WINTER HOLIDAY EDITION 2015
WOMEN TO KNOW Ladies First—A Family Tradition at Mr Guy Clothiers
Holidays are Here! Coping with Stress During the Holidays • Too Much Holiday Cheer? • Raising a Grateful Child •
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10 Ways the Holidays Can Ruin Your Looks
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Exercises to Better
Sex
four tips
for Women Investors NsK I P A Promising thepage Breast Cancer Vaccine ide Ins
A NEW NORMAL AFTER BREAST CANCER Jan Wadsack’s Story
the
Contents
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A Promising Breast Cancer Vaccine with Dr. William Gillanders
On the Cover
WI N T ER 2015 H OLI DAY EDI T I ON F EAT U RES
FOOD & NUTRITION
BEAUTY
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10 WAYS THE HOLIDAYS CAN RUIN YOUR LOOKS and what you can do to stop it
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WINTER HOLIDAY EDITION The Holidays are Here! In this edition of The New You Magazine, Inside & Out, we discuss topics like coping with stress, raising grateful children and tips for Women Investors.
STYLE & MAKEUP BLUNDERS THAT MAKE YOU LOOK OLDER...
TOO MUCH HOLIDAY CHEER Tips to energize yourself
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DELICIOUS HOLIDAY FEAST
MEN’S VIEW MEN’S VIEW Men’s 10 biggest complaints about women
COPING WITH HOLIDAY DEPRESSION & STRESS
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HOLIDAY WINE PAIRINGS
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HEALTH & FITNESS
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RAISING A GRATEFUL CHILD
PINK PAGES
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DISCOVERING A NEW NORMAL Jan Wadsack’s support during breast cancer
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BREAST CANCER RESOURCE GUIDE MALE BREAST CANCER
FINANCIAL HEALTH
30 4 TIPS FOR WOMEN INVESTOR$ Erin Kessel, a VP & Financial Consultant with Charles Schwab, shares these valuable tips for women who invest.
6 WOMEN TO KNOW IN MISSOURI Sarah Rhim shares her story of how she grew up amid the racks of fine clothing with her parents, Terry and Carla Felumb and now picks up the tradition that they created here in St. Louis.
12 COUGAR WOMEN OF MISSOURI Resident Cougar expert Linda Franklin discusses confidence...the ultimate aphrodisiac and how sexy starts with an attitude.
22 5 EXERCISES TO BETTER SEX Exercise doesn’t just help you tone up and slim down– it can also make sex so much hotter!
46 P INK PAG ES STORY Jan Wadsack Receives Amazing Support During Breast Cancer and Discovers a New Normal Afterward
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A message from the publisher... Dear Friends… What a great time of the year! I love all the hustle and bustle of the season, spending time with family and friends, enjoying all the holiday traditions and festivities. This is also the time of the year you want to look and feel your best! So where do we begin? In this edition, you will find tips on avoiding holiday weight gain, ways to maintain vibrant hair color, raising a grateful child and wine pairings for your holiday dinners. Our experts have provided you with diet tips and strategies for the holiday season-- as well as breakthrough information on the research for a breast cancer vaccine. You will find some of the common style and make-up blunders we make that make us look older. You will also discover useful information on age proofing our brain, along will some great recipes. And you will not want to miss how to exercise to better sex (yes, and it is good for your health). Our “Women to Know” features Sara Rhim and her mom, Carla Felumb. Carla and her husband are the owners of Mister Guy clothiers. Now in its 37th year, Mister Guy Clothiers offers some of the best specialty store shopping in the Midwest, and some of the stylists have worked for the company for more than a decade, making them trusted confidantes for their customers. Finally, we want to say thank you to Jan for sharing her personal story and her breast cancer journey. Without a doubt this will touch your heart. I hope you enjoy this issue and that it inspires you to be the best you can be. A OGRAM M M MA MY E SAV D nd a LIFE
Happy Holidays!
ave it can sRS! YOU
VOLU ME 5, ISSU E 4 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, M.D.,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.
“Blessed are those that can give without remembering and receive without forgetting.” — Author Unknown
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.
© 2015 by The New You–Inside & Out Magazine ALL RIGHTS RESERVED
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thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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WOMEN TO K NOW
Ladies First at Mister Guy The Women’s Store 9817 Clayton Rd St. Louis, MO 63124 314-991-5262
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The Men’s Store 9831 Clayton Rd St. Louis, MO 63124 314-692-2003
A Family Tradition of Service and Style by Michelle Cox
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arah Rhim literally grew up amid racks of fine clothing. Her parents, Terry and Carla Felumb, met while working for Mister Guy Clothiers in Kansas City, MO, and eventually moved to St. Louis to open the company’s stores here.
“I learned all my skills in early math from doing receiving in the back room,” Sarah says. “I grew up in the business. I was an only child, so I helped my parents, went on buying trips to New York and Dallas and learned a lot about clothing at a young age.” Sarah went to college in California and studied biology, but after teaching for about eight years, she and her husband moved back to St. Louis to be closer to her family. Today, she oversees all aspects of marketing and events. “I decided I wanted to be a part of the family business and pick up the tradition that my parents created for St. Louis.” That tradition comes from two people who have a lifelong passion for fine clothing. > WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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WOMEN TO KNOW
Sarah’s mom, formerly Carla Bertus, started her career in fashion at a young age, as her interest in fashion led her to pursue modeling. “She always loved clothing and from the time she was in high school she wanted to have her own boutique,” Sarah says. “After college, while she was still modeling, she went to work for one of the finest stores in the country, Miss Jackson’s.” Carla worked as a buyer Jackson’s, Miss for learning the trade. Then she moved to Kansas City for a job with the May Company before joining Mister Guy in Kansas City,
where she met Terry. Terry attended college at the University of Missouri-Columbia and worked for Mister Guy in Columbia when he was in college. “He loved it and was good at it,” Sarah says. “He was a good salesman, so he went to work at the Kansas City store and quickly moved into management and became a lead buyer.” Mister Guy Clothiers was founded in 8
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
1962 and at one time, there were 16 stores across the Midwest. Eventually, the Felumb’s moved to St. Louis and Terry opened and managed the St. Louis stores, both Mister Guy Women’s store and Mister Guy Men’s store. In 1992, as the company was being downsized, the Felumb’s purchased the St. Louis stores and expanded upon the Mister Guy reputation, creating a legacy of high quality clothing and exceptional customer service.
“We became known for never compromising on the quality of our product,” Sarah says. “We are not in this business to sell an inexpensive product and mark it way up. We actively sell the best fitting and the most beautiful clothes available. We like our customers to think of us as place to buy a lasting garment that will carry through many seasons.” Now in its 37th year, Mister Guy Clothiers offers some of the best specialty store shopping in the Midwest, and some of the stylists have worked for the company for more than a decade, making them trusted confidantes for their customers.
Sarah says her parents worked very hard to establish a reputation in their stores for superior customer service. “We go above and beyond for customers. We are experts in fit and we have free tailoring in our store so customers can get a custom fit that is perfect.” In addition to the fine clothing and customer service, Mister Guy was a pioneer in bringing trunk shows to St. Louis. The benefits of a trunk show are that a
not just wear what’s coming down the runway,” she says. That approach has led to Mister Guy’s very loyal customer base, including customers from all over the world who visit the store whenever they are in the city. “For the most part, our customers are from our local zip code, but we do have customers from all over,” Sarah says. “Most of our customers are
“We have become known for doing this over the last decade,” Sarah says. “Through our connections in the business, we are able to bring an entire collection for a season from new and existing designers into our store for our customers to view at a trunk show.”
customer can see the bigger collection from a designer versus just a couple of pieces that the store chooses to sell. “That way, if you find a brand you really love, you can see everything that brand has to offer for the season. It helps the customers learn what fits them well and how to shop within a brand without having to go to a bunch of different stores.”
seeking the boutique shopping experience and they like the personal attention and small store environment. They know we’ll be 100 percent honest with them and they will leave her looking their best.”
Sarah says that the styles offered at Mister Guy cater to individuals who want to be stylish but not necessarily trendy. “We give a nod to the trends, we note them, but ultimately we see every customer as an individual and we want them to wear colors and shapes that look best on them, WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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Located on the Historic Intracoastal Waterways of Beaufort, South Carolina Nestled on the Coosaw River in Lady’s Island, SC Less than 10 minutes from Historic Beaufort, SC Between Charleston, SC & Savannah GA Affordable homes start in the $300’s Homesites start in the low $40’s
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COUG AR WOMEN
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The Ultimate Aphrodisiac By Linda Franklin
Sexy starts as an attitude.
ave you ever walked down the street and wondered if you still have what it takes to turn a head or two? I know I have. Sometimes I wonder just how a younger man sees me. By younger I don’t mean jail bait but someone 10 years younger. In his eyes am I still sexy or is he thinking I’m over the hill? I know, I know, it only matters how you see yourself, but I’ll bet you would be curious to know if some cute guy thinks you’re smokin’ hot. A cougar walking.
I believe it’s important to look as vibrant as you can at any age. No, that doesn’t mean doing whatever you can to recapture your youth. It means just being a cool and up-to-date version of the woman you have become.
