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“Blending practical solutions with compassion. That’s what attracted me to surgery.” Dr. Elizabeth Prier Breast & General Surgeon - Boise
Idaho’s only fellowship-trained breast surgeon offers leading-edge expertise in breast conservation surgical techniques and advanced treatment therapies. Individualized treatment plans, tailored to your needs, are developed by a team of specialists following evidence-based guidelines proven to provide the highest quality of care. Offering the largest number of Clinical Trials in the region for cancer patients – providing access to the newest treatments and therapies.
Make an appointment with Dr. Prier: (208) 367-5050 2
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DuringMayandJuneget
free body compositions for Komen Participants age 14-60 in honor of Komen-Boise celebrating their 16th anniversary
Nutrition
3 Risk Factors ForBreastCancer Age Family History Nutrition
Body Fat*
Metabolism/ Biochemistry
Psychology or Beliefs
Behaviors Obesity increases premenopausal breast cancer 70% in patients at risk. Cancer prevention research, March 5, 2012 Anderson et. AI.
*We can help change Only Weight Loss Center In America the 3rd risk factor.
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Articles
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2014 RACE DAY SCHEDULE
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VITAMIN D FOR THE DOUBLE-D
Your guide to the day’s events, including nformation on where to park and catch a shuttle before and after the race.
New research on the effects of vitamin D. Researchers are saying it may increase the rate of survival for women with breast cancer.
22 WORKING IT OUT
Findings show that regular exercise can decrease the risk of cancer in postmenopausal women.
30 EARLY DETECTION, BEST PROTECTION Know what is normal for you, see your health care provider if you notice any of these breast changes:
34 WHICH SCREENING IS BEST FOR ME
With all the conflicting reports it can be difficult to know what screening option is the best for you.
36
MEET TERESA BATEMAN In February 2000 Teresa’s mother passed away from breast cancer, Teresa was 16 years old.
39 GENETIC TESTING FOR BREAST CANCER If you are considering genetic testing, it is important to talk to your provider or a genetic counselor to determine whether testing is appropriate for you.
52 FUNDING CANCER
Financial Resources for people living with breast bancer.
What is Thermography?
It is known that metabolic activity and vascular circulation in both pre-cancerous tissue and the area surrounding a developing breast cancer is almost higher than in normal breast tissue.
Stephanie Terrell
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I M PAC T MAG A Z I N E
DIRECTOR’S NOTE
on our mind KOMEN 2014 Idaho Affiliate of Susan G. Komen Boise Race for the Cure EXECUTIVE DIRECTOR Hilarie M. Engle PRESIDENT, BOARD OF DIRECTORS Dr. Mark Wigod EDITOR-IN-CHIEF | PUBLISHER John A. Anderson DESIGN DIRECTOR Phil Chadwick MANAGING EDITORS Michael Richardson | Taylor Smith
16 years and counting! Excitement is already building for our 16th Race for the Cure. New for 2014, we are excited to offer our first ever timed 5k race. We hope that this addition will provide an opportunity for those who want a competitive challenge while contributing to the cause. As we continue to focus our mission to end breast cancer, it is important for us to look back and celebrate our successes. In 16 years, Komen Idaho has provided over 17,780 mammograms, 9,775 clinical breast exams, 2,668 diagnostic screening exams, 261 patients received assistance with everyday living expenses, and over 88,000 women and men received breast health education and materials. Our impact is great, but we know we have a long road ahead to ensure that women and men in Idaho have access to screenings and education. We are also working to complete the Idaho Affiliate Community Profile by 2015. The Community Profile is an assessment process Komen Idaho goes through to understand the State’s breast cancer burden the and needs of our 28 county service area. The Community Profile is vital for Komen Idaho to align its community outreach and grantmaking activities towards the same goal(s). The information will be used to develop priorities for the Community Grant process and to target outreach efforts to underserved populations. We look forward to seeing you all at the start line as we celebrate another successful year in our community. For the Cure,
MARKETING DIRECTORS Julie Guyer | 208-371-4533 Steve Wallace | 208.850.4983 sales@healthy-idaho.com PHOTOGRAPHER/COVER ART Chad Case Photography ChadCasePhotography.com EXECUTIVE ONLINE DIRECTOR Kenneth J. Shepherd DIRECTOR OF OPERATIONS Lyn Timboe | lyn.timboe@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:
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Dr. Mark Wigod, M.D., F.A.C.S
Executive Director
President, Board of Directors
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KOMEN MAGAZINE is dedicated to using recyclable materials.
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Plumbers In Pink. Working Together to Help Flush Cancer. Taking action in our community to create happy, healthy customers through superior service, customer satisfaction and community support & involvement.
For Comfort Today:
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SelectHealth is honored to support the Susan G. Komen Race for the Cure in Boise.
5 Years Running. SelectHealth has been recognized by J.D. Power for the “Highest Member Satisfaction among Commercial Health Plans in the Mountain Region, Five Years in a Row.” To learn more about plans from SelectHealth, along with our wide network of providers, visit selecthealth.org or call 855-442-0220.
SelectHealth received the highest numerical score among commercial health plans in the Mountain region (ID, NM, NV, UT) in the proprietary J.D. Power 2010-2014 U.S. Member Health Plan Studies SM . 2014 study based on 34,315 total member responses, measuring nine plans in the Mountain region (excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed December 2013-January 2014. Your experiences may vary. Visit jdpower.com. © 2014 SelectHealth. All rights reserved. 3114 04/14
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KOMENBOISE|REMEMBERS
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Chad Case Photography www.chadcasephotography.com
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2014 RACE DAY SCHEDULE 14
2014
race day information 2014 Race Day Schedule 7:30-9:00 am
Race Day Registration
7:15 am
Survivor Tent and Sponsor Booths Open
8:00 am
Jazzercise Warm-Up
8:30 am
Survivor Parade (Start at Survivor Tent)
8:40 am
Survivor Photo (in front of Albertson’s HQ)
9:00 am
Kendall Ford Competitive 5K Race Start
9:05 am
5K Fun Run/Walk Start
– (line up heading east on Parkcenter Blvd.)
1 MILE START
– (line up at the Albertsons west parking lot entrance)
10:00 am
Kendall Ford Competitive 5K Race Awards (Expo Stage)
10:15 am
Bodybuilding.com Post-Race Cool Down (Expo Stage)
10:30 am
Fundraising Awards and Survivor Drawing (Expo Stage)
* Subject to Change
survivor information
Survivors and one guest have a place to relax and sit on race day at the survivor tent. Enjoy light refreshments and coffee from The Human Bean 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 the race day schedule for details. Parking is available for survivors wearing their pink shirts (based on availability) in the West parking lot
SUSAN G. KOMEN IDAHO 2014
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 6:00am but we will allow survivors through until 8:00am. Anyone who approaches the road barricades after 8:00am will be asked to park in the Washington Group Plaza parking garage (720 E Park Blvd., Boise, ID 83712) and take the shuttle. We do recommend taking a shuttle but if you prefer parking inside of the road closure please keep in mind that you will not be able to leave until the road is reopened to traffic.
komenidaho.org
2014
Kendall Ford VIP Area
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Washington Group Plaza
parking This year there will be a hard closure of Parkcenter from Beacon to Mallard from 6 am—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.
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.
departure shuttles We highly recommend that participants take a shuttle to the race site as there will be road closures for the race on Parkcenter Blvd. All shuttle details are listed below, and
ALL SHUTTLES CAN ACCOMODATE STROLLERS. Please arrive early to
your shuttle destination–shuttles will serve on a first come first serve bases.
***Rocky Mountain Chocolate Factory at the Boise Outlets will be opening at 7 am to serve your needs – water, coffee, hot chocolate etc.*** 16
SUSAN G. KOMEN IDAHO 2014
—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.
Survivors/Handicap Parking—
There will be special parking available for survivors wearing their pink shirts and those who need handicap access in the Boise State Yanke Family Research Park parking lot – 220 E Parkcenter Blvd. You must arrive before 8:00am. For the safety of participants Parkcenter from Beacon to Mallard will be closed to ALL traffic from 6:00am-Noon. Survivors wearing their pink t-shirts or race bib and those with Handicap permits will be allowed through the closure at Beacon and Parkcenter until 8:00am.
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
RAM Restaurant and Brewery - Far East Parking Lot —FIRST SHUTTLE @ 7:30 AM
—LAST SHUTTLE @ 8:15 AM
Boise Outlets
—FIRST SHUTTLE @ 7:00 AM —LAST SHUTTLE @ 7:45 AM
Additional Parking—Anyone
who approaches the road barricades after 8:00am 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 until the Boise Police open the road. 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.
Volunteers—Parking will be
available at Washington Group Plaza parking garage—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: parking and shuttle services from the Western Idaho Fairgrounds and the Southshore Parking Lot are not available. Please use one of the parking options above.***
return shuttles Return Shuttles will begin as soon as participants finish and load buses. Loading will occur on Parkcenter Blvd. near the corner of W Rossi Street.
