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Cancer runs in the family 1B · Survivor Stories 2B • Lesser known types of cancer 4B Saturday, October 10, 2015 • Page 1B

Local nurse finds positivite outcome through family and creativity at home Jess Fitzsimons knows better than most how routine checkups can mean the difference between life and death. The Irish-expatriate has been living in Houston since 1994, and in April 2014 a routine breast examination resulted in the discovery of a lump in her right breast. Fitzsimons admits she was somewhat combative with her OB-GYN specialist at first. “We had an argument about it and I know I shouldn’t have as I’m a nurse,” Fitzsimons said. “I had no prior history and no one in my family had it either. I came in for an ultrasound a few days later and they found three in the right breast.” To make matters worse, several weeks later doctors had Fitzsimons undergo an MRI and found that there were two additional lumps in her left breast. For the most part, Fitzsimons said she was calmer than most around her at first. “I took it more like a physician,” Fitzsimons said. “I went into a mode where it was all clinical and everything was amatter-of-fact.” Facing stage-2 breast cancer, Fitzsimons also had to make the decision to undergo a double mastectomy as doctors were very concerned at having cancer in five different places in both breasts. “It sounds strange but it was almost a good thing,” Fitzsimons said. “It was an easier decision to make and it was the natural thing to have them both

removed. Had it been cancer in only one place it would have been a hard decision to figure out what to do but I didn’t have a choice.” Fitzsimons spent six months receiving chemotherapy; however what she didn’t anticipate was losing her hair by the second dose of treatment. Her husband had offered to shave her head and Fitzsimons said the experience became very emotional. Fortunately, she had also had the support of her young sons as well. She can’t help but laugh as she recalls the initial reaction of both her and her boys. “The first thing I noticed is how cold I was,” Fitzsimons said. “When my youngest boys saw me, they started laughing and told me I looked like Smeagol. It wasn’t insulting, they were just being themselves and it made it so much easier.” Losing hair was the first emotional hit and Fitzsimons also recalls the second. “At the beginning of June after the surgery, my sister took me to a special shop for prosthetics,” Fitzsimons said. “Then it just hits you. You see all of these breast prosthesis and you realize you don’t have breasts anymore and it’s never going to be the same. You have to get through it though and life goes on and you realize, well, you’re alive and they are breasts and you can buy new ones.” One thing Fitzsimons wasn’t a particular fan of were wigs, however. She wanted to not only be strong for her See Scarves P. 3B

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Contributed Photo Memorial Hermann Northwest Hospital volunteer and three-time breast cancer survivor Shirley Cato (left) and Memorial Hermann Cancer Center-Northwest Oncology Nurse Navigator Angela Sisk, R.N., help run a variety of programs that help breast cancer patients and survivors in their battle against the disease before, during and after treatment.

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cancer survivor and volunteer at Memorial Hermann Northwest Hospital, is on call to operate the American Cancer Society’s (ACS) Reach to Recovery Program at the Center, which helps people cope with their breast cancer experience from the moment of a possible diagnosis and continuing for as long as the disease remains a personal concern. “Breast cancer patients can come in here and get just about anything they need to help them look better, to help them feel good, to give them hope,” Cato said. “To me, all of these ladies are beautiful. They can come in here with no hair and put on a wig and you just see how good they feel about themselves.” Reach to Recovery is a free program entirely run by volunteers who are breast cancer survivors. The program offers hats, wigs, information, insight and encouragement to women with breast cancer. “I have found this program to be very productive for women battling breast cancer,” Cato said. “There are so many that don’t know about it. They are all so appreciative when they do find out.”

When Shvon Lowe felt a lump in her right breast just before leaving on a ski trip with her sister last February, she was just 34 years old. She went to see her OB-GYN who calmed her concerns but also referred her for a mammogram. “I’d always done breast exams with the physician,” said Lowe. “I thought that maybe it was just fibrocystic changes.” At her mammogram though, Lowe said she could tell by the technician’s look that something was really wrong. Soon, the diagnosis was confirmed – Lowe had breast cancer. That’s when her cousin on her dad’s side shared news about that side of the family’s history with breast cancer. Lowe knew that her grandmother on her dad’s had beaten breast cancer but didn’t know that both her aunts had it too.

“One aunt died in her 30s when I was around 10,” said Lowe. “My other aunt I visited when she was in the hospital. I thought it was cervical cancer. I worked in health care but never thought about a genetic cause of cancer in the family, especially my dad’s side. It never dawned on me.” Lowe went for her genetic testing and tests revealed a mutation in her BRCA1 gene. As the National Cancer Institute explains BRCA1 and BRCA2 are human genes that produce tumor suppressor proteins. These proteins help repair damaged DNA and, therefore, play a role in ensuring the stability of the cell’s genetic material. Approximately 55 to 65 percent of women who inherit a harmful BRCA1 mutation and around 45 percent of women who inherit a harmful BRCA2 mutation will develop breast cancer by age 70

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This month, you’ll be seeing a lot of pink everywhere, including on the football field, and hearing the latest facts and figures about breast cancer.That’s because October is Breast Cancer Awareness Month and it is important to stay informed about preventing, detecting and treating a disease that affects one of every eight women in the United States. But there is more to the battle against breast cancer than mammograms, chemotherapy, radiation treatment and recognizing risk. Memorial Hermann Cancer Center-Northwest offers a variety of programs that help women and their families deal with breast cancer before, during and after they’ve beaten the disease. Many of those programs are made possible by breast cancer survivors who volunteer at the Center. “We’re really lucky at Memorial Hermann Northwest to have so many volunteers helping with our cancer programs,” said Angela Sisk, R.N., the oncology nurse navigator at the Center. Shirley Cato, a three-time breast

in The Heights 1917 Ashland Street Houston, Texas 77008 Tel: 713-757-1000 Physician Referral 713-757-7575

Contributed Photo Jess Fitzsimons (right) and her sister at work. Fitzsimons credits much of her ability to tackle her breast cancer diagnosis with a postiive attitude to the support of her family.

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Photo by Betsy Denson Shvon Lowe said that daughter Sydney has been a great source of comfort.

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My Mother’s second opinion helped save her life!

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Tributes to Survivors Alice Junkin was a breast cancer survivor. She was able to catch the disease early through regular mammograms. She lived several years after being cured of breast cancer. Diana Allen - She was diagnosed with stage 4 Breast Cancer in October 1996. By January, she had had a mastectomy and began 7 months of of intense chemotherapy. She fought this illness along with raising 3 sons, one of whom was only 2 years old with a positive attitude. She attributes her 17 year survival to the great medical service of Texas Oncology, Dr. Janet Macheledt, her wonderful husband, and family and friends who kept her laughing and were by her side for loving support. June Mathews - June is a native New Orleanian and came to Houston in the Katrina evacuation of 2005. Although longing to move back to New Orleans, she decided to make Houston her home away from home. While in the midst of making some career changes, she was diagnosed with Breast Cancer in 2012 right before Christmas. Always a fighter, she did not let this hold her back. June decided to pass on the career opportunity of a lifetime and stated she had to deal with the battle at hand, beating cancer and getting well. After all she had two boys who needed their mother and a loving husband who needed her. June stated God had a plan for her life and she believed cancer was not a part of it. Three years later, all is well and June is cancer free! God certainly had her back as the dream job came back around and the company being so impressed with her integrity and honesty offered her the same position eight months later. A true believer and survivor. Kelly Maxson - Kelly, a graphic designer in Candlelight Plaza, was first diagnosed with breast cancer in 2007, at the age of 36. She had been having routine mammograms in her 30’s due to her family history - her older sister is also a breast cancer survivor. Kelly is healthy now, and says “it’s all about early detection,” which she credits as the key to her survival story. She underwent mastectomies in 2008 and 2009, and she and her husband Denis had their adorable son Gus, a Durham kindergartner, in 2010. When she’s not busy designing logos, invitations, and other graphic design through KFM Design and Sweet Tooth Stationery, you may spot Kelly at the Foster YMCA’s group fitness classes, dining at Doyle’s and other neighborhood favorites, or hanging out with neighbors at a Plaza Moms event.

Alice Junkin

Diana Allen

June Mathews

Kelly Maxson

Lourdes Hernandaz

Verylnne Hammond

Catherine Dewez

Nancy Owens

Emma J “Jeanne” Lara

Lourdes Hernandez - Lourdes counts herself blessed to be here and to have the privilege to serve as a “breast cancer volunteer activist”. Over the last 20 years, she has given her heart, soul, wisdom, passion, and countless thousands of volunteer hours to battling this disease and helping others. Despite multiple diagnoses, Lourdes believes she is fortunate because each diagnosis was made as early as it could have been under the circumstances. Lourdes will tell you that the crucial life-saving nature of early detection “compelled” her to service as a volunteer and activist for breast cancer awareness. Lourdes Hernandez was awarded The Nancy Owens Memorial Foundation’s 2015 Spirit of Courage Award. Verlynne Hammond - Verlynne, affectionately known as Vee Jay was a woman of many talents. She was a licensed cosmetologist for 40 plus years, a Navy Wave /Seaman, Harris County Jailer, TSA Screener and Manager for AT&T. Always a natural in the kitchen, she was a part time Caterer, barbeque pit master, tamale maker and tea cake baker extraordinaire. Diagnosed in her late 30s with Breast Cancer said she had to fight for her three young children as she knew they needed her and she had so much more to teach them. Thank God she fought and stayed the course, as little did she know she would be tasked to raise three more kids. Vee Jay put the work in and poured the love and support into her children and grandchildren. She touched those young lives and today you see the gifts and talents that were certainly passed on to them. Cancer came back a second time around this time to the lungs, brain, liver and bone. Verlynne fought to keep her head up and stay but in the end she said she was tired and was ready to be with God. She was a wonderful mother, grandmother, and a breast cancer survivor who beat all the odds for 40 plus years. She was a strong and hard working woman, whom everyone loved. Verlynne dedicated her life to being the absolute best she could be and making everyone in her life believe they were the best in all things. Verlynne lost her battle to Lung and Brain cancer May 2007. She is always in our hearts.

Rose Durant • Cynthia Edwards • Sandra Allen • Mary York Veleria Harris • Patricia Coleman

In Memory of those who fought Emma J “Jeanne” Lara 10/7/46-10/31/08 - To our courageous Jeanne we will always love you and cherish your memory - sisters, Rose, Amelia, Mary, Molly, Lynn daughters Phyllis and Anita Zendejas and mother, Eulalia Nevarez Nancy Owens - On September 7, 2001, a much loved and well-respected icon in the real estate industry, lost her courageous 20-year battle with breast cancer. One of Nancy’s final wishes, if she had survived her battle with cancer, was to dedicate a large part of her life to the fight against breast cancer and the continued advancement of its research towards finding a cure. It is that very dream that lives on today, and from which the Nancy Owens Memorial Foundation was created. On October 19th, the NOMF Luncheon with speaker Amy Robach will take place at the Hilton Americas Houston. Please visit www.NancyOwens.org for more information.

