Specialbreast

SPECIAL FALL COLUMBIA DAILY TRIBUNE EDITION 2016

Breast Cancer Awaren

e Month ss Issue

Dense

BREAST Tissue

Genetics and

Breast Cancer

DOCS TO KNOW Dr. Sara Crowder — One of the Top Gynecologic Robotic Surgeons in the World

Easing the Load Nurse Navigator helps patients through breast cancer journey

STOP

Smoking...

What are the long-term benefits?

K N I s P Team thepage Brady Glass ide Ins

& Susan G. Komen The Race for the Cure is Personal

Compassionate Cancer Care At Ellis Fischel Cancer Center, we believe in compassionate care every step of the way— from diagnosis, to treatment and beyond.

Our cancer specialists use a comprehensive approach that goes beyond providing you with the best treatment options. From your first visit to ringing the bell, you’ll gain access to extraordinary care and support services.

VISIT MUHEALTH.ORG/ELLISFISCHEL OR CALL (573) 882-2100 TO LEARN MORE.

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newyou For the Women of Missouri

Inside & Out

MAGAZINE

the

Contents 20

The Skinny on

Shrimp

On the Cover

SPEC I AL FALL EDITION 2016 F EATU RES BEAUTY

10

WOMEN’S HAND & NAIL CARE By following a few simple steps every day, you can keep them looking and feeling young and supple.

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BANISH DRY SKIN These tips for keeping skin soft and healthy can help all who battle dry skin, from chilly New England to balmy Hawaii and beyond.

HEALTH & FITNESS

16

TRIM YOUR CANCER RISK WITH EXERCISE

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

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Never eat these again!

PINK PAGES

26

STOP SMOKING What are the benefits over time?

FOOD & NUTRITION

20

THE SKINNY ON SHRIMP Fresh vs. frozen, the nutritional skinny, the scoop on size—get the whole skinny here

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thenewyoumagazine.net SPECIAL FALL EDITION 2016

FOR TEAM BRADY GLASS Learn why the Susan G. Komen Mid-Missouri Race is personal for Team Brady.

28

GENETICS & BREAST CANCER Learn about genes, genetics and breast cancer.

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It’s never too late to exercise! Follow these tips for fighting cancer with exercise.

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TOP 10 MOST UNHEALTHY, CANCER-CAUSING FOODS

BREASTFEEDING AND THE RISK OF BREAST CANCER By supporting women who breastfeed, we can help lower the risk of breast cancer.

31

DENSE BREAST TISSUE Understanding what it means to have dense breast tissue.

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RESOURCE GUIDE

6 VOLU M E 1, I SSU E 3

WOMEN TO KNOW IN MISSOURI

COLUMBIA DAILY TRIBUNE 101 4TH S TR E ET COL UMB I A , MO 65201 (573) 815-1600 thenewyoumagazine.net

MU Health Care understands it can be a lot to process and is ready to help with all needs. That’s where Dawn Frederick, RN, comes in to ease the load.

PUBLISHER Vicki Russell

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PUBLISHER EMERITUS HJ Waters III PRESIDENT & GENERAL MANAGER Andy Waters

DOCS TO KNOW “Doctor Sara Crowder, MD”

VICE PRESIDENT OF SALES Les Borgmeyer

Gynecologic oncologist Sara Crowder, MD performs surgery using the da Vinci surgical system. Hear her story and how for past two years, Dr. Crowder has performed more of these types of surgeries than anyone else in Missouri and is in the top one percent world-wide.

EXECUTIVE EDITOR Michelle Cox FOUNDER/PUBLISHER Karen Hawkins MARKETING MANAGER Linda Hays DESIGN & PHOTO DIRECTOR NY Marketing & Creative

A LETTER TO MY CANCER

by Ginger Johnson, Founder www.happychemo.com

PROJECT MANAGER Deborah Marshall

It may seem like you have control of my life right now, But you really don’t.

COMMERCIAL CUSTOMER SERVICE MANAGER Susan Currier

Your presence only makes me stronger, braver, kinder, wiser.

PRODUCTION TECHNICIAN Charles Davis

I choose how I think, what I speak and how I love.

ADVERTISING FIELD SALES MANAGER Lisa Wells

You will never touch these things. Never.

CONTRIBUTING WRITERS Michelle Cox Julie Margenthaler, M.D.,FACS Terrence Myckatyn, MD, FACS, FRCs(C) Shobha Bhaskar, M.D. Dr. Michael Horwitz Christina Arylon Jessica Park Raina Childers Linda Franklin Rachel Russo

The fear of your name no longer haunts my soul, Because I know that my soul belongs to me and to GOD. You may take your claim on this frail outer shell, but never on my divine spirit that cries out “I am not my body”.

My soul will run, leap and tower over your attempts to pull me down into despair.

CIRCULATION & DISTRIBUTION Columbia Daily Tribune

Those who surround me will fight with me to let it be known that we will not surrender.

Our hearts and souls are tied together in a lasting bond that no amount of your impeding growth can break.

You see cancer, you do NOT own me.

I own myself. And I will survive.

ADVERTISING For advertising information call (573) 815-1810 or email us at display@columbiatribune.com © 2016 by The New You–Inside & Out Magazine ALL RIGHTS RESERVED

SPECIAL FALL EDITION 2016 thenewyoumagazine.net

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WOMEN TO K NOW

Easing the Load

Nurse navigator helps patients through breast cancer journey

A

breast cancer diagnosis is an overwhelming experience, with countless different emotions and thoughts of impending life-changing decisions. MU Health Care understands it can be a lot to process and is ready to help with all needs. That’s where Dawn Frederick, RN, comes in to ease the load.

Frederick, a breast cancer patient navigator at Ellis Fischel Cancer Center, helps newly diagnosed breast cancer patients understand different treatment options, and she is also there for emotional support and to help answer any questions.

“My job is to ensure that patients who are newly diagnosed with breast cancer know their options and to try to lessen the stress they’re under during that time,” Frederick said. “I’m a person they can talk to at any time about their situation, so they never feel alone.”

Frederick said navigators can help newly diagnosed patients focus more on getting themselves through treatment. She offers support to her patients through their entire battle with breast cancer, from diagnosis to chemotherapy to other surgeries and treatments they may need.

“I’m a contact for patients so they don’t go home and feel like they don’t know who to turn to with their questions,” Frederick said. “When patients move to new areas of the hospital for surgeries and treatments, I always like to be there so they see a familiar face.”

Frederick’s dedication and attentiveness to patients hit home for Deborah Baumann, MD, a pediatrician from Hannibal Regional Medical Group diagnosed with breast cancer.

Baumann was so impressed with her care that she wrote a letter to University of Missouri Health Care thanking Frederick.

“Dawn reached out to me immediately after I found out about my recurrence of breast cancer,” Baumann said. “She talked to my husband and me about the diagnoses, outcomes and expectations. We have spoken to her after hours, on weekends and at her home.”

Frederick said she and Baumann connected instantly.

Dawn Frederick, RN,

“Dr. Baumann and I clicked right away,” Frederick said. “I try to keep in contact with all patients even after their treatments, and she and I have kept in touch even after she left the hospital.”

Frederick has been a nurse at MU Health Care since 1982 and at Ellis Fischel since 1992. She has spent the last five years as a navigator.

“A navigator has all the parts of nursing a nurse loves,” Frederick said. “I get to create great bonds with patients and their families. This truly is the best job I have ever had.”

