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EGACY Yesterday. Today. Tomorrow.

WEDNESDAYS • Oct. 14, 2015

INSIDE

Why disparities in cancer still exist - 3 Male breast cancer and risk factors - 5 Survivor stories from near and far - 8 Breast cancer resources in Virginia- 17

Richmond & Hampton Roads

LEGACYNEWSPAPER.COM • FREE

The ladies of the Sisters Network Central VA Inc. Chapter do a great job raising awareness about breast cancer. The local organization, located in Richmond, is part of the Sisters Network lnc., the first national African American breast cancer survivorship organization. Founded in 1994, this nonprofit currently has 44 chapters across the nation with over 3,000 members (survivors) and associate members. Under the direction of Founder and National President, Karen E. Jackson, Sisters Network lnc. has become a nationally recognized organization within the medical community and a critical resource for African American and all women fighting breast cancer. PHOTO: SNCVA

2 • Oct. 14, 2015

Breast cancer news

Things to know •About one in eight U.S. women — a little more than 12 percent — will develop invasive breast cancer over the course of her lifetime.

•In 2014, an estimated 232,670 new cases of invasive breast cancer were expected to be diagnosed, along with 62,570 new cases of noninvasive breast cancer (also known as carcinoma in situ). About 40,000 women were expected to die in 2014 from breast cancer, though there has been a decrease in death rates since 1989, with larger decreases in women under 50. These decreases are thought to be the result of treatment advancements, earlier detection

through screening, and increased awareness.

•For women in the United States, breast cancer death rates are higher than death rates for any other type of cancer, besides lung cancer.

•Except for skin cancer, breast cancer is the most commonly diagnosed cancer among American women. Just under 30 percent of cancers diagnosed in women are breast cancers.

•White women are slightly more likely to develop breast cancer than African-American women.

However, in women under 45, breast cancer is more common in African-

American women than white women.

Overall, African-American women are more likely to die of breast cancer. Asian, Hispanic, and NativeAmerican women have a lower risk of developing and dying from breast cancer.

•As of 2014, there were more than 2.8 million women with a history of breast cancer in the U.S. This figure includes women currently being treated and women who have finished treatment.

•A woman’s risk of breast cancer approximately doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer.

•Less than 15 percent of women who get breast cancer have a family member who has been diagnosed

The LEGACY

with it.

•About 5-10 percent of breast cancers are thought to be caused by inherited gene mutations (abnormal changes passed through families).

•Mutations of the BRCA1 and BRCA2 genes are the most common.

Women with a BRCA1 mutation have a 55-65 percent risk of developing breast cancer before age 70, often at a younger age than it typically develops. For women with a BRCA2 mutation, the risk is 45 percent.

An increased ovarian cancer risk is also associated with these genetic mutations.

•The most significant risk factors for breast cancer are gender (being a woman) and age (growing older).

Source: American Cancer Society

Black women more likely to die from this type of breast cancer New research published by JAMA Oncology has revealed that the chances of dying from very early breast cancer are small. However, DCIS breast cancer—even if caught early—is much riskier for young women of all ethnicities, and black women of all ages. And to make it worse, the same disparities are seen when it comes to more advanced cancer.

DCIS (Ductal carcinoma in situ) breast cancer is the presence of abnormal cells inside a milk duct in the breast. It is considered to be the earliest form of breast cancer, and is non-invasive, meaning it hasn’t spread out of the milk duct to invade other parts of the breast.

The study analyzed more than 100,000 women diagnosed from 1988 to 2011, and found that 20 years after being diagnosed, the average death rate of a woman with breast cancer is just three percent. But the death rates are twice as high for those younger than 35 at diagnosis and in blacks.

There is a mystifying question as to why Black women are more affected.

The findings did not reveal why this is the case, but it does re-open the debate on how to treat tumors that

DCIS — Ductal Carcinoma In Situ

are discovered early on in women.

Some tumors have previously been ignored if thought not to be cancerous Ductal carcinoma in situ (DCIS) is the most common type of non-invasive or if was determined that the cancer breast cancer. would not spread.

Ductal means that the cancer starts inside the milk ducts, carcinoma refers Dr. Steven Narod, the lead author to any cancer that begins in the skin or other tissues (including breast tissue) that cover or line the internal organs, and in situ means "in its original place." and a senior scientist at Women’s College Research Institute in DCIS is called "non-invasive" because it hasn’t spread beyond the milk duct Toronto, says that the results may into any normal surrounding breast tissue. DCIS isn’t life-threatening, but indicate that both young women having DCIS can increase the risk of developing an invasive breast cancer and black women may need to seek later on.

When you have had DCIS, you are at higher risk for the cancer coming back more aggressive treatment including or for developing a new breast cancer than a person who has never had breast chemotherapy.

“Women diagnosed with DCIS cancer before. Most recurrences happen within the five to 10 years after initial [however] shouldn’t panic,” Narod diagnosis. The chances of a recurrence are under 30 percent.

Women who have breast-conserving surgery (lumpectomy) for DCIS without said. “Because chances for being cured are good. Still, the study shows radiation therapy have about a 25 percent to 30 percent chance of having a the disease can behave like invasive recurrence at some point in the future. Including radiation therapy in the treatment plan after surgery drops the risk of recurrence to about 15 percent. cancer and doctors should discuss If breast cancer does come back after earlier DCIS treatment, the recurrence rates for recurrence and death, and inform patients of all options.” is non-invasive (DCIS again) about half the time and invasive about half the Dr. Richard Bleicher, a breast time. (DCIS itself is NOT invasive.) cancer expert at Fox Chase Cancer According to the American Cancer Society, about 60,000 cases of DCIS are Center in Philadelphia, PA says that diagnosed in the United States each year, accounting for about one out of the study lacked critical information every five new breast cancer cases.

There are two main reasons this number is so large and has been increasing that may have influenced women’s outcomes. For example, he says over time: the study should have included •People are living much longer lives. As we grow older, our risk of breast information on whether the women cancer increases.

•More people are getting mammograms, and the quality of the mammograms who died had genetic mutations that may have put them at more risk. has improved. With better screening, more cancers are being spotted early.

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Oct. 14, 2015 • 3

Disparities exist in breast cancer screening ethnic groups.

For African-American women, the risk of getting breast cancer is lower than it is for white women, but the

risk of dying from breast cancer is higher. For example, in 2011, African-American women had a 44 (continued on page 17)

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Some women are less likely than others to get mammography screening. There are many reasons for disparities in breast cancer screening in the U.S. A main reason behind differences in mammography screening rates in the U.S. is health insurance. Women who don’t have health insurance are much less likely to get mammograms than women with health insurance.

In 2010, only 32 percent of women ages 40 and older with no health insurance had a mammogram within the past two years compared to 71 percent of those with insurance.

Although a lack of health insurance is a main reason for breast cancer screening disparities in the U.S., other factors play a role. As noted above, even among women ages 40 and older with insurance, only 71

percent had a mammogram within the past two years.

Other barriers to mammography screening may include: •Low income •Lack of access to care (such as lack of a local, or easy to get to, mammography center or lack of transportation to a mammography center) •Lack of a usual health care provider •Lack of a recommendation from a provider to get mammography screening •Lack of awareness of breast cancer risks and screening methods •Cultural and language differences These may explain some of the disparities in mammography screening rates among certain populations of women, such as women from different racial and

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The LEGACY

Harder-to-treat aggressive forms of breast cancers more likely to impact black women Black women are no strangers to developing aggressive breast cancers—both inflammatory and triple-negative. These cancers are harder to treat and impact our survival rates. Read more about the types of aggressive cancers out there, how they impact black women and new treatment developments.

A North Carolina Breast Cancer Study found that triple-negative breast cancer was much higher among younger African-American women than in white women (39 percent for blacks versus 16 percent for whites). Also, 10 percent of black and increased breast size. The skin women have inflammatory breast may also look pitted like an orange 409 E. Main St. #4 (mailing) • 105 1/2 Clay St.backed (office)up and cancer compared to 1 percent to 5 because theE. fluid is all Richmond, VA 23219 percent of white women. Obesity is the nipple may also face inward. (office) • 1-800-783-8062 (fax) Women linked to these804-644-1550 cancers and younger How serious is it? Very. black women—35 and younger—are ads@legacynewspaper.com diagnosed with this form do not live vulnerable to these cancers as well. as long as women with other types Inflammatory breast cancer is of this disease. Inflammatory breast a rare form of breast cancer that cancer can develop and progress in accounts for less than percent of all(2 column(s) a few weeks or months. For many Ad5Size: 6 inches X 3 inches) breast cancer diagnoses. It blocks the women, when they are diagnosed 1 Issue -with $102this form, they are already in vessels in the skin that carry lymph fluid throughout the body. This form stage inch III or IV, and the cancer may Rate: $17 per column of cancer causes the breasts to look have spread to other lymph nodes or swollen and red. other parts of the body.

