2025 - Q1 by brightermagazine

The magazine for women affected by cancer

Samantha Harris

The diagnosis that sparked her passion for helping others

Finances During Treatment Learn to manage treatment costs

Take a Spa Day!

Relax with a trained professional

Quiet After the Storm Cancer Nutrition Myths

Avoiding a post-holiday slump

Adressing misconceptions

Skin Solutions for Winter Issue 15

Founder’s Letter

Live. Learn. Shine. "Take the first step in faith. You don't have to see the whole staircase, just take the first step." - Martin Luther King Jr. When I set out on this mission a little over three years ago, I had been seeking a way to use my life for a greater cause. The idea of a lifestyle magazine for women affected by cancer was one that was shared with me by my dear friend Jean, who mentioned that current magazines on the market actually made her feel more isolated and discouraged as she navigated life in treatment. I didn't have a masters degree in business. I didn't have years of experience in a corporate setting. Other than losing my mother to pancreatic cancer and Jean to ovarian cancer, I really knew nothing about a life affected by cancer. I had done graphic design for a nonprofit in my previous life, but the last 16 years had been spent raising my two boys, personal training, and triathlon coaching. Needless to say, I did not feel equipped for this adventure. That being said, those around me will tell you that my faith is an incredibly influential factor in my life. When I reflect on what I believe to be God’s faithfulness in my life, it gives me incredible boldness and confidence in times that others might interpret as uncertain. Though it was exciting and thrilling to set out into uncharted territory with new-found purpose, I never really thought about the future of this single publication I was compiling. In fact, even today as we are releasing our 15th issue, when I think about the future of Brighter it can be overwhelming. I have goals and hopes for the organization but will hold loosely to what it might become. I am still not a specialist in publishing or running a business by any means, there is still so much for me to learn, but I have listened, researched, surrounded myself with those willing to help, and been willing to fail. As a result, I am growing in knowledge and confidence. Throughout this experience I often feel I have to be willing to take my weight off of my back foot, in faith, to find the security in the next step. Amazingly, however, my foot usually lands safely in its appropriate place. Each time I am faced with a decision, I am more equipped, prepared, and feel more confident in the next step that is coming. As you look into the new year, don’t let it overwhelm you. Focus on the things you know and the things that you can deal with right now. Listen to others, research, be willing to make mistakes, and surround yourself with people who love and support you. Step out in faith today, and before you know it, you will be climbing the staircase set before you. With faithful steps of success behind you, you can be more confident in what remains unknown!

MAGAZINE EVENTS

HONORABLE MENTIONS MEMORIES

BRIGHTER CELEBRATES COMMUNITY AND THRIVE AWARD RECIPIENT, HELEN BOWLES

Brighter's Community Thank You Event

CSC Red Tie Gala Thrive Award Recipeint, Helen Bowles

The Brighter team was thrilled to show gratitude to our community of amazing writers, donors, sponsors, and survivors this November! We took the evening to say a well-deserved thank you and to demonstrate the impact of Brighter. We are more than just a magazine; we are a community and each person plays an integral part.

The Cancer Support Community of North Texas honored our CEO and Founder, Helen Bowles, with their Thrive Award for her service to the cancer community through Brighter. We are so glad to see her recognized for her leadership serving those affected by cancer. Helen extends this honor to all who are part of Brighter, whether that be by donating, writing, sponsoring, partnering, or subscribing. This recognition belongs to you too, because you are making the cancer community brighter!

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 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

Editors Ashton Mitchell Caitlin Sweany Erin Schreyer Helen Bowles

Distribution/Hospital Liaison Caitlin Sweany Caitlin@brightermagazine.org

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 Amanda Grilli The American Cancer Society Ammie Sylvestrie Anjani Vasson Becky Kuehn Brandi Jurecek Brittney Dorr Caitlin Sweany Courtney Carroll Debbie Norris Emily Hammack Jamie Hess Linda Garvin Mahsa Ghahri Meredith Mitstifer Monica Fawzy Bryant Raejan Gibbons Rebecca Zafeiropoulos 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 Provided by Samantha Harris

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Cover Photography Provided by Samantha Harris

Donate today to put Brighter in the hands of women who need it most.

Table of Contents

06 3 Steps to Empower Your Skin Rundown on Cancer 08 The Related Hair Loss 10 Take a Spa Day! 13 Skin Solutions For Winter 14 Building a Chemotherapy Wardrobe 16 Monochramatic Matching 18 Share-Worthy Recipes 20 Cancer Nutrition Myths 22 Nourishing Hope 24 Brighter Feature, 28 Finances During Treatment Intimacy When 30 Maintaining Fighting Cancer 32 It All Counts 34 Lymphedema Management 36 Exhausted? Movement Helps! 37 Redefining Strength 38 Lighthouses of Hope 40 Quiet After the Storm 42 CRCD in the Workplace Women Skip Their 44 Why Yearly Mammogram 47 Pay It Forward 48 What to do with a New Diagnosis Samantha Harris

3 Steps to Empower Your Skin Written By: Raejan Gibbons Aesthetician, Skincare Enthusiast, and National Educator for the Ricardo Fisas Natura Bissé Foundation

Navigating the wide world of skincare can be challenging. Even with the most devoted skincare routine, you’re likely to notice some changes in your skin during cancer treatment. The good news is there are ways that you can support your skin and feel good in the process. Let’s review the top three steps to empower your skin during this time! This simple yet effective routine can be applied to the skin of the face, scalp, or entire body.

Cleanse

The skin itself acts as a barrier for the entire body. This includes supporting the immune system in preventing infections by stopping harmful bacteria or viruses from entering our bodies. Because of its role as a barrier, it’s important to keep your skin clean and hydrated to prevent cracking, which could allow infection to harbor. The skin can become more sensitive during oncology treatment. Because of this, it’s important to choose cleansers that are gentle on the skin and will not cause more dryness or irritation. Look for keywords such as “for sensitive skin,” “hypoallergenic,” and “gentle.” Cleanse twice a day for good measure, and whenever possible, avoid using hot water as this can further irritate the skin.

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Hydrate

Maintaining hydration is key as the skin changes. Moisturization helps to keep the skin pliable, soothed, and supported. Hydrate and nourish your skin at least twice a day, in the morning and at night. Use light-textured serums and creams with anti-inflammatory properties. Ingredients such as hyaluronic acid, organic aloe vera, rosehip oil, arginine, or calendula are just a few examples of supportive ingredients that you can find in many different brands. Remember that your skincare products should be applied gently and in an upward motion. If your skin is feeling too sensitive for a “lifting” application, you can utilize soft pats to apply your products. Also, take note that while you’re going through treatment, it’s best to hold off on the use of more intensive exfoliants such as retinol or mechanical scrubs. You want to focus on soothing and hydrating your skin as much as possible during this time.

Protect

Last, but certainly not least, it’s essential to protect the skin diligently during treatment. Various types of cancer treatment can make the skin more sensitive to the sun, which can cause a more intense reaction

"It’s essential to protect the skin diligently during treatment."

If you would like more information, you can visit www. ricardofisasfoundation.org. There, you can find a free, downloadable SkinCare Guide filled with tips and tricks to support your skin on this journey.

to UV rays. Always apply an SPF 30 or higher to the face, neck, décolleté, scalp, and any other area that may be exposed to the sun. Opt for “Broad Spectrum” SPF to protect your skin from UVA and UVB rays. You can also look for clothing that provides added sun protection. Even if you’re wearing a scarf, a hat, or a wig, the scalp needs extra protection at this time, so don’t forget to apply an SPF as your first defense measure. Your skincare routine can be quick and easy or something that you utilize to connect with yourself for just a moment or two out of your day. Incorporating a gentle touch, a few deep breaths, and some soothing sensations can turn your routine into a self-care ritual. We hope that this information is helpful for you as you navigate the many changes that cancer may bring into your life.

Contributor's Bio

Raejan Gibbons is a licensed aesthetician, skincare enthusiast, and National Educator for the Ricardo Fisas Natura Bissé Foundation. When she’s not teaching fellow aestheticians or working her magic with healing facials, you will probably find her hanging out with her two dogs and husband.

Your Ovarian Cancer Support Network The National Ovarian Cancer Coalition is by your side every step of the journey. Our programs and services provide essential support for ovarian cancer survivors and caregivers.

You’re never alone in this fight; we’re here with: Support groups for survivors and caregivers Educational programs and resources Financial assistance Free meal delivery Community outreach and events

To learn more, scan the QR code or visit ovarian.org.

The Rundown on Cancer Related Hair Loss Written By: The American Cancer Society

What Causes Hair Loss in People Caring for Your Scalp and Hair Your scalp may feel itchy or sensitive during and after treatment. Be with Cancer Our hair grows all the time, with old hairs falling out and new ones replacing them. Many chemotherapy drugs can damage growing hair, causing it to fall out prematurely. Some chemo drugs can cause hair thinning or hair loss on the scalp. Others also cause thinning or loss of arm and leg hair, pubic hair, eyebrows, or eyelashes. Radiation therapy to the head can also cause hair loss on the scalp.

Things You Can Do to Prepare for Hair Loss Ask your cancer care team if hair loss is likely. If it is, ask if it will happen quickly or over time.

Talk to your cancer care team about whether a cooling cap might help reduce your risk of hair loss. More research is being done to learn whether cooling caps work and are safe. They can have some side effects, including headaches, scalp pain, and neck and shoulder discomfort, so it’s important to talk to your cancer care team about the benefits, risks, and side effects of cooling caps. Wigs and other scalp coverings may be partially or fully covered by your health insurance so ask your cancer care team for a wig prescription. In most cases, you will need to pay for your wig and then file a reimbursement claim with your insurance provider. Finally, if it’s likely you will lose your hair as a result of treatment, you might choose to cut your hair very short or even shave your head before it starts falling out.

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gentle when brushing and washing your hair. You may want to use a wide-toothed comb during this time. Hair loss might be somewhat reduced by not brushing or pulling too much. Avoid making braids or ponytails, using rollers, blow drying, or using curling or flat irons. If your hair becomes very thin or is completely gone, be sure to protect the skin on your scalp from heat, cold, and sun. Use a broadspectrum sunscreen with a sun protection factor (SPF) of at least 30 and wear a hat. In cold weather, wear a hat or scarf to cover your head and stay warm. When new hair starts to grow, it may break easily at first. To avoid additional breakage, avoid perms and dyes for the first few months. Keep your hair short and easy to style. When your hair starts to grow back, it may be a different texture or color. Over time, it will likely go back to the way it was before treatment. If you choose to wear a wig, the tips below might be helpful.

Choosing the Right Color

Before treatment, if possible, cut a large lock of hair from the front of your head as a color reference. Once you are ready to select a wig, compare your hair to the wig swatches, preferably in outside light. Chemotherapy can make your face look pale. If you have black hair, consider choosing dark brown for a more flattering look. If you’re brunette and going gray, consider choosing a wig in a lighter shade of brown, possibly with subtle highlights. White wigs can be a flattering choice, too!

Styling Your Wig

Caring for Your Wig

For a personalized touch, consider using wig styling gel. Simply apply it with your hands to sculpt your wig into your desired style. This gel not only boosts volume but also ensures your style stays put. Washing it out is a breeze with a wig shampoo. Experiment until you discover your perfect look.

Washing your wig requires a bit of special care. Only use hair care products (shampoo, conditioner, etc.) that are specially formulated for wigs. Before washing, gently brush your wig or hairpiece to remove teasing or tangles. Use about one ounce of synthetic wig shampoo in two quarts of cold water (never hot). Soak your wig for three to five minutes, then gently dip up and down. Do not rub. Rinse the wig thoroughly in cold water.

Many wig styles, especially shorter ones, need only to be shaken before they are ready to wear. For a more natural look, don’t try to get every hair into place.

You may want your hairstylist to trim and/or thin the bangs or trim the length of the wig slightly to suit your face. Use a chin strap, which can be found in many wig styling kits, to keep your wig in place while styling or trimming. Once you’re happy with the style, you can hold the style in place with wig hairspray. Wigs are different from natural hair and there are some limitations to what you can use on them. For example, do not use a color rinse on your synthetic wig; it will damage the fibers. And unless your wig is heat resistant, do not use a hair dryer or curling iron.

