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BREAST CANCER AWARENESS Together we are Stronger

FROMTHE THEEDITOR EDITOR FROM

is a word, not a sentence

General Manager

hehe Vermont Eagle marks Breast Cancer Awareness Month 2016 2016 with with this special Ashley Charron General Manager Vermont Eagle marks Breast Cancer Awareness Month this special publication. AsAs a community service to our readers, we hope you find publication. a community service to our readers, we hope you this findbooklet this booklet ashley@addison-eagle.com Ashley Charron informative, illuminating, practical, andand most-of-all inspiring. informative, illuminating, practical, most-of-all inspiring. Breast cancer rightfully receives considerable attention in popular culture and the newsashley@addison-eagle.com Breast cancer rightfully receives considerable attention in popular culture and the news Managing Editor media, yet there remain many other types of cancer just as devastating, life altering. media, yet there remain many other types of cancer just as devastating, just asjust lifeas altering. Still, there is considerable hope courage when stories of survival or personally Lou Varricchio Still, there is considerable hope andand courage when you you readread stories of survival or personally meet a survivor of breast cancer. Managinglou@addison-eagle.com Editor meet a survivor of breast cancer. I have recently dealt with cancer striking three of the most important women in my life—as I have dealt with to cancer striking threemother of the most women incancer my life— Lou Varricchio well asrecently losing my father cancer. My wife, andimportant sister have battled and surasvived well as losing my father to cancer. My wife, mother and sister have battled cancer and since 2010. Editor Assistant lou@addison-eagle.com survived since died 2010.in 2015, and although he was 100, his physician pronounced that he sucMy father Cassandra Loucy cumbed to died a fast-moving cancer rather advanced age. pronounced that he sucMy father in 2015, and although hethan was to 100, his physician offi ce@addison-eagle.com Sometimes, during my darkest hours in coping with cancer among my four family memcumbed to a fast-moving cancer rather than to advanced age. Editor Assistant bers—which seemed to come at me like the towering waves of a dark tsunami—I meditated Sometimes, during my 1997 darkest hours in coping cancer among my fourand family mem- John upon the now famous quote attributed towith the late U.K. broadcaster journalist Cassandra Loucy bers—which seemed to at me the towering waves of a dark tsunami—I meditated Publisher Diamond: “Cancer is come a word, notlike a sentence.” I first encountered this quote in a UVM Mediupon the now famous 1997 quote attributed to the late U.K. broadcaster and journalist John office@addison-eagle.com cal Center publication. Ed Coats Diamond: “Cancer is a word, not a Diamond’s sentence.” famous I first encountered this quote in a UVM Inspirational words, such as Mr. quote, can often be dismissed as words ed@addison-eagle.com Medical publication. of “fluffCenter ” meant for people to feel good; it can, sometimes, be seen as something which trivializes a serious words, life-threatening event. Publisher Inspirational such as Mr. Diamond’s famous quote, can often be dismissed as Well, beg to meant differ. for In the case to of feel Mr. good; Diamond, I fisometimes, nd his quote be powerful and hopewords of I“fluff” people it can, betoseen as something Ed Coats Sales Staff ful, attrivializes least wasa to me when reading it as a family member. At the time I often felt helpless, which serious life-threatening event. Ashley Charron standing on the sidelines, while trying to be compassionate and supportive to my loved ones ed@addison-eagle.com Well,the I beg to differ. In the case of Mr. Diamond, I find his quote to be powerful and hopewith disease. ashley@addison-eagle.com ful, Today, at least Iwas to me when reading it asthing a family member. Atof the time I often feltcancer helpless, recognize that this cancer hangs over all us—something survivor standing on the sidelines, while tryingintoher beunique compassionate andstarting supportive to myBach lovedCancer Nola Kevra of Ripton, Vt., mentions story about the Helen Sales Staff Cyndi Armell Support Group in Addison County. ones with the disease. Ashley Charron Once Iyou survivethat cancer you will lookhangs over over yourall shoulder forever, Kevra told me. And so, cyndi@addison-eagle.com Today, recognize this cancer thing of us—something cancer survivor too, my perspective of watching loved ones batt le cancer is that I will never be the same again, Nola Kevra of Ripton, Vt., mentions in her unique story about starting the Helen Bach Canashley@addison-eagle.com too. It could just as easily happen to me as it happened to my family members. cer Support Group in Addison County. Heidi Littlefield Cancer is a word, not a sentence. Once survivenow cancer you will look your shoulder forever, Kevra told me. And focus Mr. you Diamond’s famous quote is over a powerful statement which, I believe, can help heidi@addison-eagle.com Cyndi Armell so, too, my perspective of watchingwith loved ones with battlepurpose cancer isand that courage, I will never be theup same the mind on the task—dealing cancer bearing to being again, too.and It could just as on easily happen to me aswill it happened totoo myshort family treated, continuing with life, a life that always be in members. length, even withoutcyndi@addison-eagle.com the threat disease. Thomas Bahre Cancer is aofword, not a sentence. While we maynow become frustrated with medicalstatement science’s which, seemingly glacialcan pace when it tom@addison-eagle.com Mr. Diamond’s famous quote is a powerful I believe, help comes to finding a cure, we must remember that modern research and medical technologies Heidi Littlefield focus mindvast on the task—dealing withpaltry canceroptions with purpose andtocourage, to a few havethe made strides: consider the available cancer bearing patientsup just being treated, and continuing on with life, a life that will always be too short in length, even decades ago. heidi@addison-eagle.com Graphics Team without the threat of disease. One helpful resource worth noting here is the award-winning book by the late British phyDesign 2 Pro sician it’s a six-step, guide and uses John Diamond’s quote While Robert we mayBuckman; become frustrated with practical medical science’s seemingly glacial pace when it as its howard@design2pro.com title, “Cancer is a Word, Not a Sentence”. The author died in 2011, but his book remains availThomas Bahre comes to finding a cure, we must remember that modern research and medical technologies ablemade in bookstores andconsider online. the paltry options available to cancer patients just a few have vast strides: Dr. Buckman’s book is helpful, As he states in the introduction, “It... explains what the tom@addison-eagle.com decades ago. Published By: diagnosis means, what the tests are about, what the future holds, how to judge the treatment One helpful resource worth noting here is the award-winning book by the late British options, how to cope with the side effects and the inevitable ups and downs experienced folNew Market Press physician Robert Buckman; it’s a six-step, practical guide and uses John Diamond’s quote lowing treatment.” Graphics16 Team Creek Road, Suite 5 as its title, “Cancerthat is a “cancer Word, Not Sentence”. author died butthe hismost book powerful reRemembering is aa word, not aThe sentence” may in be2011, one of Design 2Middlebury, Pro VT 05753 mains available in bookstores and online. mental paradigms you could forge whenever encountering this disease. howard@design2pro.com When the late Theodor Seuss er known as children’s author Dr.the Seuss—enDr. Buckman’s book is helpful, AsGeisel—bett he states in the introduction, “It... explains what dicountered cancer, no-nonsense approach to holds, the disease. agnosis means, whathe thetook testsa are about, what the future how to judge the treatment We would like to sincerely “I’vehow heard therewith are troubles of more than kind,”ups Geisel come from options, to cope the side effects and the one inevitable andwrote. downs“Some experienced thank all of our advertisers ahead, and some come from behind. But I’ve bought a big bat. And I’m all ready, you see. Published By: following treatment.” who generously supported Now my troubles are going to have troubles with me.” Remembering that “cancer is a word, not a sentence” may be one of the most powerful New Market Press this publication. mental paradigms you could forge whenever encountering this disease. 16 Creek Road, Suite 5 When the late Theodor Seuss Geisel—better known as children’s author Dr. Seuss—enLouis Varricchio Middlebury, VT 05753 countered cancer, he took a no-nonsense approach to the disease. Editor “I’ve heard there are troubles of more than one kind,” Geisel wrote. “Some come from ahead, and some come from behind. But I’ve bought a big bat. And I’m all ready, you see. We would like to sincerely Now my troubles are going to have troubles with me.”

