Hoosier Times Breast Cancer Awareness October 1, 2018

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F2 | MONDAY, OCTOBER 1, 2018 | HOOSIER TIMES | BREAST CANCER AWARENESS

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Martin’s breast cancer awareness mission carries on Walk she started in 1997 continues this year on Oct. 27

If you go WHAT: Bloomington Breast Cancer Awareness Walk. WHERE: Showers Plaza, by City Hall, 401 N. Morton St.

By Jonathan Streetman jstreetman@heraldt.com

Krystal Morgan carries balloons to lead the 2011 Breast Cancer Awareness Walk in downtown Bloomington. Also in front are Erica Smith, left, and Elyse Goad.

WHEN: Registration begins at 8:30 a.m. Saturday, Oct. 27. HOW MUCH: Free. MORE: siraonline.com/walk4. html or call 812-333-7764. JEREMY HOGAN | HERALD-TIMES

Melody Martin in 2005. their friend. They began awarding the Melody Martin “Awareness Saves Lives” Award, presented each year to a person or organization in Monroe or surrounding counties who promotes the mission of the walk. Before the mile-long stroll begins each year, there is a ceremony honoring survivors of breast cancer. Local businesses

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DAVID SNODGRESS | HERALD-TIMES

Melody Martin wanted to create a fun event for everyone, free of charge and with no competition. Twenty-one years later, the Bloomington Breast Cancer Awareness Walk remains free for all ages. And the first 1,000 walkers this year will get a free bright-pink T-shirt. Martin was diagnosed with breast cancer in 1993, and felt that she didn’t receive enough information to advocate for her treatment. As a result, treatment was delayed. Martin died in 2005. She and a group of friends dreamed up the walk to make sure everyone was aware of the importance of early detection and of treatment options. The first was held at Bill Armstrong Stadium in 1997. The event has since been moved downtown to Showers Plaza. “Melody’s mission was to focus on the importance of awareness and early detection. I like to think we’re hitting the nail on the head with what her wishes were. We haven’t strayed very far at all from the original concept,” said Barbara Joseph, a Bloomington Breast Cancer Awareness Walk committee member. After Martin died, the committee members wanted to honor

sponsor the event. “There is always such positive energy. We have so many people who come back year after year and really look forward to it. It’s a reunion of sorts,” Joseph said. “It’s very special to those of us who knew Melody. We always look up into the sky and say, ‘Hope you’re proud of us.’” Well-behaved pets are welcome to join the walk, just as Martin wanted.


F4 | MONDAY, OCTOBER 1, 2018 | HOOSIER TIMES | BREAST CANCER AWARENESS

Breast Cancer Awareness Walk draws a crowd Participants in the 2014 Breast Cancer Awareness Walk, at left and below, make their way through downtown Bloomington. This year’s walk is set for Oct. 27, starting at Showers Plaza, 401 N. Morton St. Registration begins at 8:30 a.m., with the walk to follow. MATTHEW HATCHER | HERALD-TIMES

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How to juggle work and breast cancer treatment Tips can help patients overcome cognitive side effects treatments can produce

and keep their jobs while taking up to 12 weeks of unpaid leave to heal from serious health conditions. Despite those options, many women may want to continue Metro working while receiving treatment for breast Age is a risk factor for breast cancer, as the cancer. Such women can heed the following organization Susan G. tips, courtesy of BreastKomen notes that the cancer.org, to overcome older a woman is, the more likely she is to get any cognitive effects of breast cancer. However, treatment so they can continue to perform data from the National their jobs capably. Cancer Institute indi• Start taking notes. cates that breast cancer Start taking notes durrates in women begin to increase after age 40, ing meetings, important work-related conversameaning many women tions and even doctor’s diagnosed with breast appointments to counter cancer have to juggle any issues with memory. both their disease and Keep such notes on a their careers. tablet or smartphone so The nonprofit orgathey can be quickly and nization Breastcancer. easily accessed throughorg says that breast out the day. cancer treatments can • Write down deadproduce some cognitive lines and work schedside effects that affect ules. Accomplished thinking and memory. professionals may keep Memory loss and diflists of deadlines and ficulty concentrating are two such side effects work schedules in their heads, but that interthat can make it difficult for working women nal list might not be so reliable while women to do their jobs while being treated for breast are being treated for breast cancer. Make use cancer. of the calendar function Professional women on your smartphone or diagnosed with breast tablet to note deadlines, cancer may be able to take advantage of short- even setting alerts so and long-term disability you receive routine reminders when important programs that provide dates are coming up. a percentage of their • Make and rouincomes if they are tinely update a to-do diagnosed with an illness that prevents them list. Some professional from doing their jobs. In women diagnosed with breast cancer may be addition, Breastcancer. juggling work, treatorg notes that, in the United States, the Fam- ment and their families. Keeping a to-do list and ily and Medical Leave Act allows employees to checking items off as maintain their benefits they’re completed can