When you’re not wearing your wig, store it for short periods of time (overnight or for a few days) on a wig stand. For longer periods of time, fold the wig carefully and put it back in its box.

Pat out the excess water using a towel; don’t brush or comb the wig until it is completely dry. Allow your wig to dry at room temperature. No setting is necessary; curls will snap back into position when the hair is completely dry. Don’t use a hairdryer, blow dryer, or hot iron unless the wig is labeled specifically as resistant to heat. For more information about hair loss and products to help manage it, visit www.EverYou.com, an offering of the American Cancer Society.

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.

Scan the QR code for resources

Take A Spa Day!

Relax with a trained professional Written By: Becky Kuehn Founder of Oncology Spa Solutions®, Survivor, Oncology Speaker and Writer, Master Esthetician, Cosmetologist, Hope Coach, and Holistic Cancer Coach

As an oncology-trained spa professional for over 16 years, I’ve had the privilege of working at my local cancer center, and it brings me so much joy. Everywhere I go, though, I’m often asked, “What exactly is an oncology-trained spa professional?” An oncology-trained spa professional is a licensed esthetician or therapist with specialized training to safely care for clients undergoing or recovering from cancer treatments. They address the unique challenges cancer patients face, such as the effects of chemotherapy and radiation on the skin, hair, and nails. These professionals provide comfort and relief from treatment side effects, offering compassionate care throughout the healing journey.

Key Aspects of an OncologyTrained Spa Professional Specialized Training

They undergo specific education to understand how cancer treatments affect the body, particularly the skin, hair, and nails. This training ensures they can offer treatments that are both safe and beneficial to clients with compromised immune systems or sensitive skin.

Modified Techniques

Oncology-trained professionals know how to adapt traditional spa treatments, such as facials, massages, and body treatments, to ensure they are safe for individuals undergoing cancer therapies. They learn how to avoid contraindications and use gentle, non-invasive techniques.

Safe Product Use

They are knowledgeable about the importance of using non-toxic, fragrance-free, and gentle products that do not contain harmful chemicals, which could potentially irritate or damage the skin of someone undergoing cancer treatments

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Side Effect Awareness

These professionals are familiar with common side effects of cancer treatments, such as extreme dryness, rashes, sensitivity, and swelling, and are trained to provide appropriate care that helps alleviate discomfort while supporting the body’s healing process.

Emotional and Compassionate Support

Beyond physical care, oncology-trained spa professionals are trained to offer emotional support. They create a compassionate and nurturing environment where clients feel understood and cared for, helping reduce stress and anxiety during an emotionally challenging time.

Collaboration with Healthcare Providers

They often collaborate with medical professionals to ensure that any spa treatments provided are in line with a client’s overall healthcare plan, avoiding any treatments that may interfere with medical protocols.

During cancer treatment, it’s easy to lose touch with ourselves if we’re not mindful. But with a little self-care and spa time, we can find moments of relaxation and peace of mind.

The magazine for women affected by cancer

Services Here are some Examples Scalp A soothing scalp massage can be incredibly relaxing, but if you’re hair loss, there may be a time when you don’t want or of Oncology-Trained Spa experiencing need one. It’s best to wait until your hair has fully fallen out and your scalp is no longer sensitive. At that point, if your scalp is dry or flaky, Services Facials and Skincare Therapy

Cancer treatments, such as chemotherapy and radiation, can cause significant changes to the skin, including dryness, sensitivity, and irritation. Oncology-trained estheticians use gentle, non-toxic products and techniques to soothe and protect compromised skin, providing relief and improving comfort.

Personal Care Product Consultations

You can bring in your current array of personal care products and receive a complimentary review of their safety and efficacy. This is very important (always), but it is even more important during cancer treatment when our skin can be medically reactive. The goal is to remove as many toxins as we can to provide a safe, clean, and healing environment.

Brow and Lash Consultations

Cancer treatments often lead to the loss of eyebrows and eyelashes. An oncology-trained esthetician can offer guidance on how to safely manage this hair loss while helping patients regain a sense of self. While there are many services available for brows and lashes, some—like lash extensions or fake lashes that use harsh glues—are not recommended during cancer treatment.

Massage

Everyone loves a good massage—it's therapeutic, relaxing, and great for reducing stress. However, if your technician isn’t oncology-trained, they could unintentionally cause harm or trigger lymphedema (swelling in a limb affected by compromised lymph nodes). It’s essential that massage therapy for cancer patients is done by a trained professional who understands these risks.

Contributor's Bio

Becky Kuehn is the inspirational founder of Oncology Spa Solutions®, and the author of, Life Changing Esthetics®. Her mission is to educate spa, salon, and medical professionals in remedying the devastating side effects of cancer treatments. She is the premier, leading educator and liaison for holistic and oncology trained estheticians, working in treatment centers within hospitals, or alongside the oncology team. www.oncologyspasolutions.com

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you’ll appreciate the hydration and comfort that comes with a gentle, nourishing scalp massage.

Hair and Wig Services

When you lose your hair, there are so many options to explore. You can wear a scarf, choose a stylish hat, try out a wig, or embrace the beauty of a bald head. You don’t have to stick to just one—you can mix it up and have fun with it! I once had a client who chose wigs in every color, experimenting with different looks while she needed them. She even discovered a color she loved and stuck with it when her hair grew back!

Nail Care Services

Cancer treatments can also take a toll on your nails. While some services are safe, there are a few things that should be avoided during chemotherapy such as cutting cuticles, soaking nails in water, using acrylics, and harsh chemicals. During cancer treatment, it’s easy to lose touch with ourselves if we’re not mindful. But with a little self-care and spa time, we can find moments of relaxation and peace of mind. So, find an oncologytrained spa professional and enjoy!

Skin Solutions For Winter Written By: Jamie Hess

Certified Esthetician and Hollywood Makeup Artist

We often crave comfort to ward off the chill of the winter months. One might find that comfort holed up in a corner with a good book or celebrating a night out with friends. Our skin also craves comfort in this cozy season, and that can be found in these soothing skincare and multi-use make up products, all products that address multiple needs with one item.

Skincare

Makeup

Eminence Facial Recovery Oil Safe for the most sensitive of skin types, this face oil is both toning and hydrating. Clary sage oil and ylang ylang calm and balance, while olive oil soothes and hydrates, and the antioxidants in the sage leaf extract rejuvenate and tone the skin.

Dior Backstage Face & Body Foundation This long-wearing, super-hydrating foundation gives the skin a natural, luminous finish. With over 40 shades to match any skin tone, this hyaluronic acid and squalane infused foundation smooths, blurs, and evens out the skin.

Eminence Snow Mushroom & Reishi Masque This de-puffing masque contours & tightens using the ultra-hydrating Snow Mushroom and the antioxidants found in Reishi Mushroom, while the nutrient-rich Birch Water hydrates the skin, and caffeine helps revitalize the skin’s appearance.

Danessa Myricks Colorfix The very definition of versatile, these creams can be used as eyeshadows, eyeliner, lip liner, lipstick, blush, or to fill in brows. With seven long-lasting, high pigment, waterproof finishes, like metallic, matte, etc., they can be worn alone or combined together for a custom color.

La Roche-Posay Cicaplast Balm B5 This is the ultimate multi-purpose balm that can be used almost anywhere on the body (except around the eyes). Vitamin B5 and Shea Butter hydrate, soothe, and heal the driest of skin and it is safe for all ages. OneSkin Body Topical Supplement This creamy, yet lightweight lotion is packed full of skin benefitting ingredients made from the OS-01 peptide. This peptide works by preventing the accumulation of old or damaged cells, in turn strengthening the skin’s natural lipid barrier, minimizing the appearance of irritation and redness, and improving the skin’s ability to retain moisture.

Ilia Balmy Tint Hydrating Lip Balm The cult-classic balm that started this brand is packed with moistureboosting nutrients like rosehip oil, sea succulents, and shea butter. With sheer, but buildable color, this buttery formula locks in moisture with each swipe across the lips. Tower28 BeachPlease Cream Blush Made for cheeks and lips, this long-wearing, cream blush melts into the skin leaving a radiant finish. The rich, pigmented shades make your lips and cheeks beautifully sun-kissed! Whether you’re slowly easing into this new season or starting the year off with a bang, adding a few multi-purpose, hydrating beauty items is sure to make you feel your best! *Do not use any skincare or cosmetics on broken skin. *Consult with a physician before use.

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8 Essentials for a Chemo Wardrobe Written By: Allie Tate Ovarian Cancer Survivor Founder of Portt

Undergoing chemotherapy presents both physical and emotional challenges. From managing side effects to coping with fatigue, finding comfort is essential. Fashion can play an empowering role in this experience, helping patients feel more confident and supported through thoughtfully designed clothing. For those who want to blend comfort and style during treatment, adaptive, port-accessible fashion and personal expression can make a world of difference. Creating a simple capsule wardrobe that you can pull from, round after round, takes a little stress out of treatment days. Here’s what to include in your chemotherapy capsule wardrobe:

1. Port-Accessible Tops

These tops provide discreet access to a chemo port, making it easy for medical professionals to administer treatment without having to remove clothing. A quick internet search for 'chemo port accessible clothing' can give you options to consider, even on Amazon." Of course, Portt specializes in modern, port-access tank tops and longsleeve tops, which offer comfort, accessibility, and style in soft, breathable fabrics. Opt for 100% cotton or a Tencel Cotton blend for something super soft and sustainable.

2. Loose-Fitting Pants or Leggings

Comfort is paramount during long treatment sessions. Choose soft, loose-fitting pants or leggings that won’t dig into the waist or cause discomfort while sitting. I suggest drawstring pants, joggers, or stretchy leggings made from breathable, moisture-wicking materials. Check out Girlfriend Collective leggings or Varley joggers for sustainable and super comfortable options that last.

3. Comfortable Layers

Treatments often involve varying temperatures, so it’s good to layer up. Look for lightweight sweaters, cardigans, or zip-up hoodies that are easy to remove and put back on. Soft cardigans, shawls, or oversized wraps in neutral colors that are cozy yet breathable are a go-to.

4. Soft, Non-Slip Socks

If you’re not planning to use cold therapy socks during treatment, a good pair of normal socks can provide warmth and comfort during

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treatments. Socks can be a fun way to bring in an uplifting pattern or an empowering message. There are lots of options specific to cancer treatment that can offer an inspiring message to keep you going during long treatment days.

5. Slip-On Shoes

Easy-to-wear, slip-on shoes are ideal for quick trips to and from appointments. Comfort and ease of wear are key. Think soft, slip-on sneakers or cozy slippers with rubber soles for comfort and grip. Birkenstock Boston Clogs are a great go-to shoe for treatment days!

6. A Warm Beanie, Head Scarf, or Bandana

Many patients experience hair loss during chemotherapy, and a soft, warm beanie, scarf, or cotton bandana can offer comfort and warmth while being gentle on sensitive skin. I’ve found cotton bandanas to be the most comfortable during treatment and you can find them in a ton of patterns and colors to add a little something fun to your treatment wardrobe.

Chemotherapy fashion today offers more than just comfort—it brings functionality, personal expression, and emotional empowerment to the forefront. By choosing port-accessible clothing designed with care, and by embracing personal style through colors, fabrics, and affirming words, chemotherapy patients can feel more confident and connected to themselves during treatment.

7. Tote Bag for Essentials

Having a place to keep all your treatment essentials is helpful during treatment. Opt for a spacious yet stylish tote to carry personal items like books, snacks, or tablets to stay occupied during treatment. A zip top, external pocket for things like your phone or hand sanitizer, and wide comfortable straps are key.

8. Soft Bralettes or No-Bra Options

Wire-free bras or bralettes offer gentle support without adding discomfort. Soft, seamless bralettes or camisoles with built-in shelf bras are great options. Explore the products from Meadow. Their options are mastectomy-friendly, if needed, and made of super soft, eco-friendly fabrics.