Too often, after you reach a certain age, both men and women think it’s okay to let themselves go and that’s not good. The other day I was talking to a man at a friend’s birthday party. He was there with his wife and I guess both were in their midsixties. He told me that sometimes when he looks over at his wife he doesn’t recognize her./ He said, “it’s like sleeping with a stranger.”/In his eyes she has lost her youth, her energy and her sex appeal. He didn’t say it, but I’d guess that makes him feel old too. He’ll probably never tell her what he told me, but our conversation made a lasting impression on me. I believe it’s easy to maintain our sexiness as we mature. It’s a choice like everything else. There are so many things we can do to look great and feel great. I don’t have to tell you that sexy starts in your brain and then travels down to all the right places. It’s an attitude!
Just for fun, the next time you walk down the street, stand up straight, hold your head up high, stick out your chest and strut your stuff. Show the world the sexy, the cool, Real Cougar Woman that you are. 12
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The Real Cougar Woman is a 5-carat diamond who knows the importance of taking care of her health, beauty, relationships, finances and spirituality. Linda Franklin says,“there is no stopping a woman who has a strong belief system, passion and a dream. All things are possible.” Linda’s book, helps women of all ages tap into their power and live life to the fullest. WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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BEAUTY
10 Ways the Holiday It’s the most wonderful time of the year — right? The holidays are joyful, but with the cheer also comes chilly weather, out-of-town guests, stress, sleep deprivation and more. In fact, the holidays — a time when you want to be looking your party best — can be a potential minefield of beauty hazards.
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ys Can Ruin Your Looks Here are some of the grinches that might steal your radiance this season, and what you can do to stop them. Weight Gain The holidays can seem like an endless parade of cookies, pies, special drinks and traditional desserts. You can have your beloved cheesecake if you stick to reasonable portions and cut back on calories when you can. Choose hot cocoa over creamy eggnog (a calorie atomic bomb!). Watch out for finger foods at parties, as mindless munching can add up. Have a light breakfast and lunch so you can enjoy all the holiday fare at dinner, and aim to fit in some exercise each day, even if it's just a brisk walk around the block.
Sleepless Nights Catching a red-eye to your relatives or setting a crazy-early alarm for shopping can mean sacrificing a good night's rest. One too many of those nights can cause dark circles, bags under your eyes,
and a dull complexion. Over the long run, lack of sleep can actually speed the signs of aging, and who wants that? Now more than ever, you should make sleep a real priority. You'll not only look better, but studies suggest sleep can improve memory, help vaccine efficacy (as in flu shot!), and lessen weight gain.
Stressed Out Skin Unfortunately holidays often bring stress. Money troubles, pressure to host or attend parties, and cooking a meal for a large crowd are only some of the reasons you may feel tense this time of year. But all that worry can cause more than just your mood to plummet. Stress can lead to skin issues like acne and psoriasis flares, as well as hair loss. Take time to actually enjoy the season, and understand plans probably won't go off without at least one tiny hitch. Relax by the fire, get a massage, let someone else cook— just take some you time, and watch stress melt away.
Fading Hair Color At the end of the year, hair color can look a little blah. Whether you have natural color that has lost its summer luster, or colored tresses that haven't made it to the salon recently, winter is the perfect time to get your hair holidayparty ready! Keep your hair conditioned by using a weekly mask, and avoid hot tools when possible to maintain vibrant color.
Dull Complexion Just as hair color fades in the winter, so does your complexion. Chilly conditions cause dry skin, and that sun-kissed glow has long since left your face. Bring life back to your
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Sore Feet Even if you're mostly an Internet shopper, it's hard to avoid spending lots of time on your feet during the holiday season. Whether you're shopping or party-going, wearing the wrong shoes can cause painful swelling, blisters, and calluses. Relax sore muscles by placing a tennis ball under your feet and rolling back and forth from toes to heels. Still need relief? Think about visiting a reflexologist who can give you a professional foot rub, which can also help other stressors like migraines and back pain, too. appearance just in time for out-of-town guests to arrive (and office parties to begin). Give your winter skin a wake-up by using a daily exfoliator to scruff off dead skin cells and invest in an age-defying color corrector for a more even skin tone. Try a tinted moisturizer with SPF. Add a pop of muchneeded color with a rosy-pink cream blush that stays on longer and adds a more youthful look than powder blushes.
Dry Air and Static Hair Frizz in the summer, and static in the winter: Your hair just can't seem to win the weather battle. There are things you can do other than pulling your hair into a top knot. (Cute idea though!) Get holiday-ready by adding shine back into hair; use shampoo that doesn't strip out natural oils, deepcondition weekly or monthly, and/or sweep a glossing cream onto dry strands.
Nail Damage You're finally done shopping, so you can kick up your feet and relax. But wait, all those presents need to be wrapped! Unless you have a little elf to do it for you, all that manual labor is sure to nick, chip, and smudge your pretty new mani... At home, be sure not to skip steps. Each nail should get a base coat, two color coats, and a top coat to seal the shade. And add one quick-dry drop to each nail to speed up drying time and prevent smudges. At the salon, try out gel lacquers. These use UV light to set polish, and last for an impressive two to three weeks without chipping.
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Hangovers Rough night? You may have had a blast at all the holiday parties, but blood-shot eyes, yesterday's makeup and messy hair don't look good on anyone. The first rule is to drink in moderation (obviously), but there are a few other things that can help. Sip lots of water, never drink alcohol on an empty stomach, avoid mixing different cocktails throughout an evening, and choose light liquor over dark. If you still wake up with a hangover, some ibuprofen, water and rest will eventually do the trick.
Dry Skin One of the worst woes of the season is rough, itchy skin. Get your glow back by sloughing off dry patches. Use an exfoliating cleanser on your face and a scrub on your body, followed by a long-lasting rich body cream or butter, and an antioxidantpacked moisturizer for face and neck. Don't forget your hands! Keep a travel size bottle in your bag for moisturizing on the go.
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Getting Rid of Cellulite Smooth at Last... Some 84 percent of women have cellulite. For many, it starts in their 30s and progresses from there, often around the buttocks and thighs. Its exact origin is not completely understood, but there is likely a link to estrogen, notes Dr. Terry Myckatyn a, board-certified Washington University physician at West County Plastic Surgeons. “Up until now, there have not been any technologies or therapies out there for long-term cellulite improvement,” he says. “When women get tummy tucks, liposuction, or CoolSculpting, there is a perception that the cellulite will get better, but it is completely unrelated. Those are treatments for fat, and do not treat cellulite.” However, a new treatment for cellulite, called Cellfina, was recently approved by the FDA and is offered by West County Plastic Surgeons. In clinical trials, 96 percent of women were satisfied with the results two years after Cellfina treatment. The name Cellulite makes it sound like a medical condition. But cellulite is nothing more than normal fat beneath the skin. The fat appears bumpy because it pushes against connective tissue, causing the skin above it to pucker. The device uses suction to pull away the dimple, then a specialize needle is used to release the connective tissue, eliminating the dimple, explains Myckatyn. “We can treat a handful to dozens of dimples at a time. It can take as little as an hour, or if there are many dimples being treated, it can be a couple of hours. It does have a little bit of variable bruising, which can last from a few days to a couple of weeks. But the patient can drive themselves there and back, they go out to dinner that night and work out that day. There may be a bit of tenderness or swelling, but there are no restrictions,” says Myckatyn. There have been no serious adverse events associated with Cellfina. The most common side effects reported by patients in the FDA-approved pivotal study were soreness and bruising. Just three days after treatment patients rated their pain as minimal (2.7 on a scale of 0-10; 10 = extreme pain) and most (82 percent) felt pain only with touch or pressure to the area treated. Over 90 percent of patients had no bruising at four weeks. West County Plastic Surgeons is currently the only practice in Missouri to offer Cellfina. “It is recommended for candidates with a normal body mass index of 32 or lower, and can be used in conjunction with other non and minimally invasive contouring technologies,” Myckatyn adds. The Cellfina treatment can range in price from Dr. Terence M. Myckatyn, MD, FACS, FRCSC $4,000 and up depending on the number of cellulite dimples and areas Associate Professor, Plastic and Reconstructive Surgery West County Plastic Surgeons of Washington University treated. Since the treatment is so personalized, the best way to get an Division of Plastic and Reconstructive Surgery accurate quote is to be evaluated by a physician at West County Plastic Washington University School of Medicine 18 thenewyoumagazine.com WINTER HOLIDAY EDITION 2015 Surgeons or by another board-certified plastic surgeon.
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BEAUTY
common style & makeup
blunders that make you look older
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It's not just vanity that keeps me wanting to look younger. It's the fact that I don't feel old on the inside, so why would I want to portray an aged image to the world?
Tweed
Luster and color
While some fabrics have a youthful vibe (like denim), tweed seems to do the opposite because it's associated with matronly suits. If it's a menswear look you are after, opt for pinstripes or oversized houndstooth instead of tweed.
The brittle texture of overly processed hair is as much an ager as being gray. Ask your colorist if that buttery blonde is working as hard for you at 45 as it did at 30. Be open to what they say. And ask for options to get your hair gleaming like a semi permanent hair color or a gloss topcoat
Reading glasses Sure, you may need them, but no woman ever looked younger with little reading glasses perched on the end of her nose. And the chain attached to them so you always have them at hand? That makes you look older, too. If you must wear reading glasses (and I need them, too) make sure they are cute (I have a pink pair) or fun.
