DMochelle Fashions Magazine
March/April 2016
Fashions Magazine
March/April 2016
Designer DMochelle
DMochelle Make Up by “Ashanti Skye White” “Skye MUA”
Cupcakes, Cosmos& Conversation
Mother’s Day and Woman International Month
A Women Business Seminar & Networking
New York Fashion Week February 2016, A Fashion Review:
Shirley C. Kittrell
Style Fashion, Couture Fashion, Small Boutique, Nolcha Shows, Uptown Fashion, Plitzs Fashion
For Breast Cancer Survivors 1
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My name is Donna Michelle Kittrell CEO, President and owner of DMochelle Fashions and DMochelle Fashions Magazine. My passion is to heal those who have been diagnosed with breast cancer to recover their inward as well as their outward appearance. My background is in Retail with ten years’ experience in Management working for Victoria Secret and Nordstrom as a Bra Specialist Fitter. It was an amazing experience working with clients who had Mastectomy and understanding their needs. It was a delightful feeling when they walked out of my presence feeling great with smiles after the tears and embarrassment. I also worked for New York Presbyterian Hospital in the Breast Clinic. I wanted to bring sunshine to their faces. I have had close family and friends who have passed away from Breast Cancer. DMochelle Fashion Means: A beautiful woman, her reputation as a great beauty- the combination of qualities that make something pleasing and impressive to look at, listen to and evoke great smiles. Her personal and physical attractiveness, especially with regard to the use of cosmetics and other methods of enhancing her goodness. In 2012, I started writing my vision on DMochelle Fashions clothing line. This clothing line is especially designed for women, who have had a mastectomy with the regards to the method of cosmetics, to enhance their lives. By the end 2012, I was diagnosed with Breast Cancer as Stage 0. I am thankful to God I had an early mammogram and caught the cancer at its earliest stage. The type of treatment was surgery (two lymph nodes were removed and tissue removed from the left breast) at the beginning of the year of 2013 along with radiation treatments. I am now "Cancer Free." “Surely he hath borne our griefs, and carried our sorrows: yet we did esteem him stricken, smitten of God, and afflicted. But he [was] wounded for our transgressions, [he was] bruised our iniquities: the chastisement of our peace [was] upon him; and with his stripes we are healed." Isaiah 53: 4-5 Website: www.dmochelle.com Facebook Page: www.facebook.com/dmochelleFashions Facebook Page: www.facebook.com/dmochelle
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DMochelle Fashions Magazine
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contents Features
Cancer Statistics, Health Info and More… Page 5 Page 12 Page 13 Page 14 Page 18 Page 21 Page 23 Page 30 Page 35 Page 43 Page 50 Page 58
Page: 35
Cupcakes, Cosmos & Conversation, A Women's Business Seminar & Networking
Cancer Journey Page 30
The Pink Ribbon The History
Page 110
Commemorating the Life of Shirley C. Kittrell by Jane Kittrell Word of The Month,
Cancer Affects Your Emotional Health Breast Cancer News The Making of DMochelle Designs DMochelle Fashions International Hair Show Symptoms of Heart Attacks, Understanding the signs Origins of the Pink Ribbon, Cupcakes, Cosmos & Conversation A Perfect Combination (DMochelle and Keri D. Singleton) Featured Model Nyjha Olivia Featured Designer Kenya Smith Featured Designer Tarsala Johnson
“Featured MUA 13-year-old Ashanti Skye White - Skye MUA”
Wellness Page 13 Cancer Affects Your Emotional Health Page 14 Breast Cancer News Page 16 Ultrasound Bests 3D Mammography Page 23 Symptoms of Heart Attacks, Understanding the signs
Page 31 Aspirin and Breast Cancer, Page 45 Stages of Breast Cancer Page 55 What Does pH Balance Mean,
Fashion Week February 2016 Page 58 Small Boutique Fashion Week - Designer Kenya Smith Page 76 Style Fashion Week – Designer Nina Gleyzer Page 86 Style Fashion Week – Designer Raul Penaranda
Maintaining and Balance Your Body
Page 68 Physical Activity and the Cancer Patient
Page 94 Couture Fashion Week – Designer Marisol Henriquez Page 101 Plitzs Fashion Week Designer Victor Hou-Designs
Page 115 Nolcha Fashion Week Designer Stevenson University Page 122 Uptown Fashion Week Designer – Marlene H Couture
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Commemorating the Life of Shirley C. Kittrell Jane Kittrell As I was preparing to write this commemorative speech, I questioned in my mind, who would I choose? Who has made a positive impact on my life, I wish to honor and share with my classmates. Well, I thought about this person, that person, several people. But the person that I chose to honor today, is my mother, the late Shirley Cinderella Kittrell. My mom was my greatest “Hero”, my role model, an example of a virtuous woman. She was a woman of strength, a great wife, mother of six beautiful daughters, a woman of honor, woman of poise, a praying God-fearing woman, loving, graceful, spoke with wisdom and kindness. She was the fountain of blessings, wise woman, and so much more that I could say. If it had not been for the God fearing woman that she was, I would not be here, literally alive today. She was a Diva in her own way! The fragrance of her presence was known when she entered the room with gracefulness and poised. I could stand here all day and evening honoring this phenomenal woman, my mother. I want to share at least three-character profile that has impacted me from my mom. 1. Her Priorities a. Her husband, my father. She was a joy to my father, the icing on his cake, he cherished her up until his death at the age of 34 years young. (As a widow at 32) b. God! She prayed with us, kept us in church, singing, our home represented Christ. c. Her children (six daughters) she was our protector. Teacher, taught us how to be Ladies, to be educated, great wives, mothers, to be great in whatever we pursued. d. Her household. Living in a two-bedroom apartment that felt a 5-bedroom home. Never had any utilities cut off. 2. Her Activities a. She shopped for the best quality that we thought she could afford. Food Stamps b. She work with her willing hands. A musician. Cleaned houses for Doctors, Jewish Family, Professors, pay rate of $35 to $40 a house c. She would provide clothing for her family including herself. Seamstress d. She help meet the needs of the poor. Caring for others 3. Her Character a. Trustworthy. Honest, dependable, Faithful b. Service…reaching out to other in need. c. Strength…she was not a weak woman. Small and petite but powerful So as I concluded my honor for this precious jewel, my mother. The 27 years that she was in my life, made the woman who I am today. I have been often told by my family members that I am the mirror of my mother. If it had not been for her love, discipline, strong faith in God and making strong young women as we are today, I would not be standing here today commemorating this great woman. Now, that I have daughters, the impact, and the legacy she has imparted into me, now I am passing this legacy onto them.
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The Kittrell Sisters Mary, Roslyn, Jane, Janet, Patricia and Donna
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The Kittrell Sisters 7
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Happy Mother’s Day
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Word of the Month: Fibrocystic Fibrocystic breasts are composed of tissue that feels lumpy or rope-like in texture. Doctors call this nodular or glandular breast tissue. It's not at all uncommon to have fibrocystic breasts. More than half of women experience fibrocystic breast changes at some point in their lives. In fact, medical professionals have stopped using the term "fibrocystic breast disease" and now simply refer to "fibrocystic breasts" or "fibrocystic breast changes" because having fibrocystic breasts isn't really a disease.
Although breast changes categorized as fibrocystic breasts are normal, they can cause breast pain, tenderness and lumpiness — especially in the upper, outer area of your breasts. Breast symptoms tend to be most bothersome just before menstruation. Simple self-care measures can usually relieve discomfort associated with fibrocystic breasts. It's important to have your breasts evaluated if you have specific areas where pain continues to occur or worsens, or if you have new areas of lumps or thickening that persist after your period. Your doctor will examine you to see if the new changes are concerning and to eliminate other causes.
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Cancer Affects Your Emotional Health Most patients, families, and caregivers face some degree of depression, anxiety, and fear when cancer becomes part of their lives. These feelings are normal responses to this life-changing experience. In people with cancer, these feelings may be caused by many things, including changes in how they are able to fill family or work roles. A person with cancer might feel the loss of control over life events, and have to deal with changes in body image. They might feel grief at the losses and changes in their lives that cancer brings. They might fear death, suffering, pain, or all the unknown things that lie ahead. Family members and caregivers may have these feelings, too. They are often afraid of losing their loved one. They may also feel angry because someone they love has cancer, frustrated that they “can’t do enough,” or stressed because they have to do more at home. It’s important to remember that people with cancer, as well as their friends and family, can feel distress about these things at any time after a cancer diagnosis, even many years after the cancer is treated. And as the cancer situation changes, they all must cope with new stressors along with the old, and their feelings often change, too. For instance, people dealing with cancer that’s spread and is making the person feel worse may have more emotional distress than those dealing with early-stage cancers. People who have physical symptoms such as pain, nausea, or extreme tiredness (fatigue) also seem more likely to have emotional distress. Most of the time, physical symptoms can be controlled with medicines – but it could take more than one try to find the right drug or combination of drugs. This is one reason to stay in touch with the cancer care team, so that they can help with these kinds of symptoms before you feel overwhelmed. The information we talk about here can help families, friends, and caregivers know what feelings and behaviors they might expect from their loved one who has been diagnosed with cancer. It will also help you understand what isn’t normal and when outside help is needed. And, it can help you recognize when you or others need outside help. Even though we’re talking about the person with cancer, all of these things can happen to caregivers, friends, and family members too. Anyone affected by cancer – theirs or a loved one’s – might need help dealing with the emotions that result.
