STANDING TOGETHER IN THE FIGHT AGAINST
SPECIAL SUPPLEMENT TO THE DAILY REPUBLIC • OCTOBER 2018
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What’s Inside Overcoming Cancer............. 2 Breast Cancer Q&A.............. 3 Hereditary Cancer Syndromes.............................. 4 Targeted Therapy................ 5 Breast Cancer Stages ......... 6 Self Exam Guidelines...........7 Understanding CLL............. 8 Risk Factors........................... 9 Cancer Costs Help............. 10
October 2018
Overcoming cancer one therapeutic laugh at a time Huron native keeps a positive attitude while battling breast cancer. By Abbie Lambert The Daily Republic HURON — Life isn’t always a bed of roses. As a former nurse, Lana Glanzer knows the symptoms and signs of breast cancer. So when she felt a large mass in her left breast along with several enlarged lymph nodes under her left arm in December of 2017 she knew something was wrong. “I knew what that meant, so off to the doctor I went,” said Glanzer, of Huron. Her local physician immediately sent her to the hospital for a mammogram and ultrasound. The diagnosis was not a surprise. She had stage two and three breast cancer. From there Glanzer started down the long road of tests and meetings with different speciality physicians, molding the best plan for attack. “When I went through my biopsy and all my
tests, (the doctors) met as a group at the Avera Prairie Cancer Center in Sioux Falls and talked about my case and decided what was the best route to go,” Glanzer said. Glanzer’s plan began with six rounds of chemotherapy consisting of four different types of drugs from February to May 2017 in an effort to shrink the tumors. On June 18, Glanzer had a bilateral mastectomy followed by 33 days of radiation which she successfully finished on September 20. The final step of her plan consists of one IV chemotherapy treatment every three weeks until January 2019. During her chemotherapy and radiation treatments, Glanzer travels the 52 miles from Huron to Mitchell, but she doesn’t always drive it alone. She has many people call and offer her a ride when she isn’t feeling well. Glanzer has
(Submitted photo)
Lana Glanzer stands with certified nurse practitioner Jody Miller in the Avera Cancer Institute in Mitchell. received so many offers, she has had to create a list. “I had a lot of people offer to drive,” Glanzer said. “If one couldn’t drive one day, another one on the list could.”
On the days when Glanzer doesn’t physically feel well, calls from her friends, family and church keeps her spirits up.
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“I’m very grateful to God, my family, my church and my friends, they’ve been very supportive through all of this,” Glanzer said. Along with her family and friends, Glanzer found a large support system in other cancer patients, hospital staff and local businesses that provided gifts of quilts, free meals and lots of laughs and prayers. While receiving cancer treatments, Glanzer has met many individuals of all walks of life fighting the same battle. “It is so interesting to visit with everyone who comes in (to the cancer center). Their stories are so different,” Glanzer said. “We really get to become friends, all of us.” Glanzer says now she knows and understands the struggles and obstacles that cancer patients and their families have to overcome. “It gave me a new perspective, I never knew
what it was like to go through it (cancer),” Glanzer said. She now understands how a call or text from a friend, a free wig provided by the American Cancer Society, or a smile from hospital staff can brighten the worst of days. Glanzer said her story isn’t all roses. Her journey took her through some hard days with tough rounds of chemotherapy, leaving her yearning to feel like herself again. She also found herself in the emergency room on two separate occasions, but Glanzer tries to keep a positive outlook on her situation. “Be your own advocate because everybody is busy and things do fall through the cracks,” Glanzer said. For those fighting the same battle, Glanzer gave this advice. “Keep a positive attitude and have a lot of therapeutic cries and laughs,” she said. “They’re good for the soul.”
