Breast cancer

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SPECIAL FALL EDITION 2015

Breast Cancer Awaren

e Month ss Issue

Special Edition! Chemotherapy & Your Is ChemoBrain Real? Nails Breast Cancer Treatment & Bone Loss Eating Unhealt ood hy Foods Exposure to Chemicals in F

Finding Her Calling– with Julie Margenthaler, MD

NsK Breast Cancer I P e and Bone Loss thepag BREAST CANCER ide Ins

IMPACTS SIX SISTERS Cindy Johnson’s Story


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Contents

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Secret to Happiness? 18 Tips to Help You Be Healthy NOW!

On the Cover SPECIAL FALL EDITION CANCER AWARENESS ISSUE! In this special edition of The New You Magazine, Inside & Out, we focus on healthy topics that are relatable to breast cancer patients and survivors!

SPECIAL FALL EDITION 2015 FEATURES

16 THE TOP FIXES FOR FRIZZY HAIR To keep frizz levels under control, hydration is essential; however there are other tips and techniques that can help you achieve sleeker, groomed tresses.

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10 AUTUMN FOODS FOR FALL The days of bright berries, crisp salads and succulent summer fruit are behind us for another year. While you might be disappointed to see the last of the seasonal salads, don't fret - there are delicious replacements on the way to help you keep your healthy eating habits.

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IS CHEMOBRAIN REAL? BREAST CANCER TREATMENT AND BONE LOSS CHEMOTHERAPY AND YOUR NAILS BREAST CANCER RESOURCE GUIDE


6 WOMEN TO KNOW IN MISSOURI Julie Margenthaler, MD — Finds Her Calling in Treating Breast Cancer When Julie Margenthaler, MD, began a surgery residency, she had no interest in becoming the accomplished breast surgeon she is today. It would be eight years before Margenthaler found her calling as a breast cancer surgeon. And her career choice couldn’t be a better fit.

20 EXPOSURE TO CHEMICALS IN FOOD There's a growing concern that chemicals on and in food may cause health problems, including an increase in breast cancer risk.

26 EATING UNHEALTHY FOOD Diet is thought to be partly responsible for about 30 to 40 percent of all cancers. No food or diet can prevent you from getting breast cancer. But some foods can make your body the healthiest it can be, boost your immune system, and help keep your risk for breast cancer as low as possible.

34 P INK PAG ES Breast Cancer Impacts Six Sisters Cindy Johnson of Florissant, MO, and her five sisters shared a lot growing up – the last name Crews, clothes, shoes, rooms and secrets – the normal things experienced together in a large, happy, close-knit family. They also shared genetics, and that genetic code led to some mutual experiences upon which they hadn’t planned.

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A message from the publisher... Dear Friends… VOLU M E 5, I SSU E 3

Welcome to this the special Breast Cancer issue of The New You. Every new issue of The New You—Inside-Out bursts with wonderful features that I can’t wait to share with all of YOU! I’m so grateful to our contributing writers who love what they do and portrays that in the words they write. We continue to bring you fascinating stories of “Women to Know”- women like Julie Margenthaler, MD. As chief resident, Margenthaler cared for women with breast cancer and other breast problems as part of a health care system for the underinsured. The experience made Margenthaler realize that she enjoyed not just the technical aspects of surgery, but also the long-term relationships that develop between doctors and patients. “I simply fell in love with the idea of being a breast specialist,” she said. The Pink pages feature a story of six sisters who shared a lot growing up – the last name Crews, clothes, shoes, rooms and secrets -- the normal things experienced together in a large, happy, close-knit family. They also shared genetics, and that genetic code led to some mutual experiences upon which they hadn’t planned and that changed their lives forever. There are so many more amazing articles herein. As no food or diet can prevent you from getting breast cancer, but some foods can boost your immune system and help keep your risk of breast cancer as low as possible. You will want to be sure and read the article “Eating Unhealthy Food.” Remember, the chance of a woman having invasive breast cancer some time during her life is about 1 in 8. In 2015, an estimated 231,840 new cases of invasive breast cancer are expected to be diagnosed in women in the United States. About 40,290 women in this country are expected to die in 2015 from breast cancer. As always, I dedicate this and every issue to my mother, Freida Hawkins, who fought breast cancer for 18 years before going home. I love you SO MUCH and miss you, Mom. Stay healthy and incredible because… Life is good! AND, worth talking about! A OGRAM M M MA MY E SAV D nd a LIFE

ave it can sRS! YOU

THE NEW YOU PUBLISHING, L.L.C. 1260 B ar ron R oad Poplar Bluff, Missouri 573-631-9100 thenewyoumagazine.net

