IMPACT - Komen Race For The Cure 2018

IMPACT. MAGAZINE 2018

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CoolSculpting uses extreme cold to destroy some of the treated tissue over a period of 3 to 6 months – CoolSculpting.com

Measurable Results Within a Few Months The most dramatic results are usually seen between one and three months – CoolSculpting.com Patients seen two months after treatment with CoolSculpting had lost 39.6cc of fat – Lasers Surg Med. February 2014: 46(2); 75-80. doi:10.1002/ lsm.22207 The CoolSculpting fat-freezing procedure actually reduces the number of fat cells in treated areas by about 20-25% – CoolSculpting.com

Side Effects and Adverse Outcomes Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching or skin sensitivety – CoolSculpting.com Reported side effects are pain (including long-term), umbilical hernia, gaining fat, enlargement of fat, stretch marks, prolapsed bladder, uterus and rectum, paradocxical adipose hyperplasia, inflammatory colonitis and deep vein trhombosis – FDA.gov

UltraSlim uses non-destructive photonic energy to stimulate the treated tissue to effect lipolysis, immediate fat reduction and/or skin rejuvenation – WardPhotonics.com

Measurable Results Are Immediate In clinical trials, patients immediately lost an average of 3.5” combined from the waist, hips and thighs while at each treatment visit, and 98% of those patients lost more than 2”. Patients lost an average of 1.6 liters (1600cc) of fat at the treatment visit (immediate losses of 717cc to 4.6 liters) – ClinicalTrials.gov NCT02867150 In Vivo studies show that abdominal fat thickness was immediately reduced by 33% with one 8-minute UltraSlim treatment – WardPhotonics.com

No Side Effects or Adverse Outcomes Ultraslim is the only body-contouring device that is classified as Risk Group 1, the safest category of medical devices.

There is no pain, no discomfort, no downtime, no dysmorphic fat accumulations, no paradoxical enlarging of fat cells, no new production of fat cells and no side effects or adverse outcomes of any kind – WardPhotonics.com

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Appointments Recommended IMPACT. MAGAZINE 2018

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KOMEN IDAHO MONTANA 2018

ARTICLES 8

KOMEN BOISE REMEMBERS 2017 Take a look at our runners from last year. We’re so proud of everyone who participated!

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2018 RACE SCHEDULE & MAP

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PARKING & SHUTTLE INFORMATION

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BREAST SELF-AWARENESS

Learn about when everything is happening, where to go and how to plan.

Get the details about shuttle times, parking, and special accommodations.

Do you know the warning signs to look for? Be knowledgeable!

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20 YEAR LEGACY OF FRIENDSHIP, SURVIVORSHIP

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SO MANY SCREENINGS, WHICH TO CHOOSE

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BREAST CANCER ADVANCEMENTS

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OLDER WOMEN AND BREAST CANCER: SHOULD CARE BE DIFFERENT?

Two women met in 1975 on the way to a football game, and became friends with a shared mission.

There are new breast cancer screenings and screening recommendations all the time. How do you choose?

Another year, another step forward against breast cancer. Learn about prepectoral implants, and PARP inhibitors.

A third of those diagnosed with breast cancer are older than 70, but care for this age group is sometimes lacking.

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PREGNANCY, BREASTFEEDING & BREAST CANCER

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TIPS FOR FRIENDS AND FAMILY

Trying to have a baby after a battle with breast cancer is a challenging decision and controversial topic, but recent research is hopeful.

Breast cancer survivors share tips about how friends and family can be supportive.

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DIRECTOR’S NOTE

KOMEN 2018 Idaho Montana Affiliate of Susan G. Komen Race for the Cure EXECUTIVE DIRECTOR Jodi Weak PRESIDENT, BOARD OF DIRECTORS Kathie Jones, RN

WOW! 20 YEARS OF CELEBRATING THE BOISE RACE FOR THE CURE! EXCITEMENT IS IN THE AIR AT THE KOMEN IDAHO MONTANA OFFICE, AS WE LOOK FORWARD TO ANOTHER BEAUTIFUL MORNING WHEN NEARLY 7,000 IDAHOANS COLOR ALBERTSON’S HEADQUARTERS AND PARKCENTER BOULEVARD PINK TO RACE FOR THE CURE. WE ARE ALSO TAKING THIS TIME TO REFLECT ON JUST HOW FAR WE HAVE COME IN 20 YEARS. We have so much to be proud of over the past years. What started as an Affiliate providing services to 4 counties in Idaho now covers 100 counties in Idaho and Montana. Idaho and Montana rank among the last in the U.S. for women receiving mammograms; the need for better breast health services stretches across our States’ border. We can also take this time to continue to increase awareness about Metastatic Breast Cancer and find ways to support those during this forever fight.

Now is a time to celebrate those who have helped us achieve so much over the last 20 years. A small but mighty committee of volunteers, led by the amazing Judy Murray, started the Race in 1999 with a passion and desire to help as many women as possible. Since then Komen Idaho Montana has provided more than 385 grants and awarded over $7.3 million to community programs to help the men and women in Idaho and Montana. Komen Idaho Montana has also given more than $2.4 million to breast cancer research to help find the cures for this disease.

We couldn’t have done it without the support of our community. We know many people have attended every Race for the Cure event in Boise and we look forward to celebrating with them at the 20th Annual Boise Race for the Cure. We also want to say a huge thank you to 3 sponsors who have been by our side since day 1. Albertson’s has been a gracious partner for 20 years, not just with the location and support of their staff, but with financial donations as well. Both Saint Alphonsus and St. Luke’s have been with us for all 20 years as well, as financial sponsors of the Race and by providing recognition and support for the breast cancer survivors. We couldn’t be prouder to have such strong partners in our community.

Susan G. Komen has a Bold Goal, to reduce the nation’s 40,000 breast cancer deaths by 50 percent by 2026, by improving access to quality and timely cancer care for the underserved and enhancing Komen’s research focus on lethal breast cancers. We are focused on this Bold Goal in Idaho and Montana. Where you live should not determine whether you live, and everyone should have equal access to care. We are constantly working with our Grantees to ensure that access to screening, diagnostic services, patient assistance and education is available to those in need. The support of the Treasure Valley community has been a major factor in helping us do just that, and we look forward to seeing you all at the start line as we celebrate another successful year!

For the Cure,

MARKETING DIRECTORS Julie Guyer | 208-371-4533 Steve Wallace | 208.850.4983 sales@healthy-idaho.com EDITOR-IN-CHIEF | PUBLISHER John A. Anderson | john@leadfront.io DESIGN DIRECTOR Phil Chadwick | phil@leadfront.io CHIEF TECHNICAL OFFICER Ken Shepherd | ken@leadfront.io DIRECTOR OF OPERATIONS Allyson Long | allyson@leadfront.io MANAGING EDITOR Michael Richardson | | michael@leadfront.io ONLINE EDITOR Chelsa Mackay | | chelsa@leadfront.io PHOTOGRAPHER Jack Floegel / Sawtooth Photo Pros COVER PHOTO Jack Floegel PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission.