A Breast Cancer Q&A The Pink Ribbon campaign has made breast cancer a somewhat familiar topic for most of us, and yet there are still many false beliefs about the disease that persist. In honor of National Breast Cancer Awareness Month, sponsored by the National Breast Cancer Foundation (NBCF), here are some answers to the most-asked questions. If my doctors detect breast cancer, will I have to get a mastectomy? These days, if the cancer was detected early on, there’s a very good chance you won’t need one. There’s evidence that lumpectomies with radiation are highly effective in treating early-stage breast cancer. If I find a lump in my breast, what are the chances it’s cancer? The NBCF says that only a small percentage of lumps turn out to be cancerous. How-
ever, it’s better to be safe family history of breast than sorry, so talk to your cancer. Nevertheless, doctor, and keep in mind if there has been breast that the survival rate for cancer in your immediate early-detected, localized family, or if an aunt or breast cancer is 100 per- grandmother was diagnosed, talk to your doctor cent over five years. If my mother had breast about diagnostic image cancer, will I get it? screening. According to the NBCF, Does using antiperspionly ten percent of women rant increase my chances who are diagnosed have a of getting breast cancer?
To date, researchers at the National Cancer Institute (NCI) have not found any conclusive links between aluminum-based antiperspirants and incidences of breast cancer. If you have further questions about breast cancer, talk to your family doctor or visit Nationalbreastcancer.org.
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WHAT ARE HEREDITARY CANCER SYNDROMES? mine if such factors, and not gene mutations, are responsible. In fact, the NCI notes that hereditary cancer syndromes play a role in just 5 to 10 percent of all cancers. Tobacco use is one lifestyle choice that can cause similar cancers to develop among family members. Smoking greatly increases a person’s risk of developing cancer, and even that person’s nonsmoking family members may have a higher risk for cancer due to exposure to secondhand smoke. Other factors, such as poor diet, also may increase the likelihood that people within a fam-
ily may get cancer. Neither instance, however, is the result of hereditary cancer syndrome. People who suspect they might be at risk for hereditary cancer syndromes should express their concerns to their physicians. Primary care physicians and other health professionals will
then work to determine if patients are at risk. If a person is identified as at risk for developing hereditary cancer syndromes, then he or she may be referred for genetic counseling and risk assessment, and certain tests also may be conducted as physicians work to develop a plan to
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► Two or more first-degree relatives with tumor types belonging to a known familial cancer syndrome. ► Two or more first-degree relatives with rare tumors. ► Three or more relatives in two generations with tumors of the same site or etiologically related sites. Hereditary cancer syndromes are relatively uncommon, but that does not discount the importance of determining one’s risk for such cancers. The NCI notes that finding out one is at risk of hereditary cancer can potentially have life-saving implications. More information on hereditary cancers is available at www.cancer.gov. — Source: Metro Creative
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manage risk. A patient’s family history helps physicians determine if there is a risk for hereditary cancer syndrome. The NCI notes that physicians may look for the following features of hereditary cancer in the patient’s family. ► One first-degree relative with the same or a related tumor and any of a number of features specific to the patient (a list of individual features of hereditary cancer is available at www.cancer. gov). ► Two or more first-degree relatives with tumors of the same site.
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Few families can say they have not been affected by cancer. But some people may feel as though a certain type of cancer runs in their families. In certain instances, such suspicions are warranted. According to the National Cancer Institute, hereditary cancer syndromes are disorders that may predispose individuals to developing certain cancers. The NCI notes that researchers have associated mutations in specific genes with more than 50 hereditary cancer syndromes. Before people, or even entire families, begin thinking that a certain type of cancer runs in their families, it’s important to first examine certain lifestyle choices to deter-
October 2018
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What is targeted therapy? Just like there are many types of cancer, there are many ways to treat cancer. The types of treatment cancer patients will receive depends on which type of cancer they have, and patients often receive a combination of treatments. Targeted therapy is one type of treatment that doctors may suggest when speaking with their patients. Understanding targeted therapy can help patients feel more in control as they begin treatment. What is targeted therapy? According to the National Cancer Institute, targeted therapy targets the changes in cancer cells that help them grow, divide and spread. Preventing can-
cer from metastasizing, or spreading to other parts of the body, is a goal of treatment, as doing so dramatically improves survival rates. Are there different types of targeted therapy? Targeted therapies often employ one of two types of drugs. Small-molecule drugs are so tiny that they can easily enter cells. These types of drugs are used to treat cancers in which the targets are located inside the cancer cells. Monoclonal antibodies are another type of drug used in targeted therapies. Unlike small-molecule drugs, monoclonal antibodies cannot easily enter cells but can attach to targets on the outer surface of cancer cells.
