For you, like no other.
carry on— find your after Patience and determination helped Anne-Mary Molinie through the difficult seasons
Dessert Perfection The utter delight of eating a French macaron...and a bit about making them, too
your fashion image: choose wisely You can be ﬂirty, fun and stylish without sacriﬁcing your health
seasons of our lives Strategies for survivorship in your 40s, 50s and 60s
HEALTH PORTRAITS AND MUCH MORE!
from the editor Kerry Paul, Editor • email@example.com Facebook.com/amoenaaustralia
The seasons seem to change very quickly these days. Here we are enjoying the warmth of spring. Such a beautiful season watching the ﬂowers bloom and the trees come to life after the long cold winter. Spring is almost like a new year where we can make new intentions. “Setting intentions” is something you hear in yoga, and I’ve been working to include this as part of my daily ritual. If I tell myself, and the Universe, that my focus for the hour is acceptance, for example, I’m less likely to worry
about little things. If you set an intention for kindness ﬁrst thing in the morning, it tends to come to mind throughout the day. And there’s a hidden beneﬁt: it’s impossible to be negative when you set a good intention. Intentional living works no matter what stage or season you’re in. We’ve dug into that topic — the Seasons of our Lives — in this issue’s cover story, beginning on page 12. After all, reﬂecting on where you’ve been and knowing what might be ahead are both part of an intentional mindset. As we
in this issue...
A True Companion Just like a close friend, we’re with you every step of the way. To find Amoena near you, visit our store locator at amoena.com.au/store-locator/find or call 1800 773 285
12 Cover Story
6 Texture Trends
Seasons of our Lives Strategies for survivorship in your 40s, 50s and 60s
Amoena Fashion for every moment, modelled by our survivor Ambassadors
21 Real Life
18 Always Looking Up
Carry On—Find Your “After” Patience and determination
Live the days, love the nights, wear comfortable clothing 24/7
22 Mind & Body
24 Holiday Getaway
25 Tasty Trend Dessert Perfection The utter delight of French macarons!
26 Report Coping with Lymphoedema What you need to know now — and new strategies in the works
28 Your Style
amoena.com.au amoenaaustralia Amoena is a registered trademark of Amoena Medizin-Orthopädie-Technik GmbH. “For you, like no other.” is a trademark of Amoena Medizin-Orthopädie-Technik GmbH pending registration. ©2015 All rights reserved Amoena Australia Pty Ltd Fitzroy Victoria Australia
Bouncing [Is] Back! Rebounding is both low-impact cardio and circulation therapy
Your Fashion Image: Choose Wisely Be ﬂirty, fun and stylish without sacriﬁcing your health
transition from winter to spring, you might also like to know what’s ahead in Amoena fashion, and we’re sure you’ll be pleased with what you see. Comfortable leisure wear, workout wear that really works, and exquisite new lingerie in bold, beautiful colours, all pocketed and ready for you. You’ll even be prepared for what’s ahead in lymphoedema management after reading our Report on page 26. Here’s wishing good intentions for you, every hour, every season.
Amoena’s Holiday Collection
Regulars 33 Feelin’ Kinda Funny Seasoned to Perfection Life’s funny way of letting us forget its lessons
32 Survivor Portrait
Accentuating Her Positives Consecutive test results were no match for survivor and mum, Kamila Sauze
on the cover Our cover model, Isabel, 37, is a breast cancer survivor. Photographer: Dorothea Craven
Publisher Amoena Australia Pty Ltd | Editor Kerry Paul | Contributors Dianne Armitage, Beth Leibson, Anne-Mary Molinie, Professor John Boyages, Gary Fagg, Kamila Sauze | Art Director Shan Willoughby | Design Sekayi Stephens, Dianne Lyndon Red Pepper Design | Photography Dorothea Craven, iStockPhoto, Shutterstock, Dollar Photo Club | Contact Amoena Life, Level 1, 235 Brunswick Street Fitzroy, Vic 3065 | The entire contents of this publication is copyrighted by Amoena Australia 2015. All rights reserved. Reproduction or use of the contents in any manner is strictly prohibited without prior written permission from the publisher. Amoena Life magazine is published twice a year and is available by request. Amoena Life magazine is distributed to subscribers, retailers and medical facilities. No liability for unsolicited manuscripts. Amoena cannot be liable for pictorial or typographical errors. While every effort is taken to ensure the information contained in this magazine is accurate, the publisher cannot be held responsible for any use of or reliance on the accuracy of such information. Any information provided is not a substitute for professional care and should not be used for diagnosing or treating a health problem or disease. If you have, or suspect you have a health problem, you should consult your doctor. The editor reserves the right to edit or abridge letters.
[ fashion ]
EASY MOMENTS, HOPE CONNECTIONS
For Your Bookshelf One Piece of Advice By Yvonne Hughes
Feel your best every season, morning to night with Amoena’s supportive Active, Leisure and Home wear, all with built-in pocketed bras.
Entries th close 15 er Novemb 2015
i c r e M
“If you’ve just been diagnosed with early breast cancer, then this is the book to help you through it. It’s wealth of advice from the ‘been there, done that’ cancer club”. Yvonne Hughes was a 37-year-old mother of one when she was diagnosed with breast cancer in June 2011. Like most people diagnosed with a serious illness, Yvonne immediately looked for information on what to expect. When she couldn’t ﬁnd what she was looking for, she was inspired to write her own book. One Piece of Advice is Yvonne’s collection of short, digestible nuggets of advice about breast cancer. It’s full of practical, positive and empowering information gathered from Yvonne’s personal experience and her conversations with other women, their families and health professionals. This book will help guide you through the various stages of treatment and recovery. It is a valuable resource for anyone going through breast cancer or supporting a loved one. One Piece of Advice is available to order on line at www.onepieceofadvice.com.au or from your local book store. Receive a 20% discount when buying online by entering the code ‘amoena’ at the checkout. We have one copy of Yvonne’s book to give away. Please email us at au.info@amoena. com and let us know what ‘One Piece of Advice’ was so valuable that you would like to share it. Winner drawn at random.
Crazy Sexy Love Notes By Kris Carr, Illustrated by Lori Portka
Spring Friendship and Comfort: Mélange Collar Sweatshirt in Light Grey Mélange, sizes S to XL, and matching Long Pants, sizes XS to L; Relax Waterfall Shirt in Dark Grey Mélange, sizes S to L, and matching Relax Casual Pants, sizes S to L.
An inﬂuential name in the survivor community, author Kris Carr dazzles again with her latest “Crazy, Sexy” publication — an inspirational card deck. This set of 52 high-quality, beautifully illustrated “love notes” by Carr and artist Lori Portka sends loving, encouraging messages to readers. Each card bears a thought like “Slow down,” “Accept yourself,” “Find your tribe,” “Unplug,” and other heartfelt instructions. They’re a sweet little daily compass, each with a short meditation — the box would make a perfect gift. (Lifestyles, 2015).
In Your Words Letters to the Editor from women like you
Every email, every starred review on our website, every letter you write is important to us. Thanks for your thanks! Here is one letter we would like to share with you.
Time has ﬂown and I ﬁnd myself two and half years further down the road, from my diagnosis and surgery. I never really expected that I could feel “normal” again, accepting, perhaps, but “normal”, with one breast, I wasn’t sure about that! I quickly discovered that a lot of my clothing was no longer going to be suitable, so the hunt for comfortable, attractive, quality clothing and lingerie was on. After losing a breast, feeling secure, without fears of wardrobe malfunctions become a focus, not fully understood before! Fortunately, I did not have far to go. Amoena, the brand I currently use for my breast forms and pretty bras also have an exciting range of fashion clothing which has become the core part of my wardrobe. Finding a range of camisoles, tops, pyjamas and athletic wear, all with a bra built in, which can accommodate any breast form, have made dressing easier and more comfortable, than I could ever imagine. Add to that, matching pieces to create an outﬁt and great swimwear, Amoena, has the dilemma of what to wear, well and truly covered. Thank you Amoena, I look forward to seeing and buying your new designs and products, as they become available. I also have to say, “Do yourself a favour”, to anyone who hasn’t yet tried on and experienced the freedom and comfort, that comes with this great, lifestyle clothing range. —Moira M., Paynesville VIC
[ fashion ]
Texture trends Fashion designers have elevated trends by adding a bit of dissonance to their fabrics this season. Graphic patterns and textures meet soft, elegant lace, tempting more than just your eyes. While the textures may look bold and graphic, they have a smooth appearance under your favourite top. Amoena lingerie and night wear showcase the heart of this look â€” romantic, lush, charming â€” for spring.