Louis Varricchio Editor

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4 | Breast Cancer Awareness 2016

Porter Medical Center teams up with Cancer Patient Support Foundation The Cancer Patient Support Foundation (CPSF) is part of a new partnership with Porter Medical Center in Middlebury, Vt. CPSF has agreed to underwrite the patient share for local cancer patients to receive nutritional counseling at Porter instead of having to travel. Funds will be available to offset any out-of-pocket expenses cancer patients might otherwise incur, such as gaps in insurance and deductibles for nutritional counseling. Sarah Lemnah, executive director of the Foundation, said, “We look forward to our new relationship with Porter, striving mutually to make the journey cancer patients and their families face a bit easier.” For many cancer patients in treatment they face challenges regarding what types of food they are able to eat, how they can maintain the proper weight, and how they can better tolerate treatment. The nutritional staff at Porter Medical Center is available and is currently seeing local cancer patients to help them with their nutritional needs. “I am excited to have the opportunity for Porter Hospital and the Cancer Patient Support Foundation to partner and be able to provide this service, per our Mission Statement ‘To Improve the Health of Our Community One Person at a Time’, which I truly believe in,” said Laura Brace, director of nutritional services at Porter. CPSF is an independent local nonprofit organization which supports cancer patients and their families in Vermont and Northern New York. CPSF has been helping cancer patients and their families for over 15 years. Our second generation, family-owned business has been in Middlebury for more than four decades. Serving all of the Addison County area, we represent the locally based Co-op Insurance Company, along with numerous other nationally recognized companies. Our knowledgeable staff represents more than 70 years of combined insurance experience and we are committed to providing excellent customer service to each and every one of our clients! Sue, Michelle, Missy, Stacey, Wendy

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2016 Breast Cancer Awareness | 5

By Survivor Jennifer Clark

My name is Jennifer Clark and I am a Vermonter. I was diagnosed with breast cancer at the age of 37. For those of you that know me, you know that I’m not afraid to tell my story; that I’m not afraid to put my heart and soul out there for everyone to see. Nine years ago; maybe not so much. But now, absolutely. If I can help even one person get through their diagnosis, to show them that they too can beat this disease, then opening myself up like this is totally worth every minute. My story is not one very different than a lot of you, or someone that you know, that has received a cancer diagnosis. Our stories all start the same... you’re sitting in a doctor’s office waiting for test results; waiting for words that you are most likely not prepared to hear, the most life changing words you’ll ever hear from a complete stranger, the words “You have cancer”. All of sudden the room becomes cold, the world around you becomes a blur and you find yourself staring at the face of the person that just said the three words that would forever change your life. I remember that day like it was yesterday; only I wasn’t in the doctor’s office. I was sitting at my desk at work holding the phone to my ear, frozen in time. Why, I said, “thank you for calling” when I hung up I will always wonder, and I remember noticing the digital read out on my phone said 10:07 a.m. and that I was on that call for 31 minutes, and yet I heard nothing after those three words were uttered in my ear. I remember getting up and walking to my bosses office and saying, “I have cancer. I have to leave” and walked out. I called my Mom. I heard her voice and just started crying. I said, I will be there in two minutes. She met me at the door. I was in her arms in seconds. I was sobbing by then and begging her to take care of my kids if something happened to me. I thought it was the beginning of the end. Once my Mom calmed me down, we called the doctor back and had them repeat everything that I had been told just moments before. The words were much clearer this time: I was told that not only did I have breast cancer, but that

there were tumors in my lymph nodes, and that it was leukemia. Two cancers, two treatment plans. I was numb. I went back to work, tried to pick up my desk from the day, but by then word had spread and everyone was trying to comfort me. I needed to go home. I needed to be with the three people that meant everything in the world to me. I arrived home to the typical “Mom, guess what?”.. “Mom, what’s for dinner?”. “Mom, can you help me with my homework?”. Mom, Mom, Mom. Oh my God. What the hell was I going to do? How could I tell my kids what I had to tell them? They were just 7, 11, and 13 then would they even understand? Of course they would understand; we had friends that had cancer and we’d had friends die from cancer. This was getting worse and

worse every second that I thought about it. Just do it, I told myself. I sat them down, and began. “I have something to tell you, but I don’t want you to be afraid. “ I continued on. “Mom has to have an operation and is going to be sick for a while and I need your help. The doctors told me that I have cancer.“ I will never forget their screams; the crying. I will never forget the expressions on their faces—ever. We were all crying by then, four sets of eyes filled with tears and three sets of eyes asking me if I was going to die. I hugged them so very tight that day and I promised them that I would be ok, I promised them.

Two weeks later I had a lumpectomy and nine lymph nodes removed. I had a drain coming out of my side. The biopsies came back and I was told, “Good news.” Huh? Cancer has good news, I thought? Well, it was, sort of, I guess. The good news was that I was no longer dealing with two types of cancer as they had thought. The tests showed that it was only one, but that the tumors showed as a very aggressive, very fast growing cancer which had already begun spreading to my lymph nodes. This meant chemotherapy and radiation, beginning immediately. Because of my age and the aggressiveness of the cancer, I was told that my treatment plan would be Dose Dense Chemo which means 16 chemo treatments condensed into 8 (Double Dose every other week), followed by 39 radiation treatments (and why 39, why not round it to a nice even 40 right?). I knew then that I was in the fight of my life. I went back in for surgery and had a port implanted into my chest that would enable me to have weekly blood draws and to receive my chemo treatments from one spot. I was now ready, well, more like “prepared” than actually “ready” to start my treatment. As a cancer patient, you have the option of being in a private room for your first chemo treatment. I chose it. I just had no idea what it would be like, what I would be like. I was all hooked up, and then I hear my chemo nurse say: “Are you ready Jen?” I looked up at her and then past her. I could see through the half opened door of my room, the other patients had heard her, they all knew what I was about to go through. I looked down at my port with the needle and tubing coming out of my chest and then there it was. I watched as the red cancer killing drugs made their way up the tube and into my chest. Tears started streaming down my face—this was it. I had cancer.

