Malibu Coast, CA October 2020 by City Lifestyle

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W E LLN E S S P O S T- C H E M O H E AR T M AT T ERS T H E PAL IS AD ES D EN T IS T S TR AV E L T WO HARB O RS , CATAL I NA HOME + DESIGN C EL L AR M AS T ERS

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LIFESTYLE LETTER

OCTOBER 2020 PUBLISHER

Musings

Ben Malkin | Ben.Malkin@LifestylePubs.com Robin Chesler | Robin.Chesler@LifestylePubs.com EDITOR

Tracy Marcynzsyn | Tracy.Marcynzsyn@LifestylePubs.com

WITH SO MUCH ATTENTION FOCUSED ON WHAT SEEMS LIKE THE NEVER-

AD DESIGNER

ENDING COVID-19 VIRUS PANDEMIC, WE CAN EASILY LOSE SIGHT OF OTHER

Miranda Williams

HEALTH SCOURGES THAT HAVE BEEN AROUND MUCH LONGER AND IN MANY

L AYO UT DESIGNER

WAYS ARE JUST AS DEVASTATING. The pandemic has upset our everyday norm to such

Dana Rudolph

an extent that even though it has been present for just six months, we want it to be over with RIGHT NOW. Our modern society and many of the enabled and impatient people resisting the

CONTRIBUTING WRITERS

reality of what it takes to get it under control are like children with a very short attention span…

Kimberly Blaker, Melissa Curtin, Alicia Doyle, Terri Hilliard Olson, Tracy Marcynzsyn

or none at all. In this issue we draw your attention once again to the ongoing battle against

CONTRIBUTING PHOTOGRAPHERS

breast cancer. The lives of so many women have been cut short or compromised that we

Janet Barnett, Melissa Curtin

cannot lose sight of this and other major health care battles still to be won. There is still much work left to be done and researchers and medical professionals need your support. Now, onward to a look at our society and one of its ongoing ills and challenges. Racism. We had a conversation with Dr. Rajesh Khanna, whose Khanna Vision Institute treats patients in offices and surgical centers from Westlake Village to Beverly Hills to Inglewood. Anyone familiar with the demographic spread of these locations will quickly understand that his patient base is diverse. He told us that his African American patients are often very reluctant to come to the surgical center in Beverly Hills. Why? Certainly not because it is a dangerous neighborhood. Quite the opposite, of course. It is highly affluent with a very low crime rate. What makes them reluctant is a fear of confrontation by locals because “they do not belong there.” To hammer this point home even further, this morning I woke up to an article from The Washington Post that reinforces this very

CORPORATE TEAM CHIEF EXECUTIVE OFFICER Steven Schowengerdt CHIEF SALES OFFICER Matthew Perry CHIEF FINANCIAL OFFICER DeLand Shore

disturbing conundrum; the headline read, “‘I wasn’t surprised. I was just hurt’: A Black

ART DIRECTOR Sara Minor

professor says police demanded proof she lives in her own house.” This happened

OPERATIONS DIRECTOR Janeane Thompson

on the campus of Santa Clara University in the heart of the Silicon Valley!

AD MANAGER Chad Jensen

Frankly, we think these examples sell the basic character of Beverly Hills or Santa Clara

REGIONAL SALES DIRECTOR Eric Williams

short, but at the same time, it is understandable because of recent confrontational

WEB APPLICATIONS Michael O’Connell

behavior in affluent communities throughout our country. Pretty sad when you think about it. Particularly when we witness politicians’ continued rhetoric and behavior that stokes the fire. Unfortunately, they are not necessarily the only ones at fault. Lawless behavior and vandalism during otherwise peaceful demonstrations discredit an otherwise worthy cause and play into the hands of the haters.

514 W 26TH ST., KANSAS CITY, MO

Ben Malkin, Publisher

Robin Chesler, Publisher

Ben.Malkin@LifestylePubs.com

Robin.Chesler@LifestylePubs.com

Proverbs 3:5-6 Malibu Coast Lifestyle™ is published monthly by Lifestyle Publications LLC. It is distributed via

CityLifestyle.com/MalibuCoast

the US Postal Service to some of the Malibu Coast areas’ most affluent neighborhoods. Articles and advertisements do not necessarily reflect Lifestyle Publications’ opinions. No portion of this magazine may be reproduced in any form without written consent. Lifestyle Publications does not assume responsibility for statements made by advertisers or editorial contributors. Information in Malibu Coast Lifestyle™ is gathered from sources considered to be reliable, but

Malibu Coast Lifestyle | October 2020

the accuracy of all information cannot be guaranteed.

INSIDE THE ISSUE OCTOBER 2020

FEATURES 08 For the Love of Wine Cellar Masters Creates

Custom Showcases

14 Catalina Getaway Exploring Two Harbors

18 Breast Cancer Update Facts Every Women Should Know

08 14

24 Heart Matters Protecting Your Heart Post-Cancer

24 DEPARTMENTS 4

Lifestyle Letter

Renovate & Refine

Travel Destination

30 Locally Owned 32 Lifestyle Calendar 34 Financial Buzz

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Cellar Masters

Crafts Custom Showcases for Wine

ARTICLE ALICIA DOYLE PHOTOGRAPHY JANETT BARNETT LIFESTYLES PHOTOGRAPHY

FOR THE PAST THREE DECADES, CELLAR MASTERS

He further explains that a general contractor may

IN NEWBURY PARK HAS SPECIALIZED IN BUILDING

build a space, HVAC could install a cooling system, and

CUSTOM WINE CELLARS THAT SPECIFICALLY FIT

either a cabinet maker could build racking, or “kit” racks

CLIENTS’ UNIQUE SPACES.

could be installed.