Dianna Our 40th Anniversary Commemorative Bra & Brief Set
Opposite: Dianna wire-free bra, sizes 10-20 AA-D and matching brief, sizes 8 to 18. This Page: Mona wire-free bra in Night Blue, sizes 10-20 AA,A,B; 12-18 C,D; 12-16 DD and matching brief, sizes 8-18. Holly wire-free bra in Black/Nude, sizes 10-20 AA-D and matching brief, sizes 8 to 20. Worn by survivor model Elian.
[ fashion ]
Clockwise from top: Adele wire-free bra in Night Blue, sizes 10-14 A; 10-18 B,C,D (also available in Black/Off-White), and matching brief, sizes 8 to 20; Lace Pyjama set in Black, sizes S to XL; Karla wire-free bra in White, sizes 10-20 A,B; 12-20 C,D and matching brief, sizes 8 to 18.
Clockwise from top: Marie wire-free bra in Black, sizes 14-26 A; 12-26 B,C,D; 14-24 DD; 16-24 E (also available in Off-White) and matching brief, sizes 10 to 22; Lilly wire-free bra in CafĂŠ Latte, sizes 10-20 A,B; 12-20 C,D and matching brief, sizes 8 to 20; Louise underwire bra in Grey/Mauve, sizes10-14 A; 10-20 B,C; 12-20 D (also available in Burgundy), and matching brief, sizes 8 to 20. To see the full Spring 2015 Collection, go to amoena.com.au/amoenalife. amoena.com.au
[ swimwear ]
moena’s 2015 pocketed swimwear, and our survivor models, show how different suits can shift you into a great shape — or create the illusion you’re looking for!
Amoena Swimwear to Fit Every Body Still need a geometric clue? See more shape-ology below.
Beauty Beyond Geometry
Tummy Tamer Tankini tops with solid colours below the bustline trim the tummy. To see all the current swimwear styles, visit www.amoena.com.au/swimwear
Hip Slimmer Soften the line of a wider bottom half with the classic sarong skirt.
Curve Creator Tummy Tamers
Loose-ﬁtting around the middle for your comfort, and the interesting neckline keeps “eyes up here.” Combini Blouson tankini, 12-24 B,C.
Solid side panels and vertical patterns say “long and slender” and a higher neckline puts the focus on your pretty face. Mumbai princess-seam tank, 12-24 B,C; 12-22 D; 14-20 DD.
Getting clever with convertible straps can create graceful curves. Or take straps off to showcase your shoulders. Sophia bikini, 8-18 B; 10-18 C.
Inset: Empire waists have been popular since the 18th century for a reason! Verona Swimdress, 10-22 B,C.
Inset: Morena side-shirred tank, 10-22 B,C.
All the celebs are wearing mono-kinis; you can, too. Under its charming crochet there’s a two-piece look, giving you virtual curves.
Inset: A drawstring top can have the same curvy effect. Melbourne one piece swimsuit, 8-16 A,B; 10-16 C. amoena.com.au
[ cover story ]
Strategies for survivorship in your 40s, 50s and 60s By Beth Leibson
seasons of our lives 12
Beth Leibson lives and writes in New York City. She is author of I’m Too Young to Have Breast Cancer (2004) and The Cancer Survivor Handbook (2014).
Pondering mortality, your family and friends, your ﬁnances, and your changing sexuality is normal and necessary as you age. With a breast cancer diagnosis, these thoughts can become worries, and swirl up to the forefront of your brain quickly. Though the basic concerns don’t change that much whether you’re diagnosed in your 40s, 50s, or 60s, some of the details do vary. Here, we share some stories and strategies for every season of your life.
Diagnosed at age 39 in 1981, Martha Grissom worried ﬁrst about her mortality. “I had cancer in three lymph nodes,” Martha recalls. “Back then, lymph node involvement was almost a death sentence,” she says. “I prepared myself in case I wasn’t going to be alive.” Martha is ﬁne now, more than 30 years later, and has gotten better about handling her fear. “I live every day like it’s a gift — though I’m still a little fearful when I go in for doctor’s appointments.” Everyone worries about mortality, says Hester Hill Schnipper, LICSW, BCD, OSW-C, chief of oncology social work at Beth Israel Deaconess Medical Center. “For most people, a cancer diagnosis is the end of this innocent feeling that they will live forever,” agrees Marjorie Schwartz, a support group facilitator and board member with SHARE. The fears often don’t arise until after active treatment, because we push them away while we focus on ﬁghting the disease. Age doesn’t matter, adds Schnipper. “I’ve known women in their 70s who’ve been scared of dying.” The difference is, though, that older women typically have
more perspective on the issue. It helps to think — and talk — about exactly why you’re worried. Are you scared of pain, of being a burden on your family, of what happens after you die, or something else? Once you ﬁgure out the nature of your concerns, it is easier to address them, advises Schnipper. Another challenge that cancer survivors often face is dealing with friends and family. That was certainly the case for Martha. “Most of my friends are lifelong friends, church friends,” she says. But when Martha was diagnosed, they were afraid to talk about it with her. “They weren’t sure how I would react,” Martha remembers. So they didn’t talk about it at all. “A cancer diagnosis puts stress on good relationships and bad ones,” says Schwartz. Communication can help. Martha got proactive and started the conversation with her friends. “Once they saw that I could talk about it, they could too,” she notes. And once everyone was talking, Martha’s friends really came through, providing support — and food — throughout treatment and after. Awkwardness among friends and family is common, perhaps >> amoena.com.au
[ cover story ]
more so among younger women, says Schnipper. “Usually if a woman is diagnosed in her ﬁfties or sixties, her friends have probably faced some real problems,” says Schnipper. They may not have had cancer, but they’ve confronted other challenges. Not that we wish for our friends to have struggles, but it does make for compassion. The ﬂip side of having friends who don’t ‘get it’ is not really having any connections at all. Melody Biehl was diagnosed with breast cancer at age 41. She’d just moved to Spokane, Washington and didn’t have any support in the area beyond her immediate family. She relied exclusively on her husband, daughters, and grandson initially, then joined a support group. “We did a lot of laughing,” Melody remembers, and says she made some wonderful friends in the group. When Melody ﬁnished treatment, she started a nonproﬁt organisation that provides housing and support for cancer patients who travel to Spokane for treatment. She named the facility Faye’s House, in honor of one of her support group friends.
to her daughters, both healthcare professionals, who encouraged her to get treated in Houston. So Libby left town for a year; her husband sold his business to be with her. While Libby was gone, her friends fell into two camps: either they kept in good touch or they just moved on with their lives. “When I came back, they wanted to pick up right where we left off — but we’d grown in different directions.” Libby’s response was to move on from the friends who couldn’t understand what she’d been through — or were uncomfortable because
of it — and to cultivate another set of friends. These days, Libby has a wide circle of people who care about her; they’re just not all the same people who’d been in her life pre-diagnosis.
