Think Pink 2014

October is Breast Cancer Awareness Month

Think Pink A local resources guide for early detection, education, self-care, support services and more

Inside Page 3: It’s more than just hair: Brush Salon opens new, private room for women dealing with hair loss.

Page 4: Check yourself: The when, how and why of monthly self exams Page 5: Community health centers offer services for all Page 6: Hope Designs: Local jewelry designer gives back Page 7: “Bubbles for Boobies” sparkles for a cause Page 8: North County Healthcare Foundation helps fund mammograms Page 9: The Pink Truck Page 10: Skincare pros offer unique treatments Page 12: “Barb’s Race” raises money to fight cancer Page 13: Breast cancer myths: True of False?

Page 15: Breast density Q & A

We are survivors

By Kerrie Lindecker

“I

was in the shower and I felt a lump.”

It’s how so many of these stories start, but it doesn’t make it any less powerful, emotional or jarring when you hear it.

tional roller coaster, but I believe in the power of positive thinking, and I knew I would fight this. There were certainly breakdowns along the way — it was tough — but you have to take control.”

She underwent a lumpectomy, followed by rounds of chemotherapy — Sue Ungewitter and radiation. With a family history of breast cancer, Beth said she opted for aggresive treatment, “everything except for a mastectomy,” she said. She lost her hair, she was sick, but she vowed to fight the cancer and win.

“Women are leaders, women are fighters and we do this together.”

“You have to know your body — you need to fight for your body.”

It was 10 years ago when Beth Rudometkin was diagnosed with Stage 1 breast cancer.

She saw her doctor, but she knew what she felt during her self-exam wasn’t right. Her initial mammogram didPhoto provided n’t show anything Full of Life — Cancer survivors Beth Rudometkin, Andrea Caron and Sue Ungewitter share their abnormal, but she stories. listened to her When she was body, advocated for herself and her doctor requested further well enough, she’d put on a wig and pick out a beautiful tests. Following an ultrasound, she got the call from her doctor to confirm what she already knew — she had a lump scarf and continued to sell homes in western Sonoma County. in her breast, and it was cancer.

“Once I was diagnosed, it never stopped being an emo-

“You lose hair from head to toe. You are bare. You are emotionally raw and physically bare.”

See FIGHTERS page 14

SONOMA WEST T

I M E S

&

N

E W S

The Healdsburg Tribune

The Windsor Times

For many women, it’s more than ‘just their hair’ Healdsburg’s Brush Salon opens new room for women dealing with hair loss

by Kat Gore

C

ome mid-October, Brush Salon in Healdsburg is opening a new room off of their main salon floor to cater to women who are losing, or who have already lost their hair. Many of the women have been diagnosed with cancer and are going through chemotherapy.

The room will provide women with all the services that Brush offers, whether it’s for their own hair or a wig.

“I’ve been doing hair for over 20 years, and it’s become so common now that people need to have treatment for various illnesses and often what happens is they start losing their hair.

For a woman to lose her hair is incredibly difficult,” said David Barnett, who owns Brush alongside his wife, Nicole.

Brush senior stylist and “hair cut expert” Rachel Vaden, who lost her hair due to alopecia, will be the stylist at the businesses’ new venture.

It was Rachel’s suggestion to create the private room rather than using the regular salon space and she also suggested all necessary tools and equipment required for the business.

“For them to have to have somebody they can come to and speak to who not only understands it from a styling aspect, but also lives it every day, and for them to be able to come somewhere that’s private and comfortable inspired us to create this,” David said.

Making the guest feel comfortable and safe is the salon’s priority.

“It’s just about being able to go above and beyond for these ladies, to offer this type of service when they’re in the absolute most need for it and they’re desperate for help is something that not a lot of salons offer. It’s something that I’ve wanted to bring into the salon for a long time and when

Photos provided Feeling good — Brush stylist Rachel Vaden knows how difficult it can be for women to lose their hair. The salon in Healdsburg is creating a private room for women dealing with hair loss to have a comfortable and private space to get the full salon experience.

Rachel came along I just knew that it was going to be a perfect match. To be able to hold their hand through chemotherapy or whatever type of treatment they might be having is really what’s important,” David said.

Acting as stylist for the new endeavor, Rachel plays a key role at Brush.

Here is her story.

“Having been a hairstylist for over 20 years I got a diagnosis four years ago that was every stylist’s and woman’s nightmare. It changed my life forever. My career and life was built around hair and beauty. Being a successful stylist, I enjoyed having my work published, working hair and fashion shows, beauty pageants, the theater and receiving advanced training in all aspects of hair cutting and styling. My diagnosis was initially

Think Pink is published by SONOMA WEST PUBLISHERS, INC. as a supplement to the Oct. 2, 2014 issues of The Healdsburg Tribune, The Windsor Times, Sonoma West Times & News and the Cloverdale Reveille.

PUBLISHER

SALES MANAGER Paula Wise

Cherie Kelsay, Steve Pedersen, Neena Hanchett, Carol Rands, Beth Henry

ADVERTISING DESIGN & PRODUCTION Deneé Rebotarro, Jim Schaefer

EDITORIAL

BUSINESS MANAGER

Kerrie Lindecker, Robin Gordon, Kat Gore, Jenna Polito, Greg Clementi

CIRCULATION Grace Garner

Email us about your ad at: production@sonomawest.com

ADVERTISING SALES

Rollie Atkinson

Anna Harsh

3

crushing. “Alopecia” my doctors said, an autoimmune disease causing your hair to fall out with no real known cause or cure. It was not surprising. I knew when I found the first spot of missing hair on my head what I was dealing with. What I did not know was that in the years to come, the extent that my alopecia would develop into, Alopecia Totalis, or that it would become a permanent part of my life. I felt hopeless, embarrassed and like hiding as I watched all of the hair on my head fall out uncontrollably, proceeded by my eyebrows and eyelashes. It could have been devastating for me, but I decided early on that it didn’t have to be. My condition did not have to stop me from living and enjoying my life. I was quick to move in getting a wig and learning how to apply my make-up so no one would notice my hair loss. I thought it would be a simple process,

but what I found was frustration.

What was available in wigs and in finding people to help me cut and style them in a way that felt young, modern, and comfortable proved to be difficult.

I had high standards and this journey in my own life has brought me to where I am today in my career. As I began to be open about my alopecia, and work with women and children experiencing hair loss, I found that many others found the same frustrations. Trying to find a comfortable place to get a salon experience with someone knowledgeable about wigs, cutting and styling and who understood what challenges there are for someone experiencing hair loss for any reason, was difficult. One of my biggest disappointments has been having to give up the salon experience; things like feeling pampered, receiving scalp massages and walking out feeling fantastic. I don’t think a woman should have to give these things up, simply because she is dealing with hair loss. Hairpieces and wigs are still hair and part of the beauty industry.

My process of moving forward in life, living with alopecia and being public about it, has taken me to many places. Most of all it has brought me to an amazing place within myself, a place of acceptance and compassion. It has made me a better person and a better hairstylist. It has brought me the specialty of cutting, styling and educating others about wigs and hair loss. Not only do I have years of haircutting and styling expertise, but also an understanding, as I too live with hair loss. I’ve learned to embrace it and find gratitude. Hair loss is never easy to live with, however, it doesn’t have to stop you from living your fullest life. I am proof of that.

To make an appointment, please call Brush at 431-1400.

WEBSITE MANAGEMENT Eileen Mateo

Think Pink Magazine Advertising and Editorial Offices, 9025 Old Redwood Highway, Windsor CA 95492 or P. O. Box 518, Healdsburg, CA 95448-0518 Phone: (707) 433-4451 (707) 823-7845 (707) 838-9211 www.sonomawest.com Additional copies available for free at our local newspaper offices in Healdsburg, Windsor, Cloverdale and Sebastopol.

Think Pink

Monthly self-breast exams: When, how and why

A

s a Family Nurse Practitioner for the past 23 years, I have routinely asked my female patients if they perform their monthly self-breast exams. The answer more often than not is a sheepish “no.”

When quizzed about the reasons for not performing this self-care exam, the excuses usually fall into two categories.

The first is they are afraid they might find something and it is human nature to avoid bad news. The second is they do not know how to do the exam, or what to look for. However, when it comes to breast cancer—or anything involving our health for that matter— early detection, or prevention, is key to making bad news less disastrous. As with everything, practice makes perfect and monthly self-breast exams become easier with practice.

The best time of the month for a woman to examine her breasts is right after her menstrual cycle. For those women who no longer menstruate due to pregnancy, total hysterectomies, or menopause, I still recommend performing breast exams around the same time each month. Choose the first or the 15th and stick to that monthly date so it becomes as routine as checking the batteries in your fire

alarms each New Year, or flossing your can be easily missed. Slide your fingertips firmly over your skin. It’s teeth each day.

The recommended age for a first important not to lift your fingers as you clinical breast exam is 20. This means examine yourself so you don’t miss an finding a lump before that age is really area. Doing a circular, or up and down up to the individual. I have seen teens motion is good, but is less important than missing an area. Two who have found lumps thirds of all breast cancer which required a referral to is found at the upper area a surgeon.

The fact of the breast, above the remains that even when nipple. This information is you have an annual clinical helpful because it is the breast exam by your tissue that is easiest to healthcare provider, there inspect. The area under are still 11 months out of the nipple is often more the year when cancer can lumpy because of the grow undetected.

Be mammary gland and proactive in your own fibrocystic breast tissue. health; learn to check Both of these parts of your yourself. breast feel more like The first step in your Julie Leveque lumpy, dry oatmeal than a self-breast exam is looking frozen pea. Always check at your breasts. The skin should be smooth. Look in the mirror; if underneath your arms for lumps or a new texture or puckering appears, inflamed lymph nodes as this may be a this could indicate a lump is growing warning sign. Discharge from your and pulling the skin towards it. nipples that is white or yellow is Attempting to visualize yourself in the normal. However, be concerned if the shower or lying down is too difficult. discharge is green or bloody. If you The second step is to palpate each should find something that concerns breast with your fingers. You are you, make an appointment with your looking for a well-defined lump like a healthcare provider for a check up.

I like to tell my patients that after I frozen pea and something that small

examine them, they should go home and recheck their breasts that same night. This way they will know what is normal on their clinical breast exam. If they find something different the following month, they should come back in to be re-evaluated. baseline mammogram is A recommended at the age of 40 unless there are extenuating circumstances such as a family history of breast cancer. Discuss your concerns and family history with your provider to determine if you should start earlier.

Healdsburg District Hospital’s Women’s Diagnostic Center provides comprehensive mammography screening in an environment that fosters individualized attention and patient comfort. Appointments for a mammogram can be made by calling 473-4400.

Julie Leveque is a Family Nurse Practitioner with Healdsburg District Hospital’s newly opened Medical Office, which is staffed by board certified practitioners and family nurse practitioners. The Medical Office accepts new patients and same day appointments are available. For any questions regarding this article, or to make an appointment, Julie can be reached at 473-8445.

OPEN 24 HOURS A DAY GRAND OPENING SPECIAL!