“We understand and appreciate our clients’ passion

“We have found these efforts lacking,” Berry says. For

for wine because we have the same passion,” says owner

instance, rooms were not insulated properly, cooling

Scott Berry, who grew up around wine on his aunt and

systems would not drop down to proper temperatures,

uncle’s vineyard in Mendocino County. “Wine is social—it

humidity would be too low or too high, bottles would not

is best when shared with others. A wine cellar or wine

always fit in the racking, or the racking looked disjointed

wall provides a showcase for folks to share their wine.”

as they tried to make kit racks fit the space.

Cellar Masters is a fully licensed and bonded contractor

“We can provide a turnkey solution that is designed

that specializes in the design, construction and installa-

for you providing for a beautiful feature to any home,”

tion of climate-controlled custom wine cellars and wine

Berry says.

storage solutions. Serving Ventura, Los Angeles, Santa Barbara, Orange and Riverside Counties since 1990, Cellar Masters has more than 2,500 custom wine cellars installed throughout California and greater North America. The principals at Cellar Masters are actively involved

He notes that a wine cellar does not need to be in the basement—rather, a wine space can be built anywhere. “While we design and build cellars within full basements or rooms, we also build them within closets, under stairs, or under-utilized wall space,” Berry says.

as vineyard owners, winemakers and avid wine collectors.

The point is that each space is unique to the individual.

“We know the proper handling, storage and organiza-

For instance, “some cellars can contain more the

tion of wine,” Berry says. “This expertise is an unrivaled

10,000 bottles, others 100,” Berry says. “It really depends

asset in the design and construction of your cellar.”

on what the client wants. We can help define that vision.

Popular offerings include traditional wine cellars made from the finest quality woods and cut to precision as well

Designs can be traditional or contemporary in style with wood, metal and acrylic materials.”

as sleek and elegant contemporary wine cellars designed

Cellar Masters has been in business for more than 30

with frameless glass, acrylic and stainless steel. Cellar

years, and Berry bought the business six years ago as the

Masters also creates wine walls based on the latest mod-

founder, Ben Benoit, retired to his vineyard in the Valle de

ern trends for storing and displaying wine.

Guadalupe in Mexico.

When it comes to building wine cellars, Cellar Masters

“Ben… has a passion for wine,” says Berry, noting that

is unique because “we do it all ourselves—we do not sub-

Benoit started a construction company in 1989 and dis-

contract the work,” Berry emphasizes.

covered that no one was really building wine cellars. CONTINUED >

Malibu Coast Lifestyle | October 2020

CityLifestyle.com/MalibuCoast

RENOVATE & REFINE (CONTINUED)

“He grew the company, becoming one of the largest cellar builders

as they share the passion. I just have to guide them through the

in the United States,” Berry says. “Following a career in IT, I looked

process and help design a space they’ll be excited to share with

for something to do that helped feed my passion. I had been a client

friends and family.”

of Cellar Masters and knew of Ben’s passion for his vineyard so I approached him about buying the business.”

As far as operating during Covid, “we practice social distancing and wearing of masks; we have continued to operate during the

When Berry and Benoit first met to discuss the sale of Cellar

last few months since construction was deemed essential,” Berry

Masters, Berry’s first question was about the employees: “Would

explains. “We respect that some are not comfortable with people

they stay on?”

coming into their homes so some jobs have been put on hold, but

“As Ben considered the staff family, he knew right then he would sell the business to me,” Berry says. “Most of the original craftsmen are still here.” Looking back on his current vocation, Berry contemplates a quote by Chinese philosopher Confucius: “Choose a job you love

others, like new home construction, have continued with the new safety protocols in place.” Ultimately, “Cellar Masters wants to continue to feed those that share the wine passion by providing elegant custom wine cellars,” he adds.

and you will never work a day in your life.” “He was right! I love what I do,” Berry says. “While I do most of the face-to-face consultations, I never feel like a salesman

Cellar Masters is located at 2088-A Anchor Court in Newbury Park. For

because people have already decided they want a wine cellar,

more information, email info@cellarmastersinc.com; or call 805.375.5040.

Malibu Coast Lifestyle | October 2020

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M. Asif Asif Taqi, M. Taqi, MD, MD.FAHA FAHA Dr. M. M. Asif Asif Taqi Taqi is is an an interventional interventional Dr. and stroke neurologist who is is an and stroke neurologist who an expert for treatment of brain expert for treatment of brain aneurysms and blockages in brain aneurysms and blockages and neck blood vessels. in brain and neck blood vessels He did his initial research fellowship He did hisUniversity initial research fellowship at Brown in Rhode Island at Brown University in Rhodehis Island and and went on to complete went on to residency complete his Neurology Neurology training at the University training of Tennessee. He further of residency at the University completed aHe clinical Tennessee. furtherfellowship completed a in Neurocritical Vascular Care, clinical fellowshipCare, in Neurocritical Neurology, and Endovascular Vascular Neurology, and Endovascular Surgical Neuroradiology at Medical Surgical Neuroradiology at Medical College of Wisconsin in 2012. College of Wisconsin in 2012 Dr. Taqi runs stroke programs at Dr. runsRegional stroke programs at Los LosTaqi Robles Medical Center Robles Regional Medical Center and and West Hills Hospital and Medical West Hills Hospital and Medical Center. He is a senior Center. He is a senior member of member of the Society of NeuroInterventional Surgery (SNIS), the Society of NeuroInterventional Surgery (SNIS), a fellow of athe fellow of the American Heart Association (FAHA) and American Heart Association (FAHA) and a member aof the member ofVascular the Society Vascular and Intervention Society of andofIntervention Neurology (SVIN). Neurology (SVIN). In 2019 Dr. Taqi treated the first brain aneurysm patient in In Taqi the first brainComaneci aneurysmembolization patient in the2019 USADr. with thetreated minimally invasive the USA with the minimally invasive Comaneci embolization assist device. assist device.

