The magazine for women affected by cancer
Caregiver Support How faith, family, and friends fuel Marla’s battle with Stage IV cancer
Destination FLAT!
Supporting flat after mastectomy
Reduce Cancer Risk by limiting these 3 things
What Survivors Really Want
How You Can Outsmart
Cancer Related Cognitive Decline
The Power of Laughter Issue 14
Editor’s Letter
Live. Learn. Shine. This time of year can bring a rush of feelings and activities as the year winds down and the holidays gear up. It can be easy for anyone to become overwhelmed with to-do lists, responsibilities, and commitments, but it may carry extra weight when you’re not feeling your best. It's especially important to plan, delegate, and go at your own pace, so you can preserve your energy for where it’s needed most. Remember, the greatest gift everyone can enjoy is the gift of time together, so be sure you’re in the right frame of mind to savor it with the ones you love. As you are thinking about these special moments ahead, it’s helpful to ponder three R’s that can equip you to make improvements and celebrate how far you’ve come: reflect, remember, and rejoice.
Reflect Take time to reflect on this year. Consider what you’ve endured and conquered thus far. Think about what has been most helpful for you in this season - what do you need more of, and what do you need less of? What practical help have you appreciated the most? What unexpected blessings have come from your experience - did you grow closer to someone, has there been a silver lining, or have you learned anything new about yourself? Oftentimes, it takes hardship to bring forth new opportunities. Reflect on yours.
Remember Remember who you are, and who you were created to be. You are not cancer, and cancer doesn’t define you - you are so much more. You may be a wife, partner, business professional, mother, sister, community leader, or philanthropist. You are uniquely skilled and equipped like nobody else. You are one of a kind and also made in the image of God. You are beautiful, beloved, and brave, likely more than you realize in each of these categories. In the midst of your busy-ness, remember these things. Repeat them to yourself daily and write them down each night if it helps. Don’t let anyone or anything rob you of these truths. Remember you.
Rejoice This is the best time of year to rejoice, as so many holidays give us reason to do so. Regardless of your beliefs, the closing of a year and the hope of the next offer the perfect excuse to be grateful for the breath in our lungs and the chance to make a difference. Celebrate each moment with your loved ones, laugh at the silliness of things that no longer bother you, and marvel at the small miracles that perhaps you now take time to notice. Rejoice in the day and repeat it again tomorrow. We at Brighter are so thankful to walk alongside you. We see you. We love you. We lift you up. Enjoy this latest issue and be encouraged.
MAGAZINE EVENTS
HONORABLE MENTIONS MEMORIES
BRIGHTER CELEBRATES 2024 SUMMER PROGRAM AND OUR 2024 PICKLEBALL DONORS
2024 Summer Program
Thank you to our 2024 pickleball tournament sponsors
We’ve had an eventful summer at the Brighter office! This summer, we hosted eight high-school-aged young women as interns for our annual Summer Program. These young women gained valuable experience in business administration, design, writing, and fundraising. They heard from survivors about how cancer has affected them personally, motivating their fundraising efforts to reach a total of over $10,000. Additionally, the insights regarding early detection, cancer support, and how to handle diagnosis will follow these young ladies into adulthood. A huge congratulations to Larkin Clouston, our top fundraiser for the summer! She received our Brighter Futures Award and raised a total of $6,700!
We want to extend a huge thank you to the sponsors of our 2024 pickleball tournament. Our pickleball fundraiser was a great success, and a crucial part of that is the sponsors that chose to back us! We greatly value our sponsors’ support of our mission at Brighter, and we want to express our sincerest gratitude!
MAGAZINE EDITORIAL CONTRIBUTORS
OPPORTUNITIES
Founder, Publisher Helen Bowles Helen@brightermagazine.org
Are you or is someone you know a writer, photographer, blogger, web designer, or podcaster? Do you work with cancer survivors and have knowledge and wisdom to share with our readers? We would love to hear from you. Brighter Magazine is always looking for people to help us with our mission. If you are interested in lending your talents and giftedness, please reach out to us today at livelearnshine@brightermagazine.org.
Board of Directors Carolyn Brown Emily Perry Erin Schreyer Helen Bowles Rebecca Walden Stephanie Hargis Suzen Stewart
Advertising/Marketing to expand your reach. Contact us at Livelearnshine@brightermagazine.org
Editor-in-Chief Erin Schreyer Erin@brightermagazine.org
Digital Access to Brighter Magazines at www.issuu.com/brightermagazine Distribution/Hospital Liaison Helen Bowles Helen@brightermagazine.org
Editors Ashton Mitchell Caitlin Sweany Erin Schreyer Helen Bowles
DISCLAIMER
Information in Brighter magazine is to provide you with encouragement, awareness, and education. The articles reflect the opinions of the authors and are not to take the place of professional medical advice. There may be a variety of perspectives on the subjects covered in Brighter. Tips, treatment, and advice that is found helpful for some may vary based on the person. All of us at Brighter suggest that you talk to your medical team before making any changes to your lifestyle or daily living.
Donate to support Brighter through the QR code, on our website, or by mailing a check to:
Writers Allie Tate Amy Ziccarelli Anjani Vasson Breana Mobley Brittney Dorr Caitlin Sweany Cara Price Debbie Norris Emily Hammack Jamie Hess Jess Ekstrom Julia Kosinski Lyn Haddad Mahwash Bihmjee Meredith Mitstifer Mirchelle Louis Stacey Mann Tuesday Hoelscher
Brighter Magazine's Office 7616 Lyndon B Johnson Freeway Suite 510 Dallas, Texas 75251 Brighter Magazine is 501(c)(3) nonprofit, all donations are tax deductible. Subscribe to Brighter Magazine at www.brightermagazine.org
Graphic Design Ashton Mitchell Photography Adobe Photos Alex Craig Amanda Mendenhall Erin Schreyer Meadow Photos Radz D. Media Sydney Sheehan
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Cover Photography Erin Schreyer
Donate today to put Brighter in the hands of women who need it most.
Table of Contents 06 Brows That Wow!
the Right Bra 08 Finding for Your Surgery 11 Denim for Every Shape 12 Pay it Forward 14 Elevate Your Wardrobe 16 Share-Worthy Recipes 18 Reduce Cancer Risk 20 Intermittent Fasting and Cancer 22 Brighter Feature The Importance of Caregivers, Marla Germany
Related 26 Cancer Cognitive Decline 28 Destination FLAT! 32 Start Something 35 The Power of Laughter 36 Mind and Body Wellness in a Death38 Living Denying Culture
40 What Survivors Really Want Through 42 Connecting Cartooning 46 Let’s Get Moving! 48 Sharing Your Survival Guide
Brows That Wow! Written By: Jamie Hess Certified Esthetician and Hollywood Makeup Artist
Your Guide to Eyebrow Shaping and Products If the eyes are the window to the soul, then the eyebrows are the framework that showcase them. As a makeup artist, I know the power of a defined brow. A client’s brow shape is one of the first things I assess when I am analyzing a face. A defined brow automatically draws attention to the eye by framing it. Many times, either due to over plucking, genetics, or medical treatments like chemo, the brow area needs to be enhanced. Defined brows have become such a staple in today’s makeup trends that truly the world is your oyster when it comes to picking products to use. From low-end to high-end, the product selection is endless!
Brow Shape Before products are used, the correct brow shape needs to be determined. This can be found by plotting and connecting three points across the brow area. All points begin and pivot from the outside of the nostril (left nostril for left eye, right nostril for right eye): Start Draw a line from the outside of the nostril, up through the inner corner of the eye to the brow bone; the stopping point at your brow bone is your starting point of your eyebrow.
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Arch Draw a line from the outside of the nostril, across the iris of the eye to the brow bone; the stopping point at your brow bone is where the arch of your brow will be. Tail Draw a line from the outside of the nostril, across the outer corner of the eye to the end of the brow bone; the stopping point at your brow bone is the ending point of your eyebrow. Also, the tail of your brow and the start point should be even.
Brow Products Powder This is the easiest product to use on the brows as the powdered color will deposit on to the skin while allowing you to leave the edges soft or crisp. The Anastasia Beverly Hills Brow Powder Duo literally has a shade for every hair color imaginable. With firm, sharp bristles, the Anastasia Brush 7B - Dual-ended Angled Brush is the perfect complement to apply the Powder Duo. Pens and Pencils Whether you need to add a little color, draw a sharp edge, or draw in individual hairs, Benefit Cosmetics has multiple long-wearing,
waterproof products to choose. Their Precisely, My Brow Pencil or Goof Proof Brow Pencil are traditional self-sharpening pencils that come in 12 shades, while their Brow Microfilling Pen comes in four shades and has three small points on the tip to create hair like strokes when filling in sparse areas. Brow Gel Maybe you need to “set” unruly brow hairs or add a little color to give your brow hairs some volume. Look to Kosas Air Brow Tinted Clean Volumizing Eyebrow Gel to help. With ten shades, this tinted mousse-gel will be the perfect polishing step to help define your brows. Brow Stencils A quick look on Amazon or Sephora and you’ll see many companies make brow stencils that can be used with brow powder or brow pencils. Often many sizes come in one package. To determine what works for your eyebrow area, use the three-point brow shaping guidelines provided. If none of the shapes are correct, you can make a custom stencil using a plastic stencil sheet from a craft store. Trace the outline of your brow on a piece of wax paper or scotch tape, then use that outline to create a custom eyebrow template.
Eyebrow Tattoo Stickers These are a brilliant idea when needing to quickly add eyebrows to the brow bone as many of these tattoos can be long wearing and look very natural. Because they have a generic shape, use the three-point brow shaping system to trim them, so they will fit your face. Once they’ve been applied to clean skin, use a brow powder, brow pencil, or brow pen to give them an organic feel on the skin. In addition to reshaping them to fit, this can also include filling in with powder or pencil and/or softening the edge by drawing a few individual hairs. *Tip: Sometimes these tattoos have a very reflective shine that doesn’t look like skin. After application, a little cream anti-shine or matte setting spray can be lightly stippled on top to matte out the reflectivity of the tattoo. MAC Cosmetics Studio Fix Mattifine 12hour Hold Primer is a personal favorite for tattoo brows or anywhere on the face that needs to be matte. There are so many products that can be used to enhance your brows. No matter where you start, with just a little color and definition, you will strengthen your brows and showcase your eyes.
*Tip: If you are entering cancer treatment and you think you may lose your eyebrows, make a stencil of them before treatment and then you’ll have a perfect brow template should it be needed in the future.
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Finding the Right Bra for Your Surgery Written By: Mahwash Bhimjee Photography Provided By: Meadow
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Going through surgery for breast cancer can be really challenging, both emotionally and physically. With so many important things to focus on, finding the right bra isn’t often at the top of the list. We’ve put together a list of bras that work well for different types of surgeries and accompanying situations.
Mastectomy Hospitals will typically put you in a bra right after surgery. Usually this bra is a front closure, with velcro on the straps and openings for your drains. Once the doctor gives you the go-ahead to remove this bra, we recommend a front-zippered bra that can be similar to a sports bra, with a wide band and a supportive back. It’s always nice to have a bra with deeper arms holes so it doesn’t irritate your lymph nodes.
