Health&Wellness October 2020 by Rockpoint Publishing

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Vol. 18 • Issue 1 • October 2020

CANCER AWA R E N E S S I M PA C T O F

COVID-19

ON CANCER CARE & TREATMENT

PROMISING

RESEARCH

SEARCHING FOR NEW CANCER DRUGS

LINK TO

H PE PAGE 6

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AFTER TRUE HEALTH SOLUTIONS

Robert, age 62, started with Dr. Miller in February, 2020. Within just 5 months he Eliminated High A-1C, Eliminated High Blood Pressure, Lost over 58 lbs, Eliminated Sciatic Nerve Pain and Has More Energy! Q: Robert, why did you go to Dr. Miller? A: “I heard Tom Leach (6.30AM radio) talk of Dr. Miller and the results he gets. I was on about 7 drugs a day, which I hated to take, and my health was getting worse. I really needed to do something to get my health and life back.” Q: You’ve been seeing other medical doctors, what about Dr. Miller was different? A: “Dr. Miller makes everything very clear as to what is causing the poor health issues and what exactly needs to be done to eliminate what is causing poor health. Dr. Miller really takes the time to listen and looked at my whole health history.” Q: What did Dr. Miller do to find out what’s not working correctly in your body? A: “Dr. Miller has an amazing blood panel lab he orders through Lab Corp. Then he does a ‘Computer Assessment’ that uncovered exactly what was causing my High A-1C (Type 2 Diabetes), Hypertension, Over-Weight and Sciatic Nerve Pain. It’s really very impressive.” Q: Robert, what did Dr. Miller recommend for you to Eliminate Your Poor Health Issues?

A: “Dr. Miller laid out a very clear plan, he makes it all very clear and started off by seeing me every week to ensure I would win and walk away from all these diseases. I’m really happy with how he treats me as a patient. And my Sciatic Nerve Pain is GONE!” Q: What are the results of your treatment from Dr. Miller? A: “My results are very satisfying! The change has been remarkable! Not only got my health back, I dropped so far over 58 lbs! I highly recommend Dr. Miller.”

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FEATURES 4 6 10 11 17 26

COVID-19 Impacts Cancer Care and Treatment Kentucky's Link to HOPE: Kentucky CancerLink Searching for New Cancer Drugs 11 Ways You Can Support a Loved One Who Has Cancer Facts About Melanoma Breast Cancer Facts & Risks

COLUMNS INTEGRATIVE MEDICINE: Mindful Breathing for Living With Cancer

GENERAL DENTISTRY: Oral and Pharyngeal Cancer: Facts and Prevention

FAMILY DOC: Coping with the Challenges of Chemotherapy

DEPARTMENTS 20 24 28 31

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CONTENTS

OCTOBER 2020: CANCER AWARENESS

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EDITOR Dear Friends,

Despite advances in research and treatment, cancer is still a scary word. A diagnosis of cancer can cause confusion, distress and despair for the patient and his or her family and friends. But even in the midst of receiving such dire news, there is a light of hope. People are surviving longer and stronger after undergoing cancer treatment. Big strides have been made with innovative treatments. Cancer should not make you sit down and give up. Be an active part of your medical team and learn as much as you can so you can be informed and ready to fight – and win! Our prayers go to all our readers and friends who are undertaking this journey full of twists and turns and unknown outcomes. You are not alone. Here’s to your health, Tanya

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By Health&Wellness Staff According to the NCCN, patients with cancer may have an increased risk of contracting and developing complications from COVID-19. Additionally, those who underwent chemotherapy or surgery in the past months may have a greater risk of experiencing what the NCCN calls clinically severe events, compared with those people with cancer who had not received treatment recently. The risk also appears to be higher in patients with one or more chronic medical conditions, such as high blood pressure and diabetes, or those who are older or smokers. These patients may not have as good an outcome. WebMd says cancer patients diagnosed with COVID-19 who are otherwise generally healthy can and do survive the coronavirus, according to a new study that evaluated 928 patients with both conditions. COVID-19 seems to target the lungs and respiratory system. Cancer makes a person more vulnerable to infections. Many cancers affect the way the immune system works. Even if you have survived cancer, your immune system may still not fight off germs as well as it previously did before you fell ill. Cancer treatments such as chemotherapy can also impact the immune system, lowering the number of white calls and compromising their ability to fight infection. This makes it easier for

infections to set in, and this is why the pandemic can be especially concerning for cancer patients. The safety guidelines put in place by the Centers for Disease Control and Prevention (CDC) are even more important for cancer patients to follow. These include social distancing (staying 6 feet away from others), sheltering in place at home, wearing a mask when you go out and washing hands frequently. If possible, stock up on several weeks of medications and key supplies so you don’t have to go out. Some cancer treatment facilities have been prescreening patients for COVID-19 symptoms. These prescreenings are often conducted by telephone or digitally a few days before the scheduled visit. Patients are asked about new or worsening coughs within the past two weeks, shortness of breath, muscle aches, fever and other symptoms of COVID-19. The NCCN says a unique challenge in the cancer population is many patients undergoing cytoreductive therapy, and especially those with lung disease, may experience symptoms similar to COVID-19 as a consequence of treatment or due to their underlying disease process. Surgeries and other cancerfighting procedures may be limited or changed during this time of pandemic. For instance, people undergoing infusion therapy might switch to oral therapies

where possible. Telehealth is highly recommended to reduce potential exposure to other patients and health care providers. Many institutions have also established screening clinics that are separate from other clinical areas to reduce the risk of exposure to asymptomatic patients with cancer who are seeking care. For patients who are symptomatic or have tested positive for COVID-19, the NCCN says some cancer centers have established cohorted treatment areas. This lowers the chances of exposure to others. These patients may also receive their care in designated units when admitted to the hospital. However, the NCCN stresses that no clear guidelines for when a patient with cancer who has tested positive for COVID-19 can resume therapy have been established. There are cancer patients with COVID-19 who may still need to continue their therapy, such