Frederick says her favorite part about her job is the feeling she gets knowing she made a difference for

patients during their darkest times. That’s the best reward a nurse can have.

“When someone is diagnosed with breast cancer, they are blown away,” Frederick said. “It is my job to reassure them that they will get through it.”

Frederick cites her team members, Lynn Nichols, RN, and Nancy Gore, RN, staff nurses at Ellis Fischel’s breast center, as reasons why she succeeds at her job.

“I work with such great nurses, there’s no way I could do what I do without Lynn and Nancy’s help,” Frederick said. “Working together as team allows me to devote more time to patients when they need it.” >

SPECIAL FALL EDITION 2016 thenewyoumagazine.net

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WOMEN TO KNOW

Ellis Fischel Cancer Center, a part of MU Health Care, is a certified member of the University of Texas MD Anderson Cancer Network®. There are currently four patient navigators dedicated to helping patients with breast, head and neck, lungs and gastrointestinal cancer.

“A navigator has all the parts of nursing a nurse loves,” Frederick said. “I get to create great bonds with patients and their families. This truly is the best job I have ever had.”

To get in touch with a nurse navigator or for other patient support resources, contact Ellis Fischel Cancer Center at (573) 882-2100 or go follow this link on MU Health Care’s website for patient support: www.muhealth.org/services/cancer/support/

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thenewyoumagazine.net SPECIAL FALL EDITION 2016

BEAUTY

hand & nail T

aking care of your hands and nails is as important as taking care of the skin on your face.

It is often said that your hands reveal your true age, and that’s because the skin on your hands loses its firmness over time, leaving them susceptible to wrinkles, sun spots and other signs of aging. Yet your hands often don’t get the attention they deserve. By following a few simple steps every day, you can keep them looking and feeling young and supple.

Washing your hands is a great way to curb the spread of germs. But some soaps can irritate your skin.

Dermatologist Amy Derick, MD, of Barrington, Ill., recommends using a moisturizing liquid cleanser to wash hands if you have normal skin. If you prefer bar soap, look for moisturizing soap made with ingredients such as glycerin, petrolatum, sunflower oil, and soybean oil.

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thenewyoumagazine.net SPECIAL FALL EDITION 2016

Use Moisturizers and Hand Creams One of the best things you can do for your hands, especially as you get older, is to moisturize them throughout the day and before you go to bed. Any cream or lotion will do, but creams made for the hands have some advantages. One of the major ones, is that they are usually non-greasy and quick absorbing.

Moisturizing creams can, at least temporarily, make your hands look plumper and more youthful by drawing water into the skin. For plumping, look for hand creams containing hyaluronic acid, which gives skin support and body. To moisturize the skin of your hands, look for hand creams with petrolatum, glycerin, shea butter, or safflower seed oil.

Be sure to buy hand cream with a broad-spectrum sunscreen, SPF 30 or higher, to protect your hands from sun damage.

Take Care of Your Cuticles Just like your hands need to be moisturized, so do your nails. While you have the moisturizer out, rub a little into the base and sides of your nails, including the cuticles, the protective barrier between your nails and the skin underneath.

Moisturizing your nails and cuticles keeps those areas more pliable and less at risk for cracking, tearing and hangnails, which can open the door to skin infections. If your cuticles are very dry and prone to tears, you may want to consider applying nightly cuticle oil to offer an extra dose of moisture.

Wear Gloves During Chores When it comes to taking care of your hands, gloves offer two great benefits. Water, especially hot water, can strip your skin of its own natural oils, leaving your hands and nails dry and chapped. Exposure to the chemicals found in some cleaning products can cause contact dermatitis, which is a skin reaction that results in redness, itching and dryness. Wearing a pair of the cotton-lined rubber gloves while you clean, minimizes your contact with both water and chemicals, keeping hands shielded while you work.

Remove Polish A fresh coat of nail polish adds a pop of color to your hands, but you don’t want to leave it on for too long. In addition to unsightly chips, an old coat of polish (especially if you tend to prefer darker shades) can cause discoloration or yellowing and weakening of your nails. Aim to keep polish on for no longer than a week, and remove it with a cotton pad and non-acetone polish remover, which is gentler on nails than remover with acetone. Soak a cotton pad with remover then hold it on your nail for at least 10 seconds, then swipe upward toward the tip of your nail. This is less irritating to your nails and cuticles than rubbing vigorously in all directions. Once your nails are polish-free, check them for any irregularities, such as white spots, vertical lines or dark streaks. These changes can be caused by a variety of factors, from injury to certain diseases including melanoma, so they should not be ignored.

File Your Nails When it comes to the best length for your nails, think of yourself like Goldilocks with her porridge: Nails that are too long are more likely to split or tear, as well as harbor bacteria, while nails that are too short may not adequately protect your fingertips.

Aim for nails that are “just right,” with tips that extend two to three millimeters beyond your fingertips. File nails in one direction only — using a sawing motion can create microscopic tears that make nails more likely to split.

SPECIAL FALL EDITION 2016 thenewyoumagazine.net

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BEAUTY

dry skin D

ry skin occurs when skin doesn’t retain sufficient moisture. This can happen as a result of frequent bathing, use of harsh soaps, aging, or certain medical conditions. And for those in colder climates, it can stem from cold, dry winter air.

At this time of year, those in the Northern Hemisphere may suffer from red, rough, raw, and itchy skin. This is because cold winter air means low humidity, both outdoors and indoors. The water content of the epidermis (the outermost layer of skin) tends to reflect the level of humidity around it. Fortunately, there are many simple and inexpensive things you can do to relieve winter dry skin, also known as winter itch or winter xerosis.

Even if you live in a part of the world where cold winter air is not currently — or ever — a concern, most people will need to manage dry skin at some point. These tips for keeping skin soft and healthy can help all who battle dry skin, from chilly New England to balmy Hawaii and beyond.

Keeping moisture in the skin Skin moisturizers, which rehydrate the top layer of skin cells and seal in the moisture, are the first step in combating dry skin. They contain three main types of ingredients. Humectants, which help attract moisture, include ceramides (pronounced ser-A-mids), glycerin, sorbitol, hyaluronic acid, and lecithin. Another set of ingredients — for example, petrolatum (petroleum jelly), silicone, lanolin, and mineral oil — helps seal

that moisture within the skin. Emollients, such as linoleic, linolenic, and lauric acids, smooth skin by filling in the spaces between skin cells.

In general, the thicker and greasier a moisturizer, the more effective it will be. Some of the most effective (and least expensive) are petroleum jelly and moisturizing oils (such as mineral oil).

Because they contain no water, they’re best used while the skin is still damp from bathing, to seal in the moisture.

Other moisturizers contain water as well as oil, in varying proportions.

These are less greasy and may be more cosmetically appealing than petroleum jelly or oils.

Dry skin is usually not a serious health problem, but it can produce serious complications, such as chronic eczema (red patches) or bleeding from fissures that have become deep enough to disrupt capillaries in the dermis.

Another possible complication is secondary bacterial infection (redness, swelling, and pus), which may require antibiotics. (Rarely, dry skin is associated with allergy.) Consult your clinician if you notice any of these symptoms or if measures you take at home provide no relief. For severe dry skin, your clinician may prescribe a cream containing lactic acid, urea, or corticosteroids. She or he may also want to rule out medical conditions that can cause dry skin, including hypothyroidism, diabetes, lymphoma, kidney disease, liver disease, psoriasis, and atopic dermatitis. Always use sunscreen — even in the winter — to protect your skin.