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Kathie Jones, RN President, Board of Directors

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KOMENBOISE|REMEMBERS 17

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IMPACT. MAGAZINE 2018

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R A C E D AY S C H E D U L E O F E V E N T S 7:00am Registration Tent Open Late registration and packet pick-up will be at the Registration Tent. Late registration fees do apply. NO CHECKS will be accepted, so please plan accordingly.

EXPO Open Take a loop around the EXPO and visit the sponsor booths. Our sponsors are an important piece in making Race Day possible! You can also stop by the Team Photo spot to have your picture taken.

Survivor Tent Open Survivors/Forever Fighters will check-in with volunteers at the Survivor Tent and will be allowed a +1 to join them for refreshments and lunch in the tent. We ask everyone to please be respectful of this rule as there are space limitations and we do not want any Survivors/Forever Fighters to be left out.

7:40am Fundraising Awards Ceremony Please join us at the Mainstage in the EXPO to recognize the top fundraisers.

These individuals take Komen’s mission to heart - saving lives by meeting the most critical need in our communities and investing in break-through research to find the cure for breast cancer. Komen Idaho Montana can provide screening mammogram, diagnostic, patient assistance and breast health education programs to our community because of these fundraisers!

8:00am - 8:20am Credit: Sawtooth Photo Pros

2018 RACE DAY SCHEDULE 12

20th Annual Boise Race for the Cure Saturday - May 12th, 2018

Axiom Zumba Warm-up Join us at the Mainstage in the EXPO for a cardio-Latin fusion Zumba class all done to incredible music with moves that are easy to learn! Get your muscles warmed up before the race!

8:30am - 8:40am Promise Parade & Group Photo Survivors/Forever Fighters are encouraged to stand strong together an be recognized by everyone for your courage and strength in this fight against breast cancer. Promise Parade participants will line-up at the main entrance of Albertsons HQ. The parade route will end in front of Albertsons HQ for the group photo. Friends and family are asked to please observe your loved ones in the parade and group photo as it is just for Survivors/Forever Fighters.

9:00am Non-Competitive 5K & 1 Mile Start Participants with a WHITE or PINK bibs participating in the non-competitive 5K or 1 mile will line up on Parkcenter Blvd. in front of Albertsons HQ.

Thank you for joining the 20th Annual Susan G. Komen 2018 Boise Race for the Cure!

SUSAN G. KOMEN IDAHO MONTANA 2018

KOMENIDAHOMONTANA.ORG

2018 Race & Site Map

Trash/Recycle Restrooms

Sponsor Booths Komen Race for the Cure encourages recycling! Garbage bins will be located throughout the Expo and near every food booth. Please pick up your trash and be sure to recycle when you can.

Survivor Tent

Promise Parade

Info Merch

Start

5K Staging Area

First Aid

Team Photo

Finish

Survivor Photo

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Registration

Grantees

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1 Mile

1 mile staging area

Restrooms

Albertsons Headquarters

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by the numbers Affiliate

Counties served: 100 (72 are designated Frontier Counties) Population served: 2,658,000 (49.85% female) Service area: 230,788 square miles Founded: 1995 Montana, 1999 Idaho

Grants

Credit: Sawtooth Photo Pros

Community Grants funded: 382 Community Grants awarded: $6,755,166 Community Financial Assistance: $658,834 Have provided over 27,000 mammograms

Race

Races hosted: 62 Helena: 23 Boise: 19 Coeur d’Alene: 18 Pocatello: 2 Race participants: over 225,000 Survivors honored: over 15,900

Research

Funds to Komen National Research Grant Program: $2,331,667 National grants funded in Idaho and Montana: $630,000 14

SUSAN G. KOMEN IDAHO MONTANA 2018

KOMENIDAHOMONTANA.ORG

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2018 Race Day Parking & Shuttle Information We highly recommend that participants take a shuttle to the race site as there will be road closures for the race on Parkcenter Blvd.

• All shuttle details are listed below, and ALL SHUTTLES CAN ACCOMMODATE STROLLERS. • Please arrive early to your shuttle destination–shuttles will serve on a first come first serve bases.

DEPARTURE SHUTTLE SCHEDULE RAM Restaurant and Brewery – 709 Park Blvd, Boise, ID 83712-Far East Parking Lot • First Shuttle 7:30am – Last Shuttle 8:15am Boise Outlet Mall-6806 S. Eisenman Rd. Boise, ID 83716 • First Shuttle 7:00am – Last Shuttle at 8:00am

Return Shuttles will begin as soon as participants finish and load buses.

**LAST SHUTTLE WILL BE AT 11:30am to ALL LOCATIONS** Shuttle Specifics

Ram Restaurant and Brewery Additional Parking – 709 E Park Blvd., Boise, ID 83712 – Parking will be available in the far East lot between The Ram and Townsquare Media. Shuttles will pick up on the east end of the parking lot.

Survivors/Forever Fighters, Volunteer and Handicap Parking There will be special parking available for Survivors wearing their pink shirts, Volunteers with parking passes and those who need handicap access. Special parking is located at: 250 E. Parkcenter Blvd Albertsons Headquarters WEST LOT beginning at 6:00am - 8:00am.

This parking area will be monitored and someone in your party must be wearing a survivor shirt or have handicap parking permit to park in this area.

YOU MUST ARRIVE BEFORE 8:00AM. NO EXCEPTIONS! For the safety of participants Parkcenter from Beacon to Mallard will be closed to ALL traffic from 6:00am-Noon. Survivors wearing their pink t-shirts or race bib and those with Handicap permits or Volunteer parking passes will be allowed through the closure at Beacon and Parkcenter until 8:00am.

Anyone who approaches the road barricades after 8:00am will be asked to park in the Ram parking lot and take a shuttle. These spots are first come first serve and because of the road closure during the race, there will be no exit access until the Boise Police open the road.

Credit: Sawtooth Photo Pros

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SUSAN G. KOMEN IDAHO MONTANA 2018

KOMENIDAHOMONTANA.ORG

BOI BOISE_RUN_B_REV2

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HORMONES

Bioidentical

By Healthy-Idaho.com

Hormone Replacement Hormonal imbalances wreak havoc on your daily life. If you’ve had serious issues with mood swings, weight gain, low libido, etc., would you know if your hormones are to blame? Ask yourself if any of these symptoms sound familiar:

Therapy

Drained You feel drained. Tired. Fatigued. Just plain worn-out. Frequently.

It’s a struggle to keep going every day. You need a nap every afternoon. Feeling drained is routine, and you really can’t remember having energy. Sadly, exercise isn’t much help. It makes you even more sapped. Energy drinks and sugar become your energy boost. Weight management is a losing battle. And, on top of all that negativity, you feel old beyond your years and your skin looks weathered. Muscle tone is hard to maintain.

Body parts are permanently heading south. Gravity isn’t kind to your physique.

Moody Irritability reigns supreme more often than not. Anxious and tense. “I’m really not myself these days,” you tell yourself. But then you speculate, “Or is this what I’ve become?” Anxiety and depression are becoming the norm. Peaceful night’s sleep — what’s that? You find yourself waking frequently and can’t shut off the day’s mental demands. You crave sleep, but it’s fleeting.