Patients with inflammatory breast Even though it can be harder cancer may experience red and to treat, usually the first step is swollen breasts, bruised skin around chemotherapy—drug treatment the breasts, swollen lymph nodes that uses powerful chemicals to kill in underarms, burning sensations fast-growing cells—then surgery to

remove the tumors, followed up with radiation therapy. There has been a call by many researchers to get more funding to advance the current

treatment.

Triple-negative breast cancer lacks the most common receptors that fuel most breast cancer growth— estrogen, progesterone and the HER-2/neu gene—making it “triple negative.” Because these tumors lack these receptors, it’s harder to treat this form of cancer with the traditional hormone therapy. This cancer accounts for 10 percent to 20 percent of all diagnoses.

This particular cancer doesn’t really look much different from other forms; it just has some different characteristics. Only testing will tell you if have this form.

Courtesy Blackhealthmatters.com

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Oct. 14, 2015 • 5

Male breast cancer risk factors Male breast both environmental influences and Men possess a small amount of cancer staging genetic (inherited) factors likely play nonfunctioning breast tissue (breast and treatment tissue that cannot produce milk) that a role in its development. is concentrated in the area directly behind the nipple on the chest wall.

Like breast cancer in women, cancer of the male breast is the uncontrolled growth with the potential for spread of some of the cells of this breast tissue. These cells become so abnormal in appearance and behavior that they are then called cancer cells.

Breast tissue in both young boys and girls consists of tubular structures known as ducts.

At puberty, a girl's ovaries produce female hormones (estrogen) that cause the ducts to grow and milk glands (lobules) to develop at the ends of the ducts. The amount of fat and connective tissue in the breast also increases as girls go through puberty.

On the other hand, male hormones (such as testosterone) secreted by the testes suppress the growth of breast tissue and the development of lobules. The male breast, therefore, is made up of predominantly small, undeveloped ducts and a small amount of fat and connective tissue.

Male breast cancer is a rare condition, accounting for only about one percent of all breast cancers.

Statistics from the American Cancer Society suggest that in 2015, about 2,350 new cases of breast cancer in men would be diagnosed and that breast cancer would cause approximately 440 deaths in men (in comparison, almost 40,000 women die of breast cancer each year). Breast cancer is 100 times more common in women than in men.

Most cases of male breast cancer are detected in men between the ages of 60 and 70, although the condition can develop in men of any age. A man's lifetime risk of developing breast cancer is about 1/10 of one percent, or one in 1,000.

Breast cancer incidence rates in men have remained fairly stable over the past 30 years.

As with cancer of the female breast, the cause of cancer of the male breast has not been fully characterized, but

The following risk factors for the development of male breast cancer have been identified: •Radiation exposure •Exposure to ionizing radiation has been associated with an increased risk of developing male breast cancer •Hyperestrogenism (high levels of estrogen) Men normally produce small amounts of the female hormone estrogen, but certain conditions result in abnormally high levels of estrogen in men. High levels of estrogens also can increase the risk for development of male breast cancer. Obesity is also associated with elevated estrogen levels and breast enlargement in men.

Klinefelter’s syndrome Klinefelter’s syndrome is an inherited condition affecting about one in 1,000 men. A normal man has two sex chromosomes (X and Y). He inherited the female X chromosome from his mother and the male Y chromosome from his father.

Men with Klinefelter's syndrome have inherited an extra female X chromosome, resulting in an abnormal sex chromosome makeup of XXY rather than the normal male XY. Cirrhosis (scarring) of the liver Cirrhosis can result from chronic alcohol abuse, chronic viral hepatitis, or rare genetic conditions that result in accumulation of toxic substances within the liver.

Familial predisposition: Epidemiologic studies have shown that men who have several female relatives with breast cancer also have an increased risk for development of the disease. In particular, men who have inherited mutations in the breast cancerassociated BRCA-2 gene have an increased risk for developing breast cancer, with a lifetime risk of about six in 100 for development of breast cancer. BRCA-2 is a gene on chromosome 13 that normally functions in suppression of cell growth.

Courtesy MedicineNet

Staging is carried out to determine the extent to which a cancer has spread within the body. Staging of breast cancer in men is carried out identically to the staging of breast cancer in women. The American Joint Committee on Cancer (AJCC) TNM system takes into account the tumor size, lymph node involvement by cancer, and presence of metastasis: •T: tumor size and extent of local spread •N: extent of tumor involvement of lymph nodes in the axillary (underarm) region. Since the nipple area is rich in lymphatic vessels, male breast cancer commonly spreads via the lymphatic channels to the axillary lymph nodes. (When the tumor has spread to the lymph nodes, doctors sometimes use the term “lymph node-positive” cancer.)

•M: presence of distant metastases (spread to other parts of the body through the bloodstream or lymphatic vessels)

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Stage 0 Stage 0 refers to intraductal carcinoma or ductal cancer in situ, in which the cancer cells have not spread beyond the boundaries of the ducts themselves.

Stage I In Stage I breast cancer, the tumor is 2 cm or less in greatest diameter and has not spread to the lymph nodes or to other sites in the body.

Stage II Stage II cancers are divided into two groups. Stage IIA cancer is either less than 2 cm in diameter with spread to the axillary lymph nodes, or the tumor is between 2 cm-5 cm but has not spread to the axillary lymph nodes. Stage IIB tumors are either larger than 5 cm without spread to the lymph nodes or are between 2 cm-5 cm in size and have spread to the axillary lymph nodes.

Stage III Stage III is considered to be locally advanced cancer. Stage IIIA means the tumor is smaller than 5 cm but has spread to the axillary lymph nodes, and the axillary lymph nodes

(continued on page 12)

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Op/Ed & Letters

The LEGACY

A love letter to mom

Pictured clockwise: Angie, Khamran, Kennedie, Algeree and Nikki.

We love you Mommy, but God loved you more It’s been 568 days since you were called home to be with the Lord. For 81 weeks and a day, Nikki, Angie, Kenndie, Khamran and I have been longing to see your smile and hear your voice. For one year, six months and 19 days we’ve been wishing for just one more day with you.

I still remember the call I received from your first breast cancer diagnosis. I can finally admit I was scared of the unknown. All I could do was pray that God brought you through what you were about to face and gave me the strength to be the rock I had to be for Nikki and Angie.

Even with the news you were given, The LEGACY NEWSPAPER Vol. 1 No. 37 Mailing Address 409 E. Main Street 4 Office Address 105 1/2 E. Clay St. Richmond, VA 23219 Call 804-644-1550 Online www.legacynewspaper.com

you were able to smile and laugh. I still can’t believe how you conducted a job interview from your hospital bed. You were determined to get that job after being laid off. I remember looking at you thinking that’s the type of role model and hero I’m going to be for my little girl. I’m going to show her how to be determined. I’m going to show her how to work for self-worth. I’m going to show her how to exhibit mental strength and endurance.

You never let having cancer get you down. After your mastectomy you pushed on. You recovered and lived life. You never complained. Even when it metastasized to your brain, your spirit was joyful. You had the brain surgery and wanted to go home to heal. I remember you saying, “Sick people stay in the hospital and I’m not sick. I just have to bounce back The LEGACY welcomes all signed letters and all respectful opinions.

Letter writers and columnists opinions are their own and endorsements of their views by The LEGACY should be inferred. The LEGACY assumes no responsibility for unsolicited material.

Annual Subscription Rates Virginia - $50 U.S. states - $75 Outside U.S.- $100 The Virginia Legacy © 2015

from this and I’ll be fine. So get me out of here.”

I wanted you to move with me so badly. “Just come to Virginia,” I said.

“I’ll take care of you.” Jersey was where you were staying. You said, “I’m not moving to Virginia. You can forget that. I’m fine right here. Plus, I can’t leave your sisters. They’ll take care of me.” They did just that.

I know you are so proud of how they stepped up.

When the cancer spread even further to your lungs and liver and the doctor finally said those words, that there was nothing else that could be done I remember saying to myself that they weren’t God and that you weren’t leaving this earthly place until He said so. Remember I said how we were going to party when you went past the six months they gave you? We never got a chance to have that party.

Nikki, Angie and I watched you fight until the very end. We saw you smile through the pain so we wouldn’t cry. We saw you laugh through agony so we wouldn’t whimper. Even in a state of weakness, you remained strong for our sakes.

I truly understand the meaning behind, “The Lord giveth and the Lord taketh away”. On Dec. 28, 2005 and Dec. 26, 2013 God gave us gifts—additions to your legacy.