What can you do?

Here are some ways to combat dry skin that are effective if practiced consistently: I Use a humidifier in the winter. Set it to

around 60%, a level that should be sufficient to replenish the top layer of the skin.

I Limit yourself to one - 5 to 10 - minute bath or

shower daily. If you bathe more than that, you may strip away much of the skin’s oily layer and cause it to lose moisture. Use lukewarm rather than hot water, which can wash away natural oils.

I Minimize your use of soaps; if necessary,

choose moisturizing preparations such as Dove, Olay, and Basis, or consider soapfree cleansers like Cetaphil, OilatumAD, and Aquanil. Steer clear of deodorant soaps, perfumed soaps, and alcohol products, which can strip away natural oils.

I To avoid damaging the skin, stay

away from bath sponges, scrub brushes, and washcloths. If you don't want to give them up altogether, be sure to use a light touch. For the same reason, pat or blot (don't rub) the skin when toweling dry.

I Apply moisturizer immediately after bathing

or washing your hands. This helps plug the spaces between your skin cells and seal in moisture while your skin is still damp.

I Never, ever scratch. Most of the time, a

moisturizer can control the itch. You can also use a cold pack or compress to relieve itchy spots.

I Use fragrance-free laundry detergents and

avoid fabric softeners.

I Avoid wearing wool and other fabrics that can

irritate the skin.

SPECIAL FALL EDITION 2016 thenewyoumagazine.net

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SPECIAL FALL EDITION 2016 thenewyoumagazine.net

15

HEALTH & F ITNESS

Trim your cancer risk with exercise

[

IT IS NEVER TOO LATE TO EXERCISE

Exercise is one of the most important actions you can take to help guard against many types of cancer. Up to one-third of cancer-related deaths are due to obesity and a sedentary lifestyle, including two of the most common cancers in the United States, breast and colon cancer.

Many people exercise to prevent heart disease, but exercise can also play a key role in preventing cancer. Most cancers are caused by lifestyle factors—not genes.

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thenewyoumagazine.net SPECIAL FALL EDITION 2016

Reduce your waistline and breast-cancer risk.

More than two dozen studies have shown that women who exercise have a 30 to 40 percent lower risk of breast cancer than their sedentary peers. The female hormone estrogen seems to play a key role. Women with high estrogen levels in their blood have increased risk for breast cancer. Since exercise lowers blood estrogen, it helps lower a woman’s breast-cancer risk. Exercise also reduces other cancergrowth factors such as insulin.

Even older women need to be concerned about estrogen, because after menopause the hormone is produced by fat cells.

Women who exercise have less fat and therefore produce less estrogen. With more than 150,000 new breast-cancer cases reported in the United States each year, preventing cancer through exercise is one of the best ways a woman can take charge of her health.

Win the battle against colon cancer.

Exercise plays a dramatic role in preventing cancer of the colon and rectum. Nearly 150,000 Americans are diagnosed with colorectal cancer each year, and nearly 50,000 die from the disease. Encouragingly, more than three dozen studies show exercisers reduce their risk of colon cancer by 20 percent or more compared to sedentary people, and the benefits are seen in both men and women, although the effect is greater in men.

Changes in digestive acids and other substances also occur with exercise, and these changes are believed to provide some protection from colon cancer. Decreases in body fat, insulin and other growth factors also may contribute to exercisers’ lower colon-cancer risk. Current research is also uncovering new ways in which physical activity cuts cancer risk—from reducing chronic inflammation to improving DNA repair.

Get up off the couch!

It’s easier than you think! A half hour of physical activity daily such as walking, slow swimming, leisurely bike riding or golfing without a cart will get you started. Here are some other ways to be more active: I Use stairs rather than an elevator.

I Walk or bike to your destination, and walk around the

block after dinner.

I Exercise at lunch with your family or friends.

I Go dancing.

I Wear a pedometer every day and watch your daily

steps increase.

I Join a sports team.

I Walk to visit co-workers rather than send an e-mail.

I Use a stationary bike or do sit-ups, leg lifts and push-ups

while watching TV.

I Park a little farther from your office, the store or the

library for a nice walk.

I When the weather is too poor to be outside, grab a

partner and “walk the mall.”

I Vary your type of exercise so you won’t get bored or think it’s a chore.

Often people view exercise narrowly as a way to lose weight or to look better. These incentives can be effective, but exercise is really about a person taking charge of his or her health, preventing chronic diseases like cancer and living longer.

Women it’s never too late to start.

How much exercise is too much?

Even moderate activity can be critically important in helping menopausal women reduce their risk of cancer, heart disease and other chronic ailments. Exercise reduces fat deep in the abdomen (“intra-abdominal” fat), a hidden risk factor because it can raise insulin levels, which promote the growth of cancer cells as well as cholesterol levels. Most American women gain one to two pounds on average every year, and that adds up to dangerous levels over a lifetime.

According to national activity guidelines, a good goal is to exercise at least 30 minutes a day on most days of the week. To get the most benefit, though, aim for about an hour a day. Moderateintensity activities such as brisk walking may be sufficient, although there is more benefit with increased intensity.

The beauty of exercise as a method to reduce total and intra-abdominal fat — and therefore chronic disease — is that it can be done by most women at low cost and with low risk of side effects. It’s never too late to enjoy the health benefits of exercise!

For more information on this and other cancer-related topics, call the National Cancer Institute’s Cancer Information Service at 1-800-4-CANCER (1-800-422-6237) or visit www.cancer.gov.

SPECIAL FALL EDITION 2016 thenewyoumagazine.net

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HEALTH & F ITNESS

stop smoking what are the benefits > > > over time?

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thenewyoumagazine.net SPECIAL FALL EDITION 2016

> > > >

> >

20 minutes after quitting Your heart rate and blood pressure drop.

(Effect of smoking on arterial stiffness and pulse pressure amplification, Mahmud A, Feely J. Hypertension. 2003:41:183)

12 hours after quitting The carbon monoxide level in your blood drops to normal.

(US Surgeon General’s Report, 1988, p. 202)

1 to 9 months after quitting Coughing and shortness of breath decrease; cilia (tiny hair-like structures that move mucus out of the lungs) start to regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs and reduce the risk of infection.

(US Surgeon General’s Report, 1990, pp. 285-287, 304)

1 year after quitting The excess risk of coronary heart disease is half that of a continuing smoker’s.

(US Surgeon General’s Report, 2010, p. 359)

5 years after quitting Risk of cancer of the mouth, throat, esophagus and bladder are cut in half. Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that of a non-smoker after 2-5 years.

(A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and Behavioral Basis for SmokingAttributable Disease Fact Sheet, 2010; and Tobacco Control: Reversal of Risk After Quitting Smoking. IARC Handbooks of Cancer Prevention, Vol. 11. 2007, p 341)

10 years after quitting The risk of dying from lung cancer is about half that of a person who is still smoking. The risk of cancer of the larynx (voice box) and pancreas decreases.

(A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and Behavioral Basis for SmokingAttributable Disease Fact Sheet, 2010; and US Surgeon General’s Report, 1990, pp. vi, 155, 165)

15 years after quitting The risk of coronary heart disease is that of a non-smoker’s.