You feel sexually indifferent — it’s a to-do, not a pleasure. You’ve got one nerve left, and everyone is on it, even those you love most.

Hormone Imbalance Too familiar? If so, perhaps your hormones have you out of whack, because all of the above problems can be directly related to imbalanced hormone levels. Can it be that simple? Commonly, yes, it can truly be imbalance to those little chemical messengers called hormones that traverse your body, giving orders and directing the show. When messages get mixed or not delivered at all, you feel like your life is falling apart. The good news is all of this can be treated. The natural hormones your body has fallen short on producing can be restored. It’s quite astonishing how many health problems are caused by hormone levels out of optimal range. And it’s equally as impressive how quickly you can restore your body to vitality with the right hormone therapy. In just weeks, people begin looking better, feeling better and living better — free of the symptoms that used to trouble them.

Bioidentical Hormones As we age, our hormone levels continuously decline. This can have a dramatic effect on your health for the rest of your life. Bioidentical hormone therapy is designed to restore hormones back to youthful levels. Bioidentical hormones are exact copies of the hormones your body should still be making but probably isn’t. If you feel your hormone levels are low, consult a reputable, educated healthcare provider in your area that specializes in HRT and have them run tests to check your hormone levels to see if you are low, and then plan a customized program designed specifically to raise your own levels to a healthy, youthful level.

Who needs it?

Women suffering from early menopause symptoms, looking to put an end to hot flashes, night sweats, memory loss, mood swings, weight gain and low libido, are turning to these expert healthcare providers to replace hormones. These certified BHRT providers design individualized programs specifically for each woman suffering from perimenopause, menopause symptoms and severe PMS. Also, men experiencing male menopause who want to get a grip on weight gain, lost libido, fatigue, stress, energy, muscle mass and body fat are also finding solutions through natural hormone therapy. For men, andropause (the male menopause) happens gradually and when diagnosed, the symptoms are successfully treated using bioidentical HRT.

Also Specializing In: Complete Women's Healthcare Sexual Dysfunction T hyroid Disorders PCOS (Polycystic Ovarian Syndrome) Platelet Rich Plasma (PRP) for Vaginal Rejuvenation Age Management Medicine

What Are Typical Bioidentical Hormone Therapy Services?

A comprehensive review of symptoms, medical, family and personal history • Testing—saliva, urine and/or blood laboratory analysis • Natural Hormone balancing • Ongoing evaluations • Quality compounded pharmacy • Highest quality supplements • Fitness programs • Nutrition planning • Stress reduction plans

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SUSAN G. KOMEN IDAHO MONTANA 2018

KOMENIDAHOMONTANA.ORG

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SCHEDULE YOUR MAMMOGRAM SUSAN G. KOMEN IDAHO MONTANA BELIEVES THAT ALL WOMEN SHOULD HAVE ACCESS TO REGULAR MAMMOGRAMS WHEN THEY AND THEIR HEALTH CARE PROVIDERS DECIDE THAT IT IS THE RIGHT TIME FOR SCREENING BASED ON INDIVIDUAL RISK FOR BREAST CANCER, AND THAT THE SCREENING TESTS SHOULD BE COVERED

BY THIRD-PARTY PAYERS SUCH AS INSURANCE COMPANIES AND GOVERNMENT PROGRAMS. Recent news reports may have led to confusion about when to get screened and what screening is best for you. Komen Idaho Montana wants to remind individuals to:

KNOW YOUR NORMAL • Talk to your health care provider about any changes in your breast health

GET SCREENED • Have a clinical breast exam at least every 3 years, starting at age 20, and every year starting at age 40 • Have a mammogram every year starting at age 40 if you are at average risk

MAKE HEALTHY LIFESTYLE CHOICES • Maintain a healthy weight • Add exercise into your routine • Limit alcohol intake

KNOW YOUR RISK

• Limit menopausal hormone use

• Talk to both sides of your family to learn about your family health history of breast cancer • Talk to you provider about your personal risk of breast cancer 20

SUSAN G. KOMEN IDAHO MONTANA 2018

• Breastfeed, if you can If you or someone you know needs a mammogram, we can help, call the Komen Idaho Montana office at 208384-0013 or 877-665-9088.

KOMENIDAHOMONTANA.ORG

Breast Self-Awareness Messages Breast Self-Awareness Messages 1. Know your risk 1. your risk 2. Know Get screened 2. screened 3. Get Know what is normal for you 3. what is lifestyle normal for you 4. Know Make healthy choices 4. Make healthy lifestyle choices Breast changes that should be reported to your health care provider: Breast changes that should be reported to your health care provider: • Lump, hard knot or thickening inside the breast or underarm area • Lump, hard knot or thickening inside the breast or underarm area

• Swelling, warmth, redness or darkening of the breast • Swelling, warmth, redness or darkening of the breast

• Change in the size or shape of the breast

• Dimpling or puckering of the skin

• Change in the size or shape of the breast

• Dimpling or puckering of the skin

• Itchy, scaly sore or rash on the nipple

• Pulling in of your nipple or other parts of the breast • Pulling in of your nipple or other parts of the breast

• Nipple discharge that starts suddenly

• New pain in one spot that does not go away

• Nipple discharge that starts suddenly

• New pain in one spot that does not go away

• Itchy, scaly sore or rash on the nipple

For more information visit our website or call our breast care helpline.

For more information visit our website or call 1-877 our breast care helpline. www.komen.org GO KOMEN (1-877-465-6636)

www.komen.org

1-877 GO KOMEN (1-877-465-6636)

All images are copyrighted, ©2013 Susan G. Komen. Use of images prohibited without prior written permission. Komen does not provide medical advice. The Running Ribbon is a registered trademark of Susan G. Komen. Item No. KOMEED203200, 3/13

All images are copyrighted, ©2013 Susan G. Komen. Use of images prohibited without prior written permission. Komen does not provide medical advice. The Running Ribbon is a registered trademark of Susan G. Komen. Item No. KOMEED203200, 3/13

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Credit: Sawtooth Photo Pros

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KOMENIDAHOMONTANA.ORG

20 YEAR LEGACY OF FRIENDSHIP, SURVIVORSHIP, AND BOISE RACE FOR THE CURE. WRITTEN BY: SHELLIE BROWNING

PAT CARLSON AND FRAN ROBINSON have been Susan G. Komen

Boise Race for the Cure participants every year since its inception in 1999. These special ladies met on a bus leaving Karcher Mall in Nampa, Idaho for a University of Idaho vs. Boise State University football game in 1975. They became fast friends and have enjoyed over 40 years of friendship through their involvement in events and organizations such as church and bridge club. One very special event they have celebrated together for the past 19 years is the Komen Boise Race for the Cure.

“Becoming a part of the Race for the Cure seemed natural following my diagnosis and my sister Judy Murray’s involvement in the Race,” says Fran Robinson a 2-time breast cancer survivor first diagnosed in 1998. Fran is currently 79 years young. Her favorite part of the race is the support and participation of a group of about 20 family and friends who join her for race every year followed by a celebration lunch.