Gray hair I'm probably going to get in big trouble here from all the women who opt for gray hair, but the truth is it makes you look older. And that's one thing I don't want at this point in my life. I'm not saying gray hair can't be chic (I know many women who look beautiful with it), I'm just saying it never made anyone look younger. Better options than going gray in middle age are colors that are flattering to your skin.
Sensible and comfort shoes Want to ruin a perfectly good look? Wear comfort sandals with it. There are too many cute shoes in the market that are comfortable without the clunky soles and features of so-called comfort sandals.
Mom jeans Peg-leg jeans with a high waist – a.k.a. mom jeans – are unflattering and outdated. It's such a simple thing to change because every conceivable label has a version of jeans that work for women our age, from affordable Lee jeans to upscale Not Your Daughter's Jeans.
Old lady handbag Are you still carrying that logo bag from 15 years ago? Handbags have been a driving force of fashion for the past decade and still carrying an organizer bag (or worse) can add years to your age. An updated option would be a cut cross body or a fun leather bag.
Too much or too little makeup Garish blush and lipstick can be just as aging as no makeup at all. If you're not sure what still works for you, go to your local department store and get a free makeover with the latest products. New eyeshadows are sheer and luminescent, as are lipsticks and glosses. Learn how to apply pretty colors with a light hand and you'll be on the right track to wearing the perfect makeup in middle age
Socks and sneakers with anything other than workout clothes White sneakers (except for working out) are a one-way ticket to old lady land. I try to avoid this outdated look by always having updated sports shoe options on hand.
Leathery, sun spotted skin on face, neck and décolletage Freckles make women look younger, but a freckle is defined by small sprinkles largely concentrated across the bridge of the nose and apples of the cheeks. An age spot is larger in diameter, and looks more like a drop of coffee. They tend to pop up on hands, temples, foreheads and are more singular in nature.
Your skirt length is moving down, down, down Just because your age is increasing doesn't mean your hemline has to as well. A skirt that grazes close to your ankles may hide slightly saggy knees, but it also tends to make women look wider and frumpier. To find the most flattering skirt length for your shape, look in the mirror and note the slimmest part of the area around your knee—right above, right below or in the middle—and that's where your hemline should hit.
You're hiding your neck It seems like the easy fix: Cover as much of the neck as possible with a turtleneck, but a better choice is a V-neck or scoop neck, which draws the eye to your décolletage (so long as it doesn't show cleavage). Collared shirts draw attention away from the neck area while giving a little more coverage. You might also choose a statement necklace that sits a little longer. Avoid chokers.
Applying lipstick straight from the tube The borders of the lips soften with age, and any extra lipstick migrates easily. To avoid bleeding color, use your finger or a lip brush so that you don't deposit too much pigment. Concentrate the lipstick in the center of your mouth, and blend it out with a finger. Top it with a moisturizing balm or light gloss.
Skipping Blush A rosy flush on your cheeks brings instant life to your face. And, if applied correctly, blush can offer a little lift. Smile, find the fleshiest part of your cheek and apply color just slightly above it. Blend the color out toward your temples in circles, not a line, using a big fluffy brush. You want to avoid a stripe of color that stretches along your cheekbones, which can make you look drawn and hollow.
HEALTH & FITNESS
5 Exercises to Better Exercise doesn’t just help you tone up and slim down—it can also make sex so much hotter. Try any (or all) of these moves!
W
hen you first learned you had cancer, you probably thought mostly of survival. But after a while other questions may have started coming up. You might be wondering “How ‘normal’ can my life be, even if the cancer is under control?” Or even “How will cancer affect my sex life?” It’s important to know that you can get help if you are having sexual problems after cancer treatment. There are many good treatments available. Many women do find sex and intimacy difficult after a breast cancer diagnosis. A serious illness in either partner can disrupt a sexual and intimate relationship, but breast cancer can cause unique problems. You may feel your body has betrayed you. And, after months of treatment, you may feel detached or disconnected from the pleasure your body once gave you. Body image issues may also affect how you view sex, as well as your sexuality. Exercise has been shown to help improve sexuality and body image concerns among breast cancer survivors. One study revealed that 88 percent of women who exercised five times per week rated themselves as way above average between the sheets. By working on all the right muscles, you will boost your energy level, build core strength, and become more flexible, according to Damon Roxas, national director of training and fitness for Crunch Fitness, who created this workout.
Try some of these exercises...
Cardio Getting physical can ramp up the pleasure for you and your partner. Any activity that gets your heart beating faster and you breathing harder, from brisk walking to cycling, can boost blood flow – including to your nether regions. That’s a plus for both genders: stronger erections for men, and greater arousal for women (a whopping 169% more in one University of Texas study).
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Swimming Harvard researchers found that male and female swimmers in their 60s had sex lives similar to people 20 years younger. Swimming builds endurance, boosts blood flow, improves flexibility and strength, and slashes stress. It also burns some serious calories, a plus for anyone who's overweight (extra pounds lower libido), especially obese men with erectile dysfunction.
Mountain Climber with Reverse Crunch This move increases stamina. "Most of us are so exhausted that we find ourselves choosing between sleep and sex on a regular basis," says Laura Berman, PhD, author of The Passion Prescription: 10 Weeks to Your Best Sex Ever. With more energy, guess what choice you'll make. This exercise targets your abs, hip flexors, glutes, quads, and calves.
Do the Move • Start in full push-up position. • Pull right knee toward chest, return to start, then switch legs, keeping abs tight. • Continue quickly alternating sides for 30 seconds. • Lie faceup on floor with legs extended, hands behind head, feet lifted 6 inches. • Lift hips, bringing knees toward chest while crunching upper body toward knees. Lower. • Do 10 to 15 reps. Repeat sequence 5 times.
Sex Standing Hip Thrust The name says it all— Do the move • Step forward with one foot so that your feet are a couple of feet apart. Keep your toes facing forward and your knees slightly bent). • Gently push your pelvis forward until you feel a very mild stretch in your hips. Although this may seem too subtle, don'toverdo it: The hip flexors are attached inside the legs in such a way that it takes very little effort to stretch them. • Hold the stretch for 30 seconds, then reverse leg positions and repeat.
Plank This is a perfect way to strengthen the deepest layer of your ab muscles (transversus abdominis), along with your upper arms, thighs, and buttocks. These muscles help stabilize you so you can stay close to your partner when and where it counts most. Do it once a day, and build up to 60 seconds or longer. If it's too challenging on your toes, try balancing on your knees instead. It's hard to believe the plank could provide such a great workout — until you try it.
Do the Move • Get into pushup position on the floor. • Now bend your elbows 90 degrees and rest your weight on your forearms. Your elbows should be directly beneath your shoulders, and your body should form a straight line from your head to your feet. Hold the position for as long as you can. Your goal should be to hold it for two minutes.
Ways to improve your plank time The longer you can hold the plank, the more resilient your lower back will be to injury, and the better your abs will look once you burn the fat off them. Follow these tips for longer plank times. See more at: http://www.mensfitness.com/weight-loss/burn-fat-fast/how-to-do-a-plank-asinglemove-for-stronger-abs#sthash.Xz9LPA9u.dpuf
Better Together Couples who sweat together stay together, so make an exercise date with your significant other. Studies show that challenging physical activities spark arousal. You'll be more attracted to your partner post-workout, too. Coordinate your actions (for example, run at the same pace) to strengthen your emotional connection even more.
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HEALTH & FITNESS
Not So A
lthough the holidays are supposed to be a time full of joy, good cheer and optimistic hopes for a new year, many people experience additional stress or seasonal “blues�. Thanksgiving dinner dishes are still being cleared off the table when some of us start thinking about everything that needs to be done in the upcoming weeks. The season can be a stressful time as we try to meet all of our obligations. Things like financial stress, overcommercialization, being away from loved ones, or lack of time to prepare to make it easy to feel out-of-sync with holiday crowd.
In order to help you cope with some the stress during the holidays here is a list of things to remember
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Holiday Depression and Stress Coping with stress during the holidays
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HEALTH & FITNESS
Too Much
Holiday Cheer Try these tips to
Energize Yourself Your holiday habits–overeating, lots of sweets, alcohol, and less rest–can impede the body’s ability to detox naturally. The liver is the master of detoxification, but it becomes sluggish when we abuse it. Try these easy detox tips to lift your energy and leave you feeling rejuvenated.
Lemon water
Eat enough fiber
You might be tired (or even a little hungover), but your morning latte is not the answer. When you wake up, don’t immediately reach for coffee. Instead, have warm lemon water. The lemon kick starts digestion (and your metabolism) and helps flush the liver.
Soluble fiber from vegetables and fruits binds to the toxins in your gut and helps flush them out via elimination.
Get some exercise
Use a body brush
When you get at least 30 minutes of exercise a day, which can be as simple as a brisk walk, you power up your lungs and get that breath flowing. This helps pump toxins out on a continual basis, and makes your heart stronger, too.
Not only does it help exfoliate your skin, but it encourages the detoxification process.