METRO

Data from the National Cancer Institute indicates that breast cancer rates in women begin to increase after age 40, meaning many women diagnosed with breast cancer have to juggle both their disease and their careers.

Memory loss and difficulty concentrating are two such side effects that can make it difficult for working women to do their jobs while being treated for breast cancer. help women effectively manage such juggling acts and save time. • Set realistic goals. Breast cancer treatment can produce a host of side effects, including fatigue. So women who plan to continue working during treatment should be sure to set realistic goals that take into account the effects

that treatment may have on their energy levels. If need be, delegate more tasks and ask for more help. Many women continue working while being treated for breast cancer. A few simple adjustments can help such women overcome many treatment-related obstacles.

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F6 | MONDAY, OCTOBER 1, 2018 | HOOSIER TIMES | BREAST CANCER AWARENESS

Learning breast anatomy is important for health educating themselves on the anatomy of the The well-known breast so they can better breast cancer advocacy understand their disease and research group Suand how it develops. san G. Komen indicates The structure of the that, according to the breast is complex and most recent data availcomprised of fat, glanduable, 1.7 million new lar tissue, connective tiscases of breast cancer sue, lobes, lobules, ducts, occurred among women lymph nodes, blood vesworldwide in 2012. sels and ligaments. The Western Europe, North following is a breakdown America and northern of the common compoEurope have the highest nents of the breast. breast cancer incidences • Fat cells: The fein the world, accordmale breast is largely fat ing to the International cells called adipose tisAgency for Research on sue. This tissue extends Cancer and the World from the collarbone Health Organization. down to the underarm Women diagnosed and across to the middle with breast cancer may of the rib cage. The want to begin their main purpose of adipose treatment journeys by tissue is to store energy Metro

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protrude outward, but according to Health magazine’s medical editor Roshini Rajapaksa, MD, some women have flat or inverted nipples. The nipples do not have a singular hole for the milk to come out like an tubes called ducts. The artificial bottle nipple. ducts carry milk to the Rather, there are many nipples of the breasts. lactiferous duct outlets There are around 10 in each nipple that corduct systems in each respond to the ducts in breast, each with its own each breast. opening at the nipple. • Lymph system: • Nipple: The nipple Snaking through the may be the most recogadipose tissue are lymph nizeable part of the vessels and nodes. The breast. It is in the center lymph system distribof the breast. The lobutes disease-fighting ules will squeeze milk cells and fluids as part into the ducts, which of the immune system, then transfer it to the states the National Breast Cancer Foundanipples. Most nipples

The structure of the breast is complex and comprised of fat, glandular tissue, connective tissue, lobes, lobules, ducts, lymph nodes, blood vessels and ligaments. in the form of fat and insulate the body. • Lobules: Each breast contains several sections that branch out from the nipple. Lobule glands make milk and are often grouped together to form lobes. There may be between 15 and 20 lobes in each breast, says the Cleveland Clinic. Each lobe has roughly 20 to 40 lobules. • Ducts: Connecting the lobules are small

tion, Inc. Bean-shaped lymph nodes in fixed areas through the system filter abnormal cells away from healthy tissue. • Areola: The areola is pigmented skin surrounding a nipple. The areola contains tubercles called Montgomery’s glands, which secrete lubricating materials to make breastfeeding more comfortable. Changes in any areas of the breast may be indicative of cancer. That is why women are urged to understand their breasts’ “normal” appearance and feel so they can recognize any changes and address them with a doctor right away.