Marion Ray Behr, diagnosed at 67, only got her mammogram because her daughters kept urging her to. It was a good thing — Marion had a tiny but aggressive cancer. Marion’s biggest concern about the diagnosis was her work. A visual
at 60, gained weight and lost a breast. “I want to feel like myself — I feel like I’m incomplete with only one breast,” she says. “A woman with a changing body and changing body image has an extra burden,” says Schwartz. While younger women are often affected, that’s not to say that older women don’t have their concerns. “I’ve known women in their 60s and 70s who felt that the changes in their bodies and their sex lives were the biggest challenges,” says Schnipper. Rikie was also hit hard ﬁnancially and now, two years later, is still working with her insurance company. “Lots
of women experience unemployment and bankruptcy after breast cancer,” says Schwartz. The ﬁnancial struggles catch you at your most vulnerable, particularly if you’re older, when you’re already overwhelmed by diagnosis and treatment. In general, information and support are key to breast cancer survivorship no matter what your age. “If you can learn about the issues and talk about them, you can make choices that are right for you,” says Schwartz. One other strategy that we tend to only learn as we age: Gratitude for all the good things. ■
Friendships that last... or friends for each season? When we graduated from college, Suzanne and I both moved to New York City to start our lives and careers. Friday nights were dinner and a movie together. A filmaholic, Suzanne was responsible for making the best cinematic use of our time; I picked a nearby budget restaurant. We’ve lost touch over the years, but I remember her very fondly. I met Deni in a support group. When we both ‘graduated’ from the group, which was geared to patients and very recent survivors, we connected over an ongoing need for someone who “really gets it.” I’ve gone to doctor’s appointments with her when she was nervous; she visited me every day in the hospital when cancer struck a second
When Eileen Mather was diagnosed at age 51, she focused on her husband. “He’s more sensitive than I am,” she says. Eileen was also concerned about her niece and nephew, whom she was raising. “I didn’t want to tell them because I thought they’d get upset,” she explains. “People do worry about what is going to happen to their partners and children,” says Schnipper. Eileen worried about emotional health, but others focus on logistics: Who will make sure the kids have food, clothing, and education? “People with younger children wonder, how will my children manage?” says Schnipper. While older women don’t worry so much about getting their kids to school, they still feel that parenting is a lifelong responsibility and want to be sure someone will be around to guide their children through adult life. This is often a time to turn to your support system of family and friends. Libby Dechert, diagnosed at 56, wasn’t surprised or scared by the disease. Instead she turned
artist, she missed being in the studio. For Marion, returning to work wasn’t an issue of ﬁnances, but an issue of returning to life. Many women worry about their careers, but the precise nature of their concerns often varies by age. “Someone in her sixties [usually] has an established career and more flexibility in her work life than a younger woman,” says Schnipper. “Someone who is just starting out may have a harder time coping.” Another common concern, regardless of age, is body image. Through treatment, Rikie, diagnosed
40s: Suggestions for this season ●
Talk about any fears and unsupportive friends and family, Schnipper suggests. The advantage to support groups is that all the members know what you’re going through.
The 40s is a period of hormonal changes and increased joint pain, so try to avoid very high-impact exercise like step aerobics and long-distance running, suggests Daniel Destin, ACSM, exercise physiologist and Manager of Shipley Center at Newton-Wellesley Hospital. Focus on moderate cardio workouts, two or three times a week (e.g., biking, fast walking, light jogging) and core-strengthening exercises (think Pilates or weight lifting) three or four times weekly.
Hormonal changes affect metabolism as well; women in their 40s (and on) ﬁnd it harder to lose weight, so it’s useful to monitor your weight regularly, suggests Molly Morgan, RD, owner of Creative Nutrition Solutions and author of several nutrition books. Morgan also recommends eating more plant-based foods. Take heart: Starting now you can really develop and cherish both existing and newfound friendships, as well as healthy habits!
time. We are always there for each other when it comes to cancer – and a lot of other issues as well. Debby pinpointed me in eighth grade and poked at my shy shell until I stuck my head out and started to talk. We became the best of friends and now, decades later, still speak every week or two, though we haven’t lived in the same state for what seems like forever. We’re always there when the other needs a compassionate ear. As the expression — or is it a cliché? — goes: People come into your life for a reason, a season, or a lifetime. However they last, friendships are invaluable and make life worth living.
60s: Suggestions for this season
50s: Suggestions for this season ●
In the 50s, says Destin, bone density starts to drop, arthritis starts to set in, and muscle loss accelerates. Avoid highimpact activities in favour of walking, swimming, yoga or Pilates. Spend about 30 minutes on cardio and 30 minutes on strength training three or four days a week, he suggests.
Increasing ﬁbre intake, says Morgan, can be really helpful at this time. Our bodies take longer to absorb nutrients as we age and ﬁbre can slow down the speed at which food moves through the body. Fibre also helps balance blood sugar and cholesterol levels — important, as the risk of diabetes increases as we age. Remember, when you increase ﬁbre intake, you also have to drink more water.
Stay strong. Starting at age 51, women should increase calcium intake from 1000mg a day to 1200mg a day, says Morgan, to prevent or minimise bone loss.
Conﬁdence and clarity: You’ll enjoy feeling great mentally and physically, once you make exercise a habit, and this can give you focus to tend the relationships that mean most to you.
Cancer and Careers (cancerandcareers.org) offers free online and print publications and career coaching, and many lawyers offer pro-bono services. Triage Cancer (triagecancer.org) provides education and resources.
The sixties add joint issues and balance problems to the list of physical challenges. Swimming is a great option, says Destin, as are yoga and Pilates. Jogging tends to be rough on the knees. Walk 20 to 40 minutes ﬁve days a week and do strength training two or three times a week.
During our sixties, women’s thirst signals tend to decrease, Morgan explains. Drink eight glasses of water (or other liquid) every day. Also, the body’s vitamin D requirements rise from 600 IU to 800 IU a day, says Morgan, “Women should talk to their doctors about taking Vitamin D supplements.”
Education is power: Regarding sexuality and body image, it can help to talk with doctors or oncology social workers. Contact the Oncology Network Australia (www.oswa.net.au).
[ real life ]
from a partners
by gary fagg
My name is Gary, the husband of Karen who was diagnosed with breast cancer in April 2013 via a routine examination at a breast screening clinic. I am an everyday bloke who wants to share with you some of our experiences in the hope it may assist others who are embarking or part way through their cancer journey. Our journey effectively began 9 April 2013. Karen had the full array of treatment including a double mastectomy, chemo and radiation and is now taking hormone tablets for at least 5 years. I should emphasise that Karen is very well now and we have been on two overseas holidays in the last 6 months, live for today not tomorrow! The surgery was successful and at the time we were hoping nothing more would be required but given there were some lymph nodes affected, chemo was strongly advised by Karen’s oncologist as a precaution. We did explore other options but Karen decided to go through with the chemo. The treatment schedule was 6 treatments three weeks apart. Unfortunately a day or so after the ﬁrst chemo treatment Karen began to feel unwell. On advice from the specialist, we went to the local hospital. The specialist felt that Karen may have neutropenia (lack of white blood cells to ﬁght off any infection so it can be life threatening). Karen was admitted to hospital and isolated to reduce the risk of infection. Karen had several problems during her admission where staff were unable to take blood as Karen’s veins had collapsed following the chemo. Over the next few days Karen became a little stronger. Each day brought more difficulties with blood tests. Karen was allowed home after a week and asked to rest.
As a spouse, this was deﬁnitely the worst time in the whole treatment process as I felt completely helpless. On reﬂection, I should have intervened but I was not sure who and how to approach medical staff to facilitate a speedier outcome. I felt I let Karen down as it was only at the end of the process that I became assertive. So if others are faced with a similar issue I would strongly suggest they ask for further assistance. On a more positive note we found there were excellent support systems available. Karen found a program called Encore. This is a free program to breast cancer ladies. It is run by the YWCA. From there Karen found out about the wig library. House cleaning was just great and I thank you from the bottom of my heart as that was a godsend for us – one less thing we had to worry about. The Support group was excellent – both men and women. The men’s group was very small only about 3 of us after the ﬁrst week and
it would have beneﬁtted from greater numbers. More men need to go along and I think most would beneﬁt from it. I would strongly urge all the spouses of cancer sufferers to attend as it does give the opportunity to talk over sensitive issues with those in a similar situation. We did not have any family close by but found that friends came to help, bringing meals, cakes, slices and also offered help. We were very humbled by the help we received and are grateful to those family members and friends who were there for us. Some friends and family found it difficult to make contact. My brother called one time and explained he was not sure how to offer support. From our perspective things like a simple phone call is better than no contact at all! My advice to you would be: • Stay in contact with your BCN • Seek as much information as you can • Formulate a plan to suit you • Find a support group • Keep a folder with all your information and appointment schedules • Try to live normally For Partners/carers: • Being there to support your partner is the most important thing • Simple things like saying I love you • Making juices/meals/cleaning/washing are all effective ways of saying you care • Meditation and yoga we have both found to be very beneﬁcial and strongly suggest you try it out as we found it is both calming and effective in providing exercise of the mind and the body What did I do well to support Karen? I made juices and went to the many medical appointments, I tried to remain positive, I rubbed her feet at night, I tried to be of more help at home by making healthy meals/shopping/ washing. What I could have done better? I tried to balance work with medical appointments and on reﬂection I still valued work too highly and should have taken an immediate 2 to 3 months off to fully support Karen. I probably did not provide enough emotional support as I sometimes struggled to understand what was happening and what I should be doing to provide that mental strength for Karen. I could have been more assertive at an earlier point in the hospital when Karen had neutropenia. No one chooses to have cancer but the most positive thing is that Karen and my relationship is stronger than ever and we are also living life to the fullest in the awareness that life can be short and to take advantage of each and every day. For information on supporting your partner through breast cancer please contact BCNA. “I wish I could ﬁx it” – Supporting your partner through breast cancer – available through Breast Cancer Network Australia www.bcna.org.au. amoena.com.au
[ fashion ]
ALWAYS LOOKING UP These days, itâ€™s an effort to observe the arc of the sun as it goes from one end of your day to the other. With everything Hipstamatic, Twitterific, Instagrammed and hand-held, we so often look down into our digital worlds. Look up, instead. Open a window, take a walk, ask a friend out. Live the days, love the nights. And wear great-fitting, comfortable clothing 24/7 (pocketed shelf bras are built right in).
