Susan G. Komen Race for the Cure | KomenBoise.org

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“Blending practical solutions with compassion. That’s what attracted me to surgery.” Dr. Elizabeth Prier – Breast and General Surgeon - Boise

RANKED IN THE TOP 5% IN THE NATION FOR WOMEN’S HEALTH.* OVER 40 PHYSICIANS DEDICATED TO WOMEN’S BREAST HEALTH. IDAHO’S ONLY FELLOWSHIP TRAINED BREAST SURGEON OFFERS LEADING-EDGE SOLUTIONS WITH A HEALTHY DOSE OF COMPASSION. *

2012

Make an appointment with Dr. Prier: (208) 367-5050

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Sponsors REQUEST DATE 4/12/2012

Th

an

u to o o y k

ur 2013 local race fo

PRESENTING SPONSOR

r the c

ure sp

onso

r s!

BOISE_RUN_B_REV1

COMMUNITY HEALTH CARE PARTNERS

MEDIA SPONSORS

SURVIVOR CELEBRATION

PLATINUM SPONSOR

®

®

GOLD SPONSORS

® Information. Motivation. Supplementation.

SILVER SPONSORS

Blimpie® America’s Sub Shop® • Chevron I Will Journey Women’s Show – Idaho Women’s Journal PacificSource • Sarah Bolender, M.D. RUBY SPONSORS ACTION COURIERS • BOGUS BASIN • BETTER LIFE CHIROPRACTIC • IDAHO ORTHOTIC & PROSTHETICS INTEGRITY AUDIO VISUAL • LUNATIC FRINGE SALON • OB GYN & ASSOCIATES TATES RENTS & TATES TENTS & EVENTS • UNITED DAIRYMEN OF IDAHO • VEIN CENTER OF IDAHO • WALMART

CRYSTAL SPONSORS A COMPANY • ASHKI PHOTOGRAPHY • BOISE STATE METAL ART • BOISE STATE UNIVERSITY • BOISE PUBLIC WORKS • BOISE OUTLETS BOISE WEEKLY • BUTTE FENCE, INC. • CLOVERDALE STORAGE • CREATIVE BALLOONS OF IDAHO, LLC. • CATAPULT 3 DOWNTOWN STORAGE AND RECORDS MANAGEMENT • EDWARDS GREENHOUSE • ESP PRINTING AND MAILING • HUB INTERNATIONAL IDAHO POWER COMPANY, EMPLOYEE COMMUNITY FUND • INJURY CARE MEDICAL CENTER • IMPACT DIRECTORIES IN THE BAG PROMOTIONS • JAZZERCISE INC. • MEADOW GOLD DAIRIES • PAPA JOHN'S PIZZA • RAM RESTAURANT AND BREWERY REPUBLIC SERVICES • TRAFFIC PRODUCTS AND SERVICE • US BANK • WESTERN TROPHY AND ENGRAVING •WIGOD PLASTIC SURGERY

KIDS FOR THE CURE SPONSOR

TEAMS FOR THE CURE SPONSOR

SM

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4 Color Print

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During the month of May get

15% off your first visit

(excluding medication)

in honor of Komen-Boise celebrating their 15th anniversary

3 Risk Factors

For Breast Cancer Age Family History

Body Fat*

Obesity increases premenopausal breast cancer 70% in patients at risk. Cancer prevention research, March 5, 2012 Anderson et. AI.

*We can help change the 3rd risk factor.

Don’t weight any longer! FREE Seminars- go to idahoweightloss.com to register, seating is LIMITED.

208.343.3652 idahoweightloss.com

801 Stilson Road, Boise ID 83703 • 1162 Eastland Drive, Suite 5, Twin Falls, ID 83301 • 133 N. Whitely Rd, Fruitland, ID 83619 IMPACT. MAGAZINE 2013

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mpact

2013

Contents

A New Generation for the Cure

Articles

14

PARKING/SHUTTLES

16

Time to walk the talk

32

DRUGGED OUT

36

LIFE AFTER CANCER

42

CANCER RESEARCH UPDATE

48

BREAST CANCER PREVENTION FOODS

Information on where to park and catch a shuttle before and after the race.

I think each of us is involved in the race for very different reasons, but we are doing it for one cause.

Women taking aromatase inhibitors often don’t complete their treatment because the side effects are intolerable, a recent survey found.

Holley Gibson received the news in the summer of 2012—she had cancer. Breast cancer. And she would likely remain in treatment for the rest of the year.

Exciting new data substantiate OSM’s role in breast cancer metastases to bone and provide impetus for the development of a drug targeting OSM signaling.

You can lower your risk for breast cancer by reaching for the right foods, according to recent research.

26 We are pleased to welcome our new associate

Tracey Kopperud, DO

Call 888.0909 today for an appointment! 3520 E. Louise Drive • Meridian

Caldwell • 454.2035

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Meridian • 888.0909

Phillip Agrusa,MD • Scott Armstrong,MD • Theodore Colwell,MD • John Dufurrena,MD • Jessica Fu, MD • Tracey Kopperud, DO Bryan Palmer, MD • Lee Parsons,MD • Michael Robinson,MD • Harmony Schroeder,MD • Becky Uranga, MD Karen Carloy, CRNP, MSN • Jill Dawson,CRNP • Amy English - Burt,CRNP • Jen Newman,CRNP, MSN • Julie Stevens,CRNP

w w w. o b g y n i d a h o . c o m

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sun valley wellness festival ne O s A e

Gabriel Bernstein

Ever y

on

“May Cause Miracles”

Amory Lovins

Leading Authority on Energy

KEYNOTE SPEAKER

Dr. Eben Alexander

Author of Proof of Heaven

May 23-27

Memorial Day Weekend Sun Valley, Idaho Over 50 presentations on Mind, Body, Spiritual and Environmental Wellness

ALSO SPEAKING: Duane Elgin, Dr. Zorba Paster, Garret Kramer, James Rouse, Steven Post, R. James Woolsey, Bill McDorman, Marie Manuchehri, Eric Saperston and many more.

Tommy Rosen

Yoga teacher & addiction recovery expert

Mastin Kipp

“Love & Miracles”

Featuring a Wellness Expo, Movement Classes, Workshops, Private Sessions, and Music.

sunvalleywellness.org • 208-726-2777

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Ko m e n Mag a z i n e

Director’s Note

on our mind

Komen 2013 Idaho Affiliate of Susan G. Komen Boise Race for the Cure executive director Hilarie M. Engle PRESIDENT, BOARD OF DIRECTORS Jodi Brawley Editor-in-Chief John A. Anderson Marketing Directors Julie Guyer | 208-371-4533 Steve Wallace | 208.850.4983 sales@healthy-idaho.com Account Representative Kristi Hendry | 208-703-7448

H

appy Anniversary! Can you believe it has been 15 years since the first Boise Race for the Cure? Looking back at the last 15 years, we have much gratitude for the many people who stood by Komen Idaho, never losing sight of our mission. Because of you, we will bring breast health services to thousands of women, men and families in Idaho this year. Thank you! Looking forward to 2013, we are filled with hope and excitement. Enthusiasm is already building for our 15th Anniversary Race for the Cure. When Race registration opened in February, we saw a record number of individuals register during the early bird special of 15 days of $15— 5,132 to be exact. As we move forward, we hope you will find opportunities to join us and continue to support our work as we provide vital services to underserved and uninsured women and men in Idaho. In 15 years, Komen Idaho has raised over $5.1 million for our community. Let’s work together to raise the next $1 million.

PHOTOGRAPHER/COVER ART Chad Case Photography www.chadcasephotography.com EXECUTIVE ONLINE DIRECTOR Kenneth J. Shepherd design DIRECTOR Phil Chadwick Managing EditorS Michael Richardson | Emma Penrod DIRECTOR OF OPERATIONS Sandy Wise | sandy@stardocs.com

866.884.3258 info@stardocs.com 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.

Facebook.com/KomenMagazine

In partnership with:

Healthy

For the Cure,

healthy-idaho.com

Idaho

®

A STARDOCS PUBLICATION Copyright © 2013 Stardocs, Inc. All rights reserved.

Hilarie M. Engle, Executive Director Jodi Brawley, President, Board of Directors

KOMEN MAGAZINE is dedicated to using recyclable materials.

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Get Lost ‌In Yourself.

See our adventures at TheCoveMcCall.com Located next to

208.630.0280

501 West Lake street, MccaLL Idaho 83638 IMPACT. MAGAZINE 2013

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‘12

komenboise|REMEMBERS

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Chad Case Photography www.chadcasephotography.com

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2013 Race Day Schedule 12

2013

race day information 2013 Race Day Schedule 7:30-9:00 a.m. Race Day Registration 7:30 a.m. Survivor Tent Opens 7:30 a.m Sponsor Booths Open 7:45 a.m.

Jazzercise Warm-Up

8:00 a.m. Survivor Parade starting at Survivor Tent 8:20 a.m. Survivor Photo (in front of Albertson's HQ) 8:30 a.m. Awards Announcements at start line 9:00 a.m. RACE START–5K RUN/WALK

(line up heading east on Parkcenter Blvd.)

1 MILE

(line up at Albertson's west parking lot entrance)

10:15 a.m. Post-Race COOL DOWN - expo stage

* Subject to Change Kids for the Cure® Visit the Kids for the Cure corral in the Race expo area. This area will feature age appropriate activities and crafts. A parent must be present at all times.

survivor information

Survivors and one guest have a place to relax and sit if they would like at the survivor tent. Enjoy light refreshments and coffee before the Race and sandwiches after the Race sponsored by Blimpie® America’s Sub Shop®. Please note the survivor parade and photograph will take place before the Race this year. Please see above schedule for details. There will be special parking available for survivors wearing their pink shirts (based on availability) in the West parking lot of Albertson’s Headquarters if you arrive before 8:00am. For the safety of participants Parkcenter from Beacon to Mallard will be closed to ALL traffic at 8:00am. Anyone who approaches the road barricades after 8:00am will be asked to park in the Washington Group Plaza parking garage.