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About 80% of Women Have PTSD Symptoms After Breast Cancer Diagnosis Post-traumatic stress disorder (PTSD) is an anxiety disorder that can be brought on by a traumatic event. PTSD can happen after a life-threatening situation, such as a breast cancer diagnosis or cancer recurrence. PTSD can affect your ability to cope with life’s daily chores and inconveniences and make it difficult to function. Symptoms of PTSD include flashbacks, feelings of detachment, feeling emotionally numb, sudden outbursts of anger, and being upset by minor things that don’t upset most people. While a full diagnosis of PTSD after a breast cancer diagnosis was rare, a German study has found that 82.5% of women diagnosed with early-stage disease had symptoms of PTSD between the time they were diagnosed and the start of treatment. The research was published online on Feb. 22, 2016 by the journal Psycho-Oncology. Read the abstract of “Clinically assessed post-traumatic stress in patients with breast cancer during the first year after diagnosis in the prospective, longitudinal, controlled COGNICARES study.” The study included 166 women age 65 or younger who had been recently diagnosed with early-stage breast cancer. Over the next year, the researchers evaluated the women for PTSD symptoms three times:
after diagnosis but before treatment started after chemotherapy was completed 1 year after diagnosis
The results were compared to a control group of 60 women who hadn’t been diagnosed with breast cancer. At the first PTSD evaluation, before treatment started, 82.5% of the women in the study had one or more PTSD symptoms. The average number of PTSD symptoms was 3.1. Still, only six women (3.6%) received a full diagnosis of PTSD. One year after diagnosis, 57.3% of the women were still having PTSD symptoms, though the average number of symptoms had dropped to 1.7. The number of women with a full diagnosis of PTSD dropped to three women (2.0%).
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"That the high level of stress should persist for such a long time is particularly striking," said Dr. Kerstin Hermelink, of the Ludwig-Maximilians Universitat Breast Cancer Center, who was the lead author of the study. None of the women in the control group received a PTSD diagnosis, and only 18% of the women had any PTSD symptoms. The average number of symptoms in the control group was 0.4. The researchers also looked to see if certain factors affected whether a woman would have PTSD symptoms or not after being diagnosed with breast cancer. "Neither the type of surgery nor receipt of chemotherapy had any significant effect on either of these variables, but a high level of education did have a favorable impact," said Dr. Hermelink. "A university education is evidently a marker for resources that enable patients to recover more rapidly from the psychological stresses associated with a diagnosis of breast cancer." While the results of this study are troubling, there is some good news. The PTSD symptoms did ease over time for many women: the number of women with PTSD symptoms dropped about 25 points from the first evaluation to the third. Also, this study may help raise awareness that women newly diagnosed with breast cancer are at risk for PTSD symptoms. Identifying women who develop PTSD symptoms soon after a breast cancer diagnosis would likely help them get the support and treatment they need. If you’ve been newly diagnosed with breast cancer, you may feel like your emotions are on a rollercoaster, swooping from scared to stressed to worried to angry all in a few minutes' time. So what separates “normal” stress from PTSD symptoms? PTSD symptoms last longer than a month and severely affect your daily life. Symptoms include:
nightmares or flashbacks about the cancer experience continuously focusing on the cancer experience extreme irritability feeling emotionally numb loss of appetite self-destructive behavior (alcohol or drug abuse, for example) being startled or frightening easily hallucinations memory problems concentration problems
To make sure you get the help you need, talk to your doctor right away if you’re having PTSD symptoms. Treatment for these symptoms can include medicines, such as antidepressants, and therapy to help you learn ways to cope with situations that may trigger traumatic stress.
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Ultrasound Bests 3D Mammography for Ca Detection in Dense Breasts Ultrasound turned in a better incremental breast cancer detection rate than tomosynthesis in mammography-negative dense breasts, and a similar false-positive rate, according to interim findings from the ASTOUND trial. Among more than 3,000 mammography-negative screening participants with dense breasts, 24 additional breast cancers (BC) were detected, of which 23 were invasive. All 23 were detected with ultrasound for an incremental cancer detection rate (CDR) of 7.1 per 1,000 screens (95% CI 4.2-10.0, P=0.006) versus 13 found with tomosynthesis (incremental CDR 4.0 per 1,000 screens, 95% CI 1.86.2), reported Nehmat Houssami, MBBS, MPH, PhD, of the University of Sydney, and colleagues. The false-positive (FP) recall rates for any testing (P=0.26) or for biopsy (P=0.86) did not differ between the two modalities, they wrote in the Journal of Clinical Oncology. While the analysis "shows that ultrasound has better incremental BC detection than tomosynthesis in mammography-negative dense breasts at a similar FP-recall rate ... future application of adjunct screening should consider that tomosynthesis detected more than 50% of the additional BCs in these women and could potentially be the primary screening modality," the authors cautioned. Therese B. Bevers, MD, of the MD Anderson Cancer Center in Houston, agreed with the authors. "It's a great suggestion," she told MedPage Today. "While there is slightly greater cancer detection with ultrasound, there are some system barriers of time, cost, and manpower to performing all those ultrasounds." Bevers, who was not involved in the study, noted that cost is also an issue. While not all insurance plans cover tomosynthesis, "most places I've heard of have priced it exceedingly competitively." MD Anderson charges patients a standard $60 fee for screening tomosynthesis. In addition, tomosynthesis studies require only a few minutes more in the same setting as standard mammography, so "[screening tomosynthesis] would keep things moving along in screening large populations," she said. Study Details During 2012-2015, the multicenter Adjunct Screening With Tomosynthesis or Ultrasound in Women With Mammography-Negative Dense Breasts trial screened 3,231 dense-breasted asymptomatic women (median age 51) with negative mammograms using both tomosynthesis and physicianperformed ultrasonography. Cross-blinded breast radiologists interpreted the images from each modality separately. Outcome measures were CDR, number of false-positive recalls, and incremental cancer detection rates for each imaging technique. 16
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Invasive lesions detected were 18 invasive ductal carcinomas, four invasive lobular carcinomas, one mixed invasive, and one ductal carcinoma in situ. Mean tumor size was 15.2 mm for tomosynthesis and 15.1 mm for ultrasound. The incremental CDR for tomosynthesis and ultrasound differed by a CDR of 3.1 per 1,000 screens (95% CI 1.2-3.1) in favor of ultrasound, a yield consistent with previous trials of these modalities, the authors reported. The incremental CDR for adjunct screening with tomosynthesis and ultrasound where either was positive was 7.4 per 1,000 screens (95% CI 4.4-10.4). Incremental false-positive recalls occurred in 107 cases (3.33%, 95% CI 2.72%-3.96%). False-positive recalls involving any testing did not differ between the two modalities: 53 for tomosynthesis (1.7%) and 65 (2.0%) for ultrasound. Nor did false-positive recalls for biopsy differ: 22 for tomosynthesis (0.7%) and 24 (0.7%) for ultrasound (P=0.86). Findings referred for short-term imaging review came from tomosynthesis in 150 screens (4.7%), and from ultrasound in 57 screens (1.8%). "Our results could be taken to suggest that tomosynthesis is detecting [breast cancers] that would have been otherwise masked (on 2D mammography) by overlapping breast parenchyma, but seems less capable than ultrasound at finding cancers that are entirely masked by mammography-dense tissue," Houssami's group wrote. "We assume that some cancers are visible to only one of the physical principles of imaging modalities (x-ray for tomosynthesis vs ultrasound)." She also acknowledged that ultrasound screening implementation is hampered by lack of standardized training for technologists and potential out-of-pocket costs for patients. In comparison, "digital breast tomosynthesis, which is essentially 3D mammography, is much easier to implement. Once the equipment is in place, a technologist positions the patient exactly the same way as for standard mammography and simply pushes a button to obtain tomosynthesis instead of (or in combination with) a standard digital mammogram," she wrote. But Berg suggested that the two modalities can work together. "On the basis of the results from ASTOUND, tomosynthesis still misses a substantial number of invasive cancers in women with dense breasts: supplemental US after tomosynthesis would still be reasonable, although further study is warranted," she wrote.
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The Making of DMochelle Designs: Dresses for women that have had a double or a mastectomy. I design dresses that are fashion forward meaning today's fashion on the runway. There is the contour look, High end and regular, affordable and some very high priced. Service will be custom made, garment to fit her body perfectly and smoothly; material worn with a comfortable fit for nerve relieve to the body. Pockets in which to place prosthetics. Silicon breast cutlets that will stay in place for a perfect fit to her body attached to the beautiful garment. Please see figure example. These dress are Casual Dresses, Business, Special Occasions, and can be worn to Church and Weddings; bright and very attractive colors to brighten up her day and to build up her self-esteem.