Am I a candidate for target therapy? The NCI notes that most of the time tumors will need be tested to see if they contain targets of drugs used during target therapies. Such testing may require a biopsy, which involves the removal of a piece of the tumor so it can be examined for targets. Risks associated with biopsies depend on the size and location of the tumor, and doctors will explain these risks prior to conducting a biopsy. How does targeted therapy work? The NCI says most targeted therapies aim to interfere with specific proteins that help tumors grow and spread to other areas of the body. The following are just some of the ways
that targeted therapies treat cancer. ► Assist the immune system in destroying cancer cells: Cancer cells are adept at hiding from the immune system, but some targeted therapies mark cancer cells, making it easier for the immune system to find and destroy them. Other targeted therapies may just bolster the immune system as it fights the cancer. ► Prevent cancer cell growth: Some targeted therapies interfere with the proteins that tell cancer cells to divide. This slows the uncontrolled growth of cancer that can increase the likelihood of the cancer metastasizing. ► Stop signals that help form blood vessels: In order to grow beyond a certain size,
tumors need to form new blood vessels. Targeted therapies known as angiogenesis inhibitors interfere with these signals, ultimately keeping tumors small by denying the blood supply necessary for them to grow. Angiogenesis inhibitors can even cause blood vessels to die in tumors that already have the blood supply necessary to grow. ► Deliver cell-killing substances to cancer cells: In certain instances, monoclonal antibodies might be combined with toxins, chemotherapy drugs and radiation. In these instances, the antibodies attach to the surface of the cancer cells, which then take up the cancer-killing substances, causing cell
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death. Are there drawbacks to targeted therapy? Cancer cells can become resistant to targeted therapies. In such instances, targeted therapies are most effective when combined with other targeted therapies or treatments such as chemotherapy and radiation. In addition, the structure and/or function of targets on cancer cells sometimes makes it difficult to design effective drugs necessary for targeted therapies to succeed. Targeted therapies are a potential treatment option for cancer patients. Learn more at www.cancer.gov. — Source: Metro Creative
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Determining breast cancer stage Metro Creative Services When receiving treatment for breast cancer, women will learn about cancer staging. According to the nonprofit organization Breastcancer.org, determining the stage of the cancer helps patients and their doctors figure out the prognosis, develop a treatment plan and even decide if clinical trials are a valid option. Typically expressed as a number on a scale of 0 through IV, breast cancer stage is determined after careful consideration of a host of factors. The staging system, sometimes referred to as the TNM system, is overseen by the American Joint Committee on Cancer and ensures that all instances of breast cancer are described in a uniform way. This helps to compare treatment results and gives doctors and patients a better understanding of breast cancer and the ways to treat it. Breastcancer.org notes that the TNM system was updated in 2018, but before then was based on three clinical characteristics: · T: the size of the tumor and whether or not it has grown into nearby tissue
· N: whether the cancer is present in the lymph nodes · M: whether the cancer has metastasized, or spread to others parts
which make staging more complex but also more accurate. · Tumor grade: This is a measurement of how much the cancer cells
they may receive signals from estrogen that promote their growth. Similarly, those deemed progesterone-receptor-positive may receive
other treatments. Hormone-receptor-positive cancers may be treatable with medications that reduce hormone production or block hor-
of the body beyond the breast While each of those factors is still considered when determining breast cancer stage, starting in 2018, the AJCC added additional characteristics to its staging guidelines,
look like normal cells. · Estrogen- and progesterone-receptor status: This indicates if the cancer cells have receptors for the hormones estrogen and progesterone. If cancer cells are deemed estrogen-receptor-positive, then
signals from progesterone that could promote their growth. Testing for hormone receptors, which roughly two out of three breast cancers are positive for, helps doctors determine if the cancer will respond to hormonal therapy or
mones from supporting the growth and function of cancer cells. · HER2 status: This helps doctors determine if the cancer cells are making too much of the HER2 protein. HER2 proteins are receptors on breast cells made by