IMPACT. MAGAZINE 2013

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2013

BOISE RIVER AND GREENBELT

Kids for the Cure

Team Tailgate Area Team Photos

SPONSOR BOOTHS Albertson’s Headquarters

START / FINISH

<

<

Survivor Tent

Donations

<

Survivor Photo

Grantees

Komen Merchandise

<

<

First Aid

<

< Registration

<

Info / Volunteer Check-in

PARADE FINISH

<

1M

<

Survivor Parade — 8:00am PARADE START < < < <

e ag St

1 MILE STAGING AREA

Komen Race for the Cure encourages recycling! Recycling and Garbage bins will be located approx every 25 yards within the Expo area and near every food booth and sponsor booth.

8:00 – 11:00am

5K STAGING AREA

5K

FINISH

5K

START

PARK CENTER BLVD.

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and those who need handicap access in the old Oreida Building parking lot 220 E Parkcenter Blvd. if you arrive before 8:00 am. For the safety of participants Parkcenter from Beacon to Mallard will be closed to ALL traffic after 8:00 am.

parking This year there will be a hard closure of Parkcenter from Beacon to Mallard from 7am-Noon. Cars will not be allowed on Parkcenter during the closure. It is highly recommended that you take a shuttle if it is feasible for you to do so.

Boise State Stadium Parking Lot

- 1401 Bronco Cir., Boise, ID 83725 Parking will be available in the east lot of the Bronco Stadium. Follow signs and attendants.

Parkcenter/Apple Albertson’s East Lot- 909 East Parkcenter Blvd., Boise,

ID 83706.

Ram Restaurant and Brewery

– 709 E Park Blvd., Boise, ID 83712 Parking will be available in the far east lot between The Ram and Peak Broadcasting. Please look for the pink balloons. Shuttles will pick up on the east end of the parking lot.

Washington Group Plaza - 720 E

Park Blvd., Boise, ID 83712 - Parking will be available in parking garage. There will be a shuttle running from this location but it is also walking distance from the start line by walking across the Parkcenter bridge.

Boise Outlets - 6806 S Eisenman Rd., Boise, ID 83716 - Parking will be available in the main parking lot. Rocky Mountain Chocolate Factory will be opening at 7 am to serve your needs – water, coffee, hot chocolate etc. Survivors/Handicap Parking-

IMPACT. MAGAZINE 2013

Volunteers- Parking will be available

at Washington Group Plaza (720 E Park Blvd., Boise, ID 83712). Please take shuttle or walk to Race site. Plan accordingly as you may need to arrive early in order to make your volunteer shift start time. ***Please Note: We will be unable to offer parking and shuttle services from the Western Idaho Fairgrounds this year. Please use one of the parking options above.***

departure shuttles THERE ARE A LIMITED AMOUNT OF SHUTTLES, please arrive early to your shuttle destination--shuttles will serve on a first come first serve bases.

Boise State - Bronco Stadium East Parking Lot -- First Shuttle 7:30 am -

Last Shuttle 8:30 am.

Washington Group Plaza Parking Garage -- First Shuttle 6:30 am - Last

Shuttle 8:30 am.

to the Albertson’s on the corner of Parkcenter and Apple) -- First Shuttle 7:30 am – Last Shuttle 8:15 am.

Boise Outlets -- First Shuttle 7:00 am - Last Shuttle at 7:45 am. ***Rocky Mountain Chocolate Factory at the Boise Outlets will be opening at 7 am to serve your needs – water, coffee, hot chocolate etc.***

return shuttles Loading will occur on Parkcenter Blvd. near the corner of W Rossi Street.

Boise State - Bronco Stadium East Parking Lot -- First Shuttle

10:30 am - Last Shuttle 12:00 pm.

Washington Group Plaza Parking Garage - First Shuttle

10:30 am - Last Shuttle 12:00 pm.

RAM Restaurant and Brewery - Far East Parking Lot -First shuttle at 10:30 am last shuttle will be at 12:00 pm.

Parkcenter/Apple at Albertsons -First shuttle at 10:30 am last shuttle will be at 12:00 pm.

Boise Outlets -First shuttle at 10:30 am last shuttle will be at 12:00 pm.

RAM Restaurant and Brewery - Far

There will be special parking available for survivors wearing their pink shirts

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Anyone who approaches the road barricades after 8:00 am will be asked to park in the Washington Group Plaza parking garage 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 during that time. This parking area will be monitored and someone in your party must be wearing a survivor shirt or have handicap parking permit in order to park in this area.

Southshore Parking Lot (next

East Parking Lot -- First Shuttle 7:30 am – Last Shuttle 8:15 am.

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~making an

Time to

walk the talk Writ te n by C arolyn Holly

W

e’ve been gearing up for the Race for the Cure and, sure enough, it’s about time to walk the talk. On Saturday May 11th, 2013, we will all be meeting on Park Center Blvd. in Boise. I think each of us is involved in the race for very different reasons, but we are doing it for one cause. We’ve got to lick this ugly thing called breast cancer. I know that one of my best pals will be on my mind at the start line. You’ve heard of her if you follow my health reports over the last few decades. Laurel Richter died of breast cancer over 13 years ago,

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leaving behind three beautiful children and the love of her life, Gary. She was one of the first patients in Boise to undergo a stem cell transplant followed by total body radiation. She fought hard to beat breast cancer and her hope was that her semiexperimental treatments at the time would help blaze a path to a cure.  Look at this photo of her. Doesn’t it seem like she’s talking to you? Laurel was a fantastic communicator! She was truly a cheerleader for my life!

by breast cancer, we know that nothing is really finished until we beat this disease. So come race day let’s not forget to keep our eye on the real finish line, the time when we indeed find a cure for breast cancer.

In fact, if she could, she’d be rooting all of us onto the finish line at the Race for the Cure. But then if you stop to think about it, with her life cut short

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Whose life are you running for? 5 11 13

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official sponsor of the

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By the Numbers

FACTS

EDITED by hEALTHY MAGA ZINE

ABOUT BREAST CANCER INTHE UNITED STATES

l Breast cancer is the most commonly diagnosed cancer in women. l Breast cancer is the second leading cause of death among women. l Each year it is estimated that over 220,000 women in the United States will be diagnosed with breast cancer and more than 40,000 will die. l Although breast cancer in men is rare, an estimated 2,150 men will be diagnosed with breast cancer and approximately 410 will die each year.

A Global Burden

According to the World Health Organization, breast cancer is the most common cancer among women worldwide, claiming the lives of hundreds of thousands of women each year and affecting countries at all levels of modernization.

Good News About Breast Cancer Trends

In recent years, perhaps coinciding with the decline in prescriptive hormone replacement therapy after menopause, we have seen a gradual reduction in female breast cancer incidence rates among women aged 50 and older. Death rates from breast cancer have been declining since about 1990, due in part to better screening and early detection, increased awareness, and continually improving treatment options. SOURCE: nationalbreastc ancer.org USED WITH PERMISSION

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Pisa has its landmark tower.

This is Boise’s. Fresh seafood and landmark towers may not be the first things that come to mind when you think of Boise, but jet-fresh overnight service delivering ahi and himachi has put our renowned Tower of Tuna on the map.

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Stats

By the Numbers

EDITED by Healthy Magazine

breast cancer

Idaho is the worst in the nation when it comes to the percentage of women who get breast cancer screenings.

The number of breast cancer survivors: 2.5 million. This is the largest group of cancer survivors.

ful.Beunited.

be auti

Incidence per 100,000 persons: Nationally: 124.3 females Idaho: 119.8 females The next most common cancer for females in Idaho is lung and bronchus cancer, which occurs at an incidence of 42.8 females per 100,000 persons.

Room for Improvement

Bebold.Be

Median age of diagnosis: 61 Median age of death, for someone who has been diagnosed: 68 About 1 in 8 women will be diagnosed in their lifetime. Source: SEER (Surveillance Epidemiology and End Results), National Cancer Institute

Current recommendations Get a mammogram every other year, if you are between the ages of 50-74. The American Cancer Society says everyone over 40 and in good health should get one every year. Breast Cancer in Idaho 2009: 1,200 new cases diagnosed 2010: 186 women, 3 men died 2012 estimates from the National Cancer Institute: New United States breast cancer cases: 226,870 females, 2,190 males Deaths: 39,510 females, 410 males

One way to reduce your risk of getting breast cancer is by giving birth before your mid-thirties, and breast feeding for at least six months afterward. 20

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By the Numbers

EDITED by hEALTHY MAGA ZINE

69% Breast Cancer

of women diagnosed with breast cancer survive 10 years, and 57 percent survive 15 years.

[Bulletin]

Mammogram Sometimes more than one mammogram may be necessary to evaluate an abnormality. Common reasons for additional mammograms include film views that are unclear and/or different views requested by the radiologist.

Numbers on the rise

The five-year relative survival rate for localized breast cancer has increased from 72 percent in the 1940s to 86 percent today. If the cancer has spread regionally, however, the rate is 77 percent, and for women with cancer that has spread to distant parts of the body, the rate is 22 percent. Well-known estrogen-related risks for developing breast cancer include early menstruation (at age 12 or younger), late menopause (after age 55), and no children or first child after age 30. After increasing about four percent per year in the 1980s, breast cancer incidence rates in women have leveled off in the 1990s to about 110 cases per 100,000.