For one survivor, a second opinion meant a second chance By Jonathan Garris jgarris@theleadernews.com

Cancer survivors like Ellen Frieze know all too well what it means to trust gut instincts. The 62-year-old survivor and mother of local real estate agent, Allen Frieze, was first diagnosed two years ago in May 2012. Before her diagnosis, Ellen stressed that she felt great and wasn’t worried about anything. Cancer had been a part of her mother’s side of the family, across four generations; however she felt fine. Ellen said she felt a bit uneasy when she was asked to repeat her yearly mammogram a day after her appointment. “They said they needed more photos because what they saw looked kind of cloudy,” Ellen said. “That worried me a bit, but it happened once or twice before so I was OK with it.” Two days later, Ellen had another appointment and the pictures came out clearer and her doctor knew something was there. An MRI later showed that something was definitely there. Despite the serious situation, Ellen said she was less than thrilled with the way her doctor handled the situation. A nurse serving under the doctor contacted Ellen to tell her the news, but with only small pieces of information about

the cancer in her breast, and the nurse admitted she didn’t have much information. “I felt like he should have made the call,” Ellen said. After speaking with the doctor, he assured Ellen that what was there was very small and that she could wait several months and have another mammogram done. Ellen instead opted to see a doctor at St. Luke’s Episcopal Health System. Following an ultrasound and biopsy, doctors told her the cancer was aggressive but fortunately at stage zero. Further research also revealed that her cancer wasn’t hereditary but was actually hormonal. “The cancer itself was aggressive but it was still confined,” Ellen said. “We originally thought it was three different spots but it was just two.” Calling her situation scary would have been putting it lightly. “All this time I had been coming to my gynecologist and I had full trust in him,” Ellen said. “I really liked him but I immediately lost confidence in him. I feel like he should have said that something was there and you should go as soon as possible.” Had Ellen waited six months, she said there’s no telling what might have happened. Ellen would go on to have a total mastectomy with immediate

reconstruction several months following her diagnosis. Her son Allen said he was devastated but also relieved to have caught the cancer as early as they did. He was reminded of how lucky his family was at a luncheon supporting breast cancer awareness hosted by the Houston Area Realtors. “One of the things I keep telling her is to be very open with her story,” Allen said. “She comes from a generation where things were held very privately. I’ve encouraged her to talk often about her process and her experience and how people should do what needs to be done.” “I just thank God every day that they found it early and that I’m still here for my family,” Ellen said. “Women absolutely need to have their mammogram done yearly. I know there are some women who haven’t had it done for several years and if I was one of them I would have never known.” Ellen also encouraged those concerned about costs for procedures or tests that need to be completed to move forward with them regardless. One test for Ellen in particular would have totaled around $1,400 and her insurance wouldn’t cover. “$1,400 is a small price to pay to have the rest of your life,” Ellen said.

Contributed Photo Ellen Frieze says she is thankful to be with her family as a cancer survivor, following her diagnosis in May 2012. The 62-year-old survivor said her gynecologist originally told her to hold off on acting on the cancerous tumor found in her breast, but she instead opted to seek out further treatment - a move she said saved her life.

Find out how you can help www.nationalbreastcancer.org • www.the-rose.org

Saturday, October 10, 2015 â&#x20AC;˘ Page 3B

Barbells For Boobs, fitness for charity By Jonathan Garris jgarris@theleadernews.com There might be some bad joke about how the only thing bigger than a CrossFitterâ&#x20AC;&#x2122;s biceps should be their heart, but in the case of All Day CrossFit in the Heights, that might be true. On Oct. 31, the group will once again hold its Barbells For Boobs charity event where athletes will be lifting in support of a nonprofit dedicated to helping provide early detection services for breast cancer. Last year, All Day CrossFit took in about $5,000 in do-

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The Center also provides free breast prostheses and two mastectomy bras to uninsured and underinsured individuals who have undergone mastectomy through the Breast Prostheses Program. Women who are actively undergoing cancer treatment can also turn to The Look Goodâ&#x20AC;ŚFeel Better Program, which teaches beauty techniques to women who are combating the appearancerelated side effects of radiation and chemotherapy. Other programs, like CanCare, pro-

nations, owner J.C. Saegusa said. Barbells For Boobs is a nonprofit which dedicates its funds to help find ways to help and provide resources for those who need access to detection services. The event begins at 8 a.m. and is open to the public. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s really a community event,â&#x20AC;? Saegusa said. â&#x20AC;&#x153;We invite a number of surrounding CrossFit Gyms to come in and participate as well. The workout we have planned is one minute max deadlifts and one minute max shoulder-tooverhead. The idea behind it

is to pledge a certain amount of money per rep to help donate.â&#x20AC;? As an example, a 15-centper-rep pledge at 100 reps would be a $15 donation. In the time leading up to the event, members of All Day CrossFit have been accepting individual donations as well. Barbells for Boobs has the distinction of working through programs like CrossFit and major organizations like Reebok and appeals to athletes of all skill levels whom Saegusa said are warmly invited. â&#x20AC;&#x153;We go over the instructions

and we keep the movements simple,â&#x20AC;? Saegusa said. â&#x20AC;&#x153;The weight wonâ&#x20AC;&#x2122;t be too much and weâ&#x20AC;&#x2122;re not worried about people getting injured. Itâ&#x20AC;&#x2122;s a great way to generate donations and itâ&#x20AC;&#x2122;s always great to have a lot of people from the community come out for the event. Last year everyone was dressed up in pink, too.â&#x20AC;? All Day Crossfit is located at 716 W. 17th St. and signup information can be found online at www.alldaycrossfit.com/ boobs. For more information, call 932-324-9348.

vide emotional support and guidance through one-on-one interaction between patients and survivors. Sisk even runs a chair yoga class for patients each week. â&#x20AC;&#x153;The battle against breast cancer can be a really tough journey that extends beyond direct treatment of the disease,â&#x20AC;? Sisk said. â&#x20AC;&#x153;We have the programs, the people and the experience here to really support our patients.â&#x20AC;? For those who have beaten the disease, breast cancer rehabilitation is available

through TIRR Memorial Hermann-Northwest and offers individualized treatment for survivors suffering from fatigue, weakness, difficulty using arms, nerve damage, joint pain, lymphedema or osteoporosis. There is also lifelong follow-up for survivors through the ACS Registry, which helps them develop diet and exercise plans and schedule checkups for the rest of their lives. Genetic counseling, which can help determine if patients or family members are at risk for breast cancer or other

forms of the disease, is also offered at the Center twice each month. The Center is one of only two breast centers accredited by the National Accreditation Program for Breast Centers in Houston. For more information on the programs available at the Center, call 713-8674668 or go online to memorialhermann.org/northwest, or visit at 1635 North Loop West, Houston, TX.

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Scarves from P. 1B family and coworkers, but also look strong. â&#x20AC;&#x153;I didnâ&#x20AC;&#x2122;t want them to be scared or afraid in some sense,â&#x20AC;? Fitzsimons said. â&#x20AC;&#x153;I also had an employee who, before I was diagnosed, got diagnosed with cancer in one breast and she was not taking it well at all and I wanted to be there for her.â&#x20AC;? Fitzsimons channeled a bit of her creative energy into making elegant scarves and writing poetry â&#x20AC;&#x201C; sometimes happy, sometimes sad, but always a reflection of how she felt. The scarves were made with all sorts of flowers, pins, fabrics and other materials which she wrapped around herself and drew plenty of attention from patients, friends and passersby alike. â&#x20AC;&#x153;Everywhere I went, from Kroger to parties, people would ask me where they could buy the scarves,â&#x20AC;? Fitzsimons said. â&#x20AC;&#x153;I think itâ&#x20AC;&#x2122;s important for women going through this to focus on one thing that you are happy with, whether itâ&#x20AC;&#x2122;s learning new recipes or taking up photography, itâ&#x20AC;&#x2122;s important to pick something so that by the end of it all youâ&#x20AC;&#x2122;ve done something good in that bad time.â&#x20AC;? She also stressed a need for women to be able to vent and let go of some of their anger over their situation. â&#x20AC;&#x153;A lot of us stronger women hide all of this pain and you do need to vent and need one person, and it could be a husband or friend, but someone who you can say anything to and they donâ&#x20AC;&#x2122;t have to answer back,â&#x20AC;? Fitzsimons said. â&#x20AC;&#x153;It would be strange to not have feelings of anger and you need a place to release it and itâ&#x20AC;&#x2122;s just as important as taking a hobby.â&#x20AC;? Also just as important is choosing the right doctor or place for treatment. Fitzsimons, who received her treatment at Memorial Hermann Northwest Hospital, credits oncologists like Dr. Vinod Bhuchar as some of the most humble physicians she has ever met. â&#x20AC;&#x153;Iâ&#x20AC;&#x2122;ve worked with many in the medical field and I felt like I was his only patient,â&#x20AC;? Fitzsimons said. â&#x20AC;&#x153;We actually spent a lot of time laughing over things and the nurses were all wonderful. It sounds strange but I had a very good experience going through what I went through.â&#x20AC;?

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Keep mindful about screenings Early Detection For The Leader Memorial Hermann Northwest Hospital Getting into the habit of performing self exams and staying realistic about cancer are two important things women need to be mindful of in the months beyond Breast Cancer Awareness Month, Dr. Neelofur Ahmad, a radiation oncologist affiliated with Memorial Hermann Cancer Center-Northwest, says. “It’s true that the vast majority of lumps found turn out to be benign,” Ahmad said. “That being said, the vast majority are detected through mammograms rather than feeling lumps. The majority of cancers found are small compared to how they were found years prior due to the adoption of earlier methods and timelines for screening.” Ahmad said women should

focus on working to individualize screening and care with their doctor, and points out that once a woman reaches the age of 40 there is no simple one-size-fits-all recommendation. “At 40, women should likely be screened every other year,” Ahmad said. “At 50, there has been some controversy between different bodies in the medical field but most women should be screened every year.” It’s also important to not only choose a high quality place to get screened but also to return to that same place every year if possible. This can be a challenge if someone moves or has changes to their insurance, however. “Which places a woman can go to is often dictated by insurance companies, but going to the same place makes it less likely something will be missed,” Ahmad said.

Neelofur Ahmad Patients also tend to naturally be stressed and immediately worry about getting cancer when feeling something abnormal in their breasts. Ahmad stresses that the odds might actually be in their favor in terms of not having cancer. “Of all the vast majority of things felt, only maybe 30 percent or so will require further intervention,” Ahmad said. “Once we do a little bit more testing, most will come back with a benign diagnosis.”