the HER2 gene. In about 25 percent of breast cancers, the HER2 gene makes too many copies of itself, and these extra genes ultimately make breast cells grow and divide in ways that are uncontrollable. HER2-positive breast cancers are more likely to spread and return than those that are HER2-negative. · Oncotype DX score: The oncotype DX score helps doctors determine a woman’s risk of early-stage, estrogen-receptor positive breast cancer recurring and how likely she is to benefit from post-surgery chemotherapy. In addition, the score helps doctors figure out if a woman is at risk of ductal carcinoma in situ recurring and/or at risk for a new invasive cancer developing in the same breast. The score also helps doctors figure out if such women will benefit from radiation therapy or DCIS surgery. Determining breast cancer stage is a complex process, but one that can help doctors develop the most effective course of treatment. More information is available at www. breastcancer.org.
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October 2018
BREAST SELF-EXAM GUIDELINES Metro Creative Services In addition to scheduling clinical screenings and mammograms, women should routinely examine and massage their breasts to detect any abnormalities. These breast self-exams can be an important part of early breast cancer detection. Although many women are aware that they should become familiar with their bodies, many are unsure about just how frequently they should conduct breast examinations. Experts at Johns Hopkins Medical center advise adult
women of all ages to perform self-examinations at least once a month. That’s because 40 percent of diagnosed breast cancers are first detected by women who feel a lump. Establishing a regular breast self-exam schedule is very important. Begin by looking at the breasts in a mirror. Note the size and appearance of
the breasts, and pay attention to any changes that are normal parts of hormonal changes associated with menstruation. Breasts should be evenly shaped without distortion or swelling. Changes that should cause concern include dimpling, puckering or bulging of the skin. Inverted nipples or nipples that have changed position, as well as any
rash or redness, should be noted. In addition, the same examination should be done with arms raised over the head. The breasts should be felt while both lying down and standing up. Use the right hand to manipulate the left breast and vice versa. Use a firm touch with the first few fingers of the hand. Cover the entire breast in circular motions. The pattern taken
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doesn’t matter so long as it covers the entire breast. All tissue, from the front to the back of the breast, should be felt. The same pattern and procedure should be conducted while standing up. Many women find this easiest to do while in the shower. It is important not to panic if something is detected. Not every lump is breast cancer. And
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bumps may actually be normal parts of the breast, as certain areas can feel different than others. But bring any concerns to the attention of your doctor. Breast self-exams are a healthy habit to adopt. When used in conjunction with regular medical care and mammography, self-exams can be yet another tool in helping to detect breast abnormalities. Doctors and nurses will use similar breast examination techniques during routine examinations.
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UNDERSTANDING CLL — A COMMON, CHRONIC BLOOD CANCER Imagine you’ve just been given the news that you have blood cancer, but you are told, “not to worry, it’s the good kind.” A cancer diagnosis can be shocking, and you have just heard that you should be relieved — even grateful? In one survey, nearly half of people (48 percent) reported hearing this type of language from their healthcare provider when diagnosed with chronic lymphocytic leukemia, or CLL. CLL is the most common type of adult leukemia.[1] This year alone, nearly 21,000 adults in the U.S. will be diagnosed with this slow-growing, chronic blood cancer.[2] Most people with CLL do not show any initial symptoms, and doctors may delay treatment until the disease progresses — which is
known as “watch and wait”. However, some people with CLL may require treatment as soon as they are diagnosed. That’s why it’s so important for people diagnosed with CLL to be their own advocates, seek out second opinions and work closely with their healthcare team to discuss their specific needs and concerns. “Finding out you have a chronic blood cancer like CLL can feel isolating, and we’ve found that more than one-third of patients do not receive the education they need from their doctor at the time of diagnosis,” said Dr. Brian Koffman, founder and medical director, CLL Society. “It’s important for people to learn more about CLL through the many credible resources available, connect with others
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The risk factors for breast cancer Metro Creative Services Breast cancer affects hundreds of thousands of families each year. A potentially deadly disease, breast cancer is associated with several risk factors. Some of those risk factors, including gender and age, are beyond an individual’s control, while other risk factors are associated with certain lifestyle choices. But even if a woman has the risk factors for breast cancer, that does not mean she will get the disease. In fact, a woman can have several of the following risk factors and never get breast cancer, while other women can have just one of the risk factors and still get a breast cancer diagnosis.
