Breast Cancer Awareness, 2015

October 2015

Breast Cancer Awareness

The Best Protection

Is Early Detection

A publication of the Lewiston Tribune and Moscow-Pullman Daily News

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When Detecting Breast Cancer.. Technology Matters With proven 41% increase in invasive cancer detection, choose the technology you can trust.*

*Friedewald S, Rafferty E, Rose S, et al. Breast cancer screening using tomosynthesis in combination with digital mammography. JAMA. 2014;311(24):2499-2507.

Women’s Imaging Center • 1221 Highland Avenue, Clarkston, WA 509.758.4658 • www.TriStateHospital.org

TH UR SDAY , OCT OB E R 1, 2015

LEWISTO N TRIBUNE |

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Establishing the pink ribbon symbol - Me troCreative

Brea s t Ca ncer Awa r e nes s Month ha s be e n cel ebr a te d ea c h y ear since 1 9 8 5 , an d m a ny othe r bre a s t ca ncer awa r ene s s initia tives ha ve b e e n de vis ed since then.

W h i l e th e p ink ribbon ma y s e e m l ike it’s been in us e f or j us t a s l o ng, it wa s a ctua lly e s ta b l ish ed o n l y a b out 2 0 y e a r s ago .

Ri b bo ns h ave l o ng s ym b ol iz ed so mething i m p o rtan t. F o r d e ca des , yellow r i b b ons h ave been us e d to a l e r t o th ers to so ldie r s a t wa r o r h ostages th at ha dn’ t ye t

com e home . P e o ple o f t e n t i e yellow r ibbo n s a r o un d t r e e s a t hom e unt i l t h e i r se r v i ce me n a nd wome n ca me h o me sa f e ly.

Dur ing th e h e i g h t o f H I V / AI DS a c t i v i sm a n d a w a r e n e ss, r e d r ib bo n s w e r e w o r n t o s ymb olize suppo r t f o r t h o se with the d i se a se .

Althoug h t h e pi n k r i bbo n e volved be ca use pi n k e x pr e sse s f e mininit y, ca lm, h e a lt h , a n d youth, th e f i r st br e a st ca n ce r r ibbon wa s a ct ua lly pe a ch .

Cha r lotte H a le y i s cr e d i t e d with de vi si n g t h e f i r st br e a st ca ncer r ibbo n i n 1 9 9 2 . Sh e wa s a b r e a st ca n ce r sur v i v o r a nd ca m e f r o m a f a mi ly o f women w h o a lso f o ug h t t h e dis ea s e . Sh e cr e a t e d pe a ch color e d lo o ps a t h o me a n d then dis t r i but e d t h e r i bbo n s a t he r loca l g r o ce r y st o r e s.

H a ley enco ur a g e d pe o ple to wea r th e r i bbo n s a n d conta ct leg i sla t o r s t o d e ma n d mor e f un d i n g f o r br e a st ca ncer r e se a r ch . An a t t a ch e d note wa s d i st r i but e d w i t h the r ibbo n s st a t i n g , “ Th e N a tiona l C a n ce r I n st i t ut e a nnua l bud g e t i s $ 1 .8 bi lli o n , only 5 pe r ce n t g o e s f o r ca n ce r pr eventio n . H e lp us w a ke up our le gis la t o r s a n d Ame r i ca by we a r in g t h i s r i bbo n .”

The s a me ye a r E v e lyn

Alt h o ug h L a ud e r a n d H a l ey r e a ch e d pe o ple o n d i f f e r en t le v e ls, t h e i r g o a ls w e r e t he sa me : To e d uca t e t h e pub l i c o n t h e la ck o f f un d s a llot t ed t o br e a st ca n ce r r e se a r ch .

P i n k r i bbo n s a r e n o w s een a ll o v e r a n d h a v e be co me t h e

u n i t i n g f or c e f or m i l l i on s of w om en w h o a r e f a c i n g b r ea s t c a n c er or s u p p or t i n g s om eon e w i t h t h e d i s ea s e. I n 1 9 9 6 , Na n c y Ni c k c r ea t ed a b l u ea n d - p i n k r i b b on t o s y m b ol i z e m a l e b r ea s t c a n c er r i b b on s i n h on or of h er l a t e f a t h er . T h e r i b b on s r em i n d ot h er s t h a t b r ea s t c a n c er c a n a f f ec t m en a s w el l a s w om en .

A l t h ou g h y ou c a n s ee w a v es of p i n k ev er y Oc t ob er f or B r ea s t Ca n c er A w a r en es s M on t h , m a n y p eop l e d on t h ei r r i b b on s y ea r - r ou n d . Gr ea t s t r i d es h a v e b een m a d e w i t h r es p ec t t o b r ea s t c a n c er , b u t w i t h a b ou t 2 2 5 , 0 0 0 n ew c a s es p op p i n g u p ea c h y ea r i n t h e U n i t ed S t a t es a l on e, t h er e i s s t i l l w or k t o b e d on e.

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The pink ribbon has been synonymous with breast cancer for years. N owadays, people rarely think twice when they see pink ribbons, having grown accustomed to the pink ribbon and what it symbolizes.

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BREAST CANCER AWARENESS

History of mammogram technology - Me troCreative

Mammography remains one of the most popular and well-known diagnostic tools for breast cancer.

I t i s estimated tha t 4 8 m i l l i on mammo gr a m s a r e p e r f ormed each y ea r in the U n i ted States and m a ny othe r s a r e c on d u cted al l a r ound the wo r l d u nd er th e r ec omm e nded gu i d a nce o f d o cto r s a nd ca ncer e x p e r ts.

M a mmo grap h y ca n b e tr a c e d b a c k mo re th an 100 yea r s to 1 9 1 3 , wh en Germa n s ur geon A l b e r t Sal o mo n a tte mpte d to vi s u al iz e cancer of the

b r e a s t th r o ug h r a d i o g r a ph y.

By the 1 93 0 s, t h e co n ce pt o f m a mm og r a ph y w a s g a i n i n g tr a c tion i n t h e Un i t e d S ta te s . S t a f f o r d L . W a r r e n , a n Am e r i ca n ph ysi ci a n a n d r a diologist , be g a n h i s o w n wor k on ma mmo g r a ph y, developing t e ch n i q ue s o f pr oducing st e r e o sco pi c i ma g e s of the br e a st w i t h X -r a ys.

