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SOUTHERN LAKES NEWSPAPERS LLC OCTOBER 2015
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October is Breast Cancer Awareness Month
Conversations for the Cure and more Page 2
THINK PINK 2015
Aurora offers support for cancer patients and families urora Lakeland Medical Center W3985 Highway NN, Elkhorn is offering Conversations for the Cure, an educational session where women can talk openly about breast cancer and the potential impact it can have on their lives, at 6 p.m. on Tuesday, Oct. 13. The Susan G. Komen event is sponsored by KOHL’S Cares and will cover four topics – risk factors, breast cancer signs and symptoms, types of screenings, and healthy lifestyle choices to reduce the risk of developing breast cancer. To register for the free program go online to Aurora.org/Events or call (800) 499-5736. Bring a friend or loved one and learn how to earn a $20 Kohl’s gift card. Manage the costs The Women’s Pavilion of Aurora West Allis Medical Center is offering a free program to help patients manage the costs of cancer care and get questions answered at 6 p.m. on Wednesday, Oct. 28. For more information or to register, call (888) 863-5502.
Tuesday, Oct. 20. Physical therapists Susie Maxwell and Ginny Lawrence will discuss rehabilitation options for patients with the goal of helping them return to previous life roles, including returning to work with minimal to no limitations. Both presenters have specialized training in cancer rehabilitation and treatment of lymphedema. For more information or to register, call (800) 499-5736.
Coping with treatment and beyond Aurora Medical Center Kenosha, 10400 75th St., is offering the free program “Living Life - During and After Breast Cancer Treatment” from 5 p.m. to 7 p.m. on
Think Pink Possible Pink Possible is a campaign to raise awareness and funds to support local breast cancer education, prevention, research and survivorship programing through Aurora
Join a support group Aurora also hosts local, ongoing cancer support groups at these medical centers: Burlington – Aurora Wellness Center, 300 McCanna Pkwy. Breast cancer support group meets at 6:30 p.m. the first Tuesday of the month. Elkhorn – Aurora Lakeland Medical Center, W3985 Highway NN. Breast cancer support group meets at 4 p.m. the first Wednesday of the month. Kenosha – Aurora Medical Center, 10400 75th St. All cancer support group meets at 1:30 p.m. on the second Monday of the month, except January, July and December. No registration required.
FILE PHOTO Think Pink
A good support system is vital when battling breast cancer. Aurora offers multiple programs and support groups for patients and their families.
Health Care. Last year, more than $90,000 was raised to support Aurora Health Care Foundation’s Pink Possible Campaign. Nationally, one out of eight women will be diagnosed with breast cancer sometime in their lifetime. Last year, roughly onethird of the women in Wisconsin who heard the words “you have breast cancer” chose Aurora Cancer Care for their care. Join the
fight and lend a helping hand by: • Donating online at www.aurora.org/ pinkpossible and receive a pink rubber bracelet; and/or • Signing up for a $15 pink hair extension, give.aurora.org/pinkhairextensions. Pink Possible partnership with area salons for $15 pink hair extensions. For a full listing of participating salons, visit the website.
Think Pink!
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Regular screening for breast cancer is the best way to catch the disease early so it can be treated.
saves lives
FILE PHOTO Think Pink
BREAST CANCER
SCREENING o
ctober is National Breast Cancer Awareness Month. Now is the perfect time to remind women to make an appointment for a mammogram and a breast health exam. Aurora Health Care recommends the following breast cancer screenings for women at average risk for breast cancer: Breast self-awareness – Women should develop a general awareness of how their breasts look and feel, and promptly report any changes to your health care provider. Changes could be a new lump or mass, skin dimpling, swelling or redness or abnormal nipple discharge. Clinical breast exam – An annual breast exam by a qualified health care provider is recommended, beginning at age 40. Recommended breast exams may begin earlier if there is a family history of breast or ovarian cancer. Mammography – Aurora recommends that average-risk women have a
mammogram at least every one to two years beginning at age 40. Woman at high risk for breast cancer may need mammograms starting at an earlier age and more often. Known risk factors for developing breast cancer include: • Being older BY Dr. Susan than 50; M. Hagnell • Having no CONTRIBUTOR children or having a first child after age 30; • Starting to menstruate early or reaching menopause late; • Being overweight; and • Having a blood relative with the disease. Medical experts agree that regular mammograms can detect cancers at earlier
stages and smaller sizes, when the disease is easier to treat, often months or years before it can be detected by physical examination. Women who have known genetic mutations associated with an increased risk of breast cancer, such as BRCA1 and BRCA2, or a history of radiation therapy to the chest, should talk to their medical provider to formulate a customized plan, including earlier and more intensive screening that might include: • Breast imaging – mammography, ultrasonography and/or breast MRI; • Breast MRI – this may be indicated if there is a hereditary risk of developing breast cancer, or if a woman has dense breasts or scar tissue. Breast MRI may be helpful in determining the extent, size and distribution of newly diagnosed breast cancer. Women may skip potentially life-saving mammograms for various reasons, such as: • Anxiety about what a mammogram might reveal;
• Worries about possible radiation exposure; • Concerns about possible discomfort or embarrassment during the procedure; and • Out-of-pocket costs. Today’s mammograms deliver very little radiation and are considered very safe. Breast cancer screening can often be done without any out-of-pocket costs to women age 40 or older. Most insurance carriers and government-funded programs such as Medicare cover mammography services at 100 percent. Regular breast cancer screenings and mammograms are a simple, costeffective way to take care of someone very important – you. Please pick up the phone or go online to make an appointment to schedule a mammogram during Breast Cancer Awareness Month. Dr. Susan Hagnell specializes in obstetrics and gynecology and practices at Aurora Health Center, 1550 Hobbs Drive in Delavan. Her office can be reached at (262) 740-4200.