produce far less estrogen and progesterone, female hormones that can promote the growth of breast cancer cells. • Age: An individual’s risk for breast cancer increases as he or she ages. Roughly two-thirds of all invasive breast cancer cases are found in women over the age of 55, while just 13 percent of such cases are found in women younger than 45. • Genetics: The ACS notes that roughly 5 to 10 percent of all breast cancer cases are believed to be hereditary. These cases result from mutations, or defects in a gene, inherited from a parent. In many cases a person will inherit a mutation in the BRCA1 RISK FACTORS BEYOND and BRCA2 genes, which YOUR CONTROL will normally prevent • Gender: Women are cancer by making profar more likely to develop teins that keep the cells breast cancer than men. from growing abnormalThe American Cancer says ly. However, when these breast cancer is roughly genes mutate, the risk for 100 times more common developing breast cancer among women than men. is significant, as high as That’s likely because men 80 percent for someone
who has inherited mutated BRCA genes. • Family history: Women with a blood relative who has had breast cancer are also at greater risk of developing the disease. If a first-degree relative, which includes a mother, sister or daughter, has had breast cancer, a woman’s risk roughly doubles. Having two such relatives who have had breast cancer triples a woman’s risk. • Race and ethnicity: White women are slightly more likely to develop breast cancer than African-American women. However, African-American women are more likely to die from the disease. Asian, Hispanic and Native American women have a lower risk of developing and dying from breast cancer. • Dense breast tissue: Women with dense breast tissue, which is noticeable on a mammogram, have a higher risk of breast cancer. But dense breast
tissue can make it harder for physicians to detect potential problems on a mammogram. • Menstrual cycles: Women who began menstruating prior to age 12 and/or went through menopause after age 55 have a slightly higher risk of breast cancer. Researchers believe this is because these women had a longer lifetime exposure to estrogen and progesterone.
RISK FACTORS YOU CAN CONTROL
• Having children: Women who have never given birth or who gave birth for the first time after the age of 30 have a higher risk of developing breast cancer. Pregnancy reduces the total number of menstrual cycles a woman will have over her lifetime, which some feel is the reason that becoming pregnant can reduce a woman’s risk. • Oral contraceptive use: Women who have used oral contraceptives, often
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115 W 12th, PO Box 296 • Mitchell, SD 57301 Phone: (605) 996-4444 • www.newyorklife.com djorgenson@ft.newyorklife.com • drew@ft.newyorklife.com
Stop in and see us at 117 N. Lawler St. Mitchell, SD
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1004 South Ben Street • PO Box 89 • Parkston, SD 57366 ALL DIESELS ALL DIAGNOSTICS
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106 W. 5th Ave, Mitchell, SD 57301 CraneRealty.net
Order online at
www.dominos.com 605.996.1010
Under new ownership!
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GOD BLESS ALL CANCER SURVIVORS OR THOSE THAT ARE DEALING WITH IT PRESENTLY. CONTINUED PRAYERS TO ALL!