The cutting-edge neurovascular The cutting-edge neurovascular treatment is the only device cleared treatment is in thea only cleared by the FDA new device category of by the FDA in a new category of temporary coil embolization assist temporary devices forcoil theembolization treatment ofassist brain devices for the treatment of brain aneurysms. For over a decade, aneurysms. over a decade, Dr. Taqi hasFor participated in national Dr. has participated in national andTaqi international trials and been a and international trialsforand beennew a primary investigator several primary investigator for several new technologies pertaining to stroke and technologies pertaining to published stroke and brain aneurysms. He has brain aneurysms. He has published over 50 articles, abstracts and book over 50 articles, abstracts and book chapters on vascular diseases of chapters the brain.on vascular diseases of the brain. Dr. Taqi enjoys his personal life Dr. enjoys hislife personal andTaqi professional equally.life He and professional life equally. He is dedicated to providing excellent is dedicated to providing excellent andcomprehensive comprehensivecare careto tohis his and patients in this region. patients in this region. Triple board certified in Neurology, Vascular neurology Triple board certified in Neurology, Vascular neurology Critical care neurology andand Critical care neurology Recipient of the Outstanding Scholar Award for his Recipient of the Outstanding Scholar Award for his achievements in clinical research achievements in clinical research Recipient of 40 40 award for Conejo Valley for his Recipient of under 40 under 40 award for Conejo Valley for contribution to stroke care his contribution to stroke care

Procedures Performed

•Brain Aneurysm Embolization •Stroke Thrombectomy •AVM Embolization •Tumor Embolization •Internal Carotid Stent and Angioplasty •Brachiocephalic and Subclavian

•Vertebral Artery Stent and Angioplasty •Intracranial Stent and Angioplasty •WADA Testing •Kyphoplasty •Embolization for Epistaxis

Artery Stent and Angioplasty

Conditions Treated

•Blockages in the brain and neck vessels (Carotid

stenosis/vertebral stenosis and Intracranial stenosis)

•Stroke •Brain Aneurysm •Brain Atrio Venous Malformations (AVM) •Compression fracture of a vertebral body •Headache

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TRAVEL DESTINATION

A Wo r l d A w a y, C l o s e to Home: TWO HARBORS, CATALINA ISLAND

ARTICLE AND PHOTOGRAPHY MELISSA CURTIN

Malibu Coast Lifestyle | October 2020

MERE MINUTES AFTER BOARDING THE CATALINA EXPRESS FROM SAN PEDRO, A WHALE BREACHED TO REMIND US OF LIFE BELOW THE SURFACE. Not even whale season, the majestic creature gave us a show with five more sprays through its blowhole. Enlivened is an understatement, as the pandemic has taught me to appreciate nature even more and the ability to move safely during a pandemic seems like the new luxury. After an hour riding along with the glistening spray in the outdoor back corner of the boat with our masks on, it seemed we had arrived in a new land or even a new country—Catalina Island to be exact, but not the major harbor of Avalon that feels like entering a small town on the Amalfi coast. Our Catalina Express boat slid into the quieter Two Harbors, dotted with sailboats and aquamarine water so clear it seemed pointless to even snorkel. Visibility can be almost 40 feet. Off to the left of the harbor, cabins and camping dot the rugged hillside while kayakers and stand-up paddle boarders glide around the coastline. Teens proudly show off their catch on the docks while visitors relax under shaded cabanas and aqua umbrellas in the sand. Palm trees sway in the breeze, invoking South Pacific vibes. Arriving in Two Harbors feels like a real summer day. Greeted by the hotel’s shuttle upon arrival, we are whisked up the hillside to the 100+ year old Banning House Lodge that overlooks the isthmus and the two harbors. It quickly becomes apparent that there may not be anywhere else as wonderful to stay on the west coast during a pandemic than this 12-room Craftsman-style lodge. My ears are delighted with the property’s silence and birdsong. Just 22 miles away from the mainland, the fresh air and constant breeze is beyond welcome. Surrounded by nature on all sides, Banning House Lodge is the only hotel in Two Harbors. Built in 1910 by the Banning brothers, the Lodge has served many purposes—as the U.S. Coast Guard officers’ quarters during WWII, as a private girls camp in the late 1950s, a hunting lodge, and as employee housing. Each morning our pre-ordered breakfast is delivered to our room at a specified time due to the pandemic and, surprisingly, we have the entire terrace overlooking one of the harbors all to ourselves. Dining with my husband here feels like we own the place and have been transported to a cacti-laden New England home of my childhood memories. The hotel’s charm becomes clear. Banning House Lodge is not trying to be something it’s not. No major upgrades for vanity or Instagram, the hotel is unapologetically original. Inside the main lodge with sweeping views, a fireplace, and local taxidermy (even the island’s buffalo), I imagine this area was most likely a social gathering place for guests prior to a virus invasion. Like an old hunting lodge, flashbacks of the hotel El Tovar at the Grand Canyon come to mind. After checking in, we immediately stroll the dirt path down to the other sparkling turquoise harbor where white sailboats deeply contrast Mediterranean-like water. Coastal sage scrub, manzanita and eucalyptus trees abound. Cacti with desert flowers of yellow and pink align our path, even cacti ears that look like Mickey Mouse. The sunlight casts shadows across the mountains and at the rocky beach, the steep terrain crumbles toward the ocean. Birds swoon in every direction and I feel free.