Christmas was your favorite holiday.

I don’t believe it was by accident that your grandchildren were both born around Christmas. Even though

your time was short with Khamran you got to hold your prince. I’m sure you whispered the same secrets to him that you whispered to Kennedie when she was a baby.

I believe God gave us Khamran when he did because he was preparing us for when he took you.

Kennedie and Khamran being Christmas babies was for us to smile through the pain of not having you.

We all miss you so much mommy.

We love you but know God loved you more. You were His child before you were our mother. We find comfort in knowing that we have our own angel watching over us.

I’m so happy I got to tell you how much I loved you while you were with me. I’m happy I was able to tell you how proud I was that you were my mom. I’m thankful for every lesson you taught me, for every value you instilled in me and for truly showing me a mother’s love.

I thank you for every sacrifice you made for us. I thank you for putting us ahead of yourself. I thank you for showing us how to not only be a mom but how to be a best friend.

Everything you taught us we will teach Kennedie and Khamran and any future grandchildren that may come. We are your legacy and will continue to make you proud. We love you Mommy!

Love, Algeree P.S. I’m keeping my promise to you.

We will all be just fine.

www.LEGACYnewspaper.com

Oct. 14, 2015 • 7

P.T. Hoffsteader, Esq.

To my mom

I want to thank you for everything you’ve done for me. I know the past 26 years have been hard for the both of us. I was 6 years old when you got breast cancer. You fought and fought, almost died twice. But we pulled through.

I’m sorry that dad was a real jerk. He told you, “You’d better find someone to watch that brat of yours, because I wont”..... Yeah... He was a dead beat fool that left us during your months of chemo treatment to go have an affair with another woman. I'm glad he’s gone. I couldn’t take the physical abuse he put me though as a kid. Getting hit, closed fist... It leaves a scar on you for the rest of your life. There’s nothing like walking down the hall and saying “Hi daddy! I love you”! Only to be shoved aside and told, “Get the (SNIP) out of my way”.

But we pulled through. I did my best to take care of you. I held the pots for you when you were in bed and needed to throw up because of the chemo. I helped you walk to the bathroom. I cooked for you. All between the ages of 6-8. But we survived didn’t we!

That was 20 years ago. October is Breast Cancer Awareness Month. I wear this pink wrist band for not just you, but for everyone.

Thank you so much for being an awesome mom. It’s no wonder all my friends call you mom. You’re an awesome person! You’ve taught me about the finer things in life, you taught me how to love, and how to be a kind person. This world needs more people like you. You’re a fighter,

a survivor, a teacher, but most importantly, a mom.

I’m so happy that you’re still around mom. I feel I would be lost without you.

There’s not much else I can write to describe how happy I am to have you in my life mom. You’re an epic woman who stands her ground.

I love you mom, you’re awesome!

Love, your son, Slash

All the little things

I met a woman this year, and instantly I liked her, I knew she was special. We started seeing each other and soon after she brought me to an event where she told me she was a survivor. I remember kissing her when she told me but I really didn’t know what it meant to be a survivor.

I never knew anyone that hadbreast cancer.

As time passed, she became more comfortable and told me about her experience, and howshe was afraid see was going to die.

I’m not someone that falls in love very easily. And not the type of person to show my feelings, but that changed. I told her I loved her every time we were together and through the little things, whether it was bringing or sending flowers, a car full of balloons, getting dressed up for dinner at home, sending videos toher of me dancing or my breast cancer ribbon tattoo… I wasn’t going to be scared of looking silly or being rejected.

For those that have someone in your lives dealing with breast cancer

be fearless in your love, be passionate and show it every day. Finding ways to make someone smile and letting them know how you feel and how specialthey are means everything.

Aurora, I love you with my heart and soul, endlessly.

Stephen Smith

Dear cancer

Believe me, you aren't dear to me but I am just sticking to literary convention. You have enjoyed the stay in my body, my temple, for much too long and have overstayed your welcome. I would like you to pack your stuff and leave. My body has better things to do than to fight with your megalomania. There is an exit sign that you are ignoring.

I need my energy too so that I can live to see my children grow. My son needs you to leave so he can grow up to be a man but still have a place where his tears are not seen as weakness and his laughter infuses life. My daughter needs you to leave so she is assured that she can be taught all the "girly" things that she needs to learn in life and be all that she needs to be.

I need you to leave so I can grow old with my loving husband. He needs you to leave so he can have his life back. He needs you to go so he doesn't have to be the mother and father. He needs you to leave so he can lose the anxiety of losing the love of his life.

I think you have been trying to suck the energy out of my existence for far too long — bit by bit, and piece

by piece. You don't scare me and I can look at your sick, crazily mitotic nuclei in the eye and say, “I am not afraid: I just need you to leave.”

I want you to leave so my friends can rejoice and my family can breathe freely. I need you to leave so that my patients can rest assured that the one person they feel that truly understands them is still there and they won't have to start over.

They need to heal. I need to heal.

I want you to leave so I can look at those who abandoned me during cancer and say, “Thank you for helping me realize that you never mattered. I won this battle without you!”

I need you to leave, for I have learned all the lessons that I needed to learn after looking at death in the eye. I have learned not to take anything, or anyone for granted. I have learned to take each moment as it comes. To find meaning and hope in everyday life. To make things happen and not wait. To be myself and trust myself. To be honest and forthright. To endure.

I have learned the meaning of pain and suffering, that a peaceful night's sleep is a blessing, being able to digest food is a treat, to be pain-free is a miracle, to feel energetic is a gift, to feel beautiful is an internal feeling and to appreciate life is hard work.

I am ready to move on from the lessons I have learned so I would like you to move on. Leave me alone. It's time to move on. It's time to heal.

It's time to recover. It's time to start over.

Yours (not really!!), A cancer survivor

The LEGACY

8 • Oct. 14, 2015

Testimonials Editor’s note The following testimonials are from individuals that received care from the Cancer Treatment Centers of America (CTCA). Their testimonies are courtesy of the CTCA. They all spoke very highly of the CTCA and agree that their approach is different from the average hospital. For example, the option to see different care providers in the same location. There are CTCA locations in Atlanta, Georgia; Philadelphia, Pennsylvania; Chicago, Illinois; Tulsa, Oklahoma and Phoenix, Arizona.

To inquire about further information visit www.cancercenter.com or call 800-268-0786.

Nicolle Surratte One morning while getting dressed, I noticed that my nipple was inverted. I figured it was nothing, maybe due to the position I'd slept in, and went on with my day. That night, the inversion was still there and I knew something wasn't right.

I contacted my gynecologist and was given an appointment four weeks away. My best friend, who is a nurse, told me to call back and say it’s an emergency. I was at the office a few days later getting a mammogram. I’d had my annual mammogram earlier that year, but it did not reveal any potential cancer at that time. I’d also had a biopsy of a suspected breast tumor many years prior that came back benign, but I never considered the possibility that cancer could develop later in my life.

Following the mammogram, the doctor ordered a biopsy because she saw something from my test that concerned her. A few days later I received the phone call informing me that I had breast cancer. I was 45 at the time.

My first choice In addition to my actual mother, there are two other women in my life who are like mothers to me. My second “mom,” who has known me since high school, knows a lot about health and wellness, so she was

the first person I called after being diagnosed. She warned me about one of the regional hospitals near my home in Delaware, and encouraged me to call Cancer Treatment Centers of America® (CTCA).

I have learned that many people come to CTCA for a second opinion, and then opt to stay. For me, CTCA was my first, and only, choice.

From the start, I knew it was a good match for me. The integrative approach to treatment, in particular, meshed with my own point of view about health and quality of life. I appreciated the fact that my care team looked at me as a whole person, not as a disease.

My treatment consisted of a lumpectomy followed by a re-excision with IORT to remove additional tissues and, finally, chemotherapy. I continued to work during this time.

Getting a boost The side effects I experienced were mostly minimal, but chemotherapy did decrease my white blood cell count. I had two medications to help boost the white blood cell count, one of which I needed to self-inject at home. I was resistant because I’m uncomfortable with needles. I told my oncologist that I had no idea how I was going to get through this. But the infusion nurse showed me how to do it and I became more confident with each injection. At first, it took me 20 minutes to get the needle in.

I had to talk myself through it and play games with the clock. Over time, the process became easier. Getting through this time showed me that I could do something that I thought I couldn’t.

In general, I’m a fairly independent

person, and usually the one that others come to when they need help.

However, during my treatment, I learned to ask for help. My caregivers and my church family were there when I needed them—and I did need them.

www.LEGACYnewspaper.com

Oct. 14, 2015 • 9

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10 • Oct. 14, 2015

The LEGACY

Rhonda Spinks I was 30 years old when I found a lump on my breast. Cancer was the furthest thing from my mind. I was healthy and active.