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as those receiving radiation. The patient’s best option is to stay in contact with his or her physician and work closely with him or her to decide upon the best course of treatment. These protocols and suggestions are subject to change as more information about COVID-19 and its impact on cancer patients becomes available. The NCCN is an alliance of leading cancer centers. The guidelines were written by the organization’s best practices committee. For more information about the NCCN guidelines, see https://jnccn.org/fileasset/ jnccn1805_COVID-19_Cinarpreprint.pdf. Sources:

• Medical News Today • WebMD

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KENTUCKY'S LINK TO

H PE KENTUCKY CANCERLINK HELPS PATIENTS IN NUMEROUS WAYS By Tammy Kossatz

entucky CancerLink (KCL) has been serving the commonwealth since 2008, by removing barriers for Kentuckians in need of cancer screening, diagnosis and treatment. Though Vicki Blevins-Booth

lives by dreaming bold dreams, she may not have realized her dining room table office would impact the realm of cancer in Kentucky. What began as a mastectomy boutique, VDK Turning Point, providing wigs, mastectomy bras, prostheses and lymphedema garments, and then detection of breast cancer as Kentucky Pink Connection, has become a statewide support to those diagnosed with cancer, serve to eliminate obstacles a patient may face and advocate the receiving of evidence-based cancer screenings through Kentucky CancerLink. HOPE Continued on Page 8

(859) 309-1700 www.kycancerlink.org Toll Free: (877) 597-4655 | Fax: (859) 368-8418 2425 Regency Road, Suite B, Lexington, KY 40503

October 2020

HOPE continued from Page 6

Turning back the calendar to 2012, Melissa Karrer discovered Kentucky Pink Connection while searching for items needed after her own breast cancer treatment. It was then the link was established. Melissa started volunteering and the acquaintance grew into a friendship and working relationship. Today, Melissa is the Executive Director for Kentucky CancerLink, as Vicki has moved into the role of Budget Director. The original vison was to create “a one-stop place people could call and be connected with different resources, whether it was being able to get the mastectomy items or if they needed resources for access to screening or help financially and other ways,” Melissa said. On the whole, the goals of the grassroots organization required more than breast cancerspecific funding to address Kentuckians’ hurdles with screening demands or cancer. They first expanded to helping ladies obtain cervical screening, and in 2013, to colon cancer screening in partnership with the Fayette County Health Department. As a result, the tide shifted in favor of Kentucky CancerLink’s mission. In 2014, their Board voted for them to expand to serve all cancers. As long as the list of cancer types, is that of people wanting KCL to find hope in providing them or family members with all they require to overcome the battle with cancer. “It’s a balancing act at times, but we’ve been able to do the work we need to do,” Melissa assured. In order to meet the needs of Kentuckians, partnerships have been developed between Kentucky CancerLink and health systems in Lexington and other key areas of the state. Social workers, free clinics, outreach efforts, social media and those previously served by KCL, in every county, make referrals for patients in need of cancer screenings,

transportation to cancer-related appointments, and other personal needs. Besides these services, patients may visit Kentucky CancerLink’s Regency Road office to receive wigs, mastectomy bras, prostheses and lymphedema garments to aid those who have localized swelling due to removal of lymph nodes, at no cost. During the pandemic, assistance has been offered over the phone and through mailing, to continue meeting patient needs. Because Kentucky CancerLink’s dedication grows from the feedback received from patients, every word is seen in response to resources provided. The 501(c)3 nonprofit embraces the kind words, such as: “I am so pleased our state of KY has (Cancer Link),” Your agency… filled a need for me that is greatly appreciated,” “I don’t know what I would do without your help” and “I feel (KCL) has been part of the success with her cancer.” In gratitude and in honor of friends and family lost to cancer, communities across the commonwealth have stepped up in areas of support, even individuals have tirelessly hosted events to raise donations. For this reason, the team at Kentucky CancerLink gives due diligence and beyond to find ways to serve the people. The core of this care comes from Certified Patient Navigators, who can determine programs for low- and no-cost screenings for breast, cervical, colon and lung cancer. Free in-home colon screening kits can be sent directly to patients. Once kits being tested in the KCL on-site lab are processed, results are shared with the patient. If given permission, the outcome can be reported to the physician. For positive results, and the joint decision with physician, navigators will guide patients through the process with programs and partners providing colonoscopies.

One such program for eligible Kentuckians to receive no-cost colonoscopies is the Kentucky Colon Cancer Screening Program (KCCSP), funded by the Kentucky Department for Public Health. In early 2019, Kentucky produced legislation that altered the guidelines for colon cancer screening to begin at age 45. This program allows many to be screened, who otherwise would not. In addition to colon cancer screenings, Kentucky CancerLink navigators can direct patients to free or low-cost breast and cervical screenings and offer enrollment of eligible participants into the Breast and Cervical Treatment Program, through partnership with the Kentucky Women’s Cancer Screening Program. They also provide information for financial assistance, insurance concerns, durable medical equipment, and smoking cessation. All services are offered in a respectful and compassionate manner, while digging in deep with accuracy. Realizing Kentucky is a growing and diverse state, KCL has a bilingual navigator on staff, along with access to translation services for those with language barriers. “We try to look at the whole picture and always try to address the biggest need, but everywhere we can, we try to fill in other gaps as well,” Melissa shared. Without a doubt, the battle against cancer can overshadow life as we know it. Kentucky CancerLink is ready to support you in this fight by removing barriers for cancer screening, diagnosis and treatment. Their motto and hashtag- #Until there is a cure for cancer, Kentuckians need help today! Let them be your link for hope!