$19

$59

ENROLLMENT

A MONTH

WWW.MOTIONHB.COM CALL 707-326-4224 OR 707-481-9097

MOTION FITNESS CENTER

❖

UPSCALE CLEAN, BRAND NEW 6000 SQ FT FACILITY COMPLIMENTARY PILATES & CORE WORKSHOPS FOR OUR MEMBERS ONE-ON-ONE PERSONAL TRAINING & HOLISTIC FITNESS COACHING

n 9-5-14

rize a $10 charge

4 d date

r proof needed

d date

d date

for errors and omisstitutes acceptance of issions and legal and ment. Sonoma West for errors overlooked nges from your previged extra according to r agrees to pay approas specified in the cure latest rate card apply.

-14 2014

103 WEST NORTH ST., HEALDSBURG CA 95448 Run date: 10-25-14

VAL

Think Pink

❖ ❖

Community health centers offer services to all “We guide patients through the process.

There’s so much to take in, and taking one decision at a time is important.”

A

ccording to the North Bay Cancer Alliance, nearly 400 women in Sonoma County will be diagnosed with breast cancer this year, making it the second-most common form of cancer experienced by women, after lung cancer.

Some of those women are here in rural Sonoma County. Alliance Medical Center, a community health center with clinics in Healdsburg and Windsor, strongly urges its female patients to get an annual checkup, in addition to regular breast selfexaminations.

“It’s important to get a clinical exam before requesting a mammogram,” explains Tiffany

5

Jimenez, a Registered Nurse and the Director of Quality Assurance and Improvement at Quality Alliance. In the last 12 months, 413 women were screened for breast cancer through Alliance.

Most female patients at Alliance speak Spanish as their primary language, and feel comfortable with a medical staff that is almost entirely bilingual.

Many of those patients also qualify for Medi-Cal, which offers an excellent breast cancer program called Every Woman Counts. “The program is for women aged 40 and above,” said Jimenez. “They can get an annual exam, a mammogram and a cervical cancer screening.”

If an examination indicates that more screening is necessary, Alliance refers the patient elsewhere, where mammograms and/or biopsies may be necessary for a thorough diagnosis.

Fortunately, most examinations and

APPROVAL Client: Villagio Dental Ad title/slug: 1/4 page color

Run date: 9-25-14

screenings are negative for cancer, but when there’s a positive screening, a comprehensive network of care is available, and it begins at Alliance.

“Our staff is aware of the issues that go along with a cancer diagnosis,” Jimenez explained. “We guide patients through the process.

There’s so much to take in, and taking one decision at a time is important. We spend a lot of time one-on-one with them.”

During and after cancer treatment by specialists, Alliance provides support to the family.

Counseling is available to patients and their families, as well as recommendations about nutrition and support to follow the recommended post-treatment plan.

Candace Lamm is one of those resources. A bilingual Registered Nurse, Lamm has been through breast cancer herself — twice. “I had breast cancer first in 1995 and again five years ago in 2009,” Lamm said.

“I’m always open to meeting with women who’ve been recently diagnosed, to give them hope and help them through treatment.”

Lamm said she often starts with a patient by telling her own story. “I make myself available to them – whatever they need. I’m always available to provide education and support.”

While the Every Woman Counts program covers the vast majority of women who are at risk for breast cancer (those over 40), sometimes a younger woman will come into the clinic with a lump or a concern. A program funded by the Susan G. Komen Foundation provides screening for women who are too young to qualify for Medi-Cal. Alliance provides referrals to that program for younger women, who can then receive the same level of comprehensive care.

Similar services are offered at Alexander Valley Healthcare in Cloverdale and West County Health Centers (with clinics throughout West Sonoma County).

— Submitted by Alliance Medical Center

Think Pink

Hope Designs: sales from jewelry helping those in need Designers partner up to give back

by Robin Gordon Several years ago when local jewelry designer, Diana Elsbree, found out that her young granddaughter was diagnosed with triple negative breast cancer, she said it was heartbreaking to see a family suffer through the disease. However, the experience helped her understand there is a real need to support cancer patients on a person-to-person level, so she started a non-profit.

It started as “The Pink Fire Truck Foundation” a group dedicated to raising awareness and money for cancer patients who need assistance paying for expenses. The foundation refurbished an old fire truck into a shiny pink truck that would work as an anchor at fundraising activities.

Elsbree soon discovered that the truck was costing too much to maintain and move around and that she wanted that money to go to the families. With the help of her employer, Rodney Montoya of Montoya Designs, the two recreated the foundation.

Photo by Robin Gordon Giving Back — Diana Elsbree, Sierra Iversen, Annie and Rodney Montoya.

Hope Designs by Diana Elsbree now raises money for cancer patients through her jewelry designs, donating 100 percent of the sale to a person, family or organization of the buyers’ choice. Montoya has joined Elsbree by

offering 10 percent of any other sale in his store in the same manner.

“The pink fire truck is still there for people to see and sign but it was costing too much and taking too much away from the cause,” she said.

Recently Elsbree has sold jewelry to support a family that needed help with rent while another woman, who is terminal, is receiving support to help cross a few things off of her “bucket list.”

Elsbree said cancer treatments can devastate a family and money raised by the store could be used for almost any purpose that helps the family such as paying for food, gas, childcare, transportation or medical expenses.

“We aren’t just focusing on cancer patients anymore, it can go to many different causes,” Elsbree said. “There are so many other things that people needed help with that have come to me or have been sent to me.”

The fundraising effort is currently run out of Montoya Designs located on the Town Green in Windsor. Elsbree said the project has benefited from tremendous support from locals.

“We named it Hope Designs because we hope that people will buy the jewelry and we hope other people will benefit from it,” Elsbree said.

Montoya Designs is located at 940 McClelland Drive in Windsor. For more details on donating to a cause, ask about Hope Designs when visiting the store.

Has menopause hit?

Fight back!

Sign up for this month's

health presentation and get relief by building and maintaining

a stronger, calmer, more energetic, and healthier

you!

707.837.7948 9070 Windsor Rd Windsor Town Green

Think Pink

6

‘Bubbles for Boobies’ raises money for breast cancer J. Keverson Winery sparkles for a cause

by Kat Gore With a name like “Bubbles for Boobies,” this sparkling wine commands attention. Bubbles for Boobies is sold by J. Keverson Winery, and 100 percent of the wine’s profits go to breast cancer research and education.

J. Keverson Winery Winemaker in Chief John Hazlewood, one of the winery’s four partners, said the wine was created in 2011. The winery had decided to do a sparkling wine and was trying to choose a name for it, when Hazlewood’s sister-in-law’s sister passed away from breast cancer. The decision to donate the entirety of the wine’s profits to breast cancer research was quickly made. Their friend was visiting that same weekend, sampled a sip of the wine, and exclaimed, “Bubbles for Boobies!” The wine had a name and a cause and has been going strong ever since.

“It just hit me because everyone is affected by cancer, and breast cancer is very common,” Hazlewood said. “I felt it was a good thing to bring awareness to,

Photo by Kat Gore Bubbles — J. Keverson Winery Tasting room manager Jackie Tompkins and Winemaker in Chief John Hazlewood with glasses of “Bubbles for Boobies.”

and more importantly to do something and give back to the community.”

Tasting room manager Jackie Tompkins said that the 60 percent chardonnay and 40 percent pinot noir wine has a “great balance, some tight bubbles and it’s very bright.”

“It’s on the dryer side, which I really

,%)#!

!)!"%.-

2

'*)

,/-$

like, and I get a pear flavor from it,” Tompkins said. The tasting notes from the wine’s release date described it as having a “Citrus, pear, and floral aroma. The fine mousse brings forth the light citrus — smooth and round in the mouth. Finish is crisp with a note of grapefruit.”

,%0 .! ) '*) ++*%).(!).- "*, *)-/'. .%*)%# %..%)# /..%)# %# .2'%)# %# ,! ) &!/+ !--*)- "*, %, *-*/ !-!,0! .* !

4 $! *--% %'%.%!- ,! ) '!-! ' - /,# 0!)/! ! ' - /,# 111 ,/-$.$!- '*) *(

,%)#! !)!"%.- *""!,- /-.*(%3!

-!,0% !- +'! -! '' /- "*, +,% %)#

(707) 431-2910 302 Center Street Healdsburg

Tompkins said that the winery has a lot of people who come in and get excited when they see Bubbles for Boobies and hear the story about it, and often times they know someone with cancer, who they will buy a bottle for.

Hazlewood said it’s important for businesses and people to get involved in contributing to their community in some way.

Tompkins said people should buy Bubbles for Boobies “A) for the cause and B) it tastes good, it’s a win-win.”

Bubbles for Boobies is $25 per bottle and is sold from J. Keverson’s tasting room at 53 Front St. in Healdsburg and on their website www.jkeverson.com/ourwines.php.

Wine, shirts, hats magnets, champagne flutes and other varieties of Bubbles for Boobies merchandise are also available for purchase.

At Bella, we care about you and your breast cancer needs.

Please let us help you with an option for a well-fitting bra or a soft cap/hat for your head.

We hope to help you FEEL good AND look good!

Traditional Chinese Medicine Acupuncture & Herbs

APPROVAL Client: Brush Salon Run date: 9-25-14 Ad title/slug: 1/8 H Returned approval due by: ASAP Scheduled to run in: THINK PINK 2014 Please check this proof carefully for errors and omissions. Your signature below constitutes acceptance of full responsibility for all errors, omissions and legal and ethical compliance in this document. Sonoma West Publishers will not accept liability for errors overlooked at this stage of proofing. Any changes from your previously approved copy will be charged extra according to both time and materials. Advertiser agrees to pay appropriate rates and production costs as specified in the current rate card. All conditions of the latest rate card apply.

7

Cancer Support Pain Management, Stress Management Chemo & Radiation Side Effects: Client: Bella Run date: 9-25-14 Nausea, Digestive Complaints, Ad title/slug: 1/8 H Hot Flashes, Low Immunity, Fatigue, Returned approval due by: ASAP Scheduled to run in: Insomnia THINK PINK 2014

APPROVAL

Please check this proof carefully for errors and omissions. Your signature below constitutes acceptance of full responsibility for all errors, omissions and legal and ethical compliance in this document. Sonoma West Publishers will not accept liability for errors overlooked at this stage of proofing. Any changes from your previously approved copy will be charged extra according to both time and materials. Advertiser agrees to pay approhealdsburgacupuncture.com priate rates and production costs as specified in the current rate card. All conditions of the latest rate card apply.

Insurance accepted

(707)239-1687

New office location!