Use the sauna
Stay hydrated Dehydration prevents your body from being able to rid itself of accumulated waste. When you drink enough, you help flush those toxins out through elimination. Aim for between eight and 12 glasses of clean, fresh water each day. You may need more, depending upon the level of activity you perform each day and the temperatures in which you work or work out.
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thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
When you submerge your body in hot air, your blood vessels increase in size and this improves the blood flow and therefore improves the transfer of nutrients and waste. That sweat leaving your body is full of toxins.
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Raising a
Grateful Child
HEALTH & FITNESS
by Catherine Hutter, PhD Children’s Hospital • St. Louis, MO
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T
his time of year, parents scramble to find the right gift or give the perfect holiday experience in an attempt to bestow some measure of happiness on their children.
Unfortunately, bestowing happiness by giving stuff leads not to happiness, but to the expectation that more is better, and, moreover, that parents are responsible for achieving that state of joy. A sense of entitlement does not lead to contentment and satisfaction, but, rather, feelings of disappointment and frustration. While it is true that American children are probably the most indulged children in the world, parents who teach an attitude of thankfulness and gratitude can give their child an appreciation of what they have and a feeling of satisfaction in contributing to the betterment of the world.
Here are tools parents can implement throughout the year to raise grateful kids:
j Focus on the positive. Rather than focusing on a child’s lengthy list of wants, help kids “count their blessings” and appreciate what they have. Volunteering at a homeless shelter, food pantry or nursing home can provide kids with an example of people living without health, food or family.
j Lead by example. Children learn by watching what parents do more than what they say. Entitled parents produce entitled children. Modeling values of putting others ahead of self and serving others help children understand the benefit and joy of giving.
j Teach children the importance of saying thank you. Saying “thank you” is one way to acknowledge others’ impact on our lives. Parents who pay attention to positive behaviors increase the likelihood that
those behaviors will increase in frequency. So, thanking your children for setting the table or putting away toys increases the likelihood of those positive behaviors recurring.
j Media can also be a powerful influence on the way children see the world. Expose children in a purposeful way to examples of television, movies or websites that model giving. Movies like “It’s a Wonderful Life” show children the importance of community. j Research suggests that one simple way to foster gratitude is by regularly recording things that make us feel grateful. Writing in a “gratitude journal” helps promote a mindset of looking for positive events and putting them on paper makes the events concrete. In one study, teens who were asked to record reasons for gratitude were compared to teens who recorded life’s annoyances. After a few weeks, teens who focused on gratitude expressed a higher level of well-being and satisfaction with school, life and relationships.
j Bring the positive aspect of life into everyday conversation throughout the year. At the dinner table, parents can ask kids to not only talk about problems during the day, but also things that went well. Parents can play a game of asking for “highlights and lowlights” of the day. Children can learn that a focus on positive events can impact their mood in a positive way. The holidays can be a stressful time of year. Don’t get bogged down with ‘what to buy.’ If you’re able to help your kids focus less on the ‘stuff’ they receive, and more on the giving experience, you’ll be giving them a low-cost gift with lifelong value. And hopefully one day they’ll thank you for it.
WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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FINANCIAL HEALTH
Four Tips for
Women Investor$ Presented by Erin Kessel
W
stock investments to counteract the impact of inflation. The ultimate goal is to make sure you have continued growth while not risking the money you need to live on.
But even as women are creating and controlling more wealth, a majority still feel unprepared for their golden years. A Charles Schwab survey released in April 2014 showed that less than 40 percent of women believe they’ll have enough for a comfortable retirement.
Women may have a more expensive retirement. Not only do women have to plan for more years in retirement, but they often have to anticipate higher expenses. Longer life expectancies can translate into increased medical expenses and a higher likelihood of entering a nursing home or assisted living community, or hiring formal home care, which can cost tens of thousands of dollars a year.
omen now exercise decision-making control over $11 trillion, or nearly 40 percent, of investable assets in the United States, according to the Center for Talent Innovation. Research shows that women-owned businesses are also on the rise. According to American Express OPEN, between 1997 and 2015, the number of women-owned firms increased by 74 percent – a rate 1-1/2 times the national average.
While women face a unique set of circumstances when it comes to retirement planning, being more aware of these challenges is the first step to helping to overcome them. At Schwab, we generally highlight four key considerations to help women prepare and be confident in their financial future. Keep in mind, this information should not be considered personalized investment advice or recommendations. Since each situation varies, it’s important to review for your own particular situation. Women may have a lengthier retirement. Women tend to outlive men by an average of six years, according to the Administration of Aging. Though a longer retirement means more time to travel the world and spoil grandchildren, it also means women will have to save more money to last them through their longer lifespans.
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Tip: Stocks are an important part of most portfolios, even during retirement. Though you may want to gradually reduce your exposure as you get older, consider maintaining a portion of your savings in 30
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Tip: Medicare benefits cover some medical costs during retirement, but consider signing up for supplemental insurance, such as long-term-care insurance, or a Medigap policy or a Medicare Advantage Plan. Women potentially have to save more to make up for earnings loss. On average, women still earn lower salaries than their male counterparts. In 2013, women still earned only 78 cents for every dollar men earned, according to U.S. Census Bureau’s data for full-time, yearround workers’ median earnings released last September. Plus, over the course of their working years, women spend more time out of the workforce to care for their families, according to the AARP Public Policy Institute. To counteract the forces that are weighing on their ability to accumulate savings, women should focus on socking away as much as possible during the years they are working and earning an income.
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2013, according to the Social Security Administration. While this may be difficult to accept, women who may become widows due their longer life expectancies should consider how they can maximize their Social Security survivor benefits.
Tip: Consider delaying the start of your Social Security benefits. If you choose to start cashing in your Social security checks before your normal retirement age, your benefits are reduced. If you wait to some point between your normal retirement age and the age of 70, you’ll receive a
Tip: Your level of savings is the biggest factor in determining whether you will meet your retirement financial goals, so start early. But in case you procrastinate, there are ways to help catch-up. Max out your 401(k) contributions and use an automatic deposit feature so you don’t even have to think about it. Each year after you turn 50, you can contribute up to $6,000 beyond the usual limit to your 401(k). You may also be able to annually contribute an extra $1,000 to your Traditional or Roth IRA to help bulk up your savings. Review your expenses periodically to look for ways to save more, and avoid carrying a balance on your credit card to limit costly interest payments.
Erin Kessel is a Financial Consultant at the Charles Schwab & Co., Inc. (Member SPIC) branch in Clayton and has over 12 years of experience helping clients achieve their financial goals. Some content provided here has been compiled from previously published articles authored by various parties at Schwab.
Women may receive less in Social Security benefits. Lower salaries and fewer years in the workplace also put women at a disadvantage when it comes to Social Security benefits. In fact, women earned on average about 20 percent less in Social Security than men in
Information presented is for general informational purposes only and is not intended as personalized investment advice as individual situations vary. Where specific advice is necessary or appropriate, Schwab recommends consultation with a qualified professional. Investing involves risk including the potential loss of principal.
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higher monthly benefit. Use Social Security Administration’s calculators to determine your breakeven age — the point at which you break even and begin to come out ahead if you delay Social Security.
WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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Let us do OUR JOB. So YOU focus on yours. Our CPA firm is in the business of providing accounting services to our clients. Measurement, analysis, and communication of economic events are our basic roles and are also a concise definition of accounting.
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Jan 19th, 2016 @ 7:00pm The Harlem Globetrotters are preparing for their most epic tour in history, as the world famous team celebrates its 90th anniversary world tour, with over 320 games in North America alone. A star-studded roster will have fans on the edge of their seats to witness the ball handling wizardry, basketball artistry and one-of-a-kind family entertainment that thrills fans of all ages. The Globetrotters will tip off their historic 90th year of smiles, sportsmanship and service in the fall of 2015. Before the game, take part in a once-in-alifetime Harlem Globetrotter experience, you and your family can spend time on the court with the Globetrotters shooting, learning ball tricks, and taking autographs and photos! The unique 30-minute pre-show, "Magic Pass," will create memories of a lifetime
Ticket Prices: $24.00, $30.00, $43.00, $60.00 Magic Pass: $22.00 Get your tickets at the box office or online at Ticketmaster
TICKETS ON SALE NOW!!
Feb 24th, 2016 @ 7:30pm Feb 5th, 2016 @ 7am - 5pm and Feb 6th, 2016 @ 7am - 2pm Featuring over 120 vendors, it is not something you want to miss! Huge variety of items, ranging from clothing, accessories, tools, collectibles, and more!
Admission: $1 per day
Here it comes. Everyone’s favorite game show is on its way to you, along with the chance to win a share of the more than $10 million in cash and fabulous prizes we’ve given away! Alongside our Celebrity Host, randomlyselected contestants play everyone’s favorite games like Plinko™, Cliffhangers, The Big Wheel and even the fabulous Showcase. Lucky audience members can even win prizes right from their seat.
Vendors can come to BRC or call at 573-686-8001 to see what space is still available. New vendors can join starting January 4th, 2016! Vendors from 2015 can register and get the same spot as the previous year, as long as they register before January 4th, 2016.
Generations of fans all across America have made The Price is Right Live™ the perfect family entertainment experience. And the next contestant might be YOU!