"WE TRY TO LOOK AT THE WHOLE PICTURE AND ALWAYS TRY TO ADDRESS THE BIGGEST NEED" – MELISSA KARRER

Karmell Mazurek, Certified Patient Navigator

Mily Ralsten, Certified Patient Navigator

Melissa Karrer, Executive Director KCL

Integrative Medicine.

October 2020

MINDFUL BREATHING FOR LIVING WITH CANCER

eceiving the diagnosis of cancer strikes fear in the heart of most people. Livelihoods and relationships can be affected. Side effects from complicated therapy or surgery can cause emotional distress. As treatments have advanced, many people are living longer with cancer as a chronic condition. Stress is often a constant companion of the person living with cancer. Fortunately, there are practical mind-body approaches for managing physical, mental, emotional and social stress. A basic practice for stress management is mindful breathing. Though mindful breathing is rarely associated with any side effects, discuss with your medical provider your interest in integrating this practice with your conventional treatment. Getting Started. Settle into a comfortable position – sitting, reclining or lying down. Plan to spend about five to 30 minutes using these instructions or my audio recordings at the Mind Body Studio website (www.mindbodystudio.org). You can practice with eyes open, closed or partially closed. Use pillows and blankets to make yourself as comfortable as possible. Noticing Your Breath. Begin with a couple of slow deep breaths, feeling the long slow

in-breath followed by a long slow out-breath. Allow the out-breath to go out-out-out, dissolving into space. Then simply breathe naturally without changing the breath in any way. Feeling Physical Sensations of Breathing. Place your full attention on the tactile physical sensations of each breath, wherever you feel it in the body. Feel the breath moving in and out of the nostrils. Feel the breath as it moves back and forth across the upper lip. Notice the cool-dry air coming in and the warm-moist air going out. Feel the breath moving in and out across the back of the throat. Feel the breath in the chest as the ribs expand and contract. And feel the breath in the belly. Soft-Belly Breathing. Abdominal breathing (aka diaphragmatic breathing) is an exceptionally relaxing breath practice. This is the way you breathed as a baby. Allow the belly to rise and fall, expanding with the in-breath and contracting with the outbreath. The more the belly moves, the more the diaphragm moves, stimulating the vagus nerve as it runs through the diaphragm, sending relaxation impulses throughout the entire body just by softening the belly. The Wandering Mind. The normal mind wanders.

When you notice the mind is no longer on the breath and has wandered off onto sounds, thinking, planning, memories, physical sensations, discomfort or emotions, simply notice the wandering and without any judgment, gently escort the attention back to the breath. This non-judgmental returning of attention to the breath is an important part of the practice, a coming home to the breath as it flows in and out of the body. Emotions may arise. Our emotions are constantly changing. Let them come and let them go without clinging to emotions you like or pushing away emotions you don’t like. Simply continue breathing in and breathing out, softening the belly and letting the out-breath dissolve into space. Winding Down. Continue for five to 30 minutes, paying attention to the breath. Simply be present to your breath constantly moving moment by moment. As your practice ends, expand your attention beyond the breath, feeling it moving in and out of the entire body, inside your skin and beyond your skin, connecting with the room around you and the sensations of the body touching the surface you are on. And as you slowly open your eyes, remain in touch with the breath and the body and the calm place inside, so that even with the eyes wide open, you can remain in touch with this inner resource of

calmness and peacefulness. The breath, the body and your calm center are always with you, anytime, anywhere. It’s just a matter of remembering, and you are more likely to remember if you practice, even a few minutes, every day. Resource

• I have recorded Mindful Breathing practices at the Mind Body Studio website. You can listen to or download them at http://www. mindbodystudio.org/?page_ id=1594

About the Author: Dr. John A. Patterson is past president of the Kentucky Academy of Family Physicians and is certified in family medicine, mind body medicine, integrative holistic medicine, mindfulness-based stress reduction, physician coaching and yoga therapy. He is on the faculty of the University of Kentucky College of Medicine, Saybrook College of Integrative Medicine and Health Sciences (Pasadena) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers classes, consultations and coaching to manage stress-related conditions and prevent burnout. He can be reached through his website at www. mindbodystudio.org.

ABOUT MIND BODY STUDIO Mind Body Studio

517 Southland Drive, Lexington • 859.373.0033 • www.mindbodystudio.org Offering integrative medicine consultations and experiential health and wellness education to help you mobilize your natural healing ability by integrating mind, body, spirit and our relationship with each other and the earth.

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SEARCHING FOR

NEW CANCER DRUGS ONGOING RESEARCH BRINGS PROMISING RESULTS By Health&Wellness Staff Across the world in numerous laboratories, research is ongoing in the quest to discover new drugs to fight cancer. The Institute of Cancer Research (ICR) says one of those new drugs is fadraciclib. It may be used to treat a wide range of cancer types, including some blood cancers and solid tumors. It is currently being tested in early clinical trials. A team of scientists from Cyclacel, a biotechnology firm based in Dundee, Scotland, and Short Hills, NJ, and the Cancer Research UK Cancer Therapeutics Unit at the ICR described the discovery of fadraciclib in the journal PLOS One. It was created by improving the chemical properties of a previous CDK inhibitor drug from Cyclacel called seliciclib. These structural design modifications led to 20 times more potent activity against the CDK2 and CDK9 targets and an equivalent 30 times increase in therapeutic potency against a panel of human cancer cells, according to the published research. Experiments in cells and mice demonstrated fadraciclib’s potential as a treatment for leukemia. It inhibited the growth of human acute myeloid leukemia tumors growing in immune-deprived mice by up to 100 percent.

