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March 2015



March 2015


MARCH 2015

VOL. XV № 3

22. Taking On Cancer Two woman diagnosed with myeloma, who previously knew little about their disease, are changing the lives of everyone who shares their misfortune and causing ripples in the research community.



Don’t forget about your triceps! Here we present a few exercises to help you better focus on this important muscle group.

The detox movement is big on removing “toxins” from the body, but delving for the details with this popular practice raises some questions.



It’s probably one of the most annoying things a marathon runner hears: “aren’t you worried about your knees?” Let’s break down what’s fact and what’s fiction.

26. SHOULD YOU DONATE TO A CANCER NONPROFIT? Most of us understand how terrible cancer is. But how can we be sure that our money is actually doing something good, something that actually matters?

31. CANCER SCREENING PROS AND CONS There are a lot of voices telling us to get screened for cancer, especially after we pass a certain age. But a new voice is warning us about the potential complications of cancer screenings.


COVER PH Marc Reynolds of OTOGRAPHY Reynolds Photo

Research has tied e-cigarette use to future substance abuse, and there are a number of other disturbing trends related to vaping.

49. TABLET HABITS It’s pretty common to have a gander at the tablet or smart phone right before we get some shuteye, but those two activities may not actually belong together.

46. RECIPES Japanese Ginger Noodle Bowls, Mini Meatball Soup.


March 2015



Editor’s Note



MARCH 2015

EVERY ONCE IN A WHILE, STEP OUTSIDE YOUR BUSY LIFE AND LOOK AROUND. TAKE NOTICE OF OTHERS AROUND YOU. OBSERVE. WHEN YOU DO, YOU WILL SEE SOME PRETTY AMAZING THINGS. AND YOU MAY FEEL ELATED JUST TO BE ALIVE. This month we are devoting most of this issue to cancer awareness. Life is a gift and every day is precious. And, you just never know what tomorrow will bring. In the course of working with dozens of people with amazing stories and oft-times heroic experiences as people seek life, liberty and the pursuit of happiness, I once again came across a simple, yet powerful story of survivorship. Maybe it’s because I know Janie James, but her experience with breast cancer deeply touched me, causing me to step back in wonder. Her words of optimism and powerful perspective echo in my mind— ‘Every day is a bonus day.’ Sometimes it’s easy to get our priorities derailed. So much of our daily lives matter, but it can be difficult to ferret out the part of our daily lives that matter less. But just the thought that today is a ‘bonus day’ can quickly prioritize things. If today is a bonus, then our thought shouldn’t be to just get through the day, but rather, what can I do



with this day? So many great opportunities are sprinkled amongst the details of daily life, and if we don’t pay attention to little events, we end up missing the opportunities. So, what do we do with today? This question gets at the heart of our ultimate happiness. The focus on our daily activities—at work, at home—shouldn’t be so much on what we are getting, but what we are becoming. Getting and becoming are intertwined because what we become largely influences what we get. Daily ‘becoming,’ or personal development is the real key to our success, and our station in life rarely exceeds our daily personal development. One of life’s great mantras is this:

“To have more than you’ve got, become more than you are.”


EDITOR-IN-CHIEF John A. Anderson | PUBLISHER Kenneth J. Shepherd | MEDICAL DIRECTORS Steven N. Gange, M.D. Lane C. Childs, M.D. MARKETING DIRECTOR Erik Pfeiffer | DESIGN EDITOR Phillip Chadwick | MANAGING EDITOR Michael Richardson | DIRECTOR OF OPERATIONS Lyn Timboe | CIRCULATION MANAGER Ron Fennell | CONTRIBUTING WRITERS Caitlin Schille, Angela Silva, Megan Moore, Brooke Kittel, Jill Castle, David Joachim, Lisa Mathews, Mark Saunders CIRCULATION Healthy Magazine® is distributed widely to more than 800 locations along the Wasatch Front. It is also direct mailed to doctors, dentists, practitioners, health clinics, banks and other businesses along the Wasatch Front.

If we don’t treat each day like a bonus, focusing on our personal development—on what we are becoming—the opposite will come true: ‘Unless you change how you are, you’ll always have what you’ve got.’

Healthy Magazine (801) 369-6139 l

Each day we are becoming something. Smarter. Smoother. Faster. Funnier. Happier. Healthier. (Hopefully). And yet, there are those darn statistics that keep saying we are not getting healthier. Heart disease, diabetes, cancer, and of course, obesity, are all on the rise. And so many of these rising health indices are behavior based.

PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission. All stock photography by, unless otherwise noted.

Behavior is choice and effort; or lack of effort. We can choose to exercise or choose to be sedentary. We can choose to become more fit or more fat. We can choose to become healthier. We can choose to treat today like a bonus and become more than we are. Choose to step outside your life for a moment. In fact, choose right now to just step outside. Go ahead. After all, today is a bonus day.



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March 2015




Triceps Exercises THAT WORK



2. Body Up

3. Close Grip Bench Press

Like its name suggests, the Bench Dip exercises usually involve a bench, chair, or other piece of sturdy furniture.

Start in a plank position, supporting your body with your toes and forearms. Your forearms should be shoulder-width apart.

Use a narrower grip than the traditional bench press to really work your triceps area. But not too close. Many people mistakenly put their hands so close that they are almost touching, which only adds strain to the wrists and elbows.

While facing away from the bench, place your hands shoulder-width apart behind you on the bench. Extend your legs forward, bending at the waist. Lower your body by bending your elbows until you reach an almost-90 degree angle between your upper arm and your forearm. Use your arms to bring your torso back up to the starting position. To make the exercise more challenging, place your feet on a bench in front of you as well.


Press your palms into the ground, with elbows pointing toward your feet, and triceps aligned with your back, extend through the elbows to lift your body up higher. Lower your forearms back to starting position. Keep your torso as rigid as possible. This exercise will feel similar to that of a push-up, but you’ll feel the backs of your arms working.

Your grip should be so that the elbows are pointing to the feet, rather than out away from the body, like you would for a normal bench press. Ensure muscle growth by adding weight to the bar, but start with a low number of reps in order to get used to the new grip. Before any warm up, stretch your arms and elbows especially. Elbows are the most common area injured during triceps exercises. Also, avoid overtraining— many experts recommend working on triceps once or twice a week along with chest and shoulders.

Do Marathons Ruin Joints? THE TRUTH ABOUT A COMMON CARDIO MYTH People who say they don’t run marathons because they want to save their joints may have to eat their words. Studies published in the last few years find little connection between distance running and joint injury or future arthritis. In fact, some research suggests that running may even protect people from joint problems later in life. Of particular note is the Stanford University study that followed 1,000 runners and non-runners for 21 years. None of the participants had arthritis when the study started. The study concluded with the finding that the knees of both parties were neither worse nor better than the other. In fact, even when comparing runners who ran a ton versus runners who ran little, there was no statistical difference. In addition, the running group experienced less physical disability and had a 39 percent lower mortality rate.