Her sister Judy Murray brought the race to Boise in 1999. Judy’s determination and dedication has not waivered over the years. Today Judy is still a regular face at the Komen Idaho Montana office and she regularly volunteers her time and talents and remains passionate about the mission of Susan G. Komen. A lasting Race memory for Fran is her and Pat’s photograph with the “hunks” dressed in pink

tutus, stating, “they were such good sports,” She adds “Whether you are a survivor or supporter, the Race is a wonderful reminder of blessings received following a cancer diagnosis.”

“I became involved in the race when a friend asked me to join her,” states Pat Carlson. That was 19 years ago and that friend was Fran Robinson.

Pat who is also a breast cancer survivor, was first diagnosed 39 years ago. Pat is currently 86 years young.

Following her original diagnosis Pat had a mastectomy and had to wait a full 2 years for breast reconstruction.

She remembers she had to wear an implant for quite some time and that they used skin from her back in the reconstruction surgery. The process left her overwhelmed, confused and was quite lengthy. Two years ago, she learned the cancer was back and

had spread to her breast bone. She underwent surgery and radiation.

She raves about the advances in breast cancer treatment over the years since her original diagnosis.

Today, her tone is bright and optimistic as she praises her care and specifically compliments her current Nurse Navigator who she refers to as a “true friend.”

Pat fondly reminisces about her race memories sharing that, “The course has changed a bit over the years, and we even had drones fly over to photograph the event.” She adds that the Survivor Tent is a welcome addition. Her favorite memory is from 3 years ago when her then 28-year-old granddaughter joined her and her group at the race. “The Komen Race is always a festive and light-hearted event. Many of those in attendance run or walk in support and celebration of their own recovery or for friends in remission, or in memory of a lost loved one to breast cancer or other types of cancer. For me it has been a joyous celebration of the life we have been given and making the most of what we can do for ourselves and others,” Pat states.

We look forward to seeing you at the 20th Annual Komen Boise Race for the Cure! Be sure to keep your eyes out for these two incredible ladies!

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About Prairie Medical I created Prairie Medical Mastectomy Boutique to better serve the breast cancer community in Idaho. After watching my mother and best friend go though the process of fighting breast cancer and subsequent recovery, I noticed that a big piece of the “recovery” pie was sorely underserved in the Treasure Valley.

Going through the phases of breast cancer is like ‘chapters in a book’, each phase or chapter will eventually finish out the book. I wanted a boutique that would lend itself to a ‘chapter’ in a survivors book, a ‘one-stop’ shop for postmastectomy products.

It was imperative to me that the boutique was both tranquil and healing, a place where a woman can feel whole again! Every woman who goes through the breast cancer process writes her own chapters a bit differently. My goal is that every single woman’s chapter that involves our mastectomy boutique is the same!

Tink Prairie-Newcomb

Prairie Medical is Idaho’s premier Mastectomy boutique offering a wide range of Mastectomy/lumpectomy products.

They stock over 17 styles and sizes of bras in their boutique, confident they can fit even the most challenging profiles. Offthe-shelf breast forms and partial forms are also carried in house to ensure that every patient will have an opportunity to leave the boutique with a form.

Private fitting rooms with ‘spa like’ interiors provide a calming tranquil environment for the fitting process. Prairie Medical is a unique mastectomy boutique in the way that they measure, fit and provide product all in one visit!

1809 N. Lakes Place, Meridian ID 208.938.9134 prairiemed.com

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Custom Breast Prosthetics In search of a way to provide the best resources to women following their mastectomy or lumpectomy procedure, Prairie Medical decided to become a custom-made breast prosthesis retailer. They strive to provide women with as many options as possible after breast surgery. Custom-made breast prostheses are made to fit every woman’s individual body after surgery. The process is non-invasive and takes less than an hour.

There are many benefits to having custom-made breast prostheses. Women can choose every detail, including; skin color, nipple color, nipple size and nipple projection. Custommade breast prostheses also weigh significantly less than off-the-shelf prostheses. They are not worn in a pocketed bra; therefore, they can be worn in almost any style of bra, seated directly against your chest.

Custom-made breast prostheses are covered by most insurance plans, and Prairie Medical’s staff will verify your individual benefits to determine your coverage. They will assist you in every step of the process and ensure that your experience is a good one.

Rebecca “For any woman who lost her breasts to cancer, either by necessity or preventative choice, there is a beautiful, peaceful place to feel completely restored and whole again.

My personal experience with Prairie Medical in Meridian has been nothing short of a wonderful, thoughtful, and personal renewal of who I am as a woman.

I really didn’t know what to expect when my surgeon referred me to Prairie Medical, but I walked into a spacious, serene environment. It was filled with the most feminine, lovely selection of undergarments I could ever have imagined. It was like walking in to a private boutique…and I was

Diagnosis, May 2017 Bilateral Mastectomy, July 2017 Custom Prosthetics, October 2017 One of Prairie Medical’s clients, Rebecca, had the following to say in regards to her custom-made breast prostheses experience:

in awe! There is nothing “clinical” or “industrial” there.

went above and beyond to assist me in getting my custom breast prosthetics.

My time with the fitting specialist, Marie, was set aside for me – and me alone. She was very knowledgeable, but more than that, she was most kind with each and every aspect of fitting me for my custom prosthetics…all done in the privacy of a very thoughtful and comfortable dressing room. It was perfect – right down to the soft, white silk robe.

My custom breast prosthetics are amazing, and I am blessed to have been referred by my surgeon, Dr. Getz at St. Luke’s Meridian, to Marie and the entire staff at Prairie Medical.

The entire staff at Prairie Medical put all their effort and time into assuring that I was taken care of, both emotionally and financially. They researched all of my insurance options, explained each one in easy-to-understand terms, and

Thank you Prairie Medical for a wonderful experience! I can’t imagine having gone anywhere else! There is so much more to my breast cancer story, but you are the most beautiful part.”

Rebecca, not a survivor, but a victor!

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Credit: Sawtooth Photo Pros

Saint Alphonsus 2 0 Y E A R

SPONSOR

We are excited to celebrate our 20th Annual Boise Race for the Cure with a sponsor who has been by our side from day one, Saint Alphonsus. We recently asked Jackie Babb, Saint Alphonsus Regional Director for Women’s and Children’s Services to talk to us about why the partnership with Susan G Komen Idaho Montana is so important to them. Here is what she had to say:

Why has Saint Alphonsus sponsored the Boise Race for the Cure for all 20 years?

What is your favorite thing about Race Day?

Komen Idaho Montana has been a long-time partner in opening access to our patients for screening and front line diagnostics since the beginning. We are privileged to work hand in hand to offer funding for those who are underinsured and uninsured. Our collective vision of reducing barriers, such as financial hardship, has continuously improved the rates of preventative care and early treatment of breast cancer.

I love the Survivors and those who celebrate them! It makes me cry to hear those opening ceremony bagpipes and watch the survivors make their long ribbon of pink as they parade through the booths and race day festivities!

The reward of visiting with those who participate every year is powerful!