CEO/PUBLISHER Karen Hawkins 573-631-9100 or karen@islc.net EXECUTIVE EDITOR Caroline Lawson Michelle Cox MANAGING EDITOR Sharon Lewis DESIGN & PHOTO DIRECTOR NY Marketing & Creative SPECIAL PROJECTS EDITOR Karen Hawkins CONTRIBUTING WRITERS Julie Margenthaler, MD,FACS Terrence Myckatyn, MD, FACS, FRCs(C) Shobha Bhaskar, M.D. Chrissey Oldani Raina Childers Brett Arends Carolyn Campbell Kathleen Berchelmann, M.D. Linda Franklin Rachel Russo ADVERTISING COORDINATOR NY Marketing & Creative CIRCULATION & DISTRIBUTION Cindy Davis ACCOUNT EXECUTIVES Karen Hawkins

Please remember: MAMMOGRAMS save lives - It saved mine and it could save yours.

“Feeling gratitude and not expressing it is like wrapping a present and not giving it.” — William Arthur Ward

ADVERTISING To place an ad or request a media kit, please call Karen Hawkins at 573-631-9100 or email to karen@islc.net MARKETING/ADVERTISING AGENCY AND WEB PRODUCTION NY Marketing & Creative Subscription Rates: $10 for one year • Frequency five issues per year • Single copies in office • Reprint requests must be made prior to the publishing of a specific issue • Reprints are $2.00 per copy • Reproduction in part or whole is strictly prohibited without the express permission of the publisher • Unsolicited manuscripts may be submitted but must be accompanied by a self-addressed stamped envelope • The New You–Inside & Out Magazine does not endorse any information contained in articles or advertisements and suggests consulting a health-care professional before beginning any therapy or medical treatment.

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WOMEN TO K NOW

Julie Margenthaler, MD

Finds Her by Jim Goodwin, Siteman Cancer Center, Associate Director of Cancer News

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Calling in Treating Breast Cancer WHEN JULIE MARGENTHALER, MD, began a surgery residency, she had no interest in becoming the accomplished breast surgeon she is today. In fact, when her faculty adviser, a breast surgeon herself, asked Margenthaler whether she had considered the specialty, she was quick to reply. “I said, ‘Absolutely not. Just because I’m a woman, I don’t want to be pigeonholed into doing breast surgery. No offense to you, but that’s so cliché,’ ” Margenthaler recalled years later with a laugh. It would be another eight years before Margenthaler found her calling as a breast cancer surgeon. And her career choice couldn’t be a better fit. Those who know her say Margenthaler’s surgical talent and extraordinary time-management skills are matched only by her devotion to the women she treats at Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine in St. Louis.

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WOMEN TO K NOW

A Circuitous Path A native of Pinckneyville, Ill., Margenthaler’s interest in medicine developed in high school. Her aunt, a nurse at the local community hospital, helped Margenthaler get a volunteer job as a candy striper. Hospital physicians took her under their collective wing, inviting Margenthaler to observe surgeries and tag along on patient rounds. “It was a great experience,” she said. “I knew early on, before deciding what kind of doctor I would be, that I wanted to work in a hospital. I loved all the activity and the camaraderie among the staff. There’s a lot of excitement and energy, and it seemed like a great way to spend the day.” Margenthaler earned a degree in biology from Boston University and a medical degree from Southern Illinois University in Springfield. The school excelled in surgical training and was ahead of the curve in using simulators and lifelike mannequins as teaching tools, providing her with a solid surgical foundation. In 1997, when she began her surgery residency at Saint Louis University, Margenthaler already had her sights set

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on pediatric surgery. She envisioned herself performing small-bowel transplants and other intricate, cuttingedge procedures. During a rotation at a Veteran Affairs medical center in St. Louis, Margenthaler crossed paths with a Washington University vascular surgeon who studied the immunological basis for transplant tolerance and rejection. He told Margenthaler that if she received funding, she could work in his lab to investigate rejection related to smallbowel transplants. Much to her surprise, the first three grant applications Margenthaler submitted received funding. While doing basic research, she broadened her knowledge base by attending numerous lectures, conferences and grand rounds at the medical school. Margenthaler’s drive caught the attention of faculty, including Eberlein. He approached her about staying at Washington University to finish her surgical training. Margenthaler jumped at the opportunity. After finishing a three-year stint in the lab, she returned to her clinical training, still planning to be a pediatric surgeon.

thenewyoumagazine.com SPECIAL FALL EDITION 2015

But the turning point came in 2004, when as chief resident Margenthaler cared for women with breast cancer and other breast problems as part of a healthcare system for the underinsured. The experience made Margenthaler realize that she enjoyed not just the technical aspects of surgery but also the long-term relationships that develop between doctors and patients. “I simply fell in love with the idea of being a breast specialist,” she said.