Making Strides Against Ovarian Cancer Ovarian cancer is commonly diagnosed at more advanced stages because its early-stage symptoms are often mistaken for benign ailments, says Cancercommons.org. Symptoms of advanced-stage ovarian cancer include bloating, belly pain, frequent need to urinate and quickly feeling full after eating. The four most common types of ovarian cancers are serous carcinoma, clear cell carcinoma, mucinous carcinoma and endometrioid carcinoma. Ovarian cancer is also defined by stage, which depends on how far the disease may have spread from the ovaries. The five-year survival rate of stage 1 ovarian cancer is 90 percent. This means about nine out of 10 patients will still be alive five years after their diagnosis. There is still no cure for advanced ovarian cancer. The U.S. Food and Drug Administration (FDA) recently approved Zejula as a frontline maintenance treatment for patients who have had a complete or partial response to first-line platinum-based chemotherapy. Other promising therapies have been undergoing clinical trials. These include vaccines; antibody-drug conjugates; targeted therapies; and protein and gene therapies.

It is possible to access different ovarian cancer treatments. Drugs approved by the FDA for the patient’s stage and treatment history can be prescribed by any oncologist “on label.” Drugs that are approved for another stage, treatment history or cancer type can be prescribed “off label” or possibly accessed through a clinical trial. Drugs that are investigational (not yet FDA-approved for any disease) can be accessed in clinical trials that evaluate their efficacy as they work towards the goal of getting FDA approval. Talk with your oncologist about the possibilities available to you. In 2020, according to the American Cancer Society, almost 21,800 American women will be diagnosed with ovarian cancer and almost 14,000 women will die from the disease. Factors associated with increased risk of ovarian cancer include a family history of ovarian cancer, abnormalities in BRCA genes, age, endometriosis, having never given birth and having had trouble getting pregnant. Sources:

• Cancercommons.org • Medicalxpress.com

DID YOU KNOW: The five-year survival rate of stage 1 ovarian cancer is 90 percent.

October 2020

WAYS

YOU CAN SUPPORT A LOVED ONE WHO HAS CANCER Listen, laugh, encourage, invite By Harleena Singh, Staff Writer Cancer is a devastating disease. You may wonder what is the best way to support a loved one or friend who has cancer. Even though you want to help, it can be tough to know what to say or do. It can be a frightening and stressful time for you as well as the patient. People develop various coping styles during their lifetimes to help them manage difficult personal situations. Some people are quite private, while others are more open and need to talk about their feelings. Some people may become withdrawn and isolate themselves from family and friends, while others may use humor to find relief from the serious nature of their illness. Here are some ways you can help a loved one or friend battling cancer: 1. Encourage them People facing illness need encouragement, but itâ&#x20AC;&#x2122;s also important not to show false optimism or tell the patient to always stay positive. This may seem to discount his very real fears, concerns or sad feelings. You may want to say you know how the person feels, but no one can know exactly how any person with cancer feels. 2. Use humor Humor can be an important way to show support and encouragement, provided you know the patient can appreciate it. Let the patient take the lead. Itâ&#x20AC;&#x2122;s good if she finds something funny about a side effect, such as hair loss or increased appetite, and you can certainly join her in a good laugh. This can be a great way to relieve stress. SUPPORT Continued on Page 13

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October 2020

SUPPORT continued from Page 11

3. Compliment them If they look good, tell them so! Avoid making comments when their appearance isn’t as good, such as “You’re looking pale” or “You’ve lost weight.” The patient is undoubtedly quite aware of how he or she looks and may feel embarrassed if you comment on it.

7. Take care of urgent errands Your loved one or friend may appreciate if you take care of frequent, scheduled errands. Offer to help with specific tasks, such as taking care of children or a pet or preparing a meal.

4. Let them know you care Be there for them no matter what. Make an extra effort to reach out to your friend. Expect him or her to have good and bad days emotionally and physically. Talk about his or her interests, hobbies and other topics not related to cancer.

8. Treat them the same Don’t let your loved one’s condition get in the way of your relationship with him.

5. Include them Let them participate with you in work projects, social events and other plans. Let the patient tell you if he doesn’t feel like being included if the commitment is too much for him to manage.

9. Form support teams Organizing a support team can help people living with cancer. Some online communities offer tools to coordinate tasks among friends and caregivers. Shareable online calendars can help you organize activities among your friends and family. You can also make a paper calendar and write in the various activities and commitments by hand. Make sure your friend has access to the calendar so he or she knows what to expect and when. Check out this Web site: lotsahelpinghands.com.

6. Hear them out Listen without always feeling you must respond. Sometimes a caring listener is what the person needs the most.

10. Deliver a meal This could be for the caregiver as well your loved one. However, be sure to ask in advance about any dietary restrictions or

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other guidelines. Websites such as www. takethemameal.com can help you decide what to take. 11. Send texts and emails often This is especially beneficial for those who are net savvy and or have a cell phone. You could text your friend the next time you are at the grocery store and ask if she would like you to pick up anything. Cancer is not contagious, so give hugs, stay positive and let your friend or loved one know you are on his or her side. This is one of the most important gifts you can give to support a loved one who has cancer. References

• American Cancer Society (www.cancer.org) • Cancer Net (www.cancer.net) • Huffington Post (www.huffingtonpost.in) • MD Anderson Cancer Center (www. mdanderson.org) • Memorial Sloan Kettering Cancer Center (www.mskcc.org)

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AMONG THE NATION’S TOP-RANKED CANCER CENTERS Cancer hits hard in Kentucky. But the team at Markey Cancer Center rises to the challenge, every day, with the latest research, treatment options and advanced care for Kentuckians facing a cancer diagnosis. That’s why we’ve been ranked as the best cancer center in Kentucky—and one of the best in the nation—by U.S. News Best Hospitals. See why Kentuckians come to us when it matters most at ukhealthcare.com/cancer

A VOICE OF HOPE “When we were told it was cancer, a close friend of mine said, ‘We need to get you in with an oncologist at UK.’” Lindi Campbell is a powerhouse. After being diagnosed with early-stage lung cancer at the age of 53—with no history of smoking—Lindi was successfully treated at UK HealthCare’s Markey Cancer Center. But for Lindi, that was just the beginning. She saw her experience as an opportunity to create a community of lung cancer awareness through her non-profit organization: Breath of Hope Kentucky. By raising awareness and sharing her story, Lindi hopes that more Kentuckians will get screened and diagnosed earlier, leading to increased survivorship in a state where lung cancer hits hardest. Lindi’s story is Proof of the Power of Advanced Medicine.