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6 | Breast Cancer Awareness 2016 I was told that I would lose my hair, the hair that hung half way down my back. My chemo nurse told me that within 14 days after my first treatment, my hair would be gone. I decided to cut it to my shoulders so it wouldn’t be so drastic when it started falling out. I hadn’t had short hair since I was a Junior in high school. And I certainly wasn’t prepared to have it start coming out in clumps, just two days later. I would get out of bed in the morning and there would be clumps on my pillow; the drain in the shower looked like I’d just bathed a dog. I had lost so much hair that on the morning of the fourteenth day, my hairdresser came to my house and gave me a buzz cut. As I sat there watching chunks of hair fall to the floor. I had tears streaming down my face. Why me? I wasn’t prepared to look at myself. I avoided the mirror in my bedroom, my bathroom, and everywhere else in my house (for three full days) I put on one of my new scarves, wiped my tears, and headed to the Cancer Center for my second chemo treatment.. And so it began. Bi-weekly chemo treatments, bi-weekly blood draws—always questioning the funky side effects that weren’t listed anywhere in the paperwork I had received. Some days feeling like my life was over, other days not even believing that I was in the middle of cancer treatments.

I suffered every side effect imaginable... and then some. I lost my hair, my eyebrows, my eye lashes. I surely looked the part of being a cancer patient; and I hated it. I didn’t want people to feel sorry for me. I didn’t like the stares. I was sick, and I was in extreme pain. My radiation treatments severely burned my skin to the point that it would just rip off when I removed my clothing. Some days I hated that I was dealt this hand in life. I tried so hard to keep my life as normal as possible because I didn’t want my kids to miss out on being kids. I hated throwing up after chemo treatments because I knew they could hear me; and I didn’t want them to have to see their Mom suffer. I put on a

brave face as much as I could; and I always reassured them that I was ok. What they didn’t know was that there were so many nights that I cried myself to sleep thinking about the “what ifs”. What if I wasn’t strong enough to beat this? What if it came back? What if, what if, what if? The emotions that you feel are like no other roller coaster ride you’ll ever experience... anger, depression, sadness, loneliness, confusion, fear, anxiety. Then one day I remembered the promise I had made to my kids the day I was diagnosed. In that very moment, my life changed—again. I realized that I had more strength and courage than I was giving myself credit for and that I wasn’t going to let cancer take me down without a fight that I wasn’t going to give in. I will be forever grateful for the countless people that helped me during my treatment; my entire family, my friends, my co-workers, but most of all my kids. They were my solid foundation of rocks. I couldn’t have done it without them. I will never forget waking up from naps and seeing one of them sitting on the floor beside me holding my hand or sitting at the other end of the couch with me and I certainly will never forget the surprise Pink Hat party they had for me.

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2016 Breast Cancer Awareness | 7

Once You Dance The Cancer Dance… HELEN BACH SUPPORT GROUP

By Lou Varricchio

ipton, Vt., resident Nola Kevra has been to Hell and “That day was the biggest gift,” she said. “It was so wonderful. back in what she calls, “My cancer adventure. “On a The very next day I gathered up my dogs and we ran up the Skylight Memorial Day weekend in 1993, she had a wave of Pond Trail. The whole time the dogs and I were on the mountain I dizziness and passed out. After visits to three doctors, she was was thinking—I need to do something. I was given a gift. The idea of finally diagnosed with a tumor by a doctor at the University of a support group kept coming to my mind.” Kevra asked a few women she met during her ‘cancer adventure’ Vermont. Ultimately, she was treated at Dartmouth Hitchcock about the idea of starting a cancer support group in Addison County. Medical Center in New Hampshire. They all gave her the thumbs up: “Go for it, give it a try.” “My husband and I were new to Kevra said the board members of the MiddleVermont so we didn’t know a lot about bury Natural Food Co-op gave the support group its medical options,“ she said. “One of my first meeting space. doctors at Dartmouth Hitchcock was “Our first meeting took place two weeks the physician who worked with Presilater,” she said. “We had a roomful with 18 people— dent Reagan.” “survivors”—and their stories were amazing.” Helen Kevra is the owner, operator of Bach has been helping cancer survivors ever since. Nola’s Secret Garden, a small, commerIn looking back, Kevra transformed her “Hell cial organic vegetable operation based and back” experience into Addison County’s first at her home. She sells produce to area cancer-support group, now known as the Helen markets including the Middlebury NatCancer survivor Nola Kevra at work in her green Bach Support Group. ural Food Co-op. Being a lover of language, poetry, as well During treatment, Kevra and her hus- house in Ripton, VT. Photo by Lou Varricchio. as clever word play, the mythical “Helen Bach” band Mark brought along their pet dogs name for the group seemed to fit. even when no pets were allowed inside the medical facility. “Of course our group, which is not affiliated with any national “If they said ‘no dogs’, we’d come in through the fire escancer organization, is not named for any real person named Helen cape—we brought a lot of smiles to people there,” she recalled. A strong believer in natural food and the healing power of Bach,” Kevra said. “But as you can see, we’ve all been to ‘Hell and back.’” When Kevra was facing her life-threatening illness, she found Mother Nature’s ingredients, Kevra supplemented chemo and radiation treatments with a variety of nutritious, natural foods. solace in reading the poems of Vermont’s famous poet laureate Robert During treatment, Kevra enjoyed her late mother arriving Frost. Frost’s monastic cabin, a National Historic Landmark, is a short hike through the deep woods from Kevra’s house. at the house with a juice machine. “Once you dance the cancer dance,” she noted, “you never really “We juiced religiously, twice a day—carrots, apples, ginger— to the point where my skin was orange,” she said. “Did it help? let go of it. People call us ‘survivors’, but I think a lot of us resent that term. But then, again, you’re always looking back over your shoulder. It didn’t hurt.” She also ingested a special immune-boosting, chaga “super- Is it coming again?” Helen Bach Cancer Support Group meetings are arranged on asfood” mushroom extract, referred to her by commercial mushneeded basis. To find out more about the group or to request a meeting, room grower Dennis Church, a former resident of Middlebury. Sheduled Maintenance In November 1999, Kevra got her clean bill of health. call Nola Kevra at 802-388-6107. WAXOYL Specialists SERVICE & SALES ON SELECT FOREIGN VEHICLES ESPECIALLY THE SUBARU BRAND