CONTINUED >

CityLifestyle.com/MalibuCoast

TRAVEL DESTINATION (CONTINUED)

Due to the times, a bottle of wine is delivered with a cheese plate in the evening at Banning House Lodge, leaving the days of communal wine and cheese happy hour camaraderie in the distant past. It feels like the ultimate pleasure to watch the sunset on the terrace at the end of a satisfying day. Just us and the birds, and the occasional walker who hikes up to see the delicious views. One evening my brain is so soothed by the location I fell asleep reading a book in a chair, something that has never once happened to me in L.A. At dusk, the island’s largest endemic mammal makes an appearance, to our delight. Four petite foxes with little black noses prance around the terrace. Almost cat-like, the cute foxes appear tame. To my surprise I find one prancing in broad daylight while walking near the beach, just as curious of me as I of it.

The adventures on Catalina are not only at sea, but on land. Filled

The second day on my path to the main harbor I pass a red one-room

with hikes in and around the harbors, we chose to hike 2 miles

schoolhouse (that educates nine children of all ages) while the hum-

straight up from Banning House Lodge to the top of the island to Cat

mingbirds and butterflies buzz around me. At the Dive and Recreation

Harbor overlook, 950 feet above Two Harbors. Dazzled the entire

Center, a kayak awaits as I am eager to explore the world’s healthiest

way up and down a dirt road with astonishing aerial views, we were

and most diverse ecosystems. The calm water with a sandy bottom

rewarded at the summit with a 360-view wraparound vista of the

makes it easy to hop in and maneuver to the coast. As I flow in and out

island like a visionary high dive.

of the coves with names like Fourth of July Cove and Cherry Cove, kelp forests shimmer and bright orange Garibaldi swim below me.

Back at the hotel, guests share stories of catching barracuda, skate, yellowtail, halibut and white sea bass. Boat rentals and

People spearfishing on paddle boards stroke past me like they are

fishing charters are popular since many coves and reefs offer an

on a mission. Snorkelers and scuba divers hop off small inflatable

incredible array of habitats. Schools of mackerel, sardines and

boats as grandiose yachts and sailboats bob in the harbor nearby.

smelt are abundant around the island and attract larger sport fish.

With over 40 dive sites and over 800 species in the water, the region

After sunset, we linger to appreciate the night sky filled with flick-

caters to all levels of divers. And with COVID, it appears the best

ering stars and free from light pollution.

place to be right now is on a boat or a quiet island.

Our last day we save for rest and beachfront lounge chairs at the

The aquamarine water tempts me to jump in as I cruise around

Harbor Reef Restaurant where visitors must try the island’s signature

cascading red rock cliff coves, a private beach, a teeny lighthouse,

drink—Buffalo Milk—an elevated interpretation of a White Russian.

and a heron in its cliffside nest. Pale blue spots that might be sea

Staying relaxed is easy in your cabana or lounger with fresh fish, clam

anemones glisten in the translucent water. The setting conjures up

chowder and Mexican-style shrimp cocktail delivered right to you.

a recent pre-pandemic trip to Isla Espiritu Santo off the coast of La

Our time and especially the stillness in Two Harbors I will hold

Paz, Mexico. As I brave the seas to paddle around Lion’s Head to

dear, as the best part of the whole summer. It felt safe, peaceful and

view crashing waves inside caves, I quickly realize it’s probably best

inspiring. Consider Two Harbors in Catalina Island, where social dis-

to turn around from this rocky point since I’m solo.

tancing comes naturally, for your next getaway.

Malibu Coast Lifestyle | October 2020

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Malibu Coast Lifestyle | October 2020

Breast Cancer 101: RISKS, SYMPTOMS & NEW REVELATIONS ON EARLY DETECTION

TWELVE PERCENT OF WOMEN TODAY WILL DEVELOP

breast cancer related to weight is complex. Those who were

INVASIVE BREAST CANCER, AND MORE THAN 40,000

overweight as a child may not be affected. The distribution of

WILL DIE FROM IT THIS YEAR ALONE, REPORTS

excess body fat may also play a role. Waist area fat, in particular,

BREASTCANCER.ORG. That’s why a refresher course on early

might be more significant in increasing risk than fat in other

detection and staying up-to-date on the latest studies is essential

parts of the body such as hips and thighs.

and the reason for October’s Breast Cancer Awareness Month.

Exercise, however, has been shown to decrease risk, according to a study by the Women’s Health Initiative. It found just 1.25

RISK FACTORS

to 2.5 hours of brisk walking each week can reduce risk by 18%.