Developing New Treatments Cancer cells are notoriously difficult to see, even under high-powered magnification. The goggles Margenthaler has helped test make cancer cells glow blue when viewed through the eyewear. The technology, developed by Samuel Achilefu, PhD, a professor of radiology at the School of Medicine, incorporates custom video technology, a headmounted display and a targeted, nontoxic molecular agent that attaches to cancer cells, making them glow. Current standard of care requires surgeons to remove the tumor and some neighboring tissue that may or may not include cancer cells. The samples are sent to a pathology lab and viewed under


a microscope. If cancer cells are found in neighboring tissue, a second surgery often is recommended to remove additional tissue. “We’re in the early stages of this technology, and more development and testing will be done, but we’re certainly encouraged by the potential benefits to patients,” Margenthaler said. “Imagine what it would mean if these glasses eliminated the need for follow-up surgery and the associated pain, inconvenience and anxiety.” In another collaboration, Margenthaler teamed with Lihong Wang, PhD, the Gene K. Beare Distinguished Professor in the Department of Biomedical Engineering at Washington University. Wang pioneered photoacoustic imaging, which uses light to image cancer cells in the body, noninvasively and without radiation. In patients with breast cancer, Margenthaler is evaluating whether the technique accurately can pinpoint whether breast cancer has spread to the surrounding lymph nodes. If it can, surgeons no longer would need to remove lymph nodes under the arm to check for cancer. Instead, a node only would be removed if cancer is present,

potentially reducing a serious complication of breast cancer surgery called lymphedema, which causes painful swelling in the chest and arm after lymph node removal. The technology was used in 20 patients and was able to reliably identify cancer in the lymph nodes. The results were published in Nature, a leading scientific journal, and future related studies are being developed. That Margenthaler has achieved success in her career also comes as no surprise to Virginia Herrmann, MD, Margenthaler’s longtime mentor and the surgeon who made the prophetic suggestion that she consider a career in breast surgery. “Julie’s compassionate and conscientious, with a work ethic like none I’ve ever seen,” said Herrmann, who has served on the faculty at Saint Louis University and Washington University and is now a professor of surgery at the Medical University of South Carolina.

I simply fell in love with the idea of being a breast specialist.

But it’s not just young surgeons who look up to Margenthaler, said Hermann, who has phoned Margenthaler to consult on difficult cases. “Julie’s taught me a lot. She motivates me to be a better doctor.”

Fast Facts About Julie Margenthaler Favorite pastime: Attending St. Louis Cardinals games, boating, water skiing and spending time with friends and family. Stays in shape by: Running up and down the staircases in between surgical cases at the Center for Advanced Medicine. Also lifts weights and works out regularly. Awards: Samuel A. Wells Resident Research Award (2001), Eugene M. Bricker Teaching Award (2005), James Ewing Young Investigator Award (2006), James P. Crane Award for Clinical Excellence (2010, 2011, 2012, 2014, 2015), St. Louis Top Doc (2013, 2014, 2015), Leading Physicians of the World (2013, 2014, 2015), Best Doctors in America (2015)

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FOOD & NUTRITION

n m u t u A 10

r o f s d o Fo

FALL

It’s That Time Of Year Again! The days of bright berries, crisp salads and succulent summer fruit are behind us for another year. While you might be disappointed to see the last of the seasonal salads, don't fret there are delicious replacements on the way to help you keep your healthy eating habits. Autumn is a season of deep green, dark yellow and brilliant orange and these colours mean the fruits and vegetables are rich in disease-fighting phytochemicals. The more colourful the fruit, the better it is for your health. Here are our top 10 picks for the most delicious and healthy Autumn fruits and veggies. Make them a regular part of your diet, so you can continue to reap the nutritional rewards that fruits and vegetables offer throughout the year.