What benefit does Saint Alphonsus get from sponsoring the Boise Race for the Cure?

Saint Alphonsus sees our partnership as a force for prevention, early detection and innovation in research. Our ultimate goal of working towards eradicating at least some forms of breast cancer is shared by our providers, staff, and leadership for Saint Alphonsus.

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What is your organization’s message to Boise Race participants?

We wear our pink proudly, and give Treasure Valley communities a reason to celebrate the lives of those who’ve courageously braved the journey through breast cancer diagnosis and treatment. Together, we can continue to raise awareness and advocate for others to join our ranks.

Be sure to stop by the Saint Alphonsus booth this year at the Boise Race and thank them for their continued support.

KOMENIDAHOMONTANA.ORG

Credit: Sawtooth Photo Pros

Which breast cancer screening is best for me?

It seems like you can’t turn on the news these days without hearing about a new breast cancer screening or new recommendations for mammography. With all the conflicting reports it can be difficult to know what screening option is the best for you. As always, you should talk to your physician about your personal risk factors and decide what screening is right for you. Here is a basic review of the different types of screenings and recommendations.

CLINICAL BREAST EXAM (CBE): A CBE is done by a health care provider who checks your breasts and underarm areas for any lumps or changes. It should be part of your regular medical checkup. If you are 40 or older, have your mammogram close to the time of your CBE. For women ages 20-39, have a CBE at least every three years. For women 40 and older, CBE combined with mammography may find more breast cancers than mammography alone. When used together, fewer breast cancers are missed.

MAMMOGRAPHY: A mammogram is an X-ray image of the breast. Mammography is the tool that uses X-rays to create mammograms. It is used to find early signs of breast cancer. It is the best screening tool used today to find breast cancer. It can find breast cancer early when it is small and the chance of survival is highest. Starting at age 40, women should get a screening mammogram every year. Women under 40 with a family history of breast cancer or other concerns should discuss with their doctor what screening tests are right for them.

MRI: A breast MRI uses magnetic fields to create an image of the breast. It can sometimes find cancers in dense breasts that are not seen on mammograms. Breast MRI is often used with mammography for screening some women at a high risk of breast cancer.

However, it can be costly and often finds something that looks abnormal, but turns out to be benign (false positive).

many benign conditions also cause abnormal heat patterns. Thermography cannot distinguish between benign and cancerous patterns. Since thermography measures heat at the surface of the breast, it is not good at finding cancers deeper within the breast tissue. Neither the U.S. Food and Drug Administration (FDA) nor the American College of Radiology view thermography as a useful breast screening or imaging tool. In 2011, the FDA issued an alert warning the public about misleading claims by thermography practitioners and manufacturers on the screening benefits of the tool.

ULTRASOUND: Ultrasound uses sound waves to make images of the breast. It is often used as a follow-up test after an abnormal finding on a mammogram, breast MRI or clinical breast exam. When used on the breast, ultrasound can tell the difference between types of lumps, such as liquid-filled cysts and a solid mass. Doctors use this to find out the size, shape, texture and density of a breast lump.

THERMOGRAPHY: Thermography uses infrared light to measure temperature differences on the surface of the breast. Although breast cancer can cause abnormal heat patterns, IMPACT. MAGAZINE 2018

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Credit: Sawtooth Photo Pros

St. Luke’s 20 Y E A R

SPONSOR

We are excited to celebrate our 20th Annual Boise Race for the Cure with a sponsor who has been by our side from day one, St. Luke’s. We recently asked Renee Hawkins, Director for Breast Care Services to talk to us about why the partnership with Susan G. Komen Idaho Montana is so important to them. Here is what she had to say:

Why has St. Luke’s sponsored the Boise Race for the Cure for all 20 years?

What is your favorite thing about Race Day?

St. Luke’s and Susan G. Komen share a common mission of supporting the community in health and education to maintain and regain health. The partnerships core is our common belief that one person can make a difference.

The Race brings out the fun in the participants with an energy that is positive. Rain or shine everyone is happy to be there!

What benefit does St. Luke’s get from sponsoring the Boise Race for the Cure?

The Race is well attended by the community within the Treasure Valley but extends also throughout Southern Idaho residents. It provides a great opportunity to celebrate proactive health decisions and the positive benefits of those decisions. Our partnership and participation emphasize St. Luke’s support of healthy lifestyles leading to a healthy community.

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What is your organization’s message to Boise Race participants?

Let’s have another 20 years of celebrating health and survivorship!

Be sure to stop by the St. Luke’s booth this year at the Boise Race and thank them for their continued support.

KOMENIDAHOMONTANA.ORG

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Why has your organization sponsored the Boise Race for the Cure for all 20 years?

Albertsons is proud to call Idaho home, and we are committed to giving back to the community that has supported us for so many years. Joe Albertsons had several simple philosophies that our company continues to live by today. One is to ensure our customers have access to the resources they need to support their families. Another is to give back to the communities where our customers and employees live and work.

Joe’s commitment to taking care of people in Boise created more than just a company; it created a legacy – one that we’re proud to carry on in his name.

Credit: Sawtooth Photo Pros

We are honored to be a sponsor of the Boise Race for the Cure since its beginning, and to join in Susan G. Komen’s efforts to find new treatments and a cure for breast cancer.

Komen’s ongoing efforts toward research and education have made such a difference toward the fight against breast cancer and we are proud to support them.

What benefit does your organization get from sponsoring the Race?

ANNIVERSARY Our 20th Anniversary of the Boise Race for the Cure is a great time to reflect on some of our longest partnerships.

Albertsons has been a sponsor with Boise Race for the Cure since the very beginning. We asked Kathy Holland, Communications and Community Relations Manager for Albertsons to share with us why this partnership is so important to them.

What is your favorite thing about Race Day? Our favorite thing about Race Day is seeing everyone come together to support such a great cause. Since the first Boise Race for the Cure, our community has known that pink ribbons stand for hope. Many of our lives have been touched by breast cancer; whether it be a family member, a friend or ourselves. The Boise Race gives us all the chance to be a unified front to help end breast cancer.

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At Albertsons, we strive to help build stronger communities by contributing to organizations right here in Idaho, those that support our community. The Boise Race for the Cure allows the Treasure Valley to remember those who have lost the battle to breast cancer, to honor the survivors and forever fighters for their strength and courage and especially, to celebrate life.

Celebrations like these, are what brings our community together. And with the Boise Race held at our Albertsons campus each year, we feel privileged to host that celebration for everyone.

What is your organizations message to Boise Race participants?

As we are creating memories with the annual Boise Race for the Cure, we want to also create a vision for the future. Together we can do so much more than we can as individuals. By raising awareness about the signs of breast cancer and how to manage your health, more are involved. By raising funds to support breast cancer research and education, more lives are saved. Our hope is that one day, we will be able to stand together to say there has been a cure for breast cancer.

KOMENIDAHOMONTANA.ORG

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BREAST CANCER ADVANCEMENTS Muscle Sparing Reconstruction: Prepectoral Implants

Treatments for Breast Cancer with a Certain Genetic Mutation: PARP Inhibitors

Breast reconstruction is traditionally submuscular, meaning that if an implant is used, it is placed under the chest muscle.