Alcohol use may raise breast cancer risk organization Breastcancer.org states that, Many people unwind compared to women with a glass of wine or a cocktail after a stressful who don’t drink at all, day, and some research women who have three suggests that mild to alcoholic drinks per moderate consumption week have a 15 percent of alcoholic beverages higher risk of breast can have various health the risk of breast cancer, some theories. Some cancer. Experts also advises the research and theorize that alcohol can advantages. estimate that the risk of increase levels of estroinformation organizaAccording to the breast cancer goes up gen and other hormones tion Susan J. Komen. Mayo Clinic, moderate another 10 percent for that affect breast cancer consumption of alcohol The group says pooled formation and growth. analysis of data from 53 each additional drink has been linked to a Excess fat can lead to an women regularly conlower risk of developing studies found that, for increased cancer risk, each alcoholic drink and dying from heart sume each day. and the consumption of disease, possibly reduc- consumed per day, the Keep in mind that empty calories through ing the risk of ischemic relative risk for breast a drink is defined as drinking alcohol can lead cancer increases by stroke and potentially 12 ounces of beer, five to unwanted weight gain. about 7 percent. reducing the risk of ounces of wine or 1.5 Furthermore, those Researchers aren’t diabetes. However, for ounces of liquor. Womwho consume alcohol quite sure why there some people, the risks en who want to do all have increased amounts is an increased risk of of consuming alcothey can to reduce their breast cancer associated of folic acid in their hol may outweigh the risk of developing breast systems, which can inwith alcohol intake, but benefits. Many studcancer may want to crease cancer risk. The experts at MD Anderies show that drinking son Cancer Center have nonprofit breast cancer avoid alcohol. alcohol may increase

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Many studies show that drinking alcohol may increase the risk of breast cancer, advises the research and information organization Susan J. Komen.


BREAST CANCER AWARENESS | HOOSIER TIMES | MONDAY, OCTOBER 1, 2018 | F7

Menopause and breast cancer risk Metro

Menopause occurs when a woman’s reproductive cycle is over and she can no longer produce offspring. For many women, menopause occurs around age 50. While menopause itself is not a risk for breast or other cancers, it’s important to know that some symptom treatments and other factors can increase the risk for cancer among menopausal women. The North American Menopause Society says that a woman going through perimenopause and menopause may experience various symptoms, which can range from hair loss to food cravings to hot flashes to vaginal dryness. The National Institutes of Health indicates some women undergo combined hormone therapy, also called hormone replacement therapy, or HRT, to help relieve menopausal symptoms such as hot flashes and osteoporosis. This therapy replaces estrogen and progestin, which diminish in a woman’s body after menopause sets in. However, NIH’s Women’s Health Initiative Study has found that women undergoing HRT have a higher risk of breast cancer, among other conditions. WebMD says

evidence suggests that the longer a woman is exposed to female hormones, whether it’s those made by the body, taken as a drug or delivered by a patch, the more likely she is to develop breast cancer. That means that HRT can increase breast cancer risk and also indicates that the longer a woman remains fertile the greater her risk for certain cancers. Females who began menstruating before age 12 or entered menopause after age 55 will have had many ovulations. This increases the risk of uterine, breast and ovarian cancers, states the American Society of Clinical Oncology. It also may impact a woman’s chances of developing endometrial cancer. Gaining weight after menopause can also increase a woman’s risk of breast cancer, states the MD Anderson Cancer Center. Therefore, maintaining a healthy weight or even losing a little weight can be beneficial. Women who enter menopause are not necessarily at a higher risk for breast cancer, but some factors tied to menopause can play a role. Females who want to lower their risk for various cancers are urged to eat healthy diets, quit smoking and maintain healthy body weights.

Did you know Metro

While the vast majority of breast cancer diagnoses involve women, men are not immune to the disease. According to the American Cancer Society, the lifetime risk of getting breast cancer is about one in 1,000 among men in the United States. By comparison, the risk for women in the United States is one in eight. While a man’s risk for breast cancer is considerably lower than a woman’s, the ACS still estimates that roughly 480 men will die from breast cancer in 2018, when more than 2,500 new cases of invasive breast cancer will be diagnosed in men. In addition, the ACS notes that black men diagnosed with breast cancer tend

to have a worse prognosis than white men. Though breast cancer may be a disease widely associated with women, men should not hesitate to report any discomfort to their physicians, as the National Cancer Institute notes that men are often diagnosed with breast cancer at a later stage than women. The ACS suggests that men may be less likely to report symptoms, thereby leading to delays in diagnosis. The more advanced the cancer is at the time of diagnosis, the lower the patient’s survival rate. Men are urged to report any discomfort or abnormalities in their chests to their physicians immediately.

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While menopause itself is not a risk for breast or other cancers, it’s important to know that some symptom treatments and other factors can increase the risk for cancer among menopausal women.

