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... 4
ASK US | Fighting Breast Cancer Together
5
3
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
6
HOME & FAMILY | Day by Day — Supporting Someone Who Has Cancer
7
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...
21
VITALS | Guide to wigs and head coverings
23
HOLIDAY | Safe ways to trick-or-treat
585-928-1657
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The Hearing Aid Shop
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Ahmad Awada, MD, OB/GYN Gregory B. Hare, MD Neeta Soni, M.D., Oncology
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Tracie D. Edwards, HIS, COHC, is committed to helping you find the best products and follow-up care possible. She will work with you to identify your specific needs and your budget. She offers screenings, sales, service, and top-quality care tailored to you. She can adjust most hearing aids and provide cleaning and maintenance for all brands of hearing aids. The Hearing Aid Shop carries a range of hearing aid brands, accessories, batteries, dry-out kits, and more.
CALL 877-EAR-LADY TODAY for your no-cost, in-depth consultation... you will be happy you did!
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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
7
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.
10 8
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
xx
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
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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
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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-
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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
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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