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DMochelle Fashions International Hair Show – Atlanta Georgia Photo Credit: Glenn Parson Jr. - Designer Donna Michelle Franklin aka DMochelle
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Symptoms of Women's Heart Attacks By Lisa Fields WebMD Feature Reviewed by James Beckerman, MD, FACC When a heart attack strikes, it doesn’t always feel the same in women as it does in men. Women don't always get the same classic heart attack symptoms as men, such as crushing chest pain that radiates down one arm. Those heart attack symptoms can certainly happen to women, but many experience vague or even “silent” symptoms that they may miss. These six heart attack symptoms are common in women: 1. Chest pain or discomfort. Chest pain is the most common heart attack symptom, but some women may experience it differently than men. It may feel like a squeezing or fullness, and the pain can be anywhere in the chest, not just on the left side. It's usually "truly uncomfortable" during a heart attack, says cardiologist Rita Redberg, MD, director of Women’s Cardiovascular Services at the University of California, San Francisco. "It feels like a vise being tightened." 2. Pain in your arm(s), back, neck, or jaw. This type of pain is more common in women than in men. It may confuse women who expect their pain to be focused on their chest and left arm, not their back or jaw. The pain can be gradual or sudden, and it may wax and wane before becoming intense. If you're asleep, it may wake you up. You should report any "not typical or unexplained" symptoms in any part of your body above your waist to your doctor or other health care provider, says cardiologist C. Noel Bairey Merz, MD, director of the Barbra Streisand Women's Heart Center at Cedars-Sinai Medical Center in Los Angeles. 3. Stomach pain. Sometimes people mistake stomach pain that signals a heart attack with heartburn, the flu, or a stomach ulcer. Other times, women experience severe abdominal pressure that feels like an elephant sitting on your stomach, says cardiologist Nieca Goldberg, MD, medical director of the Joan H. Tisch Center for Women’s Health at NYU Langone Medical Center in New York. 4. Shortness of breath, nausea, or lightheadedness. If you're having trouble breathing for no apparent reason, you could be having a heart attack, especially if you're also having one or more other symptoms. "It can feel like you have run a marathon, but you didn't make a move," Goldberg says.
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5. Sweating. Breaking out in a nervous, cold sweat is common among women who are having a heart attack. It will feel more like stress-related sweating than perspiration from exercising or spending time outside in the heat. "Get it checked out" if you don't typically sweat like that and there is no other reason for it, such as heat or hot flashes, Bairey Merz says. 6. Fatigue. Some women who have heart attacks feel extremely tired, even if they've been sitting still for a while or haven't moved much. "Patients often complain of a tiredness in the chest," Goldberg says. "They say that they can't do simple activities, like walk to the bathroom." Not everyone gets all of those symptoms. If you have chest discomfort, especially if you also have one or more of the other signs, call 911 immediately.
Causes: By Mayo Clinic Staff
A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks. During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. If large enough, the clot can completely block the flow of blood through the coronary artery. Another cause of a heart attack is a spasm of a coronary artery that shuts down blood flow to part of the heart muscle. Use of tobacco and of illicit drugs, such as cocaine, can cause a life-threatening spasm. A heart attack can also occur due to a tear in the heart artery (spontaneous coronary artery dissection).
Risk Factors: By Mayo Clinic Staff
Certain factors contribute to the unwanted buildup of fatty deposits (atherosclerosis) that narrows arteries throughout your body. You can improve or eliminate many of these risk factors to reduce your chances of having a first or subsequent heart attack.
Heart attack risk factors include: 
Age. Men age 45 or older and women age 55 or older are more likely to have a heart attack than are younger men and women.
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Tobacco. Smoking and long-term exposure to secondhand smoke increase the risk of a heart attack.
High blood pressure. Over time, high blood pressure can damage arteries that feed your heart by accelerating atherosclerosis. High blood pressure that occurs with obesity, smoking, high cholesterol or diabetes increases your risk even more.
High blood cholesterol or triglyceride levels. A high level of low-density lipoprotein (LDL) cholesterol (the "bad" cholesterol) is most likely to narrow arteries. A high level of triglycerides, a type of blood fat related to your diet, also ups your risk of heart attack. However, a high level of high-density lipoprotein (HDL) cholesterol (the "good" cholesterol) lowers your risk of heart attack.
Diabetes. Insulin, a hormone secreted by your pancreas, allows your body to use glucose, a form of sugar. Having diabetes — not producing enough insulin or not responding to insulin properly — causes your body's blood sugar levels to rise. Diabetes, especially uncontrolled, increases your risk of a heart attack.
Family history of heart attack. If your siblings, parents or grandparents have had early heart attacks (by age 55 for male relatives and by age 65 for female relatives), you may be at increased risk.
Lack of physical activity. An inactive lifestyle contributes to high blood cholesterol levels and obesity. People who get regular aerobic exercise have better cardiovascular fitness, which decreases their overall risk of heart attack. Exercise is also beneficial in lowering high blood pressure.
Obesity. Obesity is associated with high blood cholesterol levels, high triglyceride levels, high blood pressure and diabetes. Losing just 10 percent of your body weight can lower this risk, however.
Stress. You may respond to stress in ways that can increase your risk of a heart attack.
Illegal drug use. Using stimulant drugs, such as cocaine or amphetamines, can trigger a spasm of your coronary arteries that can cause a heart attack.
A history of preeclampsia. This condition causes high blood pressure during pregnancy and increases the lifetime risk of heart disease.
A history of an autoimmune condition, such as rheumatoid arthritis or lupus. Conditions such as rheumatoid arthritis, lupus and other autoimmune conditions can increase your risk of having a heart attack.
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Complications By Mayo Clinic Staff
Heart attack complications are often related to the damage done to your heart during a heart attack. This damage can lead to the following conditions:
Abnormal heart rhythms (arrhythmias). If your heart muscle is damaged from a heart attack, electrical "short circuits" can develop, resulting in abnormal heart rhythms, some of which can be serious, even fatal.
Heart failure. The amount of damaged tissue in your heart may be so great that the remaining heart muscle can't do an adequate job of pumping blood out of your heart. Heart failure may be a temporary problem that goes away after your heart, which has been stunned by a heart attack, recovers. However, it can also be a chronic condition resulting from extensive and permanent damage to your heart following your heart attack.
Heart rupture. Areas of heart muscle weakened by a heart attack can rupture, leaving a hole in part of the heart. This rupture is often fatal.
Valve problems. Heart valves damaged during a heart attack may develop severe, lifethreatening leakage problems.
Preparing for your appointment By Mayo Clinic Staff
A heart attack usually is diagnosed in an emergency setting. However, if you're concerned about your risk of heart attack, see your doctor to check your risk factors and talk about prevention. If your risk is high, you may be referred to a heart specialist (cardiologist). Here's some information to help you prepare for your appointment.
What you can do:
Be aware of pre-appointment restrictions. When you make the appointment, ask if there's anything you need to do in advance, such as restrict your diet. For a cholesterol test, for example, you may need to fast beforehand. Write down your symptoms, including any that seem unrelated to coronary artery disease. Write down key personal information, including a family history of heart disease, stroke, high blood pressure or diabetes, and recent major stresses or recent life changes. Make a list of medications, vitamins and supplements you're taking. Take someone along, if possible. Someone who accompanies you may remember something you miss or forget.
Be prepared to discuss your diet and exercise habits. If you don't follow a diet or exercise routine, be ready to talk to your doctor about challenges you might face in getting started. 26
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Write down questions to ask your doctor.
Preparing a list of questions can help you make the most of your time with your doctor. Some basic questions to ask your doctor about heart attack prevention include:
What tests do I need to determine my current heart health? What foods should I eat or avoid? What's an appropriate level of physical activity? How often should I be screened for heart disease? I have other health conditions. How can I best manage these conditions together? Are there brochures or other printed material that I can have? What websites do you recommend?
Don't hesitate to ask other questions, as well.
What to expect from your doctor Your doctor is likely to ask you a number of questions, including:
Have you had symptoms of heart disease, such as chest pain or shortness of breath? If so, when did they begin?
Do these symptoms persist or come and go?
How severe are your symptoms?
What, if anything, seems to improve your symptoms? If you have chest pain, does it improve with rest?
What, if anything, worsens your symptoms? If you have chest pain, does strenuous activity make it worse?
Do you have a family history of heart disease or heart attacks?
Have you been diagnosed with high blood pressure, diabetes or high cholesterol?
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Tests and diagnosis By Mayo Clinic Staff
Ideally, your doctor should screen you during regular physical exams for risk factors that can lead to a heart attack. If you're in an emergency setting for symptoms of a heart attack, you'll be asked to describe your symptoms and have your blood pressure, pulse and temperature checked. You'll be hooked up to a heart monitor and will almost immediately have tests to see if you're having a heart attack. Tests will help check if your signs and symptoms, such as chest pain, indicate a heart attack or another condition. These tests include:
Electrocardiogram (ECG). This first test done to diagnose a heart attack records the electrical activity of your heart via electrodes attached to your skin. Impulses are recorded as waves displayed on a monitor or printed on paper. Because injured heart muscle doesn't conduct electrical impulses normally, the ECG may show that a heart attack has occurred or is in progress.
Blood tests. Certain heart enzymes slowly leak out into your blood if your heart has been damaged by a heart attack. Emergency room doctors will take samples of your blood to test for the presence of these enzymes.
Additional tests If you've had a heart attack or one is occurring, doctors will take immediate steps to treat your condition. You may also undergo these additional tests:
Chest X-ray. An X-ray image of your chest allows your doctor to check the size of your heart and its blood vessels and to look for fluid in your lungs.
Echocardiogram. During this test, sound waves directed at your heart from a wandlike device (transducer) held on your chest bounce off your heart and are processed electronically to provide video images of your heart. An echocardiogram can help identify whether an area of your heart has been damaged by a heart attack and isn't pumping normally or at peak capacity.