BUT MARATHON RUNNING IS DIFFERENT THAN REGULAR JOGGING, RIGHT? “There is no evidence that supports the statement that marathon running ruins the knees,” says Rasmus Nielsen, PhD, a postdoctoral researcher at Aalborg University in Denmark who studies injuries related to marathons. In fact, Nielsen says novice runners running low mileage face a significantly greater injury risk compared with marathon runners. Of course, running excessive distances too soon can increase the risk of knee injury, but if runners are adapted to the training stimuli, marathons don’t make them vulnerable to injury, he says. But in the last few years, studies involving MRIs of runners’ knees before and after marathons have revealed new questions. Some of these studies show that marathoners have great knees. Another study conducted at the University of California at San Francisco found that certain biochemical

changes happen in marathon runners’ knees during the race, changes tied to cartilage degeneration. How permanent these changes are is still an unanswered question, but it doesn’t look like it leads to arthritis. Regardless of one’s preparation, running isn’t easy on the body. A runner’s step places about eight times the body weight on the knee compared to a walking step, and that can sometimes lead to injury (for those who aren’t mathematicians, a 150 lb. runner would experience 1,200 lbs. of impact in the knee). “Exceeding the body’s limitations will, if the stress is severe enough, lead to overuse injury,” Nielsen says. This begs the question, how many people adequately prepare for a marathon, and how many people just go for it after some light preparation? This is how marathon running is dangerous. Research shows that excessive increase in running distance or speed in injurious. “Limited evidence suggests an increase in weekly distance greater than 30 percent increases the risk of specific

injuries like patello-femoral pain, runners knee and jumpers knee,” Nielsen says. That means if you run 10 miles one week, then you shouldn’t up your mileage to more than 13 miles the following week. In the end, running isn’t a risky activity. What’s risky is overstepping your body’s capacities, which is true of any physical activity.

OTHER RUNNER ERRORS LEADING TO INJURY • The roller coaster runner: going for long periods of inactivity and then begin running again. This roller coaster running will almost surely make your body hurt, and will probably cause injury. • Running on an injury: if you have a knee injury, or if you’ve had knee surgery, running may increase your risk of arthritis. • Not being weight-conscious: If you’re overweight, don’t start off with intense running. This extra weight may traumatize joints.

March 2015



11 Habits




EDUCATE themselves regarding nutrition and exercise. Knowledge is power!

EXERCISE IN THE MORNING. Many people find too many diversions as the day progresses. Fit your workout in early and get it over with!


10 6


Look for ways to “MIX UP” their fitness routine. The body is constantly adapting to the forces imposed upon it. If you do the same thing at the gym everyday, you’ll limit your results and eventually hit a plateau.




AVOID FAD DIETS. If it sounds too good to be true, it is. Maintaining an ideal weight is about sustainable, life-long lifestyle changes – not the trendy weight loss gimmick of the moment.

EAT WHAT THE CAVEMEN ATE. Think unprocessed, whole foods like grass-fed beef and poultry, wild-caught seafood, and plenty of organic fruits and vegetables.

MAINTAIN TIDY HOMES. These folks perform indoor and outdoor chores themselves rather than hiring these tasks out or forgoing them all together. Just think of the added calorie burn per hour: Vacuuming = 238 calories; mopping floors = 250 calories; trimming bushes = 215 calories; mowing the lawn= 408 calories.


HAVE AN EXERCISE BUDDY. It doesn’t matter if that buddy is an acquaintance, friend, cycling club, group exercise instructor or personal trainer. Numerous studies have shown that exercise consistency markedly increases when you have a support and accountability framework in place.

HYDRATE, HYDRATE, HYDRATE WITH WATER. Water is the magic elixir. It flushes toxins from the body, reduces bloating from excess dietary sodium and assists in maintaining proper fluid balance in the cells. When cells are lacking in water, they shrivel resulting in muscle fatigue. Ideally, one should consume 64 ounces of water daily. This number increases as heat, humidity and/or activity level increases. .

FORGIVE THEMSELVES FOR SETBACKS AND MOVE FORWARD. So you missed a workout? So you had a piece of cheesecake for dessert? So what! Chronically fit people jump right back in the exercise and nutrition “saddle” after small setbacks.



MAKE EATING OUT THE EXCEPTION RATHER THAN THE RULE. Restaurant food is notoriously loaded with excess fat and calories. If you cook it yourself, you control what you put in your body.


PURGE THE JUNK IN THEIR REFRIGERATORS AND PANTRIES. Don’t fool yourself. If your weakness is mint chocolate chip ice cream and you have mint chocolate chip ice cream anywhere in your living space, you WILL indulge yourself. Wave the white flag and surrender those things that you cannot resist to the garbage can. Don’t set yourself up for failure.

Brooke Kittel

Treehouse Athletic Club 801-553-0123 Treehouse has also been named among the TOP 20 GYMS in AMERICA by FITNESS MAGAZINE and has received Draper Business of the Year, Sandy Business of the Year and many other accolades. Treehouse offers family fitness in a beautiful and fun environment. TAC has state-of-the-art equipment, certified personal trainers and many programs and events that help keep you excited about working out and staying fit.

March 2015



Fresh Air Workouts



orking out outdoors can be one of the best ways to switch up your workouts and avoid hitting a plateau. If you ever fall into a rut at the gym or need a way to take your workouts to the next level to drop your body fat percentage and give you a tighter and toned look then here are a few tips you can use right away.


Hill running/workouts are an excellent way to build up your legs and stimulate your body’s natural fat burning and muscle building hormones. If you are someone who has struggled with sculpting your legs to have a more muscular look or dropping body fat then hill running can be that missing link. What you will want to do is find a hill with a decent incline that will challenge you. There are several ways to tackle a hill. • • •

Sprints of ten to forty yards with a thirty to sixty second rest in between each sprint. Run for a dedicated time (like fifteen minutes), going up and down the hill to create a dynamic the body is not used to. For variety: run backwards up the hill and jog forward coming down the hill. This will create a different feel and challenge the body, therefore helping you break through or even avoid a plateau.

Remember the more variety you have in your workouts the better and more consistent your results and progress will be.



The next technique you can use while working out outdoors is plyometric exercise. These exercises are designed to target different muscle fibers which can help in building more muscle and burning more fat. The first exercise you can use is what we call a jump squat. With a jump squat you want to get yourself in a squatting position and then jump as high as you can. Once you land on the ground, jump right back up and repeat this movement for repetitions or a set time such as thirty to sixty second rounds.

Truly fit people utilize both the gym and the outdoors for maximum muscle gain and fat loss. The key to success in outdoor workouts is to allow creativity while simultaneously still pushing yourself. Take techniques that you use in the gym and utilize those same fundamentals outdoors and add on to them. Most importantly have fun and remember this is a lifestyle.


Greg Marshall

Greg Marshall is the sales and personal training manager at The Gym at City Creek, Salt Lake City, and The Gym at Station Park, Farmington, UT. He has run the personal training departments in up to eight locations at once, owned his own personal training company and has been in the industry five years. To contact Greg for a free consultation email him at

The next exercise you can use is a bench jump or curb jump. You will want to find a stable bench or a curb where you jump on and off of for repetitions or a set time such as thirty to sixty second rounds. The goal is to do the jumps as quickly as possible, while staying safe, to boost your heart rate up and challenge new muscle fibers.