Another advantage in the medical field is the use of breast tomosynthesis, or three dimensional mammograms, which can be helpful in detecting tumors that might otherwise be too hard to see, Ahmad said. In choosing an establishment with efficient care, Ahmad also points to Memorial Hermann Northwest where each patient diagnosed receives a multidisciplinary team evaluation, where information is presented to radiation oncologists, physicians, surgeons and other doctors. “They actually end up getting input from the physicians that all come to the conference to help ensure care is cooridnated,” Ahmad said. “In terms of care, it’s a one-stopshop for our patients.” For more information about Memorial Hermann Imaging & Breast Care Center Northwest, call 713-867-3336.

Lesser known types of breast cancer For The Leader Many people have been touched by breast cancer. Whether you have dealt with your own diagnosis or that of a friend or family member, the prevalence of breast cancer has left few people without a story to tell about a personal experience with this potentially deadly disease. According to Breastcancer. org, a nonprofit organization dedicated to proving reliable, complete and up-to-date information about breast cancer, roughly one in eight women in the United States will develop invasive breast cancer over the course of her life, while the Canadian Breast Cancer Foundation notes the figures are slightly more optimistic in Canada, where one in nine women is expected to develop the disease during her lifetime. Many of the women who develop breast cancer will be diagnosed with invasive ductal carcinoma, or IDC, which the National Breast Cancer Foundation notes is the most common type of breast cancer, accounting for between 70 and 80 percent of all diagnoses. While women and even men who develop breast cancer are

most likely to be diagnosed with IDC, there are less common forms of breast cancer, and learning about these rare cancers may help save your life or that of a loved one. Medullary carcinoma Though medullary carcinoma diagnoses are rare, this is an invasive type of breast cancer that begins in the milk duct and spreads beyond it. The tumor that forms when a person has medullary carcinoma is a soft and fleshy mass. Medullary carcinoma cells typically appear like aggressive, abnormal cancer cells, but these cells do not grow quickly and often do not spread outside the breast to the lymph nodes, which makes medullary carcinoma a relatively easy cancer to treat. Medullary carcinoma can occur at any age, though it typically affects women in their late 40s and early 50s. Tubular carcinoma Tubular carcinoma is a type of IDC that starts as small, tube-shaped structures known as tubules that appear similar to normal, healthy cells. Tubular carcinoma cells grow slowly and are unlikely to spread outside of the breast, and, for that reason, tubular carci-

noma typically responds well to treatment. Though tubular carcinoma once accounted for a very small percentage of breast cancer diagnoses, they are now being diagnosed more often, thanks in large part to the prevalence of screening mammography that has been catching cases of breast cancer before doctors feel a lump. Tubular carcinoma may feel less like a lump and more like a cushiony area of breast tissue. Mucinous carcinoma Mucinous carcinoma is also a rare type of IDC in which tumors are made up of abnormal cells in mucin, which is a part of mucus. Many types of cancer cells, including the majority of breast cancer cells, produce some mucus, which lines most of the inner surface of the normal human body. But when a person is diagnosed with mucinous carcinoma, the mucin has become part of the tumor, so when examined under a microscope, the cancer cells appear to be scattered in pools of mucus. Mucinous cancer can affect people at any age, though it is especially rare in men and most often diagnosed in women after they have gone through menopause. Mucinous

carcinoma is a less aggressive type of breast cancer than others and is less likely than other types to spread to the lymph nodes. As a result, it typically responds well to treatment. Paget’s disease of the nipple Paget’s disease of the nipple is characterized by breast cancer cells that collect in or around the nipple. The cancer typically affects the ducts of the nipple first before spreading to the nipple surface and areola, which is the dark circle of skin around the nipple. Both the nipple and areola can and likely will become irritated, itchy, red, and scaly when a person has Paget’s disease, and these signs may be the first indicators that breast cancer is present. While Paget’s disease of the nipple is rare, the National Cancer Institute notes the importance of recognizing its symptoms, as 97 percent of people with Paget’s disease also have cancer elsewhere in the breast. Though the NCI notes that Paget’s disease can develop in both men and women, it is more common in women, among whom the average age for diagnosis is 62.

Lesser-known symptoms of breast cancer For The Leader Public perception that breast cancer is only identified by lumps detected through self-examination or routine mammography may prevent thousands of women from receiving an early diagnosis and the care they need. Although lumps are the most common symptom associated with the disease, women should recognize that breast cancer can produce additional symptoms. Susan G. Komen for the Cure, one of the premier organizations for breast cancer research, advocacy and treatment, advises that the warning signs for breast cancer are not the same for all women (or men). Various changes in the breast and body can occur, including the following conditions.

Breast-size changes: Many left and right breasts are not completely symmetrical, and women familiar with their bodies know that one breast is often slightly larger than the other. However, breast-size changes that occur out of the blue may be indicative of a medical problem. Skin rash or redness: Women who are breastfeeding can experience a rash on the breasts from an infection of breast tissue. But those who are not breastfeeding should be evaluated by a doctor if redness, irritation or rash appears. Nipple changes: Nipple discharge that starts suddenly and is not associated with breastfeeding can be indicative of cancer. Other

changes to the nipples, such as pulling in of the nipple (inversion) or itchy, scaling skin on the nipple, should be brought to the attention of a doctor. Changes to the skin: Dimpling of the skin, peeling, flaking, or scaling skin can be a cause for concern as well. Lumps elsewhere: Cancerous tumors may not only be felt in the breasts. Breast cancer can spread to the lymph nodes around the breasts, and lumps may be felt under the arms. Unexplained pain: The Mayo Clinic advises that less than 10 percent of people diagnosed with breast cancer report pain as a symptom. But unexplained pain in an area of the breast should

not be ignored. Breast pain that does not go away and seems to involve one area of the breast should be checked. Fatigue: General cancer symptoms can include unusual fatigue and unexplained weight loss. These symptoms should not be left unchecked. One of the best things women and men can do is to familiarize themselves with their bodies so they will be more capable of pinpointing any irregularities that may develop. Individuals can routinely look at their breasts and inspect for subtle changes. But remember that hormonal breast changes occur during the menstrual cycle, so itÕs best to be familiar with how breasts look and feel both during and after menstruation.

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According to the US Center for Disease Control and Prevention, breast cancer in the most frequently diagnosed cancer in women in America. Estimates suggest that one in eight will face the fight at some time in her life, and about 40,290 women will lose that battle this year. While the diagnosis is alarmingly frequent - even epidemic - the journeys to recovery vary dramatically. Different types of cancer, lumpectomies, single or double mastectomies, reconstruction, and follow-up treatments are only some of the variables that make each woman’s path different. There is also a new variant taking hold worldwide – the choice to be “Flat and Fabulous.” Founded in 2013, Flat and Fabulous is a nonprofit agency advocating and providing support for the brave women of the world who are living post-mastectomy, and have chosen to forgo reconstruction. Until recent years, few opted out. “Flat and Fabulous has been wonderful and empowering,” said celebrated Heights artist and married mom of two, Thedra Cullar-Ledford who was diagnosed at 43. “I have many friends across the world now, and so much support from them. We laugh and cry together. I may still be adjusting, but I have never felt less feminine without my breasts, not even for one second.” “I am not my boobs,” said Houston Heights Woman’s Club member and animal advocate, Lisa Cari, who was diagnosed at 41 and made the same decision. “It was actually liberating for me. Now I can go for runs and my breasts are not bouncing up and down, and I love slipping into a pretty camisole. I have no regrets.”. Both women were diagnosed with only one breast implicated, but chose a double mastectomy “preferring symmetry,” they said. In the case of Cullar-Ledford, it was a lifesaving decision. “I went to sleep in the the operating room and woke up afterward with my husband standing over me saying, it was a good call,” Cullar Ledford said. “They found cancer

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Contributed Photo Local artists Jarrod Gulllett and Travis Johns wear tee-shirts designed by Heights artist Thedra Cullar-Ledford to show their solidarity for “Flat and Fabulous”

in my second breast that had evaded detection before its removal. What surprised me the most was that I also woke up with replacement breasts. No one gave me a choice or told me to expect that, so I didn’t.” For the next three weeks, Cullar-Ledford suffered from an infection surrounding her new silicone breasts. Finally, her oncologist, who did not perform the initial reconstruction, removed the unexpected additions in emergency surgery. “After the plastic was taken out, I decided that was it,” Cullar-Ledford said. Why would I want to add more trauma to my body, or potentially more chemicals? Plus, fake boobs can obscure the detection of recurrence. And what no one tells you is that fake boobs only last about 10 years. You have to replace them - like tires! I said to my plastic surgeon, who was a man, ‘I don’t like your gift shop. I don’t like your parking garage, and I am not spending the rest of my life coming here.” More and more women are making the same choice and celebrating it. Last month in New York City, Glamour magazine did a photo shoot with a topless “Flat and Fabulous” breast cancer survivor, and CNN is about to release a story on this growing movement. “Now I want to help other women through this lifechanging event and empower

HHWC’s 115 year effort

them to fully consider their options. I kind of feel like it’s a calling for me; I want to help others to stay abreast of their alternatives,” Cullar-Ledford said, noting the pun. “I used to really like my rack, but I can always get another one if I want. Let’s face it: Flat and Fabulous is a healthier choice. And really, no one looks at your boobs after the the age of 22 anyway.”

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FALL FAMILY FUN DAY Bring your family to meet ours and join us for a day of healthy fun, food and festivities for everyone! Saturday, October 24 10 a.m. – 2 p.m. • Visit with Life Flight® crew members • Take part in traditional tailgate games & giveaways • Catch college football action on our outdoor big screen TV • Play in the Pumpkin Patch & Hay Maze • View creations by local artists • Enjoy great food from neighborhood restaurants • Take home a new pet • Free parking To register, please call 713.222.CARE (2273). Memorial Hermann Greater Heights 1635 North Loop West Houston, TX 77008

The Houston Heights Woman’s Club (HHWC) has been serving the community since 1900 and on Sunday, Sept. 28, about 25 of its members met at the clubhouse on Harvard St. to do it again. The women assembled 100 toiletry bags for donation to homeless women in the care of the Star of Hope Mission. This year, the HHWC will donate more than 400 of the toiletries bags to help women at the shelter

maintain their dignity. Each bag is hand-sewn by club members, then filled with essentials such as shampoo, toothpaste and other items that most of us take for granted, but are in dire need at the shelter. When full, each contains 12 items and is then carefully secured with a ribbon and distributed by the mission. It is the sort of gracious effort that has defined the HHWC for the past 115 years.