There are several risk factors for breast cancer, as identified

Several factors that previously have been claimed to increase

by the American Cancer Society. Some of these are unchange-

risk factors are now disproven or deemed highly improbable,

able but should be considered when developing a screening

according to ACS and Memorial Sloan Kettering. These include

plan. Other risk factors are lifestyle-related. Therefore women,

antiperspirants, bras, abortion or miscarriage, dense breasts,

especially those already at higher risk, should consider those

fibrocystic disease, and breast implants.

factors she can control.

Factors that remain unclear because studies have produced

Still, the simple presence of risk factors doesn’t mean you’ll

conflicting results include diet and vitamins, environmental

go on to develop breast cancer. Likewise, a lack of risk factors

chemicals, tobacco smoke, and night work. These factors require

doesn’t mean you won’t develop the disease. For this reason, all

further research to determine if there’s any relationship.

women should be aware of the risks and symptoms and what screening does and doesn’t do.

SYMPTOMS

Some factors that are unchangeable and increase risk are female

There are several signs to watch for that might be indicative

gender, aging, genetics, and race and ethnicity (white women are

of breast cancer. Though most of these symptoms could be

at slightly higher risk), according to the ACS. A greater number

caused by something else such as caffeine, menstrual periods,

of menstrual cycles, previous chest radiation and exposure to the

infection or other illness or factors, if you notice any of these

drug diethylstilbestrol also puts women at a slightly higher risk.

symptoms, see your health care provider to rule out breast can-

Other risk factors can often be controlled. Pregnancy and childbirth are some of these factors. According to the National

cer. Symptoms to watch for, say ACS and other breast cancer organizations, include:

Cancer Institute (NCI), having more than one child provides increased protection with each successive birth. Women who breastfeed also reduce their risk of breast cancer, the NCI explains. The longer the total length of time spent breastfeeding during the child-rearing years, the greater the protection.

+ A new lump or breast change that feels different from the rest of your breast + A new lump or breast change that feels different from your other breast

Oral contraceptives, according to the ACS, slightly increase

+ You feel something different that you haven’t felt previously

risk. Though once a woman is off contraceptives for 10 years, that

+ Nipple discharge that occurs without squeezing the nipple

risk is no longer present.

+ Nipple discharge that occurs in only one breast

Hormone therapy for menopausal women can also increase risk. The ACS says estrogen alone is not a concern. For certain women, it can even slightly reduce the risk. But estrogen combined with progestin can increase risk. Another risk factor is alcohol. Having one daily drink increases

+ Bloody or clear discharge, rather than milky + Thickening, a lump or hard knot inside the breast or in the underarm area + Breast swelling, warmth or redness + Change in breast shape or size

the risk only slightly, while the greater the consumption, the

+ Breast skin dimpling or puckering

higher the risk. More than five drinks daily increases the risk for

+ A sore or rash on the nipple, particularly scaly or itchy

other cancers as well.

+ Your nipple or other parts of your breast pulling inward

After menopause, being overweight or obese increases risk, says the ACS. But as the organization explains, the risk of

+ Sudden nipple discharge + Pain in one spot that doesn’t go away.

CONTINUED >

CityLifestyle.com/MalibuCoast

BREAST CANCER 101 (CONTINUED)

“ T h e r e c a n b e l i f e a f t e r b r e a s t c a n c e r. T h e p r e r e q u i s i t e i s e a r l y d e t e c t i o n .” — Ann Jillian

Malibu Coast Lifestyle | October 2020

EARLY DETECTION AND SCREENINGS Screenings are an essential means for detecting breast cancer, hopefully in its early stages.

Still, what is known is among women in the United States, breast cancer is the second leading cause of cancer deaths. Various studies indeed reveal mammography screening seems

Until recently, women were encouraged to do a monthly

to have very limited usefulness among women under 40. Still, it’s

self-examination. But a major study reported in The Journal of

moderately effective for detection in women ages 40 to 49 and is

the National Cancer Institute in 2002 concluded self-examination

most useful for those in the 50 to 69 age group.

has played no role in improving cancer detection. It also found

The results of recent studies have, therefore, revealed several

the extensive teaching of self-examination leads to an increased

needs. First, more research is needed to better answer ques-

rate of benign breast biopsies.

tions about the approach to both detection and treatment.

Clinical breast exams, however, are still recommended. For women with average risk factors, these should be done every

Additionally, better screening techniques should be developed for detecting the more deadly forms of breast cancer.

one to three years starting at age 20. Then at age 40, clinical

Currently, there’s much debate among medical and cancer

exams should be done annually. Women with higher risk factors

organizations regarding the recommended frequency of mam-

should have exams more often and consult with their doctor for

mography, particularly among women ages 40 and up. These

the recommended frequency.

various organizations point to several studies coming to different

Mammography, believed to be one of the most crucial tools

conclusions about mammography’s safety and effectiveness.

in early detection for decades, first started in the 1960s. Early

The latest cancer-screening guideline by the ACS (2015)

trials found mammography reduced breast cancer death rates

recommends women with average risk should begin regular

by 25%. But Peggy Orenstein points out in her 2013 New York

mammography screenings at age 45. Then they should be

Times article, “The Feel-Good War on Breast Cancer,” such sta-

annually screened until they reach 54. After that, they should

tistics have overstated mammography’s role in the reduction of

transition to every two years, as long as they’re in good health

breast cancer death rates. This is because the increased use of

with a life expectancy of at least 10 years.

mammograms occurred along with much-improved treatments.