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10 Parsnips These might look like white carrots but they have a delicate, sweet flavour. While they don't contain the same high amounts of vitamin A as carrot, parsnips are a good source of fibre, vitamin C, calcium and iron. Look for smooth and firm, small to medium sized parsnips for the best quality. Large coarse roots usually have woody or fibrous centres. Traditionally, parsnips are boiled and mashed together with carrots, but they can be steamed, microwaved, boiled, roasted or sautĂŠed as a side vegetable. They also stand in nicely for carrots, potatoes or sweet potatoes in most recipes, and lend a gentle sweetness to soups and other combinations of root vegetables.

9 Turnips and Swedes A member of the mustard family, turnips - known as swedes in Scotland and Ireland - have a white flesh with a tough outer skin that ranges from yellow to purple, and a more bitter flavour than potatoes. They are a good source of vitamin C and offer 2-3g dietary fibre per serving. Like their cousins, broccoli, cabbage and Brussels sprouts, these cruciferous vegetables contain the potent phytochemical sulforaphane, which has been shown to protect against cancer, especially breast cancer. Try incorporating them into recipes where you'd normally use plain old spuds. They work well boiled, mashed or roasted.

8 Sweet Potatoes Despite its name, the sweet potato is not related to the potato. Potatoes are classified as tubers, while the sweet potato is a storage root. Good-quality sweet potatoes will be firm, smoothskinned and tan to light rose colour. They contain 30 milligrams (50,000 IU) of beta-carotene (vitamin A) in a serving, which is four times the recommended daily allowance (RDA) per serving. You would have to eat 23 portions of broccoli to consume the same amount of beta-carotene. They are also high in vitamin C (one serving provides 50% of the RDA) and provide three grams of fibre per serving. Sweet potatoes are an ideal choice for people with diabetes, since they are considered a low glycaemic food. This means that the carbohydrate in sweet potatoes is released slowly, which helps maintain steady blood sugar levels. White potatoes, on the other hand, are a high glycaemic food, as they release carbohydrates very quickly and cause large fluctuations in blood sugar levels. They are ideal for baking, grilling or steaming, and you can substitute them in any recipe that calls for potatoes.


FOOD & NUTRITION

7 Squash

While summer squash tends to be tender and moist with edible seeds and rind, winter squash develops hard rinds and the tough seeds and fibrous centre are inedible and must be scooped out. Winter squash is one of the few vegetables that do not lose quality after picking. In fact, during storage, the beta-carotene (vitamin A) content increases, and they contain more than 100 percent of the RDA for vitamin A. They are also a good source of heart-healthy nutrients, folate and fibre.

6 Pears Pears are a high-fibre food, with a medium pear providing four grams of fibre, which is equivalent to one and a half cups of brown rice. Most of the fibre is also of the soluble kind, which can help lower blood cholesterol levels and improve blood sugar control. They are almost as versatile as the apple. You can use them in low-fat pancakes, sliced on sandwiches or poached and drizzled with maple syrup for a warm, sweet dessert.

5 Clementines These are the baby cousins of the Florida or navel orange and are also known as mandarin oranges. They can be quite difficult to distinguish from tangerines, as they are both bitter orange hybrids, but the main difference is that clementines are often seedless. They have loose skin, so they are easy to peel and make a great portable snack. They marry well with chicken dishes, so try adding some wedges to a grilled chicken wrap for a tropical flavour. If your salad is looking a little dreary, dress it up with a few clementines for more color.

4 Apples Apples contain flavonoids, some of the most potent antioxidants around. Several studies have shown that people who eat a diet that's rich in flavonoids have a lower risk of heart disease and heart attacks as well as several types of cancer. And to top that, they are good for more than baking. Try this simple recipe and fill the whole house wilth a cinnamonapple scent: slice four McIntosh apples into pieces and place in a saucepan with two tablespoons of water and one cinnamon stick. Simmer on a low heat until the apples are tender and the sauce begins to thicken. Serve warm with a dollop of low-fat vanilla ice cream or frozen yoghurt or stir into your breakfast porridge.


3 Pumpkins These are more than just Halloween decorations. The pumpkin's bright orange colour is a dead giveaway that it's loaded with an important antioxidant, beta-carotene, as well as being rich in vitamin C and folate. Carotenoids, such as beta-carotene, may reduce the risk of developing certain types of cancer and protect against heart disease. Even the seeds are packed with nutritional value. In fact, they are only second to peanuts in protein content and a good source of zinc and omega-3 fatty acids, which can help reduce your risk of heart disease. You can roast your own seeds from a fresh pumpkin in a hot oven (190°C) for about 45 minutes. If you do not fancy cooking a pumpkin, don't forget that you can use canned pumpkin in any recipe. It's great served as a tasty side dish for a main meal and ideal for making hearty winter soups, as well as being baked into bread and pumpkin pie.