Vendors will be able to load in on Thursday, February 4th, from 10:00am to 6:00pm
Registration takes place at the theater or showroom on the day of the show beginning up to three hours before the scheduled start time. Prize winners will be required to present a drivers’ license or other government-issued ID.
WANT TO BE A CONTESTANT? Contestants on The Price is Right Live™ are selected entirely at random from among all eligible people who have registered.
FOOD & NUTRITION
H O L I D AY
Wine T
Pairings
he holiday’s present a prime time to try new wines with favorite recipes of old. Will it be ham, turkey, goose or prime rib? If you are looking for new wine options to complement your holiday meal, then look no further, check out our unique selection of versatile whites and diverse reds that are sure to enhance your Christmas gathering, varietals picked for both their presence and adaptability. Brian Logee
Owner of the Wine Rack
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Wines to Serve with Duck When it comes to pairing wines with duck, considerations have to be made for the unique, fatty profile along with the innate gaminess of the meat. The wines of France have a long and storied pairing partnership with a variety of duck preparations. If the duck is served with a fruitbased sauce then the wine pairing gears will shift towards the white wine trails. Reds to Pair with Duck: Zinfandel
Wines to Serve with Prime Rib
Wines to Serve with Ham Baked, smoked, or honeyed hams beg for wines with a dash of sweet. A German Riesling with a touch of residual sugar, made lighter in style and a bit lower in alcohol will hop on the ham pairing wagon with plenty of food-friendly acidity and crowd-pleasing palate appeal. Alsatian Rieslings tend to bring more body, significantly less sugar, and a richer palate profile than their German wine cousins, and are capable of handling a wide range of pork-themed options with a wine focus on weight and pairing presence. Red Wines for Ham: Pinot Noir, Zinfandel White Wines for Ham: Riesling
Prime rib makes a serious play for a variety of red wines. A big, bold Cabernet Sauvignon from California, a playful Lodi Zinfandel, a rustic Tempranillo from Spain, a refined red from Bordeaux, a Barbaresco or Barolo from Italy - all of these varietals can mix and mingle with a slice of prime rib and bring out subtle nuances in the pairing depending on the regional roots. Red Wines to Pair with Prime Rib: Cabernet Sauvignon, Zinfandel, Merlot, Bordeaux blends Whites for Prime Rib: Typically white wines have a difficult time holding up to the bold flavors found in red meats, so while it is possible to enjoy white wines with red meats, it is challenging to find a good match.
Wines to Serve with Turkey Turkey on its own presents a fairly straightforward pairing partner, but who really eats turkey solo? Herb-filled stuffing, roasted veggies, rich sauces, and an assortment of savory sides manage to make their way alongside the bird. Sauvignon Blanc is hands-down one of the top white wine picks for turkey and savory sides, as it tends to bring its own herbal tones to the table. Red Wines for Turkey: Pinot Noir, Zinfandel White Wines for Turkey: Sauvignon, Riesling
WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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FOOD & NUTRITION
Holiday Feast Cranberry Spinach Salad
• 1 tablespoon butter • 3/4 cup almonds, blanched and slivered • 1 pound spinach, rinsed and torn into bite-size pieces • 1 cup dried cranberries • 2 tablespoons toasted sesame seeds • 1 tablespoon poppy seeds • 1/2 cup white sugar • 2 teaspoons minced onion • 1/4 teaspoon paprika • 1/4 cup white wine vinegar • 1/4 cup cider vinegar • 1/2 cup vegetable oil
Ingredients
1. In a medium saucepan, melt butter over medium heat. Cook and stir almonds in butter until lightly toasted. Remove from heat, and let cool.
Directions
2. In a medium bowl, whisk together the sesame seeds, poppy seeds, sugar, onion, paprika, white wine vinegar, cider vinegar, and vegetable oil. Toss with spinach just before serving.
3. In a large bowl, combine the spinach with the toasted almonds and cranberries.
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Spinach Salad with Mandarin Oranges
• 28 cups baby spinach leaves • 1/2 medium red onion, sliced and separated into rings • 1 (11 ounce) can mandarin oranges, drained • 1 1/2 cups sweetened dried cranberries • 1 cup honey-roasted sliced almonds • 1 cup crumbled feta cheese • 1 cup balsamic vinaigrette salad dressing, or to taste
Ingredients
Place servings of spinach onto salad plates. Top with red onion, mandarin oranges, cranberries, sliced almonds and feta cheese in that order. Drizzle dressing over each salad.
Directions
Pepper-Crusted Prime Rib Roast
The Pork Crown Roast
Yield: 12 to14 servings • One 9- to 10-pound prime rib roast • 2 tablespoons kosher salt • 1/4 cup multicolor whole peppercorns • 1 guajillo chile, stemmed and chopped • 2 tablespoons rosemary leaves • 1/4 cup Dijon mustard • 2 tablespoons all-purpose flour • 2 tablespoons soy sauce • 2 tablespoons Worcestershire sauce • 4 garlic cloves, minced • 6 cups low-sodium beef broth
Ingredients
1. Season the roast with the salt and let stand at room temperature for 1 hour.
Directions
2. In a spice grinder, grind the peppercorns, guajillo chile and rosemary until coarse. Transfer to a medium bowl. Add all of the remaining ingredients except the broth and mix well.
3. Preheat the oven to 400°. Rub the pepper mix all over the roast. Place the roast on a rack set over a roasting pan. Add 2 cups of the broth to the pan and roast for 30 minutes, until the meat is well browned. Add 2 more cups of the broth and loosely tent the roast with foil. Reduce the oven temperature to 350°. Roast for about 2 1/2 hours, until an instant-read thermometer registers 115°; add the remaining 2 cups of broth halfway through. Set the roast on a cutting board to rest for about 30 minutes (the center of the roast will register at 125° for medium rare).
4. Strain the pan juices into a small saucepan. Skim off as much fat as possible and bring to a simmer. Carve the roast and serve with the pan jus.
Pairs well with: California Cabernet.
• 1/2 bunch thyme, leaves only • 1/2 bunch fresh sage, leaves only • 2 cloves garlic, gently smashed and paper removed • Kosher salt and freshly ground black pepper • Extra-virgin olive oil • 10 pounds pork rib roast (about 12 to 14 ribs) • Watercress, for garnish, optional • Special equipment: roasting pan fitted with roasting rack
Ingredients
1. Preheat oven to 375 degrees F. Set rack on the bottom third of the oven so the roast will fit completely inside.
Directions
2. In a small mixing bowl or mortar and pestle, combine thyme, sage, garlic, and salt and pepper, to taste, and mash to break up herbs and garlic. Add oil, about 1 cup, and combine with pestle.
3. Take crown roast of pork and if your butcher hasn't already prepared it, clean the bones of meat with a boning knife (French them) and make a small cut into the meat in between each rib so you can wrap it into a circle easily; save the scraps. Rub the pork all over with the herb mixture. With the ribs on the outside, wrap the rack around onto itself so the ends meet and secure with kitchen twine so it holds its crown shape. *Cook's note: if you are doing this by yourself, using a skewer to help hold its shape while you wrap the kitchen twine around the roast. 4. Place in a roasting pan. Add the scraps into the bottom of the pan alongside the roast. This will help add flavor to your sauce. Set aside to bring the pork to room temperature prior to cooking. 5. Fill the cavity with stuffing such as Apple Pecan.
6. Cover the stuffing and the tips of the rib bones with foil then place the whole roast in the oven and bake for 2 hours and 20 minutes, an instant-read thermometer inserted near the bone should register 150 degrees F when done. About 30 to 45 minutes prior to doneness, remove the foil to brown the stuffing and create a crust. Remove from the oven, loosely cover with foil and allow to rest for 30 minutes before cutting. Serve with Apple Pecan Stuffing and Gravy. Garnish with watercress, if desired.
Pairs well with: Pinot Noir. Delicate, floral red wine.
WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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- - - - -
573-785-8802 Melanie Rommel '
www.grandmarchpb.com Westwood Plaza 1181 Butler Street Poplar Blu, MO 63901
Treating Breast Disease – It Takes aTeam Washington University Endocrine & Oncologic Surgeons Providing highly specialized care for diseases of the breast, endocrine system, melanoma and sarcoma, our surgeons, including Dr. Julie Margenthaler, look at the big picture–not only treating the disease but keeping you informed every step of the way, all the while searching for the latest advances in treatment methods through leading research. Breast Cancer Care from the Beginning
Photo by Taka Yanagimoto
Finding a lump in your breast or having an abnormal mammogram can be frightening. Women seen at the Joanne Knight Breast Health Center receive an expedited diagnosis and treatment plan in a personal, yet professional setting. The Breast Health Center is affiliated with the Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University in St. Louis, providing patients access to preeminent physicians who specialize in the diagnosis and treatment of breast cancer. If you are being treated for cancer, you will be cared for in a multidisciplinary program that draws on the expertise of one of the country’s foremost cancer centers. Rather than having to make appointments and travel to individual physicians’ offices, the specialists you need come to your examination room at the Center for Advanced Medicine. After visiting the Joanne Knight Breast Health Center, you will receive a follow-up letter describing treatment recommendations from our breast cancer specialists.