He a ls o ch a mpi o n e d t h e im por ta nce o f co mpa r i n g bo t h b r e a s t ima g e s si d e -by-si d e .

Ra ul Lebo r g n e , a r a d i o lo g i st f r om Ur u g ua y, co n d uct e d h i s own wor k o n ma mmo g r a ph y a nd, in 1 9 4 9 , i n t r o d uce d t h e c ompr e s s i o n t e ch n i q ue , w h i ch r em a ins in use t o d a y. B y c ompr e s s i n g t h e br e a st , i t i s pos s ible t o g e t be t t e r i ma g i n g

t h r o ug h t h e br e a st a n d u s e a lo w e r d o se o f r a d i a t i o n . A l s o, co mpr e ssi o n h e lps spr e a d t h e st r uct ur e s o f t h e br ea s t a pa r t t o ma ke i t e a si e r t o se e t h e i n d i v i d ua l i n t e r na l co mpo n e n t s. C o mpr e ssi o n h e lps t o pull t h e br e a st aw a y f r o m t h e ch e st w a ll a n d a l s o t o i mmo bi li ze t h e br e a st f or i ma g i n g .

Ad v a n ce me n t s i n ma mmo g r a m t e ch n o lo g y co n t i n ue d t o i mpr o v e t h rou g h t h e 1 9 5 0 s a n d 1 9 6 0 s. Te x a s r a d i o lo g i st R o be r t E g a n i n t r o d uce d a n e w t e ch n i q u e w i t h a f i n e -g r a i n i n t e n si f y i n g scr e e n a n d i mpr o v e d f i lm t o pr o d uce cle a r e r i ma g e s. In 1 9 6 9 , t h e f i r st mo d e r n -d a y f i lm ma mmo g r a m w a s i n v en t ed

a n d p u t i n t o w i d es p r ea d u s e.

T h e m a m m og r a m p r oc es s w a s f i n e- t u n ed i n 1 9 7 2 w h en a h i g h - d ef i n i t i on i n t en s i f y i n g s c r een p r od u c ed s h a r p er i m a g es a n d n ew f i l m of f er ed r a p i d p r oc es s i n g a n d s h or t er ex p os u r e t o r a d i a t i on . B y 1 9 7 6 , t h e A m er i c a n Ca n c er S oc i et y b eg a n r ec om m en d i n g m a m m og r a p h y a s a s c r een i n g t ool .

T h r ou g h t h e y ea r s , m a m m og r a p h y b ec a m e a g r ea t h el p t o w om en l ook i n g t o a r m t h em s el v es a g a i n s t b r ea s t c a n c er . T h a n k s t o i m p r ov em en t s i n ea r l y d et ec t i on a n d t r ea t m en t , b r ea s t c a n c er d ea t h s a r e d ow n f r om t h ei r p ea k a n d s u r v i v a l r a t es c on t i n u e t o c l i m b .

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TH UR SDAY , OCT OB E R 1, 2015

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BREAST CANCER AWARENESS

5

Preparing for your mammography visit - Me troCreative

Annual mammograms are widely recommended for women beginning at age 40.

S o me estimates s ugges t th a t mo re th an 48 million m a m mo grap h y screenings a r e p erfo rmed in the United S ta te s every y ear.

W h eth er it is a w om a n’ s f i r s t mammo grap hy or he r twe n tieth , p rep aring f or the a p p o in tment can ea s e a nxiety a n d mak e th e exp er ie nc e go m or e smo o th l y . The f ollowing a r e s ome gu id el in e s to c on s i der wh en p repa r ing f or a m a m mo grap h y vis it.

· Choose a rep u ta b l e a n d certified f a c i l i ty . Se le ct a r a diolog y ce n t e r t h a t i s c e r tif ie d by t h e FD A. M a n y wom e n a lso pr e f e r t o se le ct a f a c ility tha t i s co v e r e d by t h e i r he a lth insur a n ce . P la n s usua lly a llow one scr e e n i n g pe r ye a r . · Time y ou r v i s i t. Sch e d ule the m a mm o g r a m t o t a ke pla ce one week a f t e r yo ur me n st r ua l pe r iod if yo u h a v e n o t r e a ch e d m e nopa use . B r e a st s a r e le ss like ly to be t e n d e r a t t h i s t i me .

Als o, s che d ule yo ur v i si t f o r a tim e whe n yo u a r e n o t li ke ly to f e e l r ush e d o r st r e sse d . · Dress f or th e oc c a s i on .

Two-piec e e n se mble s e n a ble you to on ly r e mo v e yo ur sh i r t a nd b r a fo r t h e e x a mi n a t i o n . A b lous e tha t o pe n s i n t h e f r o n t

ma y be o pt i ma l. · Wa tc h y ou r g room i n g p ra c ti c es . Y o u’ll be a d v i s ed t o a bst a i n f r o m w e a r i n g po w d e r , pe r f ume , d e o d o r a n t , o i n t me n t , a n d lo t i o n s o n t h e ch e st o r a r o un d t h e a r e a .

Th e se subst a n ce s ma y lo ok li ke a n a bn o r ma li t i e s o n t h e ma mmo g r a m i ma g e , po t en t i a l l y r e sult i n g i n f a lse po si t i v e d i a g n o se s. · Take an OTC pain m edi c a ti on . M a mmo g r a m s a r e n o t n e ce ssa r i ly pa i n fu l , but t h e y ca n put pr e ssure on t h e br e a st s, w h i ch cr e a t es d i sco mf o r t . B r e a st s a r e co mpr e sse d be t w e e n a pl a s t i c pla t e a n d t h e i ma g i n g ma c h i n e.

Th i s spr e a d s o ut t h e t i ss u e a n d h e lps cr e a t e a cle a r e r

p i c t u r e. I f y ou r b r ea s t s a r e t en d er , m ed i c a t i on s l i k e a c et a m i n op h en or i b u p r of en t a k en a n h ou r b ef or e t h e a p p oi n t m en t m a y ea s e d i s c om f or t . · E x p e c t a sh o r t v i si t .