Rise and Shine: Rose Pyjama Set in Night Blue/White, sizes S to XL. On the Move: Power wire-free Medium Support Sports Bra in Flamingo/Dark Grey, sizes 12-20 AA-DD and matching Capris, sizes XS to XL.
New Favourite: Stripe Casual Shirt in Grey Stripes, sizes XS to XL. To see the full Spring 2015 Collection, visit amoena.com.au/amoenalife.
[ mind & body ]
[ real life ]
And with those words, we’re catapulted onto the emotional roller coaster that comes with a cancer diagnosis. Most people don’t realise there is such a strong correlation between our emotions and our survival. Research shows our psychological wellbeing is associated with decreased rates of death and lowers the risk of cancer recurrence. Not to mention improved quality of life. So with emotional health such an important aspect of healing, how do we manage those difficult emotions? First let’s understand what emotions really are. There are a few important things to learn here. The ﬁrst is that the emotional part of our brain, the limbic system, is where we process things at an emotional level. This part of us is quite separate from our frontal lobe where we do our thinking. Thinking is conscious. Emotional processing is subconscious. I like to think of our feelings as those emotions we become aware of consciously. Secondly our emotions correlate with chemicals that are released in to our bodies. Oxytocin for instance is released when we experience feelings of love. Adrenalin is released when we experience fear. Cortisol is released when we are chronically stressed. Ever realised you are doing your own internal chemotherapy before? Thirdly we know from the work of Dr Candace Pert that our immune cells have receptors for these chemicals of emotion. Perhaps that’s why we see in research that feelings such as loss, bereavement and loneliness cause a reduction in Natural Killer cells, the very cells you need to protect yourself against cancer. As radiation oncologist Dr Carl Simonton said, ‘it’s not whether the mind and emotions are important in cancer treatment, but how best to utilise them’. So how do you master your emotions in this emotional mineﬁeld? I believe these steps are a good place to start: 1. Acknowledge how you feel without judgement – what you feel is neither good nor bad, it just is. And when you realise that feelings are just a bunch of chemicals it’s 20
hard to judge that, isn’t it. They’re just chemicals. 2. Give yourself permission to feel what you feel for as long as you need to. When we resist or deny how we feel, uncomfortable emotions tend to stick around longer. It’s just one of those laws of nature. 3. Express how you feel. If it helps talk about it. Or have a good cry. Or a good scream. Or whack a pillow. However you do it, as long as it’s safe for you and others, express how you feel. Don’t bottle things up. Allow the e-motion (energy in motion) to ﬂow. You might be surprised at how much better you feel. And how much clearer things can be. 4. Observe how you feel. Where in your body do you feel the emotion? Is it heavy or light? On a scale of 1-10 where would you rate it? Can you make the feeling stronger or lessen it? By stepping back and observing how we feel we can often diffuse the energy of it. 5. Practise relaxation. Whatever helps you to relax practise this and practise often. Breathing, meditation, prayer, there are many ways. Dr Herbert Benson has demonstrated without a doubt that eliciting the relaxation response creates positive health beneﬁts. Not only reducing cortisol, but also the way we express our genes in healthier patterns. So learn some good relaxation techniques. Make it a priority. But what if despite all the expression, observation and relaxation those uncomfortable feelings still persist? That’s when you might need some outside help. 6. If it’s a conscious level problem, then jump on it. Don’t let it fester. If you’re having problems with your teenagers or your ﬁnances or your work then talk to someone. A conscious level
carry on find your “after”
counsellor or psychologist can be worth their weight in gold. But what if no amount of will power or conscious level effort will shift those emotions? That’s an indication that you are experiencing negative subconscious emotion. 7. When a person is unable to change unwanted feelings, responses or behaviours through will power, conscious effort or ordinary medical and psychological procedures, it is usually an indication that those symptoms result from negative subconscious emotion. And in this situation talking about it can actually make the problem worse. Instead, a therapist trained in how to help you resolve emotions at the subconscious level where emotions are created is essential. I have found therapists trained in P.S.H. (Private Subconscious-mind Healing) therapy (psh.org.au) to be of incredible help both personally and professionally. Many people are surprised how gentle and easy it can be to release emotional issues they’ve been dealing with for a long time. So in a nutshell, don’t mess with your emotional health. Take action. Get help. Use the right tool for the job. Clean out your emotional closet. Jump on emotional issues as they arise. And practise those feelings that make you feel good – relaxation, laughter, love. You’ll do wonders for your immune system. Belinda Hawkins (BMedSc) is a Canberra based P.S.H. therapist. After experiencing cancer ﬁrst hand, Belinda’s gift is in helping people to negotiate the emotional roller coaster that comes with a cancer diagnosis. Through her own experience, Belinda understands the ups and downs and the joy that can come when we take the time to truly heal our feelings. You can contact Belinda on 0409 619 639. Visit Belinda’s website www.http:// embracingchemo.com.au 10% of CD sales will be donated to the McGrath Foundation.
Patience and determination helped Anne-Mary Molinie through the difficult seasons
feel physically sick and I was in great There’s no denying it: Sometimes, life’s shape. Perhaps I was even in denial.” ups and downs simply stay “down” for But when she looked through the eyes a while. Breast cancer can certainly of her friends and their lack of support, be one of those times. It’s hard. But she saw that she was sick. “They were with patience and more than a little terriﬁed,” she remembers. hindsight, it’s a temporary season that Happily, things improved during the can be survived, as Anne-Mary Molinie, next few years. She met a wonderful 59, is proud to say she has done. man who would be “I found my ﬁrst cancer a pillar of support just after my annual when cancer returned mammogram in 2005, in 2011. This time, which revealed nothing,” Transforming she was determined she recalls. “While taking Her Life to be in control. “My a shower, I felt a lump Secrets of the Spa mammogram revealed the size of a hazelnut in four new tumors in my right underarm area. the same breast.” The I went immediately for a Find Your Inner Fashionista! surgeon wanted to consult and unfortunately, notice remove both breasts the second mammogram for safety. Anne-Mary and ultrasound showed a things insisted on a second tumor of 8mm.” opinion. Within 2 weeks she “My new doctor told was scheduled for a me that he would have lumpectomy, and radiation taken the breast 6 years began immediately: “35 ago, that cancer is a chronic disease sessions — I went every day except and that I can die or not.” Not the Sunday, with the implied promise that I answer she was looking for. Still, she was cured. I should mention that I am a refused removal and requested another vegetarian, I run 10km every morning, lumpectomy. During that surgery, I practice Qi Gong and meditation, however, the doctors determined and I’m rather positive in my thinking. the breast couldn’t be saved, and Understandably, I found this breast performed a mastectomy instead. cancer very unfair.” “At that time in my life I thought I For Anne-Mary, support was could die. I was working 15 hours a day hard to come by. Her friends and her and almost every weekend,” she notes, ﬁrst husband let her down a bit. “I left and worried about her daughter, who my town, and my husband, who was had already lost her father to a heart more terriﬁed of this cancer than me,” attack. “I knew I had to ‘redo’ my life.” she recalls. “I must say that I did not Feeling good, looking great.
LIFE Autumn 2015
Positivity and a heart for others in Real Life
Practical tips to get the wellness treatments you crave!
Better Bones, Better Living Lifestyle decisions now can make you or break you
Conﬁdence shines in our Before and Afters
A fresh how-to how to for living more mindfully y every day
Know someone who needs caring support?