As a breast cancer survivor, Rhonda Spinks was surprised to learn that weight gain was a possible side effect of treatment.

My husband and I had just gotten married a few months earlier. No one in my family had cancer. And I was too busy to dwell on any health issues. I had just started a master’s degree program in biology, I was rock climbing, I was in the military, and I was active with our church.

No, it can’t be cancer. It couldn’t be. It wasn’t that I was pushing the thought out of my mind; I honestly believed there was no way I could have cancer.

After a couple of months the lump was still there, so I finally decided to get it checked. I had some tests done, and of course it’s never a good sign when the doctor tells you he or she wants to do further testing. But still, I was thinking no, it can’t be cancer.

My husband and I were together in the waiting room when I went to see the doctor after the last test results.

We were joking around and planning the rest of our day. Life was normal.

I wasn’t nervous about the news at all.

Then the doctor informed us that I had a very aggressive form of breast cancer and it was in stage three. I needed surgery right away, followed by chemotherapy and possibly radiation.

I was blindsided by the news. It was like someone had knocked the

wind out of me. I went completely numb. I felt my husband squeeze my hand, and in my head were the words, “in sickness and in health.”

Talk about putting your vows into practice.

At that time I knew very little about cancer, and what I did know involved death. I didn’t feel sick. In fact, I felt healthy. I didn’t know how to process the fact that I wasn’t.

The first step of my care was a mastectomy on my right breast and the removal of 19 lymph nodes.

That procedure was followed by chemotherapy for six months, with two drugs the first three months and another drug for three more months, and then seven weeks of radiation.

The first round of chemotherapy was very difficult. I was nauseous and extremely weak. I couldn’t get out of bed. I experienced tingling in my fingers and the soles of my feet, like an itch that you can’t scratch.

Their solution for this problem was soaking my feet in ice-cold water or hot water.

When all the treatments were completed, the diagnostic tests showed no visible signs of cancer. I have been in remission ever since.

It’s in the attitude What I valued the most during my treatment was the love I felt. When

people are happy to see you and they treat you like royalty, it makes a huge difference in your well-being.

Cancer can make a person feel like an oddball. The last thing anyone needs is to feel like a burden or like your doctor or nurse doesn’t have time for you. Being treated so lovingly flipped a switch in me. It helped me look forward in a positive way. The loving support of my husband, family and friends was also huge in this turnaround.

I also looked inside myself for strength. I knew that I still had work to do here, and that helped me through the harder days. Today I work as a wildlife biologist tracking bats and protecting bat species on the federal endangered species list. I am also a captain in the military and I do holistic health coaching for cancer survivors.

It was hard not being active, so I worked at regaining my strength as soon as I could. A few years after my diagnosis, I placed second in my first body building competition. My husband and I are starting to plan our future now.

After my diagnosis and during treatment, I needed help working through the mental challenges.

Staying intact requires constant attention. With chemotherapy, the side effects come in cycles with the

treatment. I would feel ill the first week after, then better by the second, and just when I was back to normal it was time for the next round. It was frustrating, and dealing with the ups and downs needed constant attention. I turned to Scripture, drawing strength in particular from the phrase, “a merry heart doeth good like a medicine but a broken spirit crushes the bone.”

I noticed that my physical state was very connected to my emotional and mental state. If I was happy on the inside, I felt better. On my bad days mentally, I felt ten times worse in my body.

The simple things When a doctor informs you that you’re very sick, it can feel as if you’ve lost control. I discovered that finding small things that I could have control over really helped. It could be as simple as a craft project, but something that I could do on my own.

I also found little things throughout the day to be thankful for. There are plenty waiting to be found.

Learning about breast cancer and its treatment was also very helpful.

I became knowledgeable about what was going on inside my body. That investment made me feel like I was part of my own care, which was very helpful.

www.LEGACYnewspaper.com

Oct. 14, 2015 • 11

Sherry Biggham

HAMPTON ARTS 2015/16

Going through cancer treatment requires a lot of strength—physical, emotional, and mental. To stay strong, it’s important to have caregivers, both family and health care professionals, who continue to see you as a whole person, rather than focusing solely on the disease.

After feeling a sharp pain in my breast one night, I made an appointment to see my primary care physician in my home town of Las Vegas, Nevada. She referred me to a breast specialist in the same building. Two weeks later, a sonogram indicated that I had breast cancer, and a subsequent biopsy confirmed the diagnosis. The disease was at stage II, and my doctor recommended surgery. However, I was troubled because I was not presented with options and I was not ready to rush into a decision. I also saw an oncologist who told me to have a port placed in preparation for chemotherapy, which was not

something I’d discussed with the first specialist.

I underwent eight weeks of chemotherapy followed by eight weeks of radiation. I continued to work at the clothing store I manage when I was back in Las Vegas between treatments. A naturopathic clinician suggested supplements that helped counteract some of the side effects of the medications I was taking. My dietitian showed me how empowering it is to eat right, and taught my caregiver what foods to prepare for me while I was going through chemotherapy and afterwards. My mind-body therapist helped me deal with the challenges that arise when coping with a cancer diagnosis. Acupuncture helped ease the neuropathy I was experiencing during chemotherapy, and massage therapy helped reduce aches during that treatment.

One of my sons turned 21 and the other turned 16 since I completed my treatment. My teenager still gives me a kiss goodnight every night and makes sure I make it up the stairs

Mary Wilson & Freda Payne SING THE LEGENDS

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to bed. It was hard for him to watch me going through cancer, and I had done a lot of explaining to him at the time that his job was to not worry, and that if he did his job, I would get healthy and strong. I told him

that I was getting the best care and the best treatment, and that I would be okay. I got the best care and treatment at CTCA, and today I am doing better than okay—I am doing great.

12 • Oct. 14, 2015

The LEGACY

Male breast cancer Q&A What are the different types of male breast cancer?

The most common type of male breast cancer is infiltrating ductal carcinoma, which is also a common type of breast cancer in women.

Ductal carcinoma refers to cancers with origins in the ducts (tubular structures) of the breast, and the term infiltrating means that the cancer cells have spread beyond the ducts into the surrounding tissue.

On the other hand, lobular cancers (cancers of the milk glands), common in women, are extremely rare in men since male breast tissue does not normally contain lobules.

Other uncommon types of cancers of the breast that have been reported in men include ductal carcinoma in situ (cancer in the ducts that has not spread beyond the ducts themselves), cystosarcoma phylloides (a type of cancer of the connective tissue surrounding the ducts), and Paget's disease of the breast (a cancer involving the skin of the nipple).

Some other types of breast cancer that occur in men are named for their growth patterns and microscopic appearance of the cancer cells, including papillary carcinoma, inflammatory carcinoma, and medullary carcinoma.

About 85 percent of breast cancers in men have estrogen receptors on their cell membranes. Estrogen receptors on the cell membranes allow estrogen molecules to bind to the cancer cells. Estrogen binding to the cancer cells can stimulate cell growth and multiplication.

What are male breast cancer symptoms and signs?

The most common sign of breast cancer in men is a firm, nonpainful mass located just under the nipple.

There may not be other associated symptoms. The average size of breast cancer in men when first discovered is about 2.5 cm in diameter. The cancer may cause skin changes in the area of the nipple. These changes can include ulceration of the skin; skin puckering or dimpling; redness, scaling, or itching of the nipple; or (continued on page 17)

lining over the chest muscles, and portions of the underarm or axillary are attached to each other or to other lymph nodes) is the most common surgical treatment of male breast structures; or the tumor is greater than 5 cm in diameter with spread to cancer. Sometimes portions of the muscles of the chest wall are also the axillary lymph nodes, which may removed. be attached to each other or to other structures. Stage IIIB tumors have After surgery, adjuvant therapies spread to surrounding tissues such are often prescribed. These are as skin, chest wall, or to the lymph recommended especially if the nodes inside the chest wall. cancer has spread to the lymph Stage IV nodes. Adjuvant therapies include Stage IV cancer refers to metastatic chemotherapy, radiation therapy, cancer, meaning it has spread to targeted therapy, and hormone other parts of the body. With breast therapy. In cases of metastatic cancer, metastases (sites of tumor cancer, chemotherapy, hormone elsewhere in the body) are most often found in the bones, lungs, liver, therapy, or a combination of both, are generally recommended. or brain. Stage IV cancer is also Chemotherapy refers to the diagnosed when the tumor can be administration of toxic drugs found in the lymph nodes of the neck. that stop the growth of cancer Like breast cancer in women, cells, or even kill some of them. treatment depends upon the stage of Chemotherapy may be given as pills, the cancer and the overall physical as an injection, or via an intravenous condition of the patient. Treatments infusion, depending upon the types are the same as for breast cancer in of drugs chosen.