March 2015


K n o w i n g W h at Yo u E at

Distracted Eaters Eat More Researchers from the University of Liverpool found that people distracted by games, TV or reading eat significantly more than they would otherwise.

Bananas: 4 Things You Didn’t Know 1. There are hundreds of varieties of bananas, many of which aren’t edible. Many contain giant, hard seeds. 2. The Cavendish banana, the one you see in every market, is a hybrid species that can’t reproduce on its own. Human cultivation is the only reason it still exists. 3. The most popular banana before 1960 was different than the Cavendish, but a plant fungus wiped that variety out. 4. The average American eats 27 pounds of banana per year, making them the most popular fruit in the country (more than oranges and apples combined).

Did You Know...

Why Honey Lasts Forever Archeologists working Egypt discovered pots of honey, thousands of years old, that were not spoiled. How? Honey contains little water in its natural state, meaning few bacteria or microorganisms can survive in it. Secondly, honey is very acidic, which kills off microorganisms. Bees themselves are important in making honey so resilient. When they flap their wings, they dry out the nectar, and they transfer an important enzyme from their bellies to the nectar, which further protects the honey.


Not Quite Booming Baby boomers, characterized as being born between 1946 and 1964, have the highest rates of depression, compared to all other generations, a recent Gallup poll shows. One in seven baby boomers say they are currently being treated for depression.

Creating Our Food

US farmers planted about 169 million acres of genetically modified crops in 2013, or about half of all total land used for crops. Herbicide tolerant corn, meaning corn modified to be able to handle certain herbicides, accounted for 85 percent of all corn acreage in 2013. Source: USDA

“A journey is a person in itself; no two are alike. All plans, safeguards, policing, and coercion are fruitless. We find that after years of struggle that we do not take a trip; a trip takes us.” -John Steinbeck

“The most beautiful people we know are those who have known defeat, known struggle, known loss, and have found their way out of those depths.” -Elizabeth Kubler-Ross

“Tomorrow is the most important thing in life. Comes into us at midnight very clean. It’s perfect when it arrives and it puts itself in our hands. It hopes we’ve learned something from yesterday.” -John Wayne

“Three grand essentials to happiness in this life are something to do, something to love, and something to hope for.” -Joseph Addison

“The best advice comes from people who don’t give advice.” -Matthew McConaughey

K e e p I t I n Pe r s p e c t i ve


“Courage is grace under pressure.” -Ernest Hemingway

“I know that in life there will be sickness, devastation, disappointments, heartache—it’s a given. What’s not a given is the way you choose to get through it all. If you look hard enough, you can always find the bright side.” -Rashida Jones

“The real man smiles in trouble, gathers strength from distress, and grows brave by reflection.” -Thomas Paine

“I tend to think you’re fearless when you recognize why you should be scared of things, but do them anyway.” -Christian Bale

March 2015




Top five fitness and nutrition blunders we make as we age. BY BROOKE KITTEL


wo of the many undesirable side effects of aging are weight gain and a decline in fitness level. Many of my clients lament the fact that they cannot eat the same way they used to and exercise the same way they used to and maintain their physique. The truth is that you need to alter the way you approach diet and exercise as you age. Below are five of the most common fitness and nutrition mistakes people make as they age. FAIL TO ADJUST CALORIC INTAKE If you don't intentionally replace muscle via strength training, you'll need to eat 200 to 450 fewer calories every day, every 10 years to maintain your current weight. So if you're at a stable weight at age 35 and don’t do any kind of strength training while still eating the same amount of food, you'll gain weight.



IGNORE THE INFLUENCE OF HORMONES It is a fact that your hormones can make you fat. While there are a myriad of hormones involved in weight management and metabolism regulation, the primary “players” are estrogen, progesterone, testosterone, growth hormone and insulin. As we age, hormone levels can shift due to menopause, mood, stress and inactivity. The amount of hormones released from the glands in the body is proportional to the intensity and duration of exercise. Your hormones can help you achieve weight loss, but you need to encourage your “metabolism boosting” hormones by choosing an active and healthy lifestyle. DISREGARD INFLUENCE OF MEDICATIONS Several classes of medications can potentially lead to “appetite deregulation” and/ or alter a person’s cardiac response to exercise. For

Corticosteroids, steroid medications, can increase appetite via their influence on glucose uptake. They promote fat gain and reduce muscle mass. Additionally, psychoactive medications alter serotonin or dopamine levels which can influence the appetite and satiety centers. Often, appetite is stimulated and caloric intake increases.


AVOIDING THE WEIGHT ROOM After the age of thirty, we lose an average of 1 to 2 percent lean muscle mass per year. As much as 50 percent of muscle mass can be lost in the course of a lifetime. The effects of losing muscle mass include a decrease in strength, greater susceptibil-


may exercise less because of fatigue and select less healthful foods or overeat as a result of a medicationinduced slump in mood.




example, beta-blockers, used to treat hypertension, can reduce the cardiac response to exercise, so that patients expend fewer calories during exercise. Patients



DISCOUNT IMPORTANCE OF SOCIAL INTERACTION Staying connected helps stave off depression. A happier you often leads to healthier choices!



ity to injury, an increase in body fat and a decrease in metabolism. Muscles burn more calories than fat. The less muscle mass you have, the less calories you burn while at rest. The good news is that the losses in muscle mass can be slowed and even reversed by implementing a strength training program.

ABOUT THE AUTHOR Brooke is a Certified Personal Trainer at Treehouse Athletic Club. She can be reached by calling 801-553-0123 or email Brooke at brooke.

March 2015




Catch more ZZZs


Holding on to angry feelings takes not only an emotional toll on your heart, but may also take a physical toll on it. In a study of people with chest pain, people who harbored feelings of anger were four times more likely to have unhealthy cholesterol values. They also were more likely to have a higher body mass index (BMI). Unhealthy cholesterol values and a high BMI are both associated with a greater risk of cardiovascular disease. So find a good stress relieving activity that will take your mind off the situation such as exercising or listening to music.

According to a recent poll by the National Sleep Foundation, modern technology is robbing us of some much-needed shut-eye. Of 1,508 responses, a majority of people reported they used technology in some way before going to bed, such as watched television, talked on the phone or used the computer. Researchers say screen light can suppress a hormone that tells the brain it’s time for bed. Being involved with some sort of technology device like television or a video game can excite the brain as well, making it hard to settle down for sleep. Try creating a routine for the hours before you actually go to bed, such as minimizing caffeine intake, reading a book, and dimming the lights in your home.


According to research, most people’s brains love to be presented with unexpected pleasures. A happy surprise stimulates the brain’s reward regions. So plan a spontaneous picnic in the park or slip a love note into a lunch bag to help nurture your partner’s emotional well-being.

Commuter Sanity


According to a Harvard University study, positive thoughts can help you lose weight. Over 80 hotel cleaning attendants participated in the weight-loss study. The attendants who were told their work was healthy for them and given positive reinforcements lost more weight and had improved blood pressure over those who were not. So make thinking positive a part of your workout routine and you’ll get the results you want.