The last shuttle will be at 11:30 AM to all locations. komenidaho.org
SPONSORS Thank you to our 2014 local race for the cure sponsors! PRESENTING SPONSORS
COMMUNITY HEALTH CARE PARTNERS
MEDIA SPONSORS
PLATINUM SPONSORS
SURVIVOR CELEBRATION
Healthy IDAHO
®
GOLD SPONSORS
COMPETITIVE 5K
SURVIVOR LUNCH
SILVER SPONSORS
Chevron – Sarah Bolender, M.D. - Integrity Audio Visual - Walmart RUBY SPONSORS BETTER LIFE CHIROPRACTIC – BOISE OUTLETS – CHIPOTLE MEXICAN GRILL – GEMTEK PEST CONTROL GREAT FLOORS – NORTHWEST FARM CREDIT SERVICES – SENIORS BLUE BOOK OF IDAHO TATES RENTS & TATES TENTS & EVENTS – VEIN CENTER OF IDAHO - TREASURE VALLEY FORD STORES
CRYSTAL SPONSORS A COMPANY PORTABLE RESTROOMS – ACTION COURIERS – BOISE PUBLIC WORKS – BUTTE FENCE, INC. – CLOVERDALE STORAGE CREATIVE BALLOONS OF IDAHO – DOWNTOWN STORAGE AND RECORDS MANAGEMENT – EDWARDS GREENHOUSE – ESP PRINTING AND MAILING IDAHO POWER COMPANY, EMPLOYEE COMMUNITY FUND – INJURY CARE MEDICAL CENTER – IN THE BAG PROMOTIONS – JAZZERCISE MONEYTREE – RAM RESTAURANT AND BREWERY – REPUBLIC SERVICES – SAWTOOTH PHOTO PROS – SWIRE COCA COLA TRAFFIC PRODUCTS AND SERVICES – US BANK – WESTERN TROPHY AND ENGRAVING – WIGOD PLASTIC SURGERY, P.A.
KIDS FOR THE CURE
TEAMS FOR THE CURE
5K AID STATION
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Breast Cancer Survival Improves With High Vitamin D Levels
Written by Taylor Smith
I
f you’ve watched TV or read a magazine recently, you’ve most likely heard about this or that vitamin supplement and all of the amazing things they can do for you. Some of the claims have more merit than others and you likely know which supplement claim more than they could deliver. Most doctors agree, however, that vitamins play a very important role in our overall health. Vitamin D, for example, has been linked to better immune system function, decreased risk for heart disease and bone fractures, and now researchers are saying it may increase the rate of survival for women with breast cancer. Our main source of vitamin D is the sun, but it is also found in foods like fish, fortified dairy products, fortified cereals and eggs. A group of researchers from the University of California San Diego (UCSD) recently reported that breast cancer patients with high vitamin D levels in their blood are 50 percent lower mortality rate when compared to women who had low vitamin D levels. These researchers, lead by Professor Cedric F. Garland of UCSD, conducted analysis of five different studies that examined the link between vitamin D and breast cancer. All told, the studies included
4,443 patients with breast cancer and were performed between 1966 and 2010, and each patient, on average, was followed for a period of nine years. Prof. Garland and his team found that the average blood level of vitamin D for breast cancer patients in the US was 17 nanograms per milliliter (ng/ml). The women in the study who were found to have high vitamin D levels, and who had a better mortality rate, had an average of 30 ng/ml of vitamin D. When asked why vitamin D might have these promising effects on breast cancer survival, Prof. Garland says that vitamin D plays an important role in slowing or even halting the growth of tumors in their primary phases. “As long as vitamin D receptors are present, tumor growth is prevented and kept from expanding its blood supply. Vitamin D receptors are not lost until a tumor is very advanced. This is the reason for better survival in patients whose vitamin D blood levels are high, “ he added. The researchers from UCSD were quick to add that, although their findings need more evidence and support from future trials, there is no reason to avoid increasing the amount of vitamin D you consume. —
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FITNESS FACETS
Working it out Fitness is an essential component to wellness, and it requires you to take action. by Gabriyel Atreyu
Staying fit is all up to you.
n
NO AMOUNT OF VITAMINS will replace the nutritious benefits of eating whole, healthy foods, and no amount of walking on a treadmill will replace the invigorating health benefits of being active in the great outdoors. If you want to be well, then you must act well. This means getting out and enjoying your life.
IT’S ALL MENTAL When many people think about fitness, they think about workout gear, going to the gym, and eating salads. However, that is a very limited approach. Fitness should be a part of your daily routine, not something you have to schedule in. Think about your daily routine for a moment. How many opportunities do you have to do something good for yourself in any given day, and how many times do you choose to do otherwise?
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SUSAN G. KOMEN IDAHO 2014
CHEER YOURSELF ON It is important, when making changes in your life, that you not berate yourself for your old behaviors; rather, praise yourself for your new habits. Let each awareness be an opportunity for you to create the desired shift in your life. Invite your friend to take a scenic walk with you instead of meeting at a coffee shop.
GO THE EXTRA MILE Do an extra lap around the mall and park further away from the doors to turn your shopping trip into something more. Plan your vacations around hiking, biking or other activities that get you outside. Even just doing yard work on the weekends is a great way to stay in shape. And always remember to stretch those muscles after and or during your yard work, please.
komenidaho.org
Make exercise stick by Melissa Garcia
WHEN IT COMES TO E X E R C I S E , are you sometimes a bit irrational and inconsistent? Do you go in fighting hard with no real plan or logic, expecting to be the epitome of health in just three weeks? What about a gym membership you use twice or a state of the art treadmill that ends up collecting dust and laundry after you walked on it once? Research shows that at least 50 percent of people who begin an exercise program quit within six months. We all start off with good intentions, but how do we make exercise a permanent part of our lifestyle? For many people, exercise is not a priority. For some, just getting started on a program is a challenge. Have you ever heard, “I don’t have time to exercise; I’ll start once I finish school, or once my work hours decrease”? A perceived lack of time is the number one reason people don’t exercise. Try a new perception. How about “If I exercise now, I’ll accomplish more later, have more energy and be able to think more clearly. I’ll feel better, happier, and stronger.” Here are some tips to help you get started or stay motivated:
1. SET REALISTIC GOALS. Some of us expect to be Olympians two months after starting a program. Aim high, but be reasonable. Focus on building that strong foundation first. Have short term and long term goals. Before you get started with a program, ask a trainer to help you personalize some realistic benchmarks that are attainable at your fitness level. 2. DO SOMETHING YOU ENJOY. There are so many activities, indoor and out, that get that heart pumping and legs burning. Get out there and find what drives you. 3. CROSS TRAIN. Don’t do the same workout day after day. Your body adapts quickly to change, so keep it guessing. This helps keep calories burning and muscles building. 4. ESTABLISH A ROUTINE. Pick a place and time to work out, and stick with it. 5. GET INVOLVED ON A TEAM OR SIGN UP FOR A RACE! You’ll be more enthusiastic about getting fit when you have something to work towards like a triathlon, mud run, or marathon. Plus, it’s empowering when you cross that finish line and feel that sense of accomplishment. 6. HAVE REGULAR ASSESSMENTS. Take weekly body fat, circumference, and weight measurements in addition to a timed mile, flexibility, and strength test. These will help you stay focused and committed towards your goals. I know sometimes getting fit seems like a steep mountain to climb. But, as Aristotle once said, “WE ARE WHAT WE REPEATEDLY DO.
EXCELLENCE THEN, IS NOT AN ACT, BUT A HABIT.” Melissa is a Certified Personal Trainer at Treehouse Athletic Club.
Walking Away From Breast Cancer
T
Findings show that regular exercise can decrease the risk of cancer in postmenopausal women. By Healthy-Idaho.com
he American Cancer Institutes released data on Oct. 4 from a study its conducting called Cancer Prevention Study-II (CPS-II) Nutritional Studies. The study, began in 1992, found that walking as little as 7 hours per week can lead to a 14% lower risk of developing breast cancer in post menopausal women. Furthermore, the study found that walking regularly helped lower the risk of breast cancer even if it did not help women maintain or lose weight. In fact, some even gained weight and still the risk of breast cancer was 14% lower. Of women participating in this study who reported that walking was the only activity, those who walked at least 7 hours a week had a 14% lower risk of breast cancer than those who reported 3 hours or less per week. Moreover, those women who re-
ported to be more physically active were 25% less likely to develop breast cancer than the least active women. “Our results clearly support an association between physical activity and postmenopausal breast cancer, with more vigorous activity having a stronger effect,” stated Alpa Patel, PhD, leader of the study and American Cancer Society strategic director of Cancer Prevention Study-3. She went on to say, “our findings are particularly relevant, as people struggle with conflicting information about how much activity they need to stay healthy. Without any other recreational physical activities, walking on average of at least one hour per day was associated with a modestly lower risk of breast cancer. More strenuous and longer activities lowered the risk even more.”