451 March Avenue, Suite B Healdsburg, CA 95448

Think Pink

OK AS IS

OK AS IS Your signature and date

OK with corrections - no further proof needed Your signature and date

Your signature and date

OK with corrections - no further proof needed Your signature and date

Sue’s Circuit sungewitter@sbcglobel.net

www.suescircuit.com 775 Gravenstein Hwy So Sebastopol, CA 95472 Tel: 707-823-811 Fax: 707-823-2757

Quality of life for all ages through exercise

Celebrate Celebr C elebrate elebr ate Breast east Health ealth at Bliss liss

APPROVAL

Client: Sue’s Circuit Run date: 9-25-14 Ad title/slug: 1/8 H Returned approval due by: ASAP Scheduled to run in: THINK PINK 2014 Please check this proof carefully for errors and omissions. Your signature below constitutes acceptance of full responsibility for all errors, omissions and legal and ethical compliance in this document. Sonoma West Publishers will not accept liability for errors overlooked this stage of proofing. eet, Suit e 230 |AnySebastopol, S echanges b a s tofrom p o lyour , California C aprevil i fo r n i a 95472 95472 186 North Main atS Street, tr Suite ously approved copy will be charged extra according to both om time and materials. Advertiser agrees pay appro- ganicdayspa.com www.blissor www .blissorganicdayspa.c inftoo@blissor www.blissorganicdayspa.com | 707.861.3434 | info@blissorganicdayspa.com priate rates and production costs as specified in the current rate card. All conditions of the latest rate card apply.

& &FSUJÖFE 2ODPMPHZ )BDJBM 6FSWJDFT 'FUBJMT 2OMJOF FSUJÖFE 2ODPMPHZ )BDJBM 6FSWJDFT 'FUBJMT 2OMJOF

Healthcare Foundation funds mammograms for under-served Healthcare Foundation The Northern Sonoma County Girlfriends for the Cure fund will pay for mammograms for under and uninsured residents in northern The foundation Sonoma County. works with our healthcare provider partners: Alliance Medical Center, Alexander Valley Healthcare and Healdsburg District Hospital Dry Creek Rancheria Women’s Health Center. The foundation Girlfriends for the Cure fund pays for mammograms ordered through these facilities. For many years the Healthcare Foundation has raised funds from events harnessing the power of women wanting to make a difference in healthcare.

The fund was first created to raise funds to purchase and install a state of the art new digital mammogram machine at the Healdsburg District Hospital Dry Creek Rancheria Women’s Health Center. With the new machine installed the fund now helps pay for mammograms for women who cannot afford the costs.

The Healthcare Foundation

Northern Sonoma County raises funds from the community to keep quality healthcare close to home. The foundation funds local clinics, Healdsburg District Hospital, school programs teaching healthy choices and a family nurse practitioner scholarship for Sonoma State University.

If you need a mammogram and cannot afford it contact Alliance Medical Center, Alexander Valley Healthcare or Healdsburg District Hospital Dry Creek Rancheria Women’s Health Center for help in getting your mammogram.

Visit www.healthcarefoundation.net or like their Facebook page (Healthcare Foundation Northern Sonoma County) to stay up to date on healthcare issues and projects in northern Sonoma County.

— American Cancer Society

OK AS IS Your signature and date

OK with corrections - no further proof needed Your signature and date

2ND PROOF REQUIRED - I authorize a $10 charge Your signature and date

Designed by: JIM on 9-24-14

Wig & Hair Salon

Brad Drexler, M.D. Obstetrics, Gynecology & Infertility Comprehensive Women’s Healthcare in Healdsburg for more than 20 years

Wigs for Men, Women & Children We will style your own hair the way you like it.

e are dedicated to providing exceptional patient care in a comfortable environment, and believe in the power of patient education and prevention to promote good health.

Dr. Drexler will take the time to listen to your concerns and involve you in your care decisions.

W

How we look is part of selfesteem and, therefore, part of good health. We are here to assist you in this regard.

— Linda Nichols, Owner

(707)

542-1222

Tuesday-Friday 9am-4pm Saturdays 9am-1pm or later by appointment

6119 Old Redwood Hwy. • Santa Rosa Sensitive, Caring, Professional & Dedicated to Our Clients Think Pink

• High Risk OB • Advanced Laparoscopy • Infertility • Treatment of Incontinence When you leave our office we want you to feel cared for and to know that you have received the best care possible.

(707) 431-8843 • www.braddrexlermd.com 431 March Ave., Healdsburg • Se habla español

APPROVAL Client: Dr. Brad Drexler Ad title/slug: 1/4 page color

Run date: 9-25-14

8

The story behind the Pink Truck

DeMaio also contributed greatly to the refurbishing project. Laura Dahlstedt contributed the material from Savoir Faire Beauty Salon in Windsor, and has organized many fundraisers for cancer in the community. Fred Stokes worked to make the project happen and the truck was named for his late wife, Joyce, who died of breast cancer. Many others donated to the project, including Dave and Kathy Culley at K.C.’s Grill, TJ Nelson from the Shiloh Group LLC, and Soroptimist International of Windsor.

Organizers said they hoped the truck would also become a symbol for local women and cause girls to think about their health, including getting checked for breast cancer at an earlier age.

Harry & Sherree Fogel

— Rosanne Park, Purls of Joy

BRE 01009594/01244781 Mariann.Ilaria@sothebysrealty.com

9-15-14

Think Pink date

date

707.953.5291 rize a $10 charge

date

r proof needed

VAL

9

for errors and omistitutes acceptance of issions and legal and ment. Sonoma West for errors overlooked nges from your previed extra according to r agrees to pay appros specified in the curlatest rate card apply.

707.538.5500

The diagnosis of any life-threatening illness is always a shock. What do you do after the diagnosis? There’s sometimes surgery, then treatments like chemotherapy or radiation in the case of cancers. How about adding knitting or crochet to your treatment regimen?

Recent articles in the Washington Post and at cnn.com have examined the health benefits of knitting and crochet which are the same as meditation or yoga.

Science has proven the effects of meditation on the brain.

The chemical dopamine — our body’s natural antidepressant — is released when we do something pleasurable. Knitting, crochet, quilting and other handcrafts can all provide pleasure while stimulating our brains. Long term, they offer anti-aging qualities.

Keeping one’s mind calm during life’s challenges is not always easy but by keeping your hands busy, the mental unrest can lessen.

As a yarn shop owner and knitter and crocheter I have seen the benefits in action. I have several customers who have told me how knitting or crocheting during their treatments for breast cancer “saved� them.

They felt their feelings of despair, anxiety and depression would melt away with the rhythmic movements of their hands.

Simple projects like a scarf are best for that stressful time. One woman spoke of how she immediately threw away the scarf she knit when her treatments were over. “It was over and I just wanted to move past that time of my life,� she told me. Another wore her scarf after chemo as a “badge of courage and pride� in being a survivor.

Whatever you choose to do with your project at the end of treatment, just take pride in your achievement and the fact you have survived one of life’s most difficult times.

Mariann Ilaria & John Stackelberg

ÂŒ 11:- 7SXLIF]´W -RXIVREXMSREP 6IEPX] %J½PMEXIW -RG %PP 6MKLXW Reserved. Sotheby’s International RealtyÂŽ is a licensed tradeQEVO XS 7SXLIF]´W -RXIVREXMSREP 6IEPX] %J½PMEXIW 00' %R )UYEP 3TTSVXYRMX] 'SQTER] )UYEP ,SYWMRK 3TTSVXYRMX] )EGL SJ½GI MW MRHITIRHIRXP] S[RIH ERH STIVEXIH I\GITX SJ½GIW S[RIH ERH STIVEXIH F] 268 -RGSVTSVEXIH ,IEPHWFYVK %ZIRYI ,IEPHWFYVK 'E

BRE 00676934/00677268 harry.fogel@sothebysrealty.com

Run date: 10-2-14 ready 6-14 2014

Windsor is home to Sonoma County’s first pink fire truck, thanks to a group of local women looking to raise awareness about breast cancer.

The women behind the Windsor truck said they have used the vehicle in partnership with local fire departments and other non-profits to anchor fundraising activities. Over the past few years the truck has become more and more expensive to operate and now stays parked on Old Redwood Highway where people can view it and stop by to sign their name or the name of loved ones who have battled cancer.

Dennis Dahlstedt of Windsor was the donor of the upholstery for the fire truck. Sara Woodfield and Geri

Knit one, purl one

Skincare professionals offer unique treatments for patients

by Jenna Polito To help chemotherapy patients mitigate the stress and physical side effects that accompany cancer treatment, two Sebastopol-based skincare professionals are providing unique dermatological products that promote skin health and emotional wellbeing.

Annie Carouba is an esthetician and the owner of Bliss Organic Day Spa in Sebastopol. As the only certified Oncology Esthetics practitioner currently in the North Bay, Carouba offers an Oncology Facial that treats cancer patients from a psychological and physical perspective.

As a specialty, Oncology Esthetics provides skincare services to cancer patients that are undergoing or have completed treatment. The soothing facials, Carouba said, help to combat cancer therapies that can harshly affect the skin.

“The basic thing it does is dry you out completely,” Carouba said of cancer treatments. “[Patients’] skin’s dry, they have a lot of sloughing off of skin, they’re losing their hair... everything becomes a little more sensitized.”

Yet Carouba designs her facial sessions to provide deep relaxation for

NOW NO W OFFERING FREE Exercise, Ex ercise Y ercise, Yo Yoga oga & Qigong classes ffor or Cancer Cance Patients!

Patients!

Patients in any stage ffrrom diagnosis through recoverry are welcome.

PARKPOINT SANT TA A ROSA Tuesda u ays & Thursdays 1:30pm - 2:30pm

JJoin oin us no now w thr through ough December!

Contact Lana: lana@parkpointhealthclub lana@parkpointhealthclub.com .com to enroll Parkpoint Santa Rosa (707)578-1640 1200 Nor th Dutton Av Ave.

www www.ParkpointHealthClubs.com .ParkpointHealthClubs.com

Think Pink

Dr. Cynthia Bailey is a Sebastopol-based dermatologist who has developed a skincare kit with products suited to keeping chemotherapy patients’ sensitive skin healthy through treatment.

The launch of the Chemo Skin Care Kit follows Bailey’s own recent battle with cancer. In August of 2013, she was diagnosed with hereditary breast cancer. Prior to surgery, she underwent four months of aggressive

Photo by Hayet Crowns — In coordination with her hour-long healing Oncology Facials, esthetician Annie Carouba, of Bliss Organic Day Spa in Sebastopol, works with Henna by Hayet to provide henna crowns for patients who have lost their hair during cancer treatment.

chemotherapy and experienced its physical and emotional side effects first-hand.

“Your hands get dry, your skin gets dry,” she explained, “You itch and you also feel bad and have no energy. There are so many things that you’re supposed to do to take care of yourself.

It’s like adding one more burden to all of this when you have no energy and you just want to sleep and feel bad.”

While undergoing treatment, the dermatologist developed a “turn-key” skincare regime for herself, customized to a chemotherapy patient’s needs and sensitivities. Dr. Bailey said she relied upon hypoallergenic, non-irritating products, without fragrance or preservatives, and avoided using harsh soaps.

“I kept my skin well hydrated, always moisturizing after washing, whether it was my hands, or getting out of the shower, or my face,” she said.

According to Bailey, the routine proved important not only for personal comfort, but for her continued health.

Dry, chapped skin, she said, may increase opportunities for infections.