Reprinted with permission from the National Women’s Health Resource Center. 1-877-986-9472 (toll-free). On the Net at www.healthywomen.org.

age

The annual risk of a 70-year-old woman being diagnosed with breast cancer is three times that of a 40-year-old woman, and she has five times the risk of dying from breast cancer.

Good news for women

More than 80 percent of biopsied breast abnormalities are proven noncancerous, but any breast lump must be evaluated by a physician. New, less invasive biopsy procedures permit removal of breast tissue in a physician’s or radiologist’s office. Some mammography centers are able to provide immediate interpretation of your mammogram. This service can help prevent anxiety caused by waiting days to hear your results. Any additional films required also can be taken during the same visit.

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announcing our 2o13-2o14 SEASON The Marriage of Figaro by Wolfgang Amadeus Mozart

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Bryan Pogue, MD Lawrence Brown, MD Stephen Spencer, MD D. David Hartman, MD Renee Wilson, PA-C Gloria Beery, NP Julie Israelsen PA-C

Selah Medical welcomes Amber Vania, DO in June 2013

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~making an

A New Generation for the Cure

Kids for the Cure

Primary Health Medical Group prides itself on sponsoring the Kids for the Cure® because we know that children are also affected by breast cancer. They may have mothers, aunts, grandmothers, teachers and others in their lives that are going through or have been touched by the disease. Annually, Primary Health Medical Group and Komen Idaho hosts an art contest where children 12 and under can submit their artwork. The Race Committee, Komen Idaho Board of Directors and representatives from Primary Health Medical Group vote on submissions and the winning submissions are printed on 800 shirts for children participating in the annual Boise Race for the Cure®.

Luke Cavener, the Director of Marketing for Primary Health, said “We are excited to be returning as the Kids for the Cure® Sponsor this year and we are thrilled with the winner of the Kids for the Cure® artwork contest. Primary Health Medical Group is committed to providing high quality medical care that is convenient and comprehensive to our community. We love supporting the Kids for the Cure® program because breast cancer impacts the entire family and this program allows children in our community to get involved.” Congratulations

to Hannah J. Early whose artwork

will be printed on this year’s Kids for the Cure®

t-shirts that will be distributed to all youth

participants

Congratulations to Hannah J. Early whose artwork will be printed on this year’s Kids for the Cure® t-shirts that will be distributed to all youth participants (based on availability). Be sure to visit the Primary Health Medical Group Kids for the Cure® Corral on race day; there will be spin art, Mother’s Day card decorating, and you will even spot some of Boise’s famous mascots!

(based on

availability).

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Home Home Sickness Sickness coughs coughs and andmore more

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WE RACE BECAUSE

THREE GENERATIONS IS ENOUGH

A New Generation for the Cure

Meet sisters Chantel Sheets & Ciera Webster… I was 15 years old when my mom Denice Higgins was diagnosed with a very aggressive breast cancer. She was 35 years old and lost her very tough battle 2.5 years after her diagnosis. For my brother, sister and I, this was the most terrifying and hardest thing we had to go through. I can only imagine how scared my mom was. We were all so young and losing the most important person in our lives. I’m so proud to have had her as my mother. I think about her every day and wonder how different life would be if she were still here. I pray that together, with all the research and support of so many, there will one day soon be a cure. My wish is that our children, grandchildren and many generations after are not affected. For our family, it didn’t end with my mom, shortly after she passed away her mother—my grandmother, Bernice Stevenson—was also diagnosed with breast cancer. She also went through surgery, chemo and radiation. I am very happy to say, she is a SURVIVOR! We are very fortunate to have our amazing grandmother still with us today. We were told when my mother received her diagnosis that my sister and I should start being screened at 25. Thankfully my sister Chantel listened and had regular

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IMPACT. MAGAZINE 2013

mammograms and MRI's. The last one showed a mass and they ended up doing a biopsy and found out she had DCIS. She was 28 years old. My sister and her husband had many conversations on what she would do if she ever was diagnosed. She knew what she wanted to do. She had a double mastectomy, and as of January 12th 2013 at the age of 29, she is cancer free! A SURVIVOR!! We are thankful they were able to detect hers early and she did not have to

go through chemo and radiation. She is an inspiration! I love my sister and truly do not know what I would do without her. She is an amazing wife, mother, sister, and friend! I hope and pray that one day soon there will be a cure. ~Ciera Webster - Caldwell, ID

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sponsor spotlight Bodybuiling.com® is returning as a sponsor of the Boise Race for the Cure® for the third year in a row. Over the last three years Bodybulding.com has helped raise $42,000 through sponsorship, race registrations and donations. It is hard to miss the “Run with Jamie” team on Race day. Supporters rally around Bodybuilding.com spokesmodel Jamie Eason whose battle with breast cancer has inspired the entire company to get involved. “My personal experience with a breast cancer scare was life changing. I was extremely lucky to find my lump through early detection. Since then, I have drastically changed the way I eat and how I care for my body. There are typically three things that lead to disease: poor genetics, environmental issues or an unhealthy lifestyle. There is really only one of those that you can control, so my message is to be proactive and take care of your body. For those who unfortunately fall ill, organizations like Susan G. Komen for the Cure® not only offer education and medical support but a community of people ready to fight your battles with you every step of the way.” ~Jamie Eason Bodybuilding.com received the “Toot Your Own Horn” award in 2012 for being the top fundraising team so team representatives were able to sound the starting horn at the 2012 Race for the Cure®. They hope to earn that title again this year! Ryan DeLuca, CEO of Bodybuilding.com, said, “Bodybuilding.com loves a little friendly competition in the name of charity, and we want to put a challenge out there to other Race for the Cure® teams to try to beat us for the ‘Toot Your Own Horn’ award in 2013!” Also, be sure to join the Bodybuilding.com team after the Race on the expo stage for the Bodybuilding.com post-race cool down!

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LEGS TOO VEIN?

Painful veins could be telling you something.

BEFORE

AFTER

BEFORE

AFTER

Are you feeling burning, aching pain in your legs? Or, how about swelling or heaviness, with noticeable bulging veins? Do you see a darker “stain-like” or copper skin color around your ankles? If so, you could be experiencing symptoms of varicose veins – a common, and sometimes serious, disease affecting your vascular system. This vein condition is treatable and symptoms should give you cause to seek immediate medical attention from experienced vein healthcare providers. Affecting males and females alike, 20-somethings and older, varicose vein disease does not pick a particular gender or age group. It is typically found in individuals who have a history of family members experiencing varicose veins. “Genes play the largest role in determining whether or not one will suffer from varicose veins,” says Shawna Beechinor, Physician Assistant at Advanced Vein Therapy (AVT), in Boise. Pregnancy and occupations that require standing for long periods of time heighten the chances of suffering from varicose veins. Though highly technical, the procedures involved for relief of varicose veins are usually performed in an outpatient setting. They begin with diagnostic vein mapping, using noninvasive vascular ultrasound. Ultrasound technologists should be specifically trained for this technically challenging two-hour venous exam, offering the patient detailed and highly specific diagnostic information. To best determine the level of damage within your veins, it is also important that diagnostic results are interpreted by specialists in the field, such as the fellowship trained interventional radiologists at AVT. Their medical expertise helps direct patients toward the most appropriate treatment options; Endovenous Laser Treatment (EVLT) and/or – equally as important – Sclerotherapy, can both be administered to treat unhealthy veins. Recovering from the treatment of varicose veins is fairly uneventful. An annual follow-up and careful attention to keeping symptoms under check are very important in maintaining healthy veins. Though the disease may be unavoidable for some, wearing compression stockings, resting and elevating legs after standing for long periods of time, routine exercise, maintaining a normal and healthy weight and receiving routine vein therapy can alleviate symptoms. Left untreated, venous valvular insufficiency is progressive and can lead to advanced skin changes. Ultimately, a person with long-standing vein disease may become vulnerable to developing a venous ulceration. Venous ulcerations typically occur at the medial (inside) ankle and usually require treatment by a wound clinic. When inflammation in veins increase, damage to the surrounding tissues also increases – leading to open skin ulceration and ensuing wound care. Shirley is a patient who had recurrent venous ulcerations on and off for 15 years and had received wound care whenever she had an active ulceration. Although she loved working as a store greeter for 18 years, she was forced to retire, as standing for hours worsened her condition. Following in-office treatment for her varicose veins, she experienced a brief recovery, her wound healed, and she is once again delighted to be able to run and play with her grandchildren. If you would like to learn more about varicose veins and venous disease, please visit www.AboutAVT.com and www.Phlebology.org. You can also request a referral from your personal healthcare provider or simply call to make an appointment. Most insurance plans, including Medicare, cover medical care for varicose veins.