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ORAL AND PHARYNGEAL CANCER: FAC TS AND PRE VENTION

ccording to the American Cancer Society, 51,540 new cases of oral and pharyngeal cancer will be diagnosed in the United States during 2018. During the same period, a total of 10,030 deaths are expected. These statistics are even more important for Kentucky residents, as the Centers for Disease Control and Prevention noted upon reviewing data from 2015 that Kentucky has the second highest rate of oral and pharyngeal cancer in the country, with 13.4 new cases per 100,000 people. Oral and pharyngeal cancer can be found on the lips, gums, tongue area and palate and inside the mouth in the cheek area or the floor of the mouth, in the tonsils and the throat area. While oral and pharyngeal cancer historically has affected men over age 40 years, we are seeing cases involving younger people because Human Papillomavirus (HPV) plays a greater role in triggering pharyngeal cancer. Additionally, more women are affected due to increased tobacco use through the decades. The survival rate from oral and pharyngeal cancer is approximately 57 percent, which has only slightly increased in the past few decades. Although newer targeted therapies are on the horizon, the current treatments often include a combination of surgery, radiation and/or chemotherapy. Often, these treatments alter a patient’s day-to-day life significantly. They have signs and symptoms of dry mouth, oral pain and burning, an increased risk for cavities and deformities from cancer-removal surgery. The three most important risk factors for oral and pharyngeal cancer are tobacco use, excessive alcohol consumption and HPV infection. While cases associated with smoking have decreased slightly, those associated with HPV have increased tremendously. HPV is a virus associated with both nonharmful conditions such as skin warts as well as cancers in multiple areas of the body. Oral and pharyngeal cancer is particularly dangerous because patients often do not present with symptoms until the later stages of disease. Symptoms include hoarseness, unexplained oral numbness, difficulty swallowing or speaking, wart-like lumps or pain in late stages. Other possible signs include a sore that will not heal or bleeds and unexplained sore throat. If one of these signs persists for more than two weeks, evaluation by a healthcare professional is recommended. Oral and pharyngeal cancer presents as a red or white patch, an ulcer, a mass or a mixture of these signs. The most common sites for oral cancer are the side and bottom of the tongue, the floor of the mouth and the soft palate (the area toward the back of the roof of the mouth). Asymmetry of the tonsils (when one is larger than another) or the palatal arch in front of the tonsils is a particularly worrisome sign if the patient has no recent history of illness. While genetics and your general level of health play important roles in the occurrence of oral and pharyngeal cancer, there are many simple lifestyle habits and changes within your control that can lower your risk considerably. • Avoid tobacco: While cigarette use has been associated with more cases of oral and pharyngeal carcinoma, chewing tobacco is not considered safe either. If you use tobacco, seek counseling and information from your healthcare provider about how to quit. • Avoid excessive alcohol use: Those who both smoke and drink have a 15-fold risk of getting oral cancer.

PRESENTS AS A RED OR WHITE PATCH, AN ULCER, A MASS OR A MIXTURE OF THESE SIGNS.

• Limit sun exposure on lips: Apply sunscreen with SPF on your lip area for protection. Shade your face when possible. • Avoid risky sexual behavior: There are over 150 strains of HPV. Many people harbor at least one strain, but the high-risk strains associated with oral and pharyngeal cancer and other cancers are most often transmitted via sexual intercourse. Minimizing your number of sexual partners and using protective barriers help decrease the chances of obtaining a highrisk HPV infection. • Get the HPV vaccination: The HPV vaccination is recommended for girls and boys 11 to 12 years of age, when the immune response is best. However, women up to age 27 years and men up to age 22 years can still get the vaccine. Men up to age 27 years with weakened immune systems are also eligible for the vaccine. The HPV vaccination has been proven safe with minimal side effects. It is administered in either a two- or threedose series, depending on your age group and risk. Ask your healthcare provider for more information. • Get regular check-ups: One of the most important ways to decrease your risk for oral cancer is to visit a dentist or doctor who specializes in the head and neck for regular oral cancer screenings. Help decrease your risk of oral and pharyngeal cancer by following these suggestions. Consult with your dentist or healthcare professional should you have any questions or concerns. About the Author

Dr. Molly Housley Smith is an assistant professor at the University of Kentucky College of Dentistry and serves as chief of the Division of Oral Pathology. Her clinical interests include oral cancer and pre-cancer, autoimmune conditions of the oral cavity, soft tissue histopathology and head and neck syndromes. More information about UK Dentistry is available at www.ukhealthcare.uky.edu/dentistry.

ABOUT UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY Clinic Info: 859-323-DENT (3368) • ukhealthcare.uky.edu/dentistry UK Dentistry offers expert, personalized care for the general and specialty dental and oral health needs of adults and children. We're committed to improving Kentucky, and beyond, one smile at a time.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2020

FACTS ABOUT

MELANOMA WHAT ARE YOUR RISK FACTORS? By Jean Jeffers, Staff Writer

When you were a kid, did anyone ever tell you to stay out of the sun? Of course they did. One of the reasons was because of the possibility of melanoma, or skin cancer. Continued on Page 18

October 2020 | Read this issue and more at www.healthandwellnessmagazine.com |

HandWmagazine

TYPES OF SKIN CANCER

MELANOMA continued from Page 17

The skin is the body’s largest organ. Its job is to protect against heat, sunlight, injury and infection. The skin has several layers; the two main layers are the epidermis (upper or outer layer) and the dermis (lower or inner layer). Skin cancer begins in the epidermis. With melanoma, malignant cancer cells form in melanocytes, the cells that cover the skin. The American Cancer Society (www.cancer. org) says melanocytes make a brown pigment called melanin, which gives the skin its tan or brown color. Melanin protects the deeper layers of the skin from some of the harmful effects of the sun. Melanoma may occur in other parts of the body such as the eyes and mouth. These occur less frequently than skin cancers. The incidence of melanoma in adults is rising. Skin cancer is now the most common malignancy diagnosed in the United States, according to the National Institute of Health National Cancer Institute. Invasive melanoma accounts for only 1 percent of skin cancers but results in the most deaths.