“Doctors’ offices are known to have a lot of bad bacteria in them, because that’s just the nature of being in a hospital or a doctor’s office,” she said.

“And I didn’t want my skin to have a portal of entry for infection. So I knew that taking good care of my skin was critical.”

Now, she offers the seven skincare products she used both individually and as a kit through her website.

Products include an all-natural face and body lotion, Ceralip lip treatment

balm, a Vanicream cleansing bar, allnatural foaming liquid hand soap, dry skin hand cream, Bag Balm ointment and cotton gloves. As an add-on product, she also offers a green tea antioxidant skin therapy cream, which she said is especially helpful for people that experience facial inflammation.

During such a physically and emotionally stressful time as cancer treatment, Bailey said the convenience of products such as the skincare kit proves important. “Having all the right products in one place with the instructions makes it simple so you can be consistent, because consistency is really important,” she said.

In the kit, Bailey also includes product instructions and a bag for easy transportation. “I give people these simple instructions to make it practical so that they can be consistent,” she said. “I’m enabling them to be successful and giving them the right products to do it.”

“My goal is to help give people comfort who are going through what I went through,” Bailey said. “Because it’s a 2x4. When you get hit by a cancer of such magnitude that you’re needing chemotherapy, and a long course of treatments, it’s a 2x4 and you’re just in shock.”

Products may be purchased individually or as a kit through Dr. Cynthia Bailey’s website. Basic kits, which include instructions for use, are $74, or $144 with the green tea antioxidant skin therapy cream. For more information, visit: www.drbaileyskincare.com/chemother apy-skin-care-products.shtml.

10

APPROVAL Client: Parkpoint

clients. “They’re not only coming here to be able to help with their skincare issues in treatment,” she said, “but really to be able to have a place of support and calm and beauty and opulence – something that’s maybe lacking in all the hospital trips.”

At her clients’ request, Carouba said she incorporates energy work, called Reiki, into her oncology-specific treatments, as she does with her the other facials she offers. “[Reiki’s] a really ancient practice that’s really beautiful,” she explained. “It’s not just having this external treatment, it’s also the internal. And I think that’s what makes us stand out a little more too – we’re treating everything.”

Carouba hopes that the Oncology Facial, combined with the Reiki element, help bring clients to a state of calm and a little more balance and provides a place of peace and refuge for its hour-long duration. Bliss also employs calming and hydrating products during the facial, which can include such treatments as a scalp massage, a cleanse, light exfoliation and a facial massage.

The Oncology Facial also stands out for the careful, light touch that practitioners such as Carouba employ when they’re working with clients’ delicate skin. “I have a whole protocol that I go through with the clients ahead of time just to make sure that we don’t do anything that’s too aggressive,” she said.

Bliss also works with Sebastopolbased Henna by Hayet to provide henna crowns for women who have lost their hair due to cancer treatment.

“For oncology clients Hayet will do whole crowns,” Carouba said, “and it’s so beautiful. It’s an incredible work of art. They’re proud to show off their heads.” Bliss provides a package that allows clients to take advantage of both the facial and the henna crowns, she said.

Sixty-minute Oncology Facials are priced at $90, but for the month of October, facials will be reduced to $80, with $110 for the addition of the henna crown, or $50 for a half-hour facial treatment. For more information, visit www.blissorganicdayspa.com/oncologyesthetic-services.html or call (707) 8613434.

Run date: 9-25-14

Airport Health Club offers 10-week Cancer Wellness Program The Airport Health Club offers an exercise program for people recovering from cancer. The Cancer Wellness Program is for members and non-members with any kind of cancer at any stage.

This program is 10 weeks in length and free of charge to members and non-members.

The program meet Mondays and Wednesdays from 1:30 to 3 p.m. in a beautiful private studio. Call Lori Ennis at 521-2443 or e-mail lorie@airportclub.com for more information, or to reserve your spot for our next session.

The program is designed to implement the process of improvement in pain management and function so participants can better perform activities of daily living through appropriate exercise.

Participants see improvements in posture, breathing, bone strength, endurance, digestion, tolerance to chemotherapy, pain and fatigue.

The program is funded through private donations from the community and is supported by the Volunteer Center of Sonoma County

and the Airport Health Club. The Airport Health Club also extends complimentary club memberships to all participants.

The trainer-led group setting is designed to help participants: • Regain their self-esteem and hope • Experience social support • Diminish feelings of isolation Exercise has been shown to help cancer patients: • Regain physical function Diminish pain, fatigue and • nausea • Improve tolerance to chemotherapy • Improve posture and body mechanics • Improve breathing and oxygenation of tissues • Improve digestion • Improve bone strength • Improve muscular strength • Improve flexibility • Improve endurance • Improve balance

Don’t Forget to Schedule Your Annual Mammogram!

1402 Grove Street Healdsburg CA 95448 707-431-9342 www.westectank.com

APPROVAL Client: Westec Run date: 9-25-14 Ad title/slug: 1/4 page color Returned approval due by: 9-11-14 Scheduled to run in: THINK PINK 2014

Every Every 3 minutes, minutes, there is is a new new diagnosis diagnosis of Winery wants breast cancer. J. Keverson Wi nery wan ts to hhelp elp fifight ght this this cancer cancer by donating donating 100% of the the profits profits salee of our “bubbles boobies” from the sal “bubbles for boobi es” sparkling sparkling wine wine to organizations organizations that that conduct conduct research, educate, andd provi provide services research, edu cate, an de support servi ces for breast cancer patients andd thei theirr families. cancer pati ents an families.

Please check this proof carefully for errors and omissions. Your signature below constitutes acceptance of full responsibility for all errors, omissions and legal and ethical compliance in this document. Sonoma West Publishers will not accept liability for errors overlooked at this stage of proofing. Any changes from your previously approved copy will be charged extra according to both time and materials. Advertiser agrees to pay appropriate rates and production costs as specified in the current rate card. All conditions of the latest rate card apply.

OK AS IS Your signature and date

OK with corrections - no further proof needed Your signature and date

2ND PROOF REQUIRED - I authorize a $10 charge Your signature and date

Designed by: JIM on 9-8-14

jj.keverson . k e v e r s o n winery winery

Visit our our tasting tasting room at 53 Front Front St, St, Healdsburg, Visit Healdsburg, Ca 95448 Thurs–Mon Thurs–Mon 11:00 am–4:30 pm 707-433-3097 707-433-3097 jkeverson.com jkeverson.com

11

Think Pink

Healdsburg’s Barbara Recchia; a champion for all seasons “Barb’s Race� has raised more than $870,000 in the fight against cancer

by Greg Clementi Just beyond the finish line at the annual Barb’s Race Triathlon on the last Saturday in July stands a woman dispensing equal doses of hugs and inspiration.

The event is named after race founder and Healdsburg resident Barbara Recchia, a two-time cancer survivor and dedicated Vineman volunteer and organizer. Through Recchia’s leadership, the race has become a shining light for thousands of women who find strength and meaning in the challenge.

The only all-women’s half Ironman triathlon distance contested in the world, Barb’s Race has been an athletic achievement for the supremely fit and a lifeline for those facing serious health problems.

To date, Barb’s Race has raised more than $870,000, with most funds contributed to local organizations which provide support services for people with a cancer diagnosis.

Roughly two thirds of the money has been donated to Sutter’s Institute for Health and Healing (previously Integrative Health & Healing Services) that offers physical, emotional and spiritual care and comfort for cancer patients to relieve the effects of their treatment. “It’s not just the money that we’ve raised that has made Barb’s Race such a success in my eyes,� Recchia reflected. “It’s the women who race who have the chance to face a physical challenge while at the same time giving them the opportunity to celebrate their own cancer survival, or honor or memorialize loved ones who have faced a cancer diagnosis.�

As part of the Sutter Institute for Health and Healing, patients from

any medical provider in the community can receive a “Barb’s Race Grant� to use towards integrative medicine clinical services to relieve the effects of their cancer treatments, and contributions have expanded to organizations that support people with all types of cancer.

Through it all Recchia continues her selfless work behind the scenes, humbled and proud that so many women have benefited from the program. “Barb’s Race has far exceeded my expectations and I never imagined that with the money raised we could make such a difference for so many diagnosed with cancer,� she said. “By doing so, the money has touched the lives of so many others to give them physical as well as emotional comfort and care while being treated for cancer. We have all been touched by cancer and it’s so gratifying to know that we are able to provide some support on a local level. I continue to be amazed by the number of women I see return each year to support the event,� she added.

Lifetime Achievement Award

Photo by Greg Clementi Inspiration — Healdsburg’s Barbara Recchia is a cancer survivor and a driving force behind the annual Barb’s Race triathlon, which has raised $870,000 since its inception in the fight against cancer.

Recchia was recently honored with the USA Triathlon 2014 Lifetime Achievement Award, traveling to Milwaukee, Wisconsin in August with Russ Pugh, Vineman/Barb’s Race Director to receive the award at the USA Triathlon Athlete of the Year and Multisport Awards Banquet.

According to the USA Triathlon organization, the award “Memorializes those who have made significant contributions to USA Triathlon and the multisport lifestyle.

These contributions, whether they have been in performance, leadership, volunteerism or mentorship, demonstrate impact on the multisport lifestyle and support an extended commitment to the sport.�

ÂŽ

We Support Breast Cancer Awa arreness Month Great Rates For: Newspapers, Flyers, Programs, Newsletters, Brochures & Posters

t % .JMM 4USFFU +PCT!IFBMETCVSHQSJOUJOH DPN www.healdsburgprinting.com Think Pink

APPROVAL Client: Bear Republic Run date: 9-25-14 Ad title/slug: 1/4 page color - camera ready

12

Breast cancer myths: Separating fact from fiction

By Ted Gansler, MD, MBA, MPH (Director of Medical Content, American Cancer Society) You have probably seen and heard a lot about breast cancer. See if you know which of the following statements are true and which are false.

TRUE OR FALSE: Most breast cancer is hereditary. You don't need to worry if you don't have a family history of breast cancer.

FALSE. Only about 5 percent to 10percent of breast cancer cases are thought to be the result of gene defects (called mutations) inherited from a parent. The lifetime risk for breast cancer can be as high as 80percent for members of some families who inherit certain mutations of BRCA genes. The risk is not nearly as high for most women with a family history of breast cancer. On average, having 1 first-degree relative (mother, sister, or daughter) with breast cancer approximately doubles a woman's risk, and having 2 first-degree relatives triples her risk. About 20 percent to 30 percent of women with breast cancer have a family member with this disease (although most of these

families do not have abnormal BRCA genes). This means that most women (70 percent to 80 percent) who get breast cancer do not have a family history of this disease.

TRUE OR FALSE: If you have a family history of breast cancer, there is nothing you can do to protect yourself from this disease.