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Einsteins
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FIND A CURE FIND A CURE
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referred to as birth control pills, have a higher risk of breast cancer than women who have never used them. But that risk returns to normal when a woman stops taking birth control. • Breastfeeding: Some research has linked breastfeeding with a slightly lower risk of developing breast cancer, especially among women who breastfeed for 11⁄2 to 2 years. However, breastfeeding for such a lengthy period is relatively uncommon, which has made the potential link between breastfeeding and a lower risk of breast cancer difficult to determine. • Alcohol consumption: The ACS notes there is a clear connection between alcohol consumption and breast cancer risk. The more alcohol a woman consumes, the greater her risk for developing breast cancer. Women who consume two to five alcoholic beverages daily have
roughly 11⁄2 times the risk of breast cancer as women who do not consume alcohol. • Overweight and obesity: Women, especially those who are post-menopausal, who are overweight or obese have a greater risk of developing breast cancer. After menopause, most of a woman’s estrogen comes from fat tissue, and a woman with more fat tissue will likely have higher estrogen levels, increasing her risk of breast cancer. Blood insulin levels also tend to be higher in overweight or obese individuals, and elevated blood insulin levels have been linked to some cancers, including breast cancer. • Physical activity: More and more evidence is piling up to suggest that exercise can reduce breast cancer risk. Studies vary as to how much exercise is necessary to reduce the risk, but the benefits of exercise are so numerous as to encourage women to be more physically active regardless of how much they may reduce their risk of developing breast cancer.
ASE Master certified / ASE Master Diesel certified, DOT Inspection certified, Air Conditioner certified.
10
Spread the HOPE, Find the CURE
October 2018
CANCER CARE COSTS ON THE RISE: HOW TO GET HELP Cancer patients face skyrocketing costs for their treatment, which adds to the stress of a cancer diagnosis and living with a disease. As an unapologetically patients-first organization, The Leukemia & Lymphoma Society (LLS) is finding ways to lessen the burden. “When cancer patients are fighting for their life, the last thing they need is financial distress,” says Gwen Nichols, M.D., LLS chief medical officer. “The Leukemia & Lymphoma Society puts patients at the forefront, advocating for financial relief and offering solutions.” Take advantage of available resources. Nichols suggests a number of resources to assist with expenses related to treatment, such as:
ance loans or accelerated benefits, which can provide cash payouts to seriously ill policyholders. As the cost of care rises, patients need up-to-date information and support to help navigate their complex financial challenges. The LLS Information Specialists are social workers and nurses who work one-on-one with blood cancer patients, connecting them to a variety of free services and resources, including: ► Financial support — Assistance with the cost of treatment, transportation and daily ► Negotiate with ► Apply for grants organizations such as ter collections or let- expenses. healthcare providers and financial aid LLS. ter-writing and public► Co-pay assistance to reduce medical fees from employers, labor ► Form a committee ity campaigns. — Help for eligible or adjust the payment unions, community ser- of volunteers to con► Cash in benefits patients to pay for preschedule in cases of vice agencies, religious duct fundraising events, from life insurance polfinancial hardship. and fraternal groups or sales, raffles, canis- icies through life insur- COSTS: Page 11 001779740r1
001631223r1
Parkston L umber C ompany LLC
Work Hard, Play Hard ... We Got Your Back!
108 South 2nd Street Parkston, SD Phone 605-928-3341 JOHN W. PRUNTY, D.C. 001775894r1
Fax 605-928-3881
708 East Kay Avenue Mitchell, South Dakota 57301 Phone 605-996-2186 www.DakotaFamilyChiro.com
LUMBER & MORE!
Parkston Chiropractic
Parkston Drug & Gifts
Clinic
112 West Main Parkston, SD Gifts for Everyone
Dr. Brett Farnham
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605-928-3125
As a Young Living Essential Oils educator I can show you the benefits of using these products which we now carry in our office.
Jessica A. Wolf, D.C. Chiropractor 103 W. Glynn Drive | Parkson, SD 57366 605-928-7777
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2110 N Minnesota St | Mitchell, SD 57301 • (605) 996-9944 001776371r1
At Your Service. At Your Side.