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THINK PINK 2015
New study shows 3D Going to beautiful mammography reveals lengths important details Many men, women and children are going to surprising lengths to help women with cancer – lengths of about 8 inches, in fact. That’s because they’re participating in a unique campaign, the #8or8 Challenge, part of the Pantene Beautiful Lengths program. Anyone can join in the #8or8 Challenge by giving $8 or cutting and donating 8 inches of their hair to help create free, realhair wigs for women who have lost their hair due to cancer treatments. The wigs are distributed through select American Cancer Society wig banks. You can also help by challenging your friends via social media using #8or8 and # BeautifulLengths, tagging @Pantene. Since its creation in 2006, the Pantene FILE PHOTO Thin Beautiful Lengths program has collected Many people are ponyi k Pink ng up more than 800,000 ponytails and provided cash or their own ponyt ails to the funds to create more than 42,000 wigs. make wigs for women with cancer. With the creation of the Pantene Beautiful Lengths Fund, anyone can support the program and help create more wigs than ever before. Donations are accepted via Twitter by retweeting @Pantene’s “Charitweets” for instructions on how to donate to the cause. People can also donate through One Today by Google by visiting g.co/ beautifullengths. Hair donations must be at least 8 inches long and cannot be bleached, permanently colored or chemically treated though it may be colored with vegetable dyes, rinses or semi-permanent dyes. Gray hair is difficult to use in wig making, so the hair should not be more than 5 percent gray. For more information and mailing addresses to send hair and monetary donations, visit www.beautifullengths.com.
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H
ere’s important information for women. Human breasts are made up of different types of tissue: fatty, fibrous and glandular. If most of the tissue is fibrous and/or glandular, it is considered to be dense. It is not unusual for a woman to have dense breasts. For most women, density decreases with age, but in some women there is little change. Breast density can only be determined by a mammogram, yet finding cancer in a woman with dense breasts is more difficult for a doctor when using traditional technology. The good news is that there’s a more accurate exam – 3D mammography – that can make detecting breast cancer easier in women with dense breasts. A new study published by the Radiological Society of North America showed that the 3D mammography exam finds significantly more cancers in women with dense breasts than a traditional mammogram. That’s because 3D mammography technology allows a doctor to examine a woman’s breast tissue layer by layer. So instead of viewing all the complexities of the tissue in a flat image, as with traditional mammography, fine details are more visible and no longer hidden by the tissue above or below. Determining density is key It is important for women to know their breast density. That’s because women with dense breasts have an increased risk of cancer. Experts are not certain at this time what it is about dense breast tissue that increases a woman’s risk. Previous studies have shown that the 3D mammography exam finds more invasive cancers than a traditional mammogram – 41 percent more – and decrease the number of women called back for unnecessary tests due to false alarms by up to 40 percent. With the 3D mammography exam, women, including those with dense breasts, can feel more confident that their annual screening exam will find the truly troubling cancers while reducing the need for additional, unnecessary tests. Since 2011, over 8 million women have benefited from 3D mammography technology. For more information, visit www.3dmammography.com. 3D mammography technology is available on the Selenia Dimensions system.