Greater Heights L O C A T E D A T 61 0 A N D E L L A B LV D

Page 6B â&#x20AC;˘ Saturday, October 10, 2015

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By Jonathan Garris jgarris@theleadernews.com It has been a long road for Candlelight Plaza resident Kelly Maxson, 43, who had first been diagnosed with breast cancer in 2007. Cancer seemed something of a family affair and Maxson says she was 30 when her older sister had previously been diagnosed. â&#x20AC;&#x153;I wasnâ&#x20AC;&#x2122;t surprised,â&#x20AC;? Maxson said. â&#x20AC;&#x153;I donâ&#x20AC;&#x2122;t know why. It was discovered when it was stage zero so I was never afraid I was going to die.â&#x20AC;? At that time, Maxson chose to have a mastectomy rather then a lumpectomy as she would not have to endure chemotherapy or deal with the subsequent medication. â&#x20AC;&#x153;It wasnâ&#x20AC;&#x2122;t a hard choice, either,â&#x20AC;? Maxson says. â&#x20AC;&#x153;It was a little weird â&#x20AC;&#x201C; they cut the nipple and everything off and the whole deal â&#x20AC;&#x201C; and I know people can be really attached to their breasts.â&#x20AC;? Maxson would undergo mastectomies in 2008 and 2009 and she says it was the routine mammograms that helped keep her heathly. She and her husband Denis had their son Gus in 2010, and he now attends kindergarten at Durham Elementary. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s definitely all about early detection,â&#x20AC;? Maxson said. â&#x20AC;&#x153;I donâ&#x20AC;&#x2122;t understand why people get so scared because if you donâ&#x20AC;&#x2122;t do anything itâ&#x20AC;&#x2122;s only going to get worse, so the earlier the better.â&#x20AC;? Maxson said that same principle should apply to any aspect of health. This stood true for her when, in 2011, her leg suddenly became deeply swollen while attending a bachelorette party. After receiving an ultrasound, doctors found a blood clot which they later removed; however testing subsequently revealed it was caused by another form of cancer. To make matters worse, doctors also found she suffered from Li-Fraumeni Syndrome, a

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Contributed Photo Kelly Maxon (left) joined other friends for an annual fundraising event at a local CrossFit for Barbells for Boobs, which raises money for women seeking early breast cancer detection and screening.

rare genetic condition that increases the risk of developing several types of cancer. The condition is caused by a mutation in the gene TP53 which normally controls cell growth and prevents tumors from forming. Those with LFS have a TP53 gene which doesnâ&#x20AC;&#x2122;t function properly. On top of this, Maxson said doctors also later discovered a mass in her lower vertebrae in 2013, and December of that year she had surgery and rods placed into her back. Going through multiple bouts of cancer, including breast cancer, requires plenty of support from friends and family which Maxson said sheâ&#x20AC;&#x2122;s thankful for. â&#x20AC;&#x153;My husband is kind of a rock,â&#x20AC;? Maxson said. â&#x20AC;&#x153;Heâ&#x20AC;&#x2122;s my memory in some ways. You got these appointments and he remembers everything and heâ&#x20AC;&#x2122;s a bit of a researcher and has helped find herbal supple-

ments and all kinds of things to make the treatment easier.â&#x20AC;? For those who know someone who may be facing the uncertainty of a cancer diagnosis, sometimes just listening is enough, Maxson said. â&#x20AC;&#x153;The best thing would be people who would come over and visit,â&#x20AC;? Maxson said. â&#x20AC;&#x153;Iâ&#x20AC;&#x2122;m not talking about bringing food or giving a gift. The best thing people did was that they came and sat in my bed and watched TV. It was always nice to just sit and talk.â&#x20AC;? Maxson spent her time staying busy with CrossFit and fitness classes at the local YMCA and also kept working in graphic design, putting together logos, invitations and other creations. â&#x20AC;&#x153;I donâ&#x20AC;&#x2122;t want people to be afraid,â&#x20AC;? Maxson said. â&#x20AC;&#x153;You canâ&#x20AC;&#x2122;t be scared of it and you canâ&#x20AC;&#x2122;t have any regrets. You can only move forward.â&#x20AC;?

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Contributed Photo Maxson (left) said she had enormous support and encouragement from her husband, Denis, and her son, Gus, who was born in 2010.

Family from P. 1B years. Nearly 40 percent of women who inherit a harmful BRCA1 mutation and up to 17 percent of women who inherit a harmful BRCA2 mutation will develop ovarian cancer by age 70 years. Lowe came to learn that on her paternal side 19 women had the gene mutation and 14 of them had breast cancer. â&#x20AC;&#x153;It was tough to take,â&#x20AC;? said Lowe, whose sister had to leave the country soon after her diagnosis. The sister reached out to others online to offer Lowe assistance and within an hour of the online post Lowe got a call from Dr. Jennie Bennett with Reconstruction of a Survivor to recommend doctors at MD Anderson. â&#x20AC;&#x153;By Friday, I knew what the plan was going to be,â&#x20AC;? said Lowe. â&#x20AC;&#x153;It was very comforting to have a plan.â&#x20AC;? Lowe went through two courses of chemotherapy. The first was four rounds, one every other week. â&#x20AC;&#x153;I was a little tired, and lost my hair, but was still able to volunteer for the rodeo and my daughterâ&#x20AC;&#x2122;s Girl Scout troop,â&#x20AC;? she said. The second series was harder on her body but the end result made up for it â&#x20AC;&#x201C; a 98 percent reduction in the one cancerous cyst and no need for radiation. â&#x20AC;&#x153;God gave me the peace,â&#x20AC;? she said. â&#x20AC;&#x153;I want to celebrate and be strong, and support others while carrying the mission of education forward,â&#x20AC;? said Lowe. â&#x20AC;&#x153;People need to know to ask the right questions.â&#x20AC;? Lowe is grateful too to the community at St. Rose of

Lima where her daughter attends school. â&#x20AC;&#x153;They are like my family,â&#x20AC;? she said. â&#x20AC;&#x153;They threw my daughter a birthday party this year when I was in recovery after surgery.â&#x20AC;? She regularly attends support group meetings with Reconstruction of a Survivor, speaking engagements with Sisterâ&#x20AC;&#x2122;s Network and is performing with 17 other survivors - and the Texans Cheerleaders - this week at the game. In the future she might write a play with the proceeds going towards financial assistance for cancer patients. Because of the gene mutation, there is a chance that the cancer could reoccur and for this reason Lowe opted for a double mastectomy. She will also have a hysterectomy in the near future. â&#x20AC;&#x153;I have elected to do it, but itâ&#x20AC;&#x2122;s hard,â&#x20AC;? said Lowe, who still has an ultrasound every six months until she has the procedure. â&#x20AC;&#x153;I have a 9-year old daughter and had considered having other children but Iâ&#x20AC;&#x2122;m glad to have her. My daughter told me, â&#x20AC;&#x2DC;Mommy, it will be OK. I just want you to be here.â&#x20AC;&#x2122;â&#x20AC;? At 18, Sydney will be eligible for testing too. â&#x20AC;&#x153;She told me, â&#x20AC;&#x153;Maybe it will skip me but we will know what to do,â&#x20AC;&#x2122;â&#x20AC;? said Lowe. With just three months of being cancer free, Lowe now sees herself as part of an army with a common goal â&#x20AC;&#x201C; victory. â&#x20AC;&#x153;[Survivors] pride ourselves on giving back,â&#x20AC;? she said.

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Cancer and Genetics Retired oncologist Theodore Tenczynski, M.D., C.T.R., still works at Memorial Hermann Northwest Hospital through the American Cancer Society Registry. He makes the point that while 5% of breast and ovarian cancers have a genetic cause, the other 95% are not genetic but due to other risk factors. â&#x20AC;&#x153;Women need to make sure to get their annual mammogram done in the same place each year,â&#x20AC;? he said. â&#x20AC;&#x153;It makes a big difference.â&#x20AC;? Dr. Tenczynski said that women should also choose a place with accreditation because those facilities have excellent equipment and physicians. â&#x20AC;&#x153;One out of every eight women receives a breast care diagnosis,â&#x20AC;? said Dr. Tenczynski. â&#x20AC;&#x153;The more you understand, the more chance you have to prevent it or pick up on it as soon as possible.â&#x20AC;? With regard to the BRCA gene, Dr. Tenczynski said that the National Comprehensive Cancer Network (NCCN), an alliance of the worldâ&#x20AC;&#x2122;s leading cancer centers, offers guidelines about when to be tested. First is early onset age of cancer diagnosis (age 50 or before); second is a diagnosis of triple negative breast cancer before age 60; third is two breast cancer tumors, either at the same time, or from a second instance, fourth is a close blood relative with breast cancer before age 50 or ovarian cancer at any age; fifth is any woman with ovarian cancer; and sixth is any man with breast cancer. For every 100 women diagnosed with breast cancer, a man receives a breast cancer diagnosis. Because of the Affordable Care Act, insurance will pay for 100% of the testing for qualified people, according to Dr. Tenczynski.

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MANNA - DONATIONS AND VOLUNTEERS NEEDED: Your neighborhood thrift store appreciates any and all donations. We can arrange pickup for large items or large donations. Call 713-686-6440 or donate at 1806 W. 43rd St. Thank you. (TF)

GARAGE SALE: Saturday, Oct. 10, 7:30 a.m.-3 p.m. 1034 W. 17th St. Electrical appliances, linens, and housewares.

702 E. Whitney - 77022 Thur 10/22 - 9 to 2 Fri 10/23 - 9 to 3 Sat 10/24 - 9 to 3 Mid Century, lots of antiques, tools, Noritake China

GARAGE SALE: 5906 DeLange, Oct. 9 and 10. Portable basketball goal, truck tool box, remodeling items, bird bath, hardware, collectables, dishes.

MULTI-FAMILY GARAGE SALE: Saturday, 8 a.m. Household items, mens and womens clothing, tools, small appliances. 1167 Chamboard Ln.

GARDEN OAKS BAPTIST CHURCH PARKING LOT RUMMAGE SALE: 3206 N. Shepherd, Friday, Oct. 9, Saturday, Oct. 10, 8 a.m.-4 p.m. Lots of bargains.

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MED./SURG. NURSE POSITION AVAILABLE: BSN preferred with BLS. Night and day shift positions available. 713-867-2317. MECHANIC WITH EXPERIENCE on Econoline vans needed. Experience with A/C, alternators, brakes and suspension. Tools required. Salary commensurate with experience. 713-681-3600. (TF) You simply canâ&#x20AC;&#x2122;t find a better advertising value than The Leader.