M a m m og r a m a p p oi n t m en t s t y p i c a l l y l a s t a r ou n d 3 0 m i n u t es . T h e t ec h n i c i a n m a r k a n y m ol es or b i r t h m a r k s a r ou n d t h e b r ea s t s s o t h ey c a n b e i g n or ed . Y ou ’ l l b e a s k ed t o h ol d y ou r b r ea t h a s t h e i m a g es a r e t a k en . I f t h e i m a g es a r e a c c ep t a b l e, y ou a r e f r ee t o g o.

M a m m og r a m s a r e n ow a r ou t i n e p a r t of w om en ’ s p r ev en t a t i v e h ea l t h c a r e.

T h e p r oc ed u r e i s s i m p l e a n d a p p oi n t m en t s a r e qu i c k a n d r el a t i v el y p a i n l es s .

B R E AS T CANCER AWAR E N E S S _

s ore an a _

M A M MOG R A M In recognition of Breast Cancer Awareness Month Valley Medical Center encourages all women to get a Mammogram as appropriate.

Breast Cancer Awareness is not just about getting a Mammogram. It includes being in regular contact with your health care provider and discussing all appropriate care options.

Getting a Mammogram today can be very confusing. Should I get 3D, 2D, digital, MRI, Genetic screening? That’s why we encourage all women to have a conversation with your care provider about what is the best option for you.

VMC offers comprehensive women’s care across 13 different specialties. With Gynecologists, Surgeons and in-house Mammography we are here to meet your breast care needs.

Call today to schedule an appointment for a Mammogram or a consultation with one of our many providers.

Multispecialty Care from A to You.

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BREAST CANCER AWARENESS

What do dense breasts mean for cancer risk?

- Me troCreative

Breast cancer risk is influenced by many things, including heredity, age and gender. Breast density is another factor that may affect cancer risk and the ability to detect breast cancer in its ea rliest stages, say some experts.

A c c ord in g to th e r epor t, “ M a m mo grap h ic dens ity a nd th e r isk and d etection of b r e a s t can cer,” p ublis hed by

The N ew E n g la n d Jo ur n a l of M e dici n e , a s w e ll a s d a t a f r om the N a t i o n a l C a n ce r I ns titute, w o me n w i t h h i g h b r e a s t de n si t y a r e f o ur t o f ive times mo r e li ke ly t o g e t b r e a s t can ce r . O n ly a g e a n d BRCA1 a n d B R C A2 mut a t i o n s incr ea s e r i sk mo r e . H o w e v e r , a t this tim e , h e a lt h ca r e pr ovide r s d o n o t r o ut i n e ly use a woma n’s br e a st d e n si t y t o a s s es s her br e a st ca n ce r r i sk, a c cor ding t o Susa n G . K o me n f or the C ur e .

De ns ity d o e s n o t r e f e r t o t h e s ize or s h a pe o f t h e br e a st , a n d it ma y no t be a ppa r e n t by j ust looking at t h e br e a st s. Usua lly wom e n do n o t le a r n t h e y h a v e dens e br e a st s un t i l t h e i r f i r st m a mm og r a ms. D e n se br e a st s ha ve m or e g la n d ula r a n d f ib r ous ti ssue . D e n si t y ma y be

We’re Growing Awareness to Save Lives!

Lives!

h e r e d i t a r y, me a n i n g mo t h er s a n d d a ug h t e r s ca n sh a r e si mi la r br e a st ch a r a ct e r i s t i c s .

d en s i t y i s s h a r ed , s h e c a n r equ es t t h e i n f or m a t i on f r om t h e r a d i ol og i s t or d oc t or .

D en s e b r ea s t s s h ow u p w i t h D e n se br e a st s ca n n o t e a s i l y m or e p oc k et s of w h i t e on be se e n m a m m og r a m s t h r o ug h o n a than gray ma mmo g r a m, fatty tissue Did you know? w h i ch i n l es s d en s e ca n ma ke Breast cancer can affect both b r ea s t s . d e t e ct i n g men and women and is one of Ca n c er a l s o lumps th e m o st c o m m o n f o r m s o f a p p ea r s and other c a n c er. T h a n k s t o i n c r e a se d w h i t e, a n d , a bn o r ma li t i e s a w a rene ss a n d sc r e e n i n g s, t h er ef or e, mo r e m a n y c a se s o f br e a st c a n c e r t u m or s c a n d i f f i cult . a re di a g n o se d e a r l y a n d b e h i d d en .

Th i s ca n le a d tre a ted su c c e ssf u l l y. t o mi sse d I n a d d i t i on ca n ce r s o r t o m or e ca n ce r s t h a t a r e d i sco v e r ed i n - d ep t h s c r een i n g s , w om en a t la t e r st a g e s. W o me n w i t h w i t h d en s e b r ea s t s c a n l ow er d e n se br e a st s ma y r e q ui re c a n c er r i s k b y f ol l ow i n g t h es e a d d i t i o n a l scr e e n i n g me t h od s , g u i d el i n es : such a s a br e a st ult r a so u n d or · Maintain a healthy weight. a n M R I , i n a d d i t i o n t o y ea r l y ma mmo g r a m scr e e n i n g s. · Eat nutritious food.

E d uca t i o n a bo ut br e a st · E x e r c i se r e g u l a r l y. d e n si t y i s g a i n i n g t r a ct i on i n so me a r e a s, t h a n ks t o · N e v e r sm o k e o r q u i t i n f o r me d w o me n a n d a d v oc a c y i m m e d i a t e l y. g r o ups li ke Ar e Y o uD e n s e. · Li m i t a l c o h o l c o n su m p t i o n . o r g . So me st a t e s i n t h e U n i t ed St a t e s a r e pa r t o f “ i n f o r m ” · Ask f o r d i g i t a l li st s, i n w h i ch r a d i o lo g i s t s m a m m o g r a p h y. i n clud e i n f o r ma t i o n a bo u t br e a st d e n si t y o n ma mmog r a m Wom en c a n c on s i d er b r ea s t r e po r t s so w o me n a n d d o c t or s d en s i t y w i t h ot h er r i s k f a c t or s ca n ma ke d e ci si o n s a bo ut ex t r a i n t h e f i g h t a g a i n s t b r ea s t t e st i n g . c a n c er .

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TH UR SDAY , OCT OB E R 1, 2015

LEWISTO N TRIBUNE |

BREAST CANCER AWARENESS

7

The differences between chemotherapy and radiation - Me troCreative

Cancer can spread throughout the body, infiltrating healthy cells and causing an uncontrolled division of abnormal cells.