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161 E Mallard Dr | Suite 130 | Boise ID 83706 | Office: (208) 947-0100 | Toll Free:IMPACT. 866-941-VEIN (8346) MAGAZINE 2013 29


Wheelchairs Rolling for a Cure Residents of Marquis Shaw Mountain nursing facility in Boise bring added meaning to the Race for the Cure

F

or the past several years at the Susan G. Komen Race for the Cure, you may have noticed a large group of people in wheelchairs along the walk portion of the event. You may have also noticed the large group that accompanies these people each year. This group is Team Marquis. The people in the wheelchairs reside at Marquis Shaw Mountain, a Boise nursing facility. The rest of the team is made up of family members, staff members from Marquis, and other volunteers that help make the Race for the Cure a memorable event for these very special people. Several years ago, a couple of staff members at Marquis Shaw

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Mountain were thinking of some things to get the residents of our community involved in some events outside of the facility. There were a number of residents at that time that were breast cancer survivors and so the idea of participating in the Race for the Cure was born. The staff at Marquis organized some fund raising events and made plans for race day. Logistically, this meant preparing and transporting around 40 residents, all of whom need wheelchairs, from Marquis to the race site and then back home after the event. It is a huge undertaking that requires many hands and willing hearts to make it a success. A lot was learned that first year and subsequent years have allowed

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Wheelchairs Rolling for a Cure, continued... the staff to perfect this process in order to make this a great event for the residents. They look forward to this event and love the opportunity to be involved with the community in such a worthy cause. Marquis Shaw Mountain is part of Marquis Quality Healthcare based in Portland, Oregon and Shaw Mountain is their only facility in Idaho. The staff at Marquis Shaw Mountain has made participating in the Race for the Cure, and several other events throughout the year, a critical part of our culture in the facility. Several years ago, Marquis established a foundation to help formalize the charitable causes we are involved in as a company. This foundation is called the Vital Life Foundation. The name comes from the Marquis’ mission statement which is, “to promote vitality within each of our clients and staff members.” The Vital Life Foundation matches the fundraising efforts by staff and volunteers at the facility and over the past few years, they have donated over $20,000 to the Boise Chapter of the Susan G. Komen Foundation. This year, we will have another team at the Race for the Cure event. The residents and volunteers will have been up very early to get ready and be a part of this fantastic day. The smiles on our resident’s faces let us know that these efforts have made a difference in their lives. We would love you to stop by and say hello. You will make our day!

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Drugged Out

Side Effects Push Women Away From Their Breast Cancer Medication Writ ten by michael richardson

Women taking aromatase inhibitors, a common medication to prevent the return of breast cancer, often don’t complete their treatment because the side effects are intolerable, a recent survey found.

A

fter breast cancer surgery, chemotherapy or radiation treatment, many women are prescribed a five-year course of aromatase inhibitors. Researchers from the Perelman School of Medicine at the University of Pennsylvania analyzed more than 25,000 message board posts related to this medication, and found that 18 percent of authors reported at least one side effect, and about 13 percent wrote of plans to discontinue using the drug.

pain killing medication, mineral or herbal supplements and exercise. Online forms are both good and bad for women taking aromatase inhibitors, researchers wrote.

But side effects aside, aromatase inhibitors increase a woman’s chance of survival by 30 percent.

“Both the availability and anonymity provided by message boards – and increasingly, other forms of social media such as Twitter and Facebook – offer patients a place to voice concerns and connect with an audience of peers in similar situations. This type of social support can be very valuable to patients who are struggling with side effects like joint pain, and may serve as a forum where they will be encouraged to seek help from their physician,” says the study’s lead author, Jun J. Mao, MD, MSCE, who directs the Integrative Oncology program in Penn’s Abramson Cancer Center.

On the online forums, many people gave advice to those suffering painful side effects. The suggestions include

“However, our findings indicate that message board discussions of the side effects of AIs may also have negative

Joint pain, musculoskeletal pain, hot flashes and weight gain were among the side effects explained. The estrogen-blocking action of the drug also puts patients at greater risk of osteoporosis.

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consequences for adherence to therapy, or make patients reluctant to begin taking these drugs at all.” Other studies show that people just don’t really like the medicine, despite positive or negative peer influence. Researchers at the Northwestern University Feinberg School of Medicine found, after surveying about 700 women who had been prescribed, that more than a third of them stopped taking the pills after four years. After just two years, 10 percent of the women had quit. Often, doctors aren’t aware that their patients have quit taking the medication, according to abcnews. go.com, because patients are hesitant to volunteer that information. It may be that doctors need to be clearer in explaining the potential side effects of the drug, and its potential benefits. Patients should also be open about how life has changed since medication started.

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HOPE.

Restarting After a Diagnosis A cancer diagnosis can knock you down. Here is how to get up. Writ ten by hEALTHY MAGA ZINE

Worry crowds your life, be it worries about money, work, school or time. But in the moment the doctor says “you have cancer,” the worries you had before change from hurdles to cracks in the sidewalk. The new mountain that looms in your path makes starting the journey difficult. Here are some keys to ignition. Learn the realities of your condition.

Prepare yourself for physical changes.

Cancer comes in many shapes and sizes. Irrational fears and ignorance about your disease will hurt you as you try to cope, so ask your doctor all the questions you have, and do your own research.

Part of educating yourself is understanding what changes will come to your body. You may be weaker, lose hair and change in appearance in other ways, so don’t let it surprise you.

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Focus on a healthy lifestyle. Maybe jumping jacks won’t cure you, but the Mayo Clinic says a healthy diet and exercise are important for cancer patients. Eating a healthy diet consisting of a variety of foods and getting adequate rest may help you manage the stress and fatigue of the cancer and its treatment.

Find out what your real priorities are. This can help you feel good about the life you live. This step is different for everyone, which is why there is no one best answer for how to deal with cancer.

Hope.

Establish and maintain relationships. There is a good chance that people will be important allies as you deal with cancer. Make sure you reach out to friends and family, and embrace the support that is offered. Also important is talking with those who’ve dealt with your specific situation, so seek these people out.

The anxiety and distress that comes naturally with a cancer diagnosis can significantly impair a person’s quality of life, and may even cause patients to miss check-ups or delay treatment, according to the National Cancer Institute. “Anxiety may increase pain, affect sleep, and cause nausea and vomiting,” they write. “Even mild anxiety can affect the quality of life of patients with cancer and their families and may need to be treated.” Some diagnosed with cancer develop severe depression. Knowing some steps to take right after diagnosis can help patients start the journey on the right foot.

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HOPE.

Life After Cancer: Survivors share messages of hope Writ ten by EMMA PENROD

Holley Gibson first received the news in the early summer of 2012—she had cancer. Breast cancer. And she would likely remain in treatment for the rest of the year. In December, after nearly six months of surgery, radiation and chemo, Gibson ended the last of her scheduled treatments. It was the end of one challenge but the beginning of another struggle to pick up life where she left off.

fighting the same disease. When her treatment ended, life became a balancing act as Osterlund learned to cope with new physical limitations and the difference between what she expects her body to do, versus what her body can actually do.

“I think everyone thinks that the minute you finish your treatments, you’re done,” Gibson, a 50-year-old Nampa resident, says. “I’m just trying to get my life back now.”

“I ask myself, ‘How are things different and how am I different, and how is the way I interact with things different because of that?’” Osterlund says.

For many survivors, picking up the pieces after a life-changing diagnosis and months of continued treatment is the final battle in the drawn-out war that is cancer. As every diagnosis is different, the recovery process also is unique to the individual. But, Idaho survivors say there is still hope for life—and all the wonderful things that come with it—after cancer.

New Physical Realities

This is a lesson 35-year-old Boise resident Megan Osterlund has just learned for a second time. After receiving her first cancer diagnosis in 2009, Osterlund chose to pursue natural treatment methods. Months later, she was declared cancerfree. Then, in 2012, her cancer recurred, sending her into a surgical operation that discovered the tumor was larger than first expected, and would require both radiation and chemotherapy. For Osterlund, this second bout of treatment became a near all-encompassing disruption of life. “You have this 10-month period of either feeling sick, or thinking you will feel sick again soon,” Osterlund says. Despite her aggressive treatment, Osterlund continued to work part-time in a home school co-op as an algebra teacher. She also began to take time out for her own health—enrolling in exercise groups with other survivors and women

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Osterlund says being grateful and looking for the good things in her life has helped her as she comes to terms with her new physical realities. “My focus has been more on what I do have, not what I don’t,” she says. “When you’re younger, you expect yourself to look a certain way, or to be a certain way—and I’m not.” Gibson says she, too, had to come to terms with physical limitations and changes in her appearance, particularly when her hair failed to grow back after chemo. “I got over it, but it’s a lot to deal with,” Gibson says. “It doesn’t change who I am. When I first found out that I was going to be bald, I went out and bought an expensive wig. I’ve never worn that wig.” Fellow survivors, as well as her coworkers— Gibson continued working as a supervisor at a printing company throughout her treatment— were especially supportive. She concluded, from their example, that humor can be the best medicine, even in the darkest hours. Otherwise, Gibson says, “If you let it get to you, it will eat you up.” Gibson says that for her, working and maintaining her usual schedule, as much as possible, during her treatment made her recovery easier. “It’s a lot easier to get picked up if you don’t get down,” she says.

Fear, Faith and Family

Reida Bow, age 73, was already retired when she received her diagnosis last year—a diagnosis followed by surgery, and radiation. After her treatment officially ended in November, Bow faced five to ten years on a medication that, as a side effect, caused depression. “I had to stop and say—I had this conversation with my doctor—I’m older, it was caught at an early stage . . . do I want to stay on a medication that will affect the rest of my life?” Bow says. “I really struggled with that.” Her doctor agreed about the burdensome side effects, and found another medication for Bow to try. While this was welcome news, Bow says it doesn’t erase nagging questions about the future of her illness. Cancer leaves her—and many other survivors—with a lingering doubt. “You live with an unknown factor from the moment you are diagnosed,” Bow says. “What if I have to go through this again because I didn’t do it right the first time?” Bow considers herself fortunate to be diagnosed later in life, and says that through her faith she came to terms with what that diagnosis could mean. “If I don’t make it, I know what’s ahead of me,” she says. “If I do make it, I know I’m here for a purpose.” Her family, also, had to come to terms with her diagnosis and acknowledge that “not everyone recovers from cancer,” Bow says. But it was harder for her young grandchildren, who did not understand what was happening. “It’s hard because the older kids understood, and the littler kids didn’t understand that I wasn’t able to physically do the things I used to do,” Bow says. komenidaho.org


Sandra Sweet, a 69-year-old Boise resident, says the experience was just as hard for her husband as it was for her. “The men in our lives see us go through a painful experience, and it’s painful for them,” she says Through their shared experience, her husband of 50 years was one of her biggest supporters, Sweet says. They were both surprised by the additional outpouring of support they received from the Boise community—the couple had moved to Idaho less than a year before Sweet’s diagnosis, and as they started the treatment process, they knew of few places to turn for help. During and after her treatment, the discovery of one resource often led to the next, Sweet says. “I made a habit of taking advantage of the resources available in the community, because I find it’s kind of like a web,” Sweet says. “It ties you to the next thing, or the next person, that can help.” After her treatment ended, anxiety continued to haunt Sweet for a time. “I would worry and try to forecast the future,” Sweet says. “It’s OK to have those thoughts, and then you put them aside. It’s about the priority you give those thoughts.” Life, Sweet says, is simply too much fun to squander worrying about cancer, “because the simple truth is that anyone has the potential for a cancer situation.”