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EMCO Press has an Immediate opening for a press helper/second man. Experience required. Good pay and benefits/ Resume to Steve@emcopress.com or apply at 4935 Milwee St., Houston, TX 77092 Office AssistAnt/BOOk keeper WAnted fOr LAndscApe cOmpAny Looking for someone with experience in Quick Books Pro, Excel & Word. To do bookkeeping, data entry and general office duties. This position requires 30+ hours per week and would be a great job for a semiretired person. We have a clean & friendly office located in NW Houston off 290 & Pinemont Dr. Call 713-680-0658, ask for Lulu/Jon, or email: EMLDI@yahoo.com

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SPECIAL OCCASIONS CHARMING VENUE FOR YOUR NEXT GATHERING: Houston Heights Womanâ&#x20AC;&#x2122;s Clubâ&#x20AC;&#x2122;s Historic Bungalow, perfect for small events. Recitals, luncheons, fundraisers - events up to 100 people. Grand piano, stage, round tables, small catering kitchen. Call Lizz Martin, 281-217-6070, regarding this Heights landmark.

713.686.0627

email Resumes to contact@sicolaflorist.com

PETS

HVAC/R Parts & Delivery

M&M Pet Sitting

Commercial Experience a plus. Must have good TDL. FT & year round work. Fax: 713-686-1512 Call: 713-861-9173 email: txrefrig@aol.com

Affordable Pet Care In Your Home Will Treat Your Loved Ones As My Own

Mitzi Bonded

ADULT CARE COMFORT KEEPERS: Inhome senior care services, 713-974-6920. Call today to schedule a free in home consultation. (TF) AFFORDABLE SENIOR CARE: Companionship, light housekeeping, meal preparation, medication monitoring, transportation. 713-9568183, 24/7. (10-24)

WORK WANTED HANDYMAN SAVES YOU MONEY: Plumbing, electrical, carpentry. 281-6600350.

15)#+ 42!3( (!5,).' â&#x20AC;˘ Garage Cleaning â&#x20AC;˘ Fence Debris Removal â&#x20AC;˘ Demolish Free Estimates â&#x20AC;˘ All Concrete DISCOUNTED RATES

- ",

Ă&#x2021;ÂŁĂ&#x17D;Â&#x2021;xĂ&#x201C;Â&#x2122;Â&#x2021;{ÂŁĂ&#x2021;{ Ă&#x2021;ÂŁĂ&#x17D;Â&#x2021;Ă&#x2021;Ă&#x201C;Ă&#x17D;Â&#x2021;Â&#x2122;Ă&#x2C6;nÂ&#x2122;

Since 1976

â&#x20AC;˘ Grooming â&#x20AC;˘ Boarding â&#x20AC;˘ Pet Supplies 9900 N. Houston Rosslyn

713-849-9000

www.royaltypetcenter.com

t %0( 4"-0/ )05&-

Call for appointment

713-682-1158

5800 N. Houston Rosslyn Houston TX 77091 Tues. & Thurs. 7am - 6pm Wed., Fri. & Sat. 8am-5pm

Northwest Houstonians have been getting results with Leader classified ads for more than 60 years.

CARPET & FLOORING

Ă&#x2021;Ă&#x160; 9-

(!5, !7!9 &!34

Must have experience dealing with seniors. Apply in person and fill out application No phone calls accepted

2121 Pinegate Mon-Fri 8am-4pm

Business or Home

â&#x20AC;˘ Appliances â&#x20AC;˘ Yard Debris Garage Clean Outs Free Estimates CALL Manny Insured

281-414-8698

Cell (713)444-8517 (713)682-5246

Royalty Pet Center

No Job Too Large Or Small

Part time and Full time Care Associates

(77055) near Longpoint www.thaiuniquehealing.com Looking to hire good local people? Leader classifieds get great response and cost less than the daily paper.

BUS DRIVERS NEEDED FOR CHURCH SHUTTLE: Approximately six hours a week. Must have CDL and passenger endorsement. Call 713-681-3600. (TF)

Upgrades, Installation, Conď&#x192;&#x17E;guration (Virus-Removal) Home - NetWorking

ALL OF YOUR FLOORING NEEDS: Installation, sales and serviceâ&#x20AC;Śyours or mine. Carpet restretch and repairs also. Call Sam, 713-5825500. (TF)

LAWN & GARDEN GUIDE LEt thEsE pRofEssIoNALs AssIst yoU WIth yoUR LAWN & GARDEN NEEDs TREE CARE

PROFESSIONALS

Comm.-Res. â&#x20AC;˘ Trimming â&#x20AC;˘ Removal â&#x20AC;˘ Stump Grinding â&#x20AC;˘ Planting â&#x20AC;˘ Pruning â&#x20AC;˘ Trash Hauling Free Estimate â&#x20AC;˘ Insured Lino 281-704-6828

Stump GrindinG Residential Commerical From $50 23 Years Experience Free Estimates

832-434-7101 Salazar TreeS

Verdeco

Professional Lawn Care Verdecolawncare@gmail.com

713-703-6406

Also Now Hiring Experienced with Driverâ&#x20AC;&#x2122;s License Apply 7am at 5608 Hoover Houston, TX 77092

713.686.6470

â&#x20AC;˘ Professional Lawn Care â&#x20AC;˘ Mowing/Mulching â&#x20AC;˘ Landscape Installation â&#x20AC;˘ Fertilizing

Salazar TreeS

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â&#x20AC;˘ Tree Removal â&#x20AC;˘ Trimming â&#x20AC;˘ Topping â&#x20AC;˘ Stump Grinding â&#x20AC;˘ Pruning â&#x20AC;˘ Dangerous Tree Removal â&#x20AC;˘ 23 yrs experience Free Est.

Lawn Care

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832-434-7101

FREE ESTIMATES â&#x20AC;&#x201C; 17 Yrs. Exp.

(281) 948-4879

Espinoza Lawn & Garden Irrigation Drainage Systems Tree Trimming â&#x20AC;˘ Wood Fences Flower Beds â&#x20AC;˘ Fertilizing

FREE ESTIMATES 713-290-0485 832-573-9229

Stump GrindinG Professional Work 713-301-8584

YouR Ad cAn Run hERE call 713-686-8494 For details

Lawn Maintenance Landscape & Design Sprinklers/Drainage Systems Free Estimates

Complete Tree Service

w Trimming w Pruning w Topping w Removal w Stump Grinding Comm. Res. (ofď&#x192;&#x17E;ce) 713-545-3677 Free Estimates â&#x20AC;˘ Reasonable Rates â&#x20AC;˘ Insured

U S Tree Experts

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Frank Zenil

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1/""

Alâ&#x20AC;&#x2122;s

Experienced LAWN & TREE SERVICE Landscaping â&#x20AC;˘ Insured Satisfaction Guaranteed

WEAvERâ&#x20AC;&#x2122;s LANDscApING & sERvIcEs Lawn Maintenance Pros

$5 Off first Cut $100 Mulching Special Free Estimates

832-370-3258

office@mashues.com

Mower Parts and suPPly Parts â&#x20AC;˘ sales â&#x20AC;˘ service

lawn equipment â&#x20AC;˘ small engine chainsaw

4560 W 34TH ST @ MANGUM 713-686-8306 NEXT TO FIESTA TACOS w w w. m o w e r p a r t s s u p p l y. c o m

Ă&#x160;/, Ă&#x160;- ,6

â&#x20AC;˘ Tree Removal â&#x20AC;˘ Trimming â&#x20AC;˘ Pruning â&#x20AC;˘ Stump Grinding â&#x20AC;˘ Lot Clearing Free Estimates â&#x20AC;˘ Bonded - Insured www.medinatreeservicehouston.com hotmail: nicolas.medina15@hotmail.com

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New Horizons

Cut â&#x20AC;˘ Weed Eat â&#x20AC;˘ Blow

Lawn Maintenance Landscaping & Design Sprinkler Repair Residential/Commercial Free Estimates Taylor Herrmann

Weekly â&#x20AC;˘ Bi-weekly â&#x20AC;˘ 1 Time service Free Estimates Lifelong Oak Forest Resident lowcostlawnstx@yahoo.com

YouR Ad cAn Run hERE

713-298-4628

call 713-686-8494 For details

Al Rojas 713-863-7310 Cell 713-416-1092

We accept all major Credit Cards

713-688-4244 David Bartula

Wilberâ&#x20AC;&#x2122;s Tree Service

Residential/Commercial FREE ESTIMATES/Credit Cards

â&#x20AC;˘ Landscape Design & Installation â&#x20AC;˘ Maintenance â&#x20AC;˘ Irrigation â&#x20AC;˘ Drainage â&#x20AC;˘ Lighting â&#x20AC;˘ Hardscape (pavers, flagstone, concrete)

LUXURY LAWNS

20 yrs. exp.

012*$/&+!&+$

713-301-8584

RANGER

Trimming â&#x20AC;˘ Planting Removal â&#x20AC;&#x153;Train up your trees in the way they should grow.â&#x20AC;? â&#x20AC;˘ A+ Rated â&#x20AC;˘ Free Estimates â&#x20AC;˘ Insured â&#x20AC;&#x153;Making Thousands of Houston Trees Healthy & Beautiful for over 33 yearsâ&#x20AC;? 713-690-tREE (8733) Call or Text

#ALL TODAY BEAUTIFUL HOME TOMORROW

â&#x20AC;˘ Landscape Installation â&#x20AC;˘ Weather Damage Replacement â&#x20AC;˘ Tree Trim & Removal â&#x20AC;˘ Lawn & Bed Maintenance â&#x20AC;˘ Landscape Lighting â&#x20AC;˘ Organic Soil Amendments

www.richtersservicesinc.com

20## #6.#021 ',!

Dennis Clooney - Manager 25+ Years Experience â&#x20AC;˘ Tree Trimming/Removal â&#x20AC;˘ Stump Grinding â&#x20AC;˘ Fertilization â&#x20AC;˘ Construction Preparation â&#x20AC;˘ Residential/Commercial Insured Liability and Workmanâ&#x20AC;&#x2122;s Comp

713-683-TREE (713-683-8733) FREE ESTIMATES

Page 8B â&#x20AC;˘ Saturday, October 10, 2015

PEST CONTROL

GENERAL HOME IMPROVEMENTS

Cherokee

PEST CONTROL â&#x20AC;˘ Termites â&#x20AC;˘ Roaches â&#x20AC;˘ Ants â&#x20AC;˘ Silverď&#x192;&#x17E;sh â&#x20AC;˘ Rodents

Free Termite Inspection

713-682-6801

ÂŽ

STATEWIDE ADVERTISING DISCLAIMER: This publication does not warrant nor guarantee the accuracy of any advertisement, nor the quality of the goods or services offered. Readers are cautioned to thoroughly investigate all claims made and to use good judgment and reasonable care when dealing with persons unknown to you. ADOPTION: Arizona company president and wife promise baby secure future. Grandparents and cousins, education, travel, sports. Expenses paid. Call Susan/Nathan 1-602-284-3004 or attorney 1-424-901-6671. MAKE A CONNECTION: Real people, flirty chat. Meet singles right now! Call LiveLinks. Try it FREE. Call now, 1-800-3199484, 18+. AIRLINE CAREERS BEGIN HERE: Get started by training as FAA certified Aviation Technician. Financial aid for qualified students. Job placement assistance. Call Aviation Institute of Maintenance, 1-888896-8006. GOT KNEE PAIN? BACK PAIN? SHOULDER PAIN? Get a painrelieving brace - little or no cost to you. Medicare patients call Health Hotline now. 1-800791-2335.