(Tobacco Control: Reversal of Risk After Quitting Smoking. IARC Handbooks of Cancer Prevention, Vol. 11. 2007. p 11)

These are just a few of the benefits of quitting smoking for good.

Quitting smoking lowers the risk of diabetes, lets blood vessels work better and helps the heart and lungs. Quitting while you are younger will reduce your health risks more, but quitting at any age can give back years of life that would be lost by continuing to smoke.

FOOD & NUTRITION

Shrim The

FRESH VS FROZEN

It’s not worth paying a premium for socalled fresh shrimp, as it probably has been thawed. Most commercially caught shrimp are frozen quickly on the boat – which helps maintain the flavor and texture as well as the nutrients.

THE NUTRITIONAL SKINNY A 3-ounce serving of cooked shrimp has 19 grams of protein (the same as in three large eggs), 10 percent of your daily iron needs and more than 20 percent of your vitamin B-12 needs (to keep nerve and blood cells healthy) – all for under 100 calories and 1.5g fat

THE SCOOP ON SIZE Miniature, medium, large, super colossal – there's no industry standard when it comes to labeling shrimp based on its weight.

Instead the size is determined by how many unpeeled shrimp make up to 1 pound.

Shrimp Sizes Decoded!

Learn what he different sizes of shrimp actually mean when it's time to start cooking.

Miniature, medium, large, super colossal—there’s no industry standard when it comes to labeling shrimp based on its weight.

Instead the size is determined by how many unpeeled shrimp make up 1 pound. Here’s a look at some sizes you’re likely to find in your local market.

Larger—usually more expensive—shrimp are not necessarily better quality. If a recipe calls for a large size because shrimp is the star of the dish (such as shrimp cocktail), then it’s best to go big. But for grilling, sautéing, salads and other dishes where there are a lot of flavors and textures at play, you can choose almost any size.

Shrimp Color Shrimp’s color is related to its species, its diet, the season and other environmental factors. The natural color isn't a marker for freshness. All shrimp turns pink or reddish when cooked.

Factor in Shell Weight The shell can make up for about a third of the shrimp’s weight. For 1 pound of peeled shrimp, buy 1 1/3 pounds unpeeled.

Thawing Shrimp Because most shrimp is frozen soon after being caught, you are better off buying shrimp that is still frozen instead of shrimp that has been thawed at the market for your convenience. Shrimp is highly perishable, and you don’t really

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thenewyoumagazine.net SPECIAL FALL EDITION 2016

mp Skinny on

GREEN SALAD W I TH SHRI M P AND FETA

know how long the thawed stuff has been thawed. If you buy frozen shrimp, you can thaw it yourself just before you need it. Let it thaw overnight in the fridge, or for faster thawing, take the shrimp out of its’ package, put it in a bowl of cold water, and let a trickle of cold water run into the bowl while excess water goes down the drain. The shrimp should be ready to cook in about 15 minutes.

Decode the Labels Best Aquaculture Practices: At least 85 percent of the shrimp eaten in the United States is farmed, and most of those shrimp are imported from Mexico or Asia. The U.S. Department of Commerce has established the voluntary Seafood Inspection Program to help ensure that imports meet quality standards.

One indication that you're buying safe, quality shrimp is to look for the Best Aquaculture Practices mark on the packaging. BAP standards, set by the Global Aquaculture Alliance, address animal welfare and environmental and social responsibility, as well as food safety and traceability. Compliance is voluntary.

OIL & VINEGAR SALAD DRESSING Ingredients • 1/4 cup extra virgin olive oil • 2 tablespoons red wine vinegar • 2 teaspoons fresh lemon juice • 1 teaspoon fresh minced rosemary salt, freshly ground pepper

SALAD Ingredients • 12 ounces prepared mixed salad greens • 4 green onions, thinly sliced • 1/4 lb cooked shrimp, split in half lengthwise • 24 cherry tomatoes, halved • 1/2 cup crumbled feta cheese

Directions 1. For dressing, combine oil, vinegar, lemon juice, rosemary, salt and pepper in a small jar with a tightfitting lid; cover and shake to combine.

2. Dressing can be made several days in advance and refrigerated, shake well before using.

3. Combine remaining ingredients in a large salad bowl; chill until serving time.

4. To serve, add dressing and toss lightly to combine.

Add additional freshly ground pepper to taste.

SPECIAL FALL EDITION 2016 thenewyoumagazine.net

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FOOD & NUTRITION

SHRIMP PASTA SALAD SEA ISLAND SHRIMP SALAD

Ingredients

Ingredients

• 8 ounces peeled and deveined shrimp • 8 ounces scallops • 2 tablespoons butter • Juice of 1 lemon • 1 - 5 ounce package saffron rice, cooked • 1 pint grape tomatoes, halved • 1 small cucumber, seeded and chopped • 2 tablespoons cilantro, chopped • 1 green onion, diced • Dijon dressing • Salt and pepper to taste

• 3 cups spiral shaped pasta, uncooked • 1 cup mayonnaise • 1⁄2 cup ranch dressing • 1⁄3 cup seafood cocktail sauce • 2 tablespoons fresh lemon juice • 1 teaspoon worcestershire sauce • Salt and pepper • 1 lb medium cooked shrimp, peeled & deveined • 1⁄2 cup chopped fresh tomato • 1⁄2 cup sliced green onion • 1⁄4 cup chopped sweet red pepper • 2 tablespoons chopped fresh parsley

Directions 1. Saute` shrimp and scallops in butter. Remove from heat and sprinkle with lemon juice. Transfer to small bowl and chill 2-3 hours.

2. Combine rice and next 4 ingredients with shrimp mixture.

3. Toss with enough Dijon Dressing to coat well. Salt and pepper to taste. Cover and chill overnight.

DIJON DRESSING Ingredients • 1/3 cup red wine vinegar • 1/3 cup olive oil • 2 teaspoons dijon mustard • Hot pepper sauce to taste • 1 teaspoons worcestershire sauce • 1 teaspoon sugar

Directions 1. Combine ingredients in small bowl, mixing well.

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thenewyoumagazine.net SPECIAL FALL EDITION 2016

Directions 1. Cook pasta according to package directions; drain.

2. Rinse with cold water to cool quickly; drain well.

3. Meanwhile, in a large bowl, whisk together mayonnaise, ranch dressing, seafood cocktail sauce, lemon juice, Worcestershire sauce and salt & pepper.

4. Stir in cooled pasta and remaining ingredients.

5. Serve immediately or cover and refrigerate.

GRILLED MIXED-SEAFOOD SALAD

Ingredients • Shallot-Thyme Vinaigrette • ½ cup olive or vegetable oil • ¼ cup balsamic vinegar • 2 tablespoons white wine vinegar • 1 tablespoon finely chopped shallot

• 1 tablespoon Dijon mustard • 1 tablespoon chopped fresh thyme leaves or • 1 teaspoon dried thyme leaves • ¼ teaspoon salt

SALAD Ingredients • 1 lb marlin, swordfish or tuna steaks, 3/4 to 1 inch thick • 12 uncooked large shrimp, peeled and deveined • 1 medium fennel bulb, cut crosswise into 6 slices • 10 leaves romaine lettuce, coarsely shredded

• 1 small bunch arugula, torn into bite-size pieces • 1 can (14 oz) artichoke hearts, drained • ½ small red onion, thinly sliced • 12 cherry tomatoes • 12 kalamata or pitted ripe olives

Directions 1. In small bowl, mix all vinaigrette ingredients until well blended.