Joy in Life after Cancer

Cancer teaches survivors the value of a day, according to Bow, “because you’ve looked at the alternative.” Though treatment prevented her from enjoying her garden last year, she has every intention of getting out into the yard again. “I have every confidence that my life is going to be good,” Bow says. “Cancer gives you a different outlook on life, so it may even be better.” Osterlund says she too has worried about the potential for recurrence, but prefers instead to dream about what she will do with a cancer-free future. She and her husband hope to add more children to their young family, and because becoming physically active helped so much during her treatment, Osterlund says she is thinking about becoming a personal trainer. Little things, like whether or not her son misbehaves during the day, aren’t as important any more, Osterlund says. Gibson agrees. “Things that used to be important—they never were, I just thought they were,” she says. Gibson doesn’t believe cancer has made her any less able to enjoy life. In addition to resuming work and her hobbies, she says she and her husband have decided to begin enjoying some of the things they were previously going to postpone to retirement. “We won’t be waiting anymore,” she says. “We’re going to start living.” Whether she can fully recover her life from cancer is entirely up to her, Gibson says. “I don’t think it has changed my life at all. I don’t think it has to.”

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hormone replacement

Bioidentical Hormone Replacementtherapy 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: By Healthy-mag.com

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.

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.

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

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

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

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~making an

Fashion Statement:

Boise boy’s hair goes pink Writ ten by hEALTHY MAGA ZINE

Not every lacrosse-playing, hockeyloving teenage boy would willingly dye his hair pink. But that’s exactly what Boise resident Boden Deplaedt did to raise money and awareness for the cure.

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Boden made a deal with his neighbors. If they would pledge to donate $300 to Komen to fight breast cancer, he would, in return, dye his hair bright pink and wear it proudly wherever he went—to school, to practice with his hockey team. But his donors were willing to put a higher price on his pink head of hair.

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“My goal was $300 and I blew that out of the water,” Boden says. He ultimately raised more than $500 for breast cancer. Dying his hair had an added benefit of soliciting interest from acquaintances, Boden says. When his friends asked about his new hair style, Boden used those questions as opportunities to further spread breast cancer awareness. He does admit that he thought sporting pink hair was a pretty cool idea, but says he didn’t just dye his hair for himself. His own family has been deeply affected by cancer— his grandfather passed away last November after his own battle with the disease. Boden had mentioned his fundraiser idea to his grandfather before he died, and because his grandfather had liked the idea, decided to raise funds in his memory. His pink hair fundraiser now complete, Boden says he hopes to continue to raise money for cancer research and treatment. “I’m trying to think of something new to raise money, to keep it from getting old,” he says.

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RESEARCH UPDATE

RESEARCH UPDATE T

his year, the metastatic spread of breast cancer to bone will affect more than 100,000 American women battling the disease. The clinical consequences of bone metastases are often severe with poor survival outcomes and considerable pain due to bone deformity, hypercalcemia, and spinal cord compression. Clearly, there is an urgent need to better understand the mechanisms regulating breast cancer metastases to bone in order to develop an effective therapeutic intervention. Dr. Cheryl Jorcyk and her team at Boise State University (Boise, Idaho) have been actively researching the role that biological molecules called cytokines play in breast cancer progression and metastasis. Cytokines are proteins that are secreted by various cell types and aid in the communication between cells in various cancer-related processes as part of a coordinated immune response. Oncostatin M (OSM), an IL-6 family cytokine, is a potent pro-inflammatory regulator of the immune response

whose role in breast cancer has been understudied. Breast cancer cells secrete OSM, as well as recruit immune cells such as neutrophils, which themselves secrete additional OSM and induce prometastatic effects. Recently, Dr. Jorcyk reported the first in vivo (in live animals) findings exposing the critical role that OSM signaling plays in promoting breast cancer metastases to bone. Recognizing the importance of Dr. Jorcyk's work, the Susan G. Komen Foundation honored her with their prestigious award to study OSM in breast cancer metastases to bone. Recent published work by the Jorcyk lab shows promising data that OSM is a potential target for therapeutic intervention in the treatment of bone metastatic breast cancer. Dr. Jorcyk's team investigated the role of OSM in the formation of bone metastases in vivo using the 4T1.2 mouse model of bone-metastasizing breast cancer. By knocking down expression of OSM in breast cancer cells using molecules called short hair-pinned RNA (shRNA), they showed that 4T1.2-OSM cells injected into the breast tissue of Balb/c mice resulted in greater than 97%

decrease in spontaneous metastasis to bone compared to control cells, clearly exposing the importance of OSM in the bone metastasis process. Furthermore, mice that had 4T1.2-OSM tumors surgically resected exhibited median survival lifetimes that were nearly 50% longer than control tumors. When 4T1.2-OSM cells were injected into the tibia of mice, osteolytic destruction of trabecular (spongy) bone was considerably reduced compared to control cells indicating that OSM also functions in processes regulating osteolysis (bone degradation). Dr. Jorcyk's team developed a cell culture assay to identify the specific cellular mechanisms important for OSMinduced, osteolytic metastasis to bone. Several tumor cell-induced factors including vascular endothelial growth factor (VEGF) and a previously uncharacterized OSM-regulated bone metastasis factor, amphiregulin (AREG), were identified. In addition, pre-treatment of co-cultures with an anti-AREG neutralizing antibody completely reversed OSM-induced osteoclastogenesis (osteoclast production). These exciting new data substantiate OSM’s role in breast cancer metastases to bone and provide impetus for the development of a drug targeting OSM signaling.

View published results at www.ncbi.nlm.nih.gov/pubmed/23050044.

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RESEARCH UPDATE

The Newest in Breast Cancer Treatment and Research Each year, breast cancer moves further out of the realm of the unknown and goes deeper into the world of answers.

Writ ten by hEALTHY MAGA ZINE

The following are the newest allies in the battle against breast cancer, according to the American Cancer Society.

Genes and Breast Cancer

As part of a large federal project called the Cancer Genome Atlas, researchers recently published revolutionary research that identified and categorized breast cancers according to different genetic alterations. This opens the door for the development of new drugs that target specific molecular problems. These findings are “electrifying the field,” says the New York Times. The gene and cancer connection goes further. Gene patterns have recently been identified that help doctors determine which women have cancers that are likely to return after treatment.

A New Potential Preventive Drug

Currently, tamoxifen and raloxifene are the medications commonly used for prevention and treatment of breast cancer. Both drugs are effective and also help with osteoporosis, but have potential side effects, such as hot flashes and decreased interest in sex. They work by inhibiting estrogen production, as some breast cancer cells require estrogen to grow. Fenretinide, a drug related to vitamin A, is a new potential path of prevention, according to cancer.org, which

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says that in a small study, fenretinide reduced breast cancer risk as much as tamoxifin. The drug may stimulate overproduction of a substance called ceramide exclusively in cancer cells, which would kill them, according to medcitynews.com.

tracer, which can be seen in the body with a special camera, attaches to breast cancer cells. It could potentially supplement the mammogram with additional insight into individual problems.

Bisphosphonates and denosumab, both meant for strengthening bones, are being studied for their potential to help breast cancer patients. Vitamin D has also shown potential.

A novel approach involves passing light through or off of the breast and analyzing the optical results, which could detect large areas of blood vessels, a sign of breast cancer. The advantage of this test is that it isn’t invasive at all.

Breast Cancer and Plastic Surgery

A Vaccine for Breast Cancer

Surgery for breast cancer sometimes results in deformation, so some doctors are beginning to add plastic surgery as part of the procedure. Called oncoplastic surgery, cancer.org says not all doctors are comfortable with it. Alternatives to Mammography and MRIs While mammograms aren’t going away any time soon, some researchers are working on improving how breast cancer is imaged and identified. For starters, 3D might be better than 2D when it comes to imaging. In January of this year, researchers in Norway published a report showing that 3D images using digital mammography increased the detection rates of invasive breast cancers and decreased the rate of false-positives, versus using just a traditional mammogram. Another area of imaging research involves putting small amounts of a radioactive tracer into the vein of the patient. The

Research shows that some cancers are closely associated with viruses, which has allowed vaccinations to be developed that significantly reduce the numbers of these cancers. For example, a vaccine was developed for HPV, a virus associated with cervical cancer, which has been shown to be very effective in decreasing the chances of developing this cancer. Researchers are now working on identifying viruses connected to breast cancer, HPV being one possibility. Vaccinations may become the first step women take in fighting breast cancer. Dr. Vincent Tuohy of the Cleveland Clinic has already developed a breast cancer vaccine that works on animals in the lab. “We believe that this vaccine may someday be used to prevent breast cancer in adult women in the same way that vaccines prevent polio and measles in children,” he says. komenidaho.org


Idaho Urologic Institute Three Locations to Serve You. Meridian, Boise, and Nampa.