GENERAL HOMEADVERTISING IMPROVEMENTS GENERAL HOME IMPROVEMENTS GENERAL HOME IMPROVEMENTS GENERAL HOME IMPROVEMENTS GENERAL HOME IMPROVEMENTS GENERAL HOME IMPROVEMENTS STATEWIDE A PLACE FOR MOM: The nationâ&#x20AC;&#x2122;s largest senior living referral service. Contact our trusted, local experts today. Our service is free/no obligation. Call 1-800-217-3942.

SEMI-RETIRED HANDYMAN: Carpentry, paint, roof repairs, power washing. Don Ruthstrom, 713-7540923. (TF)

SOCIAL SECURITY DISABILITY BENEFITS: Unable to work? Denied benefits? We can help. Win or pay nothing. Contact Bill Gordon and Associates at 1-800-290-8321 to start your application today.

BURGLAR BARS: Custom made. Residential and commercial. Free estimates. 281-448-2759. www.burglarbarsandmore.com. (TF)

ACCESS YOUR LAWSUIT CASH: In an injury lawsuit? Need cash now? Low rates. No credit checks/monthly payments. Call now, 1-800568-8321.

DIRECTV $19.99 MONTH: 145+ Channels. Free HBO, Cinemax, Showtime, Starz. Free HD/DVR. Free NFL Sunday Ticket. Local installers. 1-800-342-1458.

DONATE YOUR CAR TO VETERANS TODAY: Help and support our Veterans. Fast - FREE pick up. 100% tax deductible. Call 1-800-656-1632. CARS/TRUCKS WANTED: Top $$$$$ paid. Running or not, all years, makes, models. Free towing. Weâ&#x20AC;&#x2122;re local. Seven days/week. Call Toll Free. 1-888416-2330. A-1 DONATE YOUR CAR FOR BREAST CANCER: Help United Breast Foundation education, prevention, and support programs. Fast, free pick up - 24 hour response - tax deduction. 855-246-2246. 25 DRIVER TRAINEES NEEDED: Become a driver for Stevens Transport. No experience needed. New drivers earn $800+ per week. Paid CDL training. Stevens covers all costs. 1-888734-6714, drive4stevens.com. MEDICAL BILLING TRAINEES NEEDED: Train at home to process medical billing and insurance. No experience needed. Online training at Bryan University. HS Diploma/GED and computer/Internet needed. 1-888-734-6711. MAKE $1,000 WEEKLY: Paid in advance. Mailing brochures at home. Easy, pleasant work. Begin immediately. Age unimportant. www.HomeProfits Biz45.com.

PAINT ING Interior/Exterior

Sheetrock â&#x20AC;˘ Power Wash

VIAGRA 100MG AND CIALIS 20MG: 40 pills + 10 free. Special $99. 100% guaranteed. Free shipping. 24/7. Call now. 1-888223-8818. VIAGRA: 52 pills for only $99. The Original Blue Pill. Insured and guaranteed delivery. Call PLUMBING 1-888-410-0514. CANâ&#x20AC;&#x2122;T BREATHE? 2 FOR 1 SALE: All nasal sprays. No RX required. Offer ends Nov. 15, 2015. Canadian Pharmacy. Mention Code: BREATHE 1888-848-1945. www.river pharmacy.ca. VIAGRA AND CIALIS: 50 pills for $95. 100 pills for $150. Free shipping. No prescriptions needed. Money back guaranteed. 1-877-743-5419.

CASH FOR CARS: All cars/ trucks wanted. Running or not. Top dollar paid. We come to you. Any make/model. Call for instant offer. 1-800-864-5960. CASH PAID FOR UNEXPIRED, SEALED DIABETIC TEST STRIPS: One day payment and prepaid shipping. Highest prices. Call 1-888-776-7771. www.Cash4DiabeticSupplies. com. IF YOU OR A LOVED ONE took the blood thinner Xarelto and had complications due to internal bleeding after January 2012 you MAY be due financial compensation. Call Injuryfone 1-800-410-0371. CHILDRENâ&#x20AC;&#x2122;S BOOK: Looking for some wholesome reading material for your young reader? Check out Richard the Donkey and his LOUD, LOUD voice at www.RichardTheDonkey.com. DIRECTV STARTING AT $19.99/MONTH: Free installation. Free three months of HBO, Showtime, Cinemax, Starz. Free HD/DVR upgrade. 2015 NFL Sunday Ticket included (select packages). New customers only. Call 1-800-614-8506. MAKE A CONNECTION: Real people, flirty chat. Meet singles right now. Call LiveLinks. Try it free. Call now. Call 1-877-7379447, 18+.

Handyman Services: Carpentry, Painting-Int/Ext, Cabinets, Doors, Trim. Insured Eddie Lunsford

281-352-7304

HEIGHTS CUSTOMREMODELING HOME REMODELING MJG HOME

â&#x20AC;˘ Room Additions â&#x20AC;˘ Baths & Kitchens â&#x20AC;˘ Hardwood & Tile Flooring â&#x20AC;˘ Painting â&#x20AC;˘ Window Replacement FREE ESTIMATES Martin Gonzales 832-472-2427

FENCES & DECKS

Repair & Installation All Type Fences â&#x20AC;˘ Chain link â&#x20AC;˘ Wood â&#x20AC;˘ Ornamental Iron Small jobs welcome Call 7 Days

Jose `

Cell (281) 221-0637

GARAGE DOORS â&#x20AC;˘ Repair Specialist â&#x20AC;˘ Springs â&#x20AC;˘ Rollers â&#x20AC;˘ Sections repaired & replaced â&#x20AC;˘ Cables

ROOFING by SERNA BROS.

From a drip to a leak, turn to the Leader Classifieds to turn those headaches off.

Serving NW Houston Since 1973 FREE estimates

To Advertise Call Today

General Welding & Repairs

713-688-3277 â&#x20AC;˘ Fence, Doors, Gates, Windows, Metal structures

Remodeling

â&#x20AC;˘ Concrete, Carpentry, Fans, Sheetrock & more

(832)840-5039 (979)525-6908

Ramiro Garcia

QUALITY CONCRETE HEATING/AIR CONDITIONING WORK

â&#x20AC;˘ Interior/Exterior â&#x20AC;˘ Sheetrock Repairs â&#x20AC;˘ Door Reď&#x192;&#x17E;nishing â&#x20AC;˘ Wood Repairs â&#x20AC;˘ Pressure Washing

â&#x20AC;˘Patios â&#x20AC;˘Driveways â&#x20AC;˘Room Additions â&#x20AC;˘Expedient Work American Made â&#x20AC;&#x153;God Bless Americaâ&#x20AC;?

HEATING/AIR CONDITIONING

270

281-807-5588 713-545-3414

Choice Door

(713) 962-3474

For Your Home Repair Needs:

APPLIANCE & TV REPAIR

At Reasonable prices

713-703-8488 Jim

713.206.5965

ITS NOT JUST A FENCE ITS AN INVESTMENT

,#) !, ( ( )

Thank you for your continued business Call For A Comparison

713-862-7320 30+ Yrs. Exp.

J&D H TEL

713-680-2019

PLUMBING PLUMBING www.camposroofing.com

CAMPOS RooďŹ ng

â&#x20AC;&#x153;The Residential Roofing Specialistsâ&#x20AC;?

Re-roofs â&#x20AC;˘ Repairs Hardi Siding â&#x20AC;˘ Gutters â&#x20AC;˘ Windows

All Work Guaranteed Free Estimates

3308 Ella Blvd â&#x20AC;˘ (713) 680-3530

02)-% 2//&).'

281-272-6900 CELL713-569-4199

APPLIANCE & TV REPAIR

FIND YOUR FRIEND FOR LIFE: Adopt or foster a shelter animal. www.nokill1.org. (TF)

WASHER DRYER REPAIR â&#x20AC;˘ Ice Makers â&#x20AC;˘ Disposals â&#x20AC;˘ Water Heaters

Davidâ&#x20AC;&#x2122;s

.0 , * #, All Makes & Models â&#x20AC;&#x153;We Make House Callsâ&#x20AC;?

1622 W. 23rd

GOT LEAKS? NEED REPAIR?

You may have been affected by a storm and not know of your damage. Let us give you a FREE damage inspection! CALL NOW

www.PrimeRooďŹ ng.com Charlie's

ROOFING

+ Quality Work + Low Prices + + Hand Nailed + Hardi-Siding + Oak Forest Area Resident 40+ years Free Estimates

Dishwashers - Ranges 281-350-6255 713-857-2050

$ !PPLIANCE , 2EPAIR HEATING/AIR CONDITIONING â&#x20AC;˘ Refrigerators â&#x20AC;˘ Ovens â&#x20AC;˘ Washers â&#x20AC;˘ Dryers

ANIMAL LOVERS NEEDED to volunteer at no kill animal shelter in the Heights. Download volunteer application at www.nokill1.org or visit us in person at 107 E. 22nd Street, Tuesday-Saturday, noon-6 p.m.; Sunday, noon to 5 p.m. (TF)

â&#x20AC;˘ Refrigerators â&#x20AC;˘ Freezers â&#x20AC;˘ Stoves/Cooktops â&#x20AC;˘ Washer Dryers

Call Today 281-866-0080 Since 1995

Donâ&#x20AC;&#x2122;t Throw It Away...

â&#x20AC;˘ Carpentry - Cabinets to Patios & Decks â&#x20AC;˘ Painting, Interior/Exterior â&#x20AC;˘ Sheet Rock Repair & Installation

FREE ESTIMATES DAVID OJEMAN 713-682-8033

20 Yrs. Exp. - 30 Yr. Resident

Since 1995

Repair All Major Brands Call Today!

ELECTRICIAN All types of new

Don Ford 832-207-3524 Tim Fugett 713-427-9590

(281) 448-8615

John Kuenstle Electric,LLC

Oak Forest Resident/Office â&#x20AC;˘ Residential â&#x20AC;˘ Commercial â&#x20AC;˘ Service Licensed - Insured - 26 Yrs. Exp. â&#x20AC;&#x153;Aâ&#x20AC;? On Angieâ&#x20AC;&#x2122;s List MASTER #178565

TECL #25670

Native Houstonian - 46 Yrs.