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F8 | MONDAY, OCTOBER 1, 2018 | HOOSIER TIMES | BREAST CANCER AWARENESS

What to expect before and after mastectomy surgery for everyone, and not all mastectomies are the same. The following is a general idea of what patients can expect before and after mastectomy surgery.

surgery. Having various plans in play well before Mastectomy is a the surgery date can treatment for women relieve some stress and diagnosed with breast help patients focus on cancer or those who are their recoveries. genetically predisposed Purchase comfortable to cancer. The removal clothing that will be of one or both breasts, loose around the arms Before surgery mastectomy surgery A mastectomy is per- and chest. Zip-up tops may involve removing or those with front butformed under general just the breast tissue tons afford easy access. anesthesia, advises the or, in some cases, the Some women also opt nonprofit group Susan lymph nodes as well. to get fitted for post-op G. Komen. Therefore, Data from the Agency patients should expect garments, including a for Healthcare Research to undergo routine lymphedema sleeve. and Quality says their physical exams and may Lymphedema is a swellanalysis points to a 36 ing of the area, and it is require a surgical prepercent increase of both clearance from a doctor a common side effect. It single and double masand the surgical hospital is helpful to be prepared before such items are tectomies between the or center. Blood tests needed. period of 2005 and 2013, and an EKG may be the most recent year for ordered as well. After surgery data. Prior to surgery, paMastectomy surgeries Women on the tients can begin making precipice of mastectomy plans for childcare, meal typically last between two and three hours. surgery will naturally preparation, shopping, have many questions work requirements, and Some may last longer concerning the promore. As mastectomy is if reconstruction is performed at the same cedure and projected an invasive procedure, recovery. The process of patients may experience time. Patients will be admitted to a hospital recovering is different pain and fatigue after stay for a day or two and moved to a recovery room, and will need to be driven home upon discharge. Expect to be bandaged and possibly have a surgical drain at the wound site. The nonprofit resource Breastcancer.org says the drain usually remains in place one to two weeks after surgery. Fluid will have to be emptied from the detachable drain bulb a few times per day. Sutures that are dissolvable will not require removal. Patients should follow the recovery plans outlined by their doctors. Rest is most 812.876.2158 important during this time, so do not overdo bloomingtonjazzercise@yahoo.com exercise or other acMetro

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Learn about what is involved after a mastectomy surgery and how to prepare beforehand. tivities, although some movements to relieve shoulder stiffness may be advised. Pain, numbness, itching, and myriad other symptoms may occur. Take pain medications only as needed and directed. Weakness is expected in the arms and shoulders. Ask for

help lifting, moving or picking up items. Emotional side effects can be just as profound as physical ones. Fear of the cancer, body image issues and a sense of loss can occur. Having a strong support team can help, as can speaking with a professional counselor.

It can take several weeks to start feeling like oneself again after mastectomy surgery. Women should not hold themselves up to anyone else’s standards and be patient and hopeful because this challenging time is temporary. Learn more at Breastcancer. org.


BREAST CANCER AWARENESS | HOOSIER TIMES | MONDAY, OCTOBER 1, 2018 | F9

Breast cancer survival rates soar the Canadian Breast Cancer foundation, A breast cancer diag- 26,300 women and 230 nosis can be a devastat- men had been diagnosed ing blow. Upon receiving with breast cancer in such a diagnosis, people Canada in 2017. may begin to ask quesThe good news is that tions about treatment breast cancer incidence and the impact cancer rates began decreasing may have on their perin 2000 after increasing sonal lives. Many people for the previous two dewho are diagnosed cades. In addition, death with cancer also begin rates from breast cancer to wonder about their have been decreasingly mortality. steadily since 1989. An estimated 266,120 The National Cancer new cases of invasive Institute says that the breast cancer and 63,960 change in age-adjusted new cases of non-invamortality rates are an sive, or in situ, breast indicator of the progress cancer are expected to being made in the fight be diagnosed among against breast cancer. women in the United The most recent SEER States this year, accord- Cancer Statistics Review ing to Breastcancer.org. released in April 2018 According to the latest indicates cancer death statistics presented by rates among women

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decreased by 1.4 percent per year between the years of 2006 and 2015. The American Cancer Society says that decreasing death rates among major cancer types, including prostate, colorectal, lung, and breast cancers, are driving the overall shift in survival. The ACS says breast cancer death rates among women declined by 39 percent from 1989 to 2015. That progress is attributed to improvements in early detection and treatment protocols. For anyone doing the math, over the last 25 years or so, 322,000 lives have been saved from breast cancer. A similar scenario has unfolded in Canada. Breast cancer mortality

rates in Canada recently decreased to 21.4 percent, down from 21.8 percent in 2011, states data from the Canadian Cancer Society. Currently, the five-year survival rate for breast cancer among Canadians is 87 percent, and the five-year net survival in the United States is 85 percent. Increased knowledge about breast cancer, early detection through examinations and mammography and improved treatments are helping to drive up the survival rates of breast cancer. Although this does not make diagnosis any less scary, it does offer hope to those recently diagnosed.