Car, bus, train or subway — however you get to work can put a major strain on your life. The average commute is 46 minutes roundtrip, which adds up to four hours per week. In those minutes, the traffic, road rage, boredom and tension can really leave you in a sour mood. If you’re bored... Try... finding something that makes the ride enjoyable. Listen to books on CD, learn a new language or work on your singing skills. If you get road rage... Try... not focusing on how long the trip is taking. Accept that your drive is long and get over it. If you are tense... Try... to make a point to relax. Take 5 deep breaths, loosen your grip on the steering wheel and gently stretch your neck at stops.




SOME NUMBERS TO CONSIDER Those without insurance in 2015 will pay a fee (whichever is higher) of either: 1. 2% of yearly household income. The max penalty is the national average premium for a bronze plan. 2. $325 per person for the year, $162.50 per child under 18. The max penalty for this method is $975.

Reasons People Don’t Get Health Insurance





A poll by the Kaiser Foundation found that the primary reason many Americans are still uninsured is the cost—39 percent of respondents said health insurance places too much of a financial toll on their budgets.

The median charge for an ER visit by an uninsured person. ER visits for sprains, injury, intestinal infection, and UTI all cost uninsured patients a median of around $1,000. ER prices vary greatly across the nation however.

Source: PLOS One


Because the Affordable Care Act is an enormous document filled with innumerable dictates and directions, the average American is not familiar with its ins and outs. In fact, 46 percent of uninsured Americans said they were unaware that they would be penalized if they did not buy health insurance. Furthermore, many don’t understand the many options presented to them by insurance companies.

3. EMPLOYERS NOT PROVIDING IT. According to Dr. Ezekiel Emanuel, Obama adviser to the Affordable Care Act, by 2025 “fewer than 20 percent of workers in the private sector will receive traditional employer-sponsored health insurance.”

4. WILLING TO PAY THE PENALTY. For some, the cost of paying the penalty may be less expensive than buying insurance. For those who are young and healthy, the likelihood of a catastrophic accident weighed against the monthly insurance cost leads them to choose the penalty fee over the more expensive monthly insurance cost.

The percent of uninsured adults who have outstanding medical bills. About 20 percent of the uninsured population experience serious financial strain from medical bills, compared to 7-11 percent of the insured population. Studies also show that the uninsured often postpone needed care. Source: The Henry J. Kaiser Family Foundation

Enroll Now! 877.334.4873

March 2015



Silly questions can have serious answers. From diapers to degrees, having a child means having questions. What’s normal? What isn’t? Get answers to your health-related questions—even the silly ones—from experienced nurses like Cory. She’s a mom, too. It all starts with one good choice.

©2015 SelectHealth. All rights reserved. 3648 1/15 ©2015 SelectHealth. All rights reserved. 3648


March 2015




ancer looms as an almost impossible hurdle in the eyes of many. Research is progressing quickly, but people are still dying, and cures seem so slow in coming. With many cancers, patients feel like their fate is sealed, that they’re powerless in the face of such a mighty enemy. While cancer’s devastation leaves many in a truly powerless state, two women with myeloma (see sidebar next page) are showing the cancer community just how big an impact individuals can have for progress. Jenny Ahlstrom and Lizzy Smith decided to help even though nobody asked them to, because they couldn’t just sit and wait for the end to come. Both started with little understanding of medicine or myeloma, but four years later their work has significantly advanced myeloma medicine and has shaken the perception of what a cancer patient is capable of. CLEARING CONFUSION After Jenny was diagnosed and began to progress through different treatments, she worried about relapsing and looked for new treatment options. She found a complicated world. She was interested in joining a clinical


trial for myeloma research, but found 450 such trials to choose from, and didn’t understand much of what any of them were trying to do. She began to see that the large majority of myeloma patients (and cancer patients in general) didn’t know much about their disease, and therefore couldn’t offer much input to their medical professionals or researchers. Myeloma, and many other cancers, have multiple avenues of diagnosis and treatment, and patients are often unaware of important tests they haven’t taken or treatment options they haven’t been offered. But the doctor should be directing treatment, not the patient, right? True. But Jenny says the outcomes from care vary widely for myeloma patients, depending on who they see and what treatments they get. Those who see a myeloma specialist can expect to live years longer than someone seeing a general oncologist. She says people who don’t see a specialist are often seeing only half of the story and half of the possibilities. Patient education is vital, Jenny says, because it gives hope, improves quality of care, and helps research progress.

So Jenny took action. She began interviewing leading myeloma researchers and publishing a radio program that now has an international audience of more than 500,000 listeners. Jenny and Lizzy launched a myeloma website ( that has hundreds of thousands of visitors, where they interpret complicated research language for a normal reader. A quick glance at the numbers suggests that Jenny and Lizzy are reaching an enormous portion of myeloma patients, and the numbers are growing. PUSHING RESEARCH FORWARD On the radio program and on the website Jenny and Lizzy work to dispel misconceptions about clinical research and educate patients about opportunities to participate. It is essential that cancer patients get involved in clinical research, for a variety of reasons: • Getting participants is among a researcher’s most difficult tasks, and is often the reason why research is slowed. • Clinical trials are a way for patients to try the most modern treatments. Participation could save a patient’s life. One reason why cancer patients don’t join clinical trials is because they don’t understand

the trials and what may be involved, or don’t want to feel like a guinea pig. The website and radio shows are changing that, at least for myeloma research. “It’s been extremely valuable,” Jenny says. Many cancer patients are diagnosed, and just sit around and wait for “smart” people to cure them, Jenny says. They don’t realize how much researchers value a patient’s support and help. She says researchers love that someone is spreading the word about their work, bringing them participants, and interpreting the findings. “My whole approach has been, ‘how can I help you do your job?’” Jenny says. “I don’t feel like I need to get permission to help. Researchers don’t have time to distill their research down and explain it to patients. We’ll be their marketing arm, in a way.” Of course not everyone with cancer is capable of rallying to the research flag. Cancer and its treatments bring exhaustion, illness and other debilitations that make what Lizzy and Jenny do largely impossible. Others find themselves completely overwhelmed and therefore immobilized. It may be for this type of patient that Jenny and Lizzy have done their greatest work. Their website brings together myeloma patients in a powerful way, and patients who were once alone now have a thriving support group and a steady stream of comprehensible, up-to-date information from trusted voices that helps them get the best treatment for the best outcomes. “Peers give the power of hope,” Lizzy says. Peers and education about the illness are big reasons why Lizzy says she isn’t afraid of the disease. FROM CHRONIC TO CURE As Jenny and Lizzy dug deeper into the myeloma research scene, they found that much of the funding and research initiatives were directed at developing treatments for myeloma as a chronic condition. In other words, researchers were trying to find ways to extend the life expectancy of a patient, rather than search for a cure. This represents a disconnect between patients and researchers, Jenny says. She, along with the majority of patients, care little for such research, and would rather see funds devoted to research for a cure. This year, the Myeloma Crowd Research Initiative, which Jenny and Lizzy had a key role in creating, seeks to fix that disconnect, by bringing together doctors, researchers and patients to discuss research direction. This is important because it is able to compromise the various opinions in the myeloma field. Some have little belief in the possibility of a cure, others have more hope. “You need scientific validation, but you also need patient input,” Jenny says. “You need all stake holders involved.” Some may see Jenny and Lizzy’s story as two rabble-rousers wreaking havoc among cancer doctors. But the truth is, oncologists have told Jenny that she knows more about myeloma than many cancer doctors. An important argument for patient involvement in these processes is the story of a drug called thalidomide, now one of three staple drug classes for myeloma. A patient had heard about this drug, and asked the doctor if it could be used, even though it wasn’t accepted as a worthwhile treatment. The doctor tried it, mostly out of compassion for the patient, not out of faith in the drug. Eventually, this doctor found that the drug brought excellent responses in many patients. This hopeful urgency is what a patient has to offer, and it can be valuable. “The patient has the motivation of living life and death every day,” Jenny says. Understandably, many feel hopeless in the face of cancer. But Jenny says that there is value in a patient being his or her own advocate. “My efforts help me cope,” Jenny says. “It’s like it flips a switch where you were the victim of cancer and you transition to being an independent person who has the freedom to act.”