Combinations of women. different drugs are usually given, and Most men diagnosed with breast cancer are initially treated treatment is administered in cycles by surgery. A modified radical with a recovery period following each mastectomy (removal of the breast, treatment.

(from page 5)

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Oct. 14, 2015 • 13

Breast cancer, stress and how to cope Facing a breast cancer diagnosis can be overwhelming. Stress levels may skyrocket and worrying about finances and body image can arise.

With education and supportive care, breast cancer patients may be better able to deal with the many issues and emotions they may experience.

Breast cancer patients may experience stress due to the uncertainty of the future, unpredictability of the cancer, disability, and financial difficulties.

They may also worry about physical appearance after a mastectomy, hair

loss from chemotherapy, and possible skin changes—including darkening and thickening of the skin—from radiation therapy.

Common signs of stress can include disturbed sleep, fatigue, body aches, pain, anxiety, irritability, tension, and headaches.

Health experts maintain that stress can build, influencing how a person feels about life. Prolonged stress may lead to frustration, anger, hopelessness, and depression. To reduce stress it’s suggested to: • Keep a positive attitude.

SNCVA holds Annual Gift for Life Block Walk Sister’s Network Central Virginia, Inc. recently held its 11th annual Gift for Life block walk. The event was headquartered at the Church of Christ at Sandy Lane.

The dreary day didn’t discourage the many volunteers that participated in the community walk. Walkers went door-to-door in various Eastern Henrico County communities offering information on breast health in an effort to raise breast cancer awareness.

In a ceremony, which honored the memory of CBS 6 anchor Stephanie Rochon who recently succumbed to cancer, SNCVA issued a special presentation to its honorary chair, Dr. Delores Whitaker and gave away gifts and prizes. CBS 6 anchor Antoinette Essa served as the event’s mistress of ceremony.

SNCVA gave Rochon’s family a plaque to honor her involvement with the Sister’s Network and as serving as its longtime mistress of ceremony.

Essa wore Rochan’s rain boots in memory of her colleague as she took over the role her friend was dedicated to. –ajs

• Accept that there are events you cannot control.

• Be assertive instead of aggressive.

• Learn to relax.

• Exercise regularly.

• Eat well-balanced meals.

• Rest and sleep.

• Keep your medical appointments.

There are a number of exercises that you can do to relax. These include breathing, muscle and mind relaxation, relaxation to music, and biofeedback. A few that you can try are listed below. First, be sure that you have a quiet location that is free of distractions, a comfortable body position (sit or recline on a chair or sofa), and a good state of mind. Try to block out worries and distracting thoughts.

Accurately tracking medical information can help ease worrying as well. Asking health care providers to go over instructions or fully explain medical terms can help ease concerns. Those affected by breast cancer should make use of resources and support services offered in the community and hospital. Learning more about breast cancer can help an individual becoming more comfortable with the treatment.

There are many sources of help available to provide support for breast cancer patients and their families.

Social workers are just one part of the caregiving team that can offer treatment in a compassionate setting. These professionals can help you and your loved ones discuss any concerns about diagnosis, treatment, or personal situations.

Social workers can also provide education, counseling regarding lifestyle changes, and referrals to community or national agencies and

support groups.

Sometimes people have problems that are better addressed in a one-onone atmosphere. By participating in individual counseling, patients might more effectively express sensitive or private feelings about their illness and its impact on their lifestyle and relationships. Counseling services can help discuss issues of concern and develop and enhance coping abilities.

Support groups are also a useful sharing experience. They provide an environment to learn new ways of dealing with the illness and gain insight from others who have been through similar experiences. Group members may be able to explain things differently than health care providers. Patients can also gain strength in knowing that they are not facing hardships alone.

Family and friends should be mindful that the diagnosis and treatment of breast cancer is stressful and may be a difficult time for everyone involved. Family and friends should be prepared for changes in their loved ones’ behavior and mood. Medications, discomforts, and stress can cause them to become depressed or angry.

Encourage them to be active and independent, as much as possible, to help regain a sense of self-reliance and confidence. As a support system or primary care giver be realistic about self needs. Ensure enough sleep, eat properly, and take some time off for yourself. If individual needs are taken care of it may be easier to meet the needs of your loved one.

Don’t hesitate to ask other family members and friends for help. They may appreciate the opportunity.

14 • Oct. 14, 2015

The LEGACY

Vanessa Brown Age: 44 Year diagnosed: 2009 Years of survivorship: 6 Life motto/quote: I will live and I will not die and I will declare the works of the Lord.

Journey to survivorship The definition of survivorship for cancer patients is the process of living with, through and beyond cancer. At age 39 when I was diagnosed with breast cancer there was no doubt in my mind that I would live through and beyond cancer. But when it metastasized in 2013 I started to question if I was going to be able to do it again. But I did, by building my faith in God, confessing his word every day and sharing my testimony with others to help them on the journey to survivorship.

Roslyn Meadows Age: 61 Year Diagnosed: 2009 Years of survivorship: 4

Life motto/quote: “Leave it in God’s hands” Journey to survivorship She wouldn’t want to share her story, but my mother-in-law is a hero in my eyes because she fought to find help for her breast cancer. She even relocated back to her home state in order to find support and care.

She lost her hair and still managed to find a way to keep herself looking the same. She wrapped her head up or wore a wig. She was tired and stressed out; however, she fought her way thru it all. Her stubbornness and determination kept her spirits high and eventually she was in remission.

She is my superwoman.

Deborah Jackson Age: 54 Year diagnosed: 2011 Years of survivorship: 4 Life motto/quote: Enjoy life and “do you” Journey to survivorship: For me to accept that I was diagnosed with the disease, go through treatment and move on with my life to help others. I joined Sisters Network Central VA in 2011 to make a difference.

I wanted to be that vessel going out in the community to help stop the silence about breast cancer.

Carolyn Smith I have seen too many walk through the process called breast cancer.

My daughter is going through her process with stage two breast cancer now. Our world without breast cancer-Wow!!

There will be no more losses of a grandmother’s wisdom, a mother’s smile; a sister’s laughter, a daughter’s joy and that close friend with whom you can share anything -I mean anything.

No more sadness, pain, financial loss and sense of helplessness watching a love one; co worker; church family member battle an

Barbara Brown

unseen enemy.

I would baste in the news of the cure forever. . It would be pure joy-unspeakable joy for me-a 14year breast cancer survivor and all survivors.

To see cancer as a ‘time of renewal’ and my healing as a ‘spiritual blessing ‘has proven to be a positive influence on my attitude toward life since my cancer diagnosis in 1989.

I have been blessed with numerous opportunities to speak as a breast cancer survivor to many groups and

organizations. It is important to me that I share with other women the importance of early detection. I truly believe that early detection saved my life.

Other blessings as a survivor have been my selection as The Breast Cancer Hero of Richmond; serving for 15 years on the Massey Cancer Center Advisory Board; appearing in two videos produced by the Massey Cancer Center and testifying twice before the National Institutes of Health to address breast cancer issues. I was also invited to the White House by President George Bush to kick off the “Race for the Cure” along with 23 other breast cancer survivors.

I am able to continue my commitment to my breast cancer ministry by being a part of one of the most dynamic breast cancer awareness groups of in Richmond, The Sisters Network Central Virginia. The women of the city of Richmond are fortunate to have such a warm and caring group of women who can provide support when dealing with breast cancer.

Oct. 14, 2015 • 15

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The importance of getting mammograms A mammogram is an x-ray exam of the breast that is used to detect and evaluate breast changes.

X-rays were first used to examine breast tissue a century ago, by the German surgeon, Albert Salomon.

Modern mammography has only existed since the late 1960s, when special x-ray machines were designed and used just for breast imaging.

Since then, the technology has advanced, and today’s mammogram is very different even from those of the 1980s and 1990s.

The x-ray machines used for mammograms today expose the breast to much less radiation than those used in the past. The x-rays do not go through tissue as easily as those used for routine chest x-rays or x-rays of the arms or legs, which also improves the image quality.

When you have a mammogram, your breast is briefly compressed or squeezed between 2 plates attached to the mammogram machine—an adjustable plastic plate (on top) and a fixed x-ray plate (on the bottom). The bottom plate holds the x-ray film or the digital detector that records the image. The technologist compresses your breast to keep it from moving, and to make the layer of breast tissue thinner. A thinner layer of breast tissue allows the x-ray exposure to be reduced and makes the picture sharper. Although the compression can feel uncomfortable and even painful for some women, it is needed to get a good picture and only lasts the few seconds needed to take the x-ray. Talk to the technologist if you have pain. She can reposition you to make the pressure as comfortable as possible.