Did you know Metro

Pathology reports are documents that contain diagnoses after doctors have examined cells and tissues under a microscope. According to the National Cancer Institute, pathology reports, which play an important role in diagnosing and treating cancer, also may contain information regarding the size, shape and appearance of a specimen as it looks to the naked eye. People who are diagnosed with breast

cancer may receive pathology reports that indicate the presence of tumor necrosis. According to the nonprofit organization Breastcancer.org, the presence of tumor necrosis means that dead breast cancer cells were found within the tissue sample. Tumor necrosis, though it is often limited to a small area within the tissue sample, suggests a patient is battling an aggressive form of breast cancer.

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F10 | MONDAY, OCTOBER 1, 2018 | HOOSIER TIMES | BREAST CANCER AWARENESS

Determining the stage of breast cancer system, sometimes referred to as the TNM When receiving system, is overseen treatment for breast by the American Joint cancer, women will Committee on Canlearn about cancer cer and ensures that staging. According to the nonprofit organiza- all instances of breast cancer are described tion Breastcancer.org, in a uniform way. This determining the stage of the cancer helps pa- helps to compare treattients and their doctors ment results and gives doctors and patients a figure out the prognosis, develop a treat- better understanding of breast cancer and ment plan and even decide if clinical trials the ways to treat it. Breastcancer.org are a valid option. Typically expressed notes that the TNM as a number on a scale system was updated in of 0 through IV, breast 2018, but before then was based on three cancer stage is deterclinical characteristics: mined after careful • T: The size of the consideration of a host of factors. The staging tumor and whether or Metro

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 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, which make staging more complex but also METRO more accurate. • Tumor grade: This 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. is a measurement of

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how much the cancer cells 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 they may receive signals from estrogen that promote their growth. Similarly, those deemed progesteronereceptor-positive may receive 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 other treatments. Hormone-receptor-positive cancers

may be treatable with medications that reduce hormone production or block hormones 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. HER2positive breast cancers are more likely to spread and return than those that are HER2negative. • 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.


BREAST CANCER AWARENESS | HOOSIER TIMES | MONDAY, OCTOBER 1, 2018 | F11

Regrowing and caring for hair after chemotherapy Metro

one to two months of the last chemo treatment. Breastcancer.org says people who have undergone chemotherapy may notice soft fuzz forming on their head roughly two to three weeks after the end of chemo. This will be fol-

lowed by real hair growing at its normal rate one month afterward. Two months after the last treatment, an inch of hair can be expected. How hair grows back elsewhere on the body, such as the eyelashes, eyebrows and pubic

Chemotherapy and radiation are common treatment options for people who have been diagnosed with cancer. While radiation may be targeted at specific areas, chemotherapy is systemic. This means it affects the entire body. As a result, as chemotherapy kills fastgrowing cancer cells, it also kills or slows the growth of healthy cells, including hair cells, that divide and grow quickly, explains the National Cancer Institute. When chemotherapy treatment is completed, the body is typically capable of regenerating new hair, but that can take some time. Women who consider their hair a large part of their identity may have strong concerns and fears regarding hair loss and what their hair may look like when it begins to regrow. Understanding what to expect and what they can do to facilitate the regrowth of hair can help women METRO better handle what lies Chemotherapy kills fast-growing cancer cells, it also kills or ahead. slows the growth of healthy cells, including hair cells, that New hair typically divide and grow quickly, explains the National Cancer Institute. begins to grow within