Coronary catheterization (angiogram). A liquid dye is injected into the arteries of your heart through a long, thin tube (catheter) that's fed through an artery, usually in your leg or groin, to the arteries in your heart. The dye makes the arteries visible on X-ray, revealing areas of blockage.
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Exercise stress test. In the days or weeks after your heart attack, you may also undergo a stress test. Stress tests measure how your heart and blood vessels respond to exertion. You may walk on a treadmill or pedal a stationary bike while attached to an ECG machine. Or you may receive a drug intravenously that stimulates your heart similar to exercise. Your doctor may also order a nuclear stress test, which is similar to an exercise stress test, but uses an injected dye and special imaging techniques to produce detailed images of your heart while you're exercising. These tests can help determine your long-term treatment.
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Cardiac Computerized Tomography (CT) or Magnetic Resonance Imaging (MRI). These tests can be used to diagnose heart problems, including the extent of damage from heart attacks. In a cardiac CT scan, you lie on a table inside a doughnut-shaped machine. An X-ray tube inside the machine rotates around your body and collects images of your heart and chest.
Cardiac Computerized Tomography (CT)
Magnetic Resonance Imaging (MRI)
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Origins of the Pink Ribbon These days’ ribbons are worn for many different causes. Red signifies AIDS awareness. A yellow ribbon has long represented support for armed forces. However, one of the most prominent ribbon colors is pink, which aims to raise awareness of and support for breast cancer. Pink is a color that is uniquely feminine, and it also represents a person full of health and vibrancy; think of little babies pink with life. Pink is also a color that seems the complete antithesis of cancer, and thusly inspires hope for renewed health and survival. There is some controversy surrounding the origins of the breast cancer mascot... the pink ribbon. There are also suggestions that the ribbon was intended to be peach and not pink. In 1992, just about every organization started using ribbons to raise awareness. The New York Times actually dubbed 1992 "The Year of the Ribbon." Alexandra Penney, the then-editor of Self magazine, wanted to create a ribbon for the publication's second annual Breast Cancer Awareness Month issue. The previous year she had worked with cosmetics giant Estee Lauder. Evelyn Lauder, the senior corporate vice president, was herself a breast cancer survivor. Penney thought a collaboration between the magazine and Lauder could see a ribbon on cosmetic counters across the nation, and help sell a few magazines in the process. The trouble was Penney had read a story about a 68-year-old woman, Charlotte Haley, who was producing handmade ribbons in her home. Haley had a number of people in her immediate family who had battled breast cancer and her handmade "peach" ribbons intended to raise awareness about the limited government funds being used for breast cancer research. Haley's message was spreading by word of mouth. Penney and Lauder contacted Haley and wanted to further collaborate on the peach ribbon theme. However, Haley didn't want to be involved, saying the effort would be too commercial. She refused to turn over rights to the use of the peach ribbon. As a result, Penney consulted with attorneys who said to come up with another color, and pink was eventually chosen. Pink had already been associated with breast cancer in the past. Just a few years earlier, the Susan G. Komen Breast Cancer Foundation had given out pink visors to its "Race for the Cure" participants. It had also created a pink ribbon. The pink ribbon quickly took off by leaps and bounds. Millions were distributed by Estee Lauder. There are many philanthropic and commercial businesses who now use the pink ribbon in their breast cancer marketing plans. Every October, women are urged to don pink for Breast Cancer Awareness Month. One can find the pink ribbon adorning everything from cereal boxes to cans of cleanser. Many embrace the pink ribbon as a symbol of hope, one that has done its share of work toward spreading the word about the need for more breast cancer awareness and research. Researched provided by Pamela Henderson (20 years Cancer Survivor)
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Beyond the Heart of the Matter: Aspirin and Breast Cancer (Risk and Survival)
Does regular aspirin use lower the risk of breast cancer? Right now, we don’t know. The results from individual studies have been mixed. Some studies show a benefit with aspirin use, others show no link and some even show aspirin increases breast cancer risk.1 However, a meta-analysis that combined the results of 33 studies found that regular aspirin use may slightly lower the risk of breast cancer.1 Probably the most important study to date looking at the issue was a randomized controlled trial (the gold standard of studies) with nearly 40,000 participants. This study found no link between aspirin use and breast cancer risk, even after 10 years of use.2 The researchers followed the study participants for eight more years after the end of the active trial and still found no link.2 The dose of aspirin used in this study however, may have been too low to have benefit. The exact link between aspirin and breast cancer risk remains an open question. A large number of factors, including the dose of aspirin, need to be taken into account when looking at aspirin use and breast cancer risk. This can make it hard for one randomized trial to capture all the important aspects of the relationship. So, the one conclusion that can be drawn from all the evidence to date is that we need more studies.
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Does regular aspirin use help women live longer after a breast cancer diagnosis? Again, we don’t know for sure. Overall, the evidence is a bit stronger for aspirin improving breast cancer survival than it is for lowering the risk of getting breast cancer in the first place. Though there’s yet to be a definitive randomized controlled trial, a number of well-designed studies have found that regular aspirin use (even just once a week) may lower the risk of dying from breast cancer.3 According to Dr. Michelle Holmes, Associate Professor of Epidemiology at Harvard School of Public Health, “We really need a trial of aspirin in women with breast cancer. Breast cancer is the leading cause of cancer death in women globally and those in low-income countries aren’t getting much treatment. A year’s supply of aspirin costs $6, and if a trial showed that it works to improve survival it could be available to women with breast cancer in every country in the world.” A randomized trial in the United Kingdom has just started looking at this issue. Results are expected in about a decade.
How might regular aspirin use prevent breast cancer and extend survival? Even though there is no confirmed link between aspirin and a lower risk of developing or dying from breast cancer, there are a number of possible ways that aspirin could help. For example, aspirin may cut down estrogen production, which is a risk factor for many breast cancers.4 And, it may also reduce the levels of another hormone in the body called prostaglandin, which plays a key role in inflammation and possibly cancer growth.4
What are some potential harms of regular aspirin use? Despite its long history, aspirin use is not risk-free. The most common side effect is irritation of the stomach and intestines, which can lead to the development of ulcers. There is also a rare, but serious, risk of developing bleeding in the brain. Sensitivity to aspirin can vary from person to person, and the chances of side effects tend to go up the older someone is and the more aspirin he/she takes.
What are the current recommendations for aspirin and disease prevention? The U.S. Preventive Services Task Force recommends that women ages 55 to 79 take a daily aspirin to lower the risk of heart attack if the benefits are thought to outweigh the potential harms.5 The Task Force notes in their recommendation that a low-dose aspirin (75mg) seems as effective as higher doses at lowering the risk of heart attack and likely cuts down on the risk of side effects.5
Should I take a daily aspirin?
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For some women, taking a daily aspirin to improve their heart health makes sense. If you are thinking about taking an aspirin regularly, talk with a doctor beforehand to make sure it’s right for you. Currently, aspirin should not be taken to reduce the risk of breast cancer or any other type of cancer.
Summary Though regular aspirin use has been shown to lower the risk of heart attack, it’s currently not clear if it has any benefits for breast cancer. Some data show that it may improve survival and lower the risk of developing breast cancer, but more definitive studies are needed. For women ages 55 to 79, a daily aspirin may have important heart health benefits, but it’s important to talk with a doctor before taking an aspirin regularly.
What is Komen doing? Komen has invested over $3 million in research on aspirin (and other anti-inflammatory drugs) and breast cancer. This research includes:
How aspirin and other anti-inflammatory drugs affect breast cancer cell growth Whether regular aspirin use improves long-term survival after breast cancer
References 1. Luo T, Yan HM, He P, Luo Y, Yang YF, Zheng H. Aspirin use and breast cancer risk: a meta-analysis. Breast Cancer Res Treat. 131:581-587, 2012. 2. Cook NR, Lee IM, Zhang SM, Moorthy MV, Buring JE. Alternate-day, low-dose aspirin and cancer risk: long-term observational follow-up of a randomized trial. Ann Intern Med. 159:77-85, 2013. 3. Holmes MD, Chen WY, Li L, Hertzmark E, Spiegelman D, Hankinson SE. Aspirin intake and survival after breast cancer. J Clin Oncol. 28:1467-1472, 2010. 4. Pasche B, Wang M, Pennison M, Jimenez H. Prevention and treatment of cancer with aspirin: where do we stand? Semin Oncol. 41(3):397-401, 2014. 5. U.S. Preventive Services Task Force. Aspirin for the prevention of cardiovascular disease: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 150(6):396-404, 2009.
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Cupcakes, Cosmos & Conversation A Women's Business Seminar & Networking Join us in celebrating Women's History Month during this fun, interactive and inspiring event. We'll kick off the afternoon with cupcakes and cosmos to help get the conversation flowing and continue with inspirational stories of tribulations and triumphs from our impressive panel of women entrepreneurs and visionaries.