This procedure involves cutting some of the chest muscle to be able to place the implant underneath. A less invasive option is emerging called prepectoral implant reconstruction. Prepectoral implant-based surgery works by placing the implant directly under the skin and over the muscle. An acellular dermal matrix covers the implant.

In January 2018, the FDA approved the first treatment for breast cancer with a certain inherited genetic mutation. Called Lynparza (chemical name: olaparib), it is the first PARP inhibitor to treat breast cancer.

Research suggests that for the right patients, this new technique is safe, feasible, and has excellent short-term outcomes. The big benefits are that it avoids deformity, and has a lower incidence of capsular contracture, which is when internal scar tissue forms a tight or constricting capsule around a breast implant, causing it to contract and become misshapen and hard.

Not all patients are a fit for this type of breast reconstruction, however. Breast size and flap assessment are factors. More research needs to be conducted on the long-term effects as well.

The PARP (poly ADP-ribose polymerase) enzyme fixes DNA damage in cells, including DNA damage caused by chemotherapy medicines. According to breastcancer.org, the idea behind PARP inhibitors is that it may be able to stop cancer cells from healing their DNA damaged by chemotherapy.

“This class of drugs has been used to treat advanced, BRCAmutated ovarian cancer and has now shown efficacy in treating certain types of BRCA-mutated breast cancer,” said Richard Pazdur, M.D., director of the FDA’s Oncology Center of Excellence.

“This approval demonstrates the current paradigm of developing drugs that target the underlying genetic causes of a cancer, often across cancer types.”

Recent research shows that PARP inhibitor monotherapy provides significant benefit over standard therapy for patients with BRCA mutation and HER2-negative metastatic breast cancer. The research showed that the PARP inhibitors reduced the chance of progression of advanced BRCA-related breast cancer by 42%, and delayed progression by 2.8 months.

Researchers are now exploring whether these PARP inhibitors could also be used in different subsets of breast cancer, such as triple negative breast cancer.

Sources: American Society of Clinical Oncology (ASCO), breastcancer.org, FDA

Source: Clinical Breast Cancer, ww5.komen.org

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Older Women & Breast Cancer Should care be different?

WRITTEN BY HEALTHY IDAHO STAFF

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Few women under 40 get breast cancer. About 5 percent of women with breast cancer are under 40. With age, risk increases. Women over 70 experience the highest rates. About a third of those diagnosed are older than 70.

The problem is, according to the American Society of Clinical Oncology, the “geriatric population is under-represented in clinical trials in oncology—especially those for breast cancer. And therefore, clinicians have less research to base their treatment recommendations on.”

Various reasons explain why older people aren’t gathered into clinical trials; things like comorbidities, cognition and a host of other factors play a role. A lot of trials require good health, adequate organ function, etc.

Many of the guidelines for treating older women with breast cancer have mainly come from testing in younger people. That isn’t to say these recommendations are bad.

But new trials are being designed with the older population in mind, considering the large geriatric population with breast cancer that could be helped with more targeted recommendations.

Why do older women get breast cancer more frequently?

Increased risk of cancer in the aging population may be attributed mainly to two things: accruing damage to DNA and decline in the body’s defenses against tumor growth.

DNA is damaged when a person is exposed to carcinogens, radiation and viruses. Also, cumulative processes in the body damage cellular structures. Basically, the formation of cancer takes time, and therefore older people are at higher risk.

Treating Breast Cancer In Older People One important idea spreading among the geriatic oncology community is that it is better to use life expectancy to determine treatment options, rather than age. It is wrong to start treatment on a foundation of “this patient has lived a good life.” A 70-year-old, for example, may have 15-20 years left to live, and cancer treatment should start with that as a basis for treatment.

Treatment teams should consider the functional age of a patient, rather than just their chronological age. This means that some women over 70 may be able to handle treatment regimens designed for a younger person, simply because their body has maintained younger characteristics.

Patient preference is also important for this population. Every patient should feel in control of their situation, and should be able to live life as they see fit. Maybe a patient simply wants to make it to a wedding in a year without inhibiting side effects, or to live independently. Physicians should consider the independent preferences of their patients. A diagnosis of cancer should not automatically initiate certain treatments.

Lastly, women over 70 will likely have other health conditions they are dealing with at the same time. Treatment teams have to consider this as they determine treatment choices.

Age related factors in treatment outcome Treatment teams must carefully assess potential risk factors, and how that might affect outcome of the treatment. Often the case is that an older person has experienced major decline in physiological functioning, which can include cardiovascular health, liver function, etc. All these factors influence a patient’s ability to deal with surgery, radiation, chemotherapy and other treatments.

Other factors that should be considered, which sometimes aren’t, include mental health, emotional stability and family support.

All of these things can affect outcomes.

Research suggests that many older women do handle breast surgery well, however.

Mortality rates are low. Research suggests that hormonal treatment is not as effective as surgery in older women.

Options Older women should be offered the option of breast conservation when it is medically appropriate. It is erroneous to assume that older women somehow care less about body image than younger women.

Recommendations from the International Society of Geriatric Oncology (ISOG) say that women over 70 should be offered the same surgical options as younger women. This may include breast conservation therapy, lumpectomy and axillary lymph node sampling. Studies of elderly women show that they prefer breast conservation therapy over mastectomy.

IMPACT. MAGAZINE 2018

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Pregnancy, Breastfeeding & Breast Cancer WRIT T E N B Y HE A LTH Y IDA H O S TA F F

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Of the more than 400,000 breast cancer survivors younger than 45 in the United States, many want to have children. Trying to have a baby after breast cancer is a controversial topic, however. Some simply recommend against it, but recent research is more hopeful.

Risk of Recurrence Hormones play a big role in certain types of breast cancer, namely hormonereceptor-positive breast cancer. Many women undergo hormone therapy treatment to prevent recurrence. Pregnancy, it was thought, might disrupt hormone therapy and therefore increase a woman’s chance of recurrence. Many women, therefore, end their pregnancies if they’ve had breast cancer and become pregnant.

But recent research suggests the risk isn’t there. A study published in the Journal of Clinical Oncology shows that women who get pregnant after a breast cancer diagnosis have the same recurrence risk as those women who don’t get pregnant.

In fact, women who got pregnant after a diagnosis actually had better overall survival than the women who didn’t get pregnant, the study found.

Fertility After Breast Cancer Treatment Various breast cancer treatments can influence fertility. Hormonal treatments are used for premenopausal women, including Tamoxifen, Evista and Fareston. These treatments cause irregular periods, and make your ovaries stop producing eggs.

Women who want to get pregnant generally need to get off these medications for 3-6 months before pregnancy is possible. Tamoxifen in particular can increase risks of birth defects and other problems with pregnancy, so women must clear it from their system.

Women who receive chemotherapy may become infertile. Certain chemotherapy medications are less likely to cause infertility, however. Women should make their family goals clear to the treatment team. Chemotherapy can also cause a woman’s periods to stop, but this doesn’t necessarily mean the woman is in menopause.