(a.k.a multiple myeloma) Cancer of the plasma cells in the bone marrow. According to the National Cancer Institute, about 45 percent of patients survive 5 years. In 2014, 11,000 Americans died from myeloma. More than 80,000 Americans live with the disease.

THEIR STORIES LIZZY SMITH Lizzy’s myeloma diagnosis led to drastic life changes. At age 44, she was married to an abusive alcoholic, and had children, along with a high-powered corporate job. Her husband dismissed her cancer diagnosis, and she soon left him and her job in California and moved to her parent’s basement. Lizzy filed for divorce and had stem cell transplants for her cancer. She also began regular treatment at the Huntsman Cancer Institute. She responded well to treatment, and still receives weekly treatment.

JENNY AHLSTROM Jenny was diagnosed in 2010, in Mexico City, where her husband worked in venture capital. She went to Utah for six months, and then made trips twice a month to Texas for treatment.

Both Lizzy and Jenny were diagnosed at an early age. The average age of diagnose is 70.

Keys for Every Cancer Patient 1.

Find the right oncologist or specialist.


Get educated.


Get involved in clinical trials. This will help the patients in your generation and following generations.


Get connected with others.


Don’t be afraid to get a second or third opinion.

-Lizzy Smith

March 2015


Should You Donate to

Fight Cancer?




Many cancer nonprofits have fallen under scrutiny for their skewed ratios of money raised versus money given to the cause. For example, recent reports from the Center for Investigative Reporting revealed a handful of charities that gave less than 10 percent of what they raised to cancer victims. How could that be? In this particular investigation, it was discovered that these organizations paid millions of dollars to companies that solicit donations. In one case, $80 million was raised and almost $60 million went to solicitor fees. A report in Bloomberg Markets Magazine showed that in 2010 the American Cancer Society (ACS) hired a company to gather donations. The company raised $5.3 million, but in the end that money only paid solicitor fees, and none of it went to cancer research. In fact, the ACS actually had to pay $113,000 in additional fees.

But those who donate should be comfortable with the idea that not all of the money they donate will be seen directly by cancer victims. Even good cancer charities must spend donations on fundraising efforts and administration. However, when a nonprofit is spending more than 35 cents to get a dollar, that can be a red flag.


Seeing the salaries and benefits received by the leaders of many nonprofits is enough to keep some people from donating.

But the reason why nonprofits sometimes pay their leaders a lot is the same reason why for-profit businesses pay their leaders a lot, says Rick Cohen, Director of Communications and Operations at the National Council of Nonprofits. “Nonprofits have to compete for top talent,” he says. “At the end of the day, for all organizations, you need to hire the right person.” America’s best leaders often won’t take jobs without competitive salaries. The outrage some feel when seeing a big nonprofit salary most likely stems from a misunderstanding of the nonprofit sector. Nonprofit doesn’t mean everyone at the company volunteers.

Nonprofits must pay what is often a host of full-time employees to keep the organization running. According to Cohen, 10 percent of the American workforce is in a nonprofit organization. “The main difference between a nonprofit and a for-profit business is simply that a nonprofit is driven by a mission, and a for-profit is charged with increasing profit,” Cohen says. All this said, sometimes salaries at cancerrelated organizations are exorbitant. Cohen says that a good nonprofit will have performance and compensation reviews in place to keep leaders accountable. These reviews aren’t required, but potential donors can find out if a nonprofit is keeping leaders accountable through the website guidestar. org. Cohen says to look at what is called Form 990 for a nonprofit to understand leadership salaries. “The best kind of donor is an educated donor,” he says. “Ask the organization for information and if they don’t give it to you, move on.”


There are many organizations that have gotten rich off the kindness of others. It is the essence of despicable: create an organization with a legitimate-sounding name, create some deceptive marketing and throw in some accounting tricks, and you’re rich. Take the Reynolds family, which created the Cancer Fund of America. The Center for Investigative Reporting found that over a span of three years the charity raised $110 million. Of that, $75 million was paid to solicitors, meaning people who went out and got money from people. Salaries within the company took more than $8 million in 2011 alone. The organization gave misleading information about what they did with the money, or outright lied to donors. And it isn’t like nobody noticed. They’ve paid more than $500,000 to settle chargers, including the charge of lying to donors, but that is a small fraction of the money they were raking in. Jim Reynolds Sr. used to work for the American Cancer Society, but after eight years was told to resign or be fired. ACS accused him of sloppy bookkeeping, irregular hours and taking a car meant to be auctioned for charity. That’s when Reynolds started his own charity, basically rewording the name of the organization he previously worked for. He sent out volunteers to collect and they raised millions in the first year. Little of the money was used for direct financial aid to cancer patients. Reynolds got businesses to donate things, then he repackaged them and gave them to cancer patients. Meanwhile the money went to the professional fundraising organizations and salaries for his extended family. Overall, in a decade, cancer patients received $890,000, along with some donated items like

shampoo, paper plates and toys. Reynolds family members received $5 million. Solicitors received $80 million. The Cancer Fund of America was rated the second worst charity in America by the Center for Investigative Reporting. Stories like this are enraging, and unfortunately lead to people giving less, understandably. “One shady character harms the efforts of other nonprofits,” Cohen says, “even though the overwhelming majority of nonprofits are making a difference in their communities.” Part of the reason why these few unsavory characters are able to do so much damage to the cancer nonprofit world is because the IRS has a hard time enforcing regulations in the nonprofit sector, Cohen says. “The IRS department that deals with nonprofits is under-funded and under-staffed,” he says. “We need congress to fund the IRS to enforce regulations.” But, Cohen says, the dishonest nonprofits make up a miniscule percentage of all the nonprofits, even though the media exposure might make it seem otherwise. “There are true heroes working all across the U.S.,” he says. Deciding not to give at all because of families like the Reynolds might be a rash decision. Surveys show that nonprofits struggle to keep up with demand, and that demand is always increasing. In other words, most nonprofits could help more people if they had more donations. In fact, the American Cancer Society can’t fund 90 percent of the research that is submitted and deemed worthy of funding, according to Otis Brawley, MD, chief medical officer of the ACS.