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Happy Mother’s Day
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“A Perfect Combination" Fashionista Donna Kittrell smiles glowingly and adjusts her microphone at F.L.O Empire Radio's studio in Manhattan. The host of the Keri's Korner Radio Show, Keri D. Singleton, announces the names of the previously played songs along with that of the artists before formerly introducing the audience to his guest. Ms. Kittrell doesn't just talk about a fatal disease and clothes for women and men who suffer from its physical affects, she speaks passionately about survival. It is October, the month officially designated for awareness of breast cancer, its survivors and those who have lost their battle with the infamous disease. The Keri's Korner Radio Show, a loyal ally in the fight against breast cancer and other cancers, welcomes Donna Kittrell and provides a platform for her to inform the show's listeners about the importance of awareness and shared information. The radio show's famously comedic edge is temporarily set aside as Donna Kittrell, a symbol of hope, courage, and strength to countless survivors (including celebrities like singer Julia Robertson - formerly of the Full Force produced quartet Ex-Girlfriend), talks about the vital importance of regular testing and making lifestyle changes. Michael Katlow-Cox, CEO of Memorie 4 Life Photography, takes photos of Donna as she eloquently speaks to the show's captive audience which showcases both her beauty and look of determination. When speaking about cancer and more pointedly, survival, she doesn't miss a beat. Mr. Cox, who is the official photographer for both DMochelle Fashions Magazine and the Keri's Korner Radio Show, captures Ms. Kittrell's energy on film. She is a well-spoken crusader and an inspiration to legions of fans of her magazine and innovative designs. On the air speaking to a global audience on the New York-based radio show, which airs via syndication the following day (Tuesday) on Maryland-based Ripped Radio Network, Donna is at home. Her alliance with the Keri's Korner Radio Show and the show's host has been a productive one. Radio has, indeed, given Donna's voice a broader platform where her words of wisdom can resonate across the miles. As statistics continue to rate cancer as a leading cause of death, those words have a continued need to be heard and absorbed. The Keri's Korner Radio Show airs on Mondays at 8:00pm (EST) on F.L.O. Empire Radio (www.floempireradio.com), on Tuesdays at 4:00pm (EST) on Ripped Radio Network (www.rippedradionetwork.com), and beginning on March 30, 2016, on Wednesdays at 10:00pm (PST) on One West Radio (www.onewestradio.com)
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Stages of Breast Cancer… Stage I Stage I describes invasive breast cancer (cancer cells are breaking through to or invading normal surrounding breast tissue) Stage I is divided into subcategories known as IA and IB. Stage IA describes invasive breast cancer in which:
the tumor measures up to 2 centimeters AND the cancer has not spread outside the breast; no lymph nodes are involved
Stage IB describes invasive breast cancer in which:
there is no tumor in the breast; instead, small groups of cancer cells – larger than 0.2 millimeter but not larger than 2 millimeters – are found in the lymph nodes OR there is a tumor in the breast that is no larger than 2 centimeters, and there are small groups of cancer cells – larger than 0.2 millimeter but not larger than 2 millimeters – in the lymph nodes
Microscopic invasion is possible in stage I breast cancer. In microscopic invasion, the cancer cells have just started to invade the tissue outside the lining of the duct or lobule, but the invading cancer cells can't measure more than 1 millimeter.
Stage II Stage II is divided into subcategories known as IIA and IIB. Stage IIA describes invasive breast cancer in which:
no tumor can be found in the breast, but cancer (larger than 2 millimeters) is found in 1 to 3 axillary lymph nodes (the lymph nodes under the arm) or in the lymph nodes near the breast bone (found during a sentinel node biopsy) OR the tumor measures 2 centimeters or smaller and has spread to the axillary lymph nodes OR the tumor is larger than 2 centimeters but not larger than 5 centimeters and has not spread to the axillary lymph nodes
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Stage IIB describes invasive breast cancer in which:
the tumor is larger than 2 centimeters but no larger than 5 centimeters; small groups of breast cancer cells -- larger than 0.2 millimeter but not larger than 2 millimeters -- are found in the lymph nodes OR the tumor is larger than 2 centimeters but no larger than 5 centimeters; cancer has spread to 1 to 3 axillary lymph nodes or to lymph nodes near the breastbone (found during a sentinel node biopsy) OR the tumor is larger than 5 centimeters but has not spread to the axillary lymph nodes
Stage III Stage III is divided into subcategories known as IIIA, IIIB, and IIIC. Stage IIIA describes invasive breast cancer in which either:
no tumor is found in the breast or the tumor may be any size; cancer is found in 4 to 9 axillary lymph nodes or in the lymph nodes near the breastbone (found during imaging tests or a physical exam) OR the tumor is larger than 5 centimeters; small groups of breast cancer cells (larger than 0.2 millimeter but not larger than 2 millimeters) are found in the lymph nodes OR the tumor is larger than 5 centimeters; cancer has spread to 1 to 3 axillary lymph nodes or to the lymph nodes near the breastbone (found during a sentinel lymph node biopsy)
Stage IIIB describes invasive breast cancer in which:
the tumor may be any size and has spread to the chest wall and/or skin of the breast and caused swelling or an ulcer AND may have spread to up to 9 axillary lymph nodes OR may have spread to lymph nodes near the breastbone
Inflammatory breast cancer is considered at least stage IIIB. Typical features of inflammatory breast cancer include:
reddening of a large portion of the breast skin the breast feels warm and may be swollen cancer cells have spread to the lymph nodes and may be found in the skin 46
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Stage IIIC describes invasive breast cancer in which:
there may be no sign of cancer in the breast or, if there is a tumor, it may be any size and may have spread to the chest wall and/or the skin of the breast AND the cancer has spread to 10 or more axillary lymph nodes OR the cancer has spread to lymph nodes above or below the collarbone OR the cancer has spread to axillary lymph nodes or to lymph nodes near the breastbone
Stage IV Stage IV describes invasive breast cancer that has spread beyond the breast and nearby lymph nodes to other organs of the body, such as the lungs, distant lymph nodes, skin, bones, liver, or brain. You may hear the words “advanced” and “metastatic” used to describe stage IV breast cancer. Cancer may be stage IV at first diagnosis or it can be a recurrence of a previous breast cancer that has spread to other parts of the body.
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Tests that examine the breasts are used to detect (find) and diagnose Breast Cancer A doctor should be seen if changes in the breast are noticed. The following tests and procedures may be used:
Physical exam and history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient’s health habits and past illnesses and treatments will also be taken.
Clinical breast exam (CBE): An exam of the breast by a doctor or other health professional. The doctor will carefully feel the breasts and under the arms for lumps or anything else that seems unusual.
Mammogram: An x-ray of the breast.
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Inspirational Quote
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Featured Model Nyjha Olivia Designer: Lainy Gold Photo Credit: Total Illusion Imagery
Nyjha is an 8-year model/designer/aspiring actor from Philadelphia. She is a very driven person in everything that she does including school, modeling and acting. She enjoys making other people smile, she loves to sketch and go to the movies. At the age of 5, she debut on the runway at the Plitz Kids Fashion Democracy Fashion show that was held in New York and from that point she has made numerous fashion show appearances. Nyjha is not only a runway model she is an upcoming actress and clothing designer. In May 2015 she launched her clothing line Saphari Designs Kool Kids Collection. On February 26, 2016 her designs will be showcased on the runway at Atlantic City Fashion Week Season 8 Fashion show. Nyjha would like to someday inspire and motivate other children her age to dream big and to view themselves as unique and beautiful no matter what their shape, size and color. Having witness others around her getting bullied, she has been working on building a group to help raise awareness against bullying.
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Photo Credit: Total Illusion Imagery
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What Does pH Balance Mean? If you think back to high school chemistry class, you may recall that pH is an abbreviation for potential hydrogen. A pH number measures from 0 to14 how acidic or alkaline a liquid is -- anything above 7 is alkaline and anything below 7 is acid. Water has a pH level of 7 -it's neutral, meaning it has the same amount of acids and alkalis, which balance each other out. When you're thinking about liquids in terms of their pH levels, going up or down one number on the scale represents a tenfold change in the acidity or alkaline nature of a liquid. For example, the pH level of milk is around 6. Because the pH level of water is 7, milk is 10 times more acidic than water. Vinegar has a pH of about 3, making it 40 times more acidic than water. On the other end of the spectrum, milk of magnesia is a base with a pH of 10, which is why it's soothing to an acidic stomach. Lye has a pH of 13 and can dissolve sticky substances like fat. As you can see, substances at either end of the pH spectrum can be corrosive -- but if you combine these substances, they neutralize and create salt water. They balance because they're at opposite ends of the scale.
Maintaining a slightly alkaline pH is key to preventing disease The human body is an indivisible, integrated organism, not a collection of various unrelated parts. In this vein, there are various mechanisms in your body that work together to maintain a proper pH balance throughout your body. The acidity or alkalinity of a substance is measured using pH. The pH scale runs from 0 to 14, with 0 being the most acidic, 14 being the most alkaline, and 7 being neutral. To survive, our bodies must maintain the pH very close to 7.4, which is just on the alkaline side of neutral. If your body’s pH varies too much from this ideal, it becomes difficult for various enzymes to function properly. Maintaining this slightly alkaline state is a constant challenge, primarily because of the acid-forming functions that take place within the body, and the overabundance of acid-producing foods we consume. The idea that various foods influence the pH of the body isn't new. In fact, as far back as the early 1900s, numerous doctors began studying the pH-altering effects of different foods. They found that while a few foods were "neutral" in their effects, most foods were either "alkaline-producing" or "acidproducing." They also found that simply changing the diet could change the pH of the body. Not surprisingly, bringing the body's pH closer to the normal range helped patients get rid of many of their health complaints. 55
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Over acidity has even been linked to the formation of cancer, heart disease, diabetes, and osteoporosis.
Is Your Body Too Acidic? There are two ways to determine whether your body is too acidic. You can go by co-occurring symptoms, or you can do a simple at-home test.