FALSE. If 1 or more of your relatives have had breast cancer, be sure to tell your doctor. Careful discussion of which and how many relatives were affected can determine whether you may benefit from genetic counseling or even genetic testing. It is estimated that only a few percent of women who should consider breast cancer genetic testing actually get tested, and the main reason is that doctors and patients do not discuss this topic enough. If genetic tests show that you are at very high risk, doctors will recommend starting screening earlier, and using MRI scans as well as mammograms. Screening can find breast cancer earlier, when treatments are more likely to be successful. Additional options include medications and even surgery to help reduce your risk of developing breast cancer.

$HVWKHWLF 6NLQFDUH 3HUPDQHQW 0DNHXS

TRUE OR FALSE: There is nothing a woman with average risk can do to reduce her risk of developing breast cancer.

FALSE. Many breast cancer risk factors are things you cannot change, like your age, your family history, and how old you were when you started and stopped having menstrual periods. But there are other important breast cancer risk factors that you do have some control over, and which can help reduce your risk of developing breast cancer: your weight, your physical activity level, and how much alcohol you drink.

Weight: Being overweight or obese has been found to increase breast cancer risk, especially after menopause. Before menopause, your ovaries produce most of your estrogen, and fat tissue produces a small amount of estrogen. After menopause (when the ovaries stop making estrogen), most of a woman's estrogen comes from fat tissue. So, having more fat tissue after menopause can increase your chance of getting breast cancer by raising estrogen levels.

Achieving and maintaining a healthy weight throughout life is recommended to reduce your risk of breast cancer, several other forms of cancer, and heart

Proud Supporter of breast cancer awareness month

disease and diabetes.

Physical activity: Many studies agree that being active decreases a woman's risk of developing breast cancer. On average, highly active women are 25 percent less likely to develop breast cancer than are women who get very little activity. Although vigorous activity like jogging, fast bicycling, swimming, jumping rope, etc. for at least 45 to 60 minutes on most days is recommended, a lower level of activity can also help. One large study found that walking for even 75 to 150 minutes during the entire week reduced breast cancer risk by 18 percent.

Drinking alcohol: Compared to women who do not drink any alcohol, there is a 10 percent to 12 percent higher risk of breast cancer associated with each drink per day. Excessive alcohol use is also known to increase the risk of developing cancers of the mouth, throat, esophagus, and liver. The American Cancer Society recommends that women limit their consumption of alcohol to no more than one drink a day, if they drink at all.

Although medicines and even surgery are options to consider for women at increased risk, they are not recommended for women at average risk.

We Support Breast Cancer Awareness!

/RUUDLQH 'L[RQ 0DLQ 6WUHHW 6SD Mary Mathews (Kristy’s Mom) and Kristy Licu

&ORYHUGDOH &$

LUCIANI PUMP CO.

30 Mill Street Healdsburg www.lucianipump.com

INC.

1RUWK 0DLQ 6W

$UHROD 5HSLJPHQWDWLRQ 3K\VLFLDQ 5HIHUUHG

13

1067 Vine Street | Healdsburg 707.433.9351 framingartshealdsburg.com

707-433-4424 Think Pink

FIGHTERS From page one Life still happens, she said.

Beth has been cancer-free for eight years.

••• Andrea Caron had a lot going on in her life a year ago. She and her partners at Silk Moon in Sebastopol were just signing papers to buy the business. Like Beth, she felt a lump in the shower during a self breast exam.

“I just knew.”

It wasn’t her first experience with breast cancer. Several years earlier, when she was 40, she had her first routine mammogram and a doctor called her in to his office to tell her she had a localized form of breast cancer with a cellular pattern that he found just “fascinating.”

“I wasn’t prepared for that,” she said. She didn’t have a family history of breast cancer and everything had been fine before the mammogram.

She had a lumpectomy, but little other treatment. She considered herself lucky and was placed on a “hit list” at her hospital that meant regularly scheduled tests to make sure cancerous cells didn’t return.

“You just know. It’s different than anything you’re used to feeling. You know it’s not normal in your body. It feels like something you’ve never felt.”

— Andrea Caron

But, last year, in the shower, she found the lump.

Sometimes people ask Andrea what the lump felt like. How will they know if they have a lump?

“You just know. It’s different than anything you’re used to feeling. You know it’s not normal in your body. It feels like something you’ve never felt.”

The day of her biopsy should have been a day full of accomplishment and pride — she was signing the papers taking over the business she worked for. Instead, she was diagnosed with breast cancer.

Like others, she had several options. She chose a double mastectomy.

She has a family — three kids who need her and her brand new business.

“I didn’t have time for cancer.”

She hit it straight on.

“For me it was an easy decision.

They’ve done their jobs.”

Sitting down with her kids to tell them what was going on was more difficult. She approached it, like she does with most everything else, with strength and a sense of humor.

“I didn’t want my kids to be scared of cancer.” She decided not to dwell on the words “cancer” or “mastectomy” and instead explained that she would be in surgery to remove all of her breast tissue.

SONOMA WEST T

I M E S

&

N

E W S

“It means I can pick out my own boobs now,” she joked.

She believed she was going to be fine, and she wanted her kids, friends and family to feel comfortable talking about it.

••• Sue Ungewitter has a different story to tell. She experienced a cancer in a different area of her own body, but knows first-hand the pain breast cancer causes.

“I lost my daughter to breast cancer.”

Her daughter, a nurse in the Army, was overseas when she found a lump on her breast.

“It was very aggressive. Breast cancer took her life at the age of 47.”

Sue feels thankful that she was able to spend the last 45 days of her daughter’s life by her side.

Sue, who owns Sue’s Circuit in Sebastopol, has been able to use her experience with the disease to help others diagnosed with cancer. Being in the health industry, and having undergone cancer treatment has given her a unique perspective.

“We have to know our bodies, and know we are in control.”

When Sue was diagnosed with lung cancer, she underwent surgery and

doctors removed a portion of her lung.

She had chemotherapy treatments that sapped her body of strength, but calorie-packed meals one of her daughters made and froze for her kept her going.

“You know you have to eat, even though everything tastes like battery acid.” Nutrition and exercise were key to Sue’s recovery.

As survivors, Beth, Andrea and Sue now have a platform they can use to help other women who have just been diagnosed or recently started treatment.

In addition to their stories, they have pieces of advice to share.

• When women are first diagnosed, Beth said, they are immediately faced with a barrage of life-changing decisions — how aggressive will your treatment be? Will you be public or private about your diagnosis? How will you tell your kids, families, husbands, partners?

“Become informed, but don’t overwhelm yourself with too much information.”

• Ask questions, especially of your doctors.

“If you feel uncomfortable with your provider, it’s your right and your duty to make a change,” Beth said.

Many women were (or are) raised to be agreeable. Andrea added,

“Question, ask, demand and then repeat.”

• Support systems are key to recovery and Andrea said they come in many ways — bringing a friend or family member to all doctor’s appointments is essential, for example. And it doesn’t have to be your husband or significant other. Sometimes, they have more on their plates than they can handle, so a good friend taking notes might be just the help you need — “a cancer buddy” as Sue called it.

• Since Beth’s recovery, she has had five friends diagnosed with breast cancer and feels fortunate to be able to help provide others with resources, support, or a late night chat on the front porch of her home. Some people don’t like to talk too much about cancer, Beth said. Others don’t know what to say, or how to act. But a supportive phone call never hurts.

“We have to show our kids, there will be obstacles in life.

But you can take control, and be positive. You can do it.” www. sonomawest.com Think Pink

14

Breast Density and Breast Cancer Screening Q & A What is breast density?

Breasts are made up of fibrous, glandular and fatty tissue. Dense breasts have a lot of fibrous or glandular tissue and less fatty tissue. Breast density may change over time and is not related to how hard or soft breasts feel during a physical exam.

Why is breast density important?

Dense breasts are more difficult to screen with a mammogram. Dense breast tissue appears white on mammograms (see images below) but so do many lumps, both cancerous and benign. This means abnormalities can “hide” within the image of the tissue.

Some research shows that women with dense breast tissue may have a higher chance of getting breast cancer.

How do I know if I have dense breasts?

A radiologist reviewing your mammogram will assign a breast density score from 1 to 4. Your mammogram results will say if you have dense breasts.

Score 1: Mostly fatty Score 2: Scattered fibroglandular density Score 3: Dense in some areas Score 4: Extremely dense If I have dense breasts, do I still need a mammogram?

Yes. A mammogram is the only medical imaging screening proven to reduce deaths from breast cancer.

Most cancers are seen on mammograms, including in women with dense breasts. Nine in 10 women with early stage breast cancer can be cured with proper treatment.

Regardless of breast density, Sutter Health recommends all women age 40 and older discuss with their doctor when they should start having routine mammograms.

Are there other tests besides a mammogram to check for cancer?

Several other tests may help find cancers that are not seen on mammograms: ultrasound, breast magnetic resonance imaging (MRI) and tomosynthesis. For women who have risk factors for breast cancer in addition to dense breasts, any of these three tests may be useful.

Additional imaging beyond mammography has not been proven to find cancers at an earlier stage or to prevent breast cancer deaths. Women with additional risk factors for breast cancer may benefit from additional imaging studies. Talk with your doctor about your risks and the next steps that are right for you.

Advanced mammography.

Private, safe and close to home.

What should I do?

Regardless of breast density, Sutter Health recommends all women age 40 and older should discuss with their doctor when to start having routine mammograms, and then follow those recommendations.

Women with additional risk factors or concerns should talk with their doctor. Together, you can determine if other screening tests are right for you. Availability of tests may vary.

Regular breast exams help find cancers when they are smaller and more treatable. In Sonoma County, Sutter Health’s Advanced Imaging Center provides digital and 3D mammography, iPad controlled MRI, low radiation 128 slice CT, and tomosynthesis to deliver the most accurate diagnosis. For women with dense breasts, our whole breast

How can I lower my chances of getting breast cancer?

Do — exercise regularly, eat a healthy diet and maintain a normal weight Don’t — smoke or drink more than one alcoholic beverage each day (on average)

ultrasound detects 40 – 100% more cancers than by mammography alone. To schedule a breast screening, call (707) 521-4480.