Lumpectomy After a lumpectomy, it’s nice to wear a bra that is soft and comfortable. We recommend something unstructured like a soft sports bra or a cotton bra. Fabrics like cotton and modal can be especially comfortable at this time, since they are made with natural fibers and prevent irritation against sensitive post-surgery skin.
Flat Closure Bralettes that do not have space on the cups and are free of seams are the best to wear after a flat closure. We recommend a simple racerback croptop kind of bra for everyday wear, and a similar one with a front closure to wear right after surgery.
Reconstruction (DIEP/TRAM/Silicon Implants) Your surgeon is likely to put you in a hospital bra for a reconstruction surgery, however once you’re cleared to move to a different bra, many women prefer bras with some compression initially as they recover. Then, they will move to a sports bra some time after. It’s also common that women prefer sleeping in a bra for comfort during the recovery stage. Once you have fully healed, you can wear more traditional bras, but we still suggest wearing wire-free bras for comfort and to prevent any irritation on your implants. • Scars, Port Placement, and Lymph Nodes Consider bras that accommodate specific post-surgery needs such as lymph node drainage. Look for bras with deeper armholes and gentle fabric to avoid irritation. • Scars Opt for bras with smooth, soft interiors and minimal seams to reduce friction. • Port Placement Choose bras with adjustable straps and front closures to ease dressing and provide comfort around sensitive areas.
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Remember, you don’t have to navigate this journey alone. We are here to support you every step of the way, providing not just products, but a community of care and understanding. Together, we can make the road to recovery a little smoother and a lot more comfortable.
About Meadow: Meadow specializes in creating intimate apparel that supports women during life’s various stages and challenges. Committed to comfort and simplicity, we strive to provide a seamless first layer of clothing for everyday ease. Our versatile bras, featured in our core collection with front zippers, are expertly designed for effortless wear and removal, making them ideal post-surgery when mobility is a concern. Our new launch features a collection of super soft cotton loungewear that complements our bras, ensuring all-day comfort. Designed to accommodate all body types, this collection reflects our dedication to listening to the concerns of all survivors and providing a comfortable solution.
Contributor’s Bio: When a close family member was diagnosed with breast cancer in 2020 and had to prepare for the upcoming changes to her body post-surgery, I realized that her choices were very limited when it came to intimates and loungewear. Sometimes the fabric wasn’t very soft and at other times the fit just didn’t work. Unfortunately she wasn’t alone in this experience and many other survivors felt like they couldn’t find products that reflected their personal style. Since I had prior experience working with intimates, I decided to partner with younger survivors to create a line of breast cancer bras that would be comfortable, functional, and trendy and that’s how our first line was created!
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Find your comfortable bra solution by scanning the QR code below!
Written By: Brittney Dorr Fashion Consultant
Denim dates back to the 17th century, created in Nimes, France when weavers were experimenting with wool and silk, creating a sturdy cotton twill. The American denim we know today was brought to us by Levi Strauss and Co. in the 1860s, and they patented their revolutionary work pant originally for farmers and industrial workers. It wasn’t until the 1950s that denim made its fashion debut by youngsters wanting to mimic icons like James Dean and Elvis. Today, denim technology has reinvented itself several times over, giving a new perspective on how we once viewed this work-only fabric. Having numerous types of denim can be a blessing and a curse. The variety provides options for all body types to look and feel their best, but sifting through a sea of denim can feel overwhelming. Here are some helpful tips for finding the perfect denim for your body type.
Apple Shape: If you have an apple shape, then your midsection is usually fuller with a shorter waist. The key is to create the illusion of longer legs. Opt for mid-rise jeans over high-rise ones, as highrise jeans tend to draw attention to the midsection. Choose bootcut or straight-leg jeans and pair them with tops that hit just below the hips to help create the look of longer legs.
Pear Shape: Pear silhouettes tend to hold most of their weight in the hips and are smaller on top. High-rise jeans will focus on the waist which is typically the smallest part of the body for this shape. Slimmer legs or jeans that are tapered towards the bottom can accentuate the small waist.
with all styles. High-rise and low-rise look good. Flared legs compliment shape of the hourglass, but a skinny or straight leg can look just as flattering.
can both the
Rectangle: For straighter shapes and less curvy girls, look for high-rise and lowrise jeans instead of mid-rise ones that can create a more square look. Flared legs can help give curved illusions. A tailored blazer or cropped jacket can also be a flattering added option this body type. Fashion trends are always changing, so it's important to take chances with what you try on. Don't be afraid to try pieces that you don't think you can pull off; you might surprise yourself. The most important thing is to find what makes you feel good. Remember, style is a vibe and everyone has one!
for
try
Hourglass: Hourglass figures have the same width at the top and bottom with a small waist in between. This shape gives the most flexibility
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Pay It Forward Written By: Julia Kosinski Founder of Resme Photography By: Sydney Sheehan
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Scan the QR code to shop now!
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I had no family history or genetic predisposition, so it really came as quite a shock. I underwent chemotherapy, a double mastectomy, immunotherapy, radiation, hormone therapy, and breast reconstruction. After my breast reconstruction that following summer, I was so excited to put on my swimwear and get back to the water where I have always felt my best. However, I struggled to connect with my new body, especially when it came to enjoying life and being carefree at the beach and pool. I became self-conscious of my breasts in swimwear and couldn’t find the kind of elevated, modern, and youthful mastectomy swimwear made for women like me. So, I decided to make my own! After numerous iterations, invaluable input, and countless (and I mean countless!) try-on sessions with fellow women impacted by breast cancer and other body changes, Resme was born. In addition to a higher neckline, extended underarm coverage, and UPF50+ fabric, our swimwear has a unique padded top that smooths and helps conceal any areas of asymmetry. If you’re in a swimsuit, something is going right in life - whether it’s just for those 20 minutes, that day, or maybe even that week. And for a brief time, you can leave life’s challenges, which can feel insurmountable, behind and just soak in the beauty of the moment. Wearing swimwear that didn’t fit my body defeated that purpose, as I focused more on fidgeting with my suit than just being in the present. I learned that a lot of women impacted by breast cancer felt similarly. My goal with Resme was simple: to make high- quality, small-batch swimwear that offers us sophisticated yet subtle coverage, so we can focus on the fun and not the suit. Resme is named after the initials of my family, my reason for everything I do: my two young sons, Ronen, Eli, my husband and better half, Saul, and me. (And after starting Resme, our miracle baby was born, and we named her Mara Resme). We proudly donate 5% of our proceeds to cancer charities.
Resme Ebby One-Piece Swimsuit Royal Blue Ribbed
I was diagnosed with breast cancer at age 35, when my eldest son had just turned two and my younger son was five months old. We felt the lump in the hospital right after I gave birth to my youngest, but we just assumed it was a clogged milk duct. Ultimately, that small lump grew until it was poking out of my skin. The day before my two-year-old’s birthday party, I went in for an ultrasound and MRI (naively expecting it was just a cyst at that point) and was told at that same radiology appointment that it was cancer. Multiple biopsies confirmed this several days later.
Resme Ebby One-Piece Swimsuit Sage Palm Print
“I was so excited to put on my swimwear and get back to the water where I have always felt my best.”
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Stylish and Fresh Solutions: Elevate Your Wardrobe
Written By: Allie Tate Ovarian Cancer Survivor Founder of Portt
When you're navigating a cancer diagnosis, comfort and functionality in clothing and accessories are top priority. But who says you can’t do it while maintaining your sense of style? Embracing fashion can be a powerful way to express yourself and boost your spirits. Here is my formula for putting together a head-to-toe functional, but still fashionable, outfit for trips to the infusion center.
Comfortable & Chic Headwear Hair loss can be a challenging part of a cancer experience, but it also opens the door to exploring new headwear. Soft, breathable fabrics like cotton and bamboo are perfect for sensitive scalps. A cotton bandana was my go-to headcovering during my treatment. I loved finding new patterns and colors to add to my collection as an easy way to accessorize classic outfits. Or try elegant turbans, beanies, and wide-brimmed hats. I also love Dear Martha’s modern headwear options like their Wool Cap or Classic Panama Hat.
Functional & Fashionable Tops Adaptive clothing is designed with functionality in mind, making it easier to dress and undress, especially when dealing with medical devices like ports or catheters. Look for brands that offer stylish adaptive clothing with discreet openings and closures. These pieces can be both practical and fashionable, helping you maintain your independence and sense of style. Portt is a modern line of port-accessible clothing designed to wear like a normal shirt
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while still allowing for easy access to a port. Their apparel is sewn from the softest fabrics for unmatched comfort.
Cute & Cozy Pants Finding the perfect pair of pants during your cancer journey is all about balancing comfort and style. Soft, stretchy fabrics are your best friend, offering ease of movement and gentle support. Leggings, joggers, and palazzo pants are excellent choices, providing both comfort and versatility. Look for playful patterns, vibrant colors, or unique textures to add a touch of fun to your wardrobe. I love the Ginger Pants by Casa Danu - an Atlanta-based apparel company founded by a breast cancer survivor. Pair them with a simple top or a cozy sweater for a relaxed yet stylish look that keeps you feeling good all day long, or grab a Casa Danu top for a bold look!
Footwear That Feels & Looks Good Comfortable footwear is essential, especially when you're spending a lot of time in hospitals or clinics. Look for shoes with good support, such as stylish sneakers, cushioned flats, or soft loafers. I love Adidas Samba, Birdie Mules, or Birkenstock Boston Clogs. These options offer comfort for long days at the hospital or clinic while keeping your feet feeling good. Choose fun colors, unique designs, or trendy patterns to add a touch of personality to your look.
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Stylish Accessories to Complete your Outfit Jewelry can be a wonderful way to express your journey and add a touch of sparkle to your day. Look for pieces with meaningful symbols, such as bracelets with motivational charms or enamel pins with special meaning. I love the selection of pins you can find on Etsy. Adding personalized touches to your wardrobe can make a big difference in how you feel. Custom shirts with positive messages, monogrammed accessories, or items that represent your hobbies and interests can help you stay connected to your passions and boost your confidence.
the Long Sleeve Port-Access Shirt. Thoughtfully designed and sewn in the USA out of a buttery soft TENCEL™ Lyocell and Organic Cotton blend, it looks like a regular shirt but features a discreet opening on the shoulder of your port. Portt’s mission is to pair functionality with great design to help you feel like you while undergoing treatments requiring access via a port.
Items to Help You Feel Like You During Treatment
Your cancer journey is unique, and your style can reflect your strength, resilience, and positivity. Embrace the opportunity to play with fashion and find pieces that make you feel comfortable and confident. Remember, the right outfit can do wonders for your spirit, helping you face each day ready to tackle what’s ahead!
About Allie: Allie Tate is an ovarian cancer survivor and textile-industry veteran. During her career, she developed a deeper appreciation for thoughtful design that was accessible to all. She doesn’t believe you should have to sacrifice function for design in any situation. In February 2020, when she received those 3 heartbreaking words of a cancer diagnosis, she was thrown into a world where little thought is given beyond basic functionality of products.. Her frustration from the lack of well-designed garments for patients to wear during treatment resulted in a home-sewn, simple shirt that allowed for easier port access. This was something simple to make that allowed her to feel comfortable and confident during visits where port access was necessary. And it is from that experience that Portt was born!