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Page 5
Shanra Kehl (from left) and her parents, Patricia and Dean Kehl, are seen at a cancer walk at Panama City Beach, Fla., in 2014. Patricia Kehl’s death in May prompted Shanra Kehl, a 1995 East Troy High School graduate, to raise awareness of triple negative breast cancer. Inset: Patricia Kehl (in pink), formerly of East Troy, participates in a cancer walk at Panama City Beach in 2014. Kehl died of triple negative breast cancer May 30.
cancer
SUBMITTED PHOTOS Think Pink
Area native aims to educate people about the illness that afflicted her mother By Vicky Wedig STAFF WRITER
ast Troy native Shanra Kehl wants people to understand the type of cancer their loved ones have and gain the knowledge to research potential treatments. Four months after the death of her mom, Kehl – who now lives in Santa Monica, Calif. – is having a breast cancer charity event Oct. 3 at the Grand Geneva Resort in Lake Geneva to benefit the Triple Negative Breast Cancer Foundation. The golf scramble and Frisbee golf outing is called Teeing for Tatas: In Memory of Patricia J. Kehl.
Kehl’s mother, Patricia Biersack Kehl, a rural mail carrier in East Troy for 30 years, died of triple negative breast cancer on May 30 in Florida. While “negative” is usually a good thing when it comes to cancer, in this case it’s not, Kehl said. Triple negative breast cancers are those in which the breast cancer cells test negative for estrogen, progesterone and HER2 receptors, according to breastcancer.org. That means the growth of the cancer cells are not supported by estrogen, progesterone or the chemical Herceptin, therefore the cancer does not respond to hormonal therapies or treatments that target Herceptin, according to breastcancer.org. “When it comes to this type of cancer,
negative means that the type of breast cancer isn’t responsive to chemotherapy,” Kehl said. “It can be pretty aggressive.” About 10 to 20 percent of breast cancers are triple negative, according to breastcancer. org. Patricia Kehl was diagnosed with triple negative breast cancer in June 2010, but Shanra Kehl believes if her mom had steered her own treatment six months prior, she might have survived. Six month before the diagnosis, Patricia Kehl had an irregular mammogram, but the irregularity did not alarm her doctor, who advised her to keep a watch on it. Six months later, a check revealed the mass was growing and had spread. “Had she gotten a second opinion or asked for it to be removed, she might still be
with us,” Shanra Kehl said. “It had grown into five or six of her lymph nodes by that time.”
Treatment trials
When cancer spreads to lymph nodes, it is in Stage 2, and Patricia Kehl’s large East Troy family went in search of treatment. Patricia Kehl underwent 30 rounds of radiation, “then they said she was good to go,” Shanra Kehl said. But 2 ½ years later, Patricia Kehl was rediagnosed and by that time could feel the tumors in the back of her neck, Shanra Kehl said. With the cancer metastasized – spread to • see CANCER on page 6
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THINK PINK 2015
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other parts of the body – doctors began to treat Patricia Kehl with a drug that is on the market for other types of cancer. The drug worked in the beginning but then stopped being effective, Shanra Kehl said. “Each Thanksgiving, she was clear, but metastasized cancer is very aggressive,” she said. Patricia Kehl was referred to the MD Anderson Cancer Center in Houston – one of three original comprehensive cancer centers in the United States. There, Shanra Kehl said, cancer professionals had “amazing bedside manners” but were also very frank. “They didn’t have anything for her,” she said. “They said, ‘You are going to die from this.’” At that point, her cancer was Stage 4 – terminal, and Patricia Kehl went to Florida where she underwent six or seven different types of chemotherapy. “She tried every drug that was possible for this cancer,” Shanra Kehl said. In addition to medical treatments, Patricia Kehl changed her diet and tried a holistic approach. Shanra Kehl said her mom juiced every day, eliminated meat, sugar and alcohol from her diet, ate only organic foods, tried acupuncture and spoke to a holistic counselor. “She really tried everything,” she said. “We really surrounded a whole team of people around her.”