The American Cancer Institute likewise recommends that adults get at least 150 minutes of moderate-intensity or 75 minutes of high-intensity exercise each, ideally spreading that activity evenly throughout the week. Brisk walking or power walking are consider to be great moderate-intensity activities while jogging, aerobic dance, or cycling are good highintensity activities—anything that elevates the heart rate and causes you to breathe heavy. How exactly exercise decreases the risk is still unknown, but the statistics show that it certainly doesn’t hurt. Talk to your doctor before beginning any high-intensity exercise regimen to ensure your healthy enough for strenuous physical activity.
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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-Idaho.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.
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
Hormone Imbalance Too familiar? If so, perhaps your hormones have you out of whack, because all of the above problems can be directly related to imbalanced hormone levels. Can it be that simple? Commonly, yes, it can truly be imbalance to those little chemical messengers called hormones that traverse your body, giving orders and directing the show. When messages get mixed or not delivered at all, you feel like your life is falling apart. The good news is all of this can be treated. The natural hormones your body has fallen short on producing can be
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SUSAN G. KOMEN IDAHO 2014
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breast cancer : by the numbers
Written By Healthy-Idaho.com
The Key Statistics Behind Breast Cancer, 2013 •
Estimated new cases: 232,340 (About 14% of all new cancer cases)
How Does Do Breast Cancer Numbers Compare to Other Cancer Numbers?
•
Deaths: 39,620 (About 7% of all cancer deaths)
•
Median age of diagnosis: 61
•
89.2% survive five years or more. In 1980 that percentage was about 75%.
•
Median age of death, for someone who has been diagnosed: 68
•
Approximately 12.3 percent of women will be diagnosed with breast cancer at some point in their lifetime.
Source: SEER, Surveillance Epidemiology, and End Results Program
•
An estimated 2,829,041 women in the United States are currently living with breast cancer.
Worldwide Breast Cancer
It is estimated that more than 1.7 million new cases of breast cancer occurred among women worldwide in 2012 (most recent data available.) Breast cancer is the most common cancer in women worldwide.
Source: Komen
Type of Cancer Prostate Cancer Breast Cancer Lung and Bronchus Cancer Colon and Rectum Cancer Melanoma of the Skin
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SUSAN G. KOMEN IDAHO 2014
Estimated New Cases, 2013 238,590 232,340 228,190 142,820 76,690
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. 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.
Estimated Deaths, 2013 29,720 39,620 159,480 50,830 9,480
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SUSAN G. KOMEN IDAHO 2014
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breast cancer :
early detection is your best protection
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any factors are linked to breast cancer risk. Some factors affect risk a great deal and others by only a small amount. Some risk factors you can’t change. For example, the two most common risk factors for breast cancer, being a woman and getting older, are not things you can change. Other factors you may be able to control. For example, leading a healthy lifestyle may help lower your chances of getting breast cancer. Understanding which factors may affect your risk can help you work with your health care provider to address any concerns you may have and develop a breast cancer screening plan that is right for you. Except for skin cancers, breast cancer is the most common cancer in women, but it can be successfully treated. Screening tests can find cancer early, when chances for survival are highest.
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SUSAN G. KOMEN IDAHO 2014
Susan G. Komen® was born on a promise. Ambassador Nancy Brinker, founder of Susan G. Komen, promised her dying sister Susan Komen, that she would do everything in her power to end breast cancer. Susan G. Komen’s mission is to save lives and end breast cancer forever by empowering people, ensuring quality care for all, and energizing science to find the cures. The Komen Idaho Affiliate’s achievements are seen throughout the service area. The Affiliate has played a critical role in supporting the 28 county service area grantees with funding for breast health education, screening and diagnostics, and patient assistance programs. If you or someone you know needs a mammogram, we can help, call the Komen Idaho office at 208-384-0013 or 877-665-9088.
Know your risk •
Talk to both sides of your family to learn about your family health history of breast cancer
•
Talk to your provider about your personal risk of breast cancer
Get screened •
Have a clinical breast exam at least every 3 years starting at age 20, and every year starting at age 40
•
Have a mammogram every year starting at age 40 if you are at average risk
Make healthy lifestyle choices • • • • •
Maintain a healthy weight Add exercise into your routine Limit alcohol intake Limit menopausal hormone use Breastfeed, if you can
komenidaho.org
breast cancer : warning signs
B
reast cancer is a type of cancer where cells in the breast tissue divide and grow without normal control. It is a widespread and random disease, striking women and men of all ages and races. There is no cure for breast cancer, but there is hope. Thanks to heightened awareness, early detection through screening, improved treatment methods and increased access to breast health services, people have a greater chance of survival than ever before. In 2013, it is estimated that there were more than 2.9 million women living in the US with a history of invasive breast cancer and an additional 226,870 women will be diagnosed. The median age at the time of breast cancer diagnosis is 61 years of age. About 20% of breast cancers occur among women younger
than age 50 and about 40% occur in those older than 65 years. The treatment and prognosis for cancer depend on the stage at diagnosis, the biological characteristics of the tumor, and the age and heath of the patient. Overall, 60% of breast cancers are diagnosed at the localized stage. Screening for breast cancer with mammography detects many cancers before a lump can be felt and when they are more likely to be localized stage. The Susan G. Komen for the Cure national website, komen.org, offers comprehensive information about breast cancer risk factors, early detection and screening, diagnosis and treatment. Developed in conjunction with the Harvard School of Public Health, the site offers a one-stop resource for all the latest information on the disease.
Know what is normal for you, see your health care provider if you notice any of these breast changes: • • • • • • • •
Lump, hard knot or thickening inside the breast or underarm area Swelling, warmth, redness or darkening of the breast Change in the size or shape of the breast Dimpling or puckering of the skin Itchy, scaly sore or rash on the nipple Pulling in of your nipple or other parts of the breast Nipple discharge that starts suddenly New pain in one spot that doesn't go away
Changes That Should Be Reported Include:
IMPACT. MAGAZINE 2014
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breast cancer,
or something else? C
ancer is a terrifying disease that has probably touched your life or the life of someone you love. It’s something that is always in the back of our minds, especially as we get older. Everyone dreads finding a lump in their breast because of what it might mean. Surgery, chemo, radiation—all are potentially life saving measures that come at the cost of time and prolonged pain. What you might not know is that lumps in the breast are more often associated with benign breast disease or breast cysts. Furthermore, the National Cancer Institute reports most breast lumps are benign, meaning they are not cancerous or life threatening. They can, however, be the result of one of natural circumstances or one of many other conditions. Generalized breast lumpiness or benign breast disease and breast cysts are both common reasons that women find lumps in their breasts. It’s important to know the difference between these conditions and breast cancer and what it means for your health.
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SUSAN G. KOMEN IDAHO 2014
Benign Breast Disease:
A woman’s breasts are always changing. As women approach middle age, the lobules that produce milk give way to soft, fatty tissue. This kind of breast lumpiness is most often found around the areola and in the upper and outer parts of the breast. Moreover, many women experience a natural swelling of the breasts during menstrual cycles, making any kind of breast lumpiness more pronounced than normal. Pregnancy, too, may result in increased lumpiness in the breasts. Lumps of this nature are benign and very rarely become cancerous. They can, however, hide the presence of malignant lumps or tumors on a mammogram. For this reason, any lump detected in the area of the breast should be mentioned to your health care provider.
By Healthy-Idaho.com
Breast Cysts:
Simply put, cysts are just fluid filled sacs. The National Institutes of Health reports that breast cysts are most common in women between the ages of 35 and 50. These sacs can often swell during or around the menstrual period. This swelling may cause tenderness or pain in the breast. If swelling persists, a doctor may decide to drain the cyst. If you have any questions or concerns about a lump or the condition of your breasts—you should consult a doctor as soon as possible. Even if you have had benign lumps before, speak to your health care provider about the formation of any new lumps. The earlier you speak to a physician; the better off you’ll be, especially if the lump is found to be cancerous. You can never be too safe.
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IMPACT. MAGAZINE 2014
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breast cancer : which screening is best for me?
I
t seems like you can’t turn on the news these days without hearing about a new breast cancer screening or new recommendations for mammography. w
Clinical Breast Exam (CBE):
A CBE is done by a health care provider who checks your breasts and underarm areas for any lumps or changes. It should be part of your regular medical checkup. If you are 40 or older, have your mammogram close to the time of your CBE. For women ages 20-39, have a CBE at least every three years. For women 40 and older, CBE combined with mammography may find more breast cancers than mammography alone. When used together, fewer breast cancers are missed.