2 Cranberries If you are looking for berries that ripen in the autumn, look no further than cranberries. Not only are they a healthy, low-calorie fruit, they also play a significant role in preventing urinary tract infections and reducing the risk of gum disease, ulcers, heart disease and cancer. Cranberries contain anthocyanins, the hearthealthy antioxidants, which are also found in tea and red wine, and the compound that gives them their colour. Only about 10 percent of the commercial crop is sold fresh - mostly in September through to December. The rest can be found as juice, dried or as cranberry sauce. Fresh cranberries can be too tart on their own, but they pair wonderfully with other fruits such as apples and pears. Cranberries work well added to muffins and other baked goods and in compotes, relishes, chutneys and fruit desserts.

1 Figs These often-overlooked fruits are full of flavour and their chewy texture makes them a tasty, nutritious addition to your diet. Figs are high in fibre (5 grams per 1½-ounce serving), which is more dietary fibre per serving than any other common dried or fresh fruit. They are also a good non-dairy source of calcium - the same amount of figs and milk provide equal amounts of calcium. Fig puree (200g figs pureed in a blender with around 50-100ml of water or fruit juice) can also be used as both a sweetener and a fat substitute in many baked goods. Keep dried figs on hand as a rich-tasting alternative to cookies or dessert. Or sweeten up mashed potatoes or sweet potatoes with some chopped figs. The figs add a richness of their own, so you can skip the butter or margarine. SPECIAL FALL EDITION 2015 thenewyoumagazine.com

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P I N K PA G E S

By Michelle Cox

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P I N K PA G E S

n i a r b mo

Is

e h C

Real ?

Why can I not think clearly? Chemobrain is a relatively new term that refers to the cognitive changes that can occur as a side effect of chemotherapy. Many people who have gone through chemotherapy notice some temporary changes in their memory or thinking process (cognitive dysfunction.) It might be harder to do two things at the same time, the car keys disappear, and the event you just read about in the newspaper doesn’t seem to stick in your memory. It was formally known as cognitive dysfunction, a symptom reported by many cancer patients. Chemobrain, or difficulty in efficiently processing information, is a legitimate, diagnosable condition that may be caused by chemotherapy treatment, the cancer itself, or secondary medical conditions such as anemia. It's thought that anywhere from 15 to 70 percent of people are significantly affected by chemobrain after chemo, but we are just beginning to learn about the causes, and what you can do to cope and recover from this annoying condition. Always tell your doctor about any changes in your thinking. He or she may refer you to a neuropsychologist. Neuropsychological evaluations for chemobrain are considered medical procedures, not a mental health benefit, and as such are covered by health insurance. 40

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Symptoms of Chemobrain:

• Difficulty concentrating on a single task • Feeling mentally “slower” than usual • Problems with short-term memory; forgetting details of recent events • Misplacing objects • Confusing dates and appointments • Fumbling for the right word or phrase

These symptoms generally will fade after chemotherapy ends, but each patient is different. Some may take a year or more after treatment to feel normal again; others may never regain full cognitive function.

Treatment:

Not many treatments for chemobrain currently exist, although some patients may find relief from stimulants such as Ritalin®, commonly used to treat Attention Deficit Hyperactivity Disorder (ADHD). Ritalin can help improve mental focus, concentration and stamina in cancer patients. People can use the following coping strategies to minimize the effects of chemobrain: Exercise: Even five minutes of mild to moderate activity may improve mental function. Memory Aids: Using a notebook, planner or list to keep track of things as they come to mind. A small recorder can also come in handy. Treat fatigue and sleep problems: these conditions can worsen chemobrain symptoms. Manage depression and anxiety: easing stress and elevating mood can ease chemobrain symptoms.

2 LO CA

Minimize distractions: Employers are required by the Americans with Disabilities Act to make reasonable accommodations for health-related impairments such as chemobrain. A more soundproof environment, like an office or a cubicle in a different location can decrease distractions and improve concentration in the workplace.