2. In shallow glass or plastic bowl, place fish steaks, shrimp and 1/4 cup of the vinaigrette; turn fish and shrimp to coat with marinad.

3. Cover and refrigerate 1 hour. Reserve remaining vinaigrette.

4. Heat coals or gas grill for direct heat. Remove fish and shrimp from marinade; reserve marinade. Cover and grill fish and fennel over medium heat 5 minutes; brush with marinade. Add shrimp.

5. Cover and grill 5 to 15 minutes, turning and brushing fish, fennel and shrimp with marinade 2 or 3 times, until shrimp are pink and firm, fish flakes easily with fork and fennel is tender. Discard any remaining marinade.

6. Arrange romaine and arugula on serving platter. Cut fish into bite-size pieces. Arrange fish, shrimp, fennel and remaining ingredients on romaine mixture. Serve with remaining vinaigrette.

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Top 10 most unhealthy,

FOOD & NUTRITION

cancer-causing foods never eat these again!

By Jonathan Benson Staff Writer – Natural News

The statement “everything causes cancer” has become a popular hyperbole, and one that some people use as rhetorical fodder to excuse their own dietary and lifestyle failures, particularly as they pertain to cancer risk. But the truth of the matter is that many common food items have, indeed, been scientifically shown to increase cancer risk, and some of them substantially. Here are 10 of the mostunhealthy, cancer-causing foods that you should never eat again

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Genetically-modified organisms (GMOs). It goes without saying that GMOs have no legitimate place in any cancer-free diet, especially now that both GMOs and the chemicals used to grow them have been shown to cause rapid tumor growth. But GMOs are everywhere, including in most food derivatives made from conventional corn, soybeans, and canola. However, you can avoid them by sticking with certified organic, certified non-GMO verified, and locally-grown foods that are produced naturally without biotechnology.

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Processed meats. Most processed meat products, including lunch meats, bacon, sausage, and hot dogs, contain chemical preservatives that make them appear fresh and appealing, but that can also cause cancer. Both sodium nitrite and sodium nitrate have been linked to 24

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significantly increasing the risk of colon and other forms of cancer, so be sure to choose only uncured meat products made without nitrates, and preferably from grass-fed sources.

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Microwave popcorn. They might be convenient, but those bags of microwave popcorn are lined with chemicals that are linked to causing not only infertility but also liver, testicular, and pancreatic cancers. The U.S. Environmental Protection Agency (EPA) recognizes the perfluorooctanoic acid (PFOA) in microwave popcorn bag linings as “likely” carcinogenic, and several independent studies have linked the chemical to causing tumors. Similarly, the diacetyl chemical used in the popcorn itself is linked to causing both lung damage and cancer.

4

Soda pop. Like processed meats, soda pop has been shown to cause cancer as well. Loaded with sugar, food chemicals, and colorings, soda pop acidifies the body and literally feeds cancer cells. Common soda pop chemicals like caramel color and its derivative 4-methylimidazole (4-MI) have also specifically been linked to causing cancer).

5

‘Diet’ foods, beverages. Even worse than conventional sugar-sweetened soda pop, though, is "diet" soda pop and various other diet beverages and foods. A recent scientific review issued by the European Food Safety Authority (EFSA) of more than 20 separate research studies found that aspartame, one of the most common artificial sweeteners, causes a range of illnesses including birth defects and cancer. Sucralose (Splenda), saccharin and various other artificial sweeteners have also been linked to causing cancer.

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Conventional apples, grapes, and other 'dirty' fruits.

Many people think they are eating healthy when they buy apples, grapes, or strawberries from the store. But unless these fruits are organic or verified to be pesticide-free, they could be a major cancer risk. The Environmental Working Group (EWG) found that up to 98 percent of all conventional produce, and particularly the type found on its “dirty” fruits list, is contaminated with cancer-causing pesticides

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Farmed salmon. Farmed salmon is another highrisk cancer food, according to Dr. David Carpenter, Director of the Institute for Health and the Environment at the University of Albany. According to his assessment, farmed salmon not only lacks vitamin D, but it is often contaminated with carcinogenic chemicals, PCBs (polychlorinated biphenyls), flame retardants, pesticides, and antibiotics.

6

Refined ‘white’ flours. Refined flour is a common ingredient in processed foods, but its excess carbohydrate content is a serious cause for concern. A study published in the journal Cancer Epidemiology, Mile Markers, and Prevention found that regular consumption of refined carbohydrates was linked to a 220 percent increase in breast cancer among women. Highglycemic foods in general have also been shown to rapidly raise blood sugar levels in the body, which directly feeds cancer cell growth and spread.

7

Refined sugars. The same goes for refined sugars, which tend to rapidly spike insulin levels and feed the growth of cancer cells. Fructose-rich sweeteners like high-fructose corn syrup (HFCS) are particularly offensive, as cancer cells have been shown to quickly and easily metabolize them in order to proliferate. And since cookies, cakes, pies, sodas, juices, sauces, cereals, and many other popular, mostly processed, food items are loaded with HFCS and other refined sugars, this helps explain why cancer rates are on the rise these days.

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Hydrogenated oils. They are commonly used to preserve processed foods and keep them shelfstable. But hydrogenated oils alter the structure and flexibility of cell membranes throughout the body, which can lead to a host of debilitating diseases such as cancer. Some manufacturers are phasing out the use of hydrogenated oils and replacing them with palm oil and other safer alternatives, but trans fats are still widely used in processed foods.

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P I N K PA G E S

ForTeam Brady Glass,

theSusanG.Komen Mid-Missouri Race for the CureisPersonal

By Janet Vigen Levy | Susan G. Komen Mid-Missouri Race for the Cure

T

here’s nothing m o r e important to us Bradys than the fight against breast cancer,” says Joshua Brady. “We all witnessed Doris Brady — my mom and Jerry Brady’s wife — fight for six long years against this disease.

“We are for anything that helps bring awareness to this disease. We think more awareness means more funding to scientists battling to find a cure. I hope sometime soon nobody else will have to lose a mom or a wife to breast cancer.”

Josh Brady’s team has participated in the Komen MidMissouri Race for the Cure since the event’s inaugural year, 2010, the first year after his mom was diagnosed with breast cancer.

For a company like Brady Glass, losing Doris was like losing a family member.

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“I had a bad motorcycle accident in June 2013. Up to that point, I hadn’t missed a race,” Josh recalls.

“Even our employees that don't have the last name Brady felt like they lost a mom when my mom passed away in January 2015,” says Josh. “It is the least we can do to get up early and support these ladies that are going through the same exact thing my mom went through.

We also want to be there for the families that are impacted by breast cancer; sometimes their emotional fight is forgotten.”

Participating in the Komen MidMissouri Race for the Cure is so important to the Bradys that Josh has overlooked his own pain in order to be there.

thenewyoumagazine.net SPECIAL FALL EDITION 2016

After knee surgery that August, his only goal was to make it to and through the Race. “As painful as it was, I did make it all the way to the finish line.”

Two years later, the 2015 Race was the first without his mom.