Mammography:
A mammogram is an X-ray image of the breast. Mammography is the tool that uses X-rays to create mammograms. It is used to find early signs of breast cancer. It is the best screening tool used today to find breast cancer. It can find breast cancer early when it is small and the chance of survival is highest. Starting at age 40, women should get a screening mammogram every year. Women under 40 with a family history of breast cancer or other concerns should discuss with their doctor what screening tests are right for them.
MRI:
A breast MRI uses magnetic fields to create an image of the breast. It can sometimes find cancers in dense breasts that are not seen on mammograms. Breast MRI is often used with mammography for screening some women at a high risk of breast cancer. However, it can be costly and often finds something that looks abnormal, but turns out to be benign (false positive).
between benign and cancerous patterns. Since thermography measures heat at the surface of the breast, it is not good at finding cancers deeper within the breast tissue. Neither the U.S. Food and Drug Administration (FDA) nor the American College of Radiology view thermography as a useful breast screening or imaging tool. In 2011, the FDA issued an alert warning the public about misleading claims by thermography practitioners and manufacturers on the screening benefits of the tool.
Ultrasound:
Ultrasound uses sound waves to make images of the breast. It is often used as a follow-up test after an abnormal finding on a mammogram, breast MRI or clinical breast exam. When used on the breast, ultrasound can tell the difference between types of lumps, such as liquid-filled cysts and a solid mass. Doctors use this to find out the size, shape, texture and density of a breast lump.
Thermography:
Thermography uses infrared light to measure temperature differences on the surface of the breast. Although breast cancer can cause abnormal heat patterns, many benign conditions also cause abnormal heat patterns. Thermography cannot distinguish
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komenidaho.org
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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.
Cynthia A. Fairfax, M.D.
William H. Fredriksson, M.D.
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Katy Holder, P.A.
Dawn K. King, M.D.
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For More Information: 208-639-4900 www.idurology.com
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IMPACT. MAGAZINE 2014
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SURVIVOR SPOTLIGHT
MEET TERESA BATEMAN In February 2000 Teresa’s mother passed away from breast cancer, Teresa was 16 years old.
W
itnessing her mother’s battle and subsequent passing had a profound impact on Teresa and her siblings. Fast forward 13 years to July 2013, Teresa receives a phone call from her doctors at St. Luke’s McCall…breast cancer, stage 3. Teresa is 29 years old with two young children. Knowing her mother’s battle at a young age Teresa wanted answers; she underwent genetic testing to find out that she is BRCA2 positive. At that moment Teresa decided she would do whatever she could to fight this disease and live a long and healthy life. BRCA1 and BRCA2 (BReast CAncer genes 1 and 2) are the best-known genes linked to breast cancer risk. BRCA1/2 mutations can be passed to you from either parent and can affect the risk of cancers in both women and men. Like other gene mutations, BRCA1/2 mutations are rare in the general population. In the U.S., between one in 400 and one in 800 people in the general population have a BRCA1/2 mutation. Women who have a BRCA1/2 gene mutation have an increased risk of breast cancer. At the time of her diagnosis Teresa was engaged to be married. She had a wedding planned for the future but did not want to wait. She moved up her wedding date and in September she married the man of her dreams in a beautiful celebration with family and friends in McCall. A few short weeks later Teresa had a double mastectomy and her ovaries removed. In November she started chemotherapy every three weeks in Boise. The financial burden of breast cancer is far beyond just the medical bills. The travel, the loss of work, and the emotional toll are immeasurable. She has amazing support from family, friends, her church community, and the people of McCall.
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SUSAN G. KOMEN IDAHO 2014
Through all this Teresa has a positive and infectious spirit. A day after starting chemotherapy, Teresa called the Komen Idaho office and said she wanted to do more to help other people. Over the next few weeks, conversations with Teresa and the Komen Idaho staff increased and a plan was put into place. Teresa graciously allowed the Komen Idaho staff to videotape and photograph parts of her journey. She also arranged for the Komen Idaho staff to interview her family and friends. The idea was that this video documentary would be shared as often as possible so others would know the importance of early detection, knowing your family history, and a positive attitude when faced with life’s most challenging moments.
Watch Teresa’s video at www.komenidaho.org.
komenidaho.org
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IMPACT. MAGAZINE 2014
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RESEARCH UPDATE
BOISE STATE RESEARCHERS DEVELOPING SIMPLE BLOOD TEST TO DETECT LUNG CANCER Getting an early cancer diagnosis is crucial in fighting the disease. The team is at the halfway point of a $1 million, three-year charitable grant from the W.M. Keck Foundation. Based in Los Angeles, the Keck Foundation is one of the world’s leading private sponsors of cuttingedge scientific research. The foundation’s grants are focused primarily on pioneering efforts in the areas of science, engineering and medical research.
A
research team at Boise State University is working to develop an inexpensive and portable system that could provide early diagnosis through a simple blood test. The system eventually could lead to treatment of hundreds of diseases from cardiovascular to neurological. “Our vision is to fundamentally change early-stage disease diagnosis and treatment on a global scale,” said Will Hughes, associate professor of materials science and engineering and principal investigator in the research effort. “We believe the system could potentially become the gold standard in diagnosing diseases, especially where medical equipment and resources are scarce.” The detection of lung cancer is the initial research focus, a vital one given that lung cancer claims more lives each year than any other cancer. If the researchers are successful, diagnosis would be fast, simple and inexpensive. The team is using engineered biochemical tools to identify diseasespecific markers in human blood.
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Blood contains a handful of these bio-markers, called Micro RNA, that can indicate whether a person has lung cancer, lymphoma or a host of other diseases. Boise State’s team is working to create a portable, DNA-based device analogous to a disposable pregnancy test that would check blood for the Micro RNA connected to lung cancer. Like a pregnancy test, color would change on the device to indicate a positive or negative result. In time, the vision for the project is to make cancer diagnosis simpler not only in the United States, but also in Third World countries where highquality medical care and diagnostics are largely out of reach. Hughes leads an interdisciplinary team of professors in chemistry, biology and engineering at Boise State, as well as collaborators at the Boise Veterans Affairs Medical Center, St. Luke’s Mountain States Tumor and Medical Research Institute (MSTMRI), Idaho IDeA Network of Biomedical Research Excellence and The Wistar Institute in Philadelphia.
Hughes is a member of the university’s transdisciplinary NANOGROUP that engineers biomolecular tools made from DNA (nano.boisestate.edu). The Keck research team also features Bernard Yurke, co-principal investigator and research professor of materials science and engineering, who is an internationally recognized leader in quantum optics and DNA nanotechnology; Elton Graugnard, co-principal investigator and assistant professor of materials science and engineering, who is an expert in DNA nanotechnology and atomic layer deposition; Cheryl Jorcyk, co-principal investigator and professor of biological sciences, who is a leader in oncology and molecular mechanisms of tumor progression; Jeunghoon Lee, coprincipal investigator and assistant professor of chemistry, who is an expert in nanomaterial synthesis; Jennifer Padilla, lead theorist and assistant research professor in materials science and engineering, who is an expert in self-assembly; and Qihong Huang, collaborator and associate professor of tumor microenvironments and metastasis, who is an expert in cancer diagnostics at The Wistar Institute in Philadelphia. komenidaho.org
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What is genetic testing for breast cancer and who should get it?
ost breast cancers are not related to genes or family history. In fact, only 5-10% of all breast cancers diagnosed in the U.S. are thought to be hereditary. So, who really needs to be concerned about this and who should consider genetic testing? Talking to your health care provider is the best way to understand your (or your family’s) risk of hereditary breast cancer. BRCA1 and BRCA2 (BReast CAncer genes 1 and 2) are the best-known genes linked to breast cancer risk. BRCA1 and BRCA2 mutations are rare in the general U.S. population (about 1 in 400 people have one of these mutations). Women in the general U.S. population have about an 8% chance of developing breast cancer by age 70. Women who have a BRCA1 gene mutation, however, have a 50-70% chance of developing breast cancer by age 70. For women who have a BRCA2 mutation, estimates of risk range from 40-60%
by age 70. Although women who have a BRCA1 or BRCA2 mutation have a greatly increased risk of breast cancer compared to those who do not, some women with a mutation will never get breast cancer. BRCA2 (and possibly BRCA1) mutations also increase the risk of male breast cancer. In the general U.S. population, about 1 in 1,000 men will develop breast cancer in their lifetime. Among men with a BRCA2 mutation however, about 65 in 1,000 will develop breast cancer. Although only 5-10% of female breast cancers are thought to be due to gene mutations, up to 40% of male breast cancers may be related to BRCA2 mutations. This means that men who develop breast cancer are more likely to have an inherited gene mutation. Genetic testing gives people the chance to learn if their breast cancer or their family history (parent, sibling, child, grandparent, grandchild, uncle, aunt, nephew, niece or first cousin) of breast cancer is due to an inherited gene mutation.