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LEXINGTON’S NEWEST LUXURY PERSONAL CARE AND MEMORY CARE Early signs that would suggest a malignant change include darker or variable skin discoloration; itching; and an increase in size or the development of satellites. Ulceration or bleeding is a sign that crops up later. It is difficult to identify and determine the difference between benign pigmented lesions and early melanomas. Lesions should never be shaved off or cauterized. A biopsy is performed to confirm the presence of cancer cells. Risk factors for melanoma include: • having a fair complexion, fair skin that burns easily, blue or green eyes and red or blond hair; • being exposed to natural sunlight or artificial sunlight such as that from tanning beds for long periods; • being exposed to environmental factors such as radiation, solvents, vinyl chloride and PCBs; • having a history of many blistering sunburns; • having several large or many small moles; • having a weakened immune system; or • having certain changes in the genes linked to melanoma. Factors that affect chance of recovery and treatment options include the thickness of the tumor and where it is on the body; how quickly the cancer cells are dividing; whether there was bleeding or ulceration of the tumor; how much cancer is in the lymph nodes; the number of places cancer has spread in the body; and the patient’s age and general health.

Seeing is Believing!

About the Author

Jean is an RN with an MSN from University of Cincinnati. She is a staff writer for Living Well 60+ and Health & Wellness magazines. She is currently in the process of publishing her first novel, “Journey Toward Healing.”

Sources: • American Cancer Society (www.cancer.org) • National Institutes of Health National Cancer Institute (www.cancer.gov)

Stop in and see our Studio, One Bedroom, and Two Bedroom Models! Limited time only! Be one of the first residents to move in and enjoy a customized package that includes: 24 month rate lock $500 moving allowance month two $500 rent reduction months three, four, and five

Skin cancer is now the most common malignancy diagnosed in the United States.

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OPENING SUMMER 2020

October 2020

events october OCTOBER 2020

ongoing featured Mondays Daily Mindfulness Meditation with Centered Community Space Centered Studio at 309 N. Ashland Ave. Suite 180 in Lexington has a community space where we welcome community groups to gather at no cost. Get in touch with Centered to arrange this for your group. 859-721-1841

Mondays Post-partum Support Group with Sarah Wylie Van Meter

Every Monday at 11:00am Attending this group will give birth parents a time and safe place to feel supported and be in community during their postpartum time journeys. Those who join will be in attendance to each other and to themselves as we exchange ways to care for our own bodies, our emotions, our babies, and our partnerships. Babies of all ages and stages are welcome. Come with or without your baby/babies and don’t fret if you arrive late. Donations-based class. Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington.

Brent Oliver

Every Monday 8:00pm-9:00pm at Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington. Mindfulness Meditation is a welcoming meditation community open to everyone. We define mindfulness as concentration power, sensory clarity, and equanimity all working together. Donations-based class.

Tuesday/Friday Gentle Community Yoga w/ Lauren Higdon & Terry Fister

Every Tuesday and Friday at 10:30am-11:30am at Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington. This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. Classes may include chair yoga, restorative, yin yoga, tai chi, and more. Perfect for beginners as well as experienced yogis! Donations-based class.

lace up!

Check out our online race calendar, featuring hundreds of local running events every month:

www.healthandwellnessmagazine.com

Saturdays

Lexington Farmer’s Market Every Saturday (April – October, 7am-2pm) downtown Lexington, 241 West Main Street, visit the Lexington Farmers’ Market! Browse herbs and spices, honey, beeswax, candles, body care products, organic products, eggs, meats and fresh, seasonal produce. COVID-19 UPDATE: MARKET IS OPEN; PLEASE PRACTICE SOCIAL DISTANCING. For details, please visit www.lexingtonfarmersmarket.com.

HOSTING A HEALTHY EVENT IN CENTRAL KY? Share with our readers by e-mailing details to: brian@rockpointpublishing.com

upcoming October 10 Atria Tails & Tatas Breast

Cancer Awareness Virtual 5k Run/Walk This year as COVID19 has changed our daily lives, it has also changed our run. Due to an abundance of concern for our participants, our run will be virtual. Our decision to hold the run in a virtual mode was based in the knowledge the breast cancer did not take a break due to COVID19. In fact, the financial situation of some of the cancer patients makes the need to hold the run this year even greater than in the past. Proceeds from the event benefit Hardin Memorial Health Foundation designated for the cancer care center patients locally. While we will miss seeing you in person, we can’t wait to see your posts of your accomplishments.

October 30 Spooky Sprint Join us for the annual Spooky Sprint, a Halloween-themed run that is perfect for the whole family. The fun includes great swag (designer shirt, custom medal),

chip-timing, live results and awards, free photos, costumes, free kids dash, great post-race food, and plenty of fun activities. Grab your friends and family, because you are not going to want to miss this one! Be sure to register by Oct. 22 to be guaranteed a shirt on race day! Additional race information can be found at racetheville.com.