Join the Local Fight Against Breast Cancer at the 7th Annual Susan G. Komen Mid-Missouri Race for the Cure®

– on October 9 – Funds Raised Through the Komen Mid-Missouri Race for the Cure Benefit Local Breast Health Programs and Global Breast Cancer Research Give strength to the local fight against breast cancer by participating in or donating to the 7th Annual Susan G. Komen Mid-Missouri Race for the Cure®. The fundraiser takes place Sunday morning, Oct. 9, in Flat Branch Park in historic downtown Columbia. Register online at www.komenmissouri.org/MidMoRace.

The Komen Mid-Missouri Race raises funds for the local fight against breast cancer, celebrates breast cancer survivors and honors those who have lost their lives to the disease.

“Our entire family and company made it to the Race,” says Josh. “We finished last by a long shot, but we did it together!”

The Bradys don’t have to do much to convince people to join their Komen Mid-Missouri Race team — their coworkers and employees know how much this fundraiser means to Josh and his family. Even customers and friends outside of the company are participating on the Brady Glass Team.

“You don’t have to know someone that had breast cancer to get a team together,” says Josh. “The event is full of life, music, dancing. It's a celebration of people who need to be picked up and encouraged. I believe we could all use events like this that bring people together for a great cause.”

The funds raised at the Komen Mid-Missouri Race will directly impact the breast health needs of local women, men and families. Seventy-five percent of the net funds raised by Komen Missouri stays in the local community to fund lifesaving breast cancer screening, breast health education and patient support programs. The remaining 25 percent funds cutting-edge, global breast cancer research.

The Race includes a 5K run/walk and 1-mile fun walk. For more serious runners or those pursuing personal fitness goals, the timed run offers electronic timing and a separate starting corral. Participants can form or join teams in honor or memory of a loved one to make an even greater impact. Those who cannot attend in person may choose the Sleep In for the Cure option.

The Komen Mid-Missouri Race supports Komen Missouri’s year-round mission of saving lives and ending breast cancer forever. The support of the community is vital to the continued local impact of the Komen Mid-Missouri Race for the Cure.

Registration for the 2016 Komen MidMissouri Race for the Cure is open at www.komenmissouri.org/MidMoRace.

All Race registration fees, fundraising dollars and donations help give strength to the fight against breast cancer.

About Susan G. Komen® Missouri Susan G. Komen Missouri is an independent, local nonprofit organization dedicated to fighting breast cancer year-round. Komen Missouri’s mission is to save lives and end breast cancer forever by empowering people, ensuring quality care for all and energizing science to find the cures. Komen Missouri is dedicated to meeting the breast health needs of the women, men and families in its 38-county Missouri/Illinois service area. Seventyfive percent of the organization’s net proceeds stays in the local community to fund breast cancer screening, breast health education and patient navigation and support services. The remaining 25 percent of net proceeds funds global, cutting-edge breast cancer research.

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Genetics and

P I N K PA G E S

What Are Genes?

BRCA gene mutations are not only found in women. Men can also carry these mutations and pass them on to their children. Men with a BRCA2 mutation have an increased risk of breast and prostate cancer.

Mutations may be inherited or spontaneous. Inherited are those you were born with. They are passed on to you by one of your parents.

Spontaneous are those that may occur during your lifetime. There are many ways this can happen. We do not yet know how, or if, these are related to a woman’s lifestyle (such as diet and exercise). Also, chemical changes inside the body and contact with environmental toxins such as radiation or chemicals are under study. We don’t know if we can prevent these mutations.

Who Has Mutations In BRCA1 & BRCA2?

Every cell in your body contains genes. Genes are the blueprints for your body. For example, they decide the color of your eyes. They also affect other functions of your body, such as when cells grow, divide and die. Sometimes, genes do not work like they should. This is due to an error in one or more genes, called a mutation.

What Are BRCA1 & BRCA2?

The two most well-known genes linked to breast cancer are BRCA1 and BRCA2 (BReast CAncer genes 1 and 2).

Everyone has these genes, but some have inherited a mutated form of one or both. Inheriting a mutated form of BRCA1 or BRCA2 increases a woman’s risk of breast and ovarian cancer.

Most breast cancers are not linked to inherited mutations.

Only about 5 to 10 percent of all cases of breast cancer in the United States are due to inherited gene mutationts.

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What About Men?

Most women who get breast cancer do not have an inherited BRCA1 or BRCA2 gene mutation. The chance that you have a BRCA1 or BRCA2 gene mutation is greater if one or more of these statements is true: You were diagnosed with breast cancer at an early age.

Your mother, sister or daughter was diagnosed with breast cancer at an early age or ovarian cancer at any age.

A woman in your family has had breast and ovarian cancer.

A woman in your family has had breast cancer in both breasts.

Your family is of Ashkenazi Jewish descent.

A male in your family has had breast cancer.

All women should be screened for breast cancer with routine mammograms and clinical breast exams.

BRCA1 (BReast CAncer type 1 susceptibility, BRCT domain) protein

Breast Cancer

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29 2

P I N K PA G E S

Breastfeeding can help lower the risk of breast cancer

R

ecently, I took my 3-year-old to the doctor because I thought he had strep throat. In order to show him it wasn’t painful to get tested, I let the nurse swab my throat. Guess what? His test came back negative, phew. Mine, on the other hand, came back positive. The life of a mother, putting her child’s needs before her own.

According to a recent study, “the lack of or short lifetime duration of breastfeeding typical of women in developed countries makes a major contribution to the high incidence of breast cancer in these countries. More specifically, for every year a woman breastfed, her risk of developing breast cancer was reduced by 4.3 percent.”

While there are many factors that can contribute to a breast cancer diagnosis, an overwhelming amount of research shows a direct relation between the length of a breastfeeding relationship and a reduced risk of breast cancer. Put simply, a mother can take care of both her health and child’s health by breastfeeding for at least a year. This is one of the few

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times a mother can be putting her child’s needs first and also taking care of herself.

As you likely know, breastfeeding is not always easy.

Poor information, lack of support and natural obstacles can make breastfeeding challenging at times. In Touch Mom is dedicated to providing quality information and breastfeeding support for women.

In conclusion, by helping support breastfeeding women, we can help lower the risk of breast cancer. In Touch Mom offers online consultations with Brenda Carroll, MA, RN, IBCLC. You can log in to our HIPAA compliant server and schedule an appointment. We understand getting out with children can be difficult, so we wanted to bring support to you. We believe by providing this service we can make an impact on the breastfeeding and breast cancer rates.

For more information see our ad on page 7

Understanding What it Means to Have Dense Breast Tissue

Megha Garg, MD

our mammogram results are in, and you’ve been told that you have dense breasts. Now what? While this term might leave room for confusion, there’s no need to be alarmed.

Y

Dense tissue appears white on a mammogram.

Lumps, both benign and cancerous, also appear white, so mammograms can be less accurate in women with dense breasts.

“Dense breast tissue is not a condition or abnormality,” said Megha Garg, MD, director of the breast imaging program at Ellis Fischel Cancer Center. It simply refers to the ratio of fibroglandular tissue to fat in your breast on mammograms. But knowing whether you have dense breasts is important because dense tissue might make cancer detection more difficult on mammograms.”

“If you have been told you have dense breasts, it is to raise your awareness and should be seen as a conversation starter to assess your risk for breast cancer,” Garg said. “You’ll want to talk to your physician about the presence of other risk factors as breast density alone has a small impact on breast cancer.

In 2015, Missouri became the 19th state to enact a breast density notification law. The law requires health care facilities that perform mammograms to inform patients about breast density. Your physician will get your breast density numbers as part of the mammogram and will then be able to go over your readings with you and explain if you have dense breast based on where you are on the density scale.