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FOOD IS LOVE

or many, we express our love to each other through food. Whether it is cooking a special meal, joining friends out to eat, or baking cookies for someone who is going through a tough time food is how we connect with people. But what do you do when food can feel like the enemy? For many breast cancer patients in treatment, food can be a challenge. For some the smell of food causes waves of nausea. Keeping food down and even having the urge to eat can be an issue while in cancer treatment. However, there are some things that cancer patients and their families can do to make the struggle over food a little easier. - Don’t Force Yourself to Eat If you have no appetite or are nauseous try to find times of the day where it is easier for you to eat. Try to eat smaller meals more often if possible instead of large meals. - Stay Hydrated Cancer treatments can dehydrate you so it is important to drink plenty of fluids ( 8-10 glasses of water) each day. For some people water becomes distasteful during treatment. Try drinking flavored water or ginger ale, sports drinks, or unsweetened juice. If drinking is too difficult try sucking on popsicles or ice chips. - Make Healthy Choices A well balanced diet will help your body tolerate treatment better. Avoid fried and greasy foods and choose a diet high in protein and calories. Some high protein snacks include peanut butter and cracker, cheese and crackers, and nuts. - Improve Your Appetite Generally carbohydrates are usually digested well. Good carbs to consider are hot cereals, hot toast with peanut butter, pita bread with hummus, yogurt, and soups. - Fight Constipation Many cancer treatments may cause constipation. Staying hydrated, getting exercise, and increasing fiber can help with constipation issues. - Avoid Unhealthy Habits Avoid things like alcohol and tobacco as they can impair your immune system and cause dehydration. In addition, avoid processed foods, refined sugars, caffeine, and red meat. - Control Nausea Some tips to lessen nausea include eating cool instead of hot foods or sipping on peppermint or ginger tea. Patients should avoid greasy or fried foods with strong odors. - Avoid Nutritional Supplements Unless Doctor Prescribed There are many nutritional supplements that actually impair the effectiveness of some chemo medications, please discuss these with your doctor. In addition please limit you consumption of green tea as it may interfere with the desired effect of chemo. - Keep a Food Journal It is important for you to keep a food journal and symptom diary so you and your doctor can see if certain foods are causing symptoms or if medications are causing side effects. Make sure you work with your team of health care professionals from your doctors to your nutritionist to make sure you are getting the proper nutrition you need to have for the best outcomes possible from treatment. Food is Love, just make sure you are trying to add the foods that are right for you to feel your best.

2016 Breast Cancer Awareness | 9

J. Chris Nunnink, M.D., FASCO Associate Professor of Medicine Hematology/Oncology Division, Department of Medicine

Johannes-Christian.Nunnink@uvm.edu

David N. Krag, M.D.

Patricia O’Brien, M.D.

Professor Division of Surgical Oncology

Assistant Professor Clinical Scholar Hematology/Oncology Division, Department of Medicine

Oncology

Patricia.Obrien@uvm.edu

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Steven Ades, M.D., MSc

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Maura Barry, M.D.

Assistant Professor of Medicine Hematology/Oncology Division, Department of Medicine Maura.Barry@uvmhealth.org

Julian R. Sprague, M.D., Ph.D.

Assistant Professor of Medicine Hematology/Oncology Division, Department of Medicine Director, Hematology Oncology Fellowship Program Julian.Sprague@uvm.edu

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10 | Breast Cancer Awareness 2016

ASK AN EXPERT Dr. Amy Littlefield: Naturopathic Oncology

r. Amy Littlefield developed a love for the science of all living things as a youngster growing up in the State of Maryland.

“...There was no question that some version of biology would be my future. I used to track growth patterns of tadpoles and behavior of turtles...” Dr. Littlefield said. “In the early 1980s, with help from my elementary principal in the sixth grade, I wrote a computer program to teach students how to track the path of blood flow through the heart and lungs. There was nothing as compelling as science.” Today, as a naturopathic physician and acupuncturist with a board certification in Naturopathic Oncology, Dr. Littlefield is dedicated to helping patients. She completed undergraduate training in Biology at the University of Colorado in 2005 and moved to South Texas where she taught high school science as a member of Teach For America. She then enrolled in a sixyear graduate program through the National College of Natural Medicine where she earned a Doctor of Naturopathic Medicine and a Master of Science in Oriental Medicine in 2004. Dr Littlefield‘s specialty in naturopathic oncology provides patients with safe natural medicine options that are compatible and supportive with conventional treatments. There are many claims about effectiveness and she understands which are valid so that care is prioritized appropriately. Dr. Littlefield sees patients in Middlebury and South Burlington. The Eagle: In the field of holistic medicine, we often hear that the “whole person” is treated. Can you explain what

this actually means? How is naturopathic medicine like—and different—from traditional medicine? Dr. Littlefield: All providers, whether conventional or naturopathic, want their patients to be healthy. Patients will seek naturopathic care specifically when they want to not only manage a disease but also learn how to address the cause of the disease. Whereas a typical approach to a diabetic might be to prescribe adequate medication to manage blood sugars, a patient who seeks naturopathic care wishes to understand the diet, sleep, stress, activity factors that exacerbate diabetes. This is most effectively done by knowing and understanding the ‘whole’ person’ so that lifestyle changes are appropriate, realistic and meaningful. It entails, at every encounter, a consideration of the social, physical and emotional state of a person’s health. The Eagle: How would a naturopathic oncologist physician (such as yourself) interface with a traditional oncologist in treating a person with breast cancer? Perhaps an example might illustrate this? Dr. Littlefield: Integrative oncology requires a detailed understanding of conventional care plans. I review the medical history, oncology notes and lab / pathology results from their oncology team. My job is to help the patient stay as strong and as healthy as possible without interfering with these conventional

2016 Breast Cancer Awareness | 11

treatments. This requires a clear understanding of nutrient drug interactions, anticipated side effects and conventional care plans. While the oncology team treats the cancer, I help the patient to understand and apply the evidence for exercise, nutrition, sleep hygiene and supplements while taking into account their other diagnoses and life circumstances. The Eagle: What exactly is meant by addressing “underlying factors of disease processes” mentioned on your website? Would genetic factors be part of this like environmental and nutritional factors? Dr. Littlefield: Good integrative care includes an ‘inventory’ of what is and isn’t working in a patient’s life and prioritizes care individually to address what might be missing. An underweight woman, who exercises regularly, eats on the run and compromises on her sleep will have a different treatment plan than the woman who is obese, loves her vegetables, hates exercise and enjoys excellent sleep. And more technically, if a breast cancer patient enters conventional treatment with an underlying extreme vitamin D deficiency she will likely suffer more than necessary. The Eagle: Can you explain a little about what “safe, natural medicine options that are compatible and supportive with conventional treatments” means regarding breast cancer care? What are some of the options available right here in Addison County? Is it held to the same scientific rigor? Dr. Littlefield: Integrative therapies include but are not limited to, physical therapy, mental health support, nutritional counseling, exercise, faith based support, meditation / mindfulness, acupuncture and