In most cases, testing is first done on the person with breast cancer. If no mutation is found in that person, the cancer was probably not due to a BRCA1 or BRCA2 genetic mutation and other family members do not need to be tested. If a mutation is found, other family members can be tested for the specific BRCA1 or BRCA2 mutation found in the person with breast cancer. It is not likely that all family members will have the mutation. If you are considering genetic testing, it is important to talk to your health care provider or a genetic counselor to determine whether testing for BRCA1 and/ or BRCA2 mutations is appropriate for you.
Source: Facts for Life-Genetics and Breast Cancer, www.komen.org
GENETIC TESTING IS RECOMMENDED ONLY FOR CERTAIN PEOPLE: •
You or a family member diagnosed with breast cancer at age 45 or younger
•
A family member diagnosed with ovarian cancer at any age A personal or family history of both breast and ovarian cancers on the same side of the family A personal or family history of male breast cancer Ashkenazi Jewish heritage (as well as a family history of breast or ovarian cancer) A personal or family history of bilateral breast cancer (cancer in both breasts)
•
• •
•
IMPACT. MAGAZINE 2014
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TEAM HIGHLIGHT
Meet ASM
Archaeo-Angels WHAT INSPIRED YOUR TEAM TO GET TOGETHER FOR THE BOISE RACE FOR THE CURE?
T
he idea for our having an ASM company-sponsored team was initially inspired by my late wife and former employee (Kelly Berg) here at our Boise office. Kelly and a few others here at ASM had participated individually in past Boise Komen races. At that time, Kelly was still working here and was a breast cancer survivor. The 2011 race had a big effect on her and she began talking with other ASM employees here in Boise about possibly forming a team for the 2012 race. Unfortunately, Kelly’s cancer came back in the early months of 2012 and she lost her battle with the disease in May 2012. After that, we revisited the idea of having a team in 2013, in part as a memorial to Kelly and others we’ve known individually who’ve had experience with this horrible affliction. I pitched it to our company and we received a very supportive and enthusiastic response to the idea. So, we moved forward with assembling our 2013 team, which consisted of a combination of ASM archaeologists and a few close friends and family members from the Boise area.
SINCE YOU WERE ONE OF OUR TOP FUNDRAISING TEAMS FOR LAST YEAR DO YOU HAVE ANY ADVICE FOR THE OTHER TEAMS OUT THERE?
Register and start fundraising early. And, perhaps even more importantly, take advantage of social media and the Komen Idaho website. We were really impressed with the website as a tool for communication with other team members and for tracking our progress. Also, the interface with social media sites such as Facebook and Twitter makes it really easy to get the word out there about the race and was a huge help in getting people interested in donating to the cause.
WHAT DO YOU LOVE MOST ABOUT RACE DAY?
I think we were all impressed at the overall feeling of camaraderie and celebration that surrounds this particular event. The Boise racers and sponsors really seemed to get into it. Some of the team and individual outfits were amazing, creative, and inspiring for us as a new team. Altogether, it was just a great time and a fun way to support this important cause.
DOES YOUR TEAM DO ANY FUN ACTIVITIES LEADING UP TO RACE DAY (OFFICE PARTY, FUNDRAISING DAY ETC.)?
Last year, we didn’t do much in the way of fundraising parties or events. Most of that was done individually. I think part of the reason for that was that many of us (myself included) were just getting used to the idea of being a team and fundraising. Now that we’ve gotten through the first year, I think we may be better prepared to consider other fun activities and fundraising possibilities. I should mention however, that we did go so far as to design a custom team t-shirt for the 2013 race. My brother (Travis Berg), a local tattoo artist and part of the 2013 team, did an awesome job in designing our t-shirt logo (see photo). Motivation to form a team varies from walking in memory of a loved one to simply wanting to demonstrate team spirit, or wanting to collectively show support for the promise of Susan G. Komen® to save lives and end breast cancer forever.
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SUSAN G. KOMEN IDAHO 2014
Thank you to Adam and Team ASM Archaeo-Angels for sharing their story! If you would like to share your team story please e-mail us at sgkinfo@komenidaho.org.
komenidaho.org
Join us in 2O14-2O15 for the Season of the Baritone Mainstage Productions
Productions à la Carte
Verdi's Rigoletto
Rodgers & Hammerstein's The King and I in Concert
November 14, 2014, at 7:30pm November 16, 2014 at 2:30pm The Morrison Center
Tchaikovsky’s Evgeny Onegin (in Russian) February 13, 2015, at 7:30pm February 15, 2015, at 2:30pm The Egyptian Theatre
Rossini's Il barbiere di Siviglia May 8, 2015, at 7:30pm May 10, 2015, at 2:30pm The Egyptian Theatre
August 15, 2014, at 7:30pm Idaho Botanical Garden August 17, 2014, at 7:30pm Crooked Flats, Hwy 16, Eagle
Gluck's Orpheus and Euridice With Boise Baroque Orchestra October 26, 2014 The Egyptian Theatre
Krása's Brundibar
April 16, 2015 The Egyptian Theatre
To subscribe or for more information visit www.operaidaho.org
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(208) 377-5055 IMPACT. MAGAZINE 2014
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2014-2015 IDAHO AFFILIATE GRANTEES 2014-2015 Idaho Affiliate, Susan G. Komen for the Cure Grantees In 2014, The Komen Idaho Affiliate granted over $250,000 to fund 14 local breast health and breast cancer programs. These grants help fund breast cancer screening, rural outreach, support and survivorship services not otherwise available to women in our 28 county service area.
Community Cancer Services Enriched Recovery Program for Breast Cancer Survivors Assisting people who lack health insurance or otherwise have inadequate access to cancer care services by providing financial support and advocacy to help clients and their families. (208) 255-2301, www.communitycancerservices.org Counties served – Bonner, Boundary Glenns Ferry Health Center, Inc. Journey to Breast Health Ensuring low-income, uninsured women requiring a mammogram can obtain one free of charge. (208) 366-7416 Counties served – Elmore Kootenai Health Breast Imaging Support Program Providing funds for underserved, uninsured or underinsured men and women in need of lifesaving screening and diagnostic mammography services. (208) 666-2345, www.kootenaihealth.org Counties served – Benewah, Bonner, Boundary, Kootenai, Shoshone Kootenai Health Breast Cancer Patient Support Providing funds to help with essential living expenses and treatment support including child care, gas, groceries, transportation, medications, rent, medical equipment and supplies, and nutritional support. (208) 666-2345, www.kootenaihealth.org Counties served – Benewah, Bonner, Boundary, Kootenai, Shoshone Minidoka Memorial Hospital Minidoka County’s 1st Defense Against Breast Cancer Providing free mammogram services for underserved, culturally diverse and limited English speaking women. (208) 436-8155, www.minidokamemorial.com Counties served - Minidoka North Canyon Medical Center Rural Care for Low to Middle Income Women Providing free mammogram and diagnostic service to women who cannot afford them, with the intention of reducing the number of late stage breast cancers and promoting breast health awareness in their region. (208)934-9888, www.ncm-c.org Counties served - Camas, Elmore, Gooding, Jerome, Lincoln, Twin Falls Panhandle Health District Screening and Education for Early Diagnosis of Breast Cancer Providing a clinical breast exam, appointment, and voucher for mammography and/or ultrasound to low income, uninsured residents of North Idaho. (208) 415-5293, www.phd1.idaho.gov Counties served – Benewah, Bonner, Boundary, Kootenai, Shoshone Saint Alphonsus Regional Medical Center Breast Care Center Breast Cancer Early Detection for the Underserved Providing low-income patients access to breast cancer screening and diagnostic imaging procedures. Reducing disparities in early detection and successful treatment of breast cancer, especially among poor, underserved and rural residents by reducing financial barriers. (208)367-3336, www.saintalphonsus.org/breast-care-center Counties Served - Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, Payette, Valley, Washington
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SUSAN G. KOMEN IDAHO 2014