Asking questions
Shanra Kehl organized the charity event during October – cancer awareness month – with multiple goals, one of which is to make people aware that more than one type of breast cancer exists. “It’s amazing how many people that, the
moment they get breast cancer, they have no idea to even ask what type of cancer it is,” she said. “You don’t really know how to help somebody who’s battling cancer if you don’t know what they’re up against.” She said women – and men, who also get breast cancer – need to know the type of cancer they have so they can educate themselves about it. “There’s so many questions you need to ask when you get it,” she said. Kehl also aims to bring the community together with the event. The large Biersack family has deep roots in East Troy and Elkhorn, and Kehl’s aunt, Linda Lee, of Elkhorn, also died of breast cancer this year after being diagnosed 15 years ago. Patricia Kehl was well known as a mail carrier in the community for three decades, and her husband, Dean Kehl, was a contractor in the Lake Geneva area and retired from Elkhorn-based Teronomy Builders before moving to Florida. Shanra Kehl said area businesses have been generous in donating items for the charity event. “Literally almost every single company we’ve approached or knocked on their door has given us something for the event,” she said. The effort to raise money for the Triple Negative Breast Cancer Foundation will begin online Sept. 22 before the Oct. 3 event. The online effort is aimed to reach donors from across the country and people who can’t attend the event at Grand Geneva, Shanra Kehl said. Kehl chose the Triple Negative Breast Cancer Foundation as the benefactor for the benefit because of its specific goal of finding treatment that will work for cancers that don’t respond to hormonal therapies.
SUBMITTED PHOTO Think Pink
Above: Shanra Kehl (foreground) and her mother, Patricia Kehl (right) explore an area with joshua trees in California. Shanra Kehl said her mom continued to take trips to visit her on location as a movie writer and director despite suffering from breast cancer.
And, unlike larger organizations like Susan G. Komen for the Cure – the Triple Negative Breast Cancer Foundation has three employees. Kehl is confident all of the proceeds will go to their intended use.
The event
Check-in on the day of the event will be at 8 a.m. and golf tee time is at 9 a.m. BWO Insurance Group of Elkhorn will sponsor a $10,000 hole-in-one challenge. For people who don’t want to golf, Frisbee golf or a self-guided hike will begin at 10 a.m. After golf will be a luncheon and the distribution of gifts and prizes.
Inspiration jewelry
Shanra Kehl said while her mother lived with cancer, she was eager to help others with the disease. Mother and daughter often attended walks during October and handed out necklaces from a line Shandra Kehl created in her mother’s honor. “The whole point of the jewelry line was to inspire women,” she said. Proceeds from the jewelry sales go to the Pink Daisy Project – a Seattle-based organization that provides supplemental income to cancer patients while they’re undergoing treatment. The breast cancer jewelry line can be seen at pj57jewelry.com.
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THINK PINK 2015
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Anna Leitzke, of Delavan, stands next to the Pink Heals fire truck after her last round of chemotherapy at Aurora Lakeland Medical Center in Elkhorn on April 23.
The healing
power of
k n Pi
SUBMITTED PHOTO Think Pink
Firefighter, EMT brigade accompanies cancer patient after last chemo treatment
W
By Vicky
Wedig
STAFF WRITER
hen Anna Leitzke emerged from Aurora Lakeland Medical Center after her last chemotherapy treatment April 23, a pink fire truck signed by thousands of cancer patients was waiting to take her home. “This was very much a surprise to her,” said the 20-year-old’s mom, Kathy Leitzke, of Delavan. “She had no idea. She was speechless.” Standing with the pink truck outside the clinic door were about 50 people that the hospital emergency medical technician coordinator had invited to see Anna Leitzke off. Tears welled at that point. A little farther down the road, Anna Leitzke saw firefighters, EMTs and police officers from the town and city of Delavan waiting to join the brigade. “She just turned and looked at me like, ‘What did you do?’” Kathy Leitzke said. Members of the Town of Delavan department wore their dress blues, and the Leitzkes rode home to Delavan in the pink truck escorted by four more fire trucks and an ambulance. When they arrived in Delavan, the trucks turned on their sirens and the Leitzkes greeted about 30 more friends waiting in
their front yard for Anna’s arrival. The escort was a first for Pink Heals – a non-profit organization founded in 2007 by retired firefighter and former professional athlete Dave Graybill, of Phoenix.
PINK HEALS
Graybill started Pink Heals with one truck eight years ago. The organization now has about 180 trucks in chapters in three countries. Leitzke was escorted by the Lake Country Chapter, which was founded by a member of the Lake Country Fire Department in Delafield in 2012 and houses its pink truck in Nashotah, said Sandy Rosch, a member of the founding board of the Lake Country Chapter. Wisconsin also has Pink Heals chapters in Sheboygan and Mishicot, according to the Pink Heals website. The group raises money for women undergoing treatment for all types of cancers and raises awareness. Rosch said in Lake Country’s first two years of existence, it focused on raising funds and generated $33,000 for local cancer organizations and patients. It contributed to Stillwaters Cancer Support Services in Waukesha, which provides counseling to cancer patients and their families without accepting insurance or patient payments,
Rosch said. It also provided transportation and funding for people undergoing treatment at ProHealth Care and Aurora facilities who needed financial assistance. This year, however, Rosch said, the chapter is shifting its focus to conducting more home visits – bringing the fire truck to the homes of cancer patients to brighten their days and increase visibility in their communities. The escort from the hospital, however, was a first, said retired Lake Country firefighter Dave Godgluck, who drove the pink truck.