The American College of Physicians has done a rigorous

Medical experts now believe treatments likely played a more sig-

analysis of numerous studies and the guidelines of several

nificant role in reducing deaths.

organizations. The ACP says the methodology used by several

For this reason, mammograms have come under fire in recent

organizations in determining guidelines isn’t sound. The orga-

years as more studies have revealed the debatable usefulness

nizations that scored highest for the use of sound methods

of this screening technique, at least for younger women. That’s

include the ACS, World Health Organization, The Canadian

because breast cancer and detection are more complex than

Task Force on Preventive Health Care, and the U.S. Preventive

once understood to be.

Services Task Force.

It’s now known there are at least four types and subtypes of

Based on the ACP’s findings, it recommends, “In aver-

breast cancer. Mammography often doesn’t detect the more

age-risk women aged 40 to 49 years, clinicians should dis-

lethal types until they’re in the later stages. Add to this, mammo-

cuss whether to screen for breast cancer with mammography

grams result in significant overdiagnosis, leading to unnecessary

before age 50 years.” Physicians should discuss with women

treatment. This comes with its own risks.

the potential harms and benefits. The potential harms, argues

Doctor Deanna Attai, president of the American Society of Breast Surgeons, explains, “Ductal carcinoma in-situ [DCIS]

the ACP, outweigh the benefits for most women in the 40- to 49-year age range.

is also referred to as noninvasive, or Stage 0 breast cancer. It

Finally, there’s no one-size-fits-all plan that works best. So,

is primarily diagnosed by screening mammograms, as it often

mammography screening for breast cancer should be based

does not form a palpable lump. DCIS accounts for approxi-

on informed decisions and individualized plans. It should take

mately 20% of mammographically detected breast cancers.

into account a woman’s age, risk factors and both the advan-

As screening mammography has become more prevalent, the

tages and disadvantages of mammography for each woman’s

rate of DCIS detection has increased.”

unique circumstances.

Some medical experts say DCIS is really not a form of cancer at all. Referring to it as such results in overly aggressive treatment. The likelihood of low-grade DCIS developing into invasive breast cancer is only 16%, says Dr. Attai. While high-grade DCIS has a 60% chance over 10 years, the problem is there’s currently

Kimberly Blaker is a freelance lifestyle writer. She’s also founder

no way to determine which cases of DCIS will ultimately develop

and director of KB Creative Digital Services, an internet marketing

into breast cancer. This creates a significant dilemma.

agency, at kbcreativedigital.com.

CityLifestyle.com/MalibuCoast

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Hear t Matters Po s t - C a n c e r Tr e a t m e n t

SOME CANCER TREATMENTS POSE RISKS TO THE HEART, FORCING MANY PATIENTS INTO A FEARFUL STATE OF PERPLEXITY OVER WHAT TO DO IN THIS DIFFICULT SITUATION. “Often, all the information with a new diagnosis of cancer seems overwhelming, but we are here to help and guide you through your journey,” says Dr. Megha Agarwal, a non-invasive cardiologist with UCLA Health in Ventura and Thousand Oaks with a sub-specialty in women’s heart disease and cardio-oncology. “Even in survivorship where you want to put cancer in your rearview mirror, the road ahead may have steep turns and bumps,” Dr. Agarwal says, “but navigating them not knowing they are there is way worse than being prepared.” 24

Malibu Coast Lifestyle | October 2020

ARTICLE ALICIA DOYLE

After her internal medicine training at Cedars-Sinai Medical Center, Dr. Agarwal did a year of research on

cancer that receives radiation can also deliver radiation to the heart, lungs or intestines.

women and heart disease under Dr. Noel Bairey Merz at

“Newer protocols minimize this, however, patients

the Barbra Streisand Women’s Heart Center at Cedars-

who received radiation therapy 20- to 30-plus years

Sinai Medical Center.

ago were treated with wide fields of radiation at higher

“That was where I started to see gender disparities in

doses,” Dr. Agarwal explains. “This can accelerate

cardiology,” remembers Dr. Agarwal, who then began a

plaque formation in coronary arteries and most com-

cardiology fellowship at UC Irvine, where she learned

monly seen, valve disorders of the heart.”

cardiovascular medicine.

While there can be cardiovascular complications

“It was there where I identified a particular group of

from therapy, “this should not be a reason to not

women cardiac patients that sparked my interest—breast

undergo the cancer therapy,” emphasizes Dr. Agarwal,

cancer survivors,” she recalls. “I was seeing early onset

noting that as a cardio-oncologist, her job is to work

heart disease and consequences from breast cancer

very closely with your oncologist to carry you through

therapy. This led me to pursue cardio-oncology electives

your cancer treatment, even when there is a compli-

at the University of Pennsylvania Cardio-Oncology pro-

cation. “Our goal is to never stop your therapies, but

gram, under Dr. Joe Carver.”

merely to find a way to manage heart consequences

Oncologists have done such a great job curing cancer that

so that you can continue to fight your cancer.”

many of their patients endure years or decades as survivors.

How can a person pursue heart fitness after undergo-

“It is during these survivorship years that heart disease

ing chemo and radiation? Tests for cholesterol, diabetes,

from these prior therapies can often develop,” says Dr.

blood pressure and ECGs should be done at least once

Agarwal, adding that usually these therapies are not

a year, she advises.

always alone in triggering heart disease.