Saint Alphonsus Regional Medical Center – Cancer Care Center Breast Cancer Patient Assistance Fund Supporting financially disadvantages patients living with a breast cancer diagnosis to fulfill basic needs for housing and other living essentials, maintain adequate nutrition, preserve communication with medical teams and support networks, access treatment centers, and obtain supplies necessary for rehabilitation. (208)367-3131, www.saintalphonsus.org/cancer-care-center Counties served - Ada, Adams, Boise, Canyon, Elmore, Gem, Owyhee, Payette, Valley, Washington St. Luke’s McCall Foundation Miraculous Mammography Increasing the health of women through screening and diagnostic services for uninsured patients, financial support for breast cancer patients, outreach and education through breast buddies targeted to Adams and Idaho counties, and miraculous mammography promotion sharing patient stories to humanize and localize the impact of early detection. (208)634-2426, www.mccallhosp.org Counties served - Adams, Idaho, Valley St. Luke’s Mountain States Tumor Institute – Breast Care Services St. Luke’s Breast Care Services Funding Program Providing a full-spectrum of services including screening, diagnostics, surgery, treatment, education and navigation, reconstruction and survivorship. Providing a financial resource to patients thus reducing the financial barrier to care patients have as an obstacle for wellness and health. (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 Mountain States Tumor Institute Providing concrete services for breast cancer patients during and 3 months following treatment Assisting with monthly bills for underserved breast cancer patients who are struggling with being able to work due to surgery, chemotherapy and/or radiation treatment. (208) 463-6009, www.stlukesonline.org/cancer_care Counties served - Ada, Boise, Canyon, Owyhee, Payette, Valley, Washington St. Luke’s Wood River Foundation St. Luke’s Wood River Breast Screening for the Uninsured and Underinsured Women Project Providing advanced breast imaging technology to all women, decreasing incidence of cancer and death by providing access to mammogram screenings. (208) 727-8444, www.slwrf.org Counties served – Blaine, Camas, Gooding, Lincoln Terry Reilly Health Services Terry Reilly Komen for the Cure Providing breast cancer screening mammography vouchers to low-income, medically underserved women. (208) 344-3512, www.trhs.org Counties Served – Ada, Canyon, Owyhee
For details on these programs, visit www.komenidaho.org/grants/current-grant-recipients/
komenidaho.org
Celebrating
20 years AND STILL GOING STRONG
Store Hours: 10:30am - 5:30pm Monday thru Saturday
IMPACT. MAGAZINE 2014
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Sponsor Spotlight
F
or the second year in a row we are excited to have Integrity Audio Visual return as our official sound sponsor! Integrity Audio Visual is a vital part of the race! The fun music and exciting atmosphere that the Boise Race for the Cure is known for would not be possible without Integrity Audio Visual! Integrity Audio Visual began in 2004 like many companies. After many years, Marc Wollam acted on his longstanding goal of owning and operating his own business. He started humbly, working from his garage and using the family’s mini-van as the company cargo
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SUSAN G. KOMEN IDAHO 2014
van. It didn’t take long, however, to outgrow the garage and soon Marc was on his way. It confirmed what he already knew: If you act with Integrity, trust will develop. Once trust is established, good things always follow. Marc shared with us, “we are excited once again to participate as a sponsor with Komen Boise Race for the Cure. This is an important event in our community that we are proud to support. This year’s race has special significance to me personally, as I have a good family friend who is fighting stage 3 breast cancer. This year I also lost 2 good friends to cancer. I want to
show my support of the mission of Race for the Cure as well as remember and honor those who have lost the battle.” The Boise Race for Cure is so grateful for community partners like Marc and the employees at Integrity Audio Visual because local sponsorship is critical to our being able to support local breast cancer programs and national research grants. Thank you Marc and all the employees at Integrity Audio Visual!
www.integrityav.com
komenidaho.org
LOCAL PHYSICAL THERAPISTS OFFER HANDS ON TREATMENT TO MOVE FORWARD AFTER CANCER Imagine you are a woman who has just had a mastectomy for prevention or treatment of breast cancer, and are now in remission. You may be thinking, “Excellent, I’m a survivor and my pain is over!” This isn’t always the case. Cancer treatments have certainly advanced and more and more patients are surviving cancer; however the effects of these on the patient’s quality of life are often overlooked. Manual physical therapy is one such tool that can be very effective in improving quality of life for patients currently undergoing cancer treatment, or those in remission who are recovering from the effects of the cancer treatments themselves.
“A scar is like a staple holding the skin to the muscle, causing feelings of tightness and pain. With manual therapy treatments we can eliminate this in nearly half the time as compared to traditional physical therapy exercise.” Alia Loan, DPT Therapeutic Associates-Parkcenter
AFTER A MASTECTOMY MANY WOMEN WILL EXPERIENCE COMPLICATIONS WITH: • • • • • •
Pain Tightness Frozen Shoulder Restricted neck motion Difficulty breathing Headaches
Manual Physical therapy can be the answer to many of these often overlooked problems. A physical therapist can assist in reducing tightness, regaining motion, reducing swelling, and aiding wound healing. At Therapeutic Associates we use manual therapy treatments such as ASTYM, Myofascial Release and the Fascial Distortion Model to treat these restrictions.
Therapeutic Associates can offer more than just exercise to enable Cancer survivors to return to the life they have fought so hard for!! CALL 433-9211 TO SCHEDULE YOUR APPOINTMENT TODAY. 390 E Parkcenter Blvd Ste 130, Boise | (208)433-9211 IMPACT. MAGAZINE 2014
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WELLNESS WISDOM
Time for mom
W
Sometimes moms just need to take time for themselves to feel and look beautiful. by Healthy-Idaho.com
A little time goes a long way.
You don’t have to send the kids to boarding school to get a little me-time. In fact, you can put the little dickens to work. Children as small as four years old can be taught to brush your hair (although they probably can’t learn to brush their own just yet). You can share a face mask with your kids, letting them rub it on your face. You can rub a little on theirs too, and then everybody can wash it off together. Having time to yourself is an important part of life, and moms
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©Orangeline, Avava | Dreamstime.com
WHEN YOU SPEND YOUR LIFE running after a toddler or shepherding bigger kids around town, you may be feeling less like a happy mother and more like a disenfranchised maid. When you’re thinking of running off to Mexico instead of picking Jimmy up from soccer, it may be time to take a break from being Super Mommy and just be yourself.
need time too. If your children are still at the napping age, invite a girlfriend over at nap time and do each other’s nails or hair, just like you did when you were a teenager. Trade babysitting with another mom and take yourself out for a movie, or hire a sitter to take your kids to a movie while you shop or stay home to read. An understanding dad takes his kids out once in awhile without mom. If you know an understanding dad, help him plan a weekly or semi-weekly play date where he can spend time with the kids and you can do your own thing. Can’t remember what your “own thing” is? Don’t worry; you’ll fret for a couple of weeks, and then find something that catches your imagination. I have a friend who finally got some time to herself and didn’t know what to do with it after spending three years with her boy. She felt so guilty, she almost considered taking a full-time job instead of the part-time one where she currently spent 30 hours a week, plus a long commute. But she gave it some thought, and returned to a long-time interest: art.
©Carmakoma | Dreamstime.com
Having your own interests makes you more fun to be with. It reduces wrinkles, gives you something to talk about with people who aren’t necessarily moms, and shows your kids that being a mom isn’t all work and no play. A well-rounded, satisfied mom (or dad) tends to be in a better position to raise well-rounded, satisfied children. Spending every moment with your child does more than cheat you of time spent on your own; it deprives your child of the same opportunity. Kids need time to draw quietly, to daydream and tell themselves little stories just like moms do. But you’re still a busy person, and quick beauty means you’re saving time for more important things. So use the following time-saving tips to make the most of your time.
TIME-SAVING TIPS
>> Use a moisturizer-sunscreen combination. That way, if you decide
“
Biology is the least of what makes someone a mother.
”
- Oprah Winfrey
on the spur of the moment to take the kids to the park, your face is ready to go. Slick the kids down with sunscreen, and off you go.
>> Use lipstick with a sunscreen to protect lips too. Professional makeup people prefer brushes for perfect lips, but lipstick is faster and can be smudged with your finger.
>> If you can find a shampooconditioner that works, go ahead and use it. I haven’t found one that works as a detangler, so it saves me time to use separate products. My hair brushes a lot easier and faster when I use conditioner. >> Keep Kleenex and towelettes in the car and in your purse for quick icecream clean-ups.
>> Keep meal bars in your purse to snack on between trips to the store, the school, the tennis court, the ballet lessons, etc., etc. A hungry mom is a cranky mom! >> Buy salad mix instead of spending your time washing and drying lettuce or spinach. In packages or bulk mixes, it’s already washed, and baby greens are cleaner than mature ones. >> Teach your kids that unpeeled veggies are the way they should be eaten. Peels have nutrients and fiber that should be eaten. Even mashed potatoes are better if you leave the peelings on. Just give your veggies a scrub in the sink, and they’re all set.
>> One-pot meals save time on preparation and washing-up too. >> Do little chores during TV commercials. Dust a table, put dishes away and get back on the couch. Use commercials for getting kids into their pajamas, brushing teeth or making tomorrow’s lunches.