About Portt: Portt is a modern apparel brand that brings port-accessible options to people undergoing chemotherapy who want to maintain their style without sacrificing function. Founded by an ovarian cancer survivor, Portt was born from the frustration she felt when undergoing chemotherapy without well-designed options for folks like herself. Being a sewist, she stitched up what would become our first garment -
Contributor’s Bio: Allie Tate is the founder of Portt, a brand dedicated to creating stylish, port-accessible clothing that enhances the lives of those undergoing medical treatments. Inspired by personal experiences, Allie is committed to combining fashion with functionality, ensuring every garment empowers wearers with comfort and confidence.
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Share-Worthy Recipes Written By: Chef Anjani Vasson
This warming savory curry is full of antioxidants, minerals, vitamins, fiber, and protein. It is nutritionally very dense and also delicious. Here are some of the key nutritional elements of this satisfying dish. The chickpeas are a great way to add some protein. Chickpeas are rich in nutrients, including folate, iron, magnesium, and phosphorus. They are also high in dietary fiber, which can aid constipation caused by treatment. They are low on the Glycemic index and are good for heart health. Turmeric is especially great for those going through treatments as it has strong anti-inflammatory properties which can reduce inflammation associated with cancer progression. It is also a powerful antioxidant and can provide support for the immune system. Spinach, not only full of nutrients, is also high in fiber and antioxidants like beta-carotene, lutein, and zeaxanthin which help protect cells from oxidative damage. It is good for heart and bone health, as it is high in vitamin K and calcium. Brown rice is another amazing nutritionally dense food. Brown rice retains its bran and germ which means it contains more vitamins and minerals compared to white rice. This baked version with the added spices will make your kitchen feel extra cozy as the days get cooler. Enjoy this dish and feel free to experiment with different beans and it can also be served with added animal protein of your choice.
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Chickpea Curry with Fragrant Baked Basmati Rice Yield: 4 1⁄2 cups, nine 1⁄2 cup servings 2 tablespoons coconut oil 1 medium onion (about 1⁄2 pound), chopped 1 tablespoon curry powder (any store mix will do or even just turmeric or cumin powder) 2 medium carrots (about 12 ounces), chopped into rounds 1 medium potato (about 1⁄2 pound), peeled and diced 2 large garlic cloves, minced 1⁄2 teaspoon sea salt 1⁄2 cup vegetable stock (water would also work) 1 3⁄4 cups coconut milk (1-14 ounce can) 1 15 oz can chickpeas (washed and drained) 2 bunches spinach (about 1 1⁄2 pounds), stemmed, washed, and chopped
BROWN BASMATI RICE 1 cup brown basmati rice, washed 1 teaspoon coconut oil 1 3⁄4 cups boiling water A pinch of salt 1 cinnamon stick 2 cloves 2 cardamom pods
1. Preheat the oven to 375°F. 2. In a small baking dish, dry roast rice in the oven until dry. Stir oil into rice and bake few minutes more, stirring occasionally. 3. Add water and spices to rice; cover the baking dish tightly with tin foil. 4. Cook covered, about 50 to 60 minutes, or until all water is absorbed.
FOR CURRY
• In a 12-inch sauté pan, heat the oil. Add the onions. Lower the heat and cook until the onions begin to soften and become translucent. Add the curry powder and cook 2-3 minutes more. • Add the chopped carrots and potatoes, stirring often to prevent sticking. Cook for 5-6 minutes. Add garlic and salt. Cook for 2-3 minutes more. Add the stock and then add the coconut milk and the chickpeas. • Simmer for about 3-4 minutes more. Add the spinach and cook until spinach becomes tender (about 1-2 minutes). • Adjust the seasonings to your liking. If the mixture looks too thick, add a bit more stock or water. Enjoy with baked basmati rice.
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Reduce Cancer Risk by limiting these 3 things Written By: Tuesday Hoelscher, MBA, RDN, LD Registered Dietitian Nutritionist
There is so much information and misinformation out there about what foods you should avoid to decrease cancer and recurrence risk, but there’s actually only a few foods that have been shown to increase cancer risk.
Alcohol Alcohol is considered a Group 1 carcinogen, which means we have sufficient evidence to show that it certainly causes at least six different types of cancer: mouth and throat, larynx, esophagus, colon and rectum, liver, and breast in women. So what can you do instead? Limit consumption as much as you can. The less alcohol the better. Try limiting your consumption to special events or social settings. Another tip is to drink a glass of water in between every alcoholic beverage. This will cut the amount of alcohol you drink in half. More alcohol brands are coming out with alcohol-free options recently, so try out some non-alcoholic beer, wine, or cocktails in place of alcoholic beverages.
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Processed Meat Processed meats, like alcohol, are considered a Group 1 carcinogen. They are defined as meats having been preserved by smoking, curing, or salting, or having added chemical preservatives. Some examples include: bacon, deli meat, hot dogs, sausages, beef jerky, and pepperoni. Eating even a small amount of processed meats on a regular basis increases the risk of colorectal cancer. So what can you do instead? Some healthy swaps you can make instead of consuming processed meats include chicken, turkey, and seafood. You can also try to limit your intake of processed meats to special occasions where processed meat is prepared and served by others. If you are going to buy deli meat, buy it from the deli section where the meat is cut right off the animal versus buying pre-packaged deli meat. Also, be cautious at breakfast. Most “breakfast meat” is processed. Opt for other protein options at breakfast such as eggs, yogurt, or cottage cheese.
Red Meat Research shows that over-consumption of red meat increases the risk of colorectal and possibly pancreatic and prostate cancers. However, it is considered a Group 2A carcinogen which means it “probably” causes cancer, but we don’t have sufficient evidence to say for sure. There are no studies that show the exact amount of red meat we should be eating, however The American Institute for Cancer Research recommends eating less than 18 ounces of red meat per week, which is about three servings.
Contributor’s Bio: Tuesday is a registered dietitian nutritionist who helps people with cancer thrive during treatment, reduce recurrence risk, and eat with less stress and fear so that they can get their energy back and feel like themselves again. If you want to connect with Tuesday, here is how you can reach her: Instagram: @cancer.nutritionist.rd / Facebook Community: facebook.com/ groups/diseasepreventionnutrition / Email: tuesday@tuesdayhoelscher.com
So what can you do instead? Plan ahead when it comes to your protein intake. Keep your red meat servings to three servings per week if possible. You can also try a meatless Monday or aim for one meatless meal each day. This not only decreases your red meat intake, but will increase your plant intake which is very beneficial for your health, given the fiber, vitamin and mineral, and antioxidant content. Ultimately, the decision is yours regarding the foods you want to consume. It is good to be mindful of these risk-increasing foods so you can make informed choices, but if these are some of your favorite foods and beverages, know it is okay to consume in moderation from time-to-time if it improves the quality of your life. Please do consider quality of life when deciding to cut back or eliminate any foods. You didn’t go through treatment to never be able to have a glass of champagne with your friends on your birthday!
Photo Credit: Amanda Mendenhall
Examples of red meat include: cow, pig, lamb, deer, bison, buffalo, and most other big game. Some healthier alternatives are plant based proteins such as tofu, beans, and legumes.
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Intermittent Fasting and Cancer Written By: Cara Price Nutrition Coach
Though intermittent fasting (IF) has existed for decades, it has only been named and studied in modern medicine in more recent history. What science has found about its health benefits is quite impressive. Moreover, the benefits of IF for cancer patients are becoming a hot topic among researchers studying cancer treatment. So, what exactly is intermittent fasting, and how does it affect cancer patients? Intermittent fasting can be summed up as an intentional meal timing schedule, where a person chooses not to eat for a certain period of time and then chooses to eat for a certain number of hours. There are many various forms of IF, which range in length and frequency. Recent research shows that the timing of food intake significantly affects metabolic health in relation to cancer. In basic terms, intermittent fasting starves unhealthy cancer cells of their favorite fuel: glucose. Glucose, also commonly known as blood sugar, is produced in the body every time you eat. However, some foods, like highly processed carbohydrates, cause your body to produce more glucose than others. Intermittent fasting, along with good food choices, work together to reduce the amount of glucose swimming around in your body. When glucose is low, cancer cells starve, while healthy cells get stronger. In turn, fasting can foster conditions that limit a cancer cell’s ability to survive or grow further. Various studies have also shown that IF can lead to decreased risk factors and biomarkers for cancer. In addition, a combination of intermittent fasting with other cancer treatments has shown that the progression of cancer is slowed and seems to cause cancer cells to become more sensitive to
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cancer treatments. And in even better news, a 12-year study done on more than 2,000 patients who had early-stage breast cancer showed that participants who opted for IF of longer than 12.5 hours per 24hour time period had a 64% higher chance of keeping cancer away than those who fasted less than 12.5 hours per day. As well, this same study suggests that longer IF also improves BMI (body mass index), sleep, and cognitive function, which are all supported by other studies done on non-cancer participants. Should all cancer patients participate in intermittent fasting? IF is not a one-size-fits-all plan. Patients should always visit with their doctor before beginning any lifestyle changes, including one focusing on nutrition. There are many factors to consider when contemplating intermittent fasting. Age, sex, comorbidity factors, blood pressure, and mental health are all important considerations when considering a nutritional change. The bottom line is that intermittent fasting can be a powerful tool to help your body heal and stay well. However, considering the positive and possible negative attributes is very important in deciding whether or not IF is suitable for you. Working with a nutrition professional, along with your doctor, is essential to be sure the choice you make is right for you. Nutrition is one of the most powerful ways a person can manipulate their own physiology. Intermittent fasting can be a way to empower cancer patients to partner with their medical team in the fight against cancer.
BRIGHTER
Brighter needs your help! We at Brighter rely on supporters like you to continue reaching survivors everyday. One way you can help is by filling out a survey. Your feedback is crucial to accurately report critical impact for potential funding, as well as to understand how we can better serve you. You can also contribute and spread awareness by connecting us with your medical team and survivor network, allowing us to put Brighter in the hands of women who need it most. Another great way to help us continue our mission is through donations! A donation of $50 provides our publication to a survivor free-of-charge for an entire year, so survivors can focus their resources on treatment and healing.
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The Importance of Caregivers: Family, Friends, and Faith Written By: Caitlin Sweany Photography By: Erin Schreyer
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Marla Germany, wife and mother of three, experienced some relatively common digestive issues, such as constipation and occasional blood in her stool in the spring of last year. She dismissed any major concern, but as things continued to progress, she sought medical advice. Marla was assured she was healthy and simply needed a laxative. In addition, she was proactive on her own. “I ordered every single supplement off the internet about gut health,” she emphasized to demonstrate her commitment.