SHARING IS CARING! Now you can send a FRIEND the AMOENA LIFE LOOK INSIDE for our Friend Subscription Card
PLUS: HEALTH | BEAUTY | PORTRAITS | AND MUCH MORE
PATIENCE AND FULFILLMENT “In this disease, the word ‘patient’ makes sense. We have to wait all the time, and then they don’t really tell you everything. We must pull all the information out of the physicians. ‘How will the mastectomy be? What about after? How many nodes will be taken? How does one live without a breast?’ All these doctors become amnesic! They are technicians, they have skills and I have to trust them. Yet, I want answers!” Anne-Mary likely speaks for all cancer patients with these thoughts. Curious about living without the stress of her job, she left it behind, and wishes she’d done so sooner. She’s now working as a wellness consultant, and enjoying her additional role with Amoena. “The joy of meeting with Amoena gave me so much courage about my mastectomy,” she shares. Her hope and belief is that the photographs she’s been part of — she models the Natura Cosmetic breast form — will convey that there is an ‘after’ cancer. “Today I am full of energy. I take the time to reﬂect, to do things without stress, because I think that stress is a loophole through which cancer seeps quickly. I have long wanted to open a hostel with my husband, where we can welcome the public at home with empathy and caring. This project is being ﬁnalised since the restaurant opened on April 2.” She also hopes to continue representing Amoena. Anne-Mary has carried on, and life is turning toward “up” again. ■ amoena.com.au
[ mind & body ]
bouncing [is] back! Rebounding is both low-impact cardio and circulation therapy With more and more women living longer after breast cancer, research focus often turns to living with the effects of the disease and its treatments — and one of the most signiﬁcant is the lingering risk of lymphoedema. Exercise can help prevent and manage lymphoedema, and recently rebounding — a workout that uses the mini-trampoline — is getting a second look. You remember the mini-tramp, of course: that classic weight-loss tool of the 1980s (along with leg warmers and headbands). It has enjoyed a resurgence in recent years, bolstered in part by doctors’ increased understanding of the lymphatic system. Some experts say rebounding is the only exercise that can move lymph ﬂuid vertically, with its gravitational force and rhythmic motion.
Jump to it: Exercise is IN again! Fitness centres and athletic clubs worldwide have added rebounding classes to their calendars, and with higher-quality home trampolines available, consumers are buying their own rebounders as well. “I think [rebounding is] coming back because it addresses so many ﬁtness and health issues in a single, enjoyable, and convenient workout, which are things people are really starting to appreciate,” explains John Hines of bellicon USA, one of the premier manufacturers of high-end rebounders. “In many ways, Americans are less healthy now than they were before the ﬁtness boom of the ’70s and ’80s. Our lifestyle has changed a lot in 40 years. People are more inactive than they used to be, which also makes us vulnerable to a host of health problems.” Most consumers realise they need to ﬁnd exercise that is enjoyable, in order to make it a habit. This varies for everyone, but rebounding classes are ﬁlling up for a reason – many folks agree that bouncing on a trampoline is fun!
Your lymphatic system is a part of your circulatory system, carrying ﬂuid from tissues to lymph nodes via a network of its own vessels. Lymph ﬂuid is very similar to blood plasma but contains disease-ﬁghting white blood cells (lymphocytes), waste products and cellular debris, along with protein and bacteria. The major difference between the cardiovascular system and the lymph system is that the lymph system doesn’t use the heart to pump its ﬂuid. Motion is typically slow and lacks pressure. Lymphatic circulation can be stimulated by manual drainage (massage), muscle contraction and aerobic exercise. Walking, dancing, swimming, hiking and Pilates are all healthy options, but according to popular wellness literature (note that there haven’t been any deﬁnitive scientiﬁc studies to date), the rhythmic bounce of rebounding allows lymph valves to open and close simultaneously, and this can increase lymph ﬂow signiﬁcantly. “People with any existing health issues need to talk to their doctor ﬁrst before beginning any new type of workout,”
After 30 minutes of heat
Speaking of Sweating… Women who have avoided exercise for fear of injury or pain have another option in rebounding — just as women who want to avoid the discomfort of sweating behind their breast form have a better option: Amoena Energy Cosmetic. This new addition to the Amoena breast form portfolio features the temperature-equalising technology Comfort+, which pulls heat away from the body and stores it inside the form, as well as a back design, which encourages airflow around the form. In fact, a study published in the journal Orthopädie-Technik in November of 2014 gives several proof points that Amoena Energy breast forms perform better than other manufacturers’ breast forms when under heated conditions. Dr. Dirk Muscat of the University of Applied Sciences, Rosenheim (Germany) conducted research using infrared cameras to show how well the breast form holds heat
Lymphatic system: Understand the ﬂow
inside, away from your body (see the images on page 19). Besides heat technology that makes working out more comfortable, Energy Cosmetic boasts a very thin layer of silicone on the front that looks so real, even in the sheerest bras, it’s nearly invisible and very difficult to tell it apart from a natural breast. “I love the Energy Cosmetic,” says Sonja, a 50-year-old woman who wears Amoena breast forms. “I am very active — I play tennis almost every day — and have always loved wearing my Amoena Energy breast form because it helps me perspire less. I was excited to hear that Amoena now has a breast form that’s even more natural-feeling, but still has the Energy features I love — and the lighter weight is an added bonus! I wear it all day, even while playing tennis, and my bra and I stay dry. I love the colour, touch, and how it looks so natural under my clothes — I really do feel like myself again.”
advises Hines. It’s also recommended that people with lymphoedema wear compression garments when exercising. But proponents of rebounding and its resultant lymph-moving say the beneﬁts are numerous: • Cleans out toxins such as dead and cancerous cells, other wastes, infectious viruses and metals • Strengthens the immune system by removing antigens • Protects the joints from hard landings and fatigue (it’s been called the second-best low-impact exercise, after swimming) • Improves balance and coordination • Works the heart more efficiently; 20 minutes on a rebounder is said to compare to 1 hour of running • Brings out your inner child — jumping is a fun workout! Working up a sweat without wearing down your joints — and feeling like a kid again? Sounds like something we should all try! ■
After 60 minutes of heat
After 100 minutes of heat
After 20 minutes of cooling
Amoena Energ y
stores the heat so you stay cooler.
Resource: Muscat, D., Kaltenecker, C. (2014). Real Heat Balance with Breast Prostheses. Orthopädie Technik 11/14, Verlag Orthopädie-Technik, Dortmund.
[ fashion ]
[ tasty trend ]
Holiday Getaway Cast off in celebratory style with Amoena’s Holiday Collection Enjoy your holiday getaway with gorgeous styles that ﬂatter and ﬁt, and call to mind the traditional gift for a certain Ruby (40th) Anniversary. In stores this November.
Dessert Perfection The utter delight of eating a French macaron. . . and a bit about making them, too Just viewing a selection of the nowubiquitous dessert, the French macaron, is an exercise in delight. The rainbow of colours, the tempting creamy middles, the perfectly round caps! You linger there, taking in the sight for a few moments while you try to decide which ﬂavour will be the most delectable. (Hint: There is no right answer.) And then, the tasting! Oh, my. A very delicate, whisper of a crunch from perfectly whipped meringue, and the “ahhhh” of ﬁnding the soft, smooth ﬁlling. But looks and taste are just two of many reasons the macaron is trending (along with specialty cupcakes and cake pops) as one of the go-to desserts for elegant tables and bakery cases. “Macarons are the perfect small, cute, ﬂexible dessert,” says pastry chef Katie Arceo, co-owner of Thumbprints Baking Co. in Seattle. “They’re small enough to delight all the people who are loving small desserts lately — dessert tables have quite taken over weddings and celebrations — they can ﬁt into any theme with matching colours and ﬂavours, and they can be decorated and dressed up,” she explains. And speaking of trending, they’re the only mini-dessert that’s gluten-free in its original recipe. The outer shells, in case you don’t know, are made with egg whites, sugar, and almond or other nut ﬂours. (If you truly can’t have gluten, do check the ﬁlling to make sure it doesn’t contain ﬂour. This is rare — ﬁllings are typically buttercream, jam or ganache, none of which contain gluten.)