Symptoms of Over-Acidity
Constant fatigue Easily running out of breath Frequent sighing Muscle pain or cramping after walking short distances Often feeling like you can’t get enough air I've also found that when people are very acidic, their tissue levels of oxygen are so low that they have difficulty holding their breath for more than 20 seconds. The length of time you can hold your breath is one technique you can use to document the difference that occurs after adapting a more alkalineproducing diet.
At-Home Test for Over-Acidity If you can’t tell if you're too acidic using these criteria, there's a simple and fairly accurate way to test yourself. Just check the pH of your saliva using pH Hydrion test strips or paper. Saliva closely parallels the blood when it comes to pH. Compare your results to these benchmarks:
Normal blood pH = 7.4 Normal saliva pH = 6.5 to 7.0
If your saliva pH consistently falls below 6.5, you are acidic. If it consistently reads above 7.0, you could be too alkaline.
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How to Correct Your Body's pH Balance Eating a diet of 75–80 percent alkaline-forming foods—and minimal in acid-forming foods—is the best way to maintain a slightly alkaline pH in your body Making these changes can quickly improve your health. For even faster results, however, try juicing. Making and consuming fresh vegetable juices on a daily basis will jumpstart the process of alkalizing your body. This is why many people feel so good after they begin a juicing program. (Note: Due to the problems associated with blood sugar, I would recommend using vegetable juices and not fruit juices. Eating whole fruit affects blood sugar less because the fiber in fruit slows the body’s processing of fructose.) Although switching to a more alkaline diet will benefit most everyone, there is a small percentage of the population whose bodies are actually too alkaline. The few individuals who have this condition usually suffer from calcium deposits. Calcium forms when the surrounding environment is alkaline. This results in symptoms of migrating nerve and joint pain. Insomnia can also be a problem, and it is often associated with early morning stiffness. These individuals wake up stiff, but the stiffness quickly improves as muscle activity produces lactic acid. Lactic acid helps neutralize the buildup of alkaline compounds and bring the body's pH back into balance.
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Featured Designer Kenya Smith Debuts his New Collection at Small Boutique Fashion Week February 2016 – House of Zero Designs Photo Credit: Memorie 4 Life Photography
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Physical Activity and the Cancer Patient In the past, people being treated for a chronic illness (an illness a person may live with for a long time, like cancer or diabetes) were often told by their doctor to rest and reduce their physical activity. This is good advice if movement causes pain, rapid heart rate, or shortness of breath. But newer research has shown that exercise is not only safe and possible during cancer treatment, but it can improve how well you function physically and your quality of life. Too much rest can lead to loss of body function, muscle weakness, and reduced range of motion. So today, many cancer care teams are urging their patients to be as physically active as possible during cancer treatment. Many people are learning about the advantages of being physically active after treatment, too.
Ways regular exercise may help you during cancer treatment Keep or improve your physical abilities (how well you can use your body to do things) Improve balance, lower risk of falls and broken bones Keep muscles from wasting due to inactivity Lower the risk of heart disease Lessen the risk of osteoporosis (weak bones that are more likely to break) Improve blood flow to your legs and lower the risk of blood clots Make you less dependent on others for help with normal activities of daily living
Improve your self-esteem Lower the risk of being anxious and depressed Lessen nausea Improve your ability to keep social contacts Lessen symptoms of tiredness (fatigue) Help you control your weight Improve your quality of life
We still don’t know a lot about how exercise and physical activity affect your recovery from cancer, or their effects on the immune system. But regular moderate exercise has been found to have health benefits for the person with cancer.
Goals of an exercise program During treatment There are many reasons for being physically active during cancer treatment, but each person’s exercise program should be based on what’s safe and what works best for them. It should also be something you like doing. Your exercise plan should take into account any exercise program you already follow, what you can do now, and any physical problems or limits you have. Certain things affect your ability to exercise, for instance:
The type and stage of cancer you have Your cancer treatment Your stamina (endurance), strength, and fitness level
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If you exercised before treatment, you might need to exercise less than usual or at a lower intensity during treatment. The goal is to stay as active and fit as possible. People who were very sedentary (inactive) before cancer treatment may need to start with short, low-intensity activity, such as short slow walks. For older people, those with cancer that has spread to the bones or osteoporosis (bone thinning), or problems like arthritis or peripheral neuropathy (numbness in hands or feet), safety and balance are important to reduce the risk of falls and injuries. They may need a caregiver or health professional with them during exercise. Some people can safely begin or maintain their own exercise program, but many will have better results with the help of an exercise specialist, physical therapist, or exercise physiologist. Be sure to get your doctor’s OK first, and be sure that the person working with you knows about your cancer diagnosis and any limitations you have. These specially trained professionals can help you find the type of exercise that’s right and safe for you. They can also help you figure out how often and how long you should exercise. Whether you’re just starting exercise or continuing it, your doctor should have input on tailoring an exercise program to meet your interests and needs. Keep your cancer team informed on how you’re doing in regards to your activity level and exercise throughout your treatment.
After treatment When you are recovering from treatment Many side effects get better within a few weeks after cancer treatment ends, but some can last much longer or even emerge later. Most people are able to slowly increase exercise time and intensity. What may be a low- or moderate-intensity activity for a healthy person may seem like a high-intensity activity for some cancer survivors. Keep in mind that moderate exercise is defined as activity that takes as much effort as a brisk walk.
When you are living disease-free or with stable disease During this phase, physical activity is important to your overall health and quality of life. It may even help some people live longer. There’s some evidence that getting to and staying at a healthy weight, eating right, and being physically active may help reduce the risk of a second cancer as well as other serious chronic diseases. More research is needed to be sure about these possible benefits. The American Cancer Society recommends that cancer survivors take these actions:
Take part in regular physical activity. Avoid inactivity and return to normal daily activities as soon as possible after diagnosis. Aim to exercise at least 150 minutes per week. Include strength training exercises at least 2 days per week.
A growing number of studies have looked at the impact of physical activity on cancer recurrence and long-term survival. (Cancer recurrence is cancer that comes back after treatment.) Exercise has been shown to improve cardiovascular fitness, muscle strength, body composition, fatigue, anxiety, depression, self-esteem, happiness, and several quality of life factors in cancer survivors. At least 20 studies of people with breast, colorectal, prostate, and ovarian cancer have suggested that physically active cancer survivors have a lower risk of cancer recurrence and improved survival compared with those who are inactive. Randomized clinical trials are still needed to better define the impact of exercise on such outcomes. Those who are overweight or obese after treatment should limit high-calorie foods and drinks, and increase physical activity to promote weight loss. Those who have been treated for digestive or lung cancers may be underweight. They may need to increase their body weight to a healthier range, but exercise and nutrition are still important. Both groups should emphasize vegetables, fruits, and whole grains. It’s well known that obesity is linked with a higher risk of developing some cancers.
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It’s also linked with breast cancer recurrence, and it might be related to the recurrence of other types of cancer, too. Exercise can help you get to and stay at a healthy weight.
Living with advanced cancer Some level of physical activity can improve quality of life for people with certain types of cancer, even if the disease is advanced (has spread to many places and/or is no longer responding to treatment). But this varies by cancer type, physical ability, health problems related to the cancer or cancer treatment, and other illnesses. The situation can also change quickly for a person with advanced cancer, and physical activity should be based on the person’s goals, abilities, and preferences.
Precautions for cancer survivors who want to exercise During and shortly after cancer treatment Always check with your doctor before starting any exercise program. This is especially important if your treatments can affect your lungs (such as the drug bleomycin or radiation to the chest), your heart (such as the drugs doxorubicin or epirubicin), or if you are at risk for lung or heart disease. Be sure you understand what you can and can’t do. Your cancer care team will check your blood counts during your treatment. Ask them about your results, and if it’s OK for you to exercise. Do not exercise if you have a low red blood cell count (anemia). If you have low white blood cell counts or if you take medicines that make you less able to fight infection, stay away from public gyms and other public places until your counts are at safe levels. Do not exercise if the level of minerals in your blood, such as sodium and potassium, are not normal. This can happen if you have had a lot of vomiting or diarrhea. If it’s OK with your doctor, drink plenty of fluids. Do not exercise if you have unrelieved pain, nausea/vomiting, or any other symptom that causes you concern. Call your doctor. Do not exercise above a moderate level of exertion without talking with your doctor first. Remember, moderate exertion is about as much effort as a brisk walk. If you have a catheter or feeding tube, avoid pool, lake, or ocean water and other exposures that may cause infections. Also, do not do resistance training that uses muscles in the area of the catheter to keep from dislodging it. Talk with your cancer team about what’s safe for you.
To avoid skin irritation, people getting radiation should not expose skin in the treatment area to the chlorine in swimming pools. If you feel very tired and don’t feel up to exercising you can try doing 10 minutes of light exercises every day. (Later we will discuss fatigue and exercise in more detail.) Stay away from uneven surfaces or any weight-bearing exercises that could cause you to fall and hurt yourself. Do not use heavy weights or do exercise that puts too much stress on your bones if you have osteoporosis, cancer that has spread to the bone, arthritis, nerve damage, poor vision, poor balance, or weakness. You may be more likely to hurt yourself or break a bone. If you have numbness in your feet or problems with balance, you are at higher risk for falls. You might do better with a stationary reclining bicycle, for example, than a treadmill.