— This question and answer patient information was created and approved by the Sutter Health Diagnostic Imaging Oversight Committee, a group of physicians, radiologists and patient representatives from across our network of care.

sutterpacific.org/breastcare sutterpacific.org/breastcar sutterpacific.org/br eastcare eastcar e

15

Sutter Pacific Medical Foundation Sutter Medical Center of Santa Rosa

Thomas Tho mas Yatteau, Yatteau, MD

Feeling F eeling Blue About Y Your our Healthc Healthcare? are? Here’ Here’s an RX RX fr from om your Concie Concierge rgee Physician! rg D DŽƐƚ ƚƌĂǀĞůůĞĚ ƉĞŽƉůĞ ƵŶĚĞƌƐƚĂŶĚ ƚŚĞ ďĞŶĞĮƚƐ ŽĨ ŽƐƚ ƚƌĂǀĞůůĞĚ ƉĞŽƉůĞ ƵŶĚĞƌƐƚĂŶĚ ƚŚĞ ďĞŶĞĮƚƐ ŽĨ ŶĚ ƚƚŚĞ ŚĞ ŚĂǀŝŶŐ ĂĂ Ś ŽƚĞů ĐĐŽŶĐŝĞƌŐĞ ŽŶĐŝĞƌŐĞ ƚƚŽ Ž Ś ĞůƉ ƚƚŚĞŵ ŚĞŵ Į ŚĂǀŝŶŐ ŚŽƚĞů ŚĞůƉ ĮŶĚ ďĞƐƚ ƐŚŽǁƐ͕ ƐŚŽǁƐ͕ ƌĞƐƚĂƵƌĂŶƚƐ͕ ƌĞƐƚĂƵƌĂŶƚƐ͕ ƐŚŽƉƉŝŶŐ͕ ƐŚŽƉƉŝŶŐ͕ ĂĂƩƌĂĐƟŽŶƐ͕ ƩƌĂĐƟŽŶƐ͕ ďĞƐƚ etc. A concierge concierge is a trusted trusted resource resource with etc. ĞdžĐĞƉƟŽŶĂů ŬŶŽǁůĞĚŐĞ ŽĨ ƚŚĞŝƌ ŐƵĞƐƚƐΖ ŶĞĞĚƐ͘ Ƶƚ ĞdžĐĞƉƟŽŶĂů ŬŶŽǁůĞĚŐĞ ŽĨ ƚŚĞŝƌ ŐƵĞƐƚƐΖ ŶĞĞĚƐ͘ Ƶƚ ŚĂŶ ƚŚĞ ĐŽŶĐĞƉƚ ĐŽŶĐĞƉƚ ŽĨ ŽĨ ĐĐŽŶĐŝĞƌŐĞ ŽŶĐŝĞƌŐĞ ĂƉƉůŝĞƐ ĂƉƉůŝĞƐ ƚƚŽ Ž ŵ ŽƌĞ ƚƚŚĂŶ ƚŚĞ ŵŽƌĞ Ś ŽƚĞůƐ ĂŶĚ ƚŽƵƌŝƐƚ ĂƩƌĂĐƟŽŶƐ͘ ŚŽƚĞůƐ ĂŶĚ ƚŽƵƌŝƐƚ ĂƩƌĂĐƟŽŶƐ͘ ƌĞƐĞĂƌĐŚŝŶŐ ǁŚĞƌĞ ǁŚĞƌĞ ƚŚĞ ƚŚĞ /Ŷ ϮϬϬϳ͕ ϮϬϬϳ͕ ĂŌĞƌ ĂŌĞƌ ƚŚŽƌŽƵŐŚůLJ ƚŚŽƌŽƵŐŚůLJ ƌĞƐĞĂƌĐŚŝŶŐ /Ŷ ĞĚŝĐŝŶĞ ǁ ĞƌĞ ŚĞĂĚŝŶŐ͕ ŚĞĂĚŝŶŐ͕ E ŽƌƚŚ ď ĞƐƚ ƉƌĂĐƟĐĞƐ ƉƌĂĐƟĐĞƐ ŝŝŶ Ŷ ŵ ďĞƐƚ ŵĞĚŝĐŝŶĞ ǁĞƌĞ EŽƌƚŚ

ĂLJ ƉŚLJƐŝĐŝĂŶ͕ ƌ͘ dŚŽŵĂƐ zĂƩĞĂƵ͕ ƚŽŽŬ ƚŚĞ ůĞĂƉ ĂLJ ƉŚLJƐŝĐŝĂŶ͕ ƌ͘ dŚŽŵĂƐ zĂƩĞĂƵ͕ ƚŽŽŬ ƚŚĞ ůĞĂƉ ƚƚŽ Ž ďĞĐŽŵĞ ďĞĐŽŵĞ ^ŽŶŽŵĂ ^ŽŶŽŵĂ ŽƵŶƚLJΖƐ Į ƌƐƚ ĐĐŽŶĐŝĞƌŐĞ ŽŶĐŝĞƌŐĞ ŽƵŶƚLJΖƐ ĮƌƐƚ Ɖ ŚLJƐŝĐŝĂŶ͕ ŽŶĞ ŽĨ ƚŚĞ ĨĞǁ ŝŶ ĂůŝĨŽƌŶŝĂ͘ dŚŝƐ ƵŶŝƋƵĞ ƉŚLJƐŝĐŝĂŶ͕ ŽŶĞ ŽĨ ƚŚĞ ĨĞǁ ŝŶ ĂůŝĨŽƌŶŝĂ͘ dŚŝƐ ƵŶŝƋƵĞ ĂĂƉƉƌŽĂĐŚ ƉƉƌŽĂĐŚ ĂĂůůŽǁƐ ůůŽǁƐ Ś ŝŵ ƚƚŽ Ž Ɖ ƌŽǀŝĚĞ ĞĞdžĐĞƉƟŽŶĂů͕ džĐĞƉƟŽŶĂů͕ Śŝŵ ƉƌŽǀŝĚĞ ŚŝŐŚůLJ ĂƩĞŶƟǀĞ ĂŶĚ ǀĞƌLJ ƉĞƌƐŽŶĂůŝnjĞĚ ĐĂƌĞ͘ :ƵƐƚ ŚŝŐŚůLJ ĂƩĞŶƟǀĞ ĂŶĚ ǀĞƌLJ ƉĞƌƐŽŶĂůŝnjĞĚ ĐĂƌĞ͘ :ƵƐƚ ĂĂƐ Ɛ ŝŵƉŽƌƚĂŶƚ͕ ŝŵƉŽƌƚĂŶƚ͕ Ś Ğ ŝŝƐ Ɛ ĂĂďůĞ ďůĞ ƚƚŽ Ž ŐŐƵŝĚĞ ƵŝĚĞ Ś ŝƐ Ɖ ĂƟĞŶƚƐ ŚĞ ŚŝƐ ƉĂƟĞŶƚƐ ƚƚŚƌŽƵŐŚ ŚƌŽƵŐŚ ƐƐLJƐƚĞŵͲǁŝĚĞ LJƐƚĞŵͲǁŝĚĞ ƌƌŽĂĚďůŽĐŬƐ ŽĂĚďůŽĐŬƐ ƚƚŽ Ž ƚƚŚĞ ŚĞ ď ĞƐƚ ďĞƐƚ Ś ĞĂůƚŚ ƚƚƌĞĂƚŵĞŶƚƐ ƌĞĂƚŵĞŶƚƐ ĂŶĚ ĂŶĚ Ɖ ƌĂĐƟĐĞƐ͕ ďĞƐƚ ďĞƐƚ ŵĞĚŝĐĂů ŵĞĚŝĐĂů ŚĞĂůƚŚ ƉƌĂĐƟĐĞƐ͕ specialis ts, bes als, eetc. tc. specialists, bestt hospit hospitals,

ƌ͘ zĂƩĞĂƵ zĂƩĞĂƵ ŝŝƐ Ɛ ĂĂ ď ŽĂƌĚͲĐĞƌƟĮĞĚ &&ĂŵŝůLJ ĂŵŝůLJ W ŚLJƐŝĐŝĂŶ͕ ƌ͘ ďŽĂƌĚͲĐĞƌƟĮĞĚ WŚLJƐŝĐŝĂŶ͕ Ɖ ƌŽǀŝĚŝŶŐ ƚŚĞ ƐĂŵĞ ĨƵůů ƌĂŶŐĞ ŽĨ ŵĞĚŝĐĂů ƐĞƌǀŝĐĞƐ ƉƌŽǀŝĚŝŶŐ ƚŚĞ ƐĂŵĞ ĨƵůů ƌĂŶŐĞ ŽĨ ŵĞĚŝĐĂů ƐĞƌǀŝĐĞƐ Ž ƚŚĞƌ ďŽĂƌĚͲĐĞƌƟĮĞĚ ďŽĂƌĚͲĐĞƌƟĮĞĚ ƉƌĂĐƟĐĞƐ ƉƌĂĐƟĐĞƐ ĚŽ͘ ĚŽ͘ Ƶƚ ƚƚŚĂƚ͛Ɛ ŚĂƚ ͛Ɛ ŽƚŚĞƌ Ƶƚ ǁ ŚĞƌĞ ƚŚĞ ƐŝŵŝůĂƌŝƚLJ ĞŶĚƐ͕ ďĞĐĂƵƐĞ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ǁŚĞƌĞ ƚŚĞ ƐŝŵŝůĂƌŝƚLJ ĞŶĚƐ͕ ďĞĐĂƵƐĞ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ͕ ŝŝŶƐƚĞĂĚ ŶƐƚĞĂĚ Ž Ĩ Ś ĂǀŝŶŐ ĂĂ ĨĨĞǁ Ğǁ ƚƚŚŽƵƐĂŶĚ ŚŽƵƐĂŶĚ ƉŚLJƐŝĐŝĂŶ͕ ŽĨ ŚĂǀŝŶŐ ƉĂƟĞŶƚƐ ůůŝŬĞ ŝŬĞ ƚƚƌĂĚŝƟŽŶĂů ƌĂĚŝƟŽŶĂů Ɖ ƌĂĐƟĐĞƐ Ě Ž͕ Ś Ğ ƉĂƟĞŶƚƐ ƉƌĂĐƟĐĞƐ ĚŽ͕ ŚĞ ĚĞůŝďĞƌĂƚĞůLJ ĐŽŶĐĞŶƚƌĂƚĞƐ ĐŽŶĐĞŶƚƌĂƚĞƐ ŽŶ ŽŶ ĂĂ ŵ ƵĐŚ ƐƐŵĂůůĞƌ ŵĂůůĞƌ ĚĞůŝďĞƌĂƚĞůLJ ŵƵĐŚ ŶƵŵďĞƌ ŽĨ ƉĂƟĞŶƚƐ͘ dŚŝƐ ŵĂŬĞƐ Śŝŵ ĂǀĂŝůĂďůĞ ƚŽ ŶƵŵďĞƌ ŽĨ ƉĂƟĞŶƚƐ͘ dŚŝƐ ŵĂŬĞƐ Śŝŵ ĂǀĂŝůĂďůĞ ƚŽ ŶĚ ĞĞŶĂďůĞƐ ŶĂďůĞƐ Ś ŝŵ ƚƚŽ Ž Ɖ ƌŽǀŝĚĞ ĂĂ ƉĂƟĞŶƚƐ ϮϮϰͬϳͬϯϲϱ ϰͬϳͬϯϲϱ ĂĂŶĚ ƉĂƟĞŶƚƐ Śŝŵ ƉƌŽǀŝĚĞ ŚŽƐƚ ŽĨ ƐĞƌǀŝĐĞƐ ŚĞƌĞƚŽĨŽƌĞ ƵŶŚĞĂƌĚ ŽĨ͘ ŚŽƐƚ ŽĨ ƐĞƌǀŝĐĞƐ ŚĞƌĞƚŽĨŽƌĞ ƵŶŚĞĂƌĚ ŽĨ͘ W ĂƟĞŶƚƐ ĐĂŶ ƌĞĂĐŚ Śŝŵ ĂŶLJƟŵĞ͕ ďĞ ƐĞĞŶ ƚŚĞ ƐĂŵĞ WĂƟĞŶƚƐ ĐĂŶ ƌĞĂĐŚ Śŝŵ ĂŶLJƟŵĞ͕ ďĞ ƐĞĞŶ ƚŚĞ ƐĂŵĞ Ě ĂLJ ƚŚĞLJ ĐĂůů͕ ĂŶĚ ƌĞĐĞŝǀĞ Ăůů ƚŚĞ ƟŵĞ ƚŚĞLJ ŶĞĞĚ ĚĂLJ ƚŚĞLJ ĐĂůů͕ ĂŶĚ ƌĞĐĞŝǀĞ Ăůů ƚŚĞ ƟŵĞ ƚŚĞLJ ŶĞĞĚ Ě ƵƌŝŶŐ ƚŚĞŝƌ ǀŝƐŝƚ͘ ,ŽƵƐĞ ĐĂůůƐ ĂƌĞ ĞĂƐŝůLJ ĂƌƌĂŶŐĞĚ͘ ĚƵƌŝŶŐ ƚŚĞŝƌ ǀŝƐŝƚ͘ ,ŽƵƐĞ ĐĂůůƐ ĂƌĞ ĞĂƐŝůLJ ĂƌƌĂŶŐĞĚ͘