“Echocardiograms are needed, sometimes at the fre-

“Often during cancer therapy, patients become less

quency of every three months during certain cancer ther-

active and change their eating styles leading to weight

apies,” Dr. Agarwal recommends. “Stress testing should

gain and poor diet choices,” she continued. “In fact, it is

be done 10 years after radiation therapy and other imag-

a misconception that cancer makes you lose weight, and

ing tests are indicated for certain cancers and therapies.”

many patients gain weight during the course of therapy.

Additionally, exercise and good nutrition are key

These lifestyle changes lead to the development of high

aspects to good heart health. More specifically, 150

blood pressure, diabetes and high cholesterol that when

minutes per week of moderate exercise, or 75 minutes

paired with their prior therapies, can really accelerate the

of vigorous exercise, are recommended by the American

onset of heart disease.”

Heart Association. A heart healthy diet, which resembles

Some of the most potent, cancer-killing chemotherapies can make the heart muscle weak, causing cardiomyopathy, a disease of the heart muscle that makes it harder for your heart to pump blood to the rest of your body. “That can sometimes occur during therapy or many years after,” Dr. Agarwal notes.

a Mediterranean diet, is also recommended. “Sometimes, it’s a good idea to pursue heart fitness even before you start cancer therapies,” Dr. Agarwal affirms. Similar to patients seeing their physician prior to surgery to get cleared, “oncologists I work closely with will send higher risk patients—above age 60 to 65, diabetes, high blood pressure, high cholesterol, heart

Newer cancer therapeutic drugs, such as small mol-

arrhythmias, heart valve conditions, other pre-existing

ecules and antibodies, have changed how oncologists

cardiac disease: stents/open heart surgery/pacemak-

treat cancer, “but can lead to issues such as high blood

ers—to me prior to starting cancer therapy so that I

pressure, blood clots, heart attacks, heart arrhythmias

can discuss with them signs and symptoms to monitor

and strokes,” she says.

for, get baseline assessments of their heart, and start

Radiation therapy often affects not only the tissue with the cancer but surrounding tissue, so a lung or breast

them on preventative medicines so that heart issues are less likely to arise.”

CONTINUED >

CityLifestyle.com/MalibuCoast

HEART MATTERS POST-CANCER (CONTINUED)

Dr. Megha Agarwal

When it comes to heart fitness after people undergo chemo or radiation, it’s also important to avoid leaving their risk factors untreated. For instance, blood pressure should be adequately controlled with medications—the same for cholesterol and diabetes. “Additionally, they should avoid long gaps in their care and always be in touch with a physician at least once a year,” Dr. Agarwal suggests. “It’s hard sometimes in our busy lives to take time out for ourselves and our health, but oftentimes we see patients present with years of uncontrolled risk factors with heart disease that could have been prevented.” As far as the time it takes to establish heart fitness after undergoing chemo and radiation is concerned, this depends on the therapy, “but some cancer drugs can cause issues during the course of therapy while others may cause issues five, 10 or even 30 years later,” she says. One of the reasons Dr. Agarwal went into cardiology is because as a cardiologist, “you have so many tools in your tool belt,” she adds. “From prevention, medications, to stents and non-surgical valves, pacemakers, surgery, stem cells, and even heart transplant; there are many ways to treat heart disease,” Dr. Agarwal says. “Even if there is a complication with the heart with your cancer therapy we have so many strategies to fix it. It’s only hopeless if you don’t ask and know your options.”

For more information or to make an appointment, visit https://www.uclahealth.org/thousand-oaks/ or call 805.418.3500.

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Covid Rx: Stay Calm & Keep Seeing Your Dentist WHILE SOME MAY OPT TO PAUSE REGULAR

to minimize and eliminate microbial transmission and

HEALTH CARE VISITS DUE TO CONCERNS

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RELATED TO COVID, IT’S IMPORTANT TO NOTE

and Prevention and Occupational Safety and Health

THAT KEEPING CURRENT WITH HEALTH AND

Administration outlines Standard Precautions and

DENTAL APPOINTMENTS IS ESSENTIAL TO OPTI-

Universal Precautions that every office adheres to.

MAL HEALTH. When it comes to dental health, many oral and dental diseases can progress without symp-

Q. HAS THE PALISADES DENTISTS AND

toms, so regular monitoring may detect problems in

PALISADES SURGICAL ARTS TAKEN ADDITIONAL

their early stages or allow a patient to avoid them

SAFETY MEASURES DURING THIS TIME?

altogether with preventive measures.

A. In addition to the normal strict standards of any

At The Palisades Dentists and Palisades Surgical

surgery facility, our office has implemented screening

Arts, precautions are in place to ensure patient

of every patient and staff member. We are minimizing

health and safety.

the procedures performed each day and the number

“Dental offices all over the world have been some

of patients in the office. Our clinical and non-clinical

of the most sterile places you may have encountered,

staff wear additional Personal Protective Equipment,

and in the midst of the pandemic, have implemented

and the office regularly uses UVC and ozone sanita-

even stricter protocols to minimize person-to-person

tion technology to eliminate any airborne pathogens,

contact and pathogen transmission,” says Cerisa

including SARS-COV-2.

Moncayo, of The Palisades Dentists. “Unlike with medical offices and hospitals, patients typically don’t

Q. WHAT ROLE DOES DENTAL HEALTH

see their dentist because they’re sick. To date, there

HAVE ON OVERALL HEALTH?

has not been one reported case of contracted COVID19 traced to a dental office.” Here, she provides additional insight about dental care during the time of Covid.