It’s tempting to call French macarons a “healthy” dessert, although Arceo won’t go quite that far. “Healthy might be a bit of a stretch, because of the amount of sugar in the shells, and sometimes the butter in the ﬁllings.” But they’re so small — eating one or two has to be healthier than most other cookies or cakes! For interesting flavours, you can’t beat a macaron portfolio. The grand pâtisserie of Paris, Ladurée, is famous for colouring macarons, and turning them into filled cookies. That spark of genius changed macarons forever and launched them to their current “celebri-cookie” status. Tastes range from cappuccino and dark cocoa to grapefruit, passion fruit, matcha green tea (really!), and honey-lavender. These floral, fruity, rich confections are gracing dessert platters the world over. It’s the delicate technique required for making macarons that deems them so special. The recipe isn’t overly detailed or ingredient-heavy: just sugars, nut ﬂour, egg whites, and cream of tartar. But even seasoned bakers say it takes a lot of practice. “These are the most ﬁnicky thing I have ever made,” Arceo admits. “They require absolute precision; the egg whites must be whipped to just the right stiffness, you must fold them into the dry mixture just so — no over or under-mixing — and you have to pipe them, which discourages a lot of people.” We’re sure you wouldn’t mind letting a bakery solve those dilemmas for you, however! Recommended: www.cacao.com.au ■
Coated in coconut? Not these macarons!
From top: Cuba one-piece in Black/Silver, sizes 8 to 18; Haiti one-piece in Ruby Red, sizes 8 to 18; Haiti bikini in Navy Blue, sizes 8 to 18; On Linda, our survivor model: Lara Satin wire-free bra in Ruby Red, sizes 10-20 AA-D.
If you’re confused because the macaroon you remember involved an abundance of toasted coconut, you’re not alone. Our writing staff had to sort out the “macarons” versus “macaroons” situation, ourselves! For starters, note the spelling difference. A coconut macaroon has a moist, dense and chewy consistency, while the French macaron is light and airy.
A few causes of this cookie-consumer confusion? • Both have origins in Italy, but the macaron traveled to and was perfected in France • Both are made with egg whites and sugar • Both are dainty little desserts, perfect for a sweet treat!
[ report ]
Traditional tape-measure to assess lymphoedema.
lymphoedema What you need to know now—and new strategies in the works By Prof John Boyages, Mrs Louise Koelmeyer and Dr Helen Mackie from the Macquarie University Lymphoedema Program
Do you have lymphoedema or are you concerned you might develop it? Most women and men with breast cancer do not develop lymphoedema. It can appear immediately after breast cancer treatment, but usually it develops slowly in the ﬁrst 6 to 18 months after treatment and sometimes does not until years later. WHAT IS LYMPHOEDEMA? Lymphoedema occurs when there is a disruption to the lymph nodes and lymphatic vessels under the axilla (armpit). The lymphatic system is a network of vessels (tubes) and lymph nodes throughout the body that drain lymph ﬂuid from the tissues back into the bloodstream. Lymph carries ﬂuids, waste products, immune cells, fats and sometimes bacteria. If the lymphatics are damaged after your surgery, the lymph ﬂuid cannot drain away properly and swelling of the arm can occur. 26
WHAT IS MY RISK OF DEVELOPING LYMPHOEDEMA? Currently the risk factor is between 10 & 20%, depending on surgery and treatments. Breast oedema is far more common since the introduction of the sentinel node biopsy technique and more research is required to determine who is at risk.
WHAT CAN I DO TO REDUCE MY RISK OF LYMPHOEDEMA? Research has conﬁrmed that extreme heat, (e.g. a sauna) trauma or infection can trigger or exacerbate lymphoedema symptoms. Blood pressure recording, careful injections or blood tests on your treated side, whether or not it has lymphoedema, have not been shown to cause or exacerbate lymphoedema. Research also conﬁrms that the normal use and exercise of your arm is very important and may prevent deterioration. Exercising your arms helps to move lymphatic ﬂuid. Make this enjoyable, tai chi, sports, gym or light weights may help build upper body strength whilst reducing the risk of lymphoedema. It is important to stay in tune with your own body and report any changes or signs in the arms, such as heaviness, aching or early swelling to your doctor or qualiﬁed lymphoedema therapist.
IS EARLY DETECTION POSSIBLE?
WHAT CAN I DO FOR MYSELF?
Although most women will not develop lymphoedema, it is important to be well educated and have regular monitoring to detect early changes and intervene early. Patients should have regular monitoring with bioimpedance spectroscopy (L-Dex®) and or using a tape measure to detect lymphoedema as early as possible. Ideally baseline measures should be done before any medical treatments are conducted but measurements compared to the untreated side at anytime can be useful. Don’t forget, that depending on whether you are right or left-handed, that dominant side may be slightly larger normally as you use the muscles more on that side.
It is important for an individual to develop a partnership with a qualiﬁed lymphoedema therapist and set realistic and achievable goals with regular monitoring to help keep the condition in balance. Some simple strategies include: • Use the affected limb normally for daily activities at home, work and during leisure time. • Become attuned and aware of your own body symptoms and signs.
WHAT ARE CURRENT MANAGEMENT PRACTICES? The aims of management are to detect lymphoedema early, prevent progression, reduce swelling and then maintain reduction in the ﬂuid so that the risk of infection (called cellulitis) reduces and also to improve function and quality of life. The management of very early lymphoedema, whether it is only a difference on measurements only or a slight swelling is education, exercise, self-lymphatic drainage and ﬁtting of a compression garment. Your lymphoedema therapist can advise you on how to do all of this. As lymphoedema progresses, our researchers found that lymphatic ﬂuid can stimulate fat production. It then means we try what is known at CLT - complex lymphoedema therapy. The aims of this treatment is to prevent it from getting bigger and to reduce symptoms of heaviness and aching. This has two phases: (1) Intensive Phase. This involves skin care with regular brand moisturisers, manual lymphatic drainage, which is basically massage to improve lymph ﬂow by moving the ﬂuid to other areas of the body, compression therapy (bandaging and/ or compression garment), exercise to increase lymphatic ﬂow and also, of course, psychosocial support. (2) Maintenance Phase. This includes various self-maintenance home programmes, which are tailored to you including skin care, prevention of infection, regular self-massage, exercises and wearing of compression garments.
by one of the world’s best experts, Dr Hiroo Suami, who will also help us introduce lymphovascular anastomosis where lymphatic vessels are joined to veins. All surgical treatments need to be approached with caution and be managed by a comprehensive multidisciplinary team, which includes a rehabilitation specialist, plastic surgeons, occupational therapist, physiotherapist, oncologist, garment ﬁtter and research staff. We see patients from all over Australia and New Zealand. Call (02) 9887 8899. ■
How can I find a practitioner? The Australasian Lymphology Association (ALA) has developed a list of qualified lymphoedema therapists, see www.lymphoedema.org.au and also a Patient Registry, found at www.lymphoedemaregistry.org.au, to allow people living with all types of lymphoedema a place to describe their lymphoedema and complications anonymously and also volunteer to be contacted for future lymphoedema research.
• Maintain a healthy weight with regular exercise. Dr Susan Hart’s ebook, Healthy Living After Breast Cancer helps clarify what you can do in terms of diet and exercise (www.bcpublish.com). • Use moisturising cream to help keep the skin moist and reduce the risk of infection and massage it in an upward movement towards the armpit. • When ﬂying have good hydration, moving the arm about at intermittent periods and deep breathing • Don’t forget your leg exercises to help prevent a DVT.
COULD SURGERY BE HELPFUL? At Macquarie University we have just published our ﬁrst article on liposuction for lymphoedema. We have seen life changing results for patients with advanced lymphoedema, which is mainly fatty and not responding further to intensive massage or compression. Treatments we are investigating at the Advanced Lymphoedema Assessment Clinic include liposuction, lymph node transfer and soon we will be joined
REFERENCES: Prof John Boyages, Program Director, Mrs Louise Koelmeyer, Occupational Therapist and Program Manager, Dr Mackie, Rehabilitation Specialist and Medical Director - Macquarie University Faculty of Medicine and Health Sciences. Advanced Lymphoedema Education, Research and Treatment (ALERT) Program. To ﬁnd out more about breast cancer and lymphoedema get Prof Boyages book Breast Cancer: Taking Control from www.bcpublish.com. Use promotional discount code ‘AMOENA’ amoena.com.au
[ your style ]
Personal fashion choices are a stamp of individuality that deﬁnes your image – at least to people who don’t already know your sparkling personality. Think about the women in your life: the friend who’s known for colourful, dangly earrings… the sophisticate who’s always pressed and precise in classic black… the athlete who can get away with a messy ponytail and still look amazing. Right or wrong, style plays a role in deﬁning us. But even fashion decisions should be carefully thought out, because some of the trendiest styles could cause health problems if you go overboard with them. Consider these pros and cons.
