily activities. – such as shopping, getting dressed • Needing help with meals.

Another type of care that cancer patients and their advocates should ask about is called palliative care. It focuses on preventing, managing and relieving symptoms of cancer and the side effects of cancer treatments.

The goal of palliative care is achieving the best quality of life.

Palliative care looks at the patient and family and things they can do to alleviate the symptoms of cancer and the side effects of treatment.

A health assessment is a complete check of your overall health. This can be a good idea before you start treatment. Knowing as much as possible

17

OFF YOUR ROCKER

about your health helps your doctor make sure the treatment plan is as safe and successful as possible.

Studies show doctors do not always offer older adults every treatment available, according to Cancer.Net. “This can be from concern about side effects, thinking you want less treatment because of your age, or other reasons.”

The website cautions the elderly, their family members and advocates to be sure they know all of the options before deciding on a cancer treatment since older adults may receive less treatment than younger people.

This could mean: • Having fewer tests such as biopsies, to learn the stage of cancer.

• Getting milder treatment or no treatment at all, even though several studies have shown cancer treatment helps older adults.

• Not learning about clinical cancer drug trials. Because 60% of people with cancer are older adults, it is very important for research studies to include older adults. Doctors need to learn which treatments work best in people over 65. They also need to learn how those treatments might work differently in younger people.

“No matter what your age, you

have the right to know all your treatment options,” Cancer.net states.

“Then you can make a decision with your doctor about cancer treatment.”

What kind of questions should you be asking your doctor about your cancer? Consider writing down your doctor’s answers, or have someone with you to help remember the answers.

The American Society of Clinical Oncology, which offers the Cancer.net website gives the following examples of questions to ask your doctor: • What is the exact name and type of cancer I have?

• How did you diagnose it?

• What tests did you do? What did they show?

• Do I need more tests?

• What stage is the cancer, and what does that mean?

• What are my treatment options?

• What clinical trials are open to me?

• What treatment plan do you recommend, and why?

• Who is in charge of my treatment and care after treatment?

• What are the possible side effects of treatment?

• Please tell me what to expect during treatment and shortly after. Also, what should I expect in the long term?

18

Twin Tiers Health

October/November 2016

Bradford Publishing

LOCAL UPDATE

Celebrating 10 Years of Exceeding Expectations Bolivar’s The Hearing Aid Shop celebrates commemorates milestone anniversary BOLIVAR, NY — The Hearing Aid Shop in Bolivar, NY is celebrating it’s 10th anniversary throughout the month of October.

Owner and hearing aid specialist Tracie D. Edwards opened the office in October 2006, and has been helping people hear for over 15 years.

“It is my personal mission to change people’s lives by helping them to hear better,” said Edwards.

Edwards prides herself on her office’s customer service and goes above and beyond to ensure her customers’ satisfaction. She is committed to helping patients find the best possible products to improve their hearing and quality of life.

“We have clients that have left us and came back because of our service,” Edwards said.

Edwards offers hearing screenings as well

The Hearing Aid Shop is located on Route 417 in Bolivar, NY.

as maintenance and cleaning services for all brands of hearing aids. The Hearing Aid Shop carries a range of hearing aid brands, as well as accessories, batteries, and dry-out kits.

During the month of October, in honor of their 10th year in business, The Hearing Aid Shop will be offering special promotions and offers, including free hearing screenings.

“This event is a great time to come in and have your hearing tested and ask all the questions you have about hearing aids,” Edwards said. “We now have a program where you can try out the hearing aids for a couple of weeks before deciding to buy.”

A special customer appreciation day is planned for Wednesday, October 19 from 11 a.m. to 3 p.m. There will be refreshments, giveaways and other special events.

For more information or to schedule an appointment call 877-EAR-LADY or visit NyTheHearingAidShop.com.

Tracie D. Edwards, HIS, COHC works with a patient during a hearing test.

Bradford Publishing

October/November 2016

19

Twin Tiers Health

LOCAL UPDATE

Neurologist to join OGH medical staff OLEAN, NY — Olean General Hospital, member hospital of Upper Allegheny Health System, has announced the appointment of neurologist Vaijayantee Belle, MD, to its medical staff. She will begin seeing patients September 19.

Her office is located at the Mildred Milliman Outpatient Surgery Center, 500 Main St., Olean. Dr. Belle is accepting new patients; for appointments, call 716/375-6993.

Dr. Belle diagnoses, treats and manages a range of neurological conditions including stroke and intracranial bleed, migraines and other headaches, epilepsy and seizure disorders, pain and peripheral neuropathy, multiple sclerosis, brain and spinal cord disorders and traumatic injuries, infections such as meningitis and encephalitis, encephalopathy, Parkinson’s and Alzheimer’s disease, muscular dystrophy and myasthenia gravis.