Diagnosis Marla explained the process of getting from her symptoms to a diagnosis. “I went several times to the doctor and they kept brushing me off, ‘You’re fine. You’re fine. You’re fine,’” she said. She had to push for a colonoscopy, having had clear results just a few years prior. Marla recounted her experience saying, “I really had to be my own advocate. You know your body better than anyone else. Sometimes, you need to stand up for what you need in a medical setting.” In the meantime, she also had an appointment with her primary care physician for a checkup. Routine tests showed nothing wrong, and her PCP told her, “Girl, you’re the picture of health; we’ll see you next year.” The reality was that she had Stage IV colorectal cancer, and it was still undetected. Marla’s adamancy that something was wrong emphasizes the importance of expressing your concerns to your physicians. If Marla hadn’t spoken up, it may have been too late. After her colonoscopy, the doctors told Marla they had found a large mass in her colon. A subsequent biopsy confirmed their suspicion: it was, in fact, cancer. She said, “it was like the Twilight Zone, I was just like in a little haze,” conveying how none of it felt real when a month prior she had been called the picture of health. At Marla’s first oncological appointment, she received the news that the cancer was Stage IV, having already spread to her liver. She told us, “I heard my hearing going out, I started sweating, and I passed out. The weight, the heaviness of that news was just too much.” After her husband Nate had fanned her and helped her settle her nerves, she said “Okay, we’re going to do whatever it takes…and I am not going to worry; I am going to worship.” Marla’s positivity, resilience, and strength are evident in how she has reacted to diagnosis, treatment, and all the challenges that accompany them. She attributes the success of her treatment to her positive outlook, faith, and the power of prayer. She stands firm on that foundation, stating, “I don’t know what the future holds,
“ I really had to be my own advocate.”
but I know who holds the future.” Marla sees her faith as integral to her treatment plan. She is only human, so of course she gets scared and worried for her future, but in those moments, she tells herself, “I’m going to put my spiritual goggles on. Whatever you want me to do with this, God, I am going to do it.”
Treatment Marla has undergone chemotherapy, surgery, an ostomy bag, and radiation. Despite the difficulty of what she is facing, Marla has remained utterly positive. She rejoices in situations where one would only be expected to lament, and she expresses an autonomy over herself that cancer can never take away, sassily declaring, “I may have cancer, but it does’t have me.” When Marla went in for her next treatment after chemo, she wasn’t greeted with good news. “It’s everywhere,” the doctors said, explaining that the cancer had spread to her liver, lungs, and peritoneum from her colorectal area. The doctors clarified why this was so concerning: the peritoneum is a channel through which cancer can spread quickly to other parts of the body. Marla took this news in her typical stride, asking her community to pray about her situation. She scheduled surgery to remove the mass from her peritoneum to minimize the spread. At the time, she was just trusting and hopefully wondering,
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“Every mess has a message. Every pain has a pulpit. And every wound has wisdom.” “What if they go in there, and it’s gone?” despite the severity of what the doctors had just told her. Afterwards, she firmly proclaimed the results of her surgery as a miraculous work. “The doctor came out of surgery and told us, ‘I’m baffled, it’s not there. I’ve never seen this before.’ He saw a miracle that day; we all did.” The cancer on her peritoneum was completely gone! There was nothing for the surgeons to remove. Following her peritoneal surgery, Marla was scheduled for surgery to remove the cancer from her liver, a challenging procedure due to the proximity of the cancer to important blood vessels. Marla again credits a quick recovery to her faith. In her latest scan, the spots in Marla’s lungs have disappeared, there has been no reappearance in the liver or peritoneum, and the mass in her colorectal area is shrinking. When we spoke, Marla was looking forward to her last radiation treatment, with the opportunity to ring the bell afterward, signifying the end. Just days later, she did exactly that. Marla continues to express an unrelenting hope, declaring, “I still have many surgeries left, but I’m truly believing that I am going to be cancer-free. I am going to beat Stage IV cancer.”
Caregivers When asked if support is critical during treatment, Marla gave us an emphatic “Yes.” Marla broke down her support system for us, singing the praises of those who have come alongside her. Her parents,
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husband, children, church family, friends, and her daughter’s school community have shared her burdens and provided her with assistance, support, and constancy amidst the changes of treatment.
Friends Marla lauded her friends’ ability to accept her even when she isn’t feeling like being her “silly self.” She pointed out that your support system does’t necessarily need to do anything big; just being there is enough. She quoted her father saying that in times of crisis, “People don’t remember what you did, they remember who was there.” Marla emphasized the importance of intentionality in your support system, clarifying that open-ended displays of support are much less effective. She said it’s much harder to ask a friend even after they have offered to be there for you, rather than someone simply doing an act of service. As an example, her friends will just say ‘I’m bringing you dinner tonight,’ send flowers to her house, drive her places when she isn’t feeling her best, or check in often by call or text. These thoughtful and selfless forms of support are what make Marla feel rallied-around and loved by her friends and community.
Family Family can be your bedrock, and that is definitely the case for Marla. She says her family is a constant cheerleader. She even calls her husband Ronnie her “human support animal,” because his support is so effective.
About her daughter, a college student and worship leader, Marla said, “Reese calls me about ten times a day,” depicting the nature of their relationship. She gushed about how amazing they all are, but she didn’t focus on their actions, only their love for her…and that is pivotal to being a caregiver. Marla also shared that her husband may understandably, from time-to-time, get overwhelmed when doing something he’s never done before. She appreciates Ronnie, not because he is always able to do everything perfectly, but because he loves her selflessly enough to care for her. Sometimes it’s not what you do. You cannot be perfect, you cannot do it all, and you cannot fully understand your loved-one’s experience, but you can sit with them in their pain and love them to the best of your abilities.
Faith For many people undergoing cancer treatment, faith can be a caregiver in itself, and Marla is the perfect example. Jesus is her Savior and ultimate caregiver, and the One who provides her with peace amidst the chaos of treatment. She tells us, “He is an ever present help in times of trouble. I believe it, and I feel it.” Marla repeatedly circled back to the importance of prayer in her life and the solace it provides her. When asked what she finds most helpful during treatment, she answered “Prayer. Just pray for me, because I believe that when people are interceding on your behalf to our Mighty Healer, that is better than any gift or thing you can do for someone.” Once she had been diagnosed, her husband Ronnie set up a CaringBridge website for Marla, in which her community could coordinate support and she could post updates and prayer requests. She explained, “We have had thousands of people praying for me, and have I felt every single one of those prayers.”
party.” Hers specifically consists of climbing into bed and letting it all out. Even the most positive of us have emotions, and that is nothing to be ashamed of. Marla recounted how when she’s experiencing these turbulent emotions she will often ask her husband, “Can we watch something funny?” which sometimes is exactly what you need. She made it clear that you do not always have to hold it together, those around you understand and wish to support you through whatever emotions come with this challenging season. We understand that not everyone has the type of community that Marla has been lucky enough to be blessed with, so we asked what she would tell those who needed support. First, she emphasized how caring a church family can be, then she suggested support groups found through local oncologists to make connections with other survivors. Bottom line: “Don’t be afraid to reach out to people. There’s a lot of people with good hearts that would love to help.” (Side note: Brighter can also help make connections!) Finally, Marla shared that there is such power in having something to look forward to. She utilizes countdowns in all of her treatments, holding on to the hope that what she is going through is not permanent. Her positivity and unyielding joy comes through when she says, “I am too sassy, this is not the end of me.”
Marla told us, “I think I have the Romans 8:28 kind of cancer.” Romans 8:28 says, “And we know that in all things, God works for the good of those who love him, who have been called according to his purpose.” She went on to say, “It doesn’t make sense today, but I know God is going to use this for His glory.” She credits her tenacity, resilience, and positivity to her support system, and at the center of it all is her unshakable faith. “I am just looking to the future. Faith will move mountains and faith will move cancer,” she said with conviction.
Marla’s Advice for Others When asked what advice she would give to those in a similar situation, Marla jumped right in, saying, “I know it’s shocking, I know it’s hard, I know you can’t imagine this ever happening to you, but now that it has, you have no choice but to be brave. And every test has a testimony. Every mess has a message. Every pain has a pulpit. And every wound has wisdom. Sometime in your life, God is going to use you to encourage somebody else through this. So keep your eyes on God, keep moving forward. He’s got you.” Marla expressed to us that it’s impossible to never let things get to you, treatment is full of challenges, symptoms, exhaustion, and uncertainty. She told us that sometimes you just have to have your own little “pity
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Cancer Related Cognitive Decline
and how you can outsmart it Written By: Emily Hammack MS, CCC-SLP, CBIS ReVital Cancer Rehab
“I can’t keep up in conversations” … “I get stuck on words” … “My thinking is slow” … “I keep forgetting what I’m doing” … “I lose my train of thought”. These are only a few of the complaints that you might hear from those experiencing cognitive changes associated with cancer. Often referred to as “chemo brain,” cancer-related cognitive decline or impairment (CRCD/CRCI) is a side-effect associated with a cancer diagnosis, its treatment, or factors related to treatment. CRCD impacts various cognitive domains including attention, language, processing speed, memory, and executive functioning. Recent research has shown that up to 75% of those diagnosed with cancer have 2,4 reported cognitive challenges. These cognitive difficulties can vary in severity and are sometimes not noticed by others, but only by those experiencing the symptoms. If these cognitive changes are not often obvious and can be “hidden,” then why is CRCD such a big issue? CRCD can impact a person’s ability to complete daily work and home activities and can significantly reduce quality of life. Oftentimes, those with cognitive symptoms related to cancer suffer in silence, whether due to lack of understanding from medical professionals, limited access to services that can help, or even feeling self-conscious of the cognitive changes. It is important to know that these challenges are common and manageable. The severity and impact of CRCD on one's daily life can be significantly reduced by managing stress, pain, sleep quality, and anxiety/depression, as well as with interventions such as cognitive rehabilitation, behavioral 2,3,5 modifications, and mindfulness. It is often assumed that CRCD symptoms must simply be “put up with,” and though there is no magic pill to stop or prevent these challenges, there are many ways they can be managed. Of course, it is recommended to seek assistance from medical professionals, such as speech-language pathologists, occupational therapists, psychologists, 1 etc. who have experience treating CRCD. As well, below are strategies
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and techniques that can be implemented at home to mitigate these cognitive challenges.
Modify the Environment
Some things are out of your control, especially when experiencing health concerns, including CRCD. When this happens, it is helpful to think about what can be controlled in your environment and dayto-day life. Limit Distractions – This not only includes audible distractions, such as background noise (conversations, music, TV, etc.), but also limiting visual distractions. Keeping a living and work space clean and organized helps to prevent external factors from interrupting the task at hand.
Physical and Cognitive Activity
Keeping both your brain and body active are ways to manage cognitive changes and build overall brain health. Exercise – Physical activity can reduce fatigue, enhance aspects of 3 mood, improve quality of life, and manage cognitive symptoms. Try Something New – Take a college course, start a new hobby, or even try to learn a new language. It’s not necessary to be successful, but just the idea of stimulating your mind is helpful to “stock up” on your brain’s cognitive abilities.
Reduce Cognitive Load
The brain is constantly working during the day to manage our thoughts, decisions, memory, and so on. When experiencing CRCD, the brain must work harder to do even the simplest of tasks. Giving the brain a break and relying on more external ways to manage cognitive changes can help.
Take breaks – Be aware of your fatigue and times when your mind begins to wander. Use them as signs to take a “brain break.” This can be as short as a 30-60 second break of doing nothing; sometimes that’s all your brain needs to “reset” and feel more refreshed. Break it down – Set small goals to break down your task. Multi-step tasks, even unloading the dishwasher, can be broken into several steps to avoid being overwhelmed or mentally fatigued. Write it down – When in doubt, write it down! This could be a daily journal or log of events/conversations, a list of “to-dos”, or key words written to jog your memory. Slow down – Don’t rush through tasks; intentionally slow down and give yourself time.