2 Head to the haberdasher One of the runway trends for 2015 was big, ﬂoppy and sometimes downright weird hats. While most of us don’t cap off our looks with Dr. Seuss-style headpieces on a daily basis, wearing
You can be flirty, fun and stylish without sacrificing your health
A new class of light breast forms inspired by Mother Nature
a ﬂoppy topper isn’t such a bad idea when we’re outdoors in the sun. For picnics or beach days, a lightweight, shade-making chapeau can keep you cool and protect your delicate skin. Fashion Verdict? Pro!
Flat-bottom boots – HOT look!
3 Heavy Handbags
1 My, oh, my Manolos and Louboutins A pretty pair of heels will “up” anyone’s fashion quotient, but your back, knees and feet themselves will likely suffer. Podiatrists shake their heads in dismay when we women continue to choose stilettos over sensible shoes. Thankfully in 2015, fashion gurus have declared gladiator sandals and ﬂat-bottomed boots the hot look! If you must, wear high heels only for short bursts of time, and bring a pair of supportive sneakers to wear during travel to and from your dressy event or important meeting. Fashion Verdict? Con.
Floppy hat FUN!
3 Fashion flexibility!
Looks and feels more like you.
Handbag styles go in and out of favour regularly, but when the heavy tote is on runways, as it is this year, watch out. We’re tempted to tuck armloads of stuff into our everyday bags — over time, this damages posture. After breast surgery, it’s even more critical to avoid hanging a heavy purse on the affected side – it can aggravate or cause lymphoedema. Sorry, pretty big bag: Fashion Con.
4 Contact Multi: More choices for you Amoena’s new Contact Multi pad is an accessory every style-savvy breast form wearer should have: A silicone pad featuring the same secure adhesive used on Amoena Contact attachable breast forms. The pad can be adhered to any Amoena triangle-shaped form, which allows that form to be attached to your chest wall when you want to. Besides giving a feeling of lighter weight (attachable forms lessen the pull on your bra straps), it allows you some ﬂexibility with what you wear. Lower neckline? One-shouldered top? Go for it! Amoena does recommend that Contact Multi be worn with a bra for complete support. For freedom in your clothing choices, the Fashion Verdict? Deﬁnitely Pro! ■
For more on Contact Multi, visit amoena.com.au/amoenalife
See what women are saying at amoena.com.au/cosmetic
To ﬁnd a retailer near you, visit our store locator at amoena.com.au/store-locator/ﬁnd or call 1800 773 285.
Meet Anne-Mary, Amoena Cosmetic breast form wearer.
Amoena is a registered trademark of Amoena Medizin-Orthopädie-Technik GmbH. “For you, like no other.” is a trademark of Amoena Medizin-Orthopädie-Technik GmbH pending registration . © 2015. All rights reserved Amoena Australia Pty Ltd Fitzroy Victoria Australia
[ nutrition ]
EMBRACING FRESH PRODUCE!
Try theses! recipe GO GREEN (and maybe a few other colours like red, blue, orange ge e and purple!) Now the weather is starting to warm up, it’s time to get creative with the beautiful new season produce our farmers provide for us. Here are a couple off very tasty (oh and by the way, very ry healthy!) ideas to get you started… …
SPRING GREEN SALAD WITH BALSAMIC BERRIES RIES • Several cups of mixed green leaves • 4 baby cucumbers, cut into batons • 2 cups strawberries, sliced • A few edible ﬂowers or petals for extra tra colour Toss the berries in 1tbsp of balsamic vinegar while you mix the dressing: • Juice of half a lemon and half an orange ange
Supporting local agriculture —the trend towards Farmers Markets What is a farmers’ market? A Farmers market is set up for farmers to bring their fresh produce to a central location to sell directly to customers. If you’re not already a supporter of local farmers markets now is a great time to take a look. You can ﬁnd local farmers markets most weekends. They’re great for getting to taste and appreciate ultra- fresh seasonal produce (often picked that morning) and you may have an option for other farm-fresh specialities like eggs, homemade breads, jams and cheeses. If you are willing to take a chance on Mother Nature, you certainly won’t be disappointed. This gives you the opportunity to be a little more adventurous in the kitchen with your fresh seasonal produce. To ﬁnd a market near you head to The Australian Farmers Markets Association web page – they are well worth a visit. http://farmersmarkets.org.au/markets Alternatively there are share gardens in most areas where you can join a gardening community and share the workload and the harvest.
• ¼ cup olive, macadamia or avocado o oil
Fresh food is better for your health
• 1 tbsp balsamic vinegar
Trying new things broadens your experience
Assemble the salad just before serving.
Both Parties win new friendships and understanding of the food cycle
Supports local industry
• 1 tbsp Dijon mustard • Extras you might like to add are crumbled feta, a, blueberries, fresh herbs like dill, parsley and mint, or some toasted seeds or nuts.
GREEN GODDESS DRESSING Apart from the fact that it’s a lovely name, this dressing is very versatile. Use it on a salad or over ﬁsh or chicken. • 3 tbsp cashew nuts • 1 medium avocado • 2 tbsp olive oil • Juice of half a lemon • 3 tbsp apple cider vinegar • 3 tbsp chopped parsley • 1 cup chopped cucumber
Lettuce: It’s not just for salad anymore! Did you know you can grill lettuces? Or make healthy sandwich wraps or “tacos.” Cut into strips and add to soups, noodles, or fried rice. Sneak them into fruit smoothies.
• 1 tbsp. honey or maple syrup
• 1 tbsp honey or maple syrup • 1 garlic clove • ½ tsp sea salt amoena.com.au
[ portrait ]
Positive test results have a reputation for causing a bit of shock, whether they’re of the medical variety, like a pathology report, or the home-pregnancy type. At age 35, Kamila Sauze was privy to both kinds at the same time. “I was in such a shock about the cancer that I even forgot to ask the doctor what type it was, so I called later and he told me ‘invasive ductal carcinoma,’” Kamila recalls. During the doctor’s appointment she’d mentioned that she might be pregnant, but the on-site test came back negative — she was only about a week post-conception. But like many women do, she just knew, she says. The doctor wanted to operate as soon as possible, so surgery followed a week later on July 26. “I had a right breast lumpectomy and lymph nodes dissection, 19 removed, one positive for cancer.”
[ feelin’ kinda funny ]
that made me most sad was the inability to enjoy that pregnancy, to show off, to glow, to go shopping for the baby and all the things pregnant women do; I was in so much discomfort, so sick from all the chemo and, actually, in and out of the hospital.” Chemo raised complications for Kamila, though not for the baby. She started pre-term labor at 24 weeks, and had an adverse, anaphylactic reaction to Taxol which caused contractions only 3 minutes apart. “From then on I went to labour and delivery just about every week. I had to take Taxotere instead of Taxol, and I was able to tolerate it better, but I always started contractions with every infusion.” The common difficulties of losing her hair and feeling fatigued took their toll, as well.
Accentuating Her Positives
Perfection Life’s funny way of letting us forget its lessons Dianne (Browne) Armitage was born in Indianapolis, Indiana. The eldest of six children, her early aspiration was to write the great American novel. Diagnosed with breast cancer in 1996, 2005, and again in 2013, she believes humour has helped her deal with her diagnoses and just might be therapeutic to others as well. In addition to her work with Amoena, Dianne has written for Dr. Susan Love’s website and is a frequent contributor to several other health-related sites.
I realised recently that each of my three breast cancer diagnoses occurred not only at very different times in my life, but also during different times of year (and in much different mindsets)!