Many cancer charities aren’t out to take advantage of people, but are simply run badly. Just because a nonprofit has a great goal doesn’t mean they are a good organization to donate to. An example of a good cancer charity is the Entertainment Industry Foundation (EIF), which organized Stand Up To Cancer and many other events. They received a 91 out of 100 on Charity Navigator, a respected watchdog of the charity sector. Of the $50 million they raised in 2012, 78 percent went to the programs and services it was designed to provide. The rest went to salaries and fundraising. While some might look at the remaining 22 percent and cry fraud, this is actual a great ratio. It takes a lot of money to make a lot of money, even in the nonprofit world. For sake of comparison, let’s take a look at the American Cancer Society, which also has a bunch of big events throughout the country each year.

They raised more than $880 million in 2012. Of that, $60 million went to administrative expenses, and almost $340 million went to fundraising expenses. That left $586 million, or 59 percent of the money raised to go towards the many different areas of cancer research and assistance. Charity Navigator gives the ACS, a prestigious cancer organization, a 76 out of 100 score. So is the ACS bad and the EIF good? Rick Cohen says expenditure numbers aren’t a complete and accurate measure of nonprofits, and that potential donors shouldn’t shun organizations just because administrative costs are high. “Costs can vary from year to year,” he says. “New equipment, new initiatives and other things can make administrative expenses seem high, but in fact they are making the nonprofit better.” Charity Navigator and GuideStar are great tools for donors to learn more about organizations. Become an educated donor.


Donors have a right to know what their money will do, but the responsibility to gain that knowledge is largely on their shoulders. Some nonprofits work to make life better for cancer patients. Other nonprofits work to fund research institutions working to find cures and better treatments. Put your money where you want.

A related question some may ask is this: “will my donation actually do anything?” What have the billions donated to cancer actually achieved so far? And why is it taking billions of dollars?

Taxes & Cancer You pay taxes? You’re so charitable! In 2013 Congress gave the National Institutes of Health $5.27 billion to put toward cancer research. Source:

March 2015


Let’s take a trip back to the 70s. President Nixon signed the National Cancer Act in 1971. Government funding started flowing into the fight against cancer at that time, and public attention grew. Researchers today realize that our understanding of cancer in 1970 was weak, to say the least. We used to think cancer was a single disease, but we now know cancer to actually be more like 200 distinct diseases, with different causes and requiring different treatments. This has opened the door to treatments, survival and cures. Cures? Yes! Thanks to years of clinical trials and medical research, testicular cancer can be cured in the vast majority of men, especially if detected early. Hodgkin lymphoma, which used to be fatal, is now routinely cured, thanks to clinical research. Survival rates in common cancers have improved drastically. Death rates from cancer dropped 22 percent for men and 14 percent for women from 1990 to 2007, according to a report from the American Association for Cancer Research. Among children, 80 percent can expect to survive childhood cancer now, compared to 52 percent in 1975. Today there are more than 14 million living cancer survivors, compared to just 1.5 million in 1970, according to John Sweetenham, MD, Executive Medical Director at Huntsman Cancer Institute (HCI). “There have been extraordinary advances,” he says.

“A very large component of cancer research is the expertise, the people,” he says. Researchers in labs make discoveries, other researchers try to develop treatments from those discoveries and still more experts must navigate the appropriately stringent FDA regulations for new medications. “It requires a lot of people in different areas of expertise,” he says. “It requires an infrastructure.” The government helps support this research. In 2013 Congress gave the National Institutes of Health $5.27 billion for cancer research. But progress still depends on nonprofits. “If non-National Cancer Institute funding went away tomorrow, it would have an enormous impact on what we are able to do,” Sweetenham says. Cancer nonprofits do gather quite a chunk of change, but it is very little compared to the money cancer takes from America every year. Sweetenham says that in 2012, cancer cost the U.S. between $200 and $220 billion, in cancer care and economy impact. Even with all the progress, we’re losing too many people every year to cancer. It is without a doubt worth donating for.


One incredible area of cancer research is the Human Genome Project, which is continually discovering genetic drivers of cancer. Specifically, the Cancer Genome Atlas is searching for what gene changes cause a cell to become cancerous. This research is especially important for identifying specific subtypes of cancer, which means treatment can be more specific. There now exist dozens of FDA-approved targeted cancer drugs.


Sweetenham says cancer research is so expensive in part because it is so labor intensive.

This is largely a personal decision, based on your experience with cancer. Those not swayed by personal experience may wonder if breast cancer and prostate cancer are the most important cancers to donate to. Organizations that fight these cancers have great marketing and awareness campaigns, leading to these cancers getting the most monetary donations every year. But these aren’t the cancers that kill the most people.

Lung cancer is the biggest killer. So why don’t more people donate toward that cause? Lung cancer is unique in that smoking is a known cause, therefore sympathy isn’t as great for lung cancer victims compared to other cancer victims. But lifestyle factors play into about half of all cancer deaths, according to the American Association for Cancer Research, so it is illogical to base donations on culpability. The truth is that survival rates for lung cancer haven’t improved nearly as much as they have for other cancers, and more donations would do good. But just because you don’t donate to lung cancer doesn’t mean you won’t help that science. Discoveries with one cancer often apply to others, according to Sweetenham. “What we often find is that mechanisms at work in one cancer are relevant in others,” he says. In multiple instances, cancer drugs have failed for the cancer they initially target, but are found to improve outcomes in other cancers. A drug called cisplatin was developed as a treatment for testicular cancer, and now it is the most commonly used chemotherapy for lung and ovarian cancer. Remember, however, that just because an organization markets well doesn’t mean their cause is more important than others. Sources:,,

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March 2015


But issues of awareness and stigma still persist.

Lung Cancer’s

Not so with breast cancer. Possibly the most marketed cancer battle, breast cancer gets among the highest amount of donated dollars for any cancer. Billboards, professional and collegiate athletes, front doors and a million other places have dawned pink or the pink ribbon. The underlying message: get screened for breast cancer. While breast cancer deaths are decreasing and survival rates rise, some highlight the negative consequences of so much awareness. A study published in the New England Journal of Medicine found that in the last 30 years, mammograms have led 1.3 million women to seek treatment for cancer that never would have harmed them. Mammograms can detect certain risk factors for breast cancer that will almost never see negative outcomes, but women still seek treatment, which can have harmful side effects. There are also critics of prostate cancer testing who say the inaccurate tests lead to unnecessary procedures.


quick flip through TV channels or a magazine would probably lead one to believe that breast cancer and prostate cancer are the most serious cancer threats we face. While those battles are of great importance, many don’t realize that lung cancer is actually the number one killing cancer. Fundraising and awareness campaigns for lung cancer research have some unique challenges. As science has essentially confirmed that smoking causes a huge proportion of lung cancer cases, some feel it makes sense that we don’t spend billions trying to solve a puzzle that is already mostly solved. On top of that, there is the sense that lung cancer victims brought the disease upon themselves, therefore sympathy levels are lacking. These attitudes are problematic, however. First of all, many cancers are related to bad habits besides smoking. Diet, obesity and other lifestyle factors are known risk factors for many types of cancer, including breast cancer, so if you won’t donate to cancer victims who possess culpability, youre donation options are limited. In fact, chances are you currently have habits that increase your odds of getting cancer. Projections by the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) indicate that obesity will result in about 500,000 new cancer cases by 2030. Further reason why the blame game doesn’t work for lung cancer patients: many lung cancer victims smoked before smoking was known to be bad, and quit long before they got cancer. In many cases, lung cancer victims can only blame hard luck.