1

“If your mammogram and risk assessment reveals you have dense breast tissue and an overall high risk for getting breast cancer, you could benefit from supplemental screening in addition to mammograms,” Garg said.

If you have questions or concerns about breast density or to schedule a mammogram call 573-882-8511 SPECIAL FALL EDITION 2016 thenewyoumagazine.net

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DOCS TO KNOW

Dr. Sara Crowder

One of theTop Gynecologic Robotic Surgeons in theWorld

G

And she resides in our own backyard

by Madison Burke Boone Hospital Center, Multimedia Marketing Specialist

ynecologic oncologist Sara Crowder, MD recently performed her 1,000th surgery using the da Vinci surgical system. For the past two years, Dr. Crowder has performed more of these types of surgeries than anyone else in Missouri and is in the top one percent world wide. Boone Hospital Center bought the equipment in 2011. It offers 3D imaging and 360-degree movement of instruments. It allows surgeries to be minimally invasive, leading to shorter hospital stays and quicker recovery times.

What did it feel like hitting the 1000 mark?

Well in some ways it felt just like any other day, and the case went great so that made me happy. In other ways, it was a moment of pride in looking back and seeing how far we've come. Then, finding out the significance of 1000 cases was really overwhelming. I was just amazed.

And what was the significance of 1000 robotic cases?

1000 cases put me in the top 1% of gynecologic robotic

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surgeons in the U.S. and worldwide. That made me feel like my commitment to this skill has been worth it. And, I think it's amazing that in the middle of the country, in a town the size of Columbia – my home town – you can have surgery with the level of expertise in the top 1% in the world.

Explain robotic surgery to a layperson who’s not familiar with the technology.

Minimally invasive surgery is surgery done through smaller incisions. This is typically done with standard laparoscopy equipment which has some limitations.

Robotic surgery has capabilities that overcome many of those limitations. The benefits basically boil down to visualization and ease of motion.8 For the visualization, the camera is much stronger so you see the anatomy in a very magnified way. The camera actually has two camera heads, so it gives a threedimensional view. 3-D sounds fancy and exciting but it truly has a practical application. It allows you to judge the depth of your motions. To see the difference between visualization with standard laparoscopy and robotics, reach for something and grab it with both of your eyes open. Then, close one eye and reach for it. You'll see how your brain has

>

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DOCS TO KNOW to work harder to judge how far to reach when one eye is closed. Standard laparoscopy is like that. Robotics allows you to operate with both eyes open, in a sense.8 The ease of motion is due to the robotic instrumentation being wristed, so it has a full range of motion such that when you are dissecting, you can move the instruments much more like you move your hands and fingers naturally. I think if you've ever had to wear a cast and then do things with that arm, that's kind of a good analogy for what standard laparoscopic surgery would be like. You wouldn't have complete range of motion of your arm. You could adjust your body and grab what you need to grab, but again, it's going to take a lot more effort and you may not always grab it exactly the way you want to.

Comparing robotic surgery to standard laparoscopy feels like getting your cast off.8

When and why did you become interested in pursuing robotic surgery?

I began in 2011. I was not one of the earliest adopters of the technology. I'd known about it for years. In 2001, I was doing my fellowship in Texas and our institution had one of the first robotic systems in the country when it was undergoing its preliminary clinical use. I didn’t really do robotic surgery at that time, but one of my mentors, Conception Diaz-Arristia, was one of the first physicians in the U.S. to do robotic cases. So I was very aware of the technology in its infancy. Many years later, when robotics first came to Columbia, I was approached multiple times but declined because I was too busy with other things, one of which was completing my board certification in gynecologic oncology. I thought if I was going to do pursue robotics, I wanted to put my best effort into it. There is pretty rigorous training steps you have to go through just to start doing cases. I was interested to use the technology for my cancer cases who needed more extensive surgery like lymph node removal. Robotics was a safer way to do these kinds of complex cases with much more precision.

Robotics essentially equalizes the playing field, allowing patients who otherwise wouldn’t be candidates for minimally invasive surgery to benefit from it as well. So I initially was planning to only use it for a subset of my patients. As I used it more, I really realized the benefits of the technology and became a believer that it’s truly the future of surgery.

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To what do you attribute your success?

Overall, having a great mother. In robotic surgery, I’d say focus and dedication. I’m kind of an “all or nothing” person. If I commit to something, I like to give it my all. I also have benefitted greatly from a strong team in the OR — nurses, scrub techs, and anesthetists – they can really make your job easier.8

What has surprised you the most about robotic surgery?

The complexity of procedures that I can do through tiny incisions. That's the beauty of experience. The more surgeries you do, the more you find ways to work around roadblocks.8

I’ve also been so pleased at how it’s changed my patient’s lives. They recover from surgery so much faster and with less pain. That is more profound than it initially sounds. The less pain you have, the less pain medicine you take, the sooner you're up doing your normal

activities. But this also means you are less likely to have postoperative complications like blood clots, pneumonia, constipation, etc. And for many of my patients, it means moving on to the next phase of your treatments that much sooner, like radiation or chemo therapy for patients who need these things.

What do you most enjoy about being a surgeon?

The satisfaction of the case that goes perfectly. The challenges of complex cases and successfully meeting those challenges. I’m fascinated by anatomy and physiology and the endless complexity of the human body. I’m humbled by the strength and resilience of the human spirit and the body’s capacity both to mutate and to heal itself.

What practical advice would you give to someone who’s facing surgery?

Ask questions. Bring someone with you to your appointment. Find out about your surgeon’s expertise if you can. Listen to your gut. If you're not comfortable, that may be a red flag. You have to put a lot of trust in your surgeon so you have to feel like you can communicate with them.

Don’t be afraid to get a second opinion. Oh, and of course, follow the doctor's advice! Do’s and don'ts about your post op care can make a big difference in your recuperation.8

“I think it’s amazing that in the middle of the country, in a town the size of Columbia – my home town – you can have surgery with the level of expertise in the top 1% in the world.”

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PINK PAGES RESOURCE GUIDE Cancer MICA

Diet, Nutrition & Cancer Prevention

The cancer MICA allows the user to create tables showing cancer incidence by year, age, sex, race, cancer site, stage, grade, and geographic area down to county (with some restrictions to protect confidentiality; see below). This MICA provides the user with valuable cancer incidence data. It is intended to be used by the general public, as well as researchers, local public health agencies, and others.

American Social Health Association

CDC - Cancer Prevention & Control

National HPV & Cervical Cancer Prevention Resource Center

Division of Cancer Prevention & Control conducts, supports and promotes efforts to prevent cancer and to increase early detection of cancer.

American Cancer Society Provides facts, risk factors and prevention of cancers.

Information on volunteer opportunities and research funding.

American Institute for Cancer Research (AICR)

Avon Breast Cancer Crusade Funding access to care and finding a cure for Breast Cancer Breast & Cervical Cancer: Find out about the free breast and cervical cancer screening services available through the Missouri’s Show Me Healthy Women program. Guidelines for eligibility, services provided and the list of providers in Missouri is included. Excluding all cancers of the skin, breast cancer is the most common cancer among women in Missouri and accounts for nearly one-third of all cancers diagnosed in women. According to the Surveillance, Epidemiology and End Results (SEER) program, an average of 3,951 cases of breast cancer per year were diagnosed among Missouri women between 1996 and 2000. The American Cancer Society estimate of new breast cancer cases for Missouri women in 2004 are 4,680. The American Cancer Society 2004 estimate of breast cancer deaths for Missouri women is 870.