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those supplements with evidence basis. Addison County offers all of these. In the complexity of cancer diagnosis and treatment these supportive interventions can make a tremendous difference in a patient’s experience. In terms of scientific rigor: therapies that are likely to be safe are rarely studied with the same rigor (double blinded, RCT, placebo controlled) as cytotoxic conventional medications. That would not be cost effective. There is however, rapidly growing published evidence base for many integrative therapies. I am thrilled to discuss this research with oncologists and patients. Acupuncture, certain immune supportive natural therapies and Vitamin D all have good quality research to support their use in certain populations. It is very exciting. I must also say that there are a lot of Internet sites that claim evidence that simply does not exist. Many of my patients, feeling scared and disempowered, feel swayed by these reports. My job is to help my patients understand what is and is not evidence based and develop a plan compatible with their current conventional treatment. The Eagle: What are a few basic steps women (and men) can follow in order to live a proactive life that is more aware of cancers and other diseases? Dr. Littlefield: Quality sleep and exercise are the most underestimated interventions in my opinion. While proper nutrition is important there are many who inflate that significance and compromise their sleep and physical activity. All are important common denominators to chronic diseases, including cancer. The Eagle: Thank you.

12 | Breast Cancer Awareness 2016

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Painted Mason Jars 1. Clean and dry mason jars thoroughly. 2. Apply two coats of acrylic paint; allow to dry completely between coats. 3. Allow to dry overnight. (This is important to prevent chipping of paint in next step.) 4. Lightly distress with sandpaper until you achieve desired look. 5. S pray with light coat of sealant and add fresh or silk flowers to finish.

2016 Breast Cancer Awareness | 13

RIDES RUNS & RELAYS FOR THE CURE Making Strides

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Relay For Life

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14 | Breast Cancer Awareness 2016

A Positive Force Lynn Alpeter

ynn Alpeter, of Shelburne, Vt., prides herself on her positivity and belief that “if we operate from a place of authenticity, integrity and service it is amazing what this energy brings forth.” However, her positivity was tested a few years ago with an unexpected diagnosis of breast cancer. For Alpeter getting the diagnosis on the phone while she was home alone was a life changing event. “ It was a huge shock, I thought I was doing all of the things that we should do to keep healthy.” She is a huge believer in an organic diet and active lifestyle and had never thought that cancer would be part of her life’s story. For Alpeter the hardest part of the diagnosis was figuring out how to tell her family. Her son had just left for school and they needed to figure out how to get their family together to discuss this. She remembers having to make the call to her devastated parents and sisters. Alpeter began her treatment and was trying to reclaim her life just as another surprise diagnosis became too much to bear. “At the same time I was finishing my treatment my Dad was also diagnosed with acute myeloid leukemia.” She explains “at the time we were on the oncology floor and I looked like the sick one, it was a little confusing who was being diagnosed. I was like ok this is too much for me

to handle.” Her doctor informed her about the Cancer Patient Support Foundation(CPSF). The Foundation in partnership with the University of Vermont Medical Center has supported free and immediate access to psychological counseling to help local cancer patients and their families as they maneuver the journey from diagnosis to treatment to survivorship.

Photos by Amy Bennett Alpeter is thankful for her work with Julia Wick, a counselor at UVM who helped her during some dark days that she did not want to share with her family. Wick has be-

come an important touchstone for Alpeter and she is grateful that she became aware of this service. “I was so glad I did, I had too much on my plate.” Today, Alpeter is co-owner of Yoga Roots in Shelburne and is owner of Linc a marketing firm where Alpeter acts as a marketing consultant and Coach. “My purpose is to help small business owners and individuals share their gifts as opposed to marketing or selling themselves. I infuse positive energy that sometimes gets lost in the day-to-day activities of running a business. “ Alpeter is a positive example of how to live each day with authenticity and gratitude and positivity. However, she still realizes that dealing with cancer is challenging and reaching out for counseling that is in part underwritten by CPSF is a vital resource for local patients. “This is tough work. The journey doesn’t end. I am so grateful to what the foundation has given me, given to my family and what it does for other people.” For more information about counseling call CPSF at 802-488-5495.

2016 Breast Cancer Awareness | 15

LOCAL CANCER SURVIVORS ARE

groups,” according to Rhynard. “As with all KC groups, they meet three times a year in someone’s house for an evening potluck supper or at a local restaurant such as Rosie’s. Conversation begins with a quick check-in to see how everyone is doing and then leads to a discussion about their connections made between meetings. There is a natural understanding for the group to he Vermont Cancer Survivor Network (VCSN) provide support to each other.” was founded in 2007 by cancer survivors Rhynard said that if you are recently diag“The reality to create a voice for cancer survivors in nosed, in treatment, living with cancer, beVermont. In less than a decade, the organization of life with a yond cancer or are a caregiver, you can “give” has helped hundreds of Vermonters. cancer is that we or “receive” support, too. Now through VCSN’s Kindred Connection “The Kindred Connections program need not be solely or KC program more members provide support provides a unique opportunity for people defined by that and encouragement to cancer survivors. in need of receiving or interested in giving label, nor isolated “Survivors who have gone through similar individual peer support,” she said. “Many experiences can offer a special kind of support. as ‘patients’.” different types of cancers are represented. We can provide one-to-one assistance in person, There are approximately 130 members in the Ellen Fein. by phone or e-mail,” according to Program Director database to work with.” Sherry Rhynard. Members—volunteers who have been in In August 2013, Addison County VCSN members started the shoes of cancer patients or current caregivers—of a Kindred Connection program with a grant by Entergy employees and the IBEW Local 300. continue page 16 “Addison County is the newest of the Kindred Connections

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16 | Breast Cancer Awareness 2016 Kindred Connections are located in various communities in Vermont. They frequently connect with survivors in other communities based upon the needs of the cancer patient or caregiver Several Vermont Cancer Survivor Network participants have expressed their public thanks to the Kindred Connections program volunteers: Donna Chickanosky: “I believe that cancer is not always the enemy. It just allows you to see life in a different light, to see the good in everything and to be thankful for each precious day. As a survivor it is my goal to help anyone that reaches out to me (and if you reach out they will come) and help In any way I can.” Donna Chickanosky Ellen Fein: “I believe that we as cancer survivors need to bring our experience and voices forward. The reality of life with a cancer is that we need not be solely defined by that label, nor isolated as ‘patients’. Together we can impact the quality of life for cancer survivors in Vermont.” Jill Pigeon” “I am a... cancer survivor for 12 years now. When I was first diagnosed with cancer, I had a great need to connect with someone whom had the

same type and stage of cancer. Kindred Connections can truly make a difference to someone dealing with cancer by simply relating to someone else in a helpful way.” Shelley Martin: “I learned that surviving cancer while living alone didn’t take strength as much as it took determination, managing all my medical options, including diet, treatment informed by eastern and western medical philosophies, positive attitude, refusal to give up, believing that I would survive. The constant support of my son, doctors, friends, union activists, neighbors, and co-workers provided emotional support to keep me on track, to continue to stay positive, and to “play it forward” by giving back support to others touched by cancer.” Trisha Hunt: “The Cancer Center is very fortunate to have a collaborative relationship with Kindred Connections. Together, we are succeeding in identifying opportunities to help support cancer patients in their journey from treatment to survivorship.” For more details about Kindred Connections, call 1-800-652-5064 or e-mailinfo@vcsn.net.Youcanalsolearnmoreonlineat www.vcsn.net/make-a-kindred-connection.html.