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PINK PAGES RESOURCE GUIDE Cancer Support Community American Cancer Society’s Hope Lodge A free housing facility for cancer patients receiving treatment in the St. Louis area who live a distance greater than 50 miles. Please call for eligibility requirements. WHERE: 4215 Lindell Blvd, St. Louis, MO 63108 CALL: (314) 286-8150

American Cancer Society’s Reach to Recovery Through face-to-face visits or by phone, the American Cancer Society’s Reach to Recovery volunteers give support to people recently diagnosed with breast cancer. Volunteers are trained to give support and up-to-date information, including literature for spouses, children, friends and other loved ones. WHERE: 106 Farrar Drive, Suite 104, Cape Girardeau, MO 63701 CALL: (877) 227-1618

Provides free support and education to anyone touched by cancer. Contact the Cancer Support Community for cancer resources, education support, nutritional help and more. WHERE: 1058 Old Des Peres Road, St. Louis, MO 63131 WEB: www.cancersupportstl.corg

Gateway to Hope: A Breast Cancer Lifeline Gateway to Hope arranges comprehensive treatment for uninsured or under-insured low income individuals diagnosed with breast cancer, as well as those genetically at high risk for the disease who are not eligible for state or federally funded care. WHERE: 845 North New Ballas Court, Suite 380, St. Louis, MO 63141 WEB: www.gthstl.org

Hereditary Risk for Breast Cancer Program at Saint Louis University

This support group is open to all women who have had breast cancer. WHEN: The first Tuesday of each month from 6:30-8:30 pm WHERE: HealthPoint Fitness - Cape Girardeau 2126 Independence, Cape Girardeau, MO 63701 CALL: (573) 986-4411

Funded by a grant provided by the Susan G. Komen for the Cure St. Louis Affiliate, this program provides education and counseling to men and women and at-risk families for breast cancer providing information and counseling on risks, benefits and psychological ramifications of genetic testing. WHERE: 3555 Vista Ave, St. Louis, MO 63110 CALL: (314) 577-8854 CONTACT: Suzanne Mahon, RN, DNSc, AOCN, APNG

Breast Cancer Awareness and Support Group

I Can Cope Cancer Support Group

This support group is open to all women who have had breast cancer. WHEN: The second Tuesday of the month, 7:00-8:00 pm WHERE: Mercy Hospital of Washington 901 East Fifth Street, Washington, MO 63090 CALL: (636) 432-3527 CONTACT: Debbie Vietmeier for information

This support group is open to anyone with cancer and their families. WHEN: The second Tuesday of each month, 5:30 pm WHERE: Poplar Bluff Regional Medical Center 3100 Oak Grove Road, Poplar Bluff, MO 63901

Bosom Buddies

Lending a Hand Breast Cancer Support Group Offers support and comfort by providing support networks, community support information, mentor programs, breast cancer awareness resources, diagnosis and treatment to residents of Southwest Missouri and the four state area. WHERE: 330 North Jefferson, Springfield, MO 65806 CALL: (866) 874-1915 WEB: www.bcfo.org

Breast Cancer Monthly Networking Cancer Support Community’s monthly educational and networking group in collaboration with St. John’s Mercy Medical Center - for women newly diagnosed and those who are post treatment for breast cancer. WHEN: The fourth Wednesday of each month from 5:30-7:00 pm WHERE: David C. Pratt Cancer Center Suite 1440, John Krey Cancer Information Center John’s Mercy Medical Center, 607 South New Ballas Road, St. Louis, MO 63141

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thenewyoumagazine.com SUMMER 2015

Assists cancer patients with various expenses related to cancer treatment such as gas cards, prescription co-pays and reimbursement for treatment-related travel expenses. WHERE: Post Office Box 734, Van Buren, MO 63965 FACEBOOK: Lending a Hand Cancer Fund

UCAN Their mission is to help ease some of the burdens brought about in the wake of a cancer diagnosis, thereby enhancing the quality of life experienced by local cancer patients. WHERE: 1419 W Maud Street, Poplar Bluff, MO 63901 CALL: (573) 776-1892

Women Under 40: Breast Cancer Educational Networking Group Connect with other women who are facing the same challenges as an under 40 patient and survivor. Different topics are discussed each month. WHERE: St. Louis Cancer and Breast Institute 2nd floor Conference Room 15945 Clayton Road, Clarkson Valley, MO 63011


FROM UP HERE , THE WORLD SEEMS I N F I N I T E LY B E T T E R . A N D S O D O Y O U .

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