V a r io u s cancer- t r e a tment o p ti ons are avail able to tr e a t men an d wo men, but th e o n es mo st familia r to m a n y p eo p l e are ra dia tion a n d c hemo th erap y. Wor king wi th th eir d o cto rs, pa tients c a n e xp l o re th eir tr ea tm e nt o p ti ons to d eterm ine whic h th e r a p ies may be m os t e f f e c t ive.

C h e mo t her apy C h e mo th erap y is a c a nc e r

tr ea tm e n t i n w h i ch a pa t i e n t is a dm inist e r e d d r ug s t h a t a r e de s ign e d t o ki ll ca n ce r c e lls . The se d r ug s w o r k by a tta c king t h e co mpo n e n t s t h a t a llow cells t o d i v i d e , g r o w a n d s pr ea d. Ma n y ch e mo t h e r a py dr ugs a r e g i v e n i n t r a v e n o usly, in c yc les , o v e r a co uple o f weeks , but so me ch e mo t h e r a py m e dica tion s ma y be t a ke n or a lly. Ch e mo t h e r a py pr ima r ily t a r g e t s ce lls t h a t divide r a pi d ly, li ke ca n ce r c e lls . But be ca use o t h e r he a lthy ce lls a lso d i v i d e r a pidly, such a s ce lls i n t h e ha ir a nd d i g e st i v e t r a ct , pa tie nts ma y e x pe r i e n ce si d e ef f ec ts in t h e se a r e a s w h e n unde r goin g ch e mo t h e r a py tr ea tm e n t , a cco r d i n g t o t h e S outhea s t R a d i a t i o n O n co lo g y Gr oup.

Ra di a ti on

Hormone therapy

R a d i a t i o n sur r o un d s us i n v a r i o us f o r ms. Th e h i g h e n e r g y pa r t i cle s a n d w a v es co n t a i n e d i n r a d i a t i o n can be use d i n ca n ce r t h e r a py , a cco r d i n g t o t h e Ame r i can C a n ce r So ci e t y. R a d i a t i on t h e r a py ca n be d e li v e r e d i n v a r i o us f o r ms. E x t e r na l r a d i a t i o n use s a ma ch i n e t h a t pr e ci se ly d i r e ct s h i g h -e ner g y r a ys f r o m o ut si d e o f t h e b od y i n t o a t umo r a n d n e a r by t i ssue . I n t e r n a l r a d i a t i o n r e li e s o n a r a d i o a ct i v e i m p l a n t pla ce d i n si d e t h e bo d y n ea r t h e t umo r . Syst e mi c r a d i a t i on i s t h e d e li v e r y o f r a d i o a c t i v e ma t e r i a ls t o a pa t i e n t o r a l l y or t h r o ug h a n i n j e ct i o n .

D oc t or s m a y s u g g es t h or m on e t h er a p y t o t r ea t b r ea s t c a n c er . T h e A m er i c a n Ca n c er S oc i et y s a y s es t r og en p r om ot es t h e g r ow t h of c a n c er s t h a t a r e h or m on e r ec ep t or - p os i t i v e. H or m on e t h er a p y w i l l l ow er es t r og en l ev el s or p r ev en t es t r og en f r om a c t i n g on b r ea s t c a n c er c el l s .

H ow ev er , i t w i l l n ot w or k on t u m or s t h a t a r e h or m on e r ec ep t or - n eg a t i v e.

D oc t or s u s e a c om b i n a t i on of t h er a p i es t o t r ea t c a n c er .

L ea r n m or e a t T h e Na t i on a l I n s t i t u t es of H ea l t h ’ s M ed L i n e P l u s w eb s i t e n l m .n ih .g o v / m e d l in e p l u s / d r u g in f o r m a t ion . h t m l or s p ea k w i t h a n on c ol og i s t .

$25-person

18th Annual

(with all proceeds going to the Gina Quesenberry Foundation) Tickets available online at: www.gqfoundation.org Idavend Broadcasting, Owl Pharmacy Southway, Owl Pharmacy Tri State, & Owl Home Medical

Friday, October 9, 2015 11:30 a.m. to 1:00 p.m. at Red Lion Hotel

Major Sponsors:

TRANSPORT, INC.

Featured Speakers: Stanley McCoy Holly Heitstuman Sallee Jones, DO General Surgeon

O

zeran

Plastic & Reconstructive Surgery Bringing beauty to life.

Cable One, Owl Home Medical, The Outlaw, Y-105, KRLC

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BREAST CANCER AWARENESS

Cancer therapy and coping with hair loss - Me troCreative

Hair loss is one side effect widely associated with cancer treatment, though not all cancer patients will lose their hair.

F or examp l e, p atients u n d e rgo ing rad iation ther a py f o r b reast can cer w ill not l os e th e h air o n the ir he a ds b e c a u se rad iatio n is a loca lized tr e a tm ent. Hair l os s in the a r e a o f treatment, s uch a s u n d e r th e arms o r on the b r e a s t itsel f, may occ ur . But h a i r l o ss o n o th er a r e a s of the b o d y is mo re l ik ely to occ ur a s a r esu l t o f ch emother a py tr e a tm ent, as ch emothe r a py

a f f ec ts th e e n t i r e bo d y.

Che mothe r a py t a r g e t s r a pi d ly dividing ce lls. H a i r f o lli cle s a r e s om e o f t h e f a st e st gr owing c e lls i n t h e bo d y a n d c hem other a py t a r g e t s f a st gr owing c a n ce r ce lls.