The second problematic issue—not investing in lung cancer research because we know what causes it—leaves out an important aspect of all cancer research: survival rates. One of the biggest victories breast and prostate cancer researchers claim is a drastic improvement in 5-year survival rates since the 70s. Someone diagnosed with prostate cancer today has a 99 percent chance of living 10 years, the American Cancer Society says, and the 5-year survival rate was just 70 percent in 1980. Survival rates from breast cancer have also drastically increased. But for lung cancer, the improvement hasn’t been much. The fiveyear survival rate now sits at about 16 percent. But this isn’t to say lung cancer research hasn’t progressed in the last few decades. Billions of dollars have gone toward lung cancer research, and incidence has seen a serious decline in men since the 80s. Messages about the dangers of smoking have done serious work. And though lung cancer still kills thousands each year, the number of deaths from the disease have been on a steady decline for a decade.

The answer isn’t to stop funding these causes, however. Otis Brawley, MD, chief medical officer of the American Cancer Society (ACS), cautions against what he calls “disease Olympics,” which is decreasing funding for one disease to increase funding for another. A better practice is to simply fund the best science, “as judged by the rigors of scientific peer review.” Often researchers find that discoveries about one type of cancer help the battle against other kinds of cancer. Therefore, if research is advanced in one field, don’t stop the supply of money. “One can argue that funding the best ideas in, say, lung cancer and not the better scientific idea in another cancer could possibly hold back the advancement of lung cancer research,” he wrote in one ACS blog. Equal monetary distribution across all cancers isn’t what we need. It’s just important to realize that just because a cause gets a lot of attention doesn’t mean there aren’t other causes that are just as significant. In the end, where you donate is a personal choice, but be informed.For additional information: www.


Still, the facts remain. Lung cancer kills more people than the next three most common cancers (pancreas, breast, colorectal) combined. In 2014, an estimated 159,000 Americans are expected to die from the disease, says the American Lung Association.

Tobacco is responsible for 30 percent of cancer deaths. 1/3 of all new cancer diagnoses in the US are related to being overweight, obese, physically inactive or having a poor diet.

Researchers are discovering lung cancer subtypes and broadening their understanding of the disease, meaning patients are now getting more specific diagnosis and targeted treatment, which will mean better survival. More progress lies in the future.

Half of cancer deaths in the US are from preventable causes.

Source: American Association for Cancer Research


Cancer Screenings:

Pros and Cons The medical world has made tremendous progress in cancer screenings and prevention. It is important for everyone, men and women alike, to understand their risk factors for certain types of cancer, and to be tested appropriately. There are sometimes different screening methods for each type of cancer and risks and benefits associated with each. Here are a few common types of cancer screening for men and women and the pros and cons of each. Please note that this information is not meant to discourage cancer screenings, but simply to provide information and encourage each individual to do their own research and make educated choices.



1. BREAST CANCER - mammogram


A. PROS – Much research has found that mammograms do decrease the risk of dying from breast cancer. Several studies have shown a higher survival rate among women over the age of 50 who have regular mammograms. The American Cancer Society’s current recommendation is that women over the age of 40 should have a mammogram every year. B. CON –False positives can occur, and many frequently detected cancers rarely develop into aggressive life-threatening cancers. As a result, many women are over-treated. In addition, a mammogram is ineffective for women with dense breasts or breast implants.

2. CERVICAL CANCER – Pap smear A. PRO – Cervical screening can prevent three in four cervical cancers by early detection and intervention. B. CON – This is one of the more invasive tests and is also known for bearing false positives, where cell changes evident on the test would clear up on their own and not lead to cancer. This can cause unnecessary anxiety and further tests and treatment.


- Ultrasound and blood test

- PSA screening (Prostate-specific antigen), which is a blood test. A. PRO – PSA screening is used for early detection of prostate cancer. Detecting prostate cancer early significantly improves survival rates. Treatment and patient recovery for prostate cancer is much more successful with early detection. The survival rate has increased dramatically since the invention of PSA screening. B. CON – According to the Mayo Clinic, most prostate cancers are slow-growing, which can mean a few things. Sometimes this means the cancer will never spread or grow enough to be life-threatening. It can also mean that a PSA screening won’t detect it. On the other hand, PSA tests can also give a falsepositive, which leads to unnecessary treatment and all of the corresponding side-effects.

2. COLON CANCER - colonoscopy A. PRO – This is the most sensitive test available, and a biopsy can be done at the time of the exam if any abnormalities are detected. A large, long-term study conducted by the Harvard School of Public Health found that with regular colonoscopies, 40 percent of all colorectal cancers could be prevented. B. CON – A colonoscopy still might miss small cancer or polyps. In addition, diet and medication changes may be necessary prior to the colonoscopy.

3. TESTICULAR CANCER – self-exam

A. PRO – When diagnosed early, ovarian cancer has a 90 to 95 percent survival rate.

A. PRO – A self-exam is easy to perform and is effective at detecting abnormalities and catching any cancer early.

B. CON – A transvaginal ultrasound can frequently produce abnormal results when no problems exist. A blood test measures for the CA-125 protein which is released by the ovaries and would be elevated if cancer was present, but that protein is also frequently released by other normal cells.

B. CON – It can be easy to mistake blood vessels and tissue for irregular bumps or growths, leading to unnecessary appointments or further, more invasive treatments. The best way to ensure an accurate self-exam is to perform one regularly so you are familiar with your own anatomy, so if anything out of the ordinary does appear you’ll notice it immediately.

March 2015




-------------------------------ADVISOR CLIENT CONTENT



ancer—the word that has the ability to strike fear into the hearts of all of us. In the 1940’s one in 16 people developed cancer, today it’s one in three. There are not many of us that have not been touched on a personal level by this awful disease. Cancer can show up any time and in any place in the body. Young and old, it can affect anyone. With some it can be a temporary setback, while to others it is deadly.  Modern medicine’s way of treating cancer is often referred to as “Cut, Burn, Poison,” and hope the cancer dies before the patient. I once read a research article that had interviewed oncologists and 80 percent of them said they would never take chemotherapy themselves. However, many lives have been saved using these methods, but is there something else? The time to educate oneself on alternative cancer therapies is before the cancer shows up. Once the diagnosis has been made, fear sets in and it may be hard to think objectively. There are many alternative cancer therapies available that may be tried before going


the route of modern medicine. In fact, there have been many of the rich and famous who have used alternative therapies to cure their cancers. Consider names such as Ronald Regan, Jack Nicholson, Elizabeth Taylor, Cher, Siegfried and Roy, and Suzanne Somers. Some of these therapies have proven to be very effective, while others are pure quackery. Because many of the natural therapies involve eating better, and living a healthier lifestyle, they can often help keep you cancer free. Some of these natural therapies may include simple things like baking soda, certain foods, thermal scans and removal of root-canal teeth. Also from a dental standpoint, reducing inflammation with regular teeth cleaning can help one avoid cancers. There are many more therapies, one of the most powerful being nothing more than brain waves introduced through headphones. This is currently in research phase here,

but is being used with great success in other parts of the world. I myself, being a biological dentist, have seen some possibly miraculous natural cancer cures, so I will admit I am biased. The purpose of this article is just to help people realize that if cancer strikes, they may have more choices than they think to fight it.        