Some women don’t experience periods again for a year. Women should not try to become pregnant during chemotherapy, as this may cause birth defects. The general recommendation is to wait 6 months after chemotherapy before trying.

Breastfeeding After Treatment If you do have a baby after beating breast cancer, another hurdle might lie ahead with breastfeeding. This of course depends a great deal on the treatment you received. Mastectomy removes milk ducts, and therefore makes breastfeeding impossible. But a single mastectomy often allows the woman to breastfeed from the remaining breast. You may need help producing enough milk, however, so speak with a lactation specialist. Minimal lumpectomy usually allows a woman to breastfeed as well. Radiation treatment can, but doesn’t always, damage the breast tissue to the point that it can’t produce much milk.

Chemotherapy can make your breastmilk unsafe for the baby, so consult carefully with your medical team about when your milk will be safe. Often this means waiting 3 months after chemotherapy ends.

Tamoxifen, a common drug used for hormone therapy, makes your breastmilk unsafe for the baby. Since women generally take Tamoxifen for years, breastfeeding is not possible.

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Credit: Sawtooth Photo Pros

Tips for Friends and Family

TREAT ME LIKE I'M NORMAL When women are diagnosed with breast cancer, they don't feel "sick." Most women don't want to be treated like they are sick. Most breast cancers are diagnosed early, so survival rates are high. If your friend is having a bad day, don't treat her like she is dying. It's just one day, and she'll probably feel a little better the next day.

JUST BE THERE TO LISTEN As women with breast cancer are making decisions about their treatment options, sometimes they just need someone to listen to what they are thinking about.

Don't feel like you need to give advice— just listen.

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I HAVE CANCER, BUT I HAVE OTHER THINGS GOING ON AS WELL Most women still have to work and take care of their families while they are undergoing breast cancer treatment and recovering. Don't forget to talk to them about these important parts of their lives.

Sometimes treatment and recovery make juggling everyday life difficult. See if you can help by doing something simple, like picking up her kids from school or from soccer, cooking a simple dinner on one of the days that she has treatment, or just driving her to a doctor's appointment so that she can talk and relax.

IT'S OKAY TO ASK ME HOW I'M DOING. JUST DON'T ASK EVERY DAY Women with breast cancer appreciate your caring about them. But if you ask them too often how they are feeling, it makes them feel like they are sick.

Remember, it's important to women with breast cancer that they feel and act as normally as possible.

ASK ANOTHER BREAST CANCER SURVIVOR FOR ADVICE If there is a situation that you don't know how to handle with your friend, reach out to another breast cancer survivor and ask for advice. Someone who's been on this journey can give you good insight on how your friend with breast cancer may be feeling. If you know women who are breast cancer survivors, ask if they would reach out to your newly diagnosed friend. Having the advice and support of women with experience really helps in areas where doctors might not be able to help, such as what to wear during radiation treatments or other "non-medical" concerns.

CELEBRATE LIFE Look for simple ways to help your friend with cancer celebrate life, for instance, a note to tell her you care, a walk in the park, a funny matinee. Simple things like this can make all the difference on a difficult day Help her celebrate the milestones through her journey, e.g., finishing chemotherapy, finishing radiation therapy, reaching survival milestones. Celebrate by planning something special, or just calling to say "congratulations."

KOMENIDAHOMONTANA.ORG

SOURCE: Mammosite.com

IF SOMEONE CLOSE TO YOU WAS RECENTLY DIAGNOSED WITH BREAST CANCER, THESE TIPS MAY BE HELPFUL TO YOU. THESE TIPS WERE COMPILED USING SUGGESTIONS FROM WOMEN WHO ARE BREAST CANCER SURVIVORS.

IMPACT. MAGAZINE 2018

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FI T N ES S

WORKING

OUT TO FIGHT STRESS

Exercise For Depression and Anxiety Depression is often characterized by depleted levels of certain neurotransmitters, which are chemical messengers that relay messages from brain to body. Researchers at the University of California at Davis Medical Center recently conducted a study showing that exercise helps replenish these neurotransmitters.

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In today’s high paced world, stress is a serious problem that requires proactive steps to alleviate, allowing you to live life at the highest level.

What I want to do is share the best ways to work out to reduce stress.

1 COMPOUND EXERCISES

2 HIGH-INTENSITY CARDIO

3 YOGA

The first strategy to focus on when working out to reduce stress is to choose compound exercises that will get multiple muscle groups working all at once. An example would be doing exercises such as squats, deadlifts, power push presses or any other move that involves more than just one muscle group.

The second strategy to reduce stress is to choose high-intensity cardio sessions. Whether you do the treadmill, bike, run up some hills, or anything else that is cardio related, you’ll increase your heart rate.

The third workout strategy to reduce the stress in the body is yoga. Yoga is a form of exercise that is highly underrated when it comes to working out. Yoga teaches you how to be present in the moment, which is really good for your mental state as well as for flexibility and strengthening the body.

Compound movements require exertion and concentration, which will help release some of the stress and tension you’ve been carrying around. You’ll find your mind can’t dwell on the stresses of life when you’re in the middle of a set of compound movements.

When your heart rate increases, you are pushing yourself. Therefore, you will increase the body’s natural endorphins which will decrease the stress in your body. You will notice that you feel much more relaxed and positive when you are getting your heart rate elevated. Steady state cardio can help alleviate stress as well, but not as much as high-intensity training, in my opinion.

When you are performing yoga several times per week, one thing that you’ll notice is that it quiets the noise in your head. Yoga increases discipline because it teaches you how to breathe, relax, and control your body, which will in turn control your mind.

Stress is usually caused by not being able to redirect your thoughts into something positive, so by doing the exercises above you will be able to start reducing your stress and feeling better on a daily basis.

W R I T T EN B Y G R EG M A R S H AL L

In the perfect world you would want to rotate these techniques throughout the week to add variety to your workouts so you stay engaged all week. These are just a few different workout ideas and strategies that you can use to change the way you feel and how you perform at work, home, and with your family on a dayto-day basis.

IMPACT. MAGAZINE 2018

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P -TAY-TO P -TAH-TO

Tricks to Get Your Kids to Eat Their Vegetables We all know that it’s important to eat our vegetables. Kids are growing and developing, so their bodies need good nutrition– the problem is, it’s really hard to get kids to eat their veggies. So hard, in fact, that results from a recent survey show that on any given day, an American preschooler is more likely to eat French fries than a green vegetable.

The data, gathered by researchers at the University of North Carolina-Chapel Hill Gillings School of Global Public Health, also showed that many kids go days without eating any vegetables at all.

1

Get sneaky.

Make a smoothie that includes spinach and blueberries or blackberries.

The dark-colored berries will make the smoothie a nice purple color and cover up any evidence of the spinach. Plus, spinach has a mild flavor that won’t be detectable.

2

Go mild.

Kids are especially averse to more bittertasting vegetables, such as kale or broccoli. Focus on getting your kids to eat more mild-tasting vegetables, such as peas, carrots, sweet potatoes, spinach, and bell peppers.

WRITTEN BY C AITLIN SC HILLE

3

Spice up the names of your vegetable dishes.