Va r ious st ud i e s sh o w t h a t m a ny wome n f e a r lo si n g the ir ha ir mo r e t h a n lo si n g a b r e a s t, a s br e a st lo ss ca n be c onc e a led mo r e e a si ly t h a n ha ir los s . H o w e v e r , t h e r e a r e wa ys to c o pe w i t h h a i r lo ss, pa r ticula r ly t h r o ug h t h e use o f wigs a nd h e a d co v e r i n g s. · As k your d o ct o r t o w r i t e a pr e s c r ipt i o n f o r a w i g , w h i ch m a y be c o v e r e d by yo ur h e a lt h ins ur a nce. · Sta r t s h o ppi n g f o r a w i g

Our Philosophy...

e a r ly o n - e v e n be f o r e h a i r lo ss o ccur s. As yo u g e t f u r t h er a lo n g i n t o t r e a t me n t , yo u m a y f e e l f a t i g ue d a n d n o t up t o sh o ppi n g f o r w i g s. · C h o o se a co lo r t h a t i s si mi la r t o yo ur n a t ur a l ha i r co lo r . Th i s w i ll h e lp t h e w i g lo o k mo r e n a t ur a l. · I f po ssi ble , pur ch a se m or e t h a n o n e w i g so yo u h a v e a ba ckup o r a n o t h e r st yle ch o i ce . · V i si t a w i g st o r e a t le a s t o n ce f o r a pr o pe r f i t t i n g s o yo u w i ll kn o w w h a t t o lo ok f o r . W i g s co me i n d i f f e r e n t ca p si ze s. O n ce yo u kn o w yo ur si ze , yo u ca n co n si d er sh o ppi n g f o r w i g s o n li n e.

ex p en s i v e, b u t t h ey c a n b e m or e d u r a b l e t h a n s y n t h et i c w i g s a n d of f er m or e s t y l i n g c h oi c es . H ow ev er , s y n t h et i c w i g s c a n u s u a l l y b e w or n ou t of t h e b ox a n d r equ i r e l es s daily styling. · H ea d w r a p s a n d h a t s a r e a n a l t er n a t i v e w h en y ou n eed a b r ea k f r om w ea r i n g a w i g .

Ch oos e a v a r i et y of op t i on s s o y ou c a n c oor d i n a t e w i t h y ou r c l ot h i n g .

L os i n g h a i r d u e t o c a n c er t r ea t m en t i s s el d om ea s y .

B ei n g p r ep a r ed f or t h e t r a n s i t i on b y h a v i n g a qu a l i t y w i g a n d c om f or t a b l e h ea d w r a p s a t t h e r ea d y c a n m a k e d ea l i n g w i t h h a i r l os s ea s i er .

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Supporting survivors and honoring loved ones lost to breast cancer.

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TH UR SDAY , OCT OB E R 1, 2015

BREAST CANCER AWARENESS

LEWISTO N TRIBUNE |

How to talk to your children about your diagnosis - Newspaper To olbo x

“How on earth am I going to tell my children?”

T hi s q u estio n h aunts a ll m oth ers wh o h ave jus t r e ceived a b r e a st cancer d ia gnos is .

F or tu n atel y , p syc hologis ts , c a n c e r su rvivo rs a nd s oc ia l wo r k ers h ave establis hed s om e gr o u nd ru l es to fa cilita te this s te p .

C h oo s e a g o o d time W h en y o u ’re rea dy to b r e a k th e n e ws, wait u ntil a ll your c hi l d r en are gath er ed togethe r i n a f amil iar p l ace. This a p p r o ach h as two a dva nta ges .

F i r s t, it al l o ws al l of them to h e a r th e same infor ma tion

s imulta neo usly. I t a lso pr e ve nts a n y o n e ch i ld f r o m f eeling ex clud e d o r h ur t by he a r ing t h e n e w s a f t e r h i s o r he r s ibling s.

Tell the tru th Whe n t h e t i me co me s, a void long pr e a mble s a n d g e t s tr a ight t o t h e po i n t .

Af ter a n n o un ci n g yo ur dia gnos is, t a ke t h e t i me t o ens ur e th a t yo ur ch i ld r e n h a v e unde r s too d t h e i n f o r ma t i o n you jus t g a v e t h e m. E v e n though the subj e ct i s a dif f ic ult o n e t o d e a l w i t h , s ilence a n d d e n i a l w o n ’t h e lp the m unde r st a n d o r a cce pt t h e s itua tion .

Be ca nd i d a n d e x pla i n t o

yo ur ch i ld r e n a ll t h e st e p s yo u’ll h a v e t o g o t h r o ug h i n t h e co mi n g mo n t h s ( t r e a t me n t s, si d e e f f e ct s, o pe r a t i o n , e t c.) .

E n co ur a g e t h e m t o a sk a n y q ue st i o n s t h a t a r e w o r r yi n g t h e m.

Re a d to th e m B r e a st ca n ce r i s a r a t h er a bst r a ct co n ce pt f o r yo ung ch i ld r e n . To h e lp t h e m b et t er un d e r st a n d , r e a d st o r i e s to them that deal with this d e li ca t e subj e ct i n si mple t e r ms. Y o u ca n f i n d se v e r a l be a ut i f ully i llust r a t e d book s i n bo o kst o r e s, t h r o ug h b r ea s t ca n ce r suppo r t g r o ups o r a t yo ur lo ca l li br a r y.

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THURSDAY, O CTO BER 1, 2015

Lesser-known symptoms of breast cancer - Me troCreative

Lumps in the breast are not the only potential indicators of breast cancer.

P ub l ic p ercep tion tha t br e a s t c a n c e r is o nl y id entif ie d b y l ump s d etected thr ough s e l f - examinatio n or r outine m a m mo grap h y ma y pr e ve nt th ou s and s o f wo m e n f r om r e c e i vin g an earl y dia gnos is a n d th e care th ey ne e d.

A l th ou gh l u mp s a r e the mos t c om m o n sy mp to m a s s ocia ted wi th th e d isease, wom e n s ho u l d reco gniz e tha t b r e a s t c a n c e r can p ro d u ce a dditiona l s ym pto ms.