FIREFIGHTING FAMILY
Godgluck met the Leitzkes – a family of firefighters and EMTs – at the Wisconsin EMS Association convention in January in Milwaukee. Anna’s dad, Brian, is a retired Delavan firefighter, Kathy Leitzke has been a Town of Delavan EMT for 21 years, Anna Leitzke has been with the township department for a year, and her brother Andrew Leitzke, 17, is getting ready to join, Kathy Leitzke said. Godgluck was at the convention with the Pink Heals truck, which Anna Leitzke signed. Godgluck pulled Kathy Leitzke aside and explained what the organization does. When Kathy Leitzke mentioned Anna’s
last chemo treatment scheduled for April, “I said why don’t we pick her up at the hospital and bring her home from the hospital for a party?” Godgluck said. The Leitzkes got their EMT and firefighter friends to join them. “Everybody was on board and just jumped at the chance to be along with us,” Godgluck said. Three departments were lined up to escort Anna home, but the City of Elkhorn department was dispatched to a fire call on its way to the hospital, Kathy Leitzke said.
PROGNOSIS
Anna Leitzke’s April 23 treatment was the last of six out-patient chemotherapy sessions at the Vince Lombardi Cancer Clinic in Elkhorn since being diagnosed with ovarian cancer less than six months ago, Kathy Leitzke said. She said Anna began having symptoms when she went back to school last fall at the University of Wisconsin–Whitewater where she is in her second year of veterinary school. Doctors diagnosed Anna’s complaints as constipation and other gastrointestinal disturbances, Kathy Leitzke said. Then on Nov. 29, Anna Leitzke was on a rescue call for the Town of Delavan and • see PINK on page 8
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“We all were very nervous about it, including Anna,” Kathy Leitzke said. “We had the same questions. We never thought we’d hear those words for one thing, and didn’t know what this meant, where we were headed. “I locked up. I couldn’t move. I couldn’t talk.” Anna Leitzke saw a gynecological oncologist at St. Luke’s Medical Center in Milwaukee and underwent six rounds of chemotherapy – one full day every three weeks – at Lakeland. One of her ovaries was removed, and she will have one more surgery to remove her appendix, but she is expected to be able to have children, Kathy Leitzke said. “She should come out with a clean bill of health, and have a normal family life,” she said.
SUBMITTED PHOTO Think Pink
Anna Leitzke’s family of emergency medical technicians and firefighters is composed of (from left) her brother, Andrew Leitzke, 17, Anna Leitzke, her mom, Kathy Leitzke, and dad, Brian Leitzke.
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The Pink Heals organization with its motto “Cares Enough to Wear Pink” raises money for cancer programs and patients primarily through the sale of its merchandise.
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Godgluck drove a truck to North Carolina, South Carolina, Georgia and Florida for a past national tour and joined this year’s tour in August. “Our local chapters use pink fire trucks and police cars as a visual reminder to keep fund-raising monies local and will assist with delivering funds to local charities when requested,” according to the organization’s website. The Lake Country Pink Heals chapter hosted the Town of Delavan fire and rescue department’s pancake breakfast on May 24 with all proceeds going to help Anna Leitzke, a 2013 Delavan-Darien High School graduate, pay her hospital expenses, Godgluck said.