Our Surgeons Make the Difference
Catherine Appleton, MD, Radiologist
Washington University breast cancer surgeons are leaders in breast cancer treatment and use the latest techniques: ■ Sentinel node mapping: locating and removing only the sentinel lymph node–the first lymph node to which breast cancer is likely to spread–in order to check for evidence of cancer, ■ Brachytherapy: a form of radiation therapy used with small breast cancers that have been completely excised and have not spread to any lymph nodes, ■ Surgical approaches that aid in breast conservation.
One of Washington University’s leading breast cancer surgeons, Dr. Julie Margenthaler specializes in all areas of breast disease: ■ ■ ■ ■
Breast cancer in young women (under the age of 40) Patients with high risk factors for breast cancer Familial breast cancer Coordinating breast cancer reconstruction ■ Sentinel lymph node biopsy ■ Benign disease and breast health
Julie Margenthaler, MD
Dr. Margenthaler is the Director of the Breast Disease Fellowship at Washington University School of Medicine. She was the first graduate of the Fellowship, which trains doctors on all aspects of breast cancer treatment, allowing surgeons to answer all of their patients’ questions throughout the entire process. “Surgeons are the gatekeepers for breast cancer patients getting into the medical system,” Dr. Margenthaler explains. “If you understand all of the things that are going to happen downstream, you will be able to provide your patient with the best surgical care and understanding of what she can expect.”
Comprehensive Care at the Siteman Center Washington University breast cancer surgeons collaborate with radiologists and radiation and medical oncologists at the Alvin J. Siteman Cancer Center. Siteman is the only cancer center in Missouri and within a 240-mile radius of St. Louis to hold the prestigious Comprehensive Cancer Center designation from the National Cancer Institute and membership in the National Comprehensive Cancer Network.
Joanne Knight Breast Health Center • Suite F– Fifth Floor • Center for Advanced Medicine 4921 Parkview Ave. (corner of Euclid and Forest Park Avenues) • St. Louis, MO 63110 • 314-362-2280 WINTER HOLIDAY EDITION WINTER 2015 2012 thenewyoumagazine.com
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A Local Bank with... The Bank of Missouri has earned a 5-Star (Superior) Rating from Bauer Financial, Inc., for the past 14 consecutive quarters. Bauer is an independent company that rates banks on performance, safety and soundness. Chartered in 1891 as the Bank of Perryville, The Bank of Missouri has had only one name change and has grown from a single branch in Perryville, Missouri to 20 branches across the state. Total assets are at $1.1 billion with $248 million of those assets in the local area. We have one location in Republic, Ozark and Branson and three locations in Springfield. Chartered in 2005, The Bank of Missouri’s Investments & Retirement division has full trust powers with assets under management in excess of $250 million. Additionally, The Bank operates an insurance agency and a title company. The Bank of Missouri is a preferred lender with the Small Business Administration (SBA). We offer an experienced team of SBA lenders who will assist you and your small business in taking advantage of all the benefits the program offers. In addition to business loans, The Bank of Missouri offers a full suite of products and services to assist you in your business. From Business Select Checking options to Remote Deposit Capture and Mobile Check Deposit, and everything else in between, you’ll find just what you need for your everyday operations. We are big enough to accommodate any financial need, yet small enough for personal treatment. Our friendly personal service is only one aspect of how The Bank of Missouri has successfully served the communities in our state. When you need the services of a local bank with a proven record, look no further than The Bank of Missouri. We look forward to serving you. The Bank of Missouri has locations in Perryville, Cape Girardeau, Jackson, Marble Hill, Scott City, Patton, Poplar Bluff, Columbia, Springfield, Republic, Ozark and Branson. For more information on Bauer Financial, visit www.bauerfinancial.com or contact them at 1.800.388.6686.
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MEN’S VIEW
MEN’S
Ten
Biggest Complaints
WOMEN
ABOUT
No matter how many women write in to say, ‘I don’t do this!’ the fact is many, many, many women practice the behavior that follows. Men have complained about these problems in various male-oriented forums before, but here, now, I drag their 10 biggest complaints into the daylight so that everyone can finally see how women make complainers out of men.
Ten
You like to play coy.
If you like us, let us know. If you don’t, let us go. This game where you pretend you don’t care and secretly hope we chase you down is for teenagers. You think men like the chase? Perhaps. You think we like guessing whether we’re wasting our time? No.
Nine
You fixate on what we’re thinking, when you should be watching what we’re doing.
You ask, “What are you thinking?” and we say, “Nothing.” You figure this must be a lie, and decide that we aren’t willing to communicate with you. The problem is, this is the wrong question to ask. We’re actionoriented. You don’t need to ask what we’re thinking, just watch what we’re doing. Coming home late every night? We’re not happy at home. Uninterested in sex, probably crushed by stress. Not calling you back even though we said, “I love you?” We don’t love you. You can save the questions about musings until you see a change in our behavior. That’s the surest sign that something needs to be discussed. 44
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
Eight
You don’t understand and/or like our need for alone time.
This often expresses itself with regard to hobbies. Say a man likes to play golf and has played for years. Many a man has gotten into a relationship only to have the woman complain about the time he spends playing golf. She’s jealous of this time. Of course, if she loves him she should know that he NEEDS this time on the golf course. It’s his passion. It’s his release. Without it he will burn up with anxiety and frustration over life’s little indignities. Why does she get involved with a man who has a hobby she doesn’t like? See ”You see us as projects you can fix.”
Seven
You have a complicated set of double standards.
I could write a novel on this one. We only need look at the example of going dutch on a first date. You offer to split the check, and if we let you, you hold it against us. Really? You demand, quite rightly, to be in on all important relationship decisions, yet when we take you out and ask, “What would you like to do tonight?” you are angry that we haven’t taken charge of the situation. It’s a confusing set of double standards and antiquated rules that make it very difficult for us to know which move is the right one.
Six
You want us to change, and then lose respect for us when we do.
It’s an interesting phenomenon. When a man and a woman get together it is likely that he will have some hobbies, tendencies, or habits that she doesn’t like. For instance, I have a friend that met and married a woman who wasn’t thrilled that he played in a band. She was a bit threatened by the attention he received and his time spent pursuing this. She told him, “I really wish you didn’t play in this band,” and because he loved her, he quit. Within a few months this woman was confiding to her friends, “I’m a little less attracted to him because he quit the band, and just did what I asked. Now, he just hangs out at home.” It’s a specific example, but a common problem. Clearly, the man should do what he feels he has to do, but we try to be accommodating, and to have that count against us is infuriating.
Five
You see us as projects you can 'fix.'
You meet us. You like us. You date us. You marry us. And somewhere along the way it might seem that you love us just as we are, but rarely does it work out that way. Women see potential. They see rough edges, and they want to sand them off. This makes us crazy. We don’t want to change. We have chosen our car, hair, friends, home and hobbies because we enjoy them. The knowledge that you are thinking, “If he
could only...” is a deeply disturbing thought, and perhaps more sinister is the idea that this behavior is so common that even if you aren’t the kind of woman who wants change, we expect that you do and are only biding your time.
Four
Your expectations are set by Hollywood and sky high.
Hollywood strikes again. I have a buddy that has plans to attend a Nicholas Sparks book signing so he can tell the man to KNOCK IT OFF! Most women know at an intellectual level that their man isn’t going to be like George Clooney, or Brad Pitt or that Italian guy from 'Under the Tuscan Sun', but in their heart they want it. They’ve been fed a fantasy about romance and passion for so long that when a REAL act of love comes down the pike, he notices that the tread on your tires is low and buys a new set, it hardly even registers.
Three
You're always looking down the road.
Women tend to think about the next major step in life. Men tend to think about the next major meal. Certainly part of this is driven by biology. A 34-year-old single woman who wants to have children has to think about the future. She has to think about finding a quality partner, where they are going to live, is there enough room for the baby in the study? A 34year-old single man has far less interest in planning or pushing towards some future major life goal. This difference in priorities often leaves women in the unpleasant position of saying, “next,” “next,” “next” when it comes to relationship events. There is a female drive to get answers to questions like, “What ARE we?”, “Are we exclusive yet?”, “Are we going to get married?” that makes it seem like they aren’t enjoying the now and only worry about the future.
Two
You use your emotions as a weapon.
You don’t mean to. I suppose it isn’t your fault that during an important conversation about the future of our relationship you start crying, but surely you understand that this derails the ability to pursue the issue at hand. You’ve, essentially, played a kind of trump card. If we continue to advocate our side, we’re bullies. If we give in, we’re weak.
One
You have a tendency to be critical.
I’ve tried to avoid the word n-a-g, but there seems to be some internal mechanism that makes women predisposed to criticism, in the same way that men are predisposed to seek their man cave. It’s almost a cliché -- the wife that complains and makes demands, and the husband that just wants to be left alone to watch TV or work out in the garage. WINTER HOLIDAY SUMMER EDITION 2015 2015 thenewyoumagazine.com 45
Amazing Support Jan Wadsack Receives
P I N K PA G E S
New Normal Afterward During Breast Cancer and Discovers a
T
he summer of 2012 changed Jan Wadsack’s life. Now, more than three years after breast cancer, a double mastectomy and arduous reconstruction, thyroid tumors, a year of chemo treatments, infections, frightening genetic test results and even a cancer battle for her dog, she embraces life with a sense of gratitude and a new “after cancer” kind of wisdom.