CDC: The National Breast & Cervical Cancer Early Detection Program: At-A-Glance The NBCCCEDP provides funding for breast & cervical cancer screening services to low income and underinsured women.

NCBBEDP operates in all 50 states, District of Columbia, 6 U.S. territories and 12 American Indian/Alaska Native organizations.

Intercultural Cancer Council The Intercultural Cancer Council (ICC) promotes policies, programs, partnerships and research to eliminate the unequal burden of cancer among racial and ethnic minorities and medically underserved populations in the United States and its associated territories.

Kansas City Cancer Information Project The Breast Cancer Foundation of the Ozarks

BRFSS Data

The KcCancer.info website is a joint production of The Kansas City Cancer Coalition and The Kansas City Cancer Information Project. These resources are unique, designed for Kansas City area cancer patients and their families, where content is managed by representatives from every sector within the Kansas City cancer community.

This is the Behavioral Risk Factor Survey where you can produce tables based on cancer and other disease specific data.

Living Beyond Breast Cancer

Provides local resources and support for individuals and their families in the local area who are and have been affected by breast cancer and are concerned with women's health issues.

Cancer Inquiry Investigates, through a team effort, concerns initiated by the public about perceived high rates of cancer in a community or neighborhood. Informs public that cancer is more common than most people realize; contrary to public perception, cancer is not usually caused by pollution or other environmental factors; and most of the causes of cancer that we know about are related to lifestyle.

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LBBC offers educational information to women affected by breast cancer. Programs include conferences, teleconferences, newsletters, Survivors' Help Line (888-753-LBBC), website (lbbc.org), young survivors' and outreach programs.

MammaCareÂŽ The only scientifically validated system for teaching physical examination of the breast.

Missouri Cancer Consortium

National Ovarian Cancer Coalition

The Missouri Cancer Consortium is a leader in cancer control in Missouri. Members are groups and individuals. They come from all walks of the cancer fight. New members are always needed and welcome. The work of cancer control and the Missouri Cancer Consortium is comprehensive.

The website for the National Ovarian Cancer Resource Center takes you through some of the issues most commonly faced by cancer patients.

National Alliance of Breast Cancer Organizations (NABCO) NABCO provides information to medical professionals and their organizations and to patients and their families, and advocates for beneficial regulatory change and legislation.

Native American Cancer Research This is a community-based, American Indian, non-profit resource. We seek to help reduce cancer incidence and mortality in Native Americans.

R.A. Bloch Cancer Foundation, Inc R.A. Bloch Cancer Foundation is dedicated to help all cancer patients in the process to successfully conquer their disease.

National Breast Cancer Coalition - NBCC Susan G. Komen Breast Cancer Foundation

The National Breast Cancer Coalition Fund is a grassroots organization dedicated to ending breast cancer through the power of action and advocacy.

To eradicate breast cancer as a life-threatening disease by advancing research education.

National Cancer Institute

WISEWOMAN

National funding for cancer research. Provides credible, current, comprehensive cancer information for public and professional use.

(Well-Integrated Screening and Evaluation for Women Across the Nation) funding expands the prevention services provided for women participating in the National Early Breast and Cervical Cancer Control Project (NBCCCEDP), known in Missouri as the Show Me Healthy Women program. WISEWOMAN is a CDC-funded program that helps underinsured, low-income women gain access to health screenings and lifestyle education that can reduce the risk of heart disease and stroke. To be eligible for WISEWOMAN services, women must be participants in the Show Me Healthy Women breast and cervical cancer control project and be 40-64 years of age.

National Cervical Cancer Coalition Enhance awareness of cervical cancer prevention, the Pap smear and proper follow-up, HPV, new technology and treatment options.

National HPV & Cervical Cancer Public Education Program You Need to Know, National HPV & Cervical Cancer Campaign.

Women's Cancer Network

National Coalition for Cancer Survivorship

Physicians dedicated to preventing, detecting and conquering cancer in women.

The only survivor-led advocacy organization working exclusively on behalf of people with all types of cancer and their families, is dedicated to assuring quality cancer care for all Americans.

Y-ME National Breast Cancer Organization: Through peer support no one faces breast cancer alone.

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PINK PAGES MID-MISSOURI RESOURCES Mid-Missouri Breast Cancer Awareness Group Breast cancer patients and survivors can gain insight and strength to better cope with their disease and life changes through interaction with others undertaking similar journeys. The Mid-Missouri Breast Cancer Awareness Group meets monthly from 6 to 7 p.m. on the second Wednesday at various locations.

The Harris Breast Center also has a longstanding commitment to being a leader in technology.

The center is ACR accredited with licensed, certified, professional and well-trained radiology staff, technologists and associates ready to attend to patient needs.

To schedule your next mammogram call 573.815.8150.

Group Liaison and Contact Information: Kathy Windmoeller 573-999-4195 573-443-0622 This support group meets in various locations. Please contact Kathy Windmoeller to confirm the location.

Mid-Missouri Ellis Fischel Cancer Center Ellis Fischel Cancer Center’s team of physician specialists and other trained professionals work together with a common goal: to provide the latest cancer treatments and improve quality of life for thousands of people each year. Named after Dr. Ellis Fischel, a physician who envisioned a statewide plan for controlling cancer, the hospital was dedicated on April 26, 1940, as the first cancer center west of the Mississippi River.

At Ellis Fischel Cancer Center we are dedicated to providing comprehensive cancer care, which means we diagnose and treat all types of cancers.

573-882-2100 One Hospital Drive, Columbia, MO 65212

Mid-Missouri Harris Breast Center Boone Hospital’s Harris Breast Center is conveniently located inside the hospital’s Outpatient Services wing.

With convenient parking and registration, the Harris Breast Center combines the ease of a freestanding center with the technology, expertise and resources of a hospital-based provider.

Choosing the Harris Breast Center gives our patients the best of both worlds.

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Mid-Missouri American Cancer Society Find Support & Treatment Learn about making treatment decisions, coping with side effects, handling financial matters, caregiving and living well after cancer. The American Cancer Society also has programs and services to help you manage cancer treatment and recovery and find the emotional support you need. And best of all, our help is free. http://www.cancer.org/index 1-800-227-2345

Susan G. Komen: For the Cure Whether you need information, assistance, emotional support or just someone to talk to, we can help. Learn more through the links below, by calling the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636) or by contacting a local Affiliate.

Inside & Out For the Women of Mid-Missouri

Advertise tise se s With Us e in ut Magazine Ma ou – Inside & Out , 5-18 t 573-815-1810. sizes and eficial for t will be highly beneficial e can help you choose

Outt ccovers topics nd fitness, food and health and ow in Mid-Missouri, ncer resources and breast cancer general resources forr the community. ns you can ns, vertising capabilities maximize your advertising with preferential placement of ated section of the

BOONE HOSPITAL

NIFONG

MEDICAL

PLAZA AT THE CORNER OF NIFONG AND FORUM

now open evenings and weekends The care you know and trust from Boone Hospital Center just got more convenient.

Primary care, lab services, therapy, imaging, Convenient Care Clinic and even a pharmacy are now available at our new full-service clinic.

Stop by to see your new clinic, or check us out online at boone.org/Nifong