Idaho Urologic Institute, PA is setting the standard for urologic care in the Treasure Valley and is dedicated to comprehensive urologic care for men, women and children. The Institute includes: • Outpatient Surgery Center • Clinical Research • Radiation Oncology

• Outpatient Imaging • Full-Service Reference Lab • Comprehensive Infertility Lab

Additionally, our highly-trained physicians are the most experienced in the Treasure Valley in the following:

For More Information:

208-639-4900 www.idurology.com

• Minimally invasive surgery for kidney disorders and prostate cancer including da Vinci robotic prostatectomy • Minimally invasive procedures for stone disease • Male infertility • Pediatric urology • Minimally invasive surgery for enlarged prostate • Female and Male incontinence 2855 E. Magic View Dr., Meridian • 222 N. 2nd St., Suite 115, Boise 1613 12th Avenue Rd., Ste. B, Nampa

-SMOKING CESSATION -DIABETES, TYPE 2 -CAT ALLERGY -MENINGITIS VACCINE (AGES 10-12) -GOUT -IRRITABLE BOWEL SYNDROME-D For more information or to see if you qualify, call ADVANCED CLINICAL RESEARCH at 866.704.5163 (toll free) or 208.377.8653, ext. 102,104 and 121 or visit us online at www.acr-research.com www.facebook.com/ACRIdaho

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Breast Cancer:

1. A lump or thickening in or near

Six Signs to Look For

the breast or in the underarm area.

2. A change in the size or shape of

3. Nipple discharge or tenderness. 4. An inverted nipple. 5. Ridges or pitting on the breast

the breast.

Personal and family histories of breast cancer and lifestyle habits, including diet, exercise and how you handle stress, can all affect breast cancer risk.

(resembling an orange peel).

6. A change in the look or feel of

Early research also indicates a possible link between longterm exposure to bright lights at night and the incidence of breast cancer. Talk to your doctor about your specific situa-

the breast, areola or nipple (such as temperature, swelling, redness or a scaly feel).

tion, and learn to recognize the signs of breast cancer. Early detection is vitally important to treatment and recovery. Performing a monthly self-examination is still recommended by many health professionals, as is having a yearly exam

If you are experiencing any of these symptoms, see your doctor for a diagnosis and possible treatment. If you are over 40, annual mammograms are suggested.

performed by your doctor. In addition, the National Cancer Institute suggests keeping an eye out for the following signs:

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8

Foods for Breast Cancer Prevention

Y

}

| 15 min

COOK TIME | 23 min LEVEL

| EASY

SERVES

|4

foods

Lower your risk with these breast cancer diet suggestions.

ou can lower your risk for breast cancer by reaching for the right foods, according to recent research. “A woman can cut her chance of cancer by as much as two-thirds with good nutrition and weight management,” says Cheryl L. Rock, Ph.D., R.D., professor of family and preventive medicine

PREP TIME

breast

at the University of California, San Diego, School of Medicine. “Even a woman who carries the BRCA1 or 2 gene [two genetic mutations that up a woman’s risk] can reduce her risk.” Fill your diet with lean protein and plentiful produce—to help keep your weight in check and provide cancer-fighting compounds.

Roasted Miso Salmon with Lemon and Cilantro with Rosemary Roasted Yukons

1

Broccoli

Sulforaphane—a compound in broccoli— reduced the number of breast cancer stem cells (which cause cancer spread and recurrence) in mice, according to research from the University of Michigan. Eating broccoli may not deliver enough sulforaphane to achieve the same effect, but to get the most you can, eat your broccoli raw or briefly steam or stir-fry the green florets (boiling destroys some of the sulforaphane).

2

Salmon

Taking fish-oil supplements for at least 10 years can shrink your risk of ductal carcinoma, the most common type of breast cancer, according to a study in Cancer Epidemiology, Biomarkers & Prevention. It’s thought that the omega-3 fats in fish oil reduce inflammation, which may contribute to breast cancer. But you can skip the supplement aisle, say the study’s researchers, and eat about 8 ounces of oily fish (salmon, sardines, tuna) a week.

3

Olive Oil

Another reason to reach for extra-virgin olive oil: when researchers in Barcelona gave rats with breast cancer a diet in which fat came predominantly from extra-virgin olive oil (versus corn oil), they found that the olive oil’s antioxidants and oleic acid (a mono-unsaturated fat) quelled growth of malignant cells.

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IMPACT. MAGAZINE 2013

komenidaho.org


Roasted Miso Salmon with

By Holly Pevzner for EatingWell

4

Parsley

University of Missouri scientists found that this herb can actually inhibit cancer cell growth. Animals that were given apigenin, a compound abundant in parsley (and in celery), boosted their resistance to developing cancerous tumors. Experts recommend adding a couple pinches of minced fresh parsley to your dishes daily.

5

Coffee

Drinking about two 12-ounce coffees a day may lower your risk of an aggressive form of breast cancer, says a May 2011 study in Breast Cancer Research. “One possibility is that coffee’s antioxidants protect cells from damage that can lead to cancer,” says study author Jingmei Li, Ph.D. More research is needed, so don’t up your intake based on these findings just yet.

6

Plums & Peaches

Researchers at Texas A&M recently found that plums and peaches have antioxidant levels to rival “superfood” blueberries—and that they contain two types of polyphenols (antioxidants) that may help kill breast cancer cells while leaving healthy cells intact. This is good news, as 180,000 new cases of breast cancer are diagnosed each year and traditional treatments often harm healthy cells.

7

Beans

According to a new report, published in the American Journal of Clinical Nutrition, upping your fiber intake may help lower your risk of breast cancer—and the more you eat, the more your risk decreases. The researchers found that for every 10 grams of fiber a woman added to her daily diet, her risk of breast cancer decreased by 7 percent. That’s about a 1/2 to one cup of beans, depending on the variety. Other foods packed with fiber include barley, bulgur, lentils, peas, artichokes, dates and raspberries.

8

Walnuts

Recent research in the journal Nutrition and Cancer suggests walnuts may thwart the growth of breast cancer. In a study out of Marshall University School of Medicine in West Virginia, researchers substituted the equivalent of two ounces of walnuts per day into the diet of one group of mice; the other group was fed a calorically equivalent, but walnut-free, diet. After 34 days, the growth rate of tumors in the walnut eaters was half that of the mice who ate no walnuts. Experts think walnuts’ anti-inflammatory properties—which could come from the omega-3 fat alpha-linolenic acid, phytosterols or antioxidants—may give them their tumor-fighting potential. One caveat: the study dose of two ounces supplies 370 calories. Still, “walnuts can be part of a healthy diet that can reduce your risk for cancer,” says lead researcher Elaine Hardman, Ph. D.

Lemon and Cilantro with Rosemary Roasted Yukons Recipe courtesy Robin Miller Ingredients

what you need

Cooking spray

6 salmon fillets (about 5 ounces each) Salt and freshly ground black pepper 1/4 cup fresh lemon juice

1 tablespoon rice wine (mirin) 1 tablespoon miso paste

4 Yukon gold potatoes, cut in 2-inch chunks 1 tablespoon olive oil

2 cloves garlic, minced

2 teaspoons freshly chopped rosemary leaves 1/4 cup freshly chopped cilantro leaves

how to make it Preheat oven to 400 degrees F. Coat a large roasting pan with cooking spray. Season salmon with salt and black pepper and place in roasting pan. In a small bowl, whisk together lemon juice, rice wine and miso paste. Brush mixture all over salmon in pan. In a large bowl, combine potatoes, oil, garlic, rosemary, and salt and black pepper to taste. Toss to coat potatoes. Arrange potatoes alongside salmon (or on a separate baking sheet if there's not enough room). Roast salmon and potatoes 20 to 25 minutes, until fish and potatoes are fork-tender. Serve 4 of the salmon fillets with the cilantro sprinkled over top and all of the potatoes on the side. Reserve remaining salmon for salad.

reader review Ok, to be honest, I’m not a salmon fan. But we made these last night. Umm, yeah. I’m a convert! - Phil

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recipes

Chicken Tortilla Soup

This nutrition-packed bowl of goodness is a real crowd pleaser, chock full of cancer-fighting nutrients. Rustle up a tasty soup that boasts a hefty dose of cancer-fighting nutrients. Bon appetit! by Healthy-Mag.com

breast

ŠBlueee | Dreamstime.com

foods

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IMPACT. MAGAZINE 2013

komenidaho.org


recipes

Chicken Tortilla Soup

Serves 8-10 Ingredients:

For garnishes:

2 tbsp olive oil 1 small onion 1 tbsp minced garlic 1 3/4 tsp Ancho chile powder or regular chile powder 1 3/4 tsp cumin 1 tsp crushed red pepper, or to taste 1 jalapeno pepper, peeled and seeded (wear disposable latex gloves — peppers can burn you) 1/4 bunch washed and chopped cilantro + 1/2 cup more for garnish 1 1/2 cups canned, drained, squeezed tomatoes 6 cups chicken stock 12 oz. cooked, chopped chicken 2/3 cup corn masa mixed with water (available in most grocery super markets or Mexican grocery stores) (or use 3 tbs. cornstarch mixed with water until smooth, adding only enough to thicken soup to correct consistency) 1 tsp sea salt or to taste 1/2 tsp black pepper, or to taste

Fried flour or corn tortilla strips (about seven 6 inch tortillas) Option 1: Bake tortillas in a preheated 400 degree F oven on a baking pan in single layer for about 10 minutes or until lightly browned. Option 2: Use crumbled tortilla chips from the store 1 1/2 cups grated cheese 1 cup sour cream 1/2 cup chopped cilantro Lime wedges to squeeze into soup

Preparation: 1. Cut tortillas into 1/2 inch wide strips and bake in oven (as noted above)

2. Heat olive oil over medium-low heat in a large soup pot. When oil is hot, add onions

and sauté until half cooked, then add garlic and sauté until onions are soft.