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2016 Breast Cancer Awareness | 17

s p u o r G t r o p p u S r e c n a C ADDISON COUNTY Helen Bach Support Group For all individuals whose lives have been affected by cancer. Contact: Nola Kevra. 802-388-6107 Call for meeting times and locations.

CHITTENDEN COUNTY Blood Cancers Support Group Contact: Kerry Stanley LICSW. 802-847-6873 Friends for Life Tea Meets first Thursday of every month. (10-11:30am) Contact: Rose Colletti PhD. 802-847-5714 Burlington

Luncheon for Cancer Survivors Cancer survivors and their caregivers welcome. Meets first Tuesday of every month. (noon-1:30pm.) Contact: Rose Colletti PhD. 802-847-5714 Burlington Luncheon for Caregivers of Cancer Survivors Hosted by UVM Medical Center, Hematology/Oncology Healing Space Meets third Tuesday of every month. (noon-1:30pm.) Contact: Kathleen McBeth. 802-847-5715 Burlington Champlain Valley Prostate Cancer Support Group Meets second Tuesday of every month. (6-8pm.) Contact: Mary L. Guyette R.N., M.S. 802-274-4990 or vmary@aol.com Hope Lodge, 237 East Ave, Burlington Wives of Prostate Cancer Survivors Meets second Wednesday of every month. (7pm.) Contact: Carla Osgood EdD. 802-879-1207 Growth Center, 8 Pearl Street, Burlington Women’s Cancer Support Group Meets first and third Tuesday of every month. (5-6:30pm.) Contact: Rose Colletti PhD. 802-847-5715 UVM Medical Center, Frymoyer Resource Center, Burlington

Multiple Myeloma Support Group Meets third Tuesday of every month. (5-6:30pm.) Contact: Kay Cromie. 802-655-9163; kgcromey@aol.com or JoAnn Nielson. 802-847-5649 Hope Lodge, Burlington Young Survivors Group A support group for cancer patients ages 18-40. Contact: Kathleen McBeth. 802-847-5715

RUTLAND COUNTY Open Support Group for Women Cancer Survivors Meets first Tuesday of every month. Contact Erica: 802-747-1693 RRMC CVPS/Leahy Conference Center, Rutland Prostate Cancer Meets fourth Wednesday of every month. (5:30pm.) Contact: Bob Harnish. 802-483-6220 RRMC, Rutland Young Adult Survivors A support group for cancer patients ages 18-40. Meets second Thursday of every month. (4-5:30pm.) Contact Erica: 802-747-1693 Café Provence, Brandon

18 | Breast Cancer Awareness 2016

Casting for Recovery:

Healing, renewal, and fun By Lou Varricchio

The Eagle talked with Wendy Gawlik, executive assistant, at Casting for Recovery (CfR) in Manchester, Vt. Gawlik works alongside with women with breast cancer through the organization’s unique program that combines breast cancer education and peer support with the therapeutic sport of fishing. The Eagle: How many women typically attend each retreat? Gawlik: The retreats are limited to 14 women The Eagle: Does Casting for Recovery provide all necessary fishing supplies to participants? If not, what supplies should women bring with them? Gawlik: CfR provides all fishing equipment for use by the participants. The Eagle: Do the retreats include any activities aside from fly fishing? Gawlik: The two and half day retreats also offer a medical education session and the Evening Circle which discusses the emotional effects of breast cancer. The retreats are staffed by a psychosocial facilita-

tor and a medical facilitator both of whom have been vetted by CfR. All fly fishing instructors, retreat leaders, program coordinators, hospitality, and psychosocial and medical volunteers have been trained by the national staff at a training weekend. The Eagle: For women who are shy or more reserved, is a CfR retreat still beneficial? Gawlik: Absolutely. They benefit greatly from being in a supportive and caring environment with women who have been through breast cancer as well. The Eagle: If some women are interested in attending a retreat, but there isn’t one that exists near them, can they work with CfR to create a new retreat?

Gawlik: There is one retreat that is open to women from states who do not have a retreat – our eastern Pennsylvania retreat. To create a new program takes roughly two years from start to the first retreat. This involves building a team and securing financial support for the program. The Eagle: Is there anything specific that you feel women should know about CfR and the work it does? Gawlik: CfR is a quality of life program. When you are first diagnosed you are focused on your treatment options and dealing with how that will affect you in the next year or two. You receive a great deal of support from your doctors, nurses and family members as they guide you through your journey. After you have finished your treatment your family and friends assume that you will carry on from where you left off and this is not the case. You are no longer heading towards your goal of a cure but now dealing with the thought of What Now? CfR retreats are focused on survivorship and how to adjust to your new normal.

2016 Breast Cancer Awareness | 19 The Eagle: When and how did you first hear about Casting for Recovery? Gawlik: I have lived in Vermont for 40 years and have heard about CfR in the local news showcasing the organization. I have worked for CfR for four years. The Eagle: What was it about CfR that made it stand out from the other breast cancer organizations? Gawlik: My own experience with breast cancer was solely as a volunteer for the Komen VTNH affiliate for 5 years. It wasn’t until after I was diag-

nosed with breast cancer in 2011 that I became more aware of other organizations such as Casting for Recovery. The Eagle: What was your experience in the program like? How did it help you? Gawlik: The retreat took me out of my day to day life. We learned, laughed and cried while be supported by an amazing volunteer staff. The weekend gave me the opportunity to do something for myself and to learn a sport that I continue to enjoy. It took me outside of myself.

The Eagle: What would you say to women preparing for their first Casting for Recovery retreat? Gawlik: Have fun. It will be an experience you have never had before! You will leave with 13 new friends. To contact Wendy Gawlik: Casting for Recovery at P.O. Box 1123, Manchester, Vt. 05254. Telephone: 802-362-9181 extension 6, fax: 802-362-9182, or via e - m a i l w e n d y. g aw l i k @ c a s t i n g fo r recovery.org or on the Internet at www.castingforrecovery.org.