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Vicky Wedig • STAFF WRITER
ink Heals is a not-for-profit organization founded by retired firefighter and former professional athletic Dave Graybill, of Phoenix. The movement and the “Cares Enough to Wear Pink” motto are about raising money and awareness for all types of cancers that women face. The group raises money by selling Pink Heals merchandise, and the money stays in the community where it’s raised. The organization has no paid staff. It is operated solely by volunteers, so all of its proceeds go to people battling cancer, to maintain and buy gas for its 180 pink fire trucks and to bring its program to local elected leaders. Pink Heals has a national tour each year, which began June 14 this year in Jacksonville, S.C. For the tour, volunteer drivers sign up for 21 days at a time to drive pink fire trucks and police cars across America and deliver the Pink Heals program to local leaders. Retired Hartland firefighter Dave
Lake Lorraine
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Group raises money at pancake breakfast
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Pink Heals invites people to ‘care enough to wear pink’
Lafayette
had sudden, severe abdominal pain “like somebody punched her,” Kathy Leitzke said. Anna Leitzke was taken to Aurora Lakeland Medical Center where she underwent surgery to remove a 20-by-20 centimeter – football-sized – cyst from her abdomen. Kathy Leitzke said the cyst was beginning to rupture, which caused the pain. She said Anna had chalked her bulging abdomen up to gas and bloating. “She looked like she was in the early stages of pregnancy,” Kathy Leitzke said. Three days after the cyst was removed, Anna Leitzke had a pulmonary embolism – a blood clot in her lungs, and, at that point, the family received the pathology report that showed the cyst contained some cancer cells. The diagnosis was Stage 1 ovarian cancer – an illness most often found in women older than 63 years old, not a 20-year-old woman.
Williams Bay
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What is METASTATIC breast cancer? THINK PINK 2015
A cancer diagnosis is never welcome news. Once such a diagnosis has been made, doctors will work to determine the stage of the cancer, which helps them develop a treatment plan and prognosis. Cancer is most treatable when caught in its earliest stages, when tumors may be small and contained. When a person is diagnosed with metastatic cancer, commonly known as stage 4 cancer, treatments are typically much more intensive. Metastatic cancer refers to cancer that has spread elsewhere from the point of origin. In terms of metastatic breast cancer, cancer cells may be detected beyond the breasts, most notably in the bones, lymph nodes, brain, and/or liver. Although much more invasive, metastatic cancer is not a hopeless situation. It simply requires a different course of treatment to fight the disease.
How does cancer spread?
SUBMITTED PHOTO Think Pink
A metastatic cancer diagnosis is scary, but there’s reason to stay positive. The situation is far from hopeless; it just means a different course of treatment needs to be instituted.
Almost all cancers can form metastatic tumors, or tumors that form in an area other than where the cancer started. The National Cancer Institute says cancer cells may initially invade nearby healthy tissue, replicating more unhealthy, abnormal cells. Intravasation, or the moving of cancer cells into the walls of nearby lymph vessels or blood vessels, is also common. Once cancer cells are in this free-moving circulatory highway, they can reach other parts of the body. New cancer cells multiply and grow into small tumors in different locations. This proliferation of cancer tumors is called micrometastases. The ability for metastasis to occur depends on a variety of properties, including the body’s immune system defenses. Just because cancer cells reach
another area of the body that does not mean they will successfully grow and form a tumor. Metastatic cancer cells can lie dormant and not grow for years, if they grow at all.
What are the treatment options?
Metastatic cancer patients have many effective treatments at their disposal. According to BreastCancer. org, these treatments include systemic, or whole-body, treatment; localized treatment; and pain relief. Whole-body treatments are usually advised when a cancer has a few metastases. Surgery or a targeted therapy may not be able to attack all of the cancer cells, including those that are not visible. Additional medications and therapies may be recommended to address specific symptoms. Radiation can target cancer cells in one location, while steroids or surgeries to stabilize bones or other areas may be necessary. Pain-relief medications are often prescribed to keep patients comfortable until the other treatments begin to take effect. Sleeping pills or medications to treat nausea may be prescribed if symptoms are bothersome. Despite all the advancements in metastatic breast cancer treatments, it is still possible for the cancer to spread. Experimental trials and new drugs still being studied may be recommended in particularly stubborn cases. A metastatic cancer diagnosis can be troubling, but men and women should not be hopeless. Educating oneself about metastatic cancer and learning about the various treatments can help people on their roads to recovery. (METRO CREATIVE)
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PLUGS IN AT HOME and
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A smarter Home Phone. Whether you’re at home or away at college, a U.S. Cellular® Home Phone plugs in absolutely anywhere, and you don’t have to change your existing number. Enjoy all the benefits of a landline without the high price, for just $20 a month. Plus, your first month is free.