ŶLJƟŵĞ ĂŶ ĂĚŵŝƐƐŝŽŶ ƚŽ ƚŚĞ ŚŽƐƉŝƚĂů ŝƐ ŶĞĐĞƐƐĂƌLJ͕ ŶLJƟŵĞ ĂŶ ĂĚŵŝƐƐŝŽŶ ƚŽ ƚŚĞ ŚŽƐƉŝƚĂů ŝƐ ŶĞĐĞƐƐĂƌLJ͕ ŚĞ ƉĞƌƐŽŶĂůůLJ ƉĞƌƐŽŶĂůůLJ ǀǀŝƐŝƚƐ ŝƐŝƚƐ ĞĞĂĐŚ ĂĐŚ Ɖ ĂƟĞŶƚ Ě ĂŝůLJ ;;Ă Ă ƌƌĂƌŝƚLJ ĂƌŝƚLJ ŚĞ ƉĂƟĞŶƚ ĚĂŝůLJ ƚŚĞƐĞ ĚĂLJƐ ĚĂLJƐ ĨŽƌ ĨŽƌ ĐĐŽŵŵƵŶŝƚLJͲďĂƐĞĚ ŽŵŵƵŶŝƚLJͲďĂƐĞĚ Ě ŽĐƚŽƌƐͿ ƚƚŽ Ž ƚŚĞƐĞ ĚŽĐƚŽƌƐͿ ensure the best best possible ccare are is being given given and ensure ƚŚĂƚ ƚŚĞŝƌ ƐƚĂLJ ŝƐ ŶŽƚ ĂďƌƵƉƚůLJ ďƌŽƵŐŚƚ ƚŽ Ă ĐůŽƐĞ͘ ƚŚĂƚ ƚŚĞŝƌ ƐƚĂLJ ŝƐ ŶŽƚ ĂďƌƵƉƚůLJ ďƌŽƵŐŚƚ ƚŽ Ă ĐůŽƐĞ͘ Ɛ ƐŽŽŶ ĂƐ LJŽƵ ũŽŝŶ Ă ĐŽŶĐŝĞƌŐĞ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ Ɛ ƐŽŽŶ ĂƐ LJŽƵ ũŽŝŶ Ă ĐŽŶĐŝĞƌŐĞ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ LJŽƵ ĂƌĞ ĂǁĂƌĞ ŽĨ Ă ƉĂůƉĂďůĞ ĞŵƉŚĂƐŝƐ ŽŶ ƐĞƌǀŝĐĞ͕ LJŽƵ ĂƌĞ ĂǁĂƌĞ ŽĨ Ă ƉĂůƉĂďůĞ ĞŵƉŚĂƐŝƐ ŽŶ ƐĞƌǀŝĐĞ͕ ĐŽŶǀĞŶŝĞŶĐĞ͕ Ě ŝůŝŐĞŶĐĞ ƚƚŽ Ž Ě ĞƚĂŝů ĂĂŶĚ ŶĚ ĂĂĚǀŽĐĂĐLJ͘ ĚǀŽĐĂĐLJ͘ ĐŽŶǀĞŶŝĞŶĐĞ͕ ĚŝůŝŐĞŶĐĞ ĚĞƚĂŝů ^^ŽŵĞ ƐĂLJ ƚŚĂƚ ŝƚ ŝƐ ŽŶůLJ ĨŽƌ ƚŚĞ ƌŝĐŚ͘ tŚŝůĞ ƚŚĞƌĞ ŝƐ ŽŵĞ ƐĂLJ ƚŚĂƚ ŝƚ ŝƐ ŽŶůLJ ĨŽƌ ƚŚĞ ƌŝĐŚ͘ tŚŝůĞ ƚŚĞƌĞ ŝƐ

ƐƐŽŵĞ ĐŽƐƚ ŽƵƚ ŽĨ ƉŽĐŬĞƚ͕ ĂŶ ĞdžƉĞŶƐĞ LJŽƵ ǁŽƵůĚŶΖƚ ŽŵĞ ĐŽƐƚ ŽƵƚ ŽĨ ƉŽĐŬĞƚ͕ ĂŶ ĞdžƉĞŶƐĞ LJŽƵ ǁŽƵůĚŶΖƚ Ɖ ĂLJ ŝŶ Ă ĐŽŶǀĞŶƟŽŶĂů ƉƌĂĐƟĐĞ͖ ƚŚĞ ƐĂǀŝŶŐƐ ƚŽ LJŽƵ ƉĂLJ ŝŶ Ă ĐŽŶǀĞŶƟŽŶĂů ƉƌĂĐƟĐĞ͖ ƚŚĞ ƐĂǀŝŶŐƐ ƚŽ LJŽƵ ĨĨƌŽŵ ŝŵŵĞĚŝĂƚĞ Ϯϰͬϳ ĂĐĐĞƐƐ͕ ĂŵƉůĞ ƟŵĞ ĨŽƌ ĞĂĐŚ ƌŽŵ ŝŵŵĞĚŝĂƚĞ Ϯϰͬϳ ĂĐĐĞƐƐ͕ ĂŵƉůĞ ƟŵĞ ĨŽƌ ĞĂĐŚ ĂĂƉƉŽŝŶƚŵĞŶƚ͕ ƉƉŽŝŶƚŵĞŶƚ͕ ĂĂŶĚ ŶĚ Ƶ ŶŝƋƵĞ ĂĂƉƉƌŽĂĐŚĞƐ ƉƉƌŽĂĐŚĞƐ ƚƚŽ Ž LJLJŽƵƌ ŽƵƌ ƵŶŝƋƵĞ Ś ĞĂůƚŚ ĂĂƌĞ ƌĞ ƐƐŝŐŶŝĮĐĂŶƚ ŝŐŶŝĮĐĂŶƚ ď ŽƚŚ Ɵ ŵĞͲǁŝƐĞ ĂĂŶĚ ŶĚ ŚĞĂůƚŚ ďŽƚŚ ƟŵĞͲǁŝƐĞ Į ŶĂŶĐŝĂůůLJ͘ t ŚĞŶ ĐĐŽŵƉůĞdž ŽŵƉůĞdž ŵ ĞĚŝĐĂů ĐĐĂƌĞ ĂƌĞ ŝŝƐ Ɛ ĮŶĂŶĐŝĂůůLJ͘ tŚĞŶ ŵĞĚŝĐĂů Ŷ ĞĐĞƐƐĂƌLJ ŝƚ ŝƚ ŝƐ ŝƐ ĂĂ ƌƌĞůŝĞĨ ĞůŝĞĨ ƚƚŽ Ž Ś ĂǀĞ ĂĂ ĐĐŽŶĐŝĞƌŐĞ ŽŶĐŝĞƌŐĞ ŶĞĐĞƐƐĂƌLJ ŚĂǀĞ Ɖ ŚLJƐŝĐŝĂŶ ĂĂĐƟŶŐ ĐƟŶŐ ĂĂƐ Ɛ LJLJŽƵƌ ŽƵƌ ƐƐƚƌŽŶŐĞƐƚ ƚƌŽŶŐĞƐƚ ĂĂĚǀŽĐĂƚĞ ĚǀŽĐĂƚĞ ĨĨŽƌ Žƌ ƉŚLJƐŝĐŝĂŶ ĞdžĐĞƉƟŽŶĂů ĐĐĂƌĞ͕ ĂƌĞ͕ ǁ ŚĞƚŚĞƌ ƚŚĂƚ ƚŚĂƚ ďĞ ďĞ ŝŶ ŝŶ Ž ƌ Ž Ƶƚ Ž Ĩ ĞdžĐĞƉƟŽŶĂů ǁŚĞƚŚĞƌ Žƌ ŽƵƚ ŽĨ ar ea. area. h ŶůŝŬĞ ƐŽ ŵĂŶLJ ŽƚŚĞƌ ƉŚLJƐŝĐŝĂŶƐ͕ ƌ͘ zĂƩĞĂƵ ŚĂƐ hŶůŝŬĞ ƐŽ ŵĂŶLJ ŽƚŚĞƌ ƉŚLJƐŝĐŝĂŶƐ͕ ƌ͘ zĂƩĞĂƵ ŚĂƐ ƌĞƐŝƐƚĞĚ ƚƚŚĞ ŚĞ Ƶ ƌŐĞ ƚŽ ƚŽ ƐƐĞůů Ğůů ŚŝƐ ŚŝƐ Ɖ ƌĂĐƟĐĞ ƚƚŽ Ž ĂĂ ůůĂƌŐĞ ĂƌŐĞ ƌĞƐŝƐƚĞĚ ƵƌŐĞ ƉƌĂĐƟĐĞ ƵŵďƌĞůůĂ ŽƌŐĂŶŝnjĂƟŽŶ͘ dŚŝƐ ŝŶĚĞƉĞŶĚĞŶĐĞ ĂůůŽǁƐ ƵŵďƌĞůůĂ ŽƌŐĂŶŝnjĂƟŽŶ͘ dŚŝƐ ŝŶĚĞƉĞŶĚĞŶĐĞ ĂůůŽǁƐ Śŝŵ ƚƚŽ Ž ĂĂƐƐĞƐƐ͕ ƐƐĞƐƐ͕ ƚƚƌĞĂƚ ƌĞĂƚ ĂĂŶĚ ŶĚ ƌƌĞĨĞƌ ĞĨĞƌ ǁŝƚŚŽƵƚ ǁŝƚŚŽƵƚ ƚƚŚĞ ŚĞ Śŝŵ ƌĞƐƚƌŝĐƟŽŶƐ ƚŚĂƚ ĐŽŵĞ ǁŝƚŚ ďĞŝŶŐ ƉĂƌƚ ŽĨ Ă ŵƵĐŚ ƌĞƐƚƌŝĐƟŽŶƐ ƚŚĂƚ ĐŽŵĞ ǁŝƚŚ ďĞŝŶŐ ƉĂƌƚ ŽĨ Ă ŵƵĐŚ ŚĞŶ Ă Ă ĐŽŵƉůŝĐĂƚĞĚ ĐŽŵƉůŝĐĂƚĞĚ ůůĂƌŐĞƌ ĂƌŐĞƌ ŐƌŽƵƉ͕ ŐƌŽƵƉ͕ ĞƐƉĞĐŝĂůůLJ ĞƐƉĞĐŝĂůůLJ ǁ ǁŚĞŶ pr oblem arise s. problem arises.