3. Raise the heat to medium or mediumhigh. Add chile powder, cumin, crushed red pepper, jalapenos, cilantro and tomatoes. 4. Sauté until tomatoes are soft (when mixture comes to a boil, turn the heat down to low to keep the mixture simmering). 5. Add chicken stock and bring to a boil. 6. Add cooked, chopped chicken and the masa/ water mixture and bring to a boil. Lower heat and simmer to thicken tortilla soup.

To serve: Put crisp tortilla strips into a soup bowl and ladle the soup over them; then garnish with cheese, a dollop of sour cream and a sprinkle of cilantro.

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2013-2014 IDAHO AFFILIATE GRANTEES 2013-2014 Idaho Affiliate, Susan G. Komen for the Cure Grantees In 2013, The Komen Idaho Affiliate granted over $285,000 to fund 29 local breast health and breast cancer programs. The grants help fund breast cancer screening, rural outreach, support and survivorship services not otherwise available to women in our 28 county service area. American Cancer Society Great West Division Cancer Resource Centers North Idaho (509) 474-2929 | www.cancer.org Counties served—Benewah, Bonner, Boundary, Clearwater, Idaho, Kootenai, Latah, Lewis, Nez Perce, Shoshone Breast cancer patients will receive supplies and transportation assistance that increase support for treatment and survivorship. With Komen funding, ACS will conduct specialized outreach to assist patients who are 35-49, are uninsured or underinsured, and in Komen target counties. American Cancer Society, Great West Division Road to Recovery Program Southwest/Central Idaho (208) 422-0846 | www.cancer.org Counties served—Southwest and Central Idaho Low income patients in 18 Southwest Idaho counties in treatment for breast cancer will receive transportation assistance that allows them to better comply with their treatment plans. Health Window Program Health Window Breast Care Prevention and Awareness (208) 954-8856 The Health Window Program in Idaho is a partnership between St. Luke’s and the Consulate of Mexico. The main objective of the Health Window Program is to facilitate information related to early prevention and access to health services for individuals and their families who are not familiar with the health system in the United States. Kootenai Health Foundation Cancer Patient Support Program (208) 666-2345 | www.kootenaihealth.org Counties served—Benewah, Bonner, Boundary, Kootenai, Shoshone The Kootenai Health Foundation manages a fund to help address the needs of patients in treatment at Kootenai Cancer Center. Minidoka Memorial Hospital Minidoka County’s 1st Defense Against Breast Cancer (208) 436-8155 | www.minidokamemorial.com Counties served—Cassia, Minidoka Minidoka County’s first defense against breast cancer project provides free mammogram services for underserved, culturally diverse and limited English speaking (les) women. North Canyon Medical Center Rural Care for Low to Middle Income Women (208) 934-9888 | www.ncm-c.org/ Counties served—Blaine, Camas, Elmore, Gooding, Jerome, Lincoln, Twin Falls The purpose of Rural Care for Low to Middle Income Women is in place to serve the individuals in our region that are 250% below the federal poverty level who may not qualify for other financial assistance programs. Panhandle Health District – Benewah County Screening and Education for Early Diagnosis of Breast Cancer (Benewah County) (208) 415-5293 | www.phd1.idaho.gov Counties served—Benewah Prevent late stage diagnosis of breast cancer through access to early screening by providing a voucher for mammogram screening services to low income uninsured/underinsured women ages 35-49 seen in Family Planning Clinic. Patient will be referred to further screening and appropriate financial assistance as needed. Panhandle Health District – Bonner County Screening and Education for Early Diagnosis of Breast Cancer (Bonner County) (208) 415-5293 | www.phd1.idaho.gov Counties served—Bonner Prevent late stage diagnosis of breast cancer through access to early screening by providing a voucher for mammogram screening services to low income uninsured/underinsured women ages 35-49 seen in Family Planning Clinic. Patient will be referred to further screening and appropriate financial assistance as needed. Panhandle Health District – Boundary County Screening and Education for Early Diagnosis of Breast Cancer (Boundary County) (208) 415-5293 | www.phd1.idaho.gov Counties served—Boundary Prevent late stage diagnosis of breast cancer through access to early screening by providing a voucher for mammogram screening services to low income uninsured/underinsured women ages 35-49 seen in Family Planning Clinic. Patient will be referred to further screening and appropriate financial assistance as needed.

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Panhandle Health District – Kootenai County Screening and Education for Early Diagnosis of Breast Cancer (Kootenai County) (208) 415-5293 | www.phd1.idaho.gov Counties served—Kootenai Prevent late stage diagnosis of breast cancer through access to early screening by providing a voucher for mammogram screening services to low income uninsured/underinsured women ages 35-49 seen in Family Planning Clinic. Patient will be referred to further screening and appropriate financial assistance as needed. Panhandle Health District – Shoshone County Screening and Education for Early Diagnosis of Breast Cancer (Shoshone County) (208) 415-5293 | www.phd1.idaho.gov Counties—Shoshone Prevent late stage diagnosis of breast cancer through access to early screening by providing a voucher for mammogram screening services to low income uninsured/underinsured women ages 35-49 seen in Family Planning Clinic. Patient will be referred to further screening and appropriate financial assistance as needed. Planned Parenthood of the Great Northwest Idaho Breast Health Program (800) 230-7526 | www.plannedparenthood.org Counties served—Ada, Boise, Elmore, Owyhee Our Idaho Breast Health program’s purpose is to reach uninsured and underinsured women in order to directly connect them to screening, mammography via free vouchers, and education. It seeks to reduce barriers to care and increase the numbers of women who receive screenings. We will hold five screening dates and two education sessions for uninsured, underinsured, and refugee women. (Two screenings and two education sessions are specifically targeted towards the refugee population). The expected or resulting change that we likely will bring in the community is to increase the numbers of women who have access to free screenings, education, and mammograms. Saint Alphonsus Regional Medical Center Breast Care Center Breast Cancer Early Detection for the Underserved (208) 367-3336 | www.saintalphonsus.org/breast-care-center Counties Served—Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, Payette, Valley, Washington Saint Alphonsus is committed to delivering every possible breast cancer diagnosis along with the words, “We caught it early.”Through Breast Cancer Early Detection for the Underserved, Saint Alphonsus increases the likelihood of early-stage diagnoses on behalf of underserved southwestern Idaho breast cancer patients. By reducing barriers for uninsured, underinsured, and low-income patients to access routine breast exams, mammography screening, and diagnostic evaluation, these funds reduce health disparities and promote optimal outcomes for patients otherwise at greatest risk for late-stage diagnosis. Saint Alphonsus Regional Medical Center Mobile Mammography Screening Access for Underserved Rural Women (208) 367-3571 | www.saintalphonsus.org/breast-care-center Counties Served—Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, Payette, Valley, Washington Saint Alphonsus is committed to delivering every possible breast cancer diagnosis along with the words, “We caught it early.”Through Screening Access for Underserved Rural Women, Saint Alphonsus increases the likelihood of early-stage diagnoses on behalf of financially disadvantaged women residing in remote southwestern Idaho. By reducing barriers for uninsured, underinsured, and low-income patients to access mammography screening through the Women’s Wellness Mobile Clinic, these funds reduce health disparities and promote optimal outcomes for patients otherwise at greatest risk for late-stage diagnoses. Saint Alphonsus Regional Medical Center – Cancer Care Center Breast Cancer Patient Assistance Fund (208) 367-3131 | www.saintalphonsus.org/cancer-care-center Counties served—Ada, Adams, Boise, Elmore, Gem, Valley, Washington In addition to causing profound physical and emotional trauma, a breast cancer diagnosis can result in overwhelming financial burdens for patients and their families. To ensure that financial stressors do not create practical barriers to undergoing treatment or rehabilitation, do not threaten patients’ financial independence or daily stability, and do not add to patients’ already high anxiety levels and detract from recovery, CCC-Boise seeks to sustain the Breast Cancer Patient Assistance Fund. Established in 2007, this fund supports financially disadvantaged individuals living with a breast cancer diagnosis to fulfill basic needs for housing and other living essentials (through assistance with rent and utility payments); maintain adequate nutrition (through assistance with groceries); preserve communication with medical teams and support networks (through assistance with phone payments); access treatment centers (through assistance for medically necessary transportation); and obtain supplies necessary for rehabilitation (through assistance for lymphedema equipment). Saint Alphonsus Nampa Patient Assistance Nampa-Caldwell Breast Cancer Patient Assistance Fund (208) 288-4623 | www.saintalphonsus.org/cancer-care-center Counties served—Canyon, Owyhee In addition to causing profound physical and emotional trauma, a breast cancer diagnosis can result in overwhelming financial burdens for patients and their families. To ensure that financial stressors do not create barriers to treatment or rehabilitation, do not threaten

komenidaho.org


patients’ financial independence or daily stability, and do not add to patients’ already high anxiety levels and detract from recovery, the SAMC-Nampa Cancer Care Center (CCC-Nampa) seeks to introduce a first-ever Nampa-Caldwell Breast Cancer Patient Assistance Fund. This fund will support financially disadvantaged individuals living with a breast cancer diagnosis to fulfill basic needs for housing and other living essentials (assistance with rent and utility payments); maintain adequate nutrition (assistance with groceries); preserve communication with medical teams and support networks (assistance with phone payments); access treatment centers (assistance for medically necessary transportation); and obtain supplies necessary for rehabilitation (assistance for lymphedema equipment). Saint Alphonsus Nampa Screening Screening & Diagnostic Services for Women in Canyon County and Surrounding Communities (208) 463-5871 | www.saintalphonsus.org/breast-care-center Counties served—Canyon, Owyhee Saint Alphonsus Medical Center-Nampa is committed to delivering every possible breast cancer diagnosis along with the words, “We caught it early.”Through Screening & Diagnostic Services for Women in Canyon County and Surrounding Areas, Saint Alphonsus increases the likelihood of early-stage diagnoses on behalf of underserved and predominantly rural southwestern Idaho breast cancer patients. By reducing barriers for uninsured, underinsured, and low-income patients to access routine breast exams, mammography screening, and diagnostic evaluation, these funds reduce health disparities and promote optimal outcomes for patients otherwise at greatest risk for late-stage diagnosis.