Work Around It
CRCD is unfortunately not something that will go away with the snap of a finger. Using alternative ways to get your point across when experiencing word-finding issues, memory lapses, or difficulty focusing can reduce stress and feelings of inadequacy related to the cognitive difficulties. Self-talk – Talk yourself through tasks to help you keep track of what you are doing. Think of this like an ongoing narrative in your head, or out loud.
Repeat it – Repeat information to yourself, back to others, or ask for repetition of information back to you. This way you can make sure you have heard the information correctly and can more easily encode and process the information. Describe it – If you are having difficulty thinking of a word, try to describe it. What does it look like? Where do you find it? What is it for? This can help you to come up with the correct word, or at the very least, whoever you are talking with will be able to help you find the word. Pick an alternate word – Sometimes it is easier to replace the word you cannot think of with a similar word that means the same or close to the same thing. The above techniques can help ease the burden that CRCD can put on your life; however, everybody is different, and results may vary for each person. If you continue to struggle with cancer-related cognitive impairments, an individual treatment plan provided from a skilled clinician may be beneficial. Consider discussing this with your medical team and family to determine what is the best approach to help you outsmart CRCD. See references on page 31
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Destination FLAT! Supporting flat after mastectomy Written By: Farahana Kassam with Kathryn MacDonell CEO/Founder of Flaunt Flat Revolution Photography By: Radz D. Media
Join the Flaunt Flat Revolution Here!
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Regardless of the decisions we make for our bodies, we are all beYOUtiful beyond our breasts. Navigating breast cancer after my second diagnosis was like driving somewhere new, without a Global Positioning System (GPS). After my initial diagnosis in 2020, I opted for a lumpectomy. The path was straightforward. Less than 18 months later, with another diagnosis, I again faced major decisions about my breasts. The landscape had changed with new medical insurance and consequently a new medical team, since my first time. I felt lost, had to reset, and start over.
The flattie community continues to be a place where I ask questions, feel heard, seen, and supported with resources. I’m not traveling alone and I’ve found a GPS, around the world, to navigate my journey.
One thing remained definitively clear. I didn’t want foreign objects in my body, so breast implants weren’t an option. But what were the alternatives? This was challenging as breast implant surgery was the primary focus of my female breast surgeon, who assumed all women would choose implants. I didn’t feel heard or understood. We clearly took different paths about the best surgery options post-mastectomy. Perhaps it was foreign to her that a woman could be comfortable without breasts. She was clearly not the right fit for me, so I moved on to find someone who could respect my choice.
My cancer experience inspired me to start Flaunt Flat Revolution, a 501(c)(3) non-profit organization. Our mission is to help women with breast cancer make informed surgical decisions about their bodies, leading to a greater sense of empowerment and self-acceptance. We invite you to #JointheRevolution. If you are considering aesthetic flat closure or are a flattie, or a medical professional, we want to hear from you! Together, we uplift, support, and build community!
Flat isn’t for everyone. Cancer helped me find women who normalize flat. Regardless of the decisions we make for our bodies, we are all beYOUtiful beyond our breasts.
I wanted to be sure I knew all the options before making my final decision. Intuitively, I knew I wanted to be flat, but I needed to know more. What would the flat surgery entail? I didn’t get much information. No one presented it as a viable option - conversations were abrupt, woven with negative comments and judgements. “You’re so young and beautiful. Why would you not want implants?” The unspoken messages were that to maintain my youth and beauty, I needed breasts. Eventually, I met a new surgeon and learned about a flap option using body fat to construct breasts. Here was someone who understood and offered me personal advice. “Because your small body doesn’t have much fat, it would be better to stay flat, especially since you don’t want large breasts. Research flattie communities,” he said. Thanks to him, I discovered communities of women embracing their flat chests after aesthetic flat closure (AFC). The National Cancer Institute defines aesthetic flat closure as “a type of surgery that is done to rebuild the shape of the chest wall after one or both breasts are removed. An aesthetic flat closure may also be done after removal of a breast implant that was used to restore breast shape. During an aesthetic flat closure, extra skin, fat, and other tissue in the breast area are removed. The remaining tissue is then tightened and smoothed out so that the chest wall appears flat.” The most meaningful information came from women on social media who shared their flat journeys post-mastectomy. Timing was personal. Some decided to go flat immediately, after removing both breasts, and others removed only one breast and stayed flat on one-side. Others had explant surgery after complications with their implants.
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Brighter Reads
Book Recommendations from the Brighter Team
The Teacher by Frieda McFadden
I’ll Give You the Sun by Jandy Nelson
This is the first book by Frieda McFadden I have read. From beginning to end, I was left in shock! The number of twists and turns this story takes is more dangerous than any mountain road. The plot centers around a high school that was rocked by a supposed scandal a year ago. The main characters include two teachers who are married to each other and several students. Just when you think you’ve figured out whodunit, whoops! Another twist!
“Maybe some people are just meant to be in the same story.” I’ll Give You the Sun is a beautifully written story about inseparable twins, Noah and Jude, who live in modern day California. Noah, the shy artist, prefers the company of his sketchbook, while Jude, the outgoing daredevil, thrives on her social connections. But a mysterious event alters their relationship, leaving them estranged for years.
To say anything more about this twisty, turny murdermystery would be giving away most of the story. I highly recommend blocking out a day to read this whole book. I read it in two nights.
- Debbie Norris Ovarian Cancer Survivor Brighter Writer
The novel brilliantly shifts between Noah and Jude’s perspectives, ultimately intertwining their stories as they find their way back to each other. The twins’ connection to art and creativity as a way of self expression is what makes the book so special. Jandy Nelson uses artistic metaphors to add a poetic complexity to the story, allowing readers to connect with the characters on a much deeper level. Despite all the mistakes they made, Noah and Jude emerged as strong, genuine, and persevering characters that use art to overcome adversity. By the end, I found myself feeling empowered and ready to go out into the world and create something. Jandy Nelson did a flawless job with this coming-of-age story; it is truly a work of art.
- Maya Menon Brighter Intern
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References: For pages 26-27
1) Fernandes, H.A., Richard, N.M. & Edelstein, K. Cognitive
rehabilitation for cancer-related cognitive dysfunction: a systematic review. Support Care Cancer 27, 3253–3279 (2019). https://doi. org/10.1007/s00520-019-04866-2
2) Jean-Pierre P. Management of Cancer-related Cognitive
Dysfunction-Conceptualization Challenges and Implications for Clinical Research and Practice. US Oncol. 2010;6:9-12. doi: 10.17925/ohr.2010.06.0.9.
3) Oliver Rick, Alexandra Gerhardt, Georgia Schilling; Cancer-
Related Cognitive Dysfunction: A Narrative Review for Clinical Practice. Oncol Res Treat 6 May 2024; 47 (5): 218–222. https://doi. org/10.1159/000538277
4) Országhová Z, Mego M, Chovanec M. Long-Term Cognitive Dysfunction in Cancer Survivors. Front Mol Biosci. 2021 Dec 14;8:770413. doi: 10.3389/fmolb.2021.770413.
You are not your cancer. Not even close. Looking and feeling like yourself during and after cancer treatment is important to you. And it’s important to us. The American Cancer Society EverYou program offers a curated collection of quality wigs, headwear, and post-surgical products including bras and breast forms.
5) Pendergrass JC, Targum SD, Harrison JE. Cognitive Impairment
Associated with Cancer: A Brief Review. Innov Clin Neurosci. 2018 Feb 1;15(1-2):36-44.
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Start Something how Jess made an impact for good
Written By: Jess Ekstrom Founder and CEO of Headbands of Hope Speaker, Author, and Writer for Entrepreneur and The Huffington Post Photography Provided By: Headbands of Hope
The Headbands of Hope story begins in the most magical place on earth: Disney World! When our founder, Jess Ekstrom, was in college, she took an internship at Disney World as a photographer. She photographed so many sweet children with life-threatening illnesses who were fulfilling their wish from various wish-granting organizations. She was so impacted that when she returned to college, she decided to work for an organization that made the wishes come
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true. While there, Jess noticed that many young children wore headbands after losing their hair to chemotherapy. One girl wished to go to Disney World to meet Sleeping Beauty but was unfortunately too sick to travel to Florida from North Carolina. Jess couldn’t bring her to the most magical place on earth, so she decided to make her own magic. Jess went to a costume shop and arrived on her
We hope our story sets an example that anyone can start something that matters.
At Headbands of Hope, we hope our story sets an example that anyone can start something that matters. Here are some of the keys to our success that we hope will help in your journey too!
- Define Your Purpose:
Clarify why your endeavor matters and how it will make a positive impact on others’ lives.
- Start Small, Dream Big:
Begin with manageable steps, but keep your ultimate vision in mind to fuel your motivation.
- Embrace Failure:
View setbacks as learning opportunities and stepping stones toward success.
doorstep dressed as Sleeping Beauty. After that experience, Jess felt a spark to do something to help these kids feel confident and beautiful during such a tough time. She remembered seeing patients wearing headbands and discovered no one was providing them to the kids. To fulfill this need, Jess created Headbands of Hope during her junior year of college at North Carolina State University. Whether she sold sweet little turbans for babies or fashion-forward headbands for women, she made a promise that for every headband sold, she’d donate one to a child with cancer. Jess had no idea how to run a business, but she was determined. She even recruited a graphic design student to help teach her Photoshop, even though she could only pay her in burritos. At the end of her junior year on April 25th, 2012 at 9:47 a.m., Jess got her first order on her website … from her mom. Luckily, things picked up and now Headbands of Hope is carried in hundreds of stores across the world and has been supported by dozens of celebrities like Lea Michele, Lauren Conrad, Kelsea Ballerini, and other fabulous stars who wear headbands for women. More importantly, the brand has donated childrens’ and baby headbands to every children’s hospital in America and 22 countries. We have expanded our mission over the past 12 years and not only donate to children with cancer, but to all children that face an illness, as well as women going through diagnosis or treatment.
- Cultivate Resilience:
Stay determined and adaptable in the face of challenges, knowing that setbacks are temporary.
- Build a Support Network:
Surround yourself with mentors, peers, and cheerleaders who believe in your vision and can offer guidance and encouragement.
- Stay True to Your Values:
Let your core principles guide your decisions and actions, ensuring alignment between your intentions and your impact.
- Celebrate Progress:
Acknowledge and celebrate each milestone, no matter how small, to maintain momentum and morale.
- Practice Self-Care:
Prioritize your well-being to sustain your energy and creativity, allowing you to show up fully for your mission.
- Stay Focused on Impact:
Keep the focus on the people you aim to serve, letting their needs and aspirations inspire your dedication and innovation.
- Pay It Forward:
As you progress, look for opportunities to support and uplift others on their journey, fostering a culture of generosity and collaboration.
CONTRIBUTOR’S BIO:
Jess is the founder and CEO of Headbands of Hope. For every headband sold, a headband is given to a child with an illness. Jess is also a professional speaker, mom of two, 2X best-selling author, and writer for Entrepreneur and The Huffington Post.