A study from Cornell showed that children ate double the carrots when they presented as “X-ray Vision Carrots” versus having no name. Broccoli?

Nope, those are Tiny Tree Tops.

This matters both here and now and in the future. Kids need these important nutrients for proper growth and development, and a kid’s eating habits have strong implications for future health and eating habits.

Here are some tips and tricks to get your kids to eat more vegetables:

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KOMENIDAHOMONTANA.ORG

4

Kids are great imitators.

5

Keep trying.

6

10

Serve veggies first, as an appetizer.

If kids are hungry, they’ll be more likely to try something new or eat something that isn’t necessarily their favorite food.

Let them see you eat and enjoy your veggies.

Toddlers and young kids are naturally averse to trying new foods, so you might have to introduce a new food quite a few times before a kid likes it or will even try it.

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Make raw veggies more palatable by letting kids dip them in hummus or salad dressing.

Although dipping in salad dressing isn’t ideal, if it gets kids to eat their veggies, it’s a win.

DO NOT describe vegetables as “healthy” or as being something that will “help you grow strong”.

A study found that describing food as “good for you” actually caused kids to eat less of it.

7

Celebrate small victories.

Maybe your kid only ate a few bites of peas instead of eating a whole salad– that’s fine! Any veggie is better than no veggie.

8

Try a different way.

Let your kids try veggies in lots of different forms to see what they like best- frozen peas, roasted sweet potato, raw carrots, sautéed spinach, steamed cauliflower- you never know what form your kid might like best.

9

Let your kids help with meal preparation.

Research shows that when kids help prepare the food, they’re more likely to it.

Sources: cbsnews.com, cnn.com, National Health and Nutrition Examination Survey, U.S. Centers for Disease Control and Prevention, Cornell University

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By Healthy-Idaho.com

breast cancer, or something else?

Cancer is a terrifying disease that has probably touched your life or the life of someone you love. It’s something that is always in the back of our minds, especially as we get older.

Everyone dreads finding a lump in their breast because of what it might mean. Surgery, chemo, radiation—all are potentially life saving measures that come at the cost of time and prolonged pain.

What you might not know is that lumps in the breast are more often associated with benign breast disease or breast cysts. Furthermore, the National Cancer Institute reports most breast lumps are benign, meaning they are not cancerous or life threatening. They can, however, be the result of one of natural circumstances or one of many other conditions.

Generalized breast lumpiness or benign breast disease and breast cysts are both common reasons that women find lumps

in their breasts. It’s important to know the difference between these conditions and breast cancer and what it means for your health.

Benign Breast Disease: A woman’s breasts are always changing.

As women approach middle age, the lobules that produce milk give way to soft, fatty tissue. This kind of breast lumpiness is most often found around the areola and in the upper and outer parts of the breast.

Moreover, many women experience a natural swelling of the breasts during menstrual cycles, making any kind of breast lumpiness more pronounced than normal. Pregnancy, too, may result in increased lumpiness in the breasts.

Breast Cysts: Simply put, cysts are just fluid filled sacs.

The National Institutes of Health reports that breast cysts are most common in women between the ages of 35 and 50. These sacs can often swell during or around the menstrual period. This swelling may cause tenderness or pain in the breast. If swelling persists, a doctor may decide to drain the cyst.

If you have any questions or concerns about a lump or the condition of your breasts—you should consult a doctor as soon as possible. Even if you have had benign lumps before, speak to your health care provider about the formation of any new lumps. The earlier you speak to a physician; the better off you’ll be, especially if the lump is found to be cancerous. You can never be too safe.

Lumps of this nature are benign and very rarely become cancerous. They can, however, hide the presence of malignant lumps or tumors on a mammogram. For this reason, any lump detected in the area of the breast should be mentioned to your health care provider.

Credit: Sawtooth Photo Pros

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SUSAN G. KOMEN IDAHO MONTANA 2018

KOMENIDAHOMONTANA.ORG

SUSAN G. KOMEN IDAHO MONTANA AFFILIATE GRANT RECIPIENTS 2018-2019 $95,000 Barre% Hospital Founda2on – Southwestern Montana Mammography Program Offering every uninsured woman age 50 or younger, breast-health services such as 3-D screening mammograms, which may be cost-prohibi2ve.

$4,000

Glenns Ferry Health Center, Inc. – Breast Care Ensuring low-income, uninsured women requiring a mammogram can obtain one free of charge.

$4,000

Kootenai Health - Breast Cancer Pa2ent Support Fund Providing funds to help with essen2al living expenses and treatment support including child care, gas, groceries, transporta2on, medica2ons, rent, medical equipment and supplies, and nutri2onal support.

$5,000

Minidoka Memorial Hospital - Minidoka County’s Primary Defense Against Breast Cancer Providing free mammogram services for underserved, culturally diverse and limited English speaking women.

$6,000

North Canyon Medical Center - Rural Care for Low to Middle Income Women Providing free mammogram and diagnos2c service to women who cannot afford them, with the inten2on of reducing the number of late stage breast cancers and promo2ng breast health awareness in their region.

$4,000

Panhandle Health District – Breast Educa2on and Screening for Early Detec2on Providing a clinical breast exam, appointment, and voucher for mammography and/or ultrasound to low income, uninsured residents of North Idaho.

$5,000

Saint Alphonsus Comprehensive Breast Care Center – Elimina2on of Access Barriers to Screening & Diagnos2cs Providing low-income pa2ents access to breast cancer diagnos2c imaging procedures

$12,000

St. Luke Community Healthcare Founda2on – St. Luke Suppor2ng Breast Health for Na2ve & Uninsured Women of the Flathead Reserva2on Increasing the number of Na2ve and low-income women receiving screening and diagnos2c mammography services. Cited barriers to care include transporta2on, cost/no insurance, and scheduling difficul2es.

$6,000

St. Luke’s Magic Valley Health Founda2on, Inc. – Treasure Chest Project Providing financial support to relieve some of the stress and burden cancer treatment causes pa2ents and families. When we are able to relieve some of the financial burden, the breast cancer pa2ent and their family can focus on understanding their treatment and expending energy on gedng well and moving on to survivorship.

$4,000

St. Luke’s Mountain States Tumor Ins2tute Breast Care Services – Breast Care Financial Assistance Program 2018 Providing a full-spectrum of services including screening, diagnos2cs, surgery, treatment, educa2on and naviga2on, reconstruc2on and survivorship. Providing a financial resource to pa2ents thus reducing the financial barrier to care pa2ents have as an obstacle for wellness and health.

$25,000

St. Luke’s Mountain States Tumor Ins2tute – Concrete Needs During Breast Cancer Treatment Increase financial support for low-income persons undergoing breast cancer treatment.

$5,000

St. Vincent Healthcare Founda2on – St. Vincent Healthcare Mobile Mammography Program Program to increase the number of underserved pa2ents who receive digital mammograms in central and eastern Montana, with priority given to American Indian and rural women.

$7,000

For details on these programs, visit http://komenidahomontana.org/grants/current-idaho-montana-grants IMPACT. MAGAZINE 2018

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