Consecutive test results were no match for survivor and mum, Kamila Sauze Workaround July 30th, Kamila remembers, she took a pregnancy test at home. “I was in the bathroom, had the drain [from the breast surgery] still attached and in pain, then I called my husband (boyfriend at the time) and told him the test was positive. He didn’t say a word.” An undeniably difficult moment for the couple, Kamila shares. “It was overwhelming! We did not know whether to get happy or sad, because we truly didn’t know what was going to happen; surgery alone could have already damaged the fetus. After talking to the gynecologist, all we learned was that we’d have to wait: miscarriage was almost certain, and if not, the baby could be abnormal.” Those are the moments in life when you just have to trust your instincts. And even though her doctors warned that treatment would be better if she weren’t pregnant, Kamila’s instinct said, “Well, we will just have to work around this baby.” Treatment was postponed until the second trimester. Seasoned with joy and regret One regret does colour Kamila’s memories of what should have been a sweet time in her life. “I was so happy for having conceived that baby, but at the same time, so worried about his well-being,” she admits. “The one thing 32
Meanwhile, there was also joy. Kamila and her boyfriend were married that January — New Year’s Day, in fact — she says to symbolise “new everything: Home, life, baby to come, and new me after all that treatment.” Thankful for his loving care and her solid healthcare team, Kamila rejoiced when her son was born on March 12, 2014 at exactly 36 weeks. “He was perfect! I still endured one more chemo and 33 daily sessions of radiation therapy.” Real life, right now Now at 37, the mum of two busy young boys is back at her job in county government. “I don’t think anything will ever be back to normal for me, nor for anyone else for that matter,” she reﬂects. “Physically I’m scarred, emotionally as well, and I’ll always have that concern that it will come back. But I try all I can to live to the fullest right now, to enjoy my little family and the fact that I’m here for them. I look at all the pictures and go, ‘Wow it was so hard, so painful — but we made it,’ and I would do it all over again. “I love spending time with family, love the outdoors, the movies… I was an avid runner before cancer and now I am slowly trying to get back into it.” She’s a model of determination and strength, having found a way to focus on a better set of “positives.” ■
Summer When I was ﬁrst diagnosed in 1996, I co-owned a restaurant called Grumpy’s Grill (my motto: Ya’ Gotta’ be Mad to Eat Here). My life was so insanely busy, I’m not sure I was actually doing much conscious living. In addition to the daily craziness of operating a restaurant, I made ends meet by juggling two other professions. Between early morning and late evening shifts at Grumpy’s, I was employed as a disc jockey. I also wrote how to books in my “spare” time. I remember being constantly exhausted. I also remember thinking I was old. That was nearly 20 years ago. I discovered I had breast cancer in July of that year. I thought it would be my last summer. You know you’ve got it bad when you live in Iowa, the humidity is at 99%, and you cry because you’re going to miss summer! And then, somehow, I lived. And I swore I’d remember the lessons learned. Spring Life went on. I completed my chemo and radiation and slowly but surely, I jumped back into my day-to-day routine. Granted, I made changes. I returned to California, which after 12 years was daunting. Many of my friends had moved away or moved on. The saying you can’t go home again was just a bit too close to home for me! But breast cancer had taught me to be strong and count my blessings — so I tried. In February of 2005, at just the point where I actually thought about something other than my health, I was diagnosed for a second time. Shut the front door, are you
serious? There went my theory about the lab making a mistake back in 1996! I spent the spring and summer of that year dealing with chemo and the fall getting radiation. Although I went through all of the treatments they suggested, I once again thought my days were numbered. And then, somehow, I lived. But I realised I’d somehow managed to forget a few of those lessons I swore to remember. Autumn In October of 2013 I had blithely posted on Facebook, “Make sure you get your mammogram, ladies,” as I skipped out the door to go get mine. Long story short — that didn’t end as I had anticipated. Although I did say adios to my breasts, no one could provide any evidence that further treatment would change the outcome, so I was fortunate to dodge chemo and radiation this go-round. I tried to stay in the moment, and again, luckily, I’m living. But I’ll be darned if it didn’t dawn on me that I’d once again managed to let a few life lessons “fall” by the wayside. Winter So here I am. I’ve somehow survived several seasons of breast cancer and am approaching something remarkable — getting older. I no longer work so hard to stay alive, I forget about living. I laugh when I think about feeling old 20 years ago. But the saying you can’t know what you don’t know, rings so true! If I’ve learned anything along the way it’s this: • No matter how old you are, you can still be young at heart. • Don’t forget that to everything there is a season and a time for every purpose under heaven. • Regardless of what life throws at you – pay attention – and you will be seasoned to perfection! ■ amoena.com.au
[ reader survey ]
beautiful you! SHARE YOUR TOP MAKEUP PREFERENCES We’d be delighted if you’d share a few thoughts about your beauty routine, your makeup secrets and tips. When you share a beauty secret or tip with us, you will receive a complimentary Amoena Brief*. Take our survey online: Go to amoena.com.au/survey. Or complete this page before Dec. 31, 2015 and mail to us at: Amoena Life Survey Reply Paid 119, Fitzroy VIC 3065. Every beauty secret and tip received will receive an Amoena Brief. ( *1 Brief per customer) 1. What is the most signiﬁcant reason you wear make-up? a. I wear it to feel more attractive c. I wear it for my partner and/or boost my conﬁdence d. I rarely wear make-up b. I wear it because it’s expected e. I never wear make-up 2. How often do you use organic makeup (eye shadow, blush, foundation)? a. Always c. Rarely b. Sometimes d. Never 3. How often do you use organic skincare products (lotions, moisturisers, cleansers)? a. Always c. Rarely b. Sometimes d. Never 4. What’s the one product you couldn’t live without? a. Cleanser f. Lipstick b. Moisturiser g. Mascara c. Foundation/Concealer h. This doesn’t apply to me d. Bronzer/Blush i. Other__________________________ e. Serums 5. When do you typically clean your breast form? a. In the morning when I’m getting ready c. I take it into the shower with me b. During my nightly get-ready-for-bed d. I don’t wash my breast form routine e. This doesn’t apply to me 6. Do you ever wish for the option to wear an adhesive breast form for a particular outﬁt? a. Yes c. I already wear an adhesive breast form b. No d. This doesn’t apply to me 7. Approximately what percentage of your bras are “stylish” (colours, lacy, or embellished) versus “everyday” (nudes/whites, T shirt bra, all-day comfort)? a. 100% stylish d. 20% stylish, 80% everyday b. 80% stylish, 20% everyday e. 100% everyday c. 50/50 f. This doesn’t apply to me
________________________________________________________________________ 10. When you share a beauty secret or tip with us, you will receive a complimentary Amoena Brief*. Be sure to include your brief size! Name: ________________________________ Brief Size: ________________________ Address: ________________________________________________________________ Suburb: _______________________________ State: _________ Postcode: _________ Country: ______________________________ Phone No: ________________________ Email Address: ___________________________________________________________ 34
What we learned in our Autumn 2015 survey
You’re an interesting and talented bunch! We had nearly 850 responses from 10 countries in our last survey. Between your dining out, walking, book clubs, gardening, knitting, and online activities, it’s clear you stay quite busy. Many of you (on average 77% of you, worldwide) are already members of Club Amoena. We asked what you wanted to see more of, in Amoena Life magazine and online. Here are the results in each category (respondents could choose more than one): In-depth news articles 55.4%
Nutrition and recipes 48.8%
Fashion Pages 48.5%
Essays by fellow survivors 41.6%
carry on— find your after
Patience and determ ination helped Anne-M ary through the difficul Molinie t seasons
The utter delight of eating a French macar on...and a bit about making them, too
your fashion image: choose wisely
seasons of our lives
You can be ﬂirty, fun and stylish without sacriﬁc ing your health
Strategies for survivorship in your 40s, 50s and 60s
Plus HEALTH PORTRAITS AND MUCH MORE!
JOIN US! amoena.com.au State Club Amoena is a worldwide community of women who trust Amoena for fashion and comfort. We share our favourite Amoena products, ways we continue to live well, and uplifting stories of strength.
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Some of your suggestions for other topics included: “The ins and outs of healing;” “Advice about the most suitable sports;” “Diet advice because we hear conﬂicting reports;” “The psychological side of recovery;” and “Skin care after chemo,” among many other good ideas. And we were inspired by your wisdom. We can’t print every response, of course, but here is one that sums it up nicely:
❑ Health Care Professional ❑ Please sign me up for Looking Ahead, an informative e-newsletter about breast cancer and health from TheBreastCareSite.com (e-mail required).
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Gift with Purchase OCTOBER SPARKLE! Amoena’s Awareness Bracelet 2015 honours breast cancer survivors everywhere. Receive the Rose Quartz Bracelet when you purchase an Amoena Breast Form * and an Amoena Bra **. Offer valid 1st October to 31st October 2015 while stocks last. *Excludes Aqua Wave, Priform and Leisure Form and Partial Balance Forms. **Excludes Leisure Bra. Our model, Linda, is living life to the fullest after breast cancer.
Handcrafted with genuine rose quartz, a symbol of love, compassion and peace.
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Amoena Life magazine is a respected, one-of-a-kind resource for women who want to live well. You're invited to enjoy our current issue: • Se...
Published on Sep 24, 2015
Amoena Life magazine is a respected, one-of-a-kind resource for women who want to live well. You're invited to enjoy our current issue: • Se...