S u s an G. Ko men f or the C u r e ad vises th at the wa r ning

s igns f or br e a st ca n ce r a r e not the s a me f o r a ll w o me n (or m e n). V a r i o us ch a n g e s in the b r e a st a n d bo d y ca n oc cur , includ i n g t h e f o llo w i n g c onditions. · Br ea s t -si ze ch a n g e s: M a n y le f t a nd ri g h t br e a st s a r e n o t c ompletely symme t r i ca l, a n d wom e n f a mi li a r w i t h t h e i r b odie s kn o w t h a t o n e br e a st i s of ten s lig h t ly la r g e r t h a n t h e othe r . H o w e v e r , br e a st -si ze c ha nges t h a t o ccur o ut o f t h e b lue ma y be i n d i ca t i v e o f a m e dica l p r o ble m. · S kin r a sh o r r e d n e ss: Wom e n w h o a r e br e a st f e e d i n g c a n e xpe r i e n ce a r a sh o n t h e b r e a s ts f ro m a n i n f e ct i o n o f b r e a s t tissue . B ut t h o se w h o

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a r e n o t br e a st f e e d i n g sh o u l d be e v a lua t e d by a d o ct o r i f r e d n e ss, i r r i t a t i o n o r r a s h a ppe a r s. · N i pple ch a n g e s: N i pp l e d i sch a r g e t h a t st a r t s sudd en l y a n d i s n o t a sso ci a t e d w i t h br e a st f e e d i n g ca n be i n d ic a t i v e o f ca n ce r . O t h e r ch a n g e s t o t h e n i pple s, such a s pulli n g i n o f t h e n i pple ( i n v e r si on ) o r i t ch y, sca li n g ski n o n t h e n i pple , sh o uld be br o ug ht t o t h e a t t e n t i o n o f a d o ct o r . · C h a n g e s t o t h e ski n : D i mpli n g o f t h e ski n , peel i n g , f la ki n g , o r sca li n g ski n c a n b e a ca use f o r co n ce r n a s w el l . · L umps e lse w h e r e : C a n ce r o us t umo r s ma y not o n ly be f e lt i n t h e br e a st s .

B r e a st ca n ce r ca n spr e a d t o t h e lymph n o d e s a r o un d t h e br e a st s, a n d lumps ma y b e f el t un d e r t h e a r ms. · Un e x pla i n e d pa i n : Th e M a yo C li n i c a d v i se s t h a t l es s t h a n 1 0 pe r ce n t o f pe o pl e d i a g n o se d w i t h br e a st ca n c er r e po r t pa i n a s a sympt o m .

B ut un e x pla i n e d pa i n i n a n a r e a o f t h e br e a st sh o uld n ot be i g n o r e d . B r e a st pa i n t h a t d o e s n o t g o a w a y a n d se e m s t o i n v o lv e o n e a r e a o f t h e b r ea s t sh o uld be ch e cke d .

· F a t i g u e: Gen er a l c a n c er s y m p t om s c a n i n c l u d e u n u s u a l f a t i g u e a n d u n ex p l a i n ed w ei g h t l os s . T h es e s y m p t om s s h ou l d n ot b e l ef t u n c h ec k ed .

On e of t h e b es t t h i n g s w om en a n d m en c a n d o i s t o f a m i l i a r i z e t h em s el v es w i t h t h ei r b od i es s o t h ey w i l l b e m or e c a p a b l e of p i n p oi n t i n g a n y i r r eg u l a r i t i es t h a t m a y d ev el op . I n d i v i d u a l s c a n r ou t i n el y l ook a t t h ei r b r ea s t s a n d i n s p ec t f or s u b t l e c h a n g es .

B u t r em em b er t h a t h or m on a l b r ea s t c h a n g es oc c u r d u r i n g t h e m en s t r u a l c y c l e, s o i t ’ s b es t t o b e f a m i l i a r w i t h h ow b r ea s t s l ook a n d f eel b ot h d u r i n g a n d a f t er m en s t r u a t i on .

TH UR SDAY , OCT OB E R 1, 2015

LEWISTO N TRIBUNE |

BREAST CANCER AWARENESS

Two great events to choose from, for one important cause.

[ October 27, 2015 - 10 a.m. ]

[ October 27, 2015 - 4 p.m. ]

For 14 years Gritman Medical Center and generous individuals and businesses have joined together to promote early breast cancer detection through the Pink Tea and the Bosom Buddies program. This year we will host the 14th Annual Pink Tea at 10 a.m. and introduce the 1st Annual Pink Cocktail at 4 p.m.

Best Western Plus University Inn • 1516 Pullman Rd., Moscow Idaho For more information and pre-registration: 208-883-6233

www.gritman.org

11

12 | LEW IST ON T RIB U N E

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THURSDAY, O CTO BER 1, 2015

What others can do to help - Me troCreative

A woman w ho is in the process of fighting breast cancer needs a great deal of support.

S o me d ay s can be ha r d to get th r ou gh , and a well-or ga nized s up p o rt netwo rk ca n ma ke a l l th e d ifferen ce.

W h o w i ll do th e shopping and t h e h ou s ew or k ?

W h o w i ll c ome wit h m e t o m y t r eat men ts ?

H o w c an I fi nd the t im e t o r es t ?

M a ny wo men h ave dif f iculty a s k i ng fo r h el p . Shyne s s ,

pr ide , or t h e f e a r o f d i st ur bi n g othe r s pre v a i ls. An d ye t , b e ing giv e n a h e lpi n g h a n d ca n f a c ilita te a d a pt a t i o n t o t h e c ha nges c a use d by t h e ca n ce r .

Whe n a w o ma n a cce pt s h e lp f r om othe r s, sh e i s g i v i n g he r s elf ext r a r e so ur ce s i n or der to f i g h t t h i s d i se a se .

The s e ot h e r pe o ple w i ll include m e mbe r s o f t h e f a mi ly, of cour s e , but a lso f r i e n d s, c o-wor ker s, v o lun t e e r s, ne ighbour s, o r so me o n e w h o ha s lived t h r o ug h a si mi la r exper ience .

As well a s pr o v i d i n g suppo r t f or the w o ma n li v i n g w i t h c a nc e r , th i s n e t w o r k ca n g i v e va lua ble h e lp t o h e r pa r t n e r a nd c hild r e n .

Why leave the Valley when you can receive excellent care close to home?

E v e r yo n e ’s r o le s a n d r e spo n si bi li t i e s ca n ch a n g e , a n d ch i ld r e n a n d spo use a li ke a r e e x po se d t o f e e li n g s o f i n se cur i t y. O n t h o se mo r e d i f f i cult d a ys, i t i s r e a ssur i n g t o be a ble t o co un t o n so me o n e , e v e n i f i t ’s o n ly t o w a lk t h e d o g , pr e pa r e a h o t me a l, o r t a ke t h e ch i ld r e n t o t h e mo v i e s.