Two types of mamograms Screening mammograms are x-ray exams of the breasts that are used for women who have no breast symptoms or signs of breast cancer (such as a previous abnormal mammogram). The goal of a screening mammogram is to find breast cancer when it’s too small to be felt by a woman or her doctorA screening mammogram usually

takes 2 x-ray pictures (views) of each breast. Some women, such as those with large breasts, may need to have more pictures to see as much breast tissue as possible.

A woman with a breast problem (for instance, a lump or nipple discharge) or an abnormal area found in a screening mammogram typically gets a diagnostic mammogram.

Sometimes diagnostic mammograms are done for screening in women without breast problems who were previously treated for breast cancer.

During a diagnostic mammogram, the images are reviewed by the radiologist while you are there so that more pictures can be taken if needed to look more closely at an area of concern. In some cases, special images known as spot views or magnification views are used to make a small area of concern easier to evaluate. Other types of imaging tests such as ultrasound may also be done in addition to the mammogram, depending on the type of problem and where it is in the breast.

A diagnostic mammogram is usually interpreted in one of three ways: • It may reveal that an area that looked abnormal on a screening mammogram is actually normal.

When this happens, the woman goes back to routine yearly screening.

• It could show that an area of concern probably is not cancer, but the radiologist may want to watch the area closely. When this happens it’s common to ask the woman to return to be re-checked, usually in 4 to 6 months.

• The results could also suggest that a biopsy is needed to find out if the abnormal area is cancer. If your doctor recommends a biopsy, it does not mean that you have cancer.

Today, most breast cancers can be treated without removing the entire breast. Instead, many women have breast conserving surgery (BCS), sometimes called partial mastectomy or lumpectomy. This procedure removes the cancerous tumor and some of the surrounding normal breast tissue. BCS is almost always

followed by radiation treatment.

For women who have had BCS, most experts recommend having a mammogram of the treated breast six months after radiation treatment is finished. Radiation and surgery both cause changes in the skin and breast tissues. These changes show up on the mammogram, making it harder to read. The changes usually peak 6 months after the radiation is completed, and the mammogram done at this time serves as a new baseline for the affected breast for that woman. Future mammograms will be compared with this one, to help the doctor follow up on healing and check for recurrence (the cancer coming back).

Depending on the results, the next exam for that breast may be six to 12 months later. Followup mammograms of the treated breast should be done at least yearly after that, but some doctors may recommend more frequent mammograms depending on the mammogram results.

The opposite (untreated) breast still needs yearly mammograms.

The different types of mastectomy, including simple mastectomy, modified radical mastectomy, and radical mastectomy, all involve removal of all of the breast tissue Women who have had these surgeries to treat for breast cancer need no further routine screening mammograms of the affected side. (If both breasts are removed, they don’t need mammograms at all.) Although cancer can come back in the skin

or chest wall on that side, it can be found by physical exam, and there isn’t enough tissue remaining after these kinds of mastectomies to do a mammogram.

Although it is possible to do a mammogram of reconstructed breasts, experts agree that women who have breast reconstruction after their breasts are fully removed (with a simple, modified radical mastectomy, or radical mastectomy) do not need routine mammograms.

One type of mastectomy that experts agree requires follow-up mammograms is the subcutaneous mastectomy, also called skin-sparing mastectomy. In this operation, the woman keeps her nipple and the tissue just under the skin. Often, an implant is placed under the skin during the operation. This operation leaves behind enough breast tissue to require yearly screening mammograms in these women.

Any woman who is not sure what type of mastectomy she has had or whether she needs mammograms should ask her doctor.

Mammograms of the unaffected breast are needed each year. This is very important, because women who have had one breast cancer are at higher risk of developing a new cancer in the other breast.

For women who have had breast reconstruction, a diagnostic mammogram may be done if an area of concern is found on a physical exam. Further imaging with ultrasound or MRI may also be helpful.

16 • Oct. 14, 2015

Calendar

10.15, 5 p.m.

The School of Math, Science and Engineering at Reynolds Community College will host an Open House and Oxford Style Debate on the topic of Genetically Modified Food on Thursday, Oct. 15, from 5 to 7 p.m. in the Lipman Auditorium of the Massey Library Technology Center on the Parham Road Campus, located at 1651 E. Parham Road in Richmond. This event is free and open to the public.

The Oxford Style Debate will explore the safety of Genetically Modified Food. Aside from the debate, participants will have the opportunity to meet Reynolds engaging math and science faculty members, learn more about transfer credits in Science, Technology, Engineering and Math (STEM) majors, and experience a mystifying magic show. In addition, free paper shredding will be available from 5 p.m. to 7 p.m.

The program is a free community event sponsored by Reynolds School of Mathematics, Science and Engineering. For more information about this event contact Shalini Upadhyaya (supadhyaya@reynolds. edu) or visit the website www. reynolds.edu.

10.18, 9 a.m.

Mount Tabor Baptist Church will hold its 2015 homecoming beginning with Friends & Family Day on Sunday, Oct. 18 at 9 a.m.

The event will include a praise service and worship service with Pastor Herbert L. Ponder (pictured).

The church’s Fall Revival continues Monday Oct. 19 - 21 at 7 p.m. nightly with Rev. Dr. C. Diane Mosby, pastor Anointed New Life Baptist Church.

The LEGACY

COMMUNITY ACTIVITIES & EVENTS

October Conflict Resolution Events and Giving 10.19, 6:30 p.m.

Everyone agrees that bullying is Children the Benefit of Two Parents The Virginia Association for Community Conflict Resolution (VACCR) is joining the American Bar Association and the Association for Conflict Resolution in celebrating Conflict Resolution Day on Oct. 15 and Mediation Week Oct. 11 – 17.

VACCR member centers are offering free mediation sessions to parents who have open cases with the Department of Child Support Enforcement and want to mediate how to share time with their child(ren). The goal of this program is to give children the benefit of having both parents involved in their lives.

Mediation services will give parents the opportunity to sit with an impartial neutral to develop plans for spending time with the child(ren). Even tricky topics such as how time with the child(ren) will be divided over the holidays can be tackled. Funding for this program is made available through the Department of Social Services’ Access and Visitation grant program.

To get access to the program, both parents need to be willing to mediate a parenting plan. Also, current contact information for both parents needs to be available. Parents who meet these criteria should call VACCR’s main telephone number 888-VA PEACE to connect to the closest center offering the services.

Youth March Against Bullying and Violence The Mayor’s Initiative to End Bullying in Newport News in partnership with Parents Against Bullying (P.A.B) will hold the 3rd Annual P.A.B 1000 Youth March on Sunday, Oct. 25, from 2-5 p.m. at CNU Pomoco Stadium. It is a free event that is open to the public.

The Mayor’s Campaign to End Bullying is a city-wide initiative in partnership with the U.S. Conference of Mayors and the BULLY Project to make schools and communities safe and supportive environments for all youth. Parents Against Bullying is a 501(c)3 that promotes community awareness about bullying prevention.

About one in every four kids in the U.S. is bullied on a regular basis – approximately 13 million children are bullied each year in the U.S. alone.

Bullying not just something that happens in our schools, it occurs in community settings, at work, in neighborhoods and on the Internet.

For more information about other upcoming events or for information on bullying prevention, go to http://bit.ly/nobullyNN or Parents Against Bullying at http://www.pabva.com/.

Are you in a suicide crisis?

National Suicide Prevention Lifeline

1-800-273-8255

Submit your calendar events to calendar@legacynewspaper.com.

Include contact infomation that can be published.

bad, but what can parents actually do about it? Representatives of the Virginia Center for Inclusive Communities will provide answers and strategies at a workshop at Henrico County’s Godwin High School, 2101 Pump Rd., Henrico.

The workshop will help parents and guardians learn how to spot bullying, talk to their kids about the issue and help them with antibullying strategies. The session is aimed at parents and guardians concerned that their child might be a target; parents and guardians concerned that their child might be a bully; and for other interested members of the community.

Register in advance online at blogs.henrico.k12.va.us/ parentresourcecenter.

10.19, 7 p.m.

Fairfield District Supervisor Frank J. Thornton will hold a constituent meeting at the Eastern Henrico Recreation Center, 1440 N. Laburnum Ave. to explain the work of the Magistrate’s Office and the responsibilities of Henrico County’s various boards and commissions.

Chief Magistrate Yvette A. Via of the 14th Judicial District of Virginia will join Thornton and give a presentation on the Magistrate’s Office. For more information, call 804- 501-4208.