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area, varies from person to person. Experts at the Robert H. Lurie Comprehensive Cancer Center’s Dermatologic Care Center at Northwestern University in Chicago recommend speaking with a doctor if hair is not regrowing quickly, which can be the result of low levels of iron or zinc or even thyroid problems. To help the process along, some doctors suggest the use of supplements like biotin. The National Institutes of Health says biotin is a B vitamin found in many foods that helps turn carbohydrates, fats and proteins into energy. There is some evidence that tak-

ing biotin can help thicken and speed up the growth of hair and nails, but more research is needed. Rogaine, the baldness treatment, also may be advised, as it’s been shown to speed hair regrowth in breast cancer patients who have lost their hair, advises Health magazine. It is not uncommon for hair grown after chemotherapy to look and feel different from hair prior to treatment. Someone who once had straight hair may develop a wavy mane afterwards. While drastic changes are not common, blonde hair may darken. As hair grows in, certain areas on the head

may grow faster than others. Working with an experienced stylist can help a person achieve a look that is evened out and stylish at any length. Rosette la Vedette, a headwear retailer and cancer resource, suggests making a first trip back to the salon a special experience with a glass of champagne. Cutting hair won’t make it grow faster, but it can help a woman return to a sense of normalcy. It can be nervewracking to wait for hair to regrow after chemotherapy. But patience and understanding the road ahead can assuage any fears breast cancer patients may have about regrowing their hair.

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F12 | MONDAY, OCTOBER 1, 2018 | HOOSIER TIMES | BREAST CANCER AWARENESS

Cancer survivor, 86, leads breast-knitting campaign By Pam Kragen

and mails them to women like herself who have undergone mastecPat Anderson admits tomies as the result of to spending nearly half breast cancer. of every day knitting in Since January 2017, her living room rocking she has shipped 187 chair. But don’t underpairs of Busters to grateestimate this hard-workful women around the ing philanthropist. country, and the prolific Anderson, 86, is the artisan has another 100 founder of the Sisterpairs in reserve for anyhood of the Boobless one else in need. Wonders, and the Anderson’s Busters fashion accessories she come in all major bra turns out in her “knockcup sizes and a rainbow er rocker” each day are of delicate pastel colors. knitted pairs of breastThe one yarn shade she shaped bra inserts that avoids is beige because she calls “Busters.” she said it looks too At her own expense, much like skin. the veteran textile de“I don’t call my Bustsigner makes the lighters prosthetics, because weight synthetic yarnand-microfiber cushions they’re not replacement

The San Diego Union-Tribune

parts,” she said. “These are nice little accessory products to give you some comfort and dignity and they help make your clothes fit right.” Anderson lost her breasts to cancer at the age of 74. During her recovery she received a pair of silicone prosthetic forms to wear inside her bra. “They were terrible,” she said. “I think every breast cancer survivor has a pair of those in a box hidden in their closet. They’re heavy, they hurt your back and they don’t fit properly.” She experimented with rolled-up socks and bath scrubbers but noth-

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Pat Anderson, 86, of Escondido, Calif., holds two of her hand-knitted “Busters” wardrobe accessories that she knits for women who have undergone mastectomies as the result of breast cancer. ing worked. Eventually she gave up and wore nothing, but her clothes never fit properly and she could no longer use her own body as a model for her handmade jackets. Then three years ago, her daughter and fellow fiber artist, Kristin Osborn of Ramona, Calif., emailed her a link to the website for Knitted Knockers, an organization that works with knitters nationwide who make breast-shaped bra

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inserts for people like herself. Anderson joined the group and produced a couple hundred pairs of Knitted Knockers. But she didn’t like the knitting pattern they use because the cushion it creates is unnaturally ball-like. While the patterns are available to download for free at the website, https://www. knittedknockers.org/ downloads/, she didn’t like that volunteers were encouraged to buy

the yarn and kits from the yarn stores that run the organization. Instead, she decided to start her own organization, the Sisterhood of the Boobless Wonders (SBW for short) and has made it the final capstone project of her 50-year career as a fiber designer and craftswoman. Anderson was raised in Minnesota, the descendent of a long SEE KNITTING | PAGE 13