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Watch for swollen ankles, unexplained weight gain, or shortness of breath while at rest or with a small amount of activity. Let your doctor know if you have any of these problems. Watch for bleeding, especially if you are taking blood thinners. Avoid any activity that puts you at risk for falls or injury. If you notice swelling, pain, dizziness, or blurred vision, call your doctor right away.
Things to think about when planning an exercise program
Talk to your doctor before you start any type of exercise. Start slowly. Even if you can only do an activity for a few minutes a day it will help you. How often and how long you do a simple activity like walking can be increased slowly. Your muscles will tell you when you need to slow down and rest. Try short periods of exercise with frequent rest breaks. For example, walk briskly for a few minutes, slow down, and walk briskly again, until you have done 30 minutes of brisk activity. You can divide the activity into three 10minute sessions, if you need to. You’ll still get the benefit of the exercise. Try to include physical activity that uses large muscle groups such as your thighs, abdomen (belly), chest, and back. Strength, flexibility, and aerobic fitness are all important parts of a good exercise program. Try to include some exercises that will help you keep lean muscle mass and bone strength, like exercising with a resistance band or light weights. You might want to include exercises that will increase your flexibility and keep the range of motion in your joints. Always start with warm-up exercises for about 2 to 3 minutes. Examples of warm-up exercises are shoulder shrugs, lifting arms overhead, toe tapping, marching, and knee lifts. End your session with stretching or flexibility exercises. Hold a stretch for about 15 to 30 seconds and relax. Remember to breathe when you stretch. Examples of stretching are reaching overhead, deep breathing, and bending over to touch your toes so that you relax all the muscle groups. Exercise as you are able. Don’t push yourself while you are in treatment. Listen to your body and rest when you need to.
Cancer and fatigue: When you feel too tired to exercise Most people with cancer notice that they have a lot less energy. During chemotherapy and radiation, most patients have fatigue. Fatigue is when your body and brain feel tired. This tiredness does not get better with rest. For many, fatigue is severe and limits their activity. But inactivity leads to muscle wasting and loss of function. An aerobic training program can help break this cycle. In research studies, regular exercise has been linked to reduced fatigue. It’s also linked to being able to do normal daily activities without major problems. An aerobic exercise program can be prescribed as treatment for fatigue in cancer patients. Talk with your doctor about this.
Tips to reduce fatigue:
Set up a daily routine that lets you be active when you feel your best. Get regular, light-to-moderate intensity exercise. Get fresh air. Unless you are told otherwise, eat a balanced diet that includes protein (meat, milk, eggs, and legumes such as peas or beans). Drink about 8 to 10 glasses of water a day unless your doctor tells you not to. Even more fluids are needed to prevent dehydration if you’re exercising intensely, sweating, or in a hot environment. Control your symptoms, like pain, nausea, or depression. Keep things you use often within easy reach to save energy. Enjoy your hobbies and other activities that give you pleasure. Use relaxation and visualization techniques to reduce stress. Balance activity with rest that does not interfere with nighttime sleep. Ask for help when you need it.
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During and shortly after cancer treatment Always check with your doctor before starting any exercise program. This is especially important if your treatments can affect your lungs (such as the drug bleomycin or radiation to the chest), your heart (such as the drugs doxorubicin or epirubicin), or if you are at risk for lung or heart disease. Be sure you understand what you can and can’t do.
Your cancer care team will check your blood counts during your treatment. Ask them about your results, and if it’s OK for you to exercise. Do not exercise if you have a low red blood cell count (anemia). If you have low white blood cell counts or if you take medicines that make you less able to fight infection, stay away from public gyms and other public places until your counts are at safe levels. Do not exercise if the level of minerals in your blood, such as sodium and potassium, are not normal. This can happen if you have had a lot of vomiting or diarrhea. If it’s OK with your doctor, drink plenty of fluids. Do not exercise if you have unrelieved pain, nausea/vomiting, or any other symptom that causes you concern. Call your doctor. Do not exercise above a moderate level of exertion without talking with your doctor first. Remember, moderate exertion is about as much effort as a brisk walk. If you have a catheter or feeding tube, avoid pool, lake, or ocean water and other exposures that may cause infections. Also, do not do resistance training that uses muscles in the area of the catheter to keep from dislodging it. Talk with your cancer team about what’s safe for you. To avoid skin irritation, people getting radiation should not expose skin in the treatment area to the chlorine in swimming pools. If you feel very tired and don’t feel up to exercising you can try doing 10 minutes of light exercises every day. (Later we will discuss fatigue and exercise in more detail.) Stay away from uneven surfaces or any weight-bearing exercises that could cause you to fall and hurt yourself. Do not use heavy weights or do exercise that puts too much stress on your bones if you have osteoporosis, cancer that has spread to the bone, arthritis, nerve damage, poor vision, poor balance, or weakness. You may be more likely to hurt yourself or break a bone. If you have numbness in your feet or problems with balance, you are at higher risk for falls. You might do better with a stationary reclining bicycle, for example, than a treadmill. Watch for swollen ankles, unexplained weight gain, or shortness of breath while at rest or with a small amount of activity. Let your doctor know if you have any of these problems. Watch for bleeding, especially if you are taking blood thinners. Avoid any activity that puts you at risk for falls or injury. If you notice swelling, pain, dizziness, or blurred vision, call your doctor right away.
Things to think about when planning an exercise program
Talk to your doctor before you start any type of exercise. Start slowly. Even if you can only do an activity for a few minutes a day it will help you. How often and how long you do a simple activity like walking can be increased slowly. Your muscles will tell you when you need to slow down and rest. Try short periods of exercise with frequent rest breaks. For example, walk briskly for a few minutes, slow down, and walk briskly again, until you have done 30 minutes of brisk activity. You can divide the activity into three 10minute sessions, if you need to. You’ll still get the benefit of the exercise. Try to include physical activity that uses large muscle groups such as your thighs, abdomen (belly), chest, and back. Strength, flexibility, and aerobic fitness are all important parts of a good exercise program. Try to include some exercises that will help you keep lean muscle mass and bone strength, like exercising with a resistance band or light weights. You might want to include exercises that will increase your flexibility and keep the range of motion in your joints. Always start with warm-up exercises for about 2 to 3 minutes. Examples of warm-up exercises are shoulder shrugs, lifting arms overhead, toe tapping, marching, and knee lifts. End your session with stretching or flexibility exercises. Hold a stretch for about 15 to 30 seconds and relax. Remember to breathe when you stretch. Examples of
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stretching are reaching overhead, deep breathing, and bending over to touch your toes so that you relax all the muscle groups. Exercise as you are able. Don’t push yourself while you are in treatment. Listen to your body and rest when you need to.
Cancer and fatigue: When you feel too tired to exercise Most people with cancer notice that they have a lot less energy. During chemotherapy and radiation, most patients have fatigue. Fatigue is when your body and brain feel tired. This tiredness does not get better with rest. For many, fatigue is severe and limits their activity. But inactivity leads to muscle wasting and loss of function. An aerobic training program can help break this cycle. In research studies, regular exercise has been linked to reduced fatigue. It’s also linked to being able to do normal daily activities without major problems. An aerobic exercise program can be prescribed as treatment for fatigue in cancer patients. Talk with your doctor about this.
Tips to reduce fatigue:
Set up a daily routine that lets you be active when you feel your best. Get regular, light-to-moderate intensity exercise. Get fresh air. Unless you are told otherwise, eat a balanced diet that includes protein (meat, milk, eggs, and legumes such as peas or beans). Drink about 8 to 10 glasses of water a day unless your doctor tells you not to. Even more fluids are needed to prevent dehydration if you’re exercising intensely, sweating, or in a hot environment. Control your symptoms, like pain, nausea, or depression. Keep things you use often within easy reach to save energy. Enjoy your hobbies and other activities that give you pleasure. Use relaxation and visualization techniques to reduce stress. Balance activity with rest that does not interfere with nighttime sleep. Ask for help when you need it.