832-425-2152 - Free Estimates

HEAT/AIR CONDITIONING

HEATING/AIR CONDITIONING HEATING/AIR CONDITIONING HEATING

! # -AN Cooling & Heating Res. - Com.

.EW (ORIZONS

! 0#. '0 â&#x20AC;˘ Commercial

$20 OFF

â&#x20AC;˘ Residential â&#x20AC;˘ Commercial Refrigeration

with this ad

American Standard Authorized Dealer

TACLB010963C

10 Year Warranty

713-660-0370 713-GO-GREEN

713-460-COLD(2653)

www.713-gogreen.com

www.acmanhouston.com TACL B27781E

WWW -ISSION!# COM WWW -ISSION!# COM ,OCAL â&#x20AC;&#x201C; &AMILY /WNED â&#x20AC;&#x201C; 4RUSTED ,OCAL â&#x20AC;&#x201C; &AMILY /WNED â&#x20AC;&#x201C; 4RUSTED 2%0!)2 â&#x20AC;&#x201C; ).34!,,!4)/. -!).4!).%.#% 2%0!)2 â&#x20AC;&#x201C; ).34!,,!4)/. -!).4!).%.#% 4!#," % 4!#," %

Sunbelt A/CPLUMBING

PLUMBING

Central A/C & Heat Repairs, Replacements, New Installations

Since 1974

PLUMBING

Father & Sons Business

713-695-2222

713-256-0017 license #16312 insured

For rent

FOR RENT

ASTRO PLUMBING & TILE A Full Service compAny Water Heater installations Sewer line replacements Call Johnny

TACL B010628

www.sunbeltairconditioning.com

825 Curtin 77018

100 OFF $ 200 OFF

713.681.5575

Same Name, Same Number Same People for Over 20 Years

Drain & Sewer Cleaning #17773 - 7 Days a week

If we donâ&#x20AC;&#x2122;t unclog your drain, you donâ&#x20AC;&#x2122;t pay!

OAK FOREST FURNISHED BEDROOM with utilities included, $400 monthly. Employed senior tenant preferred. References verified. David, 713-560-7470.

12â&#x20AC;&#x2122;X30â&#x20AC;&#x2122; CARPORTS: Perfect for boats, RVs, etc. Call 713-694-4647. (TF) CONDO/LEASE, BIRCHMONT/ANTOINE: $700 monthly + deposit. 2-1.5carport. Studio. Rental history required. 214-236-0449, 713-254-4749. (10-10)

Same Day Service

REAL ESTATE

We Repair

Sewer & Drain Water Leaks Unclog Drains â&#x20AC;˘ Video Inspection Free Estimates â&#x20AC;˘ Work Guarnateed Lic & Ins rootingforless.com High Pressure Jetting

Unstop your drains for $60 with accessible clean out 6 month guaranteed *some restrictions apply

281-717-4014 â&#x20AC;˘ 832-321-5539 MPL #10323

PLUMBER

Since 1953 - TECL 19210 Res./Comm. Wiring 713-864-4168 cc accepted bravenecelectric@gmail.com

TECL# 43460

Aaronâ&#x20AC;&#x2122;s

We deliver The Leader to you without charge, but weâ&#x20AC;&#x2122;d sure appreciate your telling our advertisers that you saw their message. After all, theyâ&#x20AC;&#x2122;re the ones that really bring you our paper.

Susan Pesl REALTORÂŽ

713-397-1916 spesl@flash.net

Home ServiceS Premier ProPertieS 713-686-5454

LEADER PUZZLER SOLUTIONS

SONNYâ&#x20AC;&#x2122;S REPAIR SERVICE Independent Master Plumber

ALWAYS UPFRONT PRICE$ â&#x20AC;&#x153;I want to be YOUR plumberâ&#x20AC;? Call Sonny and SAVE! Single Homeowner Discount

832-465-5325

Est. 1979 Ins. RMP #18131

25 Residential & Commercial Years â&#x20AC;˘ Shingles: Flat - Tile - Metal â&#x20AC;˘ 5" and 6" Seamless Gutters â&#x20AC;˘ Carports â&#x20AC;˘ Carpentry â&#x20AC;˘ Free Estimates

713-664-1815

Joe Petrovich

PLUMBING Since 1977 Free Est.

Repairs & Remodels Complete Plumbing Services

Shop 281-442-7863 Cell 281-831-2302

Insured â&#x20AC;˘ Lic. #M8922

WORD SCRAMBLE TeApoT

APPLI

BRAVENEC ELECTRIC

Since 1975 Low Rates

Same Day Service

713-721-5490 17823

D&E Electric

Best Appliances Repairs

Free Estimates Water â&#x20AC;˘ Sewer(713) â&#x20AC;˘ Drain 729-2585 Gas â&#x20AC;˘ Irrigation Hot Water Heaters

TEL. APPLIANCE & TV REPAIR

wiring and repairs

10% SenIoR DISCounT

by Donald W. Ford

Licensed-Insured

APPLIANCE & TV REPAIR

Free Trip 1 yr. Warranty On Parts & Labor Charge with Repair

Plumbing Solutions

electric

Lights-Plugs-Breakers Cover all electric needs

PLUMBING PLUMBING

ELECT

HAR BINGER

Most Repairs

281.866.0080

Thanks for reading The Leader.

ELECTRICAL SERVICES

ELECTRIC SERVICES

832-526-8531

Same Day Appliance Repair

713-688-6463

HOWDY'S HANDYWORK

ELECTRICAL SERVICES

Tommy Smith

â&#x20AC;&#x153;Insured For Your Protectionâ&#x20AC;? Warranted Workmanship

â&#x20AC;˘ Commercial â&#x20AC;˘ Residential â&#x20AC;˘ New Roof â&#x20AC;˘ Re-Roof

713-686-6622

713-984-1849

HEATING/AIR WashersCONDITIONING - Dryers

281-827-4447

The Foam STore

â&#x20AC;˘ Same Day Service â&#x20AC;˘ 6 Days A Week â&#x20AC;˘ All Work Guaranteed

I Buy cracked Flat Panel TVâ&#x20AC;&#x2122;s

â&#x20AC;˘ Painting â&#x20AC;˘ Sheetrock â&#x20AC;˘ Tile Work â&#x20AC;˘ Rooď&#x192;&#x17E;ng â&#x20AC;˘ Carpentry â&#x20AC;˘ Carpet â&#x20AC;˘ Concrete â&#x20AC;˘ Power Wash â&#x20AC;˘ Burglar Bars â&#x20AC;˘ Brick â&#x20AC;˘ Trees FREE ESTIMATES - Hector

Johnny & Rhea Danna, Owners Retail CenteR www.thefoamstore.com wholesale pRiCes

KINARDâ&#x20AC;&#x2122;S Appliance Service

35 Yrs. Exp. & Leader Advertiser

ď&#x201A;Ť Custom Cut ď&#x201A;Ť Memory Foam ď&#x201A;Ť Chair pads ď&#x201A;Ť Couch Cushions ď&#x201A;Ť Mattress Foam 2217 W. 34th, Ste. A.

â&#x153;&#x201D; Painting â&#x153;&#x201D; Drywall â&#x153;&#x201D; Hardi Plank Siding â&#x153;&#x201D; Any Type of Carpentry Work â&#x153;&#x201D; Complete Remodels

AMS Remodeling

COMMERCIAL - RESIDENTIAL â&#x20AC;˘ Custom Homes â&#x20AC;˘ Garages â&#x20AC;˘ Room Additions â&#x20AC;˘ Kitchens â&#x20AC;˘ Bathrooms â&#x20AC;˘ Hardi Siding Free Estimate

HOME REMODELING

832-515-4214

ROOFERS 713-385-1576

Adamâ&#x20AC;&#x2122;s

Roofing Work Carpentry Handyman Services Power Washing Maid Service Good References

ELECTRICAL SERVICES ELECTRICAL SERVICES ANDYMAN ERVICE

www.houstonheightsroofers.com

Call Sam 713-582-5500 713-686-2285

Sanding Finishing

ELECTRICAL SERVICES

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Saturday, October 10, 2015 • Page 9B

Area Health Inspections • Sept. 1 - Oct. 6 77007 Taco Bell/KFC #027807 2093 Taylor St. Citation Issued Violations: 5 Violation 20-53(b): Owning/operating/causing to be operated a food preparation area without the food service manager having in his possession a food service manager’s certification. (Repeat) Violation 20-21.2(a)(1): Internal temperature of potentially hazardous food not held at 41 degrees Fahrenheit or below or at 135 degrees Fahrenheit or above while being stored/prepared/displayed/served/transported. (Corrected on site) Violation 20-21.8(f): Food employee not wearing an effective hair restraint/clothing that covers body hair while handling food or utensils. (Corrected on site) Violation 20-21.10(a): Multiuse equipment/utensils not designed/constructed with safe materials, repaired with safe materials, not easily cleanable, not durable or not maintained in good repair. Violation 20-21.20(a)(3): Garbage/receptacles/waste handling units for refuse/recyclables with no drain plug in place.

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Golden Cafe Chinese Restaurant 1430 W. 19th St. Routine Inspection (Sept. 23) Violations: 9 Violation 20-21.11(c)(3): Moist cloths used for cleaning nonfood-contact surfaces of equipment counters/dining table tops/shelves: not clean/being used improperly/not stored in sanitizing solution between uses. (Corrected on site) Violation: 20-21.21(d): Establishment not removing dead or trapped insects/rodents/pests from premises at frequency that prevents the accumulation of pests. (Corrected on site) Violation 20-21.25(b)(3): Ventilation filters not cleaned at sufficient frequencies to prevent accumulations. Violation 20-21.11(a)(7): Nonfood-contact surfaces of equipment not cleaned as often as necessary to keep the equipment free of accumulation of dust/dirt/food particles/ other debris Violation 20-21.10(a): Multiuse equipment/utensils not designed/constructed with safe materials, repaired with safe materials, not easily cleanable, not durable or not maintained in good repair. (Corrected on site)

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Jack in the Box 2001 N. Shepherd Dr. Routine Inspection (Sept. 1) Violations: 6 Violation 20-53(b): Owning/operating/causing to be oper-

Brookdale The Heights 2121 Pinegate Citation Issued (Sept. 2) Violations: 1 Violation 20-36(a): Operating a food service establishment unit without a food dealer’s permit.