Bringing It All Together

This capsule wardrobe focuses on practical, comfortable clothing that makes the treatment process a bit easier while allowing space for personal expression and style. Remember to opt for items within a coordinating color palette so it’s easy to mix and match for each treatment. When building a chemotherapy wardrobe, look for natural, soft fabrics like cotton, bamboo, and Tencel that are gentle on sensitive skin and breathable for all-day comfort.

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Monochromatic Matching Written By: Brittney Dorr Fashion Consultant

We used to get dressed by using opposite hues of the color wheel, now we call it chic to stay on the same side of it. Monochromatic looks have taken over the fashion world with authority. Not sure you can pull it off? Here are some easy, helpful tips to stay on top of your fashion game. Monochromatic refers to the use of a single color. You can match the color exactly or use variations of that color. For example, a popular trend is to wear a suit with a matching blazer, blouse, and pants of the exact color, but you can also achieve the same effect with a top and bottom of the same color but in a slightly different shade. Pairing a hot pink high-waist pant with a light pink blouse creates a chic, sleek look. Additionally, a jumpsuit can also give you the same monochromatic impact. If you are someone who does not shy away from prints, using the same pattern for a top and bottom is a great way to embrace this fashion trend. Taking inspiration from the 90s classic Clueless, you'll see a lot of matching sets, such as jackets and shorts or skirts, and tops and skirts made from the same fabric. If you do decide to wear a pattern, be fierce and go all in! The Canadian tuxedo look of denim on denim is also very on-trend. This denim ensemble is a very versatile one, and you can dress it up or down. You can casually wear this set with sneakers and a graphic t-shirt, or make it dressy with a heeled shoe, lacey top or bodysuit, and bold accessories; keep this in the back of your mind for those dinner parties where you are unsure what to wear. Don’t feel like dressing up? Monochromatic sweats are a popular trend. Who doesn't love a comfortable outfit? Now that it's fashionable to wear sweats, it's a win-win! This is especially great for those tough days when you're going through treatments and do not have the energy to get dressed. You can even go monochromatic from head to toe, including a baseball cap and tennis shoes. No matter the color or style, it's most important to feel good and confident in what you are wearing. Remember, style is a vibe and everyone has one!

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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.

Together - Sia Where's My Love - SYML 3 Nights - Dominic Fike If you’d like to submit your idea for a future JAM list, go to www.brightermagazine.org or scan the QR code and submit your favorite songs. The magazine for women affected by cancer

Share-Worthy Recipes Written By: Chef Anjani Vasson

This Winter Superfood Salad is more than just a meal—it’s a thoughtful blend of ingredients designed to support healing and wellness, making it especially beneficial for those navigating cancer recovery. Each element brings unique health benefits that can help nourish the body during a time when it needs extra care.

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Winter Superfood Salad Ingredients: - ½ cup chopped walnuts - 2 cups shredded Brussels sprouts - 2 cups shredded Tuscan kale - 1 small green apple, julienned - 1 cup pomegranate seeds - ¼ cup hemp seeds - ¼ cup unsweetened dried cherries

Dressing: - 1 tablespoon chopped shallot - ¼ cup lemon juice - 1 ½ teaspoons apple cider vinegar - ½ teaspoon cumin - ½ teaspoon sea salt (or to taste) - ¼ teaspoon black pepper (or to taste) - ½ cup extra virgin olive oil

Instructions:

1. Preheat the oven to 350°F. Chop the walnuts and toast them for 5-8 minutes, or until they become fragrant. Let them cool.

2. Finely chop or use a mandoline to shred the Brussels sprouts. 3. Remove the stems from the kale, roll the leaves, and slice them thinly (chiffonade).

4. Julienne or thinly slice the green apple. 5. In a large bowl, combine the Brussels sprouts, kale, and apple. Mix well. Add the pomegranate seeds, hemp seeds, and dried cherries, and mix again.

6. For the dressing, either whisk together the shallot, lemon juice, apple cider vinegar, cumin, sea salt, and black pepper by hand or blend them in a small food processor. Gradually stream in the olive oil until the dressing is emulsified.

7. Pour the dressing over the salad and massage it in well to help soften the kale and blend the flavors. It’s best to add the dressing just before serving.

The Winter Superfood Salad is designed to provide essential nutrients that help the body heal and recover during and after cancer treatment. Here’s why it’s especially beneficial:

1. Anti-Inflammatory Power: The Brussels sprouts and Tuscan kale are packed with antioxidants and phytonutrients that help reduce inflammation in the body. Chronic inflammation is often linked to cancer progression, so these ingredients can play a role in supporting a cancer-preventive diet.

2. Boosting Immunity: Pomegranate seeds offer a burst of natural sweetness and are high in vitamin C, an important nutrient for boosting the immune system, especially for those whose immunity may be compromised due to cancer treatments. The apple cider vinegar in the dressing also has antibacterial properties, adding another layer of immune support.

3. Supporting Heart and Bone Health: The walnuts and hemp seeds provide healthy fats, particularly omega-3 fatty acids, which are known to support heart health. These seeds are also a great source of magnesium, which helps maintain bone density—especially important for individuals undergoing treatments that may weaken bones.

4. Detoxifying and Digestive Support: Leafy greens like kale aid the body’s natural detox processes and are rich in fiber, promoting healthy digestion. The lemon juice in the dressing complements the detoxifying benefits of the greens, helping to gently cleanse the liver.

5. Energy and Recovery: The combination of healthy fats, vitamins, and minerals in this salad helps provide sustainable energy. Cancer treatments can lead to fatigue, and nutrient-dense foods like this salad can offer a steady energy boost without causing blood sugar spikes.

Top 3 Cancer Nutrition Myths

Written By: Tuesday Hoelscher, MBA, RDN, LD Registered Dietitian Nutritionist

When it comes to cancer and nutrition, there is so much conflicting information out there, and it is hard to discern what is true and what is not. Worrying about food makes a trying time even more stressful and confusing. There are many myths and misconceptions about food and cancer, but I am sharing the top three most common myths I hear circulating as a cancer dietitian.

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Myth: “Sugar feeds cancer” The truth: Eliminating sugar during or after cancer treatment will not reduce cancer size or recurrence risk. Sugar actually fuels every cell in the body, including cancer cells. If you cut out all carbohydrates, your body will use protein and fat to fuel cells instead, including cancer cells. You cannot starve cancer cells without starving healthy cells. Weight loss has been linked to poorer outcomes, and it's difficult to meet nutrition needs when eliminating all carbohydrates. Eliminating all carbohydrates can cause unnecessary stress, which produces hormones that increase blood sugar, counteracting any “good” you’ve done by eliminating carbohydrates.

What you can do instead is try to always pair a protein with a carbohydrate source at meals and snacks. This helps to keep blood sugar levels stable and helps keep you full. If you have a healthy appetite and are able to eat normally, reducing excess carbohydrates is appropriate. Focus on adding nutrient dense carbohydrates such as fruit and whole grains like popcorn and brown rice into your diet. It is okay to limit concentrated sweets like candies, cakes, soda, and juice, but know that consuming moderate amounts will not hurt you.

Myth: “Soy foods increase cancer and recurrence risk” The truth: Consuming soy-containing foods actually decreases the risk of cancer, especially in pre-menopausal women. This myth originated from a soy study done on mice. Mice were given large amounts of isoflavones (a component of soy) and had increased incidence of cancer. However, the more recent studies we have done on humans show that soy does not have the same effect on us. Studies with a total of 9,000

breast cancer survivors showed that eating soy lowered risk of recurrence (regardless of if they were taking tamoxifen, a medication used to treat and prevent breast cancer). Additionally, soy has antioxidants and anti-inflammatory properties and may work in other ways to reduce cancer growth. Some foods that you can add to your diet that are soy-based include tofu, tempeh, edamame, and soy milk.

Myth: “Eating organic lowers cancer risk” The truth: There is no solid evidence that eating organic foods over conventionally grown decreases cancer risk. Many studies have been done on organic foods for years, but they haven’t consistently shown that eating them lowers cancer risk. However, when fruits and vegetables are studied, we regularly see that consuming larger volumes of these foods decreases cancer risk. Both organic and nonorganic produce contain antioxidants which protect against the type of cell damage associated with cancer development. Pesticides are regulated and tested by the Food and Drug Administration. Both conventionally grown foods and organic have extremely small amounts that are appropriate

for humans to consume. That’s right, there are pesticides used on organic foods too. There's also no evidence to support that organic foods are more nutritious than conventionally grown foods or vice versa. Buy the produce that is available to you, fits in your budget, and makes you most excited to eat your fruits and veggies. Another factor that increases cancer risk is stress. Food doesn’t have to be an added stressor in your life, and it isn’t as complicated as it's made out to be. Consuming a healthy balanced diet of fruits, vegetables, whole grains, lean and plant protein, and adequate water is the best way to reduce your cancer risk with food.

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NOURISHING HOPE

Your Nutrition Guide from Diagnosis to Recovery

Written By: Mahsa Ghahri, MS, RD, CSO, LD Board Certified Oncology Dietitian

Receiving a cancer diagnosis is one of those life moments that can turn your world upside down. I’ve seen patients grapple with fear, confusion, and at times, even a flicker of hope. Throughout this journey, I often emphasize that nutrition can be a powerful tool to support both physical and emotional well-being. It’s incredible how the right foods can make a difference during such a challenging time.

Nutrition After Diagnosis: Laying the Groundwork When faced with a cancer diagnosis, your body is under immense stress—both physically and emotionally. This is where nutrition steps in as a supportive ally. Here’s how I guide my clients in these early days:

01 Understand Your Nutritional Needs

02 Boost Your Immune System

03 Establish Healthy Eating Habits

04 Prepare for Treatment Side Effects

It’s important to focus on a balanced diet packed with essential nutrients, including proteins, carbohydrates, healthy fats, vitamins, and minerals. I always recommend consulting with a registered dietitian who can help you tailor a plan to fit your unique needs and preferences. It’s not just about what you eat; it’s about feeling good about what you’re putting 1 into your body.

Starting with nutrient-dense foods creates a strong foundation for the road ahead. Mix up your meals with different colors and textures. Whole grains are also a fantastic choice for 3 sustained energy. One of my favorite snacks? A bowl of oatmeal topped with berries and a sprinkle of nuts. It’s delicious and nourishing!

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A strong immune system is your best friend when facing cancer. Incorporating antioxidant-rich foods—like vibrant fruits, colorful vegetables, nuts, and whole grains—can 2 really help protect your cells and reduce inflammation. I always tell my clients, “Eat the rainbow!” It’s a simple way to ensure you’re getting a variety of nutrients.

It’s important to be aware of potential side effects from treatment—like nausea or changes in appetite. Being proactive can make a huge difference. For instance, ginger and peppermint are wonderful for calming nausea, 4, 5 and I often suggest eating smaller, more frequent meals. Trust me, your body will thank you!

Nutrition During Cancer Treatment: Nurturing Health and Recovery As treatment begins, the role of nutrition becomes even more crucial. Many patients experience a range of side effects that can make eating challenging. Here are some strategies that I’ve found helpful:

01 Focus on a Balanced Diet

Keeping a well-rounded diet is key. Here’s what I suggest: • Proteins: These are essential for healing. Include lean meats, fish, eggs, dairy, legumes, and nuts. I often encourage clients to 1 try a protein smoothie for a quick boost! • Fruits and Vegetables: Aim for a colorful variety—five servings a day is a good target. Smoothies can help here too; blend in 6 some spinach or kale with fruits for an easy nutrient hit. • Whole Grains: Go for brown rice, quinoa, and whole-grain bread. They provide lasting energy and fiber, which are super 3, 7 important for digestion.

03 Seek Professional Guidance

Navigating nutrition during treatment can feel overwhelming, so I always recommend connecting with a registered dietitian 1 who specializes in oncology. They can provide personalized meal plans, address specific concerns, and help you manage side effects. Having that support can make all the difference!

02 Manage Side Effects with Nutrition

Side effects can really affect appetite and digestion. Here are some tips I share: • Nausea: Smaller, frequent meals often help. Bland foods like crackers or toast can be easier on the stomach. Ginger tea is a 4, 5 lifesaver for many! • Taste Changes: This can be tricky. Experiment with different flavors, spices, and cooking methods. I find that citrus fruits 6 and marinades can make meals much more appealing. • Loss of Appetite: Focus on high-calorie, nutrient-dense foods like avocados, smoothies, and nut butters. Snacking throughout the day can also keep your energy up. I love making little 1 energy bites with oats, nut butter, and a drizzle of honey!