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The Power of Laughter Written By: Mirchelle Louis, MSSW/LCSW CEO Cancer Support Community North Texas
Why Cancer Patients Need it Most If you’re experiencing cancer, the journey can be filled with ups and downs, highs and lows, and everything in between. One thing we have found to be true, however, is that laughter is powerful… even for those who may not feel like smiling – or laughing – much. In fact, we believed in laughter so much, we recently created a program for our cancer patient families and caregivers called “The Friday Night Funnies.” The idea actually came to us from Emily Baudot, a local public health researcher who also moonlights as an improv comic with a local comedy troupe for fun. Her thought: “Wouldn’t it be awesome if my public health day job could also help public health in some bigger way? Mental health is a really core part of overall health…and if some of my improv friends and I could give a little bit of time to make this hardship more bearable for people, we’re in.” In Baudot’s view, laughter comes easier where there is a social element to it. It allows people facing adversity to get through it – and to heal – by getting out of their head and into their body. And that’s just what Baudot and a team of improv comedians did on a recent Friday at our Cancer Support Community North Texas clubhouse in Dallas. This free event packed the house with cancer patients and their families looking to laugh. They needed to laugh.
More than 25 people not only watched and listened, but Baudot and her troupe also brought them up to participate. “It isn’t about making light of a person’s situation, it’s more about providing a temporary escape strategy that allows people to take a break from their life and diagnosis for a moment, and just have fun,” adds Baudot. She likens it to what comedian, Tig Notaro, who made a name for herself based on her raw comedy addressing her cancer diagnosis and mastectomy, has done. She laughed about her diagnosis and the rollercoaster ride that went along with it. And united people through laughter. In fact, even the Mayo Clinic touts the power of laughter on relieving stress in an article entitled, “Stress relief from laughter? It’s no joke”. There, it is stated, “Laughter enhances your intake of oxygen-rich air, stimulates your heart, lungs and muscles and increases the endorphins released by your brain.” At the end of the day, a cancer diagnosis is beyond difficult and emotionally trying – that fact we can’t change. What we can do, however, is give ourselves a boost of laughter from time to time (even when we’re not “feeling it”) and provide ourselves a short, uplifting escape from the day-to-day.
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Mind and Body Wellness: Meditation and Journaling for Cancer Patients and Survivors Written By: Breana Mobley, LMSW Texas Oncology–Baylor Charles A. Sammons Cancer Center
Mind and Body Wellness: Meditation and Journaling for Cancer Patients and Survivors Cancer treatment often brings to mind conventional treatment methods such as chemotherapy or radiation. However, today’s cancer treatment can also include a holistic approach called integrative health, which combines conventional treatments with complementary approaches to provide comprehensive care that focuses on treating the whole person. Meditation and journaling are common supportive practices used alongside traditional treatment to help manage cancer-related symptoms and cope with the feelings that often accompany the
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disease. Multiple studies have shown that meditation and journaling can improve mental and physical health and overall quality of life when used within an integrative health approach.
Meditation as a Mind-Body Practice Anyone can begin a meditation practice at any time, and evidence shows it can benefit general health and well-being. For cancer patients and survivors, meditation can address cancer-related physical and mental symptoms, such as anxiety, cognitive issues, depression, fatigue, fear of treatment, pain, sexual issues, and sleep disorders. Meditation techniques include breathwork, gratitude practice, lovingkindness and compassion, movement meditation, nature therapy, and
disease. Journaling provides an outlet for patients to express difficult or uncomfortable feelings, clarify goals as they navigate treatment, share their experiences with others, better cope with their illness, and discover strengths they may not have fully known. Studies have shown that journaling helps manage stress and can decrease symptoms of depression and anxiety. In a study among women with breast cancer who journaled during treatment, they reported decreased physical symptoms and fewer unscheduled physician visits. Another trial focusing on expressive writing among kidney cancer patients showed similar benefits in symptom decrease and physical functionality improvement. Journaling is more than just putting pen to paper. Documenting one’s journey through social media, online blogs, podcasts, video blogging (vlogging), or an online community like Careopolis (available for anyone to set up via TexasOncology.com) is becoming more prominent. Each patient’s journal is personal, and there is no right or wrong way to journal. Three tips for starting a cancer journal: • Start simple. Choose a format that suits you, whether it is pen and paper or an electronic outlet. • Find your place. Determine a comfortable location where you will not be interrupted. • Set a routine. Some may find writing in the morning helps start the day, while others choose to journal to unwind before bedtime. During some periods, patients may not have the energy to write more than a sentence or two, and that is okay. The simple act of journaling to express oneself can be a helpful tool in navigating the twists and turns of the cancer journey. Scan the QR code for Texas Onclology’s mindfulness and journaling resources
progressive muscle relaxation. Patients and survivors may benefit from one or several of these techniques when dealing with different physical or emotional symptoms during or after treatment. One often-missed opportunity to practice meditation or mindfulness, which involves being fully present and aware in the moment, is during mealtime. Cancer treatment frequently changes appetite and taste, making eating and sharing meals with others challenging. A mindful eating practice can help improve the experience of eating, allowing for new memories and deeper connections with loved ones over shared meals, even if smells and tastes have shifted.
Journaling as a Form of Self-Care
Time and Practice
Like learning any new skill, it might take time to find the right meditation or journaling technique that works best for you. So, if there’s a technique that isn’t working, it’s fine to switch it up. Practicing meditation and journaling on both good and challenging days helps create new habits and makes it easier to access their benefits when needed the most. Meditation and journaling may seem straightforward, but if you need help getting started or would prefer mindfulness tools that were designed for cancer patients at every stage of their journey, visit TexasOncology.com/EveryBodyHasAStory. Texas Oncology’s team of social workers created a series of guided meditations and downloadable journal prompts to help any patient or survivor process emotions, find strength, and improve overall well-being.
Journaling is a way to capture, share, and express thoughts, feelings, and milestones. It is a form of self-care, enabling cancer patients to find meaning and perspective as they navigate the unknowns of their
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Living in a DeathDenying Culture Part III Written By: Meredith R. Mitstifer, Psy.D Licensed Clinical Psychologist Ovarian Cancer Survivor
In the previous two editions of Brighter Magazine, the notion of living in a death-denying culture was explored, various coping and support strategies were shared, and how to approach difficult conversations about end-of-life wishes via inquiry were proposed. This third edition shines a light on the aftermath of loss and how lessening our death-denying tendencies can bring peace and comfort in the most unexpected ways. It was the day before my birthday this past May when my phone informed me my soul sister was calling. While we don’t speak or see
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each other as often as we once did, given our east versus west coast locations, she is the kind of friend that when you do talk, you pick up right where you left off without hesitation. She was there for me throughout my ovarian cancer diagnosis and treatment in ways not everyone is clearly equipped to be. Years later, I would fly home to be with her for her breast cancer surgery and aftercare without question. If you know that kind of friendship, it’s easy, it’s sacred, and what is understood need not be spoken. Seeing her name come across my phone screen while knowing she is not the person to wish me a happy birthday one day early, my heartbeat accelerated, and I cautiously
answered. She informed me her dad was diagnosed with Stage IV pancreatic cancer and was not well. She caught me up to speed on his symptoms, the delay in diagnosis, the brief initial attempts at treatment, followed by his rapid decline. He passed away just three days later. Neither of us had lost a parent prior to this moment. It was heart wrenching to be on the other side of the United States. She was close to her father, very similar to the relationship I have with my own. For me, initial fight or flight thoughts emerged, and the reality of losing a parent was staring me in the face. I can only imagine this is just one reason we as a culture can easily drift, dive, or sink into a death-denying space. A celebration of life was planned, and I flew home to be with her. As the executor, she had multiple tasks to complete. Bearing witness to the care she took and her ability to make everyone feel included in the process was incredibly admirable. Her father divorced her mother several years ago and he had been with a significant other with whom my friend had grown close. Added to that were multiple siblings, various opinions, paperwork, bills, and her own grief; it had to be overwhelming. She proceeded with grace. Invitations and
Fast forward to the celebration event. Many coworkers, friends, and family attended. White chocolate golf balls were devoured, and memory boards displayed around the room were enjoyed and discussed. The darkness that initially loomed began to dissipate as attendees shared memories, stories and sadness surrounding the loss of this individual. The room became brighter with every story shared. I was able to observe this wonderful shift in both expression and mood, and tears of joy attempted to replace those of grief. As the night came to an end, the deceased’s significant other stood in front of the room. She was one of the doubters that anyone would attend. She didn’t plan on speaking, she questioned her ability to remain present throughout the event, and she suggested she would not likely have the mental strength to endure any type of celebration given her extensive sorrow and loss. But yet… here she stood. A hush quickly spread across the room as she raised from her table in front of the crowd, tall and without waiver. She graciously thanked everyone for attending. She admitted to all her fears prior to the event and became an open book. She wanted everyone to know she was
When your own fear of death, distress, anxiety, or awkwardness at a time of loss prompts you to take flight, know that your sacrifice of time, ability to confront your own death-denying traits, and perhaps even story sharing (despite public speaking not being your thing), can be instrumental in the grieving process of another. notifications were made. Food was ordered, cookies by the dozen were emerging from the oven, and white chocolate shaped golf balls filled her refrigerator. Table decorations were ordered via Amazon Prime, easels were assembled, and a day of making memory boards that encompassed his life and all his relationships were beautifully crafted. These were moments I truly cherished. Sharing this sacred space, filled with stories and time for her and her family to reflect will not be forgotten. This time was not without some hesitations, tears, and thoughtprovoking conversations. Her family was wondering if anyone would attend the celebration, how much medication should one take “to get through this” as anxiety and feelings of discomfort were bubbling, who would or wouldn’t speak, and what would her dad have preferred. Then there was a call from a friend who suggested she would not be in attendance as she “doesn’t do celebrations of life.” Clearly this was not meant with any foul intention but was a more awkward and uncomfortable response to death itself. I can only assume no one really likes “doing celebrations of life.”
going home lighter, warmer, and filled with a bit more peace. She stated, “I never once thought I would go home feeling better than when I arrived. You all did that for me.” She thanked them for their presence, their stories, their laughter, and their demonstrated love for her partner. She then ended with, “I hope you know this was the most unexpected and beautiful gift.” When your own fear of death, distress, anxiety, or awkwardness at a time of loss prompts you to take flight, know that your sacrifice of time, ability to confront your own death-denying traits, and perhaps even story sharing (despite public speaking not being your thing), can be instrumental in the grieving process of another. Yes, it may be uncomfortable. Yes, it may feel awkward. Yes, it may be helpful, too. Many of us are able to offer the repeated and overused phrase, “if there is anything you need…,” but in reality, perhaps we should consider the unexpected gift… as there may be no greater gift to give.