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KNITTING

entire energy is focused on it and that comes CONTINUED FROM PAGE 12 through your hands into the piece,” she said. Her late husband line of Scotch-Canadian Duane Anderson was an weavers, spinners and early computer design tailors. She learned to engineer whose comknit as a girl from her pany was purchased mother and grandin 1982 by NCR Corp. mother, making socks As part of the sale, the for injured soldiers in couple relocated to EsWorld War II. condido, Calif., that year As an adult, she for what was supposed taught college-level texto be a two-year stay tile design at a private while he did transitional studio where she made work at the NCR plant and sold her weavings, in Rancho Bernardo, pillows, jackets, table Calif. linens and yardage for But Duane fell in sewing. She said she love with California and prefers functional dedecided to retire here sign over visual fiber art two years later. They because it’s designed to bought a 20-acre ranch be touched. in Escondido. He built a “It’s a form of comwoodworking shop and munication when you became known for his work on a handcrafted handcrafted spinning wheels built from his item because your

wife’s design. She relaunched her fiber business with her daughter. In 2006, she fought and beat breast cancer. Four years later, her husband passed away. When her eldest son and caretaker, Erik, died earlier this year, she moved into Escondido’s Redwood Terrace retirement community with her dog Charlotte, a Rhodesian ridgeback. Anderson works with Sharp Memorial Hospital’s oncology patient navigators to get referrals for women who’d like a pair of her Busters. She also takes requests via email at spinshuttlestudio@ gmail.com. Among her satisfied recipients is Cindee Collins of Murrieta, Calif., who lost both

her mother and grandmother to breast cancer. After her double-mastectomy a few years ago, she found Anderson’s Busters during an online search for prosthetics. Collins said she loves how she can fit the soft, adjustable, lightweight and fully washable Busters in the pockets of her sports bra, and she especially loves how they were designed by a breast cancer survivor who understands the challenge mastectomy patients face. “She’s just a lovely, lovely lady and she does this for the love of it,” Collins said. “I think these are the greatest thing since sliced bread.” Another recipient from San Diego, who asked that her name not

be used, said she was so unhappy with the prosthetics on the market that she went lopsided for four years after a single mastectomy. Then she heard about Busters. “I thought I was doing OK without it until I got these and it really changed my perspective,” the woman said. Anderson underwrites the cost of her materials, including the cellophane gift bags she packages the Busters in and the butterflydecorated shipping bags she mails them in. Inside each package is a letter bestowing upon the recipient honorary membership in the Sisterhood. Recipients can make an optional donation for postage, and many

checks have come in tucked into hand-written thank-you cards. What Anderson doesn’t use for postage, she saves and donates to Sharp’s breast cancer program. Anderson said she plans to use the rest of her retirement years making Busters and hopes on day to pass along the project to other master knitters or members of the Sisterhood. “This whole experience has been the most fun I’ve had yet,” she said. “It’s so fulfilling talking to these women who all appreciate that I’m a survivor. I know what they’re going through because I’ve been where they’re been.”

Celebrating our 21st Anniversary!

Celebrating Over 25 Years Of Real Estate Service

B Bloomington’s Breast Canncer Awareness Walk October 27, 2018

8:30 Registration • 9:00 Program City Hall - Morton Street About the Walk www.siraonline.com/walk.htm Bloomington’s Breast Cancer • The walk is a bit over a mile

• The walk is FREE, but we gladly accept donations

Visit our website TuckerBloomington.com

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Awareness Walk 21st Annual

• There will be free T-shirts for first 1,000 walkers

Bloomington’s

• Bring friends, family and well-behaved pets

Breast Cancer Awareness Walk

• Local organizations will display awareness & prevention materials and breast cancer related items

SIRA is proud to be a sponsor of the walk

2018 Pam Thrash

2018 Honorary Chair

Please download the registration form at www. siraonline.com/walk.htm or simply sign up at the walk!

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Can diet prevent breast cancer from spreading? Metro

Healthy diets that include plenty of antioxidant-rich fruits and vegetables that can boost the body’s natural immune system can help people in their fight against cancer. While some foods, namely unhealthy, high-fat/high-caloric foods, are best avoided, women who have been diagnosed with breast cancer who want to prevent the spread of cancer to other areas of their bodies may want to cut some surprising foods from their diets. Preliminary research now suggests limiting

the consumption of asparagine, an amino acid, to dramatically reduce the ability of cancer to spread to other parts of the body. A study published in the journal Nature found that reducing asparagine consumption in laboratory mice with triple-negative breast cancer could dramatically reduce the ability of the cancer to travel to distant sites in the body. Asparagine is found in foods like asparagus, whole grains, soy, seafood, eggs, poultry, beef, legumes, and more. While reducing asparagine will not af-

fect the original breast cancer tumor, it could stop cancer from showing up elsewhere in the body. Researchers suspect that many women with breast cancer do not lose their lives to the original breast cancer tumor, but instead they succumb to metastases or subsequent growths away from the primary site. “Our study adds to a growing body of evidence that suggests diet can influence the course of the disease,” said Simon Knott, Ph.D., associate director of the Center for Bioinformatics and Functional Genomics