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Things we want you to know: IMPORTANT 911 EMERGENCY RESPONSE INFORMATION. The U.S. Cellular Home Phone Device (“Device”) in conjunction with Home Phone Service (“Service”) (together, the “U.S. Cellular Home Phone”) is a Commercial Mobile Radio Service and not a landline phone service. U.S. Cellular does not represent or warrant that the U.S. Cellular Home Phone is equivalent to landline phone service. 911 calls made using the U.S. Cellular Home Phone Service are routed using U.S. Cellular’ s automatic location technology and users should be prepared to provide their physical address to emergency responders. While the Device does contain a GPS chip, its connection may be limited due to the Device’s location within the home. The GPS chip will work best if the Device is located near a window or other opening. A corded or cordless landline phone must be connected to the Device in order for the U.S. Cellular Home Phone to operate. A corded or cordless landline phone is not included. While the Device does have a backup battery, if the landline phone to which the Device is connected requires external electric power to operate, Service (including the ability to make and receive 911 calls) will not be available during a power outage. Neither U.S. Cellular nor any of its affiliates shall be liable for any service outage and/or inability to access emergency service personnel, nor shall U.S. Cellular or any of its affiliates be responsible for the acts or omissions of emergency response center personnel. SERVICE USE AND LIMITATIONS: The U.S. Cellular Home Phone is solely a wireless voice service. Data services typically available on handheld wireless phones or other wireless devices are not available through U.S. Cellular Home Phone. U.S. Cellular Home Phone is not compatible with services requiring data including, but not limited to fax service, DVR services, credit card machines, medical alert services or some High-Speed or DSL Internet services. The U.S. Cellular Home Phone may not be compatible with certain home security systems. Please check with your home security system provider to confirm the compatibility requirements of your home security system. Service coverage may vary. See uscellular.com/maps for the latest coverage information. Service may be interrupted or limited due to weather, terrain, customer equipment or network limitations. Coverage indoors may also vary. U.S. Cellular does not guarantee coverage. A new 2-yr. agreement (subject to a pro-rated $150 Early Termination Fee) required. Agreement terms apply as long as you are a customer. A $35 Device Activation Fee and credit approval may apply. Regulatory Cost Recovery Fee applies (currently $1.57/line/month); this is not a tax or government required charge. Additional fees, taxes and terms apply and vary by service and equipment. See store or uscellular.com for details. Kansas Customers: In areas in which U.S. Cellular receives support from the Federal Universal Service Fund, all reasonable requests for service must be met. Unresolved questions concerning services availability can be directed to the Kansas Corporation Commission Office of Public Affairs and Consumer Protection at 1-800-662-0027. Limited-time offer. Trademarks and trade names are the property of their respective owners. ©2015 U.S. Cellular NonPromo_HomePhone_BetterHome_Print_DI_9_75x11
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BURLINGTON CROSSING SHOPPING CENTER 1709 Milwaukee Ave.(Next to Dollar Tree), 262-763-8255
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Bob and Linda Carey walk in pink tutus to help raise awareness of metastatic breast cancer.
FILE PHOTO Think Pink
Raising awareness
of metastatic breast cancer one tutu at a time
h
earing a doctor utter the words “breast cancer” often leaves women with dozens of initial questions: “How will I manage all of the demands of daily life while in treatment? How will it affect me physically? How do I tell my family?” But a diagnosis of metastatic breast cancer, the most advanced stage of the disease after it has spread to other parts of the body, can be particularly difficult. “There’s a real dark side to cancer. Like many women with this disease, I experience fear, sadness and physically feel the impact of my diagnosis,” said Linda Carey, who was first diagnosed with breast cancer in 2003 and metastatic breast cancer in 2006. Shortly before Carey’s first diagnosis with breast cancer, her husband Bob started a personal photography project – The Tutu Project – to express his feelings about some significant life changes, including the Careys’ move from Arizona to Brooklyn, New York. When Carey was diagnosed, the project evolved into a way to help make her laugh and allowed her to shift her focus away from her cancer
journey. Over the years, the project has further evolved into a way for the Careys to provide support to others. Through the Tutu Project, Bob photographs himself wearing only a pink tutu in a variety of poses and settings around the world – walking through fields, standing atop the Grand Canyon and even jumping across the Brooklyn Bridge – all in the hope of offering inspiration, laughter and perhaps a smile while in chemotherapy, while raising funds to cover incidental costs not covered by health insurance for those living with breast cancer. “This can be a very scary road to travel,” Bob Carey said. “But Linda’s cancer has taught us that life is good, dealing with it can be hard, and sometimes the very best thing-no, the only thing-we can do to face another day is to laugh at ourselves, and share a laugh with others.” Linda Carey says she relies on finding the humor in the little things and the support of friends and family to get her through the toughest times. The about 175,000 American women living with this advanced form of breast cancer often face