04 Stay Hydrated

Hydration is vital, especially if treatment leads to dehydration. I tell my clients to sip water, herbal teas, and clear broths throughout 8 the day. Don’t forget hydrating foods like cucumbers, oranges, and watermelon—they’re not just refreshing; they can also lift 9 your spirits!

Conclusion Nutrition is a vital part of the cancer journey—from the moment of diagnosis through treatment and recovery. By embracing the importance of nutrition and implementing effective strategies, you can take charge of your health and enhance your quality of life. Remember, everyone’s experience with cancer is unique, so find what works for you. It’s not just about the food on your plate; it’s about nurturing your body and spirit throughout this journey. Let’s face this together and make every bite count!

Contributor's Bio

As a dedicated dietitian specializing in oncology nutrition, Mahsa is deeply passionate about supporting cancer patients through personalized nutrition. She works at UT Southwestern Simmons Cancer Center, where she collaborates closely with patients and medical teams to create tailored nutrition plans that support each patient's unique journey through treatment and recovery. References on page 50

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A Wake up Call to Healthy Living Written By: Caitlin Sweany

Photography Provided By: Samantha Harris

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television host, actress, author, certified health and fitness coach, wife, and mother of two, Samanatha Harris was just as blindsided by her breast cancer diagnosis as anyone. She was proactive about her health, getting her mammogram at 40 years old in 2013, receiving the all clear, and being told that she was in perfect health. Having prioritized her health for years, a clean bill of health came as no surprise. Just 11 days later, Samantha found a lump on her breast while changing into a sports bra. She wasn't concerned it could be cancerous with her recent mammogram and because she was in the best shape of her life. Multiple tests and doctors came to the same conclusion: it’s not cancer. But a gut feeling kept her going back over a span of months, trying to get to the root cause of the lump. Samantha said, “here I am with all the answers you want to hear…however…” explaining that even though she kept getting the “good” answer, there was still something they couldn’t identify. She then received a lumpectomy and afterwards was once again reassured. Only after the final pathology reports came in did Samantha receive the shocking diagnosis of DCIS and invasive ductal carcinoma. Although she was shocked by the news, she was grateful for her mom and step-dad’s encouragement as well as her own persistence about identifying the mass; it led to early detection. Samantha emphasized to us that “we have to be our own best health advocate,” underscoring the importance of listening to your body when something seems off. This eventual diagnosis allowed Samantha to make a decision based on what was best for her, opting for the mastectomy to give her the peace of mind that the cancer was not also in the other breast. Samantha’s diagnosis was a “wake up call.” Through genetic screening, she found that her breast cancer was not genetically linked, giving way to even more questions when she learned that only 5-10% of breast cancers are hereditary. She emphasized that everyone’s journey is different, saying, “just because I made a choice…that is not necessarily the right choice for many other women, it depends, every cancer is very unique,” empowering women to make their own personal decisions about treatment.

What Samantha concluded was that toxins from products we use on our bodies, the products that we are around in daily life, what we consume, and the toxicity of stressful relationships can affect our health outcomes. Samantha began altering her own lifestyle, saying, “what we are putting in, on, and around our bodies is affecting our overall well being and leading to a myriad of health conditions.” She lamented the fact that, at the time, a holistic approach to health was largely disregarded, but she is encouraged by the progress that’s been made since then.“The world is finally waking up to how important it is to get toxins out of what is in, on, and around our bodies," she enthusiastically explained. Samantha used this discovery as a motivator for change, and it has become a passion of hers to spread the word. She sums it up like this, “my cancer diagnosis ignited me to find out answers, then it compelled me to apply those answers to my lifestyle and to share with others, so they could as well.”

Progress over Perfection Samantha doesn’t consider herself to have reached the finish line when it comes to healthy living, as she always allows room for growth when saying “I continue to make lots of changes…because habits form

A Wake Up Call Samantha’s diagnosis was a “wake up call.” Through genetic screening, she found that her breast cancer was not genetically linked, giving way to even more questions. She was thinking, “what gives?” What would cause breast cancer in a 40-yearold woman with no genetic predisposition, with no other underlying conditions, who is prioritizing healthy habits, good nutrition, and regular exercise? Being the journalist she is, Samantha went into investigation mode, needing to know more and diving into research about what was causing one-in-eight women to be diagnosed with breast cancer at some point in their lives.

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“Take it one day at a time. The cancer didn’t grow overnight, so you don’t have to make a decision overnight.” slowly, and once they become habits…you don’t even think about it. Then you add another layer and another level up.” She continues on to praise the practice of “habit stacking,” expressing that “it’s a really important and easy way… to make healthy living accessible.” Samantha understands and empathizes with those who want to make changes for their health but feel overwhelmed at turning their whole way of life on its head. She says, “I think that’s the biggest thing that scares people, because I know it scared me. I think the most empowering thing to do is to just take one step at a time, because each step forward is actually a huge leap forward for your health.”

Experience with Recurrence Nearly ten years after her original diagnosis, Samantha noticed a small, pebble-like spot in the same area that her breast cancer had been. Her story unfolded in much the same way as it did a decade prior–she was advised that it was nothing. After receiving multiple opinions saying it wasn’t something to worry about, she went to get an ultrasound, which still did not tip doctors off to the presence of cancer. She then insisted on receiving regular ultrasounds every three months in order to keep an eye on it, because she felt that something was off. A year after finding the pebble, the shape of the tumor had changed, which motivated the team to do a biopsy, leading to the diagnosis of her recurrence. We asked Samantha about the difficulties of recurrence, and how it can look different than a first diagnosis. She told us, “they’re scary in different ways.” Referencing a first diagnosis she said, “you’ve never dealt with it, you don’t know what you’re looking at, you don’t know the language, you don’t know who you need to see, what you need to do,” going on to explain the information overload that can ensue by saying, “the overwhelm, and the fear, and the ‘cancerversity’ of having to learn terminology and what types of doctors are out there and treatment options there are is almost paralyzing.” Samantha went into the emotions that her recurrence stirred up, saying, “I was mad. I was angry because I thought everything

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that I was doing would keep this from ever happening again.” She expressed that after taking stock following her recurrence diagnosis, her mindset has shifted, stating, “since the initial blow of recurrence, I’ve come to realize very clearly that the changes I have made… made it probably grow much more slowly, much less aggressively,” detailing her continued gratitude for the lifestyle changes she has made to prioritize her health.

Using her Platform With Samantha’s status as a public figure, she knew her cancer journey could literally be on display. She clarified, “because of my television career I was concerned that the story would get out there without me being able to narrate how I wanted it to get out there.” She expressed a fear about not being able to look a certain way and it having ramifications on her employment, too. But, more than anything, her desire to encourage women to be their own advocates has motivated her to share on a national platform. She said, “I had been told by so many doctors it was nothing, and then it was something. If I could even help one woman who heard my story…that is what made me speak publicly very early on about it,” underscoring her passion for empowering women. After her recurrence this past year, Samantha has become even more passionate about sharing her experiences, seeing an overwhelming outpouring of support for her vulnerable, real content. She said, “the feedback I have received from other survivors or those going through treatments right now has actually got me sharing even more and being even more raw.” She contrasts this with how she felt before her original diagnosis, “had you asked me ten years ago if I thought I would ever share a photo or a video message right from waking up with my hair askew and not a stitch of makeup on, I would have laughed and said ‘not a chance.’” Samantha expressed the healing nature of her current relationship with social media and using her platform, saying, “I think that it was really cathartic for me to share, but doing so in a way that I knew was helping others very differently than the first time around.”

Samantha at @samanthaharristv on Facebook or Instagram, she has some truly insightful advice that she would give to those facing a diagnosis: “Take it one day at a time. The cancer didn’t grow overnight, so you don’t have to make a decision overnight.” Her hope is to empower those just diagnosed to take the time they need to make an informed decision about the best path for them as an individual. She went on to say, “after you take a deep breath and lean on the people you love, go get a second opinion,” emphasizing the importance of getting the most accurate information. After her experience with having to see multiple doctors to get her own diagnosis, she understands how important it is to advocate for yourself. Getting additional perspectives on what might be the best course of action for you is one way of doing so.

Navigating Career and Family Life We asked Samantha a bit about her experience balancing her career, family, and diagnosis, to which she responded, “for any woman who goes through a diagnosis who has a fulltime job and also juggles their home life with a significant other and kids, especially young kids, as mine who were only three years old and six years old back in 2014, it was incredibly complex.” She expressed that the conversation back in 2014 was a very different one than in 2024. In reference to her two daughters, she told us, “being so young the first time around…there was no gravity attached to the word.” She contrasted that with her experience telling her teenage daughters this past year where, “there was an actual open conversation to tell them I have another cancer diagnosis, and that was, in so many ways, much more painful than when they were little.” Samantha explained how valuable her family is, especially with a post-diagnosis perspective. She told us a bit about what cancer has taught her, saying, “you can’t take it with you,” in reference to the impermanent nature of achievements and material things. She went on to say “I want experiences with my family,” illustrating that time by their sides is of the utmost importance to her. A reminder of the fleetingness of life is often a motivator to cherish the things that mean the most to us.

Advice for Others Along with her books, podcast, and free guides on clean nutrition and cosmetics, which you can get by direct messaging the words “smoothie” or “clean beauty” to

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The Financial Maze of Cancer Written By: Monica Fawzy Bryant, Esq. Chief Operating Office for Triage Cancer

Receiving a cancer diagnosis can be overwhelming, not just emotionally but also financially. Navigating the complexities of medical bills, insurance, and potential changes in employment can create a significant burden. While sometimes these challenges occur only while in active treatment, the unfortunate reality is that there is often a long-term financial impact that cancer can have. The good news is that there may be steps you can take to best navigate the maze of insurance, employment, and financial issues that can arise.

meeting your deductible and out-of-pocket maximum: TriageCancer. org/Worksheet-BillTracker. If your insurance company denies covering a service or prescription drug, you can appeal that decision. Generally, there are at least two levels of appeal: an internal appeal and an external appeal. In situations where the need for care is urgent, you can request an expedited appeal and receive an answer within 72 hours. For more information about appeals, visit TriageCancer.org/cancer-health-insurance-financescost#hi-appeals.

Step 1: Review Your Coverage and Step 2: Know Your Rights at Work If you are considering working during treatment or taking time Use it Effectively off, there may be federal and state laws that provide protections. A good first step towards managing finances post-diagnosis is understanding your health insurance coverage. While the total cost of treatment may be unknown early on, there are some pieces of information that will help individuals get a sense of what they will have to pay out-of-pocket, including: • Are all of the providers in the plan’s network? Seeing in-network providers helps keep costs lower. Providers could include doctors, labs, imaging centers, etc. • Familiarize yourself with the out-of-pocket costs you might incur, including your monthly premium, annual deductible, and annual out-of-pocket maximum. For more information about these terms and how they work, watch Triage Cancer’s animated video on Health Insurance Basics: TriageCancer.org/Video-HealthInsuranceBasics. As you continue through treatment and begin to receive medical bills, it is helpful to stay organized and ensure you aren’t overpaying for your care. Review your explanation of benefits and bills carefully to make sure there aren’t any mistakes. You can use the Medical Bills Tracker to help you stay organized and keep track of how close you are to

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For example, the Americans with Disabilities Act (ADA) may provide protection from discrimination and tools called reasonable accommodations. The Family and Medical Leave Act (FMLA) may provide for up to 12 weeks of job and health insurance protected leave. If you find that you do need to take time off, you may need to replace lost income. Disability insurance benefits may be available from private policies, state, or federal options. More information about all of these topics can be found at Triage Cancer (TriageCancer.org). Cancer can be a life-altering experience, but arming yourself with information about your rights and options can help minimize cancerrelated financial issues.

About Triage Cancer Triage Cancer is a national, nonprofit organization that provides free education on the legal and practical issues that may impact individuals diagnosed with cancer and their caregivers, through events, materials, and resources.