National Megan’s Law Helpline & Sex Offender Registration Tips Program Call (888) ASK-PFML (275-7365)

Oct. 14, 2015 • 17

www.LEGACYnewspaper.com

Breast cancer resources Virginia and beyond Local affiliates of several organizations are able to fund many breast-health and breast cancer-

Beyond Virginia resources American Cancer Society www.cancer.org

Central Virginia resources Beyond Boobs! www.beyondboobsinc.org

Church Hill Co-Op Baptist Ministry (Richmond) 804-780-0053 Financial assistance, food, clothes closet.

Healthy People 2020 www.health.gov/healthypeople

related programs in Virginia.

The Department of Health’s Virginia Breast and Cervical Cancer Early Detection Program or Every Woman’s Life Program program contracts with screening sites throughout Virginia to provide free mammograms, clinical breast exams, Pap tests and pelvic exams to women who qualify. Visit their website for more information at http://www. vahealth.org/breastcancer/.

First Baptist Church Community Ministries and Services (Central VA) 804-353-2181 Provides general financial assistance.

Grace and Holy Trinity Episcopal Church (Central VA) 804-359-5565 Provides emergency financial assistance.

National Cancer Institute’s Cancer.Gov cancernet.nci.nih.gov NCI’s cancer database gives information on clinical trials and research.

Richmond Goodwill Industries (Richmond area) 202-835-3400 Call to receive a free guide on pharmaceutical assistance programs or check website.

(from page 3) and have worse survival than white percent higher rate of breast cancer mortality than white women.

In the past, African-American women were less likely than white women to get regular mammograms.

These lower screening rates may have increased the chances of African-American women being diagnosed with more advanced breast cancers. This may be one possible reason for the difference in survival rates.

African-American women and white women now have the about same rates of mammography use. In 2010, among women 40 and older, 66 percent of African-American women and 67 percent of white women had a mammogram in the past two years.

Access to follow-up care after an abnormal mammogram may also explain part of the survival gap between African-American and white women. Some, but not all, findings have shown that AfricanAmerican women may have more delays in follow-up after an abnormal mammogram than white women.

These delays in follow-up may play a role in the lower survival rates among African-American women.

Even after accounting for differences income, past screening rates and access to care, AfricanAmerican women are diagnosed with more advanced breast cancers

National Breast Cancer Coalition www.stopbreastcancer.org

women. Differences in reproductive factors and breast cancer biology between African-American women and white women also appear to play a role in these disparities.

Many barriers may make it hard for some women to get breast cancer screening. Increasing access, awareness and sensitivity may help remove some of these barriers.

Improving access to mammography and primary care and removing financial and language barriers to screening (especially for poor and uninsured women) are vital to increasing breast cancer screening rates.

Community education (such as health campaigns that address negative beliefs and feelings about mammography) may increase awareness of the value of breast cancer screening and follow-up of abnormal mammograms.

Health care providers working with women from different communities and cultures should be sensitive to their needs. When a provider does not recommend a mammogram, some women do not feel they need one. If you are 40 years or older and your provider does not bring up mammography, ask him/her to talk with you about breast health and screening.

Courtesy Susan B. Komen

National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) Database www.seer.cancer.gov

(from page 12) retraction (turning inward) of the nipple. Bloody or opaque discharge from the nipple may also occur. Less than 1 percent of cases are bilateral (occurring on both sides).

Breast cancer that has spread (metastasized) to the bones may also produce bone pain at the sites of metastases. Advanced breast cancer can also produce symptoms typical of many cancers, including malaise, weakness, and weight loss.

Breast cancer in men can spread to many other organs and cause other symptoms as well.

How is male breast cancer diagnosed?

Diagnosis of breast cancer requires identifying cancer cells in tissue specimens obtained by taking a sample of the growth - also called a “mass” or “tumor” - by the technique of biopsy. Since men have little breast tissue, cancers in male breasts are easily palpable (located by feel) and, therefore, are easily accessible to biopsy.

Fine needle aspiration or needle biopsy of a suspicious mass can usually establish a diagnosis. A needle is inserted into the mass and tissue from the suspicious area is withdrawn. Microscopic examination of the tissue by a pathologist establishes the diagnosis.

Actor Richard Roundtree is a male breast cancer survivor.

Other techniques that may be used to diagnose breast cancer in men include incisional (removing a portion of the suspicious tissue) or excisional (removing the mass in its entirety) biopsy of a breast mass. If nipple discharge is present, microscopic examination of a smear of the discharge can sometimes establish the diagnosis.

Imaging studies such as X-rays, CAT scans (CT scans), magnetic resonance imaging (MRI), ultrasound, and bone scans may be performed to evaluate the presence and extent of metastatic disease once the initial diagnosis of breast cancer has been made.

Courtesy MedicineNet

18 • Oct. 14, 2015

Classifieds

The LEGACY

EMPLOYMENT, ANNOUNCEMENTS, FOR SALE, SERVICES, FOR LET

Richmond & Hampton Roads 105 1/2 E. Clay St. Richmond, VA 23219 AUCTIONS 804-644-1550 (office) • 800-783-8062 (fax) ONLINE ACCELERATED ads@legacynewspaper.com SALE 606.71± ACRES –

156-1009 HAMPTON SOLICITATION The Director of Finance or his designated representative will accept written responses in the Procurement Office 1 Franklin Street, 3rd floor, suite 345 Hampton, VA on behalf of the Entity (ies) listed below until the date(s) and local time(s) specified.

HAMPTON CITY Tuesday, November 3, 2015 2:30 p.m. ET – ITB 16-35/E

Annual need for Fitness Equipment Preventive Maintenance at Parks and Recreation Community Centers.

Wednesday, November 4, 2015 2:00 p.m. ET – ITB 16-12/A Emergency Roof Repair and Restoration (Annual Needs).

Thursday, November 5, 2015 2:30 p.m. ET – ITB 16-13/A Hampton General District Court Generator Replacement A MANDATORY pre-bid meeting will be held Wednesday, 10/21/2015 at 10:00 a.m. local time, at the Hampton General District Court, 236 N. King Street, Hampton, VA 23669.

Thursday, November 5, 2015 2:00 p.m. ET – ITB 16-14/A Hampton General District Court Roof Replacement A MANDATORY prebid meeting will be held Wednesday, 10/21/2015 at 11:00 a.m. local time, at the Hampton General District Court, 236 N. King Street, Hampton, VA 23669.

For additional information, see our web page at http://www.hampton.gov/bids-contracts A withdrawal of bid due to error shall be in accordance with Section 2.24330 of the Code of Virginia. All forms relating to these solicitations may be obtained from the above listed address or for further information call; (757) 727-2200. The right is reserved to reject any and all responses, to make awards in whole or in part, and to waive any informality in submittals.

Minority and Woman-Owned Businesses are encouraged to participate.

Karl Daughtrey, Director of Finance

NOTICE The LEGACY Newspaper has the intention to petition the Circuit Court of the City of Richmond AND of the City of Newport News Circuit Court for authority to publish legal notices pursuit to VA Code 8.01-324.

For details, call 804-644-1550.

Farmland/Hunting/Homesites Offered in (7)Tracts in (3) Locations King William, King & Queen, Caroline Ad Size: 16.20 nches (2 columns X 8.10 inches) Co.,VA BIDS CLOSE: THURS, 10/22 BID CENTER 1 Issue (Oct. 17) - $178.20 AVAILABLE Visit Website for Rate: $11 per column inch Details www.motleys.com • 1-877-MOTLEYS VA16 EHO Includes Internet placement AUCTION Gray Auctions Co. & Associates, Inc., Real Estate Office Assistant! NO Please review the proof, make any needed changes and returnMedical by fax or e-mail.

VA#1104 “Consignment & Estate Brokers &by Auctioneers NEEDED! Training your response deadline,(VA your#321) ad may EXPERIENCE not be inserted.

Auction” ThisIfAuction will have is not received & Job Placement available at CTI! Consignment items from all Sealed Bid AUCTION – 57.67 HS Diploma/GED & Computer over Virginia & the contents Acre Commercial in @ 5 p.m.needed. 1-888-424-9419.

Deadline isTract Fridays of 2+ Estates. Items include: REMINDER: 5 Parcels in Rocky Mount, Antique Dishware & Furniture, EDUCATION / HELP WANTED VA *Prime for commercial Coins, Collectibles, Estate Guns, Join Our Team! Chesterfield development *Located on Rt. 40 Farm Equipment, Housewares, County Public Schools Food and and Marketplace Dr. by Sheetz, Lawnmowers, Tools, Vehicles, & Nutrition Services Bojangles, Taco Bell and Kroger, much more. Sat. Oct. 31, 2015 Employment Opportunities just off Rt. 220. *Gently rolling @ 9:00 A.M Gray Auctions Yard 804-743-3717 x157. We are topography *Public road frontage 14089 Robinson Rd., Stony currently accepting applications *Public water and sewer *High Creek, VA 23882 For pictures and traffic count *Zoning - GB General for: Substitute Food Service info visit: www.graycoservices.