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(605) 996-4701 mitchelltrash.com
HOURS: Monday-Friday: 8AM - 5:30PM, Saturday: By Appt.
001632578r1
since 1972
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960 Commerce Street Mitchell, SD 605-996-1959
1130 S. Burr • Mitchell 996-7711 • www.fischerrounds.com
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Spread the HOPE, Find the CURE
October 2018
CLL
COSTS
From Page 8
From Page 10
credible resources available, connect with others in their patient community, and become active partners in their own care.” Key Questions to Ask a Doctor: Feeling empowered to advocate for one’s own care when navigating CLL involves asking the right questions. A few key questions to raise with a physician may be: Is there anything else I may need to know about my CLL? It’s important for people with CLL to feel confident about asking their doctor for more information and next steps for their diagnosis. Sometimes, doctors will conduct tests to determine the stage of the disease, or certain genetic factors that may inform the disease management plan. Will I need treatment and what are my options? Every person’s CLL may take a different course. People diagnosed with CLL should visit their doctor regularly to check for any health changes or potential disease progression. A doctor will monitor test results and their symptoms to decide when it may be time to begin treatment, and to
scription drug co-pays and health insurance premiums. ► Clinical trial navigation — LLS educates patients about the availability of appropriate clinical trials for patients. Be an advocate for change. Your voice is valuable. Advocating for yourself or a loved one with cancer can help shape discussions about the cost of care. The LLS Office of Public Policy is charged with pursuing LLS’ goal to find cures and ensure access to treatments for blood cancer patients through advocacy aimed at governmental decision makers. You might be interested in advocating for policies that can provide additional benefits and protections for people who have cancer, or you
discuss possible options. Should I seek out a second opinion? People who receive a diagnosis of CLL or any type of blood cancer should feel comfortable reaching out to receive a second opinion to make sure they understand and feel armed with full information about their specific disease. Staying Informed and Getting Connected: It’s important for people with CLL to know that they are not alone on this journey and that there are resources and a community of support within reach. Some ways for people with CLL to connect with others, create a strong support team and stay engaged include:
Developing strong relationships with medical teams. In addition to primary care physicians and medical oncologists, people with CLL can look for support from physician assistants, nurse practitioners and social workers. Asking about the latest information on clinical trials. Most people first learn about clinical trials from their doctors, but information on all ongoing clinical trials is available online at ClinicalTrials.gov. If interested, it is important to discuss potential options with a care team and review the potential risks or benefits in the process. Connecting with others living with blood cancer. Online and
in-person support groups and local patient and caregiver events are a great way for people with CLL to share advice, discuss concerns and find added support for managing life with blood cancer. Learn More More information about CLL and other common types of blood cancers can be found in this short educational video (www.gene.com/ stories/the-diversity-of-blood-cancers) from Genentech. People living with CLL or their caregivers can find additional resources for support at www.CLLSociety.org.
might want to support policies that promote faster progress toward cures. Cancer survivor and LLS advocate Paul O’Hara has been advocating on behalf of cancer patients since he was personally affected by the debilitating cost of care when he was diagnosed with chronic lymphocytic leukemia in 2009. “Legislators didn’t understand what it was like to make a decision between medicine you need to survive and your mortgage or electric bill,” says O’Hara. “Seeing lawmakers ‘get it’ when I shared my story with them made me realize I wasn’t just speaking for my family, but for all survivors.” To find out more about advocating for policy changes at the state and federal level, contact LLS Advocacy at advocacy@LLS.org or visit www.LLS.org/ advocacy. — Source: Brandpoint
— Source: Brandpoint
Serving Mitchell and the Surrounding Area for over 17 Years
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Spread the HOPE, Find the CURE
October 2018
EARLIEST DETECTION
OF BREAST CANCER WITH 3-D IMAGING. It’s happening now.
525 Foster St. Mitchell, SD 57301
Schedule a mammogram at Avera.org/breast or call 605-995-2473. 17-ACAI-8396