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What Survivors Really Want Intangible things survivors benefit from receiving Written By: Debbie Norris Ovarian Cancer Survivor
Whenever someone asks a survivor what we wish for, many of us brush it off and say things like, “A cure for cancer,” “My dream trip to _______” or “My family to ______” However, when you ask a group of survivors what they truly want, it’s often not something tangible; not a cure or something bought with money. I recently took a chance and asked this same question in a Facebook group of ovarian cancer survivors. The responses are likely valid for women with every kind of cancer. Here are some of the top results:
Understanding, Patient, and Loving Support This first wish is very important. Not only is having a loving partner and family important when you are first diagnosed, but they are also your support team for your full journey. Throw in several friends who are consistently there for you, and now we’re talking! Next, add a very caring and knowledgeable medical team, starting with an oncologist who realizes you and he/she are partners in decisionmaking. Along with great nurses and other medical professionals, you’ve got yourself one great dream team! Then, add in a local support group of women who have gone through the same cancer experience as you - a similar diagnosis, treatments, and even same doctors. Local support groups and organizations can be a deeply comforting part of your team. If they are affiliated with a national organization, it can lead even to support on a national level.
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The people who surround you care for you. These good people realize that even when treatment is over, your hair has grown back and you aren’t going for weekly doctor’s appointments anymore, you are still dealing with cancer and its effects. These are the ones who will really listen to you and not give you the advice they saw on a talk show yesterday or read online last night. These supporters will also respect your decisions as the patient, the one who knows her body and its limits. Unfortunately, not everyone gets all or even a fraction of this care-giving team, thus the reason for this being the number one wish. Seek out what you can and hold them close.
Clear and Accurate Expectations for the Long-Term Thankfully, long-term survivorship is becoming more and more common. What’s not as common is doctors who know how to deal with those who are thriving past the 5, 10, and 20-year survivor marks. Without clarity of the future effects of chemotherapy, radiation, steroids, medications, and scans we’ve endured over years of treatment, doctors are often constrained to treat us as issues come up rather than preparing us proactively. What are the long-term effects? Could there be a way to prevent some of them or lessen the intensity? Will things like forced menopause and neuropathy last forever? Also included in this category is the wish for each oncology office to be integrated with professionals who can address topics such as: confronting and dealing with the changed woman looking back at you in the mirror, physiological body changes, mental health changes, scarring and post-surgery treatment, and sex issues. Does using alternative medicine impact after-care and long-term care? To quote one survivor named Beverly, “I think we need an oncology rehabilitation program that addresses psychological, nutritional, and physical exercise. Stagnation is debilitating. The program needs to be available before, during, and especially after completing chemo.” I personally agree with Beverly. In some areas, a local YMCA or gym will have a workout program for cancer survivors, but there doesn't appear to be well-known, nationwide options. My personal wish in this area would be to find researchers motivated to follow, learn from, and share findings about survivors and their long-term health.
Mental Health Support Can we ever talk enough about mental health support? Personally, I don’t think so. Once diagnosed, there are countless things that could affect our mental health. This wish is that oncologists would automatically prescribe a therapist or psychologist as part of cancer treatment. Ideally, it would be consistent throughout treatment and at follow-ups.
Why? Talking with a mental health professional throughout or after treatment can give us the power to feel in charge of ourselves and our lives again. Survivors need tools to cope with cancer PTSD, scanxiety, and the alarm we feel with every twinge or pain that causes us to fear the return of cancer. Our experiences can also cause existing mental health issues to increase. Cancer can easily lead to depression and anxiety. It can skew our vision and cause us to see life from only a before and after viewpoint. Getting therapeutic support can truly be as beneficial as seeing your oncologist or primary care doctor regularly. Mental health services may not be available at all cancer centers, covered by all insurance companies, or readily accessible to all survivors due to distance or internet access. This is one wish that needs to come true!
All of Your Doctors (primary, oncologist, dentist, ophthalmologist, etc.) Working Together This wish was supposed to have already come true when electronic medical records became a thing. However, if you receive care from two or three different medical systems, they may not have the same software system. At one point in my treatment, if I wanted to keep my doctors all on the same page, I need to request that any of one of them send their notes and test results to the others. This was a lot of work on my part, but it was worth it in the long run. I now thankfully have doctors and specialists who are all on the same software system, and all my information and test results are automatically shared. Also included here is truly personal care; not treating one patient as every other patient. No cookie cutter treatment. Instead, consider each individual, their genetics, and oncological details to determine which new treatments or clinical trials are best for them specifically. Many survivors in the group posted they wish their oncologists would mention potential clinical trials more often instead of having to do the research themselves. As well, how can each patient manage and reduce side effects – short and long term? They seem to affect patients differently, but they also affect other areas of each survivor’s health. Imagine all of your doctors and specialists working together while taking your concerns and input into consideration! This is a wish that desperately needs to be granted. As we go through this season of wishes and gift giving, remember some of the deepest wishes and longings of cancer survivors cannot be wrapped up in pretty packages. They can only be granted by understanding family and friends, more research and communicative, collaborative support. My dear Survivor Sisters – keep wishing, keep articulating your needs, and keep advocating. Things are improving and are better than they once were, but there’s still work to be done. One day, we will see all of these wishes come true, and we can help those who travel this road behind us.
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Connecting Through Cartooning with Hayley Gullen Written By: Lyn Haddad Illustrations By: Hayley Gullen
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Like many people with a few free minutes, I sometimes find myself scrolling through Instagram. My feed is typically dominated by posts of adorable and sometimes naughty labrador retrievers. One day last spring, an image came up that showed a drawing of a woman who appeared to be connected to an infusion pump, and I saw the word chemo in the accompanying text. I stopped scrolling. I then spent the next half hour diving deeply into Hayley Gullen’s Instagram account. Post after post resonated with me. She was a mom with a young child, and she was going through cancer treatment, as I had done several years earlier. I remembered so much of what Hayley wrote about, but I wasn’t feeling triggered reading her posts. Instead, I kept thinking, “Yep! You get it.”
Hayley:
Hayley lives in London. That’s the beauty of Instagram for you; it gives us a platform to connect with and impact people all over the world. So, we connected! We messaged, and then I interviewed Hayley via Zoom. Hopefully, someday I’ll meet her in person. I hope you enjoy learning about Hayley and her work as much as I have!
Hayley:
Lyn:
Hayley:
At what age were you diagnosed with breast cancer? Did your treatment progress smoothly?
Hayley: I was diagnosed at 37 years old, in May 2022. My treatment went relatively smoothly, all things considered, but to me it was traumatizing.
Lyn: When I was diagnosed, I had six-year-old twins. My breast surgeon once remarked to me that she thought that my sons would bring me joy as I was going through treatment. Certainly, they did, but some days it was really hard to feel like I was a good mom. How did it go for you?
Overall, I would say that I found being a patient dehumanizing. I felt like a number, not a person. I would have much preferred to have been seen as a unique individual; someone who is interesting and has a personality. One time, I drew a cartoon on a card for my surgeon to celebrate the birth of his baby. He loved it. It was the first time that I felt really connected with him. After that, a lightbulb went off in my head. I started drawing more cartoons. I found a graphic novel mentor, and eventually, I joined Instagram.
Lyn: Now that you have finished treatment, are you still writing your comics?
I do plan to create more graphic novels. Stay tuned!
Lyn: Do you feel like writing has been cathartic for you?
That’s not exactly what I would say. I went through therapy after treatment to deal with the trauma of my cancer diagnosis. I wrote the book to tell my story. I think the two are connected, but I didn’t specifically write my memoir as a form of therapy, if that makes sense? I really wanted to share my story.
Lyn: Do you have specific themes that you incorporate when you write? For instance, I’ve noticed that you touch on appreciating your body, rather than feeling betrayed.
Hayley: Our daughter was three at the time. I was working parttime and responsible for childcare two days per week, but during chemo I simply didn’t have the energy to entertain her as I would have liked. My husband and I were both working from home so we were both able to pitch in caring for her. Without my husband’s support this would have been a lot more difficult. Still, it was hard for her to see me going to the hospital for treatment. We tried to explain things to her, in age appropriate terms. I definitely felt mom guilt and later went to therapy to work on that alongside other issues.
Lyn: What prompted you to start writing graphic cartoons during treatment?
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Hayley:
Hayley:
I went through a period of wondering if I did something wrong. My breast has changed, and I need to do lymphatic massage. I value my body more now. I’m connected to it; we've worked together to save my life.
I was just getting through each day during the time of my graphic memoir. Now, I am aware of my body, but I try not to be consumed by fear. When fear starts to creep into the back of my mind, I know it’s time to call and make an appointment to get whatever is worrying me checked out.
Lyn: Have you connected with any of your followers?
Hayley: I have gone to some events here in the UK-Cancer in Common and Zine Fairs. It’s really nice to talk to people who have had similar experiences. It’s also amazing to meet people who have seen my work!
Lyn: Many cancer survivors find unexpected positives from going through that very challenging time. I, myself, have learned to live my life much more in the now, versus waiting for the future. Have you found any benefits?
Hayley: Yes, absolutely. I’ve found new inspiration in creating cartoons. I’ve connected with new people. I also think that I’ve developed more empathy for people going through difficult situations. A lot has changed.
Lyn: One topic that I haven’t seen represented, so far, is fear of recurrence. When I lead small group discussions, that is one of the most prevalent topics of conversation. Is that something you avoid discussing, or are you simply focusing on life during treatment?
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Lyn: Where can Brighter Magazine readers find your work?
Hayley: I’m on Instagram: @hayleygullen I have a new website: HayleyGullen.com I recently signed with an agent who is working with me to get my memoir, “This Might Surprise You” published.
This Issue’s Cancer Awareness Months: October, November, and December Scan the QR code to learn more about each cancer type and its treatment options.
Breast Cancer
Liver Cancer
Lung Cancer
Stomach Cancer
Carcinoid Cancer
Pancreatic Cancer
DONORS, SPONSORS, and SUPPORTERS We are grateful to all those who have donated funds to Brighter Magazine this year in order to encourage, equip, educate, and empower women affected by cancer. With your generous donations, survivors from around the world are being supported in a way they have never been before. Scan the QR code to donate now to Brighter Magazine! (The names listed below are donors who have contributed $250 or more.) Amy Weber
Heather Barger
Megan Sun
Stephanie Hargis
Berica Askew-Breier
Holly Lemons
Melinda Johnson
Suzen Stewart
Amy Zicarelli
Bowles Family
Brian & Christi Hays Carey Moseley Carol Margolis
Carolyn Brown Cindy Baker
Clay Jenkins
Clouston Family Dana Dunbar Dave Family Don Bowles
Dorothy Smith Erin Dempsey Erin Morgan Ginger Bear
Hawkins Family
Heidi Paul
Householder Family Janet Hale
Jeanne & Van Hoisington Jon Celum
Julie Parolisi Kathy Kuras
Kimberly & Aaron Graft Krista Waitt
Kristi Wilson Laura Craig
Leslye Ashworth Lyn Haddad
Marie Zizzamia
Marsh & McLennan Agency LLC Mary Maday
Maryann Norwood
Melinda Choi
Mimi Edmonds
Mr & Mrs George Steele Nate & Christina Crain
National Ovarian Cancer Coalition (NOCC) Nicole Russell
Paige & Sharon Steele Rebecca Walden Robyn Freese
Suzanne Goswick Todd Ritterbusch Tiffani Gross
Tiffany Davis
Timothy Welch Tricia Graft
University Kia
Wilburn Family
Sally King
Sandy Morander Sarah Byrom
Sarajean King
Schreyer Family
Sewell Automotive Companies Shar Dubey
Stanley Henderson
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Let’s Get Moving: Finding Motivation in the Midst of Cancer Written By: Stacey Mann, CES, CPT Fitness Director for 2Unstoppable
On a Tuesday evening ten women logged into zoom for the start of a fitness class. After quick introductions, “Start Me Up” by the Rolling Stones blared through the speaker and the warm-up began. After forty minutes of sweaty cardio and feel good movements, that awesome feeling of accomplishment settled on everyone during the cool down. For most of the ten women, this was not only their first class of a ten-week progressive exercise program, this was also their first time returning to exercise. In addition to their common goals of increasing strength, improving flexibility, and losing some weight, these women had something more powerful
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in common. Within the last year, they were each diagnosed with, treated for, and were now survivors of cancer. Together, they were rediscovering how to move in their new bodies; their bodies that had been through harsh treatments, altered through surgeries, and still dealing with side effects from medications meant to prevent cancer recurrence. They had found their motivation to move, and they were determined to make exercise a new habit. But how did they get to that point? We know 150 minutes of moderate to vigorous exercise per week following a cancer diagnosis can improve surgical outcomes, reduce symptoms, and mitigate side effects from radiation and chemotherapy. According to the American Cancer Society, regular exercise increases survivorship by 50-60%, particularly for breast and colorectal cancers. But in the midst of recovery, fighting extreme fatigue, and having trouble performing everyday tasks, finding the motivation to exercise may seem nearly impossible.