Jan, 48, of Florissant, MO, went for a routine mammogram in July of 2012. Her mammograms often have questionable results that require an ultrasound, and this year was no different. Although there wasn’t anything questionable in the ultrasound, the Nurse Practitioner, Becky Tackett, RN, MSN at Midwest Breast Care told Jan that she was considered high risk, partly because her mother is a breast cancer survivor. After Jan completed a thorough questionnaire, Becky recommended an MRI, as well.
she attempted to do the MRI, claustrophobia and a problem with the cooling system with the machine combined to cause Jan to interrupt the procedure before it was complete.
“I called Becky and told her I couldn’t do it. She called me back a week later and told me there was a machine at Missouri Baptist that was bigger and more open. She was definitely pushing me,” Jan says. “I know
Jan checked, and her medical insurance would only pay a portion of the cost of the MRI, so Jan declined. “I get my mammogram and ultrasound every year, so I wasn't worried,” she says.
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But Becky, who had the role of patient advocate, called Jan back told her that she had applied on Jan’s behalf to the Christina Applegate Foundation to get the MRI covered, so Jan agreed to the procedure. Although
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
Jan sporting her new wig
Jan’s co-workers organize a “Pink Day” at work to show their support
Jan and mom, Barb Lux, together in Paris
now that by the time my breast cancer would have showed up on a mammogram or ultrasound, it would have been too late for me, so I owe her a huge debt of gratitude.”
of those results. Jan, Drs. Klix and Radford, Jan’s mother, Barb Lux, and a few trusted friends began to discuss and research treatment options.
Cancer and Treatment
Jan decided that since chemotherapy was a piece of both treatment options, she would start with the chemo and take a few months to research and consider her treatment plan. Either way, she was facing four chemo treatments and 20 Herceptin treatments over the course of a year because her cancer was HER-2 positive.
Jan’s MRI was at 4 p.m. on a Thursday afternoon. By 7 a.m. the next day, her doctor called to tell her “They found a mass. You need to see and surgeon and have that biopsied right away.” Less than a week later, Jan got the call from her surgeon, Dr. Diane Radford of Mercy Clinic Breast Surgery and Oncology, that the biopsy showed cancer. “That’s when I panicked and called my friends,” Jan says.
She had been working with Dr. Mary Klix, an oncologist, over the previous year because she had some blood work that was unusual and Dr. Klix was trying to determine the cause
My friend Claudia Ge orge Osbor a beautiful n raised young lady ...Jacky
and stylist, Kelly Van Pelt, met Jan at her shop after hours and shaved Jan’s head as they both cried. Kelly’s mom had just been through breast cancer as well.
“They told me the tumor was a little smaller than a ping pong ball and it was attached to the nipple. A lumpectomy would remove an area about as big as a fist, require radiation and chemotherapy,” Jan says. “And radiated skin is harder for plastic surgeons to deal with. A mastectomy was also going to require chemo.”
In the meantime, Jan was getting results back from a CT scan that she had prior to starting chemo. That test showed three large tumors on her thyroid attached to her collar bone. A biopsy was done and Dr. Klix met with Jan at her third chemo treatment to tell her the results.
Chemo started on Aug. 30, 2012, and 10 days later, her hair began to fall out. Within weeks, she was shopping for wigs. Not long after that, her longtime-friend
“I said to her, ‘I’m scared.’ And she said, ‘I’m scared too’. I really lost it then.”
“Up until that point, I was fairly calm – I just knew in my gut that I was going to be fine. I told myself that dying wasn’t an option. But when she told me results on my thyroid were inconclusive and the only way to know for sure they weren’t cancer was to take it out, I finally thought I was going to die and thought the cancer must have been through my whole body,” Jan says.
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P I N K PA G E S
everything else together, why not cancer,” Jan says.
The dog required 18 rounds of radiation at Mizzou’s Veterinary Cancer Care Clinic in Wentzville, MO. “I was working mornings by then and having surgeries every 30 days for reconstruction, and Chloe’s treatments had to take place in the morning, so my mom would drive her every morning from Florissant to Wentzville. It was another area where I just had to surrender and accept help and my mom was there.” Jan says. Jan’s co-workers at Renaissance Financial
Jan eventually recovered her “fighter” attitude, but her exhaustion from all the chemo treatments and her lack of appetite were starting to wear her down. “One thing you’re supposed to do is stay well-hydrated, but all I wanted to do was sleep. My mom began coming over to wake me every few hours to get me to drink,” she says.
Around that time, Jan approached her employer, Renaissance Financial, about adjusting her work schedule. “My boss (Greg Keller, founder and CEO), said, ‘Go get better. Do what you have to do and come back to us when you are healthy.’ I struggled with it more than they did – I had more hang-ups about working part-time and doing what I thought I should be doing. They told me, ‘if you need to take six months off work, what is that over the course of 20-plus years here’.”
So Jan began working part time, and in December made the difficult decision to have a double mastectomy to reduce her chances of having to go through this treatment again and to ensure a more uniform reconstruction outcome.
“I didn't want go to through all of this again in five to 10 years. And my surgeon told me that a regular breast and a reconstructed breast never look the same.” Jan’s surgery was on Dec. 13, 2013, at which point she left work completely
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because the real work of recovery was about to begin.
Her incision ran from under one arm all the way across her chest and under the other arm with four drains that would remain in for an entire month. A week after surgery, she had a skin infection that required an additional surgery. One month after her mastectomy, Jan underwent a thyroidectomy. Tests revealed no cancer, but Jan will remain on medicine for the remainder of her life to do the work of her missing thyroid.
Reconstruction
Thirty days after her thyroid surgery, Jan had surgery to place expanders behind the muscles in her chest wall to stretch her skin and begin the process of reconstruction. Every two weeks, she would go in and have additional saline added to the expanders.
Support from Renaissance Financial
Jan completed what was supposed to be her last procedure before her main reconstruction surgery in November 2013. The next month, she attempted to return to work full time because it was the company’s busiest time of year, but she only lasted only three days. “I broke down. I couldn't do it,” she says. “I talked to my oncologist and she said she would recommend six months of part-time work. She said I could keep trying to go back and keep crashing, or go part-time and give myself time to heal.”
Jan approached her employer and again received nothing but encouragement. “They said, ‘Do what you have to do. Come back when you’re
“I noticed that one side was getting larger than the other and after several xrays, we found that one of the expanders had ruptured. That was another surgery to get it replaced,” she says.
During her reconstruction process, Jan was dealt another blow. Her beloved companion of eight years at the time, a rescued Labrador Retriever named Chloe, was diagnosed with bone cancer in her front right leg. “It was like we do
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015 Chloe undergoing radiation treatments for cancer
strong enough to come back.’ I can’t say enough about the support.”
Jan’s co-workers also have done fund-raisers for the Christina Applegate Foundation and participated in the Komen walks on her behalf.
No Way to Say Thanks
For Jan, some of the most difficult aspects of going through breast cancer was giving up control and accepting help. And she says there is no way for her to thank her mom for all that she did. Barb was by her side at the doctor’s appointments, spending hours in the hospital after each procedure, present for chemo treatments, staying with Jan in the weeks following the mastectomy, grocery shopping, running errands, etc.
“I don't know how I would have done it without her. She would bring me meals, go get my medicine, take care of my dog, everything. She stopped her world for 18 months to help me with mine and she’s amazing. I don’t know how you put words to that. Thank you seems stupid, inadequate.” Jan’s friends had their son’s team wear socks in honor of breast cancer awareness
Today
Early in the process, Jan underwent genetic testing that determined she was BRCA negative and HER-2 positive. Recently, she underwent additional testing that determined she has the ATM gene (Ataxia-telangiectasia mutated). One characteristic of that gene is breast cancer in women, along with pancreatic and colon cancer.
“There’s not much you can do for pancreatic cancer ahead of time, so this past May, I had a colonoscopy and endoscopic ultrasound on my pancreas and liver to provide baselines.” She will continue to do those tests every three years and see an oncologist every six months as a proactive approach.
Jan is approaching the third anniversary of being cancer free. She’s still not done with surgery because there have been some complications with her implants. Thankfully, she was careful in her choosing of a plastic surgeon, Dr. Keith Brandt, and he told her that they wouldn’t stop until she was happy with the results. She has gel implants because at the time of her initial reconstruction, the firmer “gummy bear” implants were not available in the size Jan needed to match her presurgery body. Unfortunately, one of her gel implants kept dimpling, and Jan underwent three fat transfers to attempt to fix the problem w i t h o u t permanent success. A few months ago, however, Dr. B r a n d t informed her that the harder implants were now approved by the FDA in a larger size, but they aren’t made in the United States and will have to be shipped here. Jan had to make a decision about whether she wanted to wait for them and undergo one more surgery.
“I asked him where they were being shipped from, and when he told me Ireland, I almost fell out of my chair,” Jan says. She travels the world for her job, and Ireland is her favorite place – she has made seven trips to the country because she loves it so much, and she has shamrock tattoo that she adds to each time she visits.
“I knew these boobs were going to work!’”