Associates. Apply via the com If you are interested in selling Business for parcels 1 – 4 and A1 CCPS website at http:// for Parcel 5.

Minimum Bid total in the auction call Joe Gray at mychesterfieldschools.com.

- Only $499,000. Bid Deadline804-943-3506.

Complete job description and October 29 - woltz.com - 800application procedures are 551-3588. Woltz & Associates, Estate Auction – Halifax County. available on the website. EOE/ Inc., Real Estate Brokers & 200 Acres land in 1 parcel.

M/F/D Auctioneers (VA #321) Saturday, October 24, 11:30 AM, 3166 Dryburg Road, Scottsburg HELP WANTED REAL ESTATE AUCTION: 24589. Info – Terrell Auction 80497.5+/- Acres Offered In 5 677-3492. VAAF 386 Can You Dig It? Heavy Equipment Tracts - Franklin County, VA. Operator Career! We Offer Outstanding views, Springs, AUCTION: BID ON-SITE & Training and Certifications Mountain Streams, Wooded and ONLINE! CONSTRUCTION Running Bulldozers, Backhoes Open. Only minutes from the Blue and Excavators. Lifetime Job EQUIPMENT &TRUCKS Ridge Parkway and quaint Town 10/20 @ 9AM, Richmond, VA. Placement. VA Benefits Eligible! of Floyd, Virginia. Auction held at Excavators, Dozers, Dumps 1-866-362-6497.

Floyd Eco Village – 718 Franklin &More! Accepting Consignments Pike Road SE, Floyd, VA 24091 Thru 10/16 We Sell/Fund HELP WANTED – SALES on November 5 at 6:00 PM. Assets Fast! www.motleys.

Sold to the highest bidder over com/industrial • 804-232EARN $500 A DAY: Insurance $199,000. 5% Buyer’s Premium.

3300x4 VAAL#16 Agents Needed * Leads, No For info, go to woltz.com or call Cold Calls * Commissions Paid Woltz & Associates, Inc. (VA# Sealed Bid AUCTION - 89.84 Daily * Lifetime Renewals * 321) Real Estate Brokers & acres in West Roanoke County, Complete Training * Health & Auctioneers 800-551-3588.

VA. This prime tract offers Dental Insurance * Life License long range mountain views, ATTENTION AUCTIONEERS: secluded trails and is ideal for Reach 2.3 Million Readers in a close-in Gentleman’s Farm or Virginia! Advertise your upcoming development. The land is about auctions in Virginia Newspapers 30% open with the balance in for one low cost of $300 with a 25 merchantable timber. Public word classified ad. Call this paper water and sewer are available or Adriane Long at 804-521-7585, and access is from two public adrianel@vpa.net (Virginia Press roads. Zoning is R1 Residential.

Services).

Minimum Bid only $279,000. Bid Deadline - October 29 at 3:00 PM. EDUCATION For more information, go to woltz.

MEDICAL BILLING TRAINEES com or call 800-551-3588. Woltz NEEDED! Train to become a

Required. Call 1-888-713-6020.

HELP WANTED – DRIVERS CDL TRAINING FOR LOCAL/ OTR DRIVERS! $40,000-$50,000 1ST Year! 4-wks or 10 Weekends for CDL. Veterans in Demand!

Richmond/Fredericksburg 800243-1600; Lynchburg/Roanoke 800-614-6500; LFCC/Winchester 800-454-1400.

67 Driver Trainees Needed! No CDL? No Problem – We Train. Be Job ready in as little as 20 days!

Earn Great pay/benefits! 1-800874-7131.

NEED CDL DRIVERS??? Reach Over 2.3 Million Readers in Virginia. ADVERTISE YOUR TRUCK DRIVER JOBS in Virginia Newspapers for one low cost of $300 with your 25 word classified ad. Call this paper or Adriane Long at 804-521-7585, adrianel@ vpa.net (Virginia Press Services.)

MISCELLANEOUS AVIATION Grads work with JetBlue, Boeing, NASA and others – start here with hands on training for FAA certification. Financial aid if qualified. Call Aviation Institute of Maintenance 888-245-9553.

SERVICES DIVORCE – Uncontested, $350 + $88 court cost. No court appearance. Estimated completion time twenty-one days.

Telephone inquiries welcome - no obligation. Hilton Oliver, Attorney.

757-490-0126. Se Habla Español.

STEEL BUILDINGS STEEL BUILDINGS Cancelled Orders MUST GO. Make Low monthly payments on 4 remaining. 20x30, 25x30, 30x40, 42x60 SAVE Thousands Call Now! 1-800-991-9251.

Reach over 50,000 Legacy readers a week in RVA & HR! Advertise here. Call 804-644-1550.

Oct. 14, 2015 • 19

www.LEGACYnewspaper.com

SEALED PROPOSALS Serving Richmond

409 E. Main St. #4 (mailing)

The City of Richmond announces the following project(s) available for Richmond services relating to: The City of Richmond is seeking to fill the following positions: Equipment Operator II 30M00000194 Department of Parks, Recreation & Community Facilities Apply by 10/25/2015 Systems Operations Analyst II 35M00000704 Public Utilities Apply by 11/01/15 Warehouse Materials Supervisor Public Utilities 35M00000228 Apply by 10/25/15 ********************************* For an exciting career with the City of Richmond, visit our website for additional information and apply today!

www.richmondgov.com EOE M/F/D/V

GIC corporation Trading as Sea and Sea Fish market 111 E BELT BLVD, RICHMOND, VA 23224 The above establishment is applying to the VIRGINIA DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL for a wine and beer off premises license to sell alcoholic beverages.

Kyung J Kim, President. Note : Objections to the issuance of this license must be submitted to ABC no later than 30 days from the publishing date of the first of two required newspaper legal notices. Objections should be registered at www.abc. virginia.gov or 800-552-3200.

Retrieve knowledge by reading newspapers!

Thank you for picking up your copy of

The Legacy

804-644-1550 (office ads@legacyn

Ad Size: 4.5 inches (1 IFB J160007097 – Department of Public Utilities 7th Floor Renovation – 730 Theatre Row Building Receipt Date: October 28, 2015 at 2:30 p.m. 1 IssueRich Serving (Oct. Opening Date: October 29, 2015 at 2:30 p.m. Rate: $1110 pe

Information or copies of the above solicitations are Includes available Rich by Inter contacting Procurement Services, at the City 804-644-1550 of Richmond website ( (www.RichmondGov.com), or at Please 11th Floor of City Hall, 900 E.ads@le Broad review the proof, make any need Street, Richmond, Virginia 23219.

Phone (804) 646-5716 or faxed If your response is not received by d (804) 646-5989. The City of Richmond encourages all contractors to participate in the procurement process. Ok X___________________ For reference purposes, documents may be examined at theRoads above location.

Serving Richmond & Hampton

with changes X _______ 105 1/2 E. ClayOk St. PROMOTIONS COORDINATOR Alpha Media Richmond Richmond, VA 23219

804-644-1550 (office) • 800-783-8062 (fax) REMINDER: Deadlin Full time position with benefits for our local cluster of radio stations. ads@legacynewspaper.com Responsiblities include organizing logistics of events, coordinating

our part-time staff, contesting and promotions on our stations, as well as other assigned duties. Applicant must have a High School diploma (or GED), posess website and Photoshop skills, have a positive attitude, reliable transportation with a good driving record Ad Size: 2.5 inches (1 and a flexible schedule.

See our website www.989Wolf.com for more details. NO phone calls please.

Send a resume/cover letter to: richmondjobs@alphamediausa.com Alpha Media is an Equal Opportunity Employer. 1 Issue (O 2 issues - Oct

Includes Inter

Advertise here 804-644-1550 409 E. Main St. #4 (mail ads@ Richmon 804-644-1550 (offic legacynewspaper.com ads@legacy

Please review the proof, make any nee If your response is not received by d

Ok X__________________

Ok with changes X ______

REMINDER: Deadlin

SEALED PROPOSALS The City of Richmond announces the following project(s) available for services relating to:

IFB M160007275 – Church Hill Tank Replacement Receipt Date: November 3, 2015 at 2:30 p.m.

Opening Date: November 4, 2015 at 2:30 p.m.

Information or copies of the above solicitations are available by contacting Procurement Services, at the City of Richmond website (www.RichmondGov.com), or at 11th Floor of City Hall, 900 E. Broad Street, Richmond, Virginia 23219. Phone (804) 646-5716 or faxed (804) 646-5989. The City of Richmond encourages all contractors to participate in the procurement process.

For reference purposes, documents may be examined at the above location.

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