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while fighting cancer

Maintaining Intimacy

Written By: Brandi Jurecek, LCSW

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Texas Oncology–Plano East and Plano Presbyterian Hospital

Contributor's Bio

Brandi is a licensed clinical social worker at Texas Oncology–Plano East and Texas Oncology–Plano Presbyterian Hospital. She has worked as a social work professional for more than 15 years with extensive experience providing psychosocial oncology care. In addition to providing individual support for patients and caregivers through all phases of the cancer experience, she has facilitated numerous support groups and workshops focused on coping with cancer, survivorship, caregiving, grief, and loss. Receiving a cancer diagnosis can affect many aspects of a patient’s life, including sexual intimacy and their relationship with a spouse or partner. But intimacy, even while fighting cancer, is important. Having that close connection with someone can make facing the challenges of cancer more bearable.

The Effect of Cancer on Relationships and Physical Intimacy There is no doubt that the physical and emotional impact of cancer and its treatment can influence your relationship with your romantic partner. A person’s sexual desire and function, along with body image, can change during their cancer journey. According to a recent survey commissioned by Texas Oncology, nearly half (49%) of all respondents said their cancer journey negatively impacted their bond with their spouse. The survey polled both cancer survivors and those currently being treated for cancer to understand the impact cancer has on self-perception, body image, and mental and emotional health. Patients indicated that their illness impacted their perception of their body in several ways: • 50% of respondents indicated they felt less attractive • 36% avoided intimacy • 31% felt less feminine or masculine

Ways Cancer Treatment Impacts Sexual Intimacy

It is normal to have concerns about how cancer will affect intimacy and sexual activity. Often patients struggle with self-acceptance and/or other negative thoughts, feelings, and emotions. Treatment symptoms like lack of energy or chronic fatigue, weight loss or gain, loss of hair, and scarring from surgical procedures can directly influence one’s desire to be intimate with others or the physical ability to have or enjoy sex.

Intimacy is More than just Being Physical

Intimacy is not only about sexual activity. There are other ways to honor a relationship and still feel intimately loved, understood, and comforted. For patients who may feel protective of or less than happy with how their body looks,

intimacy can be maintained by sharing their concerns with a partner and being honest about their changes and feelings. Simple words like “I love you,” and “I’m here for you,” or sharing emotional moments can be deeply intimate.

Communication is Key

Communication with a spouse or partner is important when it comes to intimacy and cancer. Cancer patients and their partners need reassurance that their significant other still has an interest in being intimate. Being open with each other is a good way to examine and explore feelings together–whether it’s a desire for physical affection, a temporary lack of desire, or concerns about body image. Chances are that a partner is most likely waiting for a sign to know what to do, how to act, or what is needed. A patient’s care team can be a helpful resource in working through concerns about self-image and ability or desire for sexual intimacy. Ask what to expect and keep open lines of communication about changes in sexual activity throughout treatment. Like many aspects of cancer, these are not always easy conversations to have, but your care team is ready to help manage these concerns.

Focus on the Positive

Patients should try to focus on what they appreciate about themselves and their body. When it comes to understanding how physical changes impact the way cancer patients view their body, the recent survey indicates that 45% of respondents feel grateful for their body’s perseverance throughout treatment. Maintaining intimacy through good communication and a strong support system when going through cancer can have a positive impact on mental and emotional health. In fact, it might even strengthen bonds and lead to new ways to express intimacy and sexuality. To see the full survey results and find resources about sexual health and cancer, visit TexasOncology.com/ EveryBody-Has-A-Story.

Having that close connection with someone can make facing the challenges of cancer more bearable.

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Exhausted? Movement Helps! Written By: Stacey Mann 2Unstoppable’s Program Creator, Fitness Director, and Cancer Exercise Specialist

Recently, during a functional movement assessment my client, Amy, said, “I don’t want to become a part of the furniture, but I am just so tired, the motivation to get up and move is completely gone.” Amy was suffering from cancer-related fatigue due to recent treatments for breast cancer. She was facing a question so many cancer patients can relate to: how am I supposed to exercise when I feel this exhausted?

therapies, you can actually increase mitochondria, the powerhouses of our cells, therefore promoting cellular wellness across multiple organ systems. Exercise also increases the presence of Natural Killer Cells, enhancing the immune system and helping to decrease tumor size, according to Deldequie, et al. in a study published in 2020 entitled “The Regulation of Metastatic Disease by Physical Activity.”

Cancer-related fatigue, or CRF, is often described as an exhaustion like no other and is one of the most common complaints among cancer patients. In fact, CRF is reported by over 70% of cancer patients during cancer treatments like chemotherapy and radiation. Unlike general fatigue, CRF causes exhaustion after the simplest of activities, lack of concentration, loss of memory, and an inability to begin tasks. Cancer-related fatigue is often not made better by rest and can last long after therapies have ended.

The best news is that it is super simple to obtain all these benefits of exercise, even if you feel tired after reading the word “exercise.” At 2Unstoppable, a nonprofit aiming to improve women’s cancer outcomes through exercise, our uncomplicated approach to movement begins with a simple question, what can you do right now? When I asked Amy this question, she said she could walk to the end of her driveway and back and she could probably do a bit more if she tried. The truth is, you only need to start with two or five minutes a day of movement and add a bit more each week, as you begin to feel better. Once you are medically cleared for exercise, you can follow the quickstart guides below.

According to the American Cancer Society in a study published in 2001, the cause of cancer-related fatigue is multifactorial, involving physiological and psychological reactions to treatment within the body. For many years, doctors recommended rest and avoidance of physical activity. However, we now know that inactivity induces further muscle wasting than treatment alone and causes a loss of cardiorespiratory fitness. Yet, since physical activity can produce fatigue and breathlessness, exercise might seem counterintuitive if you are experiencing cancer-related fatigue. Consider the science behind exercise. Physical activity has proven to produce adaptive changes in the body such as gains in muscle mass and improves cardiorespiratory health. By moving throughout cancer

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What Can You Do Right Now?

If you are starting from a chair: march your legs or tap your heels out and forward for 2 minutes. If you feel ready, you can swing your arms or move them in a way that feels good to you. Try this everyday or every other day. Ready to add more? Move to the edge of your chair, drive the body weight into the heels and power yourself up to a standing position. Sit back down and repeat five times. Continue to progress these movements, working your way up to walking, indoors or out for 5-10 minutes per day, eventually building up to 15 minutes twice a day. You can certainly continue to do those sit-to-stands and

Yes, You Can! even add resistance by holding 1-3 pound weights in each hand. If you are somewhat active: work your way up to walking 30 minutes per day and increasing your pace, feeling a little breathy for at least 10 minutes of your walk. You can begin to add resistance training with light weights up to twice per week. Strength exercises like bicep curls and tricep-kickbacks can help rebuild upper body strength. When you are ready for a more detailed exercise plan you can seek the help of a Cancer Exercise Specialist, through an organization like 2Unstoppable, to help you combat fatigue and other treatment related side effects. While starting exercise may seem overwhelming at first, you will begin to feel its positive effects, even with just a few minutes each day. Soon, you will have the energy to tackle daily activities and feel stronger overall. Yes, You Can!

References:

Dimeo, F.C. (2001), Effects of exercise on cancer-related fatigue. Cancer, 92: 1689-1693. https://doi.org/10.1002/10970142(20010915)92:6+<1689::AID-CNCR1498>3.0.CO;2-H; American Cancer Society 2001. van Doorslaer de ten Ryen S, Deldicque L. The Regulation of the Metastatic Cascade by Physical Activity: A Narrative Review. Cancers. 2020; 12(1):153. https://doi.org/10.3390/cancers12010153.

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Understanding and Managing Lymphedema Written By: Amanda Grilli, PT, CLT Follow her on Instagram @thebreastcancerpt

For many cancer survivors, lymphedema can be an unexpected and often overlooked part of recovery. Although this condition affects millions worldwide, it is still widely misunderstood, leaving many survivors without proper education and care regarding lymphedema. A lack of awareness—both among individuals and sometimes even healthcare providers—means lymphedema can go unrecognized, resulting in delayed treatment and unnecessary challenges for those affected. This article aims to equip you with the knowledge to recognize lymphedema early, empowering you to advocate for yourself and get the care you need to address your symptoms and improve your quality of life.

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Lymphedema During and After Cancer Treatments Lymphedema is a chronic condition caused by an abnormal buildup of fluid when the lymphatic system is damaged. Cancer treatments like surgery, radiation, chemotherapy, and lymph node removal can disrupt this system, leading to swelling in the affected areas. Lymphedema can develop at any point—whether during cancer treatment or long after it has ended. For some, symptoms may appear within days or weeks after surgery or radiation therapy, while for others, it may not develop until months or even years later.

While this unpredictability can feel daunting, by listening to your body you can recognize the signs of lymphedema early and seek the care needed to successfully manage the condition.

Signs and Symptoms

Lymphedema can manifest differently from person to person, but here are some common signs to watch for in your at-risk body part: • Heaviness, fullness, or tightness • Swelling, which may be intermittent or constant • Decreased joint movement • Clothes or jewelry feels tighter than usual • Difficulty seeing your veins and tendons • Hardening or thickening of your skin • Indentation left when pressing your skin (pitting edema) If you notice any of these symptoms, please don’t ignore them. Reach out to your healthcare team or a Certified Lymphedema Therapist (CLT) for a thorough assessment and guidance.

Lymphedema Diagnosis

There is no single test to diagnose lymphedema. Instead, the diagnosis involves a physical exam and review of your medical history.

Treatment: Taking Control

While lymphedema has no cure, it can absolutely be managed with the right treatment and ongoing support. The gold standard treatment is Complex Decongestive Therapy (CDT), which is administered exclusively by a Certified Lymphedema Therapist (CLT).

provide education on self-management to help you prevent flareups and live more comfortably.

You Are Not Alone

Living with lymphedema may feel overwhelming at times, but remember—you don’t have to face it alone. Whether you're at risk or already experiencing symptoms, a Certified Lymphedema Therapist (CLT) can be your greatest ally. They will work with you to develop a personalized treatment plan, providing the guidance and support you need every step of the way. If you're at risk of developing lymphedema, consulting a CLT early can make all the difference. They will assess your skin, take baseline measurements, and educate you about your unique risk factors. This proactive approach can help reduce your chances of developing lymphedema. If you are already experiencing swelling, it’s never too late to seek help. A CLT can guide you through Complete Decongestive Therapy, helping you to effectively manage your lymphedema and improve your overall well-being. Lymphedema may bring its challenges, but it doesn’t define you. Whether you're at risk or already have lymphedema, you have the power to improve your quality of life. With the right tools, knowledge, and support, you are stronger than lymphedema—and you can manage it successfully.