A w o ma n li v i n g w i t h br e a st ca n ce r a lso n e e d s so me o n e t o t a lk t o . Sh e n e e d s t o be a ble t o t a lk w h e n sh e f e e ls t h e n e e d , o r t o be q ui e t w i t h o ut be i n g q ue st i o n e d .

Dr. Terri J. Drury y CHIROPRACTIC HEALTH CARE FOR ALL AGES •Most Insurance Accepted including Medicare •Family and Prenatal Care

Elm View Chiropractic Clinic

Plan to attend our Breast Cancer and Reconstruction Open House Wednesday Oct. 21st SP ‡ %UDYDœV Towne Square, Lewiston

4 5 9 11 5 J A _ 1 5

1303 6th St., Clarkston, WA • 509-758-0660

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Plastic & Reconstructive Surgery Bringing beauty to life.

STEVEN E. OZERAN,

S u p p or t er s a n d f r i en d s c a n b e a b i g h el p w i t h t h i s a s w el l .

Helping YOU take care of YOUR health!

As part of the breast cancer team we work closely with your surgeon and oncologist to ensure you get the best possible care.

O

E v e n un d e r t h e be st o f ci r cumst a n ce s, ca n ce r a n p u t a g r e a t d e a l o f st r e ss o n f a mi ly li f e .

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TH UR SDAY , OCT OB E R 1, 2015

BREAST CANCER AWARENESS

LEWISTO N TRIBUNE |

13

Life after breast cancer - Me troCreative

The moment a person receives a breast cancer diagnosis, his or her life changes immeasurably.

T he ro l l er co aste r of e m o tio ns begins, a nd s ud denl y th is p erson is thr us t i n to a sch ed u l e o f doc tor ’ s a p p o intments, trea tments a nd vi s i ts fro m frien d s a nd f a mily.

T he Wo rl d C ancer Re s ea r c h F un d In ternatio na l s a ys b r e a s t cancer is the s ec ond m os t co mmo n canc e r in wo m e n an d men a nd is the m os t freq u entl y d ia gnos ed c a n c e r amo n g wo men in 1 4 0 o f 1 8 4 co u n tries wor ldwide .

De s p ite th at p revalence, the f i v e - year rel ative sur viva l r a te f o r wo men d ia gnos ed wi th l o cal iz ed brea s t c a nc e r (c a n c er th at h as not s pr e a d to th e l ymp h n o d es or outs ide th e b reast) is 98.5 pe r cent, s a ys th e A merican Ca nc e r S o c i ety . Su rvival odds inc r e a s e a s m ore is l earned a b out b r e a s t cancer and mor e people ta k e p reventative mea s ur e s , i n c l u ding ro u tin e s c r e e nings .

T od a y, th ere are nea r ly thr ee m i l l i on breast cancer s ur vivor s l i vi n g in th e U n ited S ta te s .

Br e a st can cer tre a tments ma y

la s t a nyw h e r e f r o m si x mo n t h s to a ye a r . Ad j ust i n g a f t e r tr ea tm e n t ma y n o t co me so ea s ily a t f i r st . B ut a d j ust me n t s a r e e a s ier w i t h t i me , a n d ma n y c a nc e r s ur v i v o r s co n t i n ue t o live lif e t o t h e f ulle st i n much the s a me w a y t h e y d i d pr i o r t o the ir dia g n o si s.

Whe n t r e a t me n t e n d s, pa tie nts o f t e n st i ll h a v e f e a r s a b out the ca n ce r , w o n d e r i n g i f a ll of the ca n ce r o us ce lls h a v e b e e n de s t r o ye d a n d w o r r yi n g a b out r ec ur r e n ce . B ut f o cusi n g on the pr e se n t a n d a ll o f t h e things you n o w ca n d o w i t h he a lth on yo ur si d e i s a g r e a t wa y to pu t yo ur f e a r s be h i n d you.

Ma ny c a n ce r sur v i v o r s must s till vis it t h e i r d o ct o r s a f t e r tr ea tm e n t s e n d . D o ct o r s st i ll wa nt to mo n i t o r pa t i e n t s c los e ly, so be sur e t o g o t o a ll f ollow -up a ppo i n t me n t s a nd dis cu ss a n y sympt o ms o r f eelings yo u ma y be h a v i n g .

S ide ef f ect s ma y co n t i n ue long a f ter r a d i a t i o n o r c hem other a py h a s e n d e d . Y o ur doc tor m a y h a v e sug g e st i o n s f or copin g w i t h ce r t a i n si d e ef f ec ts or w i ll be a ble t o pr e s c r ibe me d i ca t i o n s t o of f s e t the se e f f e ct s. Fo llo w -up a ppointme n t s sh o uld g r a d ua lly dec r e a s e t h e lo n g e r yo u h a v e b e e n ca nce r -f r e e .

I t ’s n o t un co mmo n t o f e e l d i f f e r e n t ly a f t e r ca n ce r t r e a t me n t , a s yo ur bo d y h a s be e n t h r o ug h q ui t e a lo t .

M a n y w o me n st i ll e x pe r i e n ce f a t i g ue , a n d sle e p o r n o r ma l r e st d o e sn ’t se e m t o ma ke i t a ba t e .

R e a li ze t h i s i s n o r ma l, a n d h o w lo n g i t w i l l la st d i f f e r s f r o m pe r so n t o pe r so n . I t ca n t a ke mo n t h s or ye a r s f o r yo u t o e x pe r i e n c e yo ur “ n e w n o r ma l.” Th i n g s d o n o t h a ppe n o v e r n i g h t . W h i l e yo ur h a i r ma y g r o w ba ck q ui ckly, i t ma y t a ke so me t i m e f o r yo u t o f e e l li ke yo ur s el f a g a i n . E x e r ci se r o ut i n e s or o t h e r li f e st yle ch a n g e s m a y

h el p y ou ov er c om e f a t i g u e or m a k e i t m or e m a n a g ea b l e.

S p ea k i n g w i t h ot h er s w h o h a v e s u r v i v ed b r ea s t c a n c er c a n h el p . J oi n a s u p p or t g r ou p or r ea c h ou t t o ot h er s t h r ou g h s oc i a l m ed i a . Get t i n g a f i r s t h a n d a c c ou n t of w h a t c a n b e ex p ec t ed t h e f i r s t y ea r a f t er t r ea t m en t c a n a s s u a g e a n x i et y .