>> Start teaching your kids chores as soon as they start walk. Even little kids can smooth their beds, put toys back in the chest or help set the table. If your children learn early that everyone has chores to do, there will be fewer struggles later on. >> Take turns with your partner to be the one who does more work around the house. Bring each other coffee, and alternate making dinner. If there are chores you each prefer to do, make them part of a daily routine and trade off on the rest. Help each other out with chores to increase household harmony and to teach the kids how pleasant it can be to help each other. RELAXATION TIPS FOR MOM HAVE A HOME SPA WITH COMMON GROCERY STORE ITEMS You don't have to spend lots of money to feel like a princess, even if you spent the morning chasing kids to the school bus and then getting yourself ready for work. Shopping's hard work for people on the go, and you may forget the necessary luxuries in the rush of trying to get home to make dinner. What happened to your favorite bubble bath, a tin of caviar and a bottle of champagne? Who says you can't lounge on pillows and eat grapes? (Out of grapes? Put them on the list.) Things in the grocery store can turn your house into a veritable spa. Natural cosmetics and beauty treatments abound in the dairy and grain aisles. If you want to start living a more splendid life but don't want to spend your quality time and cold, hard cash in expensive salons, get the advice you need on finding fabulous things right where you buy your butter and eggs.
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PINK GOES GREEN
GRE EN
The Color of Weight Loss?
Are GREEN TEA and GREEN COFFEE BEAN weightlosspillsallthey’re claimed to be? WRITTEN BY BY TAYLOR SMITH
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Some are claiming that we’re closer than you might think to that magic weight loss pill and that we have the color green to thank for it.
WEIGHT LOSS PILLS—WE DISMISS THEM OUT OF HAND, LARGELY BECAUSE WE THINK THEY’RE TOO GOOD TO BE TRUE. IF THERE WERE SOME MAGIC PILL THAT COULD HELP US LOSE WEIGHT, OBESITY WOULDN’T BE A WORLDWIDE EPIDEMIC PROJECTED TO BE THE NUMBER ONE CAUSE OF DEATH AROUND THE WORLD BY 2015, WOULD IT? Some are claiming that we’re closer than you might think to that magic weight loss pill and that we have the color green to thank for it. Green tea is well documented for containing large amounts of a powerful antioxidant called polyphenols, which has been shown to help fight cancer, heart disease and bad cholesterol. According to the University of Maryland Medical Center, “Green tea has been extensively studied in people, animals and laboratory experiments” and studies suggest that green tea may be helpful at treating a number of health conditions from bladder and stomach cancer to obesity. A study from Japan indicated that taking 690 mg of catechins, believed to be the active fat-fighting agent in green tea, for 12 weeks reduced body fat. This study supports the popular idea that green extract can boost our metabolism and help us burn away that extra fat. Another popular, although less studied, health food is the green coffee bean, which, according to a preliminary study published by Dovepress scientific research journal, helps reduce the body mass index (BMI) of overweight individuals over a 22-week period. These 16 individuals (eight men and eight women) all had similar diet and exercise patterns. All 16 participants showed statistically significant weight loss, many of them moving back into the normal BMI range. Furthermore, 14 of the 16 participants were able to
maintain their weight loss after the completion of the study. Skepticism remains, however, and continues to surround nutraceuticals like green tea extract and green coffee bean extract. As it stands, there is only one FDA approved over-thecounter weight loss aid, and it does not make use of the active ingredients in green tea or green coffee bean extracts. The fact that these supplements and weight loss aids are not yet FDA approved is important. The proponents of green tea and green coffee bean extract will tell you the FDA is on the payroll of the big pharmaceutical companies, so they don’t want the public to have access to these miracle pills. On the other hand, the FDA counters that there’s not enough scientific evidence to support these rather lofty claims. In fact, most researchers who study the effects of green tea and green coffee bean extract are quick to report that there remain gaps in clinical evidence and that further research is necessary. Dr. Vinson, head author of the study published by Dovepress, admits, “There have been few human studies with green coffee extract,” while others agree that we simply do not know enough about the nature of these nutraceuticals to substantiate any claim for weight loss. Furthermore, the FDA issues warnings on an almost weekly
basis about dietary supplements and weight loss aids that contain hidden ingredients that are sometimes banned in the US for being damaging to our bodies. Countless others have been warned for making false or otherwise unsubstantiated health claims. So, what does this mean? Simply put, the jury is still out on green tea and green coffee bean extracts. It is entirely possible that supplementing a healthy diet and regular exercise with one of these fat-burners could help you achieve your weight loss goals. Yet, these weight loss aids might do harm as well. Because green tea and green coffee bean extracts almost always come with caffeine, the possibility for complications with other medications is a real hazard. Some people unwittingly stick to their normal dietary habits, which may include lots or coffee or soda, and end up taking in too much caffeine. This can affect heart rhythm or sleep patterns and result in many other potential side effects. If there’s any take away from the green tea and coffee extract debate it’s that there’s no easy fix to obesity. Neither green tea nor green coffee bean extract claim to make people skinny with no effort on their part. They might help you lose weight, but only if you’re already moving. They won’t do the work for you. If you’re looking for a little extra help, it might be worth a try, but just remember, there’s no substitute for eating right and regular exercise.
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FOOD SWAPS
The snack-food hall of shame Maintaining a healthy diet doesn’t mean
you have to give up delicious snacks, but watch what you reach for! By Aubrey Merrell
When snacks attack
If you buy a snack at a fast-food restaurant or other convenience outlet, beware. Most takeout foods are much higher in fat and calories than you might think. For instance, a Carrot Walnut Spice Muffin at Au Bon Pain packs in nearly one-third the calories you need in a day and half the fat. To avoid these calorie traps when you’re on the go, take healthy low-fat snacks such as fruits and vegetables with you. If you’ve got a healthy snack in the car, you won’t be as tempted to purchase one of these.
Everyday Health Swap Au Bon Pain Carrot Walnut Spice Muffin 550 calories 27 grams of fat
Oatmeal Carrot Raisin Bread 151 calories 3 grams of fat
You may be seduced by the sweet spice of this carrot muffin, but are the double-digit fat grams really worth it?
590 calories 24 grams of fat
Chocolate Cream Cheese Cupcakes 166 calories 5 grams of fat
You can have your cake and eat it too — if it’s not high in fat! Indulge in these mouth-watering cupcakes as substitutes. Mrs. Fields Semi-Sweet Chocolate & Walnuts Cookie
Weight Watching? If you’re watching your weight but don’t want to forego the trip to the Krispy Kreme counter, order the Whole Wheat Glazed Krispy Kreme donut. It has only 180 calories and 11 grams of fat.
310 calories 16 grams of fat
Classic Chocolate Chip Cookies 72 calories 3 grams of fat
Most of us love chocolate chip cookies, but none of us love extra calories! Try a lower-calorie alternative for a classic cookie. Krispy Kreme Glazed Creme Filled Doughnut
Slice of Tiramisu
360 calories
186 calories
19 grams of fat
8 grams of fat
You can chuck more than half of those fat grams and still indulge in a creamy, rich dessert.
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Chocolate Chip Cookies Ingredients: 1 1/2 c. flour, all-purpose 1/2 tsp. baking soda 1/4 tsp. salt 1/2 c. margarine 1/2 c. powdered sugar 1/4 c. brown sugar 1 egg 1/4 c. unsweetened applesauce 2 tbsp. low-fat milk 2 tsp. vanilla extract 1/2 c. semisweet chocolate chips
Directions: 1. Preheat the oven to 350 degrees F. Spray baking sheet with nonstick cooking spray. 2. In a bowl, mix flour, baking soda, and salt. 3. In a large bowl, with an electric mixer, beat margarine until fluffy. Add the sugars, egg, applesauce, milk, and vanilla and beat 1 minute. Slowly add the flour mixture and beat until combined. Stir in chocolate chips. 4. Drop the dough by teaspoonfuls on baking sheet. Bake until lightly browned, 14-16 minutes. Remove and cool on a baking rack.
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©Klikk, Elena Elisseeva| Dreamstime.com
Dunkin’ Donuts Chocolate Chip Muffins
Sweet tooth in the morning Breakfast is an important meal of the day but some people tend to reach for a sweet treat to subdue hunger. The problem is, they’re taking in more calories than are necessary. But when hunger strikes, and you need that sugar buzz remember there are always healthy alternatives for your sweet tooth in the morning.
Everyday Health Swap Jamba Juice Peanut Butter Moo’d 860 calories 21 grams of fat
Root Beer Frosty 49 calories no fat
Even though they’re sweet, frozen, creamy drinks can be tasty and low- fat! Starbucks Grande White Chocolate Mocha 480 calories 20 grams of fat (with whole milk)
Iced Mocha 46 calories 1 gram of fat
Pre-make a pitcher of this low fat, low-calorie coffee drink so you can grab it on the go. Mango Strawberry Smoothie
Chocolate-Banana Sipper
142 calories
122 calories
1 gram of fat
1 gram of fat
If you’re craving a smoothie but want an option even lower in calories, make one at home and use only fresh fruits. Cinnabon Classic Roll 730 calories 24 grams of fat
Apple Coffee Cake 196 calories 8 grams of fat
Serve the Apple coffee cake dessert warm and enjoy without any guilt!