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or Robin and Robert, life was moving along with two beautiful children and a houseful of dogs and cats in their beautiful country home in the Green Mountains of Vermont. Though never rich they were doing “ok” until one day they got a shocking surprise. Robin had a lump in one of her breast, was not overly concerned but went to get screened. This simple act changed their life with a surprising diagnosis of breast cancer, no not in the breast with the lump but rather the healthy looking breast. “ The person who read my films told me after my films.” Robin explained. “He said I think you have cancer and that is how it started.” Interestingly we do not know if cancer runs in Robin’s family because as she states “ I am an orphan so I don’t know, I have no family history. But when I got the news I couldn’t believe it. I have always been healthy, eat healthy, have a pretty healthy lifestyle. I was in a state of shock. I never thought this would happen to me in my wildest dreams.” Robin was not the only one stunned, her husband Robert was in a state of disbelief. “It was devastating.” Robert explained, “Who gets cancer, not me, not anyone in my family. It was almost like nah there must be a mistake. It was tough.” For Robin telling Robert was difficult. “Men like to fix things and this was something he could not fix.” As Robert acknowledged, “ You try to be strong for the family but you got emotions as well. It has been tough. All you can do is hold your head high and do the best you can.” In Robin’s case she had to have surgery and chemotherapy and radiation. “She is still in treatment but determined to remain strong,” he said. Financially, cancer just breaks the bank. It is stressful when you are trying to heal and be well, you don’t want that weighing you down.” The Cancer Patient Support Foundation’s Emergency Fund for local cancer patients and their families paid for 2 months of Robin and Robert’s mortgage which according to Robin was “an incredible weight lifted off because we did not know how we were gong to pay our bills. You are just inundated with bills.” Robert gets angry talking about the health care system, the high premiums, the high deductibles, and the lack of subsidies for middle class families who are living through cancer and all of the expenses it brings. “ Just the premiums alone was 24 percent of our net income, is that affordable health care, I think not.” For Robin she is just thankful that they did not lose their home while she was in the middle of active treatment. “ You are just trying to get through like a soldier just struggling through.” However they are determined to set their path for their future. As Robin concluded, “I do not want cancer to define me.”

Terms to Know H

ere are some of the key words, courtesy of the National Breast Cancer Foundation, which are used to describe the various types of breast cancer. •Adenocarcinoma: Type of carcinoma that starts in glandular tissue (tissue that makes and secretes a substance). The ducts and lobules of the breast are glandular tissue (they make breast milk in women), so cancers starting in these areas are sometimes called adenocarcinomas. •Carcinoma in situ: Early stage of cancer, confined to the layer of cells where it began. In breast cancer, in situ means that the abnormal cells remain confined to ducts (ductal carcinoma in situ, or DCIS). These cells have not grown into (invaded) deeper tissues in the breast or spread to other organs. Ductal carcinoma in situ of the breast is sometimes referred to as noninvasive or pre-invasive breast cancer because it might develop into an invasive breast cancer if left untreated. When cancer cells are confined to the lobules it is called lobular carcinoma in situ (LCIS). This is not actually a true pre-invasive cancer because it does not turn into an invasive cancer if left untreated. It is linked to an increased risk of invasive cancer in both breasts. LCIS is rarely, if ever seen in men. •Invasive (or infiltrating) carcinoma: An invasive cancer is one that has already grown beyond the layer

of cells where it started (as opposed to carcinoma in situ). Most breast cancers are invasive carcinomas, either invasive ductal carcinoma or invasive lobular carcinoma. Sarcoma: Breast cancer can also be classified based on proteins on or in the cancer cells, into groups like hormone receptor-positive and triple-negative. •Ductal carcinoma in situ (DCIS): DCIS is considered non-invasive or pre-invasive breast cancer. In DCIS (also known as intraductal carcinoma), cells that lined the ducts have changed to look like cancer cells. The difference between DCIS and invasive cancer is that the cells have not spread (invaded) through the walls of the ducts into the surrounding tissue of the breast (or spread outside the breast). DCIS is considered a pre-cancer because some cases can go on to become invasive cancers. Right now, though, there is no good way to know for certain which cases will go on to become invasive cancers and which ones won’t. DCIS accounts for about 1 in 10 cases of breast cancer in men. It is almost always curable with surgery. •Infiltrating (or invasive) ductal carcinoma (IDC): IIDC)starts in a milk duct of the breast, breaks through the wall of the duct, and grows into the fatty tissue of the breast. At this point, it may be able to spread (metastasize) to other parts of the body through the

2016 Breast Cancer Awareness | 21 lymphatic system and bloodstream. At least 8 out of 10 male breast cancers are IDCs (alone or mixed with other types of invasive or in situ breast cancer). Because the male breast is much smaller than the female breast, all male breast cancers start relatively close to the nipple, so they are more likely to spread to the nipple. This is different from Paget disease as described below. •Infiltrating (or invasive) lobular carcinoma (ILC): This type of breast cancer starts in the breast lobules collections of cells that, in women, produce breast milk) and grows into the fatty tissue of the breast. ILC is very rare in men, accounting for only about 2 percent of male breast cancers. This is because men do not usually have much lobular tissue. Paget disease of the nipple: Starts in the breast ducts and spreads to the nipple. May also spread to the areola (the dark circle around the nipple). The skin of the nipple usually appears crusted, scaly, and red, with areas of itching, oozing, burning, or bleeding. May also be an underlying lump in the breast. Paget disease may be associated with DCIS or with infiltrating ductal carcinoma. Accounts for about 1% of female breast cancers and a higher percentage of male breast cancers. •Inflammatory breast cancer: An aggressive, but rare type of breast cancer. It makes the breast swollen, red, warm and tender rather than forming a lump. It can be mistaken for an infection of the breast. This is rare in men. To learn more visit http://www.nationalbreastcancer. org/breast-cancer-facts.

22 | Breast Cancer Awareness 2016 There were so many silent hours I stood in their doorways watching them sleep silently praying that I would survive. Without even knowing it, they were my inspiration; they were what drove me to beat this. I knew that I never wanted them to have to go through this. But what could I do about it? How could I fight back not only for myself, but for them? It was then that I heard about this cancer walk “thing” called Relay for Life happening in June; and that they were having one in Franklin County about 15 minutes from my house. It sounded like fun; so decided to check it out! And the date—it was just two weeks before the one year anniversary of my diagnosis. I asked my neighbor to go with me; who by the way, was diagnosed herself just 4 months after me. We fluffed up our new chemo-curl hair do’s and headed out. We registered for the walk and were told that we were welcome to attend their special Survivor dinner. While we were eating, one of the committee members approached us and asked if we would be interested in carrying the flags for the Survivor lap. Cool right? How awesome it was to lead such a momentous parade of the most courageous group of fighters I’d ever seen. We didn’t stay all night, but we had such a fantastic time. What an amazing event, we were so tired, and so overwhelmed with emotion. A few months later, I heard about a new event coming to South Burlington: Making Strides Against Breast Cancer. I signed up immediately; and again the camaraderie, the support, the celebration, the remembrance. I loved it. That was October 2008. The acronym “ACS” has now become a household word. I promised my kids nine years ago that I would be okay; but that wasn’t enough. My family has accepted that I am involved in everything involving the American Cancer Society. It’s become a family affair; and I couldn’t be more proud to have them by my side either walking or volunteering at every event that I’m a part of.