November 6 Senior Caregiving Conference - Webinar & Resource Fair

The 2020 UK Senior Caregiving Conference will be held virtually. This 5th annual event is open to UK employees, retirees, spouses and partners, as well as community caregivers. 1–3:00 p.m.: Live Webinar with Teepa Snow. 3–4 p.m.: Virtual Resource Fair with local exhibitors. Technical details: In order to attend, you'll need the latest version of Zoom. Registration will open Thursday, October 1, 2020 - 7:53am to Friday, November 6, 2020 - 3:00pm. For details, please visit www.uky.edu/hr/ caregiving2020.

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October 2020

COPING WITH THE CHALLENGES OF

CHEMOTHERAPY

hemotherapy drugs are very strong. They kill fast-growing cells, even if they are healthy, non-cancer cells. Many patients undergoing chemo encounter side effects such as nausea, fatigue, lack of appetite and constipation or diarrhea. Each person with cancer reacts differently to chemotherapy. Some people don’t have nausea and vomiting while receiving chemo. This is often due to the types of drugs used and the dosage received. Your doctor may prescribe anti-nausea/vomiting medicines even before treatment begins, based on the type of chemo you are getting and how much nausea and vomiting may be expected. There are a number of things you can do to cope with the challenges of chemo. To help your body get enough protein to make new healthy cells to replace the ones that are lost during chemo, be sure to eat healthy foods. Of course, for some cancer patients, eating is difficult because the chemo drugs may affect the taste buds, making food taste metallic, and cause a lack of appetite. You may want to forego certain foods, especially those that are hot or spicy, high in fiber and greasy or fried. Low-fat, bland and salty foods are better choices. Eat frequent small meals and snacks to ensure you are getting enough calories. Try having soup, oatmeal, cottage cheese, sandwiches, rice, mashed potatoes, toast, dry saltine crackers, applesauce and Jell-O. It’s best to avoid alcohol because it may cause problems with certain chemo drugs, but keep drinking water or other clear liquids, especially if you experience dry mouth. Some cancer patients have diarrhea. If this happens to you, try the BRAT diet: bananas, rice, applesauce, tea and toast. It is very important to drink plenty of water when you are experiencing diarrhea. You can also have drinks that provide electrolytes, such as Gatorade or Pedialyte. Conversely, constipation is another side effect of chemo. Try adding fiber to your diet by eating more beans and fresh fruits and vegetables. Your doctor can prescribe special laxatives to help you avoid constipation. Another side effect of chemo is called chemo brain or chemo fog. This happens more often in treatments that use large doses of chemo

You may want to forego certain foods, especially those that are hot or spicy, high in fiber and greasy or fried. drugs. You may find it difficult to concentrate or have problems with your memory. If you notice this, talk to your doctor. He or she will have resources to help you overcome these effects. In rare cases, chemo brain can last for a long time after treatment. Exercise is a good coping mechanism for chemo, but be sure to assess your strength and stamina. The American Cancer Society recommends getting as much rest as you can during treatment, so try not to overdo it. If you have any questions or concerns about coping with chemo, be sure to talk to your primary care physician to find out what he or she recommends. Educate yourself about your treatment beforehand so you can know what to expect and be prepared to handle it. For most people, chemo side effects go away soon after treatments end. About the Author

Dr. Rajeana Conway is an Internal Medicine specialist at Family Practice Associates of Lexington who sees patients 18 years of age and older. She is originally from Maysville, Kentucky and is married with two daughters. She enjoys spending time with her family, going to church, watching TV, crafting, and going to the lake. Dr. Conway earned her medical degree from The University of Cincinnati College of Medicine in 2015 and completed her residency in internal medicine at The Christ Hospital in 2018. For an appointment with Dr. Conway, please call our office at (859) 278-5007.

ABOUT FAMILY PRACTICE ASSOCIATES OF LEXINGTON TWO LOCATIONS: 1775 Alysheba Way, Ste. 201 and 615 East Brannon Road, Ste. 100 • 859.278.5007 • www.fpalex.com Proudly serving Kentucky for over 35 years, Family Practice Associates of Lexington is a group of primary care providers who are dedicated to giving family-centered care from birth to later years.

October 2020

pet

We need YOUR help! Adopt a senior pet into your family.

health

SENIOR DOGS ARE

100 PERCENT ADORABLE!

id you know 16 percent of the canines arriving at your Lexington Humane Society are seniors? Did you know 100 percent of them are adorable? We LOVE our seniors! We believe every animal deserves the chance at a fresh start, regardless of age. When we were presented with the opportunity to help a group of senior dogs who had spent a lifetime wondering what life was like outside of a chain-link kennel, we jumped at the chance!

These dogs ranged in age from 6 to 9 years. They had lived in outside kennels with little human contact for years. Needless to say, they were shy and nervous when they arrived at LHS. Luckily, they are now blossoming, thanks to the love and attention they’ve received from our staff. Some have already been adopted, while others have needed more extensive medical care and time in foster homes. All of them will receive the TLC they so desperately deserve. A lot of coordination goes into assisting with

a rescue operation. Establishing safe transport, doing medical and behavioral assessments and providing enrichment and medical care requires lots of hours and money – all while caring for the hundreds of animals already with us. But that didn’t deter us. These dogs needed us and they deserved our help. Now we need YOUR help! Adopt a senior pet into your family. If you can’t adopt, please DONATE today to help us care for young and old alike.