A. Oral health is very much linked to overall health and well-being. Medical conditions may affect oral health and vice versa. There are countless diseases of the oral environment that may impact other systems. Also, systemic diseases often show up in the mouth—

Q. HOW OFTEN SHOULD PEOPLE SEE THEIR

hormonal imbalances, nutrient deficiencies, vascular

DENTIST TO MAINTAIN GOOD DENTAL HEALTH?

and endocrine diseases, cancer and the list goes on.

A. On average, three times a year. For some, twice

Dental health and overall health are inextricably

annually is sufficient, but for others four or more may be

linked, and this physiological relationship even delves

necessary to maintain their oral health.

into the psychological realm of emotion and self-confidence when considering the functionality of a smile

Q. ARE THERE INCREASED RISKS OF SEEING

and the acts of chewing and speaking.

A DENTIST DURING THE COVID PANDEMIC? A. Not necessarily. During this unprecedented

Q. AS A DENTIST WORKING CLOSELY WITH

time, any activity outside of the home may seem

PEOPLE, ARE YOU PERSONALLY CONCERNED

like it could come with increased risk. However, the

ABOUT ANY HEALTH RISKS DURING THIS TIME?

dental office is one of the more sterile environments

A. Not any more than before the pandemic.

you can find yourself in. Even pre-pandemic, dental

Realistically, dentistry has always been a higher risk

offices would follow strict infection control protocols

profession in terms of possible transmission of germs.

Malibu Coast Lifestyle | October 2020

However, our office takes pride in adhering to the CDC/OSHA and the CA Dept of Public Health guidelines to keep us and our patients safe. We feel much safer working on patients in our PPE than going to the grocery store where many more surfaces are touched by people who don’t have training in infection control and cross-contamination principles. Q. WHAT ADVICE CAN YOU OFFER PEOPLE WHO MAY BE FEARFUL ABOUT SEEING A DENTIST DURING THE COVID PANDEMIC? A. Every dental office was closed for elective care for at least a couple months during the “flattening the curve” attempt and was not allowed to re-open unless certain protocols were in place. At the end of the day, each individual just has to carry on and make decisions that they’re comfortable with.”

The Palisades Dentists and Palisades Surgical Arts is located at 881 Alma Real Drive, Suite T-2, in Pacific Palisades. Schedule an appointment today at 310.459.2303 or learn more at ThePaliDentists.com. CityLifestyle.com/MalibuCoast

OCTOBER

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10 31 DAYS OF PINK SCAVENGER HUNT Ventura Harbor Village

Join the American Cancer Society for a month of fun with lots of great prizes and a socially distanced

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Malibu Coast Lifestyle | October 2020

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FINANCIAL BUZZ

estate planning

FOR UNCERTAIN TIMES ARTICLE TERRI HILLIARD OLSON, ESQ.

A CRISIS, WHETHER GLOBAL OR PERSONAL, CAN SURPRISE US ALL. If you are not prepared, your family will have the heavy burden of handling your estate or financial affairs in the case of serious illness or death. Many people believe they don’t have enough in assets to warrant the need for an estate plan, but if you have a car, bank account, house, life insurance policy and/or retirement account, you need a plan. Some things you can do to benefit your heirs and beneficiaries after your passing and in the event you become ill include the following: 1. MAKE A PLAN. The most common estate-planning mistake is not having a plan. We’re all going to eventually leave this Earth, so it’s important to thoughtfully lay out how you want your personal and financial affairs handled. 2. PROVIDE ACCESS. Provide access to your current planning

6. FUND YOUR TRUST OR NAME BENEFICIARIES. To avoid

documents to a family member or trusted agent. Leave a list of

court intervention and probate when you die, fund your Revocable

your digital assets, passwords and online accounts so they can

Living Trust. Make sure your financial accounts and policies have

manage your financial and medical affairs if needed. Give health

beneficiaries. If you leave assets to young children outside of a

providers and agents a copy of your health directive, prescription

trust, their guardian will be in charge of their assets until they are

lists and other important details.

18, which may not be your desire.

3. PROTECT YOUR ASSETS. Various strategies can protect

7. CHOOSE AN IMPARTIAL ENFORCER. Spouses and family

your assets in the event of creditor situations, including bank-

members may be too personally invested in your estate to handle

ruptcy, lawsuit or divorce.

it impartially. Choose a friend or professional advisor who does

4. UPDATE YOUR PLAN. Life is full of changes—births, deaths, marriages, divorces, property acquisitions and others—each needing updating in the estate plan to ensure the assets left behind are protected and preserved as you intend. 5. PLAN FOR DISABILITY. As we age, we are more prone to dis-

not have a stake in your estate to manage the myriad details of carrying out your wishes. 8. DON’T WAIT. Most people recognize an estate plan’s benefits but often wait until an unexpected death or disability occurs to make a plan. Call us for a free Crisis Covid Checklist.

ability or incapacity. Should you need long-term care, it’s important

to determine who will oversee your personal and ﬁnancial affairs,

At Terri Hilliard, PC, we are experienced in legal, ﬁnancial and tax mat-

including raising your children, making health care decisions and

ters affecting estate planning. We help you make your plan current,

handling legal matters. Appoint a power of attorney and/or create

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a living trust in the event you’re unable to do things for yourself.

help you minimize your tax burden and enhance the value of your

Make certain you have detailed your health care directives.

estate. Contact us at 805.201.2552 or thilliard@terrihilliard.com.

Malibu Coast Lifestyle | October 2020

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