challenges distinct from those diagnosed with an earlier stage. For many like Carey and her husband Bob, the desire to share their stories and connect with other members of the metastatic breast cancer community is an essential part of the journey. “In those moments when I feel alone or afraid, I use journaling or drawing to help express my emotions, negative or positive. These are my forms of self-therapy and I can’t begin to describe the value that they have added to my life.” To help create awareness of metastatic breast cancer and find strength and solidarity in these experiences, Carey is encouraging women to participate in the nationwide #MBCStrength photo and story-sharing campaign. Women with metastatic breast cancer can share their own photos and stories that capture the essence of their journey living with MBC on Twitter using the hashtag #MBCStrength or on Facebook. Photos posted on the Facebook page will be considered for a display in Times Square on Oct. 13, Metastatic Breast Cancer Awareness Day. Carey’s personal account is also
featured at www.MyMBCStory.com, an educational website tailored for women with metastatic breast cancer developed by AstraZeneca with input from breast cancer advocacy organizations LBBC and Metastatic Breast Cancer Network. Those who share their stories on Facebook also have an opportunity to be featured on the site, which in addition to first-person stories also provides tools and information tailored to women with metastatic breast cancer and their loved ones. Educational resources are important for many women facing a metastatic breast cancer diagnosis, because despite the wealth of information available about breast cancer, there are very few resources specific to metastatic disease. “As the fight continues for more metastatic breast cancer resources, research and financial support, my hope is that we and the broader community do not lose sight of one key truth: our disease may not be curable but it’s up to us how we choose to live our lives.” To read stories from women living with metastatic breast cancer visit www. MyMBCStory.com.
(BPT)
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Breast reconstruction after mastectomy
Apart from certain skin cancers, breast cancer is the most common form of cancer among women, particularly American women. It does not segregate based on race and ethnicity or even gender, as men can be diagnosed with breast cancer as well. Depending on the location of the cancer, its pervasiveness and the patient’s family history, various breast cancer treatments are available. A combination of radiation and chemotherapy may be necessary, but surgery may ultimately be the best option. Cancer removal surgery involves the surgical removal of breast tissue. Sometimes the nipple and the skin can be spared, but other times the entire breast and even the lymph nodes under the arm must be removed. Many women who undergo mastectomy procedures choose to have some sort of post-surgery breast reconstruction. Breast reconstruction employs plastic surgery to restore a breast to near-normal shape and appearance following a mastectomy. A few different procedures may be needed to reconstruct the breast, and surgery on the other breast may be done to improve symmetry. According to Cancer Treatment Centers of America, many women are eligible to begin reconstruction at the time of mastectomy, which can reduce the number of surgical procedures women must endure and can eliminate time spent without a breast. Types of reconstructive surgery Reconstructive surgery generally falls into two different groups – implant-based and autologous flap reconstructions. With implant-based reconstruction, a
permanent implant is inserted to reform the breast. Some women may need to use a tissue expander for several weeks prior to the insertion of an implant. The tissue expander is gradually filled with fluid and helps stretch the skin to create a space for the implant. Others may not need the tissue expander and can have the implant inserted immediately. This is called a single-stage reconstruction. The majority of breast implants used today are filled with sterile saline, but silicone gel implants also are available. Autologous flap reconstructions use tissue from the stomach, back, thighs, or buttocks to rebuild the breast. Fat, muscle and skin may be taken from the donation area of the body and used to rebuild the breast. A combination of body tissue and implant is sometimes necessary to perform the reconstruction. Nipple and areola reconstruction After the breast has been reconstructed, patients may want to have a nipple and areola added for a more natural look, particularly if these parts of the breast were removed in the original mastectomy. Skin grafting, in which skin is taken from elsewhere on the body to best match the color and texture of the breast, is often used to reconstruct the nipple and areola. Sometimes a nipple sharing reconstructive technique is used if the healthy breast has a large nipple and areolar complex. Tattoos to create the appearance of an areola and nipple may be designed to forgo the need for skin grafting. What to expect
SUBMITTED PHOTO Think Pink
Breast cancer reconstruction after a mastectomy can be an important component of a woman’s recovery. Many women choose to have some sort of post-surgery breast reconstruction after cancer treatment.
In the early stages of treatment, patients will meet with plastic surgeons to develop the best plan of action. Together they will discuss goals for reconstruction and how many procedures may be necessary. The potential risks and a prognosis will be discussed. Women should realize that, while breast
reconstruction has advanced and can successfully rebuild the breast, there are some side effects. Visible incision lines will likely be present on the breast and any area of the body that provided donor tissue. More information, visit breastreconstruction.org and/or (METRO CREATIVE) www.cancer.org.
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