We LOVE our seniors!

events

Upcoming events benefiting your Lexington Humane Society:

Pet Costume Contest October 19 – 30

SHEABELPETS.COM • 859.320.0274 2568 Richmond Rd, Lexington, KY 40509

“ONE-STOP SHOPPING” • Large Dog-Only Pool • Grooming • Vet Services • Long & Short-term Boarding • Large Play Areas • Convenient Weekday & Weekend Daycare Hours • Centrally-located in Downtown Lexington •

Holiday Boutique

November 4 – December 26

Fall Auction

November 9 – 16

Holiday Toy Drive December 15 – 22

For complete event details, please visit

AdoptLove.net

(859) 255-2275 UptownHounds.com

October 2020

BREAST CANCER FACTS & RISKS By Harleena Singh, Staff Writer According to the World Health Organization (WHO), breast cancer is the most common cancer among women worldwide, claiming the lives of many women each year. It is the second leading cause of death among women. In the United States, one in eight women will develop invasive breast cancer over the course of her lifetime. Every 19 seconds, someone in the world is diagnosed with breast cancer. As of January 2018, there are more than 3.1 million women with a history of breast cancer in the United States, including women currently being treated and women who have finished treatment. Among U.S. women in 2017, there was an estimated 252,710 new cases of invasive breast cancer and 40,610 breast cancer deaths. A man’s lifetime risk of breast cancer is about one in 1,000.

About 2,550 new cases of invasive breast cancer are expected to be diagnosed in men in 2018. Nearly 95 percent of all breast cancers in the United States occur in women age 40 years and older. According to the American Cancer Society, a woman’s risk of breast cancer nearly doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. About 5 percent to 10 percent of breast cancers can be linked to gene mutations inherited from one’s mother or father. But nearly 85 percent of breast cancers occur in women who have no family history of breast cancer. These are caused by genetic mutations that happen as a result of the aging process and life in general, rather than inherited mutations. Mammograms are currently the only effective screening method for breast cancer, WHO reported. Getting a mammogram can help reduce

the number of breast cancer deaths by 30 percent to 40 percent among women ages 40 to 70 years. Breast cancer deaths have been declining since 1990 thanks to early detection, better screening, increased awareness and new treatment options. One theory for this decrease is that it was partially due to women reducing the use of hormone replacement therapy (HRT). These results suggested a connection between HRT and increased breast cancer risk. In women under age 45 years, breast cancer is more common in African American women than Caucasian women, and African American women are more likely to die of the disease. For Asian, Hispanic and Native American women, the risk of developing and dying from breast cancer is lower. About 40,920 women in the United States are expected to die in 2018 from breast cancer. But scientists are working toward creating a blood test that could potentially find breast cancer. Statistics such as these are presented in the latest edition of the American Cancer Society’s Breast Cancer Facts and Figures. References:

• • • • • •

American Cancer Society (www.cancer.org) Breast Cancer (www.breastcancer.org) Do Something (www.dosomething.org) Everyday Health (www.everydayhealth.com) Medical Daily (www.medicaldaily.com) National Breast Cancer Foundation (www. nationalbreastcancer.org)

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• Age 21 or older • Has a household income less than 250% of the federal poverty level • Has no health insurance (no Medicare,

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October 2020

N AT U R E ' S

Fennel EVERY PART OF THIS HERB IS EDIBLE, SO ENJOY By Tanya Tyler, Editor Health&Wellness It is easy to confuse fennel for green onions. Both feature a white bulb from which grow long green stalks, but you’ll be able to distinguish fennel because its bulb is much bigger and its leaves look like feathers. Fennel is actually a member of the carrot/parsley family. Known for its licorice-like taste, every part of this flavorful herb – bulb, foliage, seeds – is often used in cooking and even in absinthe, a highly alcoholic drink favored by artists with a bohemian bent. The bulbs are often sautéed, stewed, braised, grilled or even eaten raw. The leaves are used as garnishes and in salads. Fennel seeds are sometimes used in desserts. In some areas of India, roasted or raw fennel seeds are eaten as an after-meal digestive agent and breath freshener. Fennel seeds, particularly in powdered form, can act as a laxative. The herb is also used as a soup stock or brewed into a tea that is purportedly good for soothing a sore throat. Fennel contains unique phytonutrients with antioxidant and health-promoting effects. Zinc, copper, phosphorous, calcium, iron and selenium are some of the minerals found in fennel. It also contains beta carotene, lutein, vitamins B6, C, E and K and other dietary nitrates. These components help the body build and maintain bone structure and strength. Potassium and magnesium, both present in fennel, help decrease blood pressure naturally. Fennel is a natural source of estrogen and some research suggests fennel extract may reduce the effects of premenstrual syndrome (PMS). It has significant amounts of fiber as well. In animal studies, the anethole in fennel has been shown to reduce inflamma-

B E A U T Y

tion and to prevent the occurrence of cancer by neutralizing free radicals. Anethole also has disinfectant and antibacterial properties that may help with diarrhea caused by bacterial infections. Fennel seed extract has been shown to inhibit the growth of tumors because of its concentrations of flavonoids, alkaloids and phenols and can even protect against the harmful effects of radiation during cancer treatment. Fennel extract eases colic in infants and can help with various adult digestive problems, including heartburn, gas and bloating. Because of this ability, fennel is a main ingredient in many antacids. Clinical trials have shown fennel has skin-softening and anti-aging properties. As always, check with your primary care physician before attempting any unconventional uses for fennel. Fennel is native to the Mediterranean region of the world, but is now found practically everywhere. Fennel was used in ancient Chinese

medicine to help with congestion, stimulate the appetite and increase the flow of breast milk. Fennel was highly regarded in Greece, too, where it is known as marathon in honor of the famous 490 B.C.E. battle that inspired the race. The runner Pheidippides, who alerted Sparta of a Persian invasion, receive fennel as a reward for his effort. You don’t have to go 26.2 miles to find fennel to add to your diet. Just run down to your local grocery store – it’s bound to be there in all its bulbous beauty. Sources

• Cooking Light (www.cookinglight.com) • Food Facts (https://foodfacts.mercola.com) • Medical News Today (www.medicalnewstoday.com) • Natural Food Series (www.naturalfoodseries.com) • Organic Facts (www.organicfacts.net) • WebMd (www.webmd.com)

KNOWN FOR ITS LICORICE-LIKE TASTE, EVERY PART OF THIS FLAVORFUL HERB – BULB, FOLIAGE, SEEDS – IS OFTEN USED

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