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New York Fashion Week February 2016 – Style Fashion – Designer Nina Gleyner Photo Credit: Memorie 4 Life Photography
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New York Fashion Week February 2016 – Style Fashion – Designer Paul Penaranda Photo Credit: Memorie 4 Life Photography
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New York Fashion Week February 2016 – Couture Fashion Week – Designer Marisol Henriquez Photo Credit: Memorie 4 Life Photography
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Plitzs Fashion Week February 2016 Designer Victor Hou-Designs Photo Credit: Memorie 4 Life Photography
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Featured Designer Tarsala Johnson HAPPY NEW YEAR! It excites me thinking about just how far we’ve come over the last few years. The world of Fashion is ever changing. Certain looks have come back into style, certain styles have run its course… and yet there is always room for New, Fresh, and Innovative Designers to take the stage and make their mark! Fashion Week was a huge success last fall. Super exciting to see everything that goes into preparing for Fashion Week. Designers, Models and Fashion…Oh MY! The Most amazing thing about it is the people that you get to meet, the celebrities that attend and the wonderful designs that are presented. For me, it was extremely exciting because a close and personal friend of mine just happened to be one of those fabulous designers to grace the runways of Tiffany’s Fashion Week New York this past fall. Just to say that I know this woman, her story brings chills to my soul. She’s an amazing Woman of God first and foremost, then a wonderful mother and now she donnes the Title…. One Woman Glam Squad because she does it all. Where else can you go but to Charlotte, North Carolina and find someone who can do your hair, makeup, design your outfit and style you all in the same visit???? NO WHERE but Salon Salas on the Ave. As the managing editor (Nichelle Nelson) of I-Fashion Magazine, I wanted to personally interview Ms. Sala J so that our readers could also see just what an amazing woman she really is. I use the word amazing so often in this article because her story is so inspiring and it’s truly amazing that she is still here to tell it and begin this new and exciting journey in her life. So please allow me to introduce to our fabulous readers…. Ms. Tarsala Johnson of Sala J Designs! Ms. Diva: Who is Sala J? Sala J: I'm a mother of two amazing and Extraordinary Kids Ra and Consuela!! They are what drives me to succeed! I want the best for them, and teach them to go out there and get what God has for them!! I'm loyal, a great friend! I love to laugh and enjoy life!! I’ve been divorced for 6 years. I left the marriage because it wasn't good for me! Making that decision was very difficult! And in making that decision I left my home and started from scratch! All new everything!! I opened a new salon! It was very challenging! But I pressed through! Because I refused to give up and live unhappy! Ms. Diva: How long have you been a Fashion Designer and how did this passion start? Sala J: I’ve considered myself a designer for the past two years. It's funny because I've always had the passion to be a designer, but never really pressed into making it happen, until 2yrs ago. My first love is Hair! I've been doing hair all my life, professionally 21 years, but my friend Roger Jones had an awesome BowTie idea, so I said I'll get a sewing machine and make them! And I did! That started the ball rolling! Next I made fingerless gloves! And most recent the "CatSuits"!
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I started the CatSuits, because I did a photo shoot with my Photographer Leon Millette and I wanted something really sexy to wear! I found one to purchase, but it wasn't easy to find a tasteful one!! I loved it so much, I said to myself, I wonder if I can make this!!!! And I said let’s see. The first one I made was pink and black animal print, and I wore it to a concert. Stitches were popping and coming undone and all!!! Lmbo but only my friend Lisa and I knew that!!! I received sooooo many compliments and so it began. I posted pics on social media and people started ordering. Ms. Diva: What inspired this particular style? Sala J: Wanting to look like a sexy Grown Woman! I'm in my 40's and wanted to show that we can still look sexy, classy and like a lady...without revealing too much! Accentuating a woman's body in a tasteful way! Ms. Diva: How do you go about selecting fabrics or patterns?
Sala J: I love bold prints, bold fabrics! And I love Spandex!!! Lol I want them to feel comfortable and hug the body! I make my own patterns Ms. Diva: Who is your target audience? Sala J: Any woman that wants to feel sexy and classy! I don't think age is a factor! Because I have designed for women in their 20's on up to 70's. Ms. Diva: Tell me about the fashion show? How do you imagine it going? Sala J: I'm really excited about this opportunity! Never dreamed anything like this would ever happen for me! I was still processing it up until the day of the show!!! Tiffany McCall is a beautiful black woman creating an opportunity for designers to showcase their talent on a huge scale! Tiffany lives in Paris and participates in Paris Fashion Week! This was her first show in New York! A scout saw my Facebook page and sent me a message asking if I would like to participate!! I was like ..is this real??!!? I would soon find out that it was oh so real! And I would be one of 15 designers participating from all over the world!!! Lol yea the world!!!! And she's asked me about participating in Paris Fashion Week. I showed 6 designs and it was broadcast live on Sept 14th on www.netrunwayfs.com. I saw this as an opportunity from God to position me for my future as a designer! I'm still excited that I was able to network with other designers and being in the city during this awesome time!!!
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I've spent equal time getting my looks together as I have designing my runway collection! I want to make a statement! I want them to remember Sala J ...I want them to inquire about who I am!! Ms. Diva: Where are you originally from? Sala J: Born in Washington DC Ms. Diva: Do you use the traditional model or do you like various types; which types? Sala J: For the show the models had to be 5'9"or taller and 0-2 in size! That's different for me, because the majority of my clients are women with curves!!! Lol Ms. Diva: You have an amazing journey to share. What is your miracle story that can touch and inspire some one? Sala J: Two years ago I found out that I had thyroid cancer and that was really scary! Any time you hear the word Cancer, you naturally become fearful. Many of my friends never knew, and still don't. I didn't speak about it because I needed to move in FAITH! That was the only thing that would get me through. Prior to having my thyroid removed which took care of the cancer; I would go to work, smile laugh with my clients, only to finish work, and barely make it to my car without crying! I held it together and that was difficult to do. But I didn't want a pity party! I needed love and faith to help me through this super challenging life changing time! I was in the hospital for a week, with tubes coming out of my chest, that would leave me scared but the cancer was out of my body! I was out of work for only 2 weeks....had to get back to work! Single and a mother and a salon owner and stylist....too many people were depending on me!!! No time to waddle in pity....back to the grind. I lost about 15lbs! My clients only missed me for two weeks. They had no idea how serious the matter was. I just knew they cared for me and would be upset and I didn't want to upset anyone. I wasn't going to tell my mom and dad because I didn't want them to worry. But my doctor said you better tell them, because you're single and if anything should happen we need them to know. I finally told my kids a year later!! Funny thing is they said they knew! I was trying to protect them. Didn't want them afraid of something happening to me! My parents JoAnna and Roger and my brother Roger Jr were right there! My pastors Thomas and Mary Evans were a blessing along with church members, praying!! My family and close friends were a strong tower to lean on and I'm truly grateful! Never give up...Never!!!! As long as there is life in your body!!! â?¤ď¸?đ&#x;˜Š Ms. Diva: What advice has been the most profound for you on your journey?
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Sala J: My ex father in law who is now deceased said "No pity party”, words I have held on to! Life happens to all of us! And when it does a pity party will never help, it will only make matters worse!!! Ms. Diva: Tell me about your family? How has their support been and what has that meant to you? Sala J: My mom and dad have always supported me and been my biggest cheerleaders!!! They are awesome! I couldn't ask for better parents!!! My kids are so excited! My brother has been awesome!! My aunts and uncles and cousins and grandmother and sister in law have all been amazing!! Our family has been through some hard things! We support each other!! Ms. Diva: What advice could you offer the average person? Sala J: Whatever that passion is that is burning inside of you, follow it! It's there for a reason! Get out of your head trying to understand it, or make it make sense! You can't understand it many times, because it's God's plan, and His thoughts and plans are bigger than ours!! Just follow his instructions!! Go to Target and get the singer sewing machine, and make bow ties!!! Just do it and then one day the pieces of the puzzle will start to come together and you'll see the BIG PICTURE!!! Ms. Diva: What are your dreams and aspirations going forward? Sala J: For the world to know who Sala J is and what she has to offer! I would love to travel as a one stop shop! One of my hashtags is #OneWomanGlamSquad because I can do Hair, Makeup and I'm a Designer ..."Why hire 3 when you can hire Me”! Ms. Diva: What else would you like our readers to know about Sala J... The Designer and Sala Johnson the woman? Sala J: I use my Faith!! God says it’s impossible to please Him without Faith! So I exercise my Faith! I'm a mother of two amazing and Extraordinary Kids Ra and Consuela!! They are what drives me to succeed! I want the best for them, and teach them to go out there and get what God has for them!! I'm loyal, a great friend! I love to laugh and enjoy life!! As a designer I see that the sky is the limit! Love creating it's my passion since I was a very young girl! 113
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Ms. Diva: What tips could you offer the readers of things that could be beneficial for their lives? Sala J: Never give up, no matter what the situation looks like! No matter how dark it gets and how cloudy it looks, remember the sun is on the other side of the clouds, and soon the clouds will pass! The sun will always shine again!! Follow that passion inside of you!! Find and surround yourself with good support!! People that are doing what you are doing, people you can mentor, and those that are where you want to be so you can be inspired and they can lift you up!! Have Faith!! That's the Key! Faith in God, that is the key that will open the doors!!
www.TheRealSalaJ.com
Thank you My Friend, Yours Truly Ms. Diva 114
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Nolcha Fashion Week February 2016 Designer Stevenson University Photo Credit: Memorie 4 Life Photography
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Uptown Fashion February 2016 Designer – Marlene H Couture Photo Credit: Memorie 4 Life Photography
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Go to below website below and Search for Kirk Franklin - Wanna Be Happy? https://www.youtube.com
Kirk Dwayne Franklin (born January 26, 1970) is an American gospel musician, choir director, and author. He is known for leading urban contemporary gospel choirs such as The Family, God's Property and One Nation Crew (1NC), and has won multiple awards, including seven Grammy Awards.
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Brother-Michael Katlow Cox 1-347-495-8811 Facebook: katlow257 / memorie4lifephotography Twitter: @katlow257 / @memorie4life Instagram: katlow257 LinkedIn: Brother-Michael Katlow Cox http://www.memorie4life.com
WELCOME from Brother-Michael Capturing moments also captures a Life Time of Memories and with "Memorie 4 Life Photography" those moments are captured. Our Motto is
Memorie 4 Life Photography, we Believe in, Branding, Integrity, and Quality (B.I.Q.) Brother-Michael "Katlow" Cox looks forward to helping you capture your moments for a Life time.
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FASHIONS
Magazine
March/April 2016
Model/Designer: DMochelle
DMochelle Make Up by “Ashanti Skye White” “Skye MUA”
For Breast Cancer Survivors “Divas Moving Forward”” 130