Contributor’s Bio: Stacey Mann, a Cancer Exercise Specialist, works to inspire movement and transformation in women who have been diagnosed with cancer. Inspired by her son’s journey with Leukemia, Stacey blends her passion for helping others with knowledge of functional movement. Stacey is the Fitness Director for 2Unstoppable, a nonprofit organization dedicated to improving women’s cancer outcomes through exercise. The class referred to in this article is the 2Unstoppable Strong Program, created by Stacey and offered through 2Unstoppable. To learn more, visit 2unstoppable.org
How can you find your motivation? Start Small Add a few extra steps around the kitchen. Get up every twenty minutes and walk or stretch for two minutes. If you break down the 150 minutes of exercise over seven days, that’s less than 22 minutes per day. You can take 22 minutes and break it down into several twoto-five-minute increments. Think of these smaller bouts of movement as the building blocks for larger exercise goals. Create a New Habit Add movement into something you already do every day. If it takes two minutes for bread to toast or coffee to make, march in place or practice balancing while you wait. Soon, your morning routine will automatically include two minutes of movement. Once you begin to create the habit of movement, your motivation will persist throughout the day, and you will be inspired to move more. Find a Support System Grab a buddy and take a walk, or call a friend as you walk. A walking partner can keep you accountable, provide social support and keep you motivated to exercise. Define Your Goals and List Obstacles Goals, both large and small, should be written down and under each one, the plan for achievement and how you’ll overcome any obstacles that might get in your way. For instance, a goal might be to increase endurance. To achieve this, you add five minutes of walking time to your daily routine, or climb one more flight of stairs each day. Obstacles might be self doubt, limited time, or lack of energy. Remember, simply putting one foot in front of the other is moving forward and will help you achieve your goal! As we came upon the last class, ten weeks into the process, each woman recounted what they had gained and reflected on their goals. They felt stronger, more flexible, less achy, and had more energy. Most of all, they learned that no matter what obstacles or challenges they faced, if they celebrated the small wins, motivation to exercise persisted.
Check out Brighter Resources on our website Explore books, clothing, products, and services spotlighted in this and other issues. You’ll find beneficial resources to help you navigate cancer, minimize side-effects, and maintain the highest quality of life in the midst of your battle and beyond. *Keep the web page bookmarked, as it will be updated with our latest finds!
Scan the QR code for resources
Sharing Your Survival Guide Written By: Amy Zicarelli Triple-Negative Breast Cancer Survivor Brighter Ambassador
When I was diagnosed with triple-negative breast cancer, stage 2B on March 23, 2022 at 44 years old, I was in shock but quickly fullthrottled into warrior mode. My mother had died from her own battle with breast cancer just four months prior to me finding my mass in the shower and subsequently receiving my diagnosis. I was told by multiple oncologists that her cancer was not genetic and that breast cancer rates in the USA are at a high, with 1 in 8 women developing breast cancer in their lifetime. Per the direction of my gynecologist, I did genetic testing which reported a 12.5% overall lifetime risk of breast cancer, however, I had an unassociated genetic mutation. Guess I won the lottery. Having just walked my mom’s breast cancer journey with her at every step, every appointment, every treatment, clinical trials, and the emotional highs and lows, I was shattered with grief from her loss. But I knew I had to pick myself up and fight, not just for myself, my kids, my husband, my family…but for my mom. With my kids being teenagers and actively involved in the community, I decided that I wanted to start a blog to control the narrative of my cancer and
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the stories surrounding it. That’s how my blog, “Positively Triple Negative” was born! It’s my journey – the good, the bad, the ugly, the humor, tips & tricks, and all the faith I hope I can find! When you google “triple-negative breast cancer,” it can sound like a death sentence. The name, in and of itself, just sounds…negative. So, in an attempt to counteract the ugliness of cancer and such a devastating situation, I began sharing the “positives” of the journey. I decided that if I was going to go through the trenches of fighting for my life, I would share my newfound perspective of what it’s like to live when life is uncertain. I had dear friends, in addition to my mom, that battled breast cancer before me, and their knowledge, perspective, and outlook has proven to be so valuable and helpful. I call them my “veteran warriors”, my Positively Pink Warriors. They inspire me to keep going, keep fighting, and keep sharing - to pay it forward. Through the blog, I began to hear from women all over the world, and I have made countless new “virtual” friends. I quickly realized that people are reading, and tidbits of my journey are helpful, even
“One day you will tell your story of how you’ve overcome what you are going through now, and it will become part of someone else’s survival guide.” - Brene' Brown validating, if they are experiencing a similar side effect or issue with treatment. One of the things I really try to focus on, in addition to health updates, is “mindset.” It is literally half of the battle. It can be applicable to anyone going through cancer, a difficult period in their life, or maybe just a hard day. Mindset influences how we think, feel, and behave in any given situation. What you believe about yourself impacts how you will push forward and fight any given tragedy or difficulty in your life. It doesn’t change that it is a catastrophe to be diagnosed with cancer, but in a positive mindset, instead of letting the negative permeate every aspect of your life (which, in turn, affects your body), you can actually shift perspective to a new appreciation for life and inspiration for change and growth. It isn’t easy, it isn’t perfect, and it doesn’t mean that there are no bad days or disastrous moments and feelings. But it’s an overall shift that can inspire lifestyle changes in the face of adversity.
mammograms. Sitting on their panel and sharing the importance of early detection, my mom’s journey, and how that influenced my own was an experience I’ll never forget. As I spoke with Former First Lady Mrs. Laura Bush, and shared how I’m overcoming, I was certain my mom was watching, smiling and proud.
When you are diagnosed with cancer, the world stops spinning for a moment, and all the things that once seemed so important become just tasks. Nothing is more important than your health. Being diagnosed and in active treatment are just a couple of chapters of the whole cancer journey. Effects of treatment can last a lifetime, and the mental health struggle and focus on preventing recurrence can wreak havoc if you allow it. It’s not easy learning to live again in a world that does not share your same perspective of how precious this life is. There are countless people diagnosed with cancer everyday. When we are blessed with the Former First Lady Mrs. Laura W. Bush and Amy Zicarelli Today, I continue to fight to prevent recurrence through ongoing opportunity to share even one nugget of knowledge, advice, or a tip alternative treatments. After sixteen rounds of multiple types of harsh that can help someone get through a side effect, a treatment, a surgery, chemos + immunotherapy, double mastectomy, and two reconstruction a scan, a conversation with their doctor, we can help by sharing. You surgeries, my tumor was removed on October 18, 2023. Due to residual never know, it could change their life, maybe even save a life. Or maybe just make their day a little easier. Your story could become disease at surgery, I continued oral chemo that I had to stop due to the survival guide they never knew they needed. toxicities and risk of permanent damage to my eyes, colon, and feet. I have No Evidence of Disease (NED) today and am focused on living life and continued preventative treatment. Advocacy and paying it forward is a huge part of my life mission. I’m now an ambassador for Brighter Magazine, sharing monthly products and awareness for all types of cancer, as well as particulars about breast cancer health and experimental treatments that I’m trying. I did a podcast with Brighter, sharing my journey and tips for advocating for yourself after diagnosis (Spotify > Brighter Podcast) entitled, “My unexpected Journey: How to Live, Learn, Shine in the Rain!” Most recently, I had the greatest honor of speaking at the Laura W. Bush Institute for Women’s Health Coffee and Conversation. The event focused on a new breast cancer screening technology (mybexa. com) to help reach women in West, Texas who lack access to traditional
Contributor’s Bio:
Amy Zicarelli is a warrior who has fought Triple Negative Breast Cancer. Diagnosed at Stage 2B, four months after her mother died of a different type of breast cancer. She is an advocate, Ambassador for Brighter Magazine, speaker, and writer of her blog Positively Triple Negative, where she shares her journey as well as treatments, tips, and hope for others. Amy is grateful for her faith, her family, and friends who have continued to bless her with support.
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PAS SING TIM E Stuck in a waiting room, at home recovering, or just need to exercise your brain for a bit? Try playing these games! Hint: all answers are related to content within this issue. Have fun and good luck! (Answers can be found at the bottom of the page)
Trivia
Word Search
What are the three key points used to determine the shape of your eyebrows? A) Base, Curve, Tip B) Start, Arch, Tail C) Corner, Midpoint, End D) Inner, Middle, Outer
For an apple-shaped body, which type of jeans is recommended to create the illusion of longer legs? A) Low-rise jeans B) Skinny jeans C) High-rise jeans D) Mid-rise jeans
What is the recommended amount of moderate to vigorous exercise per week for cancer survivors to improve outcomes and reduce symptoms? A) 100 minutes B) 120 minutes C) 150 minutes D) 200 minutes
Fall Success Relax Brow Guide Support Cartoon
Headband Laugh Stylish Fasting Motivation Shape
A) Avoid taking risks B) Focus solely on immediate profits C) Embrace failure as a learning opportunity D) Depend only on personal skills without seeking help
What is one recommended strategy for managing cognitive changes associated with cancer?
A) Avoid any form of physical exercise B) Focus solely on mental tasks without breaks C) Maintain a highly cluttered environment to stimulate cognitive function D) Limit distractions in your environment
Which of the following practices is NOT listed as a meditation technique beneficial for cancer patients and survivors? A) Movement meditation B) Gratitude practice C) Color therapy D) Progressive muscle relaxation
B, D, C, C, D, C
Trivia Answers:
50
What is one of the key principles Jess Ekstrom suggests for achieving success in your endeavor?
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Everyone needs a good list of JAMS for a chemo session, a car ride, a walk, or maybe a run. Check these out.
Good Feeling - Austin French You’re All I Need to Get By - Marvin Gaye, Tammi Terrell Good Morning Gorgeous - Mary J. Blige Recommended By Reader: Natalie Grubbs
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