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All Season Tacos – Texstar 2221 Ella Blvd. Citation Issued, Closed Temporarily, Unapproved Location (Sept. 14) Violations: 6 Violation 20-21.2(a)(1): Internal temperature of potentially hazardous food not held at 41 degrees Fahrenheit or below or at 135 degrees Fahrenheit or above while being stored/prepared/displayed/served/transported. Violation 20-21.8(f): Food employee not wearing an effective hair restraint/clothing that covers body hair while handling food or utensils. (Corrected on site) Violation 20-22(e)(1)(c): Failure of mobile food unit to return to the commissary for the performance of all servicing operations within the 24-hour period preceding operations. Violation 20-37(b): Operating a mobile food service unit without a valid medallion. Violation 20-22(c)(3): Mobile food unit operator failed to provide written notice to the department at least 2 business days prior to beginning operations or relocating operations any location not included on the current list of active locations. Violations 20-19(b): Operating a food service/processing establishment not conforming to requirements of Article II.

Violation 20-21.17(a): Plumbing not sized/installed/maintained properly. Violation 20-21.24(a): Not providing at least 50 foot candles of light to working surface where food, utensils or equipment are utilized. Violation 20-21.24(b)(1): No shielding/coating/shatter-resistant protection provided for artificial lighting located in: food is exposed/equipment washing/utensil washing line areas/equipment and utensil storage areas. Violation 20-21.3(a)(6): Bulk food removed from original container not stored in container identifying the food by common name.

La Fisheria Cocina Mexican Del March 4705 Inker St. Citation Issed (Sept. 23) Violations: 9 Violation 20-21.1(a): Food(s) not in sound condition/not safe for human consumption/not free from spoilage, filth other contaminants or not obtained from an approved food source/not in compliance with laws relating to food labeling. (Corrected on site) Violation 20-21.2(a)(1): Internal temperature of potentially hazardous food not held at 41 degrees Fahrenheit or below or at 135 degrees Fahrenheit or above while being stored/prepared/displayed/served/transported. (Corrected on site) Violation 20-21.8(a): Food employee did not wash hands and exposed portion of his/her arms or surrogate prosthetic device for hand and arms for 20 seconds before starting to work/during work. Violation 20-53(b): Owning/operating/causing to be operated a food preparation area without the food service manager having in his possession a food service manager’s certification. Violation 20-21.3(a)(3): Food stored in locker rooms/dressing rooms/garbage rooms/mechanical rooms/toilet room/ vestibule/under open stairwell/other sources of contamination. (Repeat, corrected on site) Violation 20-21.11(a)(7): Nonfood-contact surfaces of equipment not cleaned as often as necessary to keep the equipment free of accumulation of dust/dirt/food particles/ other debris. Violation 20-21.19(c): No hand-cleaning soap: liquid/powder/bar available at each hand-washing sink or group of two adjacent sinks. Violation 20-21.21(a): Presence of insects/rodents/other pests not controlled to minimize presence within the physical facility or property under control of permit holder. Violation 20-21.4(j)(2): Potentially hazardous foods being improperly thawed in water. (Repeat, corrected on site)

ated a food preparation area without the food service manager having in his possession a food service manager’s certification. Violation 20-21.3(a)(2): Container of food not stored a minimum of 6 inches above the floor. Violation 20-21.3(b)(1): Refrigerated facility storing potentially hazardous food with no numerically scaled thermometer/no accurate indicating thermometer. Violation 20-21.22(a): Floors/floor covering not kept clean in food preparation area/food storage area/dressing room/ utensil-washing area/toilet room. Violation 20-21.22(a): Floors/floor covering not kept clean in food preparation area/food storage area/dressing room/ utensil-washing area/toilet room. (Repeat) Violation 20-21.10(a): Multiuse equipment/utensils not designed/constructed with safe materials, repaired with safe materials, not easily cleanable, not durable or not maintained in good repair. (Repeat)

Advance H e

Below is a list of selected health inspections at area restaurants and other establishments.

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Women’s Health

Page 10B • Saturday, October 10, 2015

Directory of local female health service professionals. Dr. Ana Torres Dr. Torres specializes in primary medical care for both adults and children. She is a graduate of the University of Texas Medical Branch in Galveston, Texas. She has been providing medical care to patients in the Houston area for over 15 years. Her office is conveniently located in Oak Forest and offers weekend hours. 3527 Ella Blvd. • Houston, TX 77018 713-863-9200

Dr. Leila Vizirov Dr. Leila Vizirov, a primary care physician welcomes all ages, including children 9 months and up. Her understanding demeanor helps her patients feel comfortable. She provides a full range of medical services including weight-loss and anti-aging treatments, minor surgical procedures, Botox, chemical peels, and micro-derm abrasions. 427 W. 20th St. Suite 712 • Houston TX 77008 713-869-4404 www.vizirov.com

Dr. Amy Haase Dr. Amy Haase, a podiatrist with a medical degree from Des Moines University College of Podiatric Medicine and Surgery, is board-certified by the American Board of Podiatric Surgery. And is also a graduate of Texas A&M with a Bachelor of Science degree. Being a mom has better helped her deal with child foot and ankle problems. She seeks to help patients using pain-free methods. 1740 W. 27th Suite 110 • Houston, TX 77008 713-862-3338 www.diagnosticfootspecialist.com

Dr. Attiya S. Khan Dr. Khan focuses on the prevention of heart disease through early diagnosis and provides the latest interventional techniques to treat coronary and peripheral vascular diseases. She is one of the few female interventional cardiologists in Houston available to perform emergency angioplasties and stents for patients who are experiencing a heart attack. 1631 North Loop West, Ste. 220 • Houston TX 77008 713-365-0786 www.nwcardiology.net

Dr. Neelofur R. Ahmad

Dr. Sharon Smith

Dr. Ahmad graduated from Northwestern University Medical School and completed her radiation oncology residency at Thomas Jefferson University in Philadelphia. She is the full time hospital-based radiation oncologist at Memorial Hermann Greater Heights Hospital. She is part of the hospital’s multidisciplinary cancer treatment team. 1631 N. Loop West, Suite 150 • Houston, TX 77008 713-517-0179 www.radiationdocs.org

Dr. Saffana Hassan

Dr. Smith completed her medical degree at Temple University School of Medicine in Philadelphia. She completed four years of training in Obstetrics and Gynecology at Long Island Jewish Hospital in New York. In addition, Dr. Smith’s passion is to empower women of all ages to develop healthy habits and lifestyle through education and prevention. 2010 N. Loop West, Ste 260 • Houston, TX 77018 713-697-8555 www.obgyncaretx.com

Dr. Stephanie Fulton

Dr. Saffana Hassan is an allergist and immunologist whose primary field of treatment is asthma and allergy. She has received extensive training at the University of Texas Medical Branch. As a thoughtful and compassionate provider, she is also involved in helping at community hospitals. She spends her free time reading, painting, and being with her three children. 1533 Heights Blvd • Houston, TX 77008 713-869-4405

Dr. Dora E. Cantu

Dr. Fulton is certified by the American Board of Obstetrics and Gynecology. Her practice consists of obstetrics, gynecology, and cosmetic procedures such as laser hair removal. She is a graduate of the University of Texas and completed residency at St. Vincent’s Medical Center where she was a Chief Resident. Dr. Fulton volunteers as part of the health team ministry of her church. 1740 W. 27 St. Suite 301 • Houston, TX 77008 713-880-2727 www.fultonobgyn.com

Dr. Becky J. Fredrickson

Medico cirujano oftalmologa. Ha ejercido oftalmología por más de 20 años. Atiende a pacientes con todo tipo de problemas oculares incluyendo diabetes, glaucoma, degeneración de la mácula, e infecciones de los ojos. Ejerce todo tipo de cirugía pero se especializa en cirugía de catarata y carnosidad. 1740 W. 27th St Ste. 180 • Houston, TX 77008 713-864 - 8652 www.northwesteye.net

Board Certified Ophthalmologist. She has been practicing ophthalmology for over 10 years. She routinely sees patients for diabetes, glaucoma, macular degeneration, and ocular infections. She specializes in surgical procedures including eyelid lifts, eyelid cysts, cataract, Botox and Juvederm, and pterygia. 1740 W. 27th St Ste. 180 • Houston, TX 77008 713-864 - 8652 www.northwesteye.net

Dr. Amber Dobyne Dr. Dobyne Graduated Cum Laude from Florida A&M University, where she majored in Biology/Pre Medicine. She earned her medical degree from Georgetown University School of Medicine and completed her residency training at Howard University Hospital in Washington, D.C. Dr. Dobyne joined OB GYN Care in Houston in 2014. 2010 N. Loop West, Ste 260 • Houston, TX 77018 713-697-8555 www.obgyncaretx.com

Choose from these Local female health care professionals. Contact them today.

Mammography guidelines continue to evolve - what you should know Mammograms are used to screen for breast cancer and overall breast health. In a relatively recent departure from conventional wisdom that once advised women to get annual mammograms beginning at age 40, new recommendations say mammograms are not necessary before age 50, and that earlier screening benefits are limited and may even do more harm than good. The new guidelines come courtesy of the United States Preventive Services Task Force, which is a group of independent health experts convened by the Department of Health and Human Services. The USPSTF reviewed and commissioned research to develop computer-simulated models comparing the expected outcomes under different screening scenarios. The USPSTF is the most influential group to provide preventive care guidelines for doctors, and this is the first time the group has spoken up about breast cancer screening since 2002. The reasons for the change were based on the strong emotional stress breast cancer screenings can create and the rates of false positives that may require follow-up testing.

Younger women’s breasts are naturally more dense, and dense tissue can make it more difficult to read mammograms and identify problems. For this reason, perceived abnormalities on the mammogram may require follow-up mammograms or biopsies to rule out cancer. According to Harvard Medical School, almost half of women under age 50 who have mammograms are called back for repeat films or biopsies because their test results look suspicious. This can subject women to undue stress, further exposure to radiation and more invasive biopsies, not to mention the added expenses of further testing. The USPSTF revised recommendations state that: • Routine screening of averagerisk women should begin at age 50, instead of age 40. • Routine screening should end at age 74. • Women should get screening mammograms every two years instead of every year. • Breast self-exams have little value, based on findings from several large studies.

But some health organizations disagree with the task force’s revised guidelines. For example, the Mayo Clinic supports screenings beginning at age 40 because doctors there believe mammograms can detect breast abnormalities early in women in their 40s. Others scoff at the notion that breast self-exams have little value, as many times it is a woman who first alerts her doctor to a lump or problem. Doctors are unable to distinguish dangerous breast cancers from those that are not life threatening, which is why many still recommend annual mammograms, despite the fact that mammogram screening has not decreased the number of deaths associated with advanced breast cancers. Ultimately, it is up to a woman and her doctor to chart the best course of preventative breast cancer treatment. Despite the recommendations from the task force, many insurance companies still cover annual mammograms beginning at age 40. Women who are at high risk for breast cancer are special cases, and such women should discuss earlier screening schedules with their doctors.