Your CLT will work with you to create a personalized plan to help you mitigate your lymphedema, reduce your swelling, and improve your mobility and quality of life. Your treatment plan may include a combination of: 1. Compression Bandages and Garments: Compression therapy is key to managing lymphedema. Initially, multi-layered compression bandages may be used to reduce your swelling. Compression garments are worn to prevent further swelling. 2. Manual Lymphatic Drainage: This gentle, hands-on therapy helps stimulate lymph flow and reduce your swelling. Your CLT may also teach you self-lymphatic drainage techniques for continued care at home. 3. Exercise: Movement is vital for improving swelling. Your CLT will develop a personalized exercise plan designed to improve your mobility, flexibility, strength, and lymphatic health. 4. Skin Care: Proper skin care reduces the risk of infection, a common concern with lymphedema. Daily moisturizing and skin inspection are essential. 5. Education: Lymphedema is a lifelong condition, but with the right strategies and knowledge, you can stay in control. Your CLT will

Contributor's Bio Amanda Grilli, PT, CLT, is an oncology Physical Therapist, Certified Lymphedema Therapist, and Cancer Coach. She uses a whole-body treatment approach, combining hands-on therapy and individualized exercises, to help her patients overcome cancer-related side effects and maximize their well-being during and after cancer. Amanda is also the founder of Well Beyond Breast Cancer, a 501(c)(3) nonprofit organization dedicated to improving the quality of life of the breast cancer community by providing free appointments of Breast Cancer Rehabilitation and Lymphedema Therapy to those experiencing financial hardships. The magazine for women affected by cancer

It All Counts Written By: Ammie Silvestri, NASM-CPT, CES Frisco, Texas Family YMCA I have the privilege of coordinating and training the cancer exercise recovery program “Stay Strong” at the Frisco, Texas Family YMCA. This is a community of people who are walking (often literally!) through all different stages of a cancer diagnosis. One thing that each of them will tell you is that, at some point on their journey, they were acutely aware of the fact that their daily routines and activities had been upended drastically. This is a loss that must be acknowledged and grieved. There is no getting around it, but there is hope as we get really curious and engaged in what we can do. We’ve all heard that exercise can be helpful in coping with cancer treatment, that it helps reduce the risk of recurrence, and generally does a body good. But what are we to do when 30 minutes of brisk walking 3-4 times a week sounds overwhelming? Or when the thought of strength training twice a week sounds downright impossible? We start where we are, and we do what we can. Why? Because it all counts. Something, no matter how small or seemingly insignificant, beats nothing. When walking for 30 minutes is not realistic, five minute walks over the course of the day matter. When five minute walks are out of the question, some ankle circles in bed matter. And when that proves to be too much? Focus on breathing well, letting air fill up your lungs and ribcage, then breathing out slowly and letting your body get the rest it needs, this counts, too.

noticed they were getting a bit stronger. I admit, no one is going to the Olympics because they did counter pushups, but that wasn’t the goal. Their goal was to get a bit stronger, and they did. It all counts! Similarly, it’s helpful to notice that we have lots of “training opportunities” throughout the day. Being aware of keeping toes and knees forward whenever you get up from a chair or couch starts setting up good movement patterns. Making sure the head is in line with the shoulders rather that out front is an instant posture improvement that pays dividends all day long. Get the idea? Whatever you’re doing today to heal and get stronger, be encouraged! If you’d like to learn more about the Frisco Y’s “Stay Strong” program or want more ideas for how to incorporate movement that counts into your day, I’d love to hear from you!

Contributor's Bio

Ammie Silvestri is a personal trainer and corrective exercise specialist (NASM-CPT, CES) at the Frisco Family YMCA. She focuses on fostering community and exercise for those impacted by cancer as they breathe, move, and think in ways that support recovery. Have a question or want more info? Find her at asilvestri@ymcadallas.org.

I often hear, “But that’s too small to matter. Why bother?” Sure, it seems small because lots of us compare what we can do today to what we could do in a completely different season of life with totally different circumstances. Take Julie from our group: she is a runner recovering from breast cancer. She has little interest in walking; she wants to run! Rather than sit out all summer waiting for fall when she’ll be ready to run, she chose to work on things like mobility, flexibility, and stability…all of which are things every runner needs. I often give people “counter pushups” to do at home: when doing these modified pushups off the edge of a counter a few at a time, they all

“Doing it as you can is the way to be able to do it better.” - Richard Baxter (1615-1691) 36

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Redefining Strength:

A Mother-Daughter Journey After Breast Reconstruction Written By: Courtney Carroll Breast Cancer Survivor

After undergoing a double mastectomy and DIEP flap reconstruction surgery, the final chapter in my healing journey came through an unconventional, yet empowering choice: nipple tattoos. My mom and I had each faced our own battles with breast cancer, a journey marked by pain, fear, and, ultimately strength. When I shared with her my decision to get nipple tattoos, she jumped at the chance to have hers touched up from her reconstruction 19 years earlier. Little did we know, we would be the first mother-daughter duo to go through this with our chosen tattoo artist.

Watching my mom go first was a beautiful moment. I could see a lightness in her eyes, a sense of closure and joy that filled the room. When it was my turn I expected to feel nervous, but instead, I was overwhelmed with emotion. This wasn’t just a cosmetic touch—it was a powerful moment of embracing my journey, owning my scars, and turning the pain of the past into something hopeful and empowering.

that we realized how much it could complete our emotional healing. It wasn’t about the aesthetics alone—it was about reclaiming a part of ourselves, about self-empowerment, and about the confidence to move forward, fully embracing our scars.

to consider nipple tattoos as part of their healing journey. It’s more than a cosmetic decision; it’s a bold statement of survival, strength, and solidarity. I will forever treasure the fact that I shared this experience with my mom, transforming one of the hardest parts of our lives into a moment of hope, love, and resilience.

"This wasn’t just a cosmetic Walking out of the studio together, my mom and I felt a deep sense of pride and renewal. touch—it was a powerful Our tattoos weren’t just about appearance— moment of embracing my they were a reminder of our strength, our Breast cancer had altered our bodies in and our determination to live fully journey, owning my scars, fight, ways that were hard to articulate, leaving and fearlessly despite the challenges we and turning the pain of had faced. It was a tangible marker of how us feeling like something was missing, even far we had come. after successful surgeries. Reconstruction the past into something brought back a sense of physical wholeness, but it wasn’t until we considered nipple tattoos hopeful and empowering." I hope our story inspires other women

What made this experience truly unforgettable was doing it together. Throughout our separate journeys, my mom and I had leaned on one another, growing even closer in the process. To take this final step, side by side, wasn’t just a physical transformation; it was a powerful testament to our shared resilience and unwavering support for one another. When we walked into the tattoo studio, the air was filled with a mixture of nervous energy and excitement. Our artist greeted us warmly, making us feel at ease immediately. She had tattooed countless breast cancer survivors, but was genuinely moved as we were her first mother-daughter duo. This unexpected milestone made an already special day even more meaningful to us.

Contributor's Bio

Courtney Carroll is a passionate sales professional in the pharmaceutical industry, specializing in helping teams drive success through strategic messaging and a patient-centered approach. Outside of work, she finds joy in traveling, hosting elegant gatherings, and paying it forward by supporting women navigating life after cancer, a cause close to her heart. Whether designing a tablescape, cooking as a trained chef, or planning a getaway, she brings creativity and purpose to everything she does.

The magazine for women affected by cancer

Lighthouses of Hope Navigating the “C” Ships Written By: Meredith R. Mitstifer, Psy.D Licensed Clinical Psychologist Ovarian Cancer Survivor

In October I was able to spend some time in Portland, Maine. I was awestruck by the city’s autumnal beauty. I was enjoying the cool but sunny day, and decided to rent a road bike to capture as much scenery as possible before heading back home to Arizona. It’s not often I am surrounded by glistening water, the smell of the sea, and the opportunity to ride for miles along one of nature’s beautiful landscapes. After several miles, my trail took me past lighthouses. How quickly they caught my interest, invited a pause from my ride, and allowed me a space for reflection. They were old, yet majestic and warm. They appeared sturdy as the waves circled their bases. They were simple, yet massive. History suggests lighthouses served as both guides for ship navigation, as well as symbols of safety and hope for sailors. Lighthouses have aided navigation of rough waters, prevented shipwrecks, and even saved lives. Literature also indicates the lighthouse to be considered a symbol of guidance and hope, illuminating a way through the most challenging of circumstances. They offer a safe passage, a source of enlightenment and possible direction. They stand firm against the elements and offer a beacon of light that can guide one through a chaotic journey. I began to think of my lighthouses. Lighthouses of hope, strength, resilience, and guidance. It was hard to see them at first when I was diagnosed with ovarian cancer at the age of 30 and 4 months pregnant.

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The seas were rough. I felt like I was drowning at times. There were moments I couldn’t navigate the waters, and other moments where I didn’t even want to try. Thankfully, I loosened my grip and allowed myself to see the beacons of light that aided me to safer harbors. I just had to let them in, observe them in the distance, and at times, let them guide me. The cancer ships, or what I now refer to as my “c” (aka “sea”) ships, were easier to navigate when I realized their purpose, their boundaries, and the power of lighthouses along the way. What are my “c” ships?

They are stages. Stages that encompass diagnosis, disease, trials, tribulations, grief, loss, relationships, mindset, passion, joy, advocacy, drive, and more. Piloting, steering, and guiding the “c” ships is made easier with lighthouses. When first diagnosed, I was sailing on my “situationship.” And for the younger generation, no, I’m not referring to the relational kind of “situationship,” though they do have the uncertainty aspect in common. The words “you have cancer” catapult you out to sea. This “situationship” feels small, compact, lonely, and can be both fast and slow moving. The “situationship” can propel a sense of task mastering, seeking to find order, and wanting desperately to find the safest, quickest route to shore. The “situationship” can be moved by fear, anxiety, and even isolation, which can leave one drifting, and perhaps lost at sea temporarily. Lighthouses likely surround you, but one may feel more blinded than guided by all the standing beacons. Shock, dismay, lack of control, and/or fear can block out most light. It’s important to pause, let in the light, and sometimes just slowly paddle as best you can. The “survivorship” tends to sail in and render aid to the “situationship.” Its motor isn’t more powerful, but you bear witness to the shift of gears. The direction for sailing is slightly more defined on the map, and you begin to take course. This course is challenging and ever changing at times. Depending on the weather, the “survivorship” can make many turns, stops, or just pause frequently. The compass can be hard to read. It requires more rest, patience, and nautical thinking. The “survivorship” tends to be one where we might have to shift our sails, deviate from what we thought was the course, and change tack by turning the boat into the eye of the wind. All hands are on deck to sail this “survivorship” and the seas of treatment. We tend to be just getting by on this boat. We lean into the mode of “do whatever we have to, to simply get through this era.” We cannot do it alone, even though we may try. Adjust your sails and look for the lighthouses that want to help, guide, and support. Some lighthouses may not be the ones you expected to serve as pillars of strength, hope, safety, and resilience. Maybe they are. Either way, let their light offer a way forward through these difficult times. Looking back, my lighthouses were a combination of those expected, as well as those not expected. My “survivorship” likely sailed in the dark a bit too long. When I opened my eyes, heart, and mind to the lighthouses surrounding me, the seas became a bit easier to explore.

I am forever grateful to the lighthouses that stood firm and offered a source of strength and stability in times of uncertainty and adversity. The “survivorship” can be soul sucking to say the least, but reasonably, riding this ship can still seem like a win. In time however, simply sailing on the “survivorship” is not a life I wanted for myself or my loved ones. I needed to revamp, renovate, and modernize my brain after enduring some rough seas. I needed to anchor deep. I had to choose to refuse my old way of thinking. I had to recognize that sailing this “survivorship” was not enough anymore. We can’t wait for life to begin again. Instead, we must realize we stand at the helm and hold the wheel of all of our ships. I finally docked the “survivorship” and decided to climb on board the “thrivership.” I had to realize it’s a choice I can make now, even if the waters remain a bit muddy. It can be hard to disembark off the “survivorship” and onto the “thrivership,” not knowing what the future holds. However, allowing space and time to thrive, when able, can certainly offer more sunsets than constantly fearing the storms. The storms may come, and one may have to jump ships from time to time, as I have witnessed the devastation of friends facing reoccurrence. What is most impressive however, is to also witness their drive and energy to get back on the “thrivership” whenever possible. Clinical research outcomes on social support and connection consistently suggest improved mental health. In other words, those that are open to the lighthouses could possibly sail smoother, lighter, and experience more joy in even the most difficult of waters. Lighthouses of hope, light, guidance, and safety offer the “thrivership” an easier way to navigate through the wreckage and clean up the debris that both the “situationship” and “survivorship” may have caused. While the “thrivership” sails a bit smoother, it is not without deliberate and constant action to identify what does and doesn’t serve you and clear the path to calmer seas. Fortunately, please know that perfection is NOT required to reap the “thrivership” benefits such as clarity, wisdom, and joy, even in the most imperfect of situations. As you reflect on this new year, examine the ship you are sailing. But most of all, look for your lighthouses of hope. Feel their strength, resilience, guidance, and light as you set sail into 2025.