Dr. Belle comes to the area with more than 15 years of experience in clinical neurosciences. She trained as a neurosurgeon in India where she practiced for 10 years before making the transition to neurology training in the United States. Dr. Belle has broad work experience in interdisciplinary neurology fields. She co-directed a stroke and neuro rehabilitation unit and was a surgical team leader for a movement disorder surgery unit and intraoperative neuro monitoring facility. Dr. Belle has also established a neurosurgical unit, including a neuro ICU, which she

BRMC to light October pink for breast cancer awareness BRADFORD, PA —Bradford Regional Medical Center is encouraging people to light their porches pink during October for breast cancer awareness month.

BRMC is selling pink light bulbs at the hospital’s gift for $5 each (cash only). Bulbs come in a special gift box and include an optional gift card to give a fighter or survivor. Organizers said all proceeds will benefit the Pink Pumpkin Project, a local non-profit organization that provides financial and

emotional support to those fighting breast cancer.

The Light the Night Pink community outreach campaign strives to raise awareness for early detection and prevention of breast cancer which affects one in eight women and about 1 in 1,000 men.

Upper Allegheny Health System is the parent company of Bradford Regional Medical Center and Olean (N.Y.) General Hospital.

directed for five years.

She completed an internship at Case Medical Center in Cleveland and a residency in neurology at Tufts Medical Center in Boston. She is a member of the American Academy of Neurology, Congress of Neurological Surgeons.

Cole Memorial welcomes Dr. Heller COUDERSPORT, PA — The Cole

sion in Kirksville, Missouri.

Memorial Medical Group and Cole Me-

In addition to being a past pre-

morial Hospital welcome board-certified

senter at educational conferences and

family medicine physician Andrea Heller,

medical panels, Dr. Heller has co-au-

D.O., to their Internal Medicine team,

thored clinical whitepapers on quality

starting early September. She also specializes in Hospice services.

Dr. Heller completed a Family Medicine Residency Hospice at Summa Health System in Akron, Ohio where she also did her Palliative Medicine Fellow-

improvement programs.

“We are proud to add Dr. Heller to the Cole Memorial Medical Group,” said Cole’s Regional Health Center Director Lori Gross. “Her excellent education and

ship. She holds a Bachelor of Arts degree experience in primary care and palliative care will be very beneficial to our in biomedical humanities and music from Hiram College, Hiram, Ohio and became a Doctor of Osteopathy from A.T. Still University’s Health Sciences Divi-

patients in the future.”

For more information, call 814-2745276 or visitwww.colememorial.org.

20

Twin Tiers Health

October/November 2016

Bradford Publishing

HEALTH NEWS

Cancer in a social world...

Can Disclosing Cancer on Social Media Impact Your Career?

(StatePoint) Social media has changed the

posted about cancer or disclosed their diagnosis

rules of privacy for almost everyone. But for people

online felt supported by friends and family or found

diagnosed with cancer, social media use comes

a support group as a result. Please note sample size

with the additional complications of online disclo-

varied; for more information on the study methodol-

sure, which can have unintended consequences.

ogy view the infographic here: bit.ly/2bNKanA.

As part of their annual survey, Cancer and

As with any aspect of the cancer journey, the

Careers, a national nonprofit that empowers and

decision to disclose, whether online or in-person, is

educates people with cancer to thrive in their

a personal one based on a variety of factors. For

workplaces, polled survivors on their experiences

more information on Cancer and Careers’ expert

with disclosing their cancer online. Nearly one in

resources, interactive tools and educational events

five cancer survivors polled said that revealing

visit CancerandCareers.org.

their cancer diagnosis on social media negatively

If you have cancer or are a cancer survivor,

impacted their careers, and one in 10 said they

learning more about the possible consequences of

experienced repercussions at work because of

online disclosure can help you make decisions that

their disclosure; but 77 percent of respondents who

are right for you.

PHOTO SOURCE: (c) UBER IMAGES - Fotolia.com

Bradford Publishing

October/November 2016

21

Twin Tiers Health

VITALS

Guide to wigs and head coverings rapidly growing cancer cells. However,

include human hair, synthetic hair

wraps. Wigs are not for everyone.

these drugs not only impact cancerous

and heat-friendly synthetic hair.

Head wraps and scarves can help

cells, but they affect healthy cells as

Human hair will require similar

women look fashionable if wigs are

well. That means they can affect any

maintenance to a regular head of

not their first choice. Comfort should

cells in the body, including those that

hair and will not hold styles long.

always be an important factor

form hair follicles.