St. Luke’s Magic Valley Health Foundation The 900 Women Project (208) 814-7253 | www.stlukesonline.org/magic_valley/ways_to_give/ Counties served—Blaine, Camas, Cassia, Gooding, Jerome, Lincoln, Minidoka, Twin Falls The 900 Women Project is a collaborative effort between local physicians, and Magic Valley health clinics and local St. Luke’s hospitals in Twin Falls and Jerome. The project’s goal is to achieve and maintain a 10% increase in local mammography rates above 2006 rates by providing financial assistance to Magic Valley women who need screening and diagnostic mammography and ultrasound services, in order to diagnose breast cancer in the early stages and improve survival rates. St. Luke’s McCall Foundation Annual Mammograms: No Woman Left Unscreened and Breast Buddies (208) 634-2426 | www.mccallhosp.org/ Counties served—Adams, Idaho, Valley The hospital is proud and grateful to partner with Komen, which allow us to improve the lives and health of the people we serve. Funds are used to cover the cost of screening mammograms for women forty years and older, as well as any indicated diagnostic mammograms and ultrasounds for underserved women of all ages. Women who demonstrate financial need receive access to Komen funding for their breast care. Through our new Breast Buddies program, local advocates from Riggins and Council will be recruited, trained and supported by our Center for Health Promotion women’s wellness champion to reach out to underserved women in the communities we serve. St. Luke’s Mountain States Tumor Institute – Mobile Mammography Treasure Valley Community Breast Wellness Funding Program Mobile Mammography (208) 706-2055 | www.stlukesonline.org/specialties_and_services/breast_care Counties served—Ada, Adams, Blaine, Boise, Camas, Canyon, Elmore, Gem, Gooding, Owyhee, Payette, Valley, Washington St. Luke’s Breast Care Services (BCS) is determined to reduce numbers of breast cancer incidents and deaths in Idaho by improving screening rates. Statistics from the National Cancer Institute validate the more remote the county from free-standing mammography facilities the less likely women in that region will comply with recommendations of having a screening mammogram completed annually. St. Luke’s (BCS) will remove the obstacle of travel taking our services to the women who have not traditionally come to fixed-site facilities using our Mobile Coach. St. Luke’s will also help overcome cost barriers by providing screening mammograms, clinical breast exams, self-breast exam education to women who are uninsured and/or underinsured. St. Luke’s Mountain States Tumor Institute – Breast Care Services Rural Treasure Valley Community Breast Wellness Funding Program - Rural (208) 706-2055 | www.stlukesonline.org/specialties_and_services/breast_care/ Counties served—Camas, Canyon, Elmore, Gem, Gooding, Payette, Washington St. Luke’s recently opened fixed sites in Nampa & Fruitland & digital technology in Mountain Home so women in these rural areas no longer have to travel for screening mammography, or wait for a visit from our Mobile Coach. St. Luke’s BCS is committed to reducing the number of breast cancer deaths in Idaho by improving screening rates. Our breast care team is dedicated to increasing community awareness of recommended guidelines for breast cancer screening, clinical breast exams & annual screening mammography. The 3 new sites can focus on reaching out to Idaho women in rural areas with limited financial resources, and help overcome travel barriers. St. Luke’s Mountain States Tumor Institute – Breast Care Services Urban Treasure Valley Community Breast Wellness Funding Program - Urban Fixed Sites (208) 706-2055 | www.stlukesonline.org/specialties_and_services/breast_care/ Counties served—Ada, Adams, Boise, Camas, Canyon, Elmore, Gem, Gooding, Owyhee, Payette, Valley St. Luke’s Breast Care Services helps overcome cost barriers by providing screening mammograms, clinical breast exams, self-breast exam education in line with SGK guidelines, diagnostic mammogram and breast ultrasound services to women uninsured and/ or underinsured and do not qualify for other government funded programs. Increasing awareness to the importance of the availability of breast cancer screening protocols, clinical breast exams and annual screening mammograms to Idaho women with limited financial resources provides the best chance for Idaho to change our statistical ranking. St. Luke’s Breast Care Services will provide educational services, resources, screening mammography, clinical breast exams, and diagnostic mammography and breast ultrasound services to uninsured and/or underinsured who reside in the counties of Southwest Idaho served by the Boise Affiliate of the Komen Foundation.

St. Luke’s Mountain States Tumor Institute – Nampa Concrete Needs During Breast Cancer Treatment (208) 463-6009 | www.stlukesonline.org/cancer_care/ Counties served—Ada, Boise, Canyon, Owyhee, Payette, Washington The financial challenges people with cancer face while going through treatment can be astounding. Many patients require time off work while undergoing their cancer treatment. At MSTI, we treat women on a regular basis who have little or no disability benefits available to them through their employers. The Komen Patient Support Fund will help breast cancer patients with essential living expenses that become a burden due to illness. One-hundred percent of awarded funds will be used to provide financial assistance to breast cancer patients and families who are unable to afford basic expenses while going through cancer treatment. These may include mortgage/rent, car payments, utility bills, daycare, gasoline, food, and other essentials. St. Luke’s Mountain States Tumor Institute – Survivor Programs Moving On: Life After Breast Cancer (208) 706-7286 | www.stlukesonline.org/cancer_care/ Counties served—Ada, Canyon, Elmore, Gem, Payette, Valley, Washington Our Moving On: Life After Breast Cancer program is a free, seven-week education and support program open to all breast cancer survivors after treatment ends. Moving On focuses on helping breast cancer survivors in our community learn and implement lifestyle changes that reduce their risk of recurrence and improve their overall health. St. Luke’s Wood River Foundation Breast Cancer Screening for the Uninsured and Underinsured Women in the Greater Wood River Region (208) 727-8444 | www.slwrf.org Counties served—Blaine, Camas, Cassia, Gooding, Jerome, Lincoln, Minidoka, Twin Falls Recognizing the direct connection between access to mammogram screening and decreased incidence of cancer and death, St. Luke’s Wood River made it a priority to provide the most advanced breast imaging technology available to all women in our service area. This project will provide funding to pay for the costs of screening and/or diagnostic mammograms, and/or breast ultrasound for women 25 years of age and older. Terry Reilly Health Services – Boise Terry Reilly Boise (208) 344-3512 | www.trhs.org Counties Served —Ada Terry Reilly Health Services will identify, contact, and provide breast cancer screening mammography vouchers to low-income medically underserved women ages 40-49 or high-risk women 35-39 years old who are patients at our medical clinic in Boise. Mammograms will be done through local hospitals or other community screening sites with whom we contract. Case management for all abnormal results is provided by Terry Reilly licensed nursing staff, who ensure that follow-up care is provided as part of a comprehensive community approach to care. Terry Reilly Health Services – Nampa Terry Reilly Nampa (208) 466-7869 | www.trhs.org Counties served—Canyon Terry Reilly Health Services will identify, contact, and provide breast cancer screening mammography vouchers to low-income medically underserved women ages 40-49 or high-risk women ages 35-39 served by our medical clinic in Nampa. Mammograms will be done through local hospitals or other community screening sites with whom we contract. Ultimately, any cancer that is discovered will be found at an earlier, more treatable stage, with fewer overall costs to the individual, family and community. Terry Reilly Health Services – Owyhee County Terry Reilly Owyhee Homedale (208) 337-3189 Marsing (208) 896-4159 | www.trhs.org Counties Served—Owyhee Terry Reilly Health Services will identify, contact, and provide breast cancer screening mammography vouchers to low-income medically underserved women ages 40-49 or high-risk women ages 35-39 who are served by our Owyhee County rural medical clinics in Marsing and Homedale. Mammograms will be done through local hospitals or other community screening sites with whom we contract. Case management for all abnormal results is provided by Terry Reilly licensed nursing staff, who ensure that follow-up care is provided as part of a comprehensive community approach to care. Ultimately, any cancer that is discovered will be found at an earlier, more treatable stage, with fewer overall costs to the individual, family and community. Terry Reilly Health Services – Rural Terry Reilly Canyon Rural Caldwell (208) 459-1025 Melba (208)495-1011 Middleton (208) 585-0048 | www.trhs.org Counties Served—Canyon Terry Reilly Health Services will identify, contact, and provide breast cancer screening mammography vouchers to low-income medically underserved women ages 40-49 or high-risk women ages 35-39 who are served by our Canyon County rural medical clinics in Caldwell, Melba, and Middleton. Mammograms will be done through local hospitals or other community screening sites with whom we contract. Case management for all abnormal results is provided by Terry Reilly licensed nursing staff, who ensure that follow-up care is provided as part of a comprehensive community approach to care.

For details on these programs, visit www.komenidaho.org/grants/current-grant-recipients/

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