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Bored Out of My Gourd How to Stay Busy When Stuck Inside Written By: Debbie Norris Ovarian Cancer Survivor

The holidays are over. The weather is colder and dreary. If you live in a northern state like I do, there is more than likely slushy snow and below zero temperatures. Those gray skies match how you’ve been feeling lately, especially since your oncologist has squashed any hopes you had for travel or fun outings during cold and flu season. Stupid cancer treatments! Even if you’re not currently going through treatment, winter illnesses and weather conditions are not always our best friend. Having a weakened immune system from recently finishing treatment puts you at higher risk of catching the latest virus floating around. If you have aftereffects of treatment like balance issues, neuropathy, and temperature sensitivities, winter months can feel like being quarantined all over again. How can you keep your mind and body active during these months of gray, dreary days and long nights? Keeping your spirits up, depression at bay, and still feeling productive and social may seem like a daunting task. However, there are several fun ways to achieve these goals. First, start with fighting the blahs! Keep those colorful lights up! Heck, I’ve even kept my artificial tree up and changed the decorations depending on the monthly holiday. Just the craziness of seeing the

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tree up each day will bring a smile to your face and keep friends and relatives questioning your sanity. (Blame chemo brain!) Second, are you an artsy person? You can also use this time to work on your art. Do you paint? How about making your windows into “stained glass.” Take acrylic paints and mix them with a little dishwashing liquid. Use painters’ tape to make your design on your window, then paint in the design. The paint will wash off easily and you will be able to change your designs as often as you want. If you crochet, knit, sew, or make other items—now is the time to start researching craft fairs. Look for local craft fairs and start small. You can work on your inventory as you feel up to doing so in these gray months. Most craft supply stores will have their sales and discounted prices online as well as in-store. You can join crafter groups on social media for your local area and share ideas as well as get information on good craft fairs. Third, are you someone who is used to exercising? Your mind is probably telling you to get off your butt. Your body is saying “no way! I’m trying to stay alive and recover!” Try chair exercises. Yes, I’m suggesting something like Sit & Be Fit. There are many videos online and on streaming apps you can use for low impact exercise

to keep your body and mind moving. Also taking short walks outside when it’s safe to do so. A short walk down your driveway and back to the house once it is clear of ice and snow can make a world of difference. Bundle up and have your morning coffee on the front porch for a dose of fresh air. Get an exercise ball and bounce on it while binging your favorite show. Anything to help your brain get that dose of feel good that’s missing from your regular exercise. The fourth suggestion may seem a bit old-fashioned, but I am old. How about writing letters? Write and mail letters to your friends, family, children, or grandchildren. Encourage them to write back to you by including a stamped envelope with the first letter. This is a great way to keep in touch with those you love and, if you have school age children in your life, help them practice their writing skills. You can also contact your local organization for the type of cancer you have and see if they would provide you with cards, stamps, and addresses of other women who might like some encouragement. Approach the organization by asking if they have a program for keeping in touch or lifting the spirits of those going through treatment. You can become a volunteer for them and possibly connect with others going through what you are as well. Another way to use your local organizations is looking on their websites to see if they have any virtual support groups or care groups. For example, the Ovarian Cancer Research Alliance offers online seminars, book clubs, and young survivor groups for those with ovarian cancer. These are a great way to connect with other survivors all over the country or world when you are stuck in your home. If none of these ideas work for you, start daydreaming. One of the best suggestions my husband gave me during my treatment was to make a “Things to do After Chemo” list. For me it was a list of things I would normally say no to because I was afraid or it just wasn’t me. For you, it could be a list of places to go after chemo, people to visit after chemo, or things you want to eat after chemo. You can write the list down, adding to it as thoughts come to you. Draw or put pictures on your list. Make a vision board. Research the best, most fun ways to accomplish your after-chemo list. Start planning the trips. Start looking for restaurants and recipes. Start making plans with those people. The key to making it through the “gray” months of the year is to find the color in your world. Sometimes it shows itself and sometimes we must make it. By immersing ourselves in the things we enjoy, taking up things we have always wanted to, and trying new things, we can fight the blah and boredom these months can bring. Soon you’ll go from bored out of your gourd to how did this winter fly by so fast? You’ll be set for a fun, fantastic spring and summer. (If you try any of these ideas, please let us know. We’d love to hear feedback from you about all of your adventures.) The magazine for women affected by cancer

Cancer Related Cognitive Decline in the Workplace Written By: Emily Hammack M.S., CCC-SLP, CBIS ReVital Cancer Rehab

Research has found that continuing to work or returning to work can be difficult for up to 53% of survivors within six years of their 3 cancer diagnosis, but in doing so, you are given the opportunity to be an example of strength and resilience to your family and coworkers. Cognitive deficits associated with cancer and its treatment are termed cancer related cognitive decline or impairment (CRCD/CRCI). CRCD impacts many brain functions needed to participate in the workforce, including attention, language, processing speed, memory, and executive functioning. While these difficulties can certainly become an issue for one’s job and productivity, it does not mean that those with CRCD cannot continue to work during and after their cancer diagnosis and treatment. It is important to know what resources are available and to advocate for reasonable accommodations in the workplace to ensure that, when possible, CRCD does not have to be the cause for being unable to work. The federal government has workplace protections in place for individuals with various physical or mental difficulties, including 6 those caused by cancer. These laws allow people to obtain or maintain employment without being asked to reveal any medical conditions. They also award eligible employees job protection and time off for cancer treatment and recovery.

Americans with Disabilities Act (ADA):

“The ADA prohibits discrimination on the basis of disability just as other civil rights laws prohibit discrimination on the basis of race, color, sex, national origin, age, and religion. The ADA guarantees that people with disabilities have the same opportunities as everyone 4 else to enjoy employment opportunities…”

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Family Medical Leave Act (FMLA):

“FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same 2 terms and conditions as if the employee had not taken leave.” The ADA entitles employees to be given reasonable accommodations (adjustments or modifications that do not cause excessive hardship or financial burden to the employer) related to a cancer diagnosis 1 or side effects of treatment. CRCD itself is considered a medical diagnosis, as well as a side effect of cancer or its treatment, thus being covered under this provision. Many are not comfortable disclosing the information needed to employers in order to obtain these accommodations as they do not want to be viewed differently, or due to fear of retaliation. It is essential to remember that CRCD can result in significant burden to your home and work life, and it is important to advocate for yourself to receive assistance when able. Reasonable accommodations consisting of various adjustments or modifications in the workplace are sometimes all that is needed to allow an employee to continue to work when experiencing an illness, 5 disability, etc. Some potential work accommodations including schedule modifications, workplace/environmental modifications, and support from managers/coworkers are listed below. Dealing with a cancer diagnosis, cancer treatments, or their side effects can be daunting. Working during this time has the potential to decrease financial burden and maintain important relationships, but could also increase stress related to work performance. Self-advocacy

and self-awareness are key to managing CRCD in the workplace. With a general knowledge of CRCD and available workplace protections, advocating for adjustments or accommodations in the workplace is not only reasonable, but oftentimes necessary to continue participating in

Schedule Modifications

the workforce. Communicate with your medical team. Set boundaries with employers and coworkers. Advocate for yourself. Know that you are capable.

Employer/Coworker Support

• Request flexible or reduced hours to help manage the physical and cognitive fatigue associated with cancer and CRCD. • Schedule important meetings/tasks during times you are at your best (i.e., those experiencing CRCD might find that they are “sharper” in the late mornings). • Work from home or in a hybrid model to decrease the number of distractions at the office. • Schedule breaks throughout the day for “brain breaks” to reduce and recover from cognitive fatigue.

• Have frequent “check-ins” with a manager or supervisor to keep an open line of communication to ensure that both your job function and cognitive needs are being met. • Ask a coworker/peer to proofread or double check work to identify any oversight or errors. • Review plans and solutions to complex problems with a peer/mentor prior to implementing.

Workspace Modifications Other Resources

• Reduce distractions, keep the workspace clean and organized. • Have a physical or electronic calendar to manage meetings and appointments. If the calendar can send reminders, even better. • Use written or computer-based apps to manage tasks.

• Cancer and Careers (www.cancerandcareers.org) • Job Accommodation Network (www.askJAN.org) • Department of Labor (www.dol.gov)

REFERENCES

1) Cancer and the Workplace | Americans with Disability Act. Cancer Care. https://www.cancercare.org/publications/252-cancer_and_ the_workplace 2) Family and Medical Leave Act. DOL. https://www.dol.gov/agencies/whd/fmla 3) Haywood, D., Dauer, E., Baughman, F., Lawrence, B., Rossell, S., Hart, N., & O’Connor, M. (2023). “Is My Brain Ever Going to Work Fully Again?”: Challenges and Needs of Cancer Survivors with Persistent Cancer-Related Cognitive Impairment. Cancers, 15(22), 5331. https://doi.org/10.3390/cancers15225331 4) Introduction to the Americans with Disabilities Act. ADA.gov. https://www.ada.gov/topics/intro-to-ada/ 5) Reasonable accommodations at work while in active cancer treatment | Cancer and Careers. https://www.cancerandcareers.org/en/ healthcare-professionals/reasonable-accommodations-while-in-treatment 6) Workplace protections for individuals impacted by cancer. Department of Labor. https://www.dol.gov/agencies/whd/fmla/workplaceprotections-for-individuals-cancer

The magazine for women affected by cancer

Why Women Skip their Annual Mammogram but please don't! Written By: Caitlin Sweany

Expertise provided By: Julia Taylor Manager of the Peggy A. Bell Women’s Diagnostic and Breast Center at Texas Health Dallas

In an interview with Julia Taylor, the Manager of the Women’s Diagnostics and Breast Center at Texas Health Presbyterian Hospital Dallas, she explained a little bit about the most common barriers that prevent women from getting their yearly mammogram.

Guilt

One contributing factor is the patient’s guilt for having been inconsistent about past years’ scans. Julia implored all women to come in regardless of how long it has been since their last mammogram. Maybe it’s been five years since you’ve had one, don’t let that stop you from taking care of yourself now. Julia explained that screening is a judgment free zone, saying, “my technologists are not judging at all, they’re celebrating the fact that a woman has taken her health into her own hands and moving forward, getting past any guilt they may have.”

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Fear

Many women are nervous about mammograms because they are fearful of what the results may be. Julia clearly explained that “knowing the results is so much more helpful than not knowing at all.” One way to put these fears to rest is to get your annual mammogram. You will have your answer one way or another and will be able to appropriately respond. In reference to a breast cancer diagnosis, Julia told us that “it doesn’t have to be a worst-case scenario,” highlighting the treatability of those that are diagnosed early on. This treatability in early stages is why it is so important to prioritize regular mammograms. In Julia’s words, “it starts with imaging.” For those who may need some reassurance because you imagine a mammogram as a nightmare scenario, we have some encouragement

for you. Julia told us that on average, only ten percent of women are called back after a mammogram, and only one percent will need a biopsy. It is likely that you will be all clear, but prioritizing your health through regular screenings is the best way to safeguard your well-being. If it is the discomfort of a mammogram that you are nervous about, many facilities have newer machines with soft, curved paddles that can make the mammogram process more comfortable for those who are sensitive. Some may also have concerns about the amount of radiation going into their body through a scan such as a mammogram. Julia reassured us that the radiation levels of one mammogram a year are very minimal. She said, “the amount of radiation in a mammography scan is less than going outside to sunbathe.”

Denial

Some patients avoid coming in for their annual mammogram because they do not want to face symptoms that may already be presenting themselves. Julia explained that some patients are in denial, disregarding symptoms of breast cancer and avoiding coming in because they do not want to face what they are dreading. The fear of a diagnosis is real and understandable, as is the denial that stems from it, but denial can do nothing to benefit you. The best way to take on any frightening symptoms is to deal with them head on, identifying the source through mammography, ultrasounds, MRIs, or biopsies. If you are proactive about your health and say something to a physician when something seems off, you can stop fearing and denying the unknown, face it head on and take your health into your own hands.

Cost

For some women, cost can be a barrier to entry for regular mammograms. If this is the case, Julia recommends connecting with your medical system to discuss options and ways that they can help. Julia told us what she would tell a patient to whom cost was an issue: “don’t let cost be a deterrent, let us try to help you.” Many healthcare systems, including Texas Health Resources, have mobile health programs that can provide free mammograms and other important screenings to the uninsured and underinsured. If finances are a concern, pursue options with your medical system to create a realistic payment plan. Your health is worth it, and your provider can be a great resource for helping you find an arrangement that works for you. If you are insured, the good news is that your annual mammogram is typically covered by insurance for those who are 40 and above.