Therefore, if you desire a wig that

when selecting scarves. Look for

Cancer-related hair loss can occur

requires less maintenance, then

materials that are soft to the touch.

just about anywhere hair grows. But

synthetic is the way to go. These

Silk, terry cloth and cotton are

while hair loss elsewhere on the body

wigs retain their shape and can

comfortable, breathable fabrics.

can be concealed relatively easily, it’s

still be relatively indistinguishable in

Diversity in both pattern and texture

hair loss on one’s head that may affect

appearance from human hair. For

is an advantage of scarves and

a person’s body image. Wigs and other

women who would like versatility in

wraps. These pieces can comple-

coverings can help cancer patients

styling, a heat-friendly synthetic wig

ment wardrobe choices, make

maintain a healthy body image, and

can be styled much like human hair

bold statements or blend in when

the following are some tips to help pa-

and will not be damaged by heat-

desired. Head wraps fit almost

producing appliances.

any head size and can be put on

tients find the right product for them.

• Begin shopping early. Hair loss may

ferent materials and sewing types.

when energy levels are waning.

ment is initiated. Explore your op-

Some, such as hand-tied caps,

Explore the many manufacturers

tions once you know your treatment

have monofilament strands sewn

who specialize in chemotherapy or

plan. Ask for referrals to reputable

to a very soft piece of lace fabric.

alopecia caps, scarves, wraps, and

wig shops or browse online to see

They can be quite comfortable and

hats.

which options are available to you.

offer the most natural look possible.

Cancer patients face various challenges. One of the more difficult

generally come in three different

side effects of cancer treatment is the

sizes: petite, average and large.

probability of hair loss, as both men and

Many wear an average cap. To

women report hair loss as one of the

achieve the correct measure-

side effects they fear the most after be-

ments, have someone measure the

ing diagnosed with cancer.

circumference of your head, tracing around the perimeter of your

chemotherapy. But the Mayo Clinic

hairline and continuing behind the

notes that not everyone who under-

ears. A flexible seamstress measur-

goes chemotherapy will experience

ing tape is helpful. Also, measure

hair loss, which may be a side effect of

from the tip of the spine to the front

the medication chosen and dosage

of the head.

administered. Chemotherapy drugs are powerful medications that attack

quickly and easily, which is a boon

begin two to four weeks after treat-

• Learn about sizing. Women’s wigs

Hair loss may be a side effect of

• Select cap type. Caps come in dif-

• Choose your hair type. Wigs come in a variety of materials. These

Hair loss is a common side effect

Ask your wig professional to recom-

of certain cancer treatments. However,

mend a budget-friendly, comfort-

both men and women can continue to

able wig.

look their best through the use of fash-

• Consider scarves, hats and head

ionable wigs and head coverings.

Audiology Solutions, PLLC Renee M. Andrzejewski Doctor of Audiology audiologysolutions.com call today to make an appointment for your consultation

ph: 716-376-2427 • fax: 716-376-2443 535 main street, olean, ny 14760

22

Twin Tiers Health

October/November 2016

Bradford Publishing

Bradford Publishing

October/November 2016

Twin Tiers Health

HOLIDAY

Safe ways to trick-or-treat

What would Halloween be with-

loween seems to lessen one’s inhibitions,

out trick-or-treating? For youngsters, so

and wearing a costume and being hid-

much of the fun of Halloween involves

den from others can encourage some

scouring the neighborhood with friends

revelers to engage in atypical and

in search of candy. While children may

unsafe behaviors. To ensure everyone

have their eyes on the sweet prize, par-

has a safe and fun Halloween, here are

ents may be concerned about their little some safety tips to follow. ones’ safety.

The United States Census Bureau

• Go in groups. Children can be accompanied by their parents

says that an average of 41 million

while older children should be en-

trick-or-treaters venture out every year

couraged to trick-or-treat in groups.

across the country, and roughly 106 mil-

Should an emergency occur,

lion homes are solicited for candy and

having a group of friends around

other treats on this holiday. Such a high

enables someone to call for help or

number of people out on the streets

alert an adult.

increases the risk of injury, and it can be easy for kids to get lost as well.

According to Kate Carr, president

• Use a flashlight. When trickor-treating at night, take steps to improve visibility. This includes using

and CEO of Safe Kids Worldwide, a

reflective tape on costumes and

network of organizations geared toward

carrying a flashlight or glow sticks

preventing unintentional childhood

so that other pedestrians as well as

injury, “Halloween is an important night

drivers will be able to see children.

for parents to be extra vigilant.” But Hal-

• Walk on sidewalks.

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Twin Tiers Health

October/November 2016

Bradford Publishing