Over the next several years, I became a Team Captain for both Relay For Life and Making Strides Against Breast Cancer events, reaching National Pacesetter fundraising levels for both events. My pride and joy is my Strides team, called the Jolley Cups. We have been a National Pacesetter Team for the last 5 years and reached no. 5 in the country at $100,372 in 2015. Today, we are on the verge of breaking the $500,000 mark. I also had the honor of joining the Event Leadership Teams for Relay For Life Nordic Style and Hope on the Slopes, and eventually became Event Chair for Making Strides Against Breast Cancer.

Fast forward to October 2016: I am now in my ninth year of survivorship, and I know I survived cancer for a reason. That reason is to make a difference; to leave my mark in this world. I’ve come a long way in these past nine years; and I am thrilled to be doing what I do every day to help others. Two years ago, on October 19, 2014, I arrived at the American Cancer Society office for my first day on staff as the new Staff Partner for Relay For Life of Chittenden and Franklin counties, and a year later added the Making Strides Against Breast

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Cancer event to my portfolio. How is that for full circle? I love that my mission in life is to provide inspiration, strength, and courage to those in their cancer journey; and to continue with my determination to fight back against cancer to ensure that my children will never hear the words., you have cancer. I want every cancer patient to be able to say, “I’m a Survivor.” I’m going to end this by sharing with you what it means to me to be a survivor. I was here to see my daughter Bethany receive a Bachelor’s degree from the University of Vermont and begin her teaching career as a student teacher for Kindergarten at Essex Elementary this fall. I was also here to see my daughter Katie graduate in the top 10 percent of her class at BFA after almost losing her own life from a health issue at the age of 12, and then to drive her to Syracuse University this month to begin her Junior year for her degree in Environmental Engineering. I was here, too, to see my son Nicholas grow to over six feet tall after being born at only 2 pounds at 28 weeks; to see him pass his learner’s permit test and learn to drive an automobile, and to walk into BFA as a junior this fall. I was here to see my son Joseph follow his dreams by attending his graduation ceremony at Parris Island as he became a member of the United States Marine Corp and to then meet his new wife and to soon welcome our first Grandbaby to the family in January 2017. And I was here to meet, to fall in love with, and join our two families together by marrying the most wonderful man I have ever known— a man that has shown me what true love is all about, a man that has given so much more than he receives. Some may even say that this has consumed my life, but I say that I am just living the life that I was given. I have beaten something larger than life itself; and I am grateful for each and every day that I have been given.

MEET ME IN THE LOBBY

MIDDLEBURY, VERMONT

A RESTAURANT & BAR

802-989-7463

www.lobbyrestaurantvt.com

WELCOME TO THE LOBBY – A FUN RESTAURANT AND BAR ON BAKERY LANE IN DOWNTOWN MIDDLEBURY. SERVING ECLECTIC LOCAL FARE FROM VERMONT ARTISANS AND VEGETARIAN OPTIONS TOO.

www.parksqueeze.com

Welcome Enter to Win!ОЧЕНЬ НОРМАЛЬНОвввцвцауПодарочный to the Park Squeeze!

Сертификат

WEDNESDAY NIGHT IS MIDWEEK MADNESS!

TUESDAY’S ARE GAME NIGHT! Bring a friend, your appetite and

Lunch is served daily from 11am-2:30pm The bar opens at 4:30pm Dinner is served nightly at 5pm

We’ll squeeze you in!

The Bearded Frog Bar & Grill serves inspired & eclectic American Enter to Win!ОЧЕНЬ НОРМАЛЬНОвввцвцау Подарочныйfare.

All of our entrees and burgers

the will to crush your enemies.

Located on Main Street in historic downtown Vergennes. We invite you to stop in for a bite and a beverage …. Bring the family or meet up with friends. Serving dinner seven nights a week – Walk-ins are welcome….

161 Main Street Vergennes VT

Enter to Win!ОЧЕНЬ НОРМАЛЬНОвввцвцау Подарочный 802 877 9962 Сертификат Сертификат

www.thebeardedfrog.com

The Bearded Frog Bar & Grill serves inspired

The Bearded Frog Bar & Grill serves inspired & eclectic American fare. & eclectic American fare.

Located in Shelburne Village, the historic Shelburne Inn.Shelburne Inn. Located in Shelburne Village, insideinside the recently renovated, historic The cozy bar opens at 4:30pm for cocktails. The cozy bar opens at 4:30pm for cocktails. Dinner is served seven nights a week beginning at 5pm Dinner is served seven nights a week beginning at 5pm 5247 Shelburne Road, Shelburne VT 802-985-9877

253 Main Vergennes 253 Main Street Street Vergennes VTVT 802877 877 9991 802 9991 Our menu has with been prepared Our menu has been prepared fresh, local ingredients with fresh, local ingredients and inspired by traditional French flavors. The ambiance is and inspired by traditional French ﬂavors.The warm, genuine and inviting…relax and enjoy. ambiance is warm, genuine and inviting…relax and 5pm - 8:30pm. Open seven evenings a week from enjoy. Open seven evenings Reservations week from are 5pm - suggested. 8:30pm. Reservations are suggested.

www.blacksheepbistrovt.com

Located in Shelburne Village, inside the recently renovated, historic Shelburne Inn. The Village, cozy bar inside opens atthe4:30pm for renovated, cocktails. historic Shelburne Inn. Located in Shelburne recently Dinner is served seven nights a week beginning at 5pm

The cozy bar opens at 4:30pm for cocktails. Dinner served seven Road, nights Shelburne a week beginning 5247isShelburne VT at 5pm 802-985-9877

5247 Shelburne Road, Shelburne VT 802-985-9877

CLIENT UVM JOB NO. 009589

DESCRIP Breast Ca

PUB Vermont E

MATERIA 09-22-16

INSERTI SIZE Full Page 7.25”w x COLOR BW

QUESTIO Amanda P 251.476.2

Relief. Encouragement. Hope. What will the results of your mammogram provide? Don’t let the fear of what a mammogram might show prevent you from getting one. Visit UVMHealth.org/MedCenterMammogram to make an appointment.

The heart and science of medicine. 009589-UVM-Breast Cancer Ad-Vermont Eagle-FullPg.indd 1

9/23/16 10:40 AM