Root Beer Frosty Recipe: 1/2 c. fat-free milk, 1/4 c. low-fat vanilla yogurt, 3/4 c. ice cubes, 6 oz. diet root beer, 1/2 tsp. vanilla extract. Place all the ingredients in a blender or food processor and blend 30 seconds, or until smooth. ADA Cookbooks”© American Diabetes Association ® IMPACT. MAGAZINE 2014
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FUNDING CANCER
Financial Resources for People Living with Breast Cancer
T
he cost of breast cancer treatment can quickly become a financial burden. You may not realize it, but you may get many bills for just one procedure. For example, you may get a bill from each department in the hospital involved with your surgery. This may mean different bills from the lab (pathology), anesthesiology, surgery and other departments. Even if your co-payment for a single bill is low, these costs add up. And, there are many out-ofpocket costs (such as transportation) that may add to this burden. If you need some help with these costs, don’t be afraid to ask. There are many financial resources for people with breast cancer. The first place you can turn to for information on financial resources is a trusted health care provider, such as a physician, nurse or social workers. Most hospitals and treatment centers have financial counselors. They can help you with the details of your insurance paperwork and give you an estimate of the cost of your
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treatment. Financial counselors can also help you work out a payment plan for the costs you will have to cover. If you are unable to pay, some places may be willing to reduce or waive the costs if you ask. And, no matter your income, you may qualify for financial aid from federal, state or local programs. A financial counselor can help you learn about these programs. Hospital discharge planners, patient relation offices, patient service offices, nurse navigators and patient navigators at hospitals or managed care organizations may also be able to provide information on resources and advice about financial matters. For questions about your insurance policy, state insurance agencies and insurance companies can be helpful. Many state and national organizations provide information about financial assistance and insurance. Some of these are listed below along with resources to help with travel, lodging and medical items, including prescription drugs.
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AMERICAN ASSOCIATION OF RETIRED PERSONS (AARP) Find detailed information on Medicare and other health insurance programs for people over 50. 888-OUR-AARP (888-687-2277) www.aarp.org/health AMERICAN CANCER SOCIETY - TAKING CHARGE OF MONEY MATTERS WORKSHOP Offers a series of booklets on financial topics for people living with cancer. 800-ACS-2345 (800-227-2345) | www.cancer.org DEPARTMENT OF HEALTH AND HUMAN SERVICES Learn about the Affordable Care Act of 2010 (health care reform). www.healthcare.gov MEDICARE — (U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES) Find information on the Medicare health insurance program, including prescription drug plans. www.medicare.gov MEDICAID Find your state's Medicaid toll-free hotline. www.medicaid.gov NATIONAL CANCER LEGAL SERVICES NETWORK (NCLSN) Find a directory of organizations that provide free legal help for people and families affected by cancer. www.nclsn.org NATIONAL COALITION FOR CANCER SURVIVORSHIP Publishes the booklets "Working It Out: Your Employment Rights as a Cancer Survivor" and "What Cancer Survivors Need to Know About Health Insurance." 877-NCCS-YES (877-622-7937) www.canceradvocacy.org PATIENT ADVOCATE FOUNDATION - National Underinsured Resource Directory Offers legal and advocacy help when disputing insurance claim denials and provides financial assistance information. Also offers an online tool and a smartphone app to help find local, state and national resources for people who are underinsured and looking for insurance coverage options or other types of financial assistance. 800-532-5274 | www.patientadvocate.org SOCIAL SECURITY ADMINISTRATION Find your local social security office. www.ssa.gov
AMERICAN CANCER SOCIETY – ROAD TO RECOVERY Provides local transportation to and from cancer treatments. 800-227-2345 www.cancer.org
AMERICAN CANCER SOCIETY – HOPE LODGE Provides lodging for families during cancer treatment. Child care and elder care assistance. 800-ACS-2345 (800-227-2345) www.cancer.org
US DEPARTMENT OF HEALTH AND HUMAN SERVICES: Agency for Healthcare Research and Quality Provides information on choosing a health plan. www.ahrq.gov/consumer/cc/cc060308.htm Transportation assistance.
PATIENT ADVOCATE FOUNDATION – TREATMENT ASSISTANCE PROGRAM FINANCIAL AID FUND Provides financial assistance for child care and elder care during treatment. 800-532-5274 | Patientadvocate.org/resources Health care assistance (medical items and prescription drugs)
CANCERCARE – AVONCARES PROGRAM Offers limited financial help to cover treatmentrelated transportation and childcare costs. 800-813-4673 | www.cancercare.org
CANCERCARE – CO-PAYMENT ASSISTANCE FOUNDATION Offers health insurance co-payment assistance to breast cancer patients undergoing some types of chemotherapy and targeted therapy. 866-55-COPAY (866-552-6729) www.cancercarecopay.org
PATIENT ADVOCATE FOUNDATION – TREATMENT ASSISTANCE PROGRAM FINANCIAL AID FUND Provides financial assistance for transportation to and from treatment. 800-532-5274 | Patientadvocate.org/resources Long-distance transportation AIR CHARITY NETWORK A group of organizations that offer air travel to cancer patients and their caregivers. 877-621-7177 | Aircharitynetwork.org CORPORATE ANGEL NETWORK Uses empty seats on corporate aircraft to help cancer patients reach treatment centers. 866-328-1313 | Corpangelnetwork.org LIFELINE PILOTS Offers air travel to treatment centers for cancer patients and their caregivers. 800-822-7972 | www.lifelinepilots.org MERCY MEDICAL AIRLIFT Offers air travel to treatment centers for cancer patients and their caregivers. 800-296-1217 | www.mercymedical.org
CANCERCARE – LINKING A.R.M.S.™ Provides financial assistance for some medications, medical equipment and lymphedema supplies. 800-813-HOPE (800-813-4673) www.cancercare.org MEDICARE
(U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES)
Find information on Medicare prescription drug plans. www.medicare.gov NEEDYMEDS.COM Provides information on how to find pharmaceutical manufacturer assistance programs. www.needymeds.com PATIENT ADVOCATE FOUNDATION – CO-PAY RELIEF PROGRAM Provides financial assistance for prescription drug co-payments to patients who qualify. 866-512-3861 | www.copays.org
NATIONAL PATIENT TRAVEL CENTER Offers air travel to treatment centers for cancer patients and their caregivers. 800-296-1217 | www.patienttravel.org
PATIENT ADVOCATE FOUNDATION – TREATMENT ASSISTANCE PROGRAM FINANCIAL AID FUND Provides financial assistance for medical expenses such as lymphedema care and supplies, durable medical equipment, breast prosthesis and wigs. 800-532-5274 | Patientadvocate.org/resources
RAQUEL’S WINGS FOR LIFE Offers air travel to treatment centers for cancer patients and their caregivers. 940-627-1050 | Raquelswingsforlife.com Lodging assistance
PARTNERSHIP FOR PRESCRIPTION ASSISTANCE (PPA) Offers low-cost and free prescription drug programs for those with limited income 888-4PPA-NOW (888-477-2669) www.pparx.org
To learn more about the programs below and other helpful resources, call Susan G. Komen’s breast care helpline at 1-877 GO KOMEN (1-877-465-6636). When you call, you will speak with a trained and caring staff member who can help you navigate your way through all of the complex breast cancer information as well as help you find local resources.
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Classic Beauty BREAST ENLARGEMENT, REDUCTION, LIFTING AND RECONSTRUCTION.
COSMETIC SURGERY OF THE FACE, NECK, NOSE, EYELIDS AND EARS. SURGICAL BODY CONTOURING INCLUDING LIPOSUCTION AND COMPLEX TREATMENT OF LARGE WEIGHT LOSS PATIENTS. ACCREDITED OPERATING ROOM FOR PRIVACY AND COMFORT. NON-SURGICAL REJUVENATION ALTERNATIVES, INCLUDING LASER SKIN TREATMENTS AND MEDICAL AESTHETICS.
Mark D. Wigod, M.D., FACS COSMETIC & RECONSTRUCTIVE PLASTIC SURGERY DIPLOMATE AMERICAN BOARD OF PLASTIC SURGERY
208.377.9515 54
3630 East Louise Drive Meridian, Idaho 83642
SUSAN G. KOMEN IDAHO 2014
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Wigod.com
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BoiseBreastAugmentation.com
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Discover the
Breast cancer is the most commonly diagnosed cancer among Idaho women. You may qualify for a free mammogram screening at West Valley Medical Center through the Power of Pink program. Funds are available for women between the ages of 40 and 65 to receive screening mammograms, and for women of any age with breast symptoms to receive diagnostic mammograms. You are encouraged to seek a free screening if you: • Have no insurance • Have insurance with a deductible of $2,000 or more • Meet income criteria.
Schedule Your Mammogram Today!
Call 208.455.3905
West Valley Women’s Imaging Center is located at 315 East Elm Street, Suite 330, on the corner of Elm and Arlington in Caldwell. IMPACT. MAGAZINE 2014
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