at Cedars-Sinai and one of two first authors of the study. The research from this study was conducted at more than a dozen institutions. Apart from dietary restrictions, metastasis also could be greatly limited by reducing asparagine synthetase using chemotherapy drug L-asparaginase. More research is needed as to whether similar results can be produced in human trials, making avoiding asparagine currently a helpful but not entirely METRO foolproof method for preventing the spread Preliminary research now suggests limiting the consumption of of breast cancer to asparagine, an amino acid, to dramatically reduce the ability of other areas of the body. cancer to spread to other parts of the body.

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3 potential side effects of Hoosiers Outrun Cancer breast cancer treatments Metro

Cancer is a painful, potentially life-threatening disease. Though discomfort might be the first warning sign that compels people to visit their physicians on the road to receiving a cancer diagnosis, cancer treatments can produce a host of side effects, including pain, as well. According to the Sidney Kimmel Cancer Center, breast cancer treatments can create both long-term side effects and late side effects. Long-term side effects are those that begin during treatment and continue after all treatments have stopped, while late side effects refers to symptoms that can appear weeks, months or even years after treatments have ended. The list of potential side effects of breast cancer treatments is lengthy, but may include the following conditions or issues.

cumulation of lymphatic fluid in the tissues. Lymphedema most often occurs in the arms, but can contribute to swelling in other parts of the body as well. Why some people suffer from lymphedema after treatment and others don’t is a mystery, though surgeons at Johns Hopkins Breast Center have noticed a low occurrence of lymphedema in patients who have undergone sentinel node biopsies or axillary node dissection. Breast cancer patients are at risk of lymphedema for the rest of their lives after treatment, and while there’s no way to prevent it, patients should avoid getting needle sticks or blood pressure tests in arms where lymph nodes were removed. In addition, any injuries or cuts in arms where lymph nodes were removed should be treated with vigilance.

Each year, the Hoosiers Outrun Cancer 5K event brings together runners and walkers for the common purpose of improving the journey of local people who are fighting all types of cancer. The 19th annual fundraiser, sponsored by the Bloomington Health Foundation, took place Saturday at Indiana University’s Memorial Stadium and was expected to draw more than a thousand participants. Learn more at www.hoosiers outruncancer.org. The photos below are from the 2017 event.

3. Infertility

Many women will stop menstruating while undergoing chemo1. Fatigue therapy or after chemo treatments, The nonprofit organization and that cessation is often tempoBreastcancer.org notes that fatigue rary. These irregularities may be is the most common side effect of traced to hormonal therapies that breast cancer treatments, with some make the ovaries stop producing estimates suggesting it affects as eggs. However, in some instances, many as 90 percent of all patients. even premenopausal women may Some breast cancer patients may have trouble getting pregnant after experience fatigue after treatment hormonal therapy. Breastcancer.org and find it’s worsening because notes that women whose periods they are eating less and not getting do not return after treatment may enough nutrients. In such instances, still be fertile, but also notes that the initial fatigue may make people women who are close to menopause too tired to cook, ultimately conwhen beginning chemo may become tributing to more fatigue when they permanently infertile. Women who are not eating or eating convenient have been diagnosed with breast yet potentially unhealthy foods. cancer who are concerned about Cooking healthy foods in bulk when post-treatment infertility should fatigue is not overwhelming and speak with their physicians immediaccepting others’ offers to cook is ately about their prospects of getting a great way for cancer patients to pregnant after treatment, including ensure their diets are helping them fertility treatments and the potential combat fatigue and not making safety risks of getting pregnant after fatigue worse. being diagnosed with breast cancer. 2. Lymphedema Breast cancer treatments save Johns Hopkins School of Medilives every day. When discussing cine notes that, following breast treatments with their physicians, cancer treatment, some patients breast cancer patients should ask may suffer from lymphedema, a questions about potential shortand long-term side effects. condition characterized by the ac-

JEREMY HOGAN | HERALD-TIMES

Erika Peek, left, is embraced by Vera Frye at Indiana University’s Memorial Stadium before the beginning of the 2017 Hoosiers Outrun Cancer in Bloomington.

JEREMY HOGAN | HERALD-TIMES

Children begin to run during one of the 2017 Hoosiers Outrun Cancer events at Memorial Stadium.


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