Hindsight
Jan says one of the best things she did for herself, besides agreeing to Becky’s advice about the MRI, was to give herself time to carefully consider her treatment plan. “I’m glad I waited to do my mastectomy because I needed time to really think about it,” she says. “Some women get the diagnosis and make that decision right away. And I hate it when I heard people say ‘why don't you just get them cut off?’ It’s a hard, major surgery
Jan’s favorite motivational quote thought her ordeal
and recovery.”
Jan says she’s also glad she had doctors who worked together to make sure she was getting the best possible care. From her gynecologist, Dr. Mark Jostes, to Drs. Klix, Radford and Brandt, she says each of them were patient with her and were good about sharing information. “I had a great team – doctors, friends, co-workers and family,” she says. “Life will never be the same, but it’s the new normal. I’ll take it.”
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P I N K PA G E S
Dr. William Gillanders Involved in
Developing A Promising Breast Cancer
D
r. William Gillanders knew he wanted to be a physician from an early age because his father was a doctor, but it wasn’t until his medical residency that he chose to specialize in breast cancer and surgical endocrinology, as well as cancer research. Now, that research has lead to the development of a breast cancer vaccine that is in its second human clinical trial.
“Cancer is a very complex disease and it’s a great time to be studying it because we are learning so much about the biology of cancer,” Dr. Gillanders says.
Surgical Approach
Dr. Gillanders, who is a breast cancer surgeon and research member at the Siteman Cancer Center, as well as a professor of surgery at Washington University School of Medicine, said his interest in cancer surgery stemmed partly from the fact that surgery is so effective for treating cancer.
“Surgery is actually a remarkable treatment for cancer and can often be 50
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
Vaccine curative, especially for breast cancer,” Dr. Gillanders says. “There is a lot of satisfaction to be able to offer that treatment to my patients as a surgeon.”
Research & Breast Cancer Vaccine
Equally important to him is his work in the research arena. Although he continues to see patients, Dr. Gillanders spends more than half of his professional effort doing research. He is the co-leader of the Tumor Immunology Program at Siteman Cancer Center, which means he works with other scientists to take the findings of cancer research and facilitate the translation of those findings into new cancer treatments -- thus, the development of the breast cancer vaccine.
“In the past, there was a school of thought that believed there was no interaction between the immune system and cancers,” Dr. Gillanders says. “Now, we know that couldn’t be further from the truth. We know that as cancers grow,
part of the biology is involved in activating the immune system. And so there is a tremendous interest in designing immune therapies to reverse that.”
developed a vaccine that causes the body’s immune system to attack this protein, found almost exclusively in breast cancer.
“But we had to determine what makes the cancer cells different from the normal cells and vaccinate the patient so the immune system attacks the cancer cells,” he says.
The first human trial of the vaccine was completed and the results were published last December in Clinical Cancer Research. Although the vaccine is still several years from being approved for use, Dr. Gillanders is encouraged by the early results.
Dr. Gillanders explained that one way to harness the immune system is through vaccine therapy in which you attempt to stimulate the immune system to target the cancer.
Research showed that one of the molecules present in breast cancer but absent in almost all other normal cells is mammaglobin, specifically mammaglobin-A. So, Dr. Gillanders and other researchers at the university
“We are excited that we can target this protein because it is present in a majority of breast cancers,” Dr. Gillanders says. “That means we may be able to treat a large number of breast cancer patients.”
The first trial was conducted to establish the vaccine’s safety, but Dr. Gillanders says preliminary
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More about Dr. Gillanders Dr. Gillanders is originally from Fairfax, VA. He received his medical doctorate from Duke University in Durham, NC, in 1991 and then served as an intern, resident and chief resident in surgery at Washington University until 1999. Then he took his first faculty position at the Medical University of South Carolina in Charleston. In 2005, he returned to St. Louis and joined the Siteman Cancer Center and Washington University as a breast cancer surgeon and a professor of surgery in the Section of Endocrine and Oncologic Surgery. In addition to co-leading the Tumor Immunology Program, he also is a member of the leadership committee of the Breast Cancer Research Program. In his spare time, Dr. Gillanders enjoys spending time with his wife, Jeanne, and their three children. He stays in shape by riding his bike to and from work every day, even on bad weather days.
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evidence shows that the vaccine slowed the cancer’s progression, even among patients whose immune systems were compromised by chemotherapy.
According to a Washington University Newsroom article, of the 14 patients who received the vaccine, about half showed no progression of their cancer one year after receiving the vaccine. In a similar control group of 12 patients who were not vaccinated, most showed cancer progression at the one-year follow-up.
Currently, the vaccine is in its second human clinical trial, which is testing the vaccine in patients with newly diagnosed breast cancer whose immune systems have not been compromised by extensive treatment. That will give Dr. Gillanders and his team a better idea of the effectiveness of the treatment.
This breast cancer vaccine isn’t the first cancer vaccine, according to Dr. Gillanders, but this one has the potential to impact a much larger patient population.
“There are vaccines being developed that target Her2, but that is only present in 15 to 20 percent of breast cancers,” he says. “That’s why we’re so excited about mammoglobin – because it’s expressed in up to 80 percent of breast cancers.”
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
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
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 WINTER HOLIDAY EDITION 2015 thenewyoumagazine.com
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P I N K PA G E S
Male Breast Julie A. Margenthaler, MD, FACS
Breast cancer in men is rare, accounting for less than 1% of all breast cancer cases that are diagnosed each year. Although breast cancer in men occurs less frequently, the disease is very similar to breast cancer in women in many ways. The most common type of breast cancer in men is invasive ductal cancer, which is also the most common type in women. The cancer begins in the milk duct and then eventually invades through the duct wall into the surrounding fatty tissue of the breast. Once it has become invasive, there is potential for spread to the lymph nodes in the axillary (armpit) region and to other organs. Because men do not have screening mammograms, nearly all men who are diagnosed with breast cancer have felt a lump. There may also be changes in the way the breast looks, such as nipple retraction or skin dimpling. Nipple discharge can also occur. The first step in diagnosis is similar to that in women. We perform a mammogram and a needle biopsy to determine the type of cancer and characteristics of the tumor. Once the diagnosis has been made, the treatment options include surgical removal, medications (chemotherapy and/or antiestrogen therapy), and/or radiation. The main difference in the surgical treatment of men with breast cancer is that mastectomy is almost always indicated. It would be unusual to be able to perform a lumpectomy and save breast tissue unless the tumor is very tiny, and this is not usually the case. During the
54
mastectomy, we also check the axillary (armpit) lymph nodes to determine whether there has been any spread. Following the mastectomy, the options for chemotherapy, endocrine therapy (antiestrogen) and radiation mirror what we do for women with breast cancer. Depending on the size of the tumor and whether or not the cancer has spread to the lymph nodes, chemotherapy may be needed. Radiation is also sometimes needed even though the breast has been removed; especially, if the tumor was attached to the muscle or there were positive lymph nodes. Some find it surprising that male breast cancers are also typically fed by estrogen and progesterone (hormones), but they are! This does not mean that the man has an imbalance of female hormones in his body. It simply means that the tumor has receptors on its surface (like little antennae) that can use estrogen and progesterone to help it grow, and there are enzymes in men and women that can convert male and female hormones into one another. This is good news for men with breast cancer because the anti-estrogen drugs (such as Tamoxifen, Anastrozole, Letrozole, and Aromasin) are equally effective for treating their breast cancer as they are for female breast cancers. The Rogers family story (on page 44) points out one of the most important features of male breast cancer. Any time a man is diagnosed with breast cancer, the risk of an inherited breast cancer gene is much higher. The most common inherited breast cancer genes are the BRCA1 and BRCA2 mutations. These account for 90% or more of the inherited forms of breast cancer. However, they are very rare in the general population, and we do not test every woman with breast cancer because they are so rare.
thenewyoumagazine.com WINTER HOLIDAY EDITION 2015
Cancer
Some of the “red flags” that these mutations may exist and testing should be done include a family history with: 1) male breast cancer, 2) women with breast cancer at very young ages (<45), 3) multiple women with breast cancer in multiple generations; 4) women with ovarian cancer or both breast and ovarian cancer, 5) bilateral or bothsided breast cancer, 6) Ashkenazi Jewish ancestry and history of breast and/or ovarian cancer. Dianne Cavender was diagnosed with breast cancer before her father and was quite young. She did not have testing at that time, but when Norman (her father) developed breast cancer, testing confirmed that both of them carried the BRCA2 mutation. Because these mutations are associated with an increased risk of a second breast cancer and ovarian cancer in women, the information was useful for Dianne who elected to have her ovaries and her breasts removed prophylactically for prevention. These mutations can also increase the risk of other cancers, such as prostate, melanoma, colorectal, and pancreatic. In addition, having this information allowed us to inform all of Norman’s children and siblings because each of them also had a 50% chance of having inherited the gene as well. In summary, male breast cancer is rare. However, any man who notices a mass or change in his breast should inform his physician right away. Despite the fact that men with breast cancer are often diagnosed at a later stage of the disease, the survival is excellent. Finally, any man with breast cancer should have a formal genetic consultation to determine what the risks of inherited mutations are, and whether he and his For the National Cancer Institute family should be © 2011 Terese Winslow LLC, tested. U.S. Govt. has certain rights
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When youâ&#x20AC;&#x2122;re a mom, the questions never stop. ChildrensMomDocs.org
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