WE ARE PROUD TO SUPPORT BREAST CANCER AWARENESS MONTH!

Celebrate survivors, and honor those who lost the fight. Spread the word:

Early Detection Saves Lives.

“Your Family’s Health is Our Family Tradition”

PINK

217 S. Main St., Moscow • (208) 882-0800 • www.cbtmoscow.com 405 S. Grand Ave., Pullman • (509) 334-0562 • www.cbtpullman.com

1271 Highland Ave., Suite B – Clarkston, WA

(509) 751-5500

459042i-15

325 Main St., Lewiston • (208) 746-7400 • www.cbtvalley.com

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THURSDAY, O CTO BER 1, 2015

BREAST CANCER AWARENESS

Celebrities who have had breast cancer - Me troCreative

Breast cancer re mains one of the most common forms of cancer among women, surpassed onl y by skin cancers.

Anyone, even men, can get breast cancer, bu t gender, age and hereditary factors do put some at greater risk than others.

M a ny famo u s wom e n ha ve b r a vel y battl ed bre a s t ca ncer .

T he f o l l o win g are jus t a f ew o f th e famo u s wo men who m a de th eir battl es with br e a s t c a n c e r p u bl ic.

· Christ i n a A p p l eg a te : Apple ga t e un d e r w e n t a d o uble m a s tec tomy a f t e r be i n g dia gnos e d w i t h e a r ly st a g e b r e a s t can ce r i n 2 0 0 8 . Sh e c ontinue s t o be a so ur ce o f ins pir a tio n f o r o t h e r br e a st c a nc e r pa t i e n t s a n d sur v i v o r s.

a d v o ca t e .

· Shery l Crow : E v e n be f o r e he r own di a g n o si s i n 2 0 0 6 , Cr ow wa s r a i si n g mo n e y a n d a wa r ene ss f o r ca n ce r . C r o w ha d r a diat i o n t h e r a py a n d m inim a lly i n v a si v e sur g e r y a n d ha s s ince be e n ca n ce r -f r e e .

· J u dy B l u m e: Th e f a m ed yo un g a d ult a ut h o r w a s d i a g n o se d w i t h br e a st ca n c er i n 2 0 1 2 , 1 7 ye a r s a f t e r b ei n g d i a g n o se d w i t h ce r v i ca l c a n c er .

· Cy nthi a N i xon : P o pula r tele vis ion a ct r e ss N i x o n or igina lly ke pt h e r ca n ce r dia gnos is pr i v a t e . B ut sh e s ha r ed her st o r y t w o ye a r s a f ter dia g n o si s a n d i s n o w a br e a s t ca n ce r a w a r e n e ss

· G i u l i a n a Ra n c i c : Ta lk sh o w h o st R a n ci c h a d a d o uble ma st e ct o my i n 2 01 2 .

Sh e sh a r e d h e r st o r y t o hel p o t h e r w o me n a n d pr o v i d e i n spi r a t i o n a l h o pe .

· O l i v i a N e w ton - J oh n : T h e a ct r e ss a n d si n g e r d i sco v er ed br e a st ca n ce r i n 1 9 9 2 a n d t o o k a h i a t us f o r sur g e r y a n d ch e mo t h e r a py. Sh e h a s s i n c e be e n a n a d v o ca t e f o r br e a s t ca n ce r a w a r e n e ss so o t h e r w o me n ca n se e t h e i mpo r t a n c e o f e a r ly d e t e ct i o n .

· Dame Maggie Smith: R en ow n ed B r i t i s h A c t r es s S m i t h w a s d i a g n os ed w i t h b r ea s t c a n c er i n 2 0 0 7 w h i l e f i l m i n g h er s i x t h a p p ea r a n c e a s P r of es s or M c Gon a g a l l i n t h e “ H a r r y P ot t er ” s er i es .

S h e c on t i n u ed t o w or k on t h e m ov i e w h i l e u n d er g oi n g c h em ot h er a p y a n d r a d i a t i on . · W a n d a S yk e s: Com ed i en n e S y k es r ev ea l ed t h a t s h e h a d a d ou b l e m a s t ec t om y i n 2 0 1 1 a f t er d oc t or s f ou n d ev i d en c e of ea r l y - s t a g e b r ea s t c a n c er i n h er l ef t b r ea s t . · R o bi n R o be r t s: T h e “ Good M or n i n g A m er i c a ” a n c h or w a s d i a g n os ed w i t h ea r l y - s t a g e b r ea s t c a n c er i n 2 0 0 7 .

e t e l Comp

Breast Cancer Care

FROM DIAGNOSIS TO RECONSTRUCTION

Jeffry Jones, MD

Derrick Walker, DO

Juan D. Parra, MD

John Visger, MD

Geoffrey Stiller, MD

PalouseSurgeons PalouseSurgeons.com

Moscow: 2301 West A Street, Suite A - 208.882.1700 | Colfax: 1210 West Fairview - 509.338.0632 | Pullman: 825 SE Bishop Blvd, Suite 130 - 509.338.0632

TH UR SDAY , OCT OB E R 1, 2015

LEWISTO N TRIBUNE |

BREAST CANCER AWARENESS

7R DOO WKRVH ZKR KDYH ORVW WKH ¿ JKW WR WKRVH ZKR ZRQ¶W TXLW WKH ¿ JKW

Your strength, courage and legacy will inspire generations to come.

Love always, Laynie, Joe, Lilly and Mayzie

My Beautiful Daughter

Kim Holman Moors,

is all heart. She is brave, strong and totally filled with tender loving care.

I am grateful to be living in a time I could choose to “Skip” having breast cancer. I will be forever thankful to my family, friends and doctors for seeing me through that time in my life.

Marilyn Jain,

You inspired us to enjoy each minute of our lives no matter what is thrown our way. We love you, you are missed and remembered fondly.

Loris Jain Profitt & Ryan Jain

Sister

Gina Blewett Quesenberry You continue to be an inspiration for us, and we miss you terribly every day!

Love from your sisters, Lynda Taylor Leanne Keatts Joan Boyle Kristin Gibson

Our mother,

Sharon Jain Iverson, Her love of life and her courage in fighting breast cancer continues to be an inspiration for us.

We miss you!

Karen Peterson, Joan Gill

15

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THURSDAY, O CTO BER 1, 2015