Positive Outcomes

Julia told us that she has seen “countless positive outcome stories in the 20 years [she has] been here.” A crucial piece of increasing this number of positive outcomes is identifying any abnormalities early on, so we hope this article might motivate you to schedule your annual screening! While we may have been focusing on breast cancer and the importance of early detection, if you have any cancer, it is always important to pay attention to your body. If something seems off, we urge you to consult a physician and stand up for your health. You know your body, and if you are concerned, the best thing to do is say something; it can only benefit you.

The magazine for women affected by cancer

Brighter Reads

Book Recommendations from the Brighter Team

The Housemaid Series by Freida McFadden

Moving Mountains by John Eldrege

I have literally just devoured the entire housemaid series after seeing Debbie’s book review in our last issue. If you are a fan of psychothrillers, these are all quick reads and incredibly captivating. I wish there had been a little more creativity in her characters. Some scenarios are the same but the names and places are slightly different. There are both, “I never saw that coming” moments as well as, “no one is that dumb” moments. But for a quick escape from reality, I highly recommend them. That said, my brain needed me to walk away from the genre when I was done. I had been so engrossed in the stories that it was beginning to affect the lens through which I saw the world around me. Maybe read one every couple of months versus back to back.

"Moving Mountains" by John Eldrege may be one of the most powerful books I have ever read. Not only does it help readers understand the different kinds of prayers we can pray, but it’s also instructive in how to pray each kind, making the book incredibly practical.

- Helen Bowles CEO and Founder of Brighter

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Not to confuse God with a vending machine for our wants and needs, Eldredge offers a convincing and compelling invitation to partner with God in a meaningful relationship that could have impactful results in our life. This book is a game-changer!

- Erin Schreyer Editor-in-Chief and Board Member

Laura Wooten

Meredith Rankin

(Meredith's sister and co founder of Meredith's Miracles)

Pay It Forward Written By: Rebecca Zafeiropoulos President of Meredith’s Miracles Colon Cancer Foundation and best friend of Meredith

Meredith's Miracles Colon Cancer Foundation As seniors in college, we never could have fathomed what would come next and how it would force us to grow up faster than we ever wanted, teaching us about the gravity of loss. A cancer diagnosis was not in the cards. As college housemates, we dreamed of weddings and babies–beginning careers and pursuing our passions beyond university. My dear Meredith (Holbert Rankin) was in love and eager to enter into the world beyond the cocoon of Oxford, Ohio and Miami University. Her symptoms were overlooked, dismissed, and misdiagnosed. The weight loss that came with her particular cancer was embraced instead of red-flagged. Doctors attributed her bowel-targeted symptoms to a poor college diet and dismissed anything serious because of her young age. She persisted when her symptoms didn't improve with their recommendations, her quality of life deteriorating. Common symptoms include bloating, diarrhea, constipation, unexplained weight loss, stomach cramps, and exhaustion, so it can, at times, be confused with IBS (irritable bowel syndrome). Because she was only 23 years old, it seemed unfathomable that she would have colorectal cancer–an extremely rare disease for young women. After an eventual and fatal diagnosis of stage IV colorectal cancer, Meredith had her dream wedding, fought the good fight, and surrendered to heaven 22 months later. Meredith was 25 years young. We were crushed, in disbelief, but empowered. It was a hard lesson to learn, but we were all newly appointed self-health advocates. We witnessed firsthand that if something is not 'normal' for your body, you must push your medical care team to find the root of the problem before it's too late. Never one to shy away from the limelight, Meredith wanted to leave behind a legacy of helping others. She wanted to ensure that her story

was shared and could be used as a tool to empower young people to be their own health advocates. She also wanted the mission of this future foundation to be helping others who are fighting the unfair diagnosis of cancer. Today, nearly 17 years after we lost her beautiful soul here on Earth, the organization is still contributing in two significant ways. We provide education to young men and women about the warning signs of this cancer and we provide financial assistance to the most dire cases among those who are under forty years of age. Meredith lived a life of love and joy, embracing every moment and never hesitating when something sounded fun or someone was in need. May we all remember the spirit of Meredith as we live each day with gratitude and joy, doing our best to give back to those in need and spread the word to spare lives from being lost too soon.

Contributor's Bio

Rebecca is from Columbus, Ohio and lives in New York City with her husband and baby boy. Aside from being President of Meredith's Miracles Colon Cancer Foundation, she is Vice President of Fine Wine for Riboli Family Wines and enjoys traveling to see family in Greece and spending time outdoors. www.merediths-miracles.org

The magazine for women affected by cancer

What to do with a New Cancer Diagnosis Written By: Linda Garvin, MSN President & Founder, Patient Advocate Bay Area, Inc. Ambassador & Advocate for The Clearity Foundation Ovarian Cancer Survivor

My Story

social worker, to someone who has taken classes at a university. A professional health advocate can be hired on an hourly basis to help you navigate your cancer journey. Here are some ways health advocates and/or care partners can assist:

2020 was a lousy year. First, Covid-19 hit in March, quickly shutting the world down. Then in October, out of the blue I was diagnosed with stage 2 ovarian cancer, shutting down my own world. Before being diagnosed, as a nurse with 35 years of experience, I was aware that ovarian cancer often impacts many women of all backgrounds and is difficult to treat effectively. Despite knowing the facts, it never occurred to me that I would be one of those people.

• Advocacy: In situations where you might feel overwhelmed, they can speak to your medical team on your behalf to ensure your needs and preferences are addressed.

Prior to my diagnosis, I would have characterized my health as excellent. I had been physically active for the last 50 years, eating a healthy diet and weighing in at the same weight I was at 18 years of age. Like so many others diagnosed with cancer, I was completely shocked to receive this news.

• Emotional Support: They can offer reassurance and companionship during stressful times, helping you cope with anxiety or uncertainty.

Knowing first-hand how difficult it is to deal with overwhelming medical news, I wanted to provide information that can be helpful when confronted with a cancer diagnosis.

• Research and Information Gathering: They can help gather information about medical conditions, treatments, and specialists, ensuring you are well-informed.

• Appointment Management: They can assist in scheduling and taking you to your appointments. • Decision-Making Assistance: They can help you weigh the benefits and risks of different treatment options. • Available Resources: They can connect you with support groups,

How to Proceed with a Cancer community resources, or additional services that may be beneficial. Diagnosis Knowledge is Power When I was initially diagnosed, I found that I needed to identify a “care partner” and/or a “professional health advocate” to work with me. A care partner is someone who comes alongside an individual to help. This form of support may consist of one or more friends or relatives that can help a person newly diagnosed with cancer in several different ways. It can also be two or three special individuals who are interested in helping you, and all of them can be considered care partners. In my situation my care partner was my husband. A patient advocate has the capacity to visualize how each aspect of care needs to be connected. A health advocate can communicate your health care needs to the medical team, help solve the pieces of the puzzle, and provide necessary and customized health information. Their backgrounds can vary from an experienced former nurse or

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Understanding your diagnosis is crucial for making informed decisions about your care. Here are some tips for approaching your research effectively: • Start with Trusted Sources: Organizations like the National Cancer Institute, Mayo Clinic, and the American Cancer Society offer credible, evidence-based information. • Focus on Your Specific Diagnosis: Look for materials that address your specific condition, as treatment and management can vary widely. • Understand Treatment Options: Research different treatment modalities, including standard treatments and emerging therapies, to explore what might be best for you.

• Clinical Trials: Investigating clinical trials can provide access to cutting-edge treatments and additional support. • Beware of Misinformation: Be cautious of information from unverified sources, especially on social media, as it can be misleading.

Consider Getting a Second or Third Opinion You may want to consider another opinion to confirm your diagnosis and treatment plan to ensure it is accurate and appropriate. Another physician may have a different approach or insight that could lead to better treatment options. A second opinion may also provide some reassurance on the information you have been given.

Based on your research and information from your second opinions, you can discuss these findings with your healthcare team. This can foster collaborative discussions and ensure all your questions are addressed.

Write up an Agenda for each Physician Appointment

A written or typed agenda will help keep you focused and make sure all your questions are answered, while guiding you through the items you need to discuss. My success in getting questions answered was dependent on my preparation. If you conduct your medical appointments like a business meeting, it will help you take control of them. Not only does it demonstrate your commitment to participate in your care, it reminds you of the agenda items you wish to discuss.

sadness after your treatment is completed. Speaking with a professional can help you process your experiences and feelings. In addition, getting connected with a support group can provide comfort and understanding with others who have gone through similar experiences. Focusing on a nutritious diet that is rich in fruits and vegetables and lean proteins can be helpful. I consulted with a nutritionist which I found to be very beneficial. As well, engaging in regular exercise tailored to your ability can help improve your mood and physical health. It’s now 2024 and things are looking brighter. Covid-19, for the most part, has been downgraded to a flu-like disease, and I am free of cancer. I was fortunate enough to get an early diagnosis and early treatment. By taking an active role in your cancer care, you can feel more empowered and engaged in your treatment journey. My background as a registered nurse and current position as a health advocate have shown me how informed and engaged individuals with cancer can feel when they are part of the decision-making process. Cancer often acts as a wake-up call, prompting us to reflect on our priorities and what truly matters. Engaging in activities that bring joy and fulfillment can boost resilience and improve overall well-being. Whether it is spending time with loved ones, pursuing hobbies, or exploring new passions, embracing what you love can make a significant difference in your outlook.

My patients have benefited from writing a list of benefits and risks for each treatment recommended and reviewing the list with members of their medical team, along with family members, so they can make the best decisions.

Post Treatment Support

Transitioning after cancer treatment can be a profound journey, and it is essential to be kind to yourself and take the time you need to adjust. Support from your friends and loved ones will be vital at this time. This period will be different for each person and may be ongoing. Learn about Survivorship by educating yourself about what to expect post-treatment. Resources from organizations like the American Cancer Society or The National Cancer Institute can be helpful. Embracing the mindset of a survivor can indeed empower individuals facing a cancer diagnosis. It fosters resilience and encourages proactive changes that contribute to both physical and mental well-being. Focusing on what you can control—like lifestyle changes, support systems, and positive thinking—can make a significant difference in your journey. Since navigating life after cancer treatment can be challenging, both physically and emotionally, it is normal to feel a mix of relief, anxiety, or

Contibutor's Bio

Linda is a seasoned Health Advocate with two decades of experience, having previously worked as a registered nurse for twenty years. She specializes in supporting individuals with chronic health conditions and cancer diagnoses. She has authored an article on ovarian cancer to raise awareness and earlier detection. As a survivor of ovarian cancer, Linda brings both professional expertise and personal insight to her important work.

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This Issue’s Cancer Awareness Months: January, Feburary, and March Scan the QR code to learn more about each cancer type and its treatment options.

Cervical Cancer

Gallbladder/Bile Duct Cancer

Anal Cancer

Colon Cancer

Kidney Cancer

Multiple Myeloma Cancer

References: For page 22

1) Academy of Nutrition and Dietetics. (2018). Nutrition Care for Patients with Cancer. Retrieved from eatright.org 2) Bistrian, B. R., et al. (2018). Nutritional support in cancer patients: Why it matters. American Journal of Clinical Nutrition, 107(3), 473-480. 3) Slavin, J. L. (2013). Whole grains and human health. Nutrients, 5(4), 1158-1177. 4) Jiang, Y., et al. (2018). Ginger for nausea and vomiting in pregnancy: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology, 218(3), 230-237. 5) National Cancer Institute. (2021). Nutrition in Cancer Care. Retrieved from cancer.gov 6) Dunn, K. W., et al. (2020). Nutrition in Cancer Care: A Review of the Literature. Journal of Cancer Education, 35(5), 848-861. 7) World Health Organization. (2020). Healthy diet. Retrieved from who.int 8) Hodgson, J. M., et al. (2019). Hydration and Health: A Review of the Evidence. Nutrition Reviews, 77(9), 619-632. 9) Koo, S., et al. (2017). Food Preferences and Nutrition in Cancer Patients: A Review of the Literature. Nutrients, 9(7), 746.

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