ƌ͘ zĂƩĞĂƵ ƌĞĐĂůůƐ͕ ΗtŚĞŶ / ŚĂĚ ϯϬϬϬ ƉĂƟĞŶƚƐ ĂŶĚ ƌ͘ zĂƩĞĂƵ ƌĞĐĂůůƐ͕ ΗtŚĞŶ / ŚĂĚ ϯϬϬϬ ƉĂƟĞŶƚƐ ĂŶĚ Ž ŶůLJ ϭϬ ŵŝŶƵƚĞƐ ƚŽ ƐĞĞ ĞĂĐŚ ƉĞƌƐŽŶ͕ ŝƚ ǁĂƐŶ͛ƚ ĞĂƐLJ ŽŶůLJ ϭϬ ŵŝŶƵƚĞƐ ƚŽ ƐĞĞ ĞĂĐŚ ƉĞƌƐŽŶ͕ ŝƚ ǁĂƐŶ͛ƚ ĞĂƐLJ ŐŐĞƫŶŐ ĞƫŶŐ ƚŽ ƚŽ ŬŬŶŽǁ ŶŽǁ ƚƚŚĞ ŚĞ ŝŶĚŝǀŝĚƵĂů ŝŶĚŝǀŝĚƵĂů ĂĂŶĚ ŶĚ Ě ĞǀĞůŽƉ ƚƚŚĂƚ ŚĂƚ ĚĞǀĞůŽƉ ƚƚƌƵƐƟŶŐ ďŽŶĚ͘ Ƶƚ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ / ĐĂŶ ƌƵƐƟŶŐ ďŽŶĚ͘ Ƶƚ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ / ĐĂŶ ĚŽ ũƵƐƚ ƚŚĂƚ͘ ŶĚ / ůĞĂƌŶĞĚ ƚŚĂƚ ǁŚĞŶ LJŽƵƌ ƉĂƟĞŶƚ ĚŽ ũƵƐƚ ƚŚĂƚ͘ ŶĚ / ůĞĂƌŶĞĚ ƚŚĂƚ ǁŚĞŶ LJŽƵƌ ƉĂƟĞŶƚ ŝƐ ŐŐŝǀĞŶ ŝǀĞŶ ĂĂůů ůů ƚƚŚĞ ŚĞ Ɵ ŵĞ ƚƚŚĞLJ ŚĞLJ Ŷ ĞĞĚ ƚƚŽ Ž ƌƌĞůĂƚĞ ĞůĂƚĞ Ś ŝƐͬŚĞƌ ŝƐ ƟŵĞ ŶĞĞĚ ŚŝƐͬŚĞƌ ƉƌŽďůĞŵƐ͕ ƐŽ ƐŽ ŵ ƵĐŚ ŵ ŽƌĞ Ś ĞůƉĨƵů ŝŝŶĨŽƌŵĂƟŽŶ ŶĨŽƌŵĂƟŽŶ ƉƌŽďůĞŵƐ͕ ŵƵĐŚ ŵŽƌĞ ŚĞůƉĨƵů ĐŽŵĞƐ ƚŽ ƚŽ ƚƚŚĞ ŚĞ ƐƐƵƌĨĂĐĞ ƵƌĨĂĐĞ ƚƚŚĂƚ ŚĂƚ ƚƚŚĞŶ ŚĞŶ ŝŝůůƵŵŝŶĂƚĞƐ ůůƵŵŝŶĂƚĞƐ Ŷ Žƚ ĐŽŵĞƐ ŶŽƚ ŽŶůLJ ƚŚĞ ƉƌŽďůĞŵ͕ ďƵƚ ĐƌĞĂƟǀĞ ƐŽůƵƟŽŶƐ ƚŽ ƚŚŽƐĞ ŽŶůLJ ƚŚĞ ƉƌŽďůĞŵ͕ ďƵƚ ĐƌĞĂƟǀĞ ƐŽůƵƟŽŶƐ ƚŽ ƚŚŽƐĞ ƉƌŽďůĞŵƐ͘Η ƉƌŽďůĞŵƐ͘Η ddŽĚĂLJ ƌ͘ zĂƩĞĂƵΖƐ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ ŝƐ ƐƚƌŽŶŐ ĂŶĚ ŽĚĂLJ ƌ͘ zĂƩĞĂƵΖƐ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ ŝƐ ƐƚƌŽŶŐ ĂŶĚ his ccommitment ommitment tto o cconcierge oncierge medicine medicine gr eater greater ƚƚŚĂŶ ŚĂŶ ĞĞǀĞƌ͘ ǀĞƌ͘ , Ğ ŬŶŽǁƐ ŬŶŽǁƐ ŝŝƚ͛Ɛ ƚ ͛Ɛ Ŷ Žƚ ĨĨŽƌ Žƌ ĞĞǀĞƌLJŽŶĞ͘ ǀĞƌLJŽŶĞ͘ Ƶƚ ,Ğ ŶŽƚ Ƶƚ Ž ǀĞƌ ƚŚĞ LJĞĂƌƐ͕ ƉĞŽƉůĞ ŚĂǀĞ ĐŽŵĞ ƚŽ ĞŵďƌĂĐĞ ƚŚĞ ŽǀĞƌ ƚŚĞ LJĞĂƌƐ͕ ƉĞŽƉůĞ ŚĂǀĞ ĐŽŵĞ ƚŽ ĞŵďƌĂĐĞ ƚŚĞ ĐĐŽŶĐĞƉƚ ĂŶĚ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ĐŽŶƐŝĚĞƌ ƚŚĞ ĂĚĚŝƟŽŶĂů ŽŶĐĞƉƚ ĂŶĚ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ĐŽŶƐŝĚĞƌ ƚŚĞ ĂĚĚŝƟŽŶĂů ĐĐŽƐƚ ŽƐƚ ƐƐƵĐŚ ƵĐŚ Ś ŝŐŚůLJ Ɖ ĞƌƐŽŶĂůŝnjĞĚ Ś ĞĂůƚŚ ĐĐĂƌĞ ĂƌĞ ŚŝŐŚůLJ ƉĞƌƐŽŶĂůŝnjĞĚ ŚĞĂůƚŚ ƌƌĞƋƵŝƌĞƐ͕ ĞƋƵŝƌĞƐ͕ Ă Ă ĐŽƐƚ ĐŽƐƚ ƚŚĂƚ ƚŚĂƚ ŝƐ ŝƐ Ŷ Ž ŐŐƌĞĂƚĞƌ ƌĞĂƚĞƌ ƚƚŚĂŶ ŚĂŶ ĂĂ ŶŽ membership in the local local health club. membership zzŽƵ ŵŝŐŚƚ ŐƵĞƐƐ ƚŚĂƚ Ă ĚŽĐƚŽƌ ƉƌŽǀŝĚŝŶŐ ƚŚŝƐ ůĞǀĞů ŽƵ ŵŝŐŚƚ ŐƵĞƐƐ ƚŚĂƚ Ă ĚŽĐƚŽƌ ƉƌŽǀŝĚŝŶŐ ƚŚŝƐ ůĞǀĞů ŽĨ ƐƐĞƌǀŝĐĞ ĞƌǀŝĐĞ ǁ ŽƵůĚ ĞĞŶĚ ŶĚ Ƶ Ɖ Ě ĞǀĞůŽƉŝŶŐ ĂĂ Ƶ ŶŝƋƵĞůLJ ŽĨ ǁŽƵůĚ ƵƉ ĚĞǀĞůŽƉŝŶŐ ƵŶŝƋƵĞůLJ ƉĞƌƐŽŶĂů ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂů ƌĞůĂƟŽŶƐŚŝƉ ǁŝƚŚ ĞĂĐŚ ƉĞƌƐŽŶĂů ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂů ƌĞůĂƟŽŶƐŚŝƉ ǁŝƚŚ ĞĂĐŚ ŽĨ Ś ŝƐ Ɖ ĂƟĞŶƚƐ͘ zzŽƵ ŽƵ ǁ ŽƵůĚ ď Ğ ƌƌŝŐŚƚ͘ ŝŐŚƚ͘ ŽĞƐ ƚƚŚŝƐ ŚŝƐ ŽĨ ŚŝƐ ƉĂƟĞŶƚƐ͘ ǁŽƵůĚ ďĞ ŽĞƐ ƌƌĞĂůůLJ ĞŶĚ ƵƉ ŵĂƩĞƌŝŶŐ͍ zŽƵ ďĞƚ ŝƚ ĚŽĞƐ͘ ĞĂůůLJ ĞŶĚ ƵƉ ŵĂƩĞƌŝŶŐ͍ zŽƵ ďĞƚ ŝƚ ĚŽĞƐ͘

C oncierge Concierge Medical Practice Practice Medical Highly Highly attentive a t t e n t i ve personalized personalized medical medical care and care ffor or yyou ou a nd your your loved loved ones... ones . . .

“Dr. Yatteau has an excellent amongst nurses the rreputation eputat atiion am ongs ong st n urs ur ses ffor fo or tth he care they see him give his c are tth hey se s ee h im g gi ive h is patients patients in pa hospital. makes every tthe he h ospital. H He em akes e very effort eff fort to e eff to with patients ttalk alk w ith p pa atients and and iis s concerned conc co nce erne ned d about whole person doesn’t a bout th tthe he wh w hole p erson – he he do d oesn’t compartmentalize. very c ompartmentalliiz iz ze e. I feel feel v fe ve er y having him as doctor.” ffortunate ortuna natte h avin ing gh im a im s my my d do octor.”

– –Sue Sue Hicks, Hicks, R Registered egistered N Nurse urse

Dr.. Tom Dr Tom Yatteau Yatteau - Sonoma County’ County’s first and most experienced concierge physician - is now accepting a limited number of new patients.

Stanford-trained S t anford-trained F Family am i ly P Physician hysician VIP V IP Treatment, Treatment , Unrushed Appointments Unr ushed A ppointments Available phone y ccell el l p A Av vai lable b by hone or or pager pager 24/7 24/7 Strong Effective Advocate S trong E ffective A dvocate Life Advisor Personal L ife A dv isor fo ffor or P ersona l & Professional fessiona l Development Development Profe

707-579-1400 7 07-579 79-1400 44 D 44 Doctors octors P Park ark D Drive, riv ive, Santa R osa Santa Rosa

Thomas F F.. Y Yatteau atteau MD Board Certified

w www.MyPatientsFirst.com w w. MyPatientsFirst.com