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lung and kidney cancer cases, and it will cost about $12,500 per month.

Immune-oncology (IO) is developing to combat cancer. Also called cancer immunotherapy, these treatments use the body’s immune system and its proteins to boost the immune system and attack specific cancer cells.

Others condemn this drug hype by saying that these IO drugs are not real cures and only offer life extensions or alternatives. Some attack the healthcare system in general and say this may only benefit the rich.

Last year, the Journal of Science Translational Medicine conducted a five-person study with IO drugs and found the results of the drugs to have “life-saving potential.” Though many see harmful side effects and high expenses, this new line of research may have a bright future.

These drugs can cost upwards of $150,000, and for personalized drug treatments, the prices can reach even higher.

The number one most promising medicine for 2015 is Keytruda, an FDA-approved IO drug that targets melanoma found in skin cancers. The drug has potential to work in

Sources: Bloomberg, Global Health,, IMS Institute for Healthcare Informatics global outlook report

Bloomberg’s article comments that the IO industry may be worth $30 billion in the next decade. Many condemn this estimate by saying that research is only seeking more money instead of cures. There are still no IO drugs on the market in America, and many believe we won’t see any for a long time. One commenter said that most of these drugs take 7-10 years to get on the market after rigorous clinical tests.

There are 374 cancer drugs in mid-stage trials, and 25 to 30 percent of those are immunotherapy drugs.

Global Health lists the top ten most promising medical breakthroughs to look for in 2015: 1.

Keytruda by Merck: skin cancer


Dengue Fever Vaccine by Sanofi: mosquito-borne viral disease dengue fever


Sifalimumab by Astra Zeneca: lupus


LCZ696 by Novartis: reduces cardiovascular death


Olysio by Johnson & Johnson: hepatitis C


Nivolumab by Bristol-Meyers Squibb Co.: skin cancer


Kadcyla by Roche: breast cancer


Palbociclib by Pfizer: breast cancer


OFEV by Boehringer Ingelheim: lung cancer, idiopathic pulmonary fibrosis

10. Cyramza by Eli Lilly and Company: stomach cancer

March 2015


Sharing the



A CANCER DIAGNOSIS CAN FLIP LIFE ON ITS HEAD. OFTEN PEERS OR FAMILY MEMBERS AREN’T SURE HOW TO HELP OR HOW TO UNDERSTAND THEIR LOVED ONE. HERE ARE SOME IMPORTANT THINGS TO UNDERSTAND. CANCER PATIENTS HAVE LOST MUCH OF THEIR FREEDOM. Many cannot drive, can’t be alone and can’t eat what they want. This means that they probably need help every day with multiple tasks. On top of that, they have to deal with feeling trapped by a loss of freedom, a loss of independence, and having to ask for help, which can be humiliating. Be understanding.


MANY NEED HELP ON A 24/7 BASIS. A favor every once in a while is meaningful, but it may be hard for a patient to see great worth in it. Don’t feel snubbed because someone doesn’t come to tears when you bring them dinner.

MANY LACK THE ENERGY TO TAKE CARE OF CHILDREN. Many suffer from severe exhaustion. Added to that is the mental burden of cancer, with its worries about life and death and family, which can squash motivation. Friends and family can be conscious of these physical and emotional burdens, and look for ways to alleviate them.

EMOTIONS AND WELLBEING FLUCTUATE WITH CANCER PATIENTS. Sometimes the physical and mental burdens are easier to bear, and other times they are crushing. Friends must be understanding of these ups and downs, and learn to recognize them. You need patience with cancer patients.



Family Health History? W RITTE N B Y A NG EL A S I LVA


Just like your hair color, eye color, and other physical attributes can be passed down from parent to child, so can diseases and health disorders. Just like you’ve learned to love the Boston Red Sox from your old man, you may also have learned to eat a big steak every day from your old man. And just like your grandfather loved working with his hands, you’ve learned to love hobbies such as wood-working and welding. Taking the time to learn about your family health history can prepare you for your own future and provide insight into conditions to which you are predisposed. Being predisposed to a condition doesn’t necessarily mean it’s a genetic factor,

either. If you were to look back on the death certificates of your family members and notice a trend of heart disease, you may be able to look into their lifestyles and realize they ate a lot of red meat and smoked. You can avoid these habits and hopefully change your own fate if you adopted changes. Similarly, if you become aware of several family members that suffered from cancer, your doctors may encourage you to have frequent screenings and at an earlier age than otherwise recommended. Understanding your family health history can paint a more complete picture of your health and help keep you healthier longer.

So where do you start? A complete family medical history should include at least 3 generations, including children, siblings, parents, aunts, uncles, nieces and nephews, grandparents and cousins. Try to find basic information such as age, date of birth, name of condition and age the condition was contracted, and if applicable, death and cause of death. This may seem like a lot, but you probably know a lot of it already for those closest to you. Other information may not be as readily available. For this information, public records can be accessed to find obituaries and death certificates. Perhaps the best way to gather medical information is simply to ask family members at your next family gathering. Asking your grandparents about any health conditions they had or have, and at what age they occurred, is a great place to start. They may also have information on other family members to help you. Make sure you find this information for both your mother’s and father’s sides of the family. Learning your ethnic background can also be helpful as some health conditions occur more frequently in certain ethnic groups. Update your family history record regularly and keep it up-to-date. Share it with your doctor and other family members to help everyone stay healthy and prepared. Technology and medicine have come a long way and many conditions can be prevented before they become problems by early screening and detection.

March 2015






Fueling your workout: what to eat before and after hitting the gym.

You wouldn’t leave home for a road trip without filling your car’s gas tank, and you certainly wouldn’t fill your high-performance car with regular gas.


he same goes for your body and exercise. It’s important you eat the right foods and drink the best beverages before and after a workout to ensure your engine receives the maximum benefits from exercise. Life Fitness, a leader in exercise equipment, offers its tips on what to eat before and after a workout.

Mix carbs with protein: Carbohydrates, like pasta, provide the body with energy, and protein, like chicken, is important for muscle building and repair. It’s essential to eat moderate amounts of both before exercising. Low-fat meats and carbohydrates filled with whole grains are the best bet.


Timing matters: Having something in your stomach before exercising provides needed energy, but eating just before a workout could upset your stomach. Aim to eat a meal three to four hours before exercising and then a small snack a half-hour to 45 minutes before. Expect your cardio workout to last more than two hours? You may want to eat a meal filled with carbohydrates like brown rice or wheat pasta.

Calories still count: Just because you finished a heart-pumping session at the gym doesn’t give you a free pass to the all-you-can-eat buffet. To

ensure you’re not eating more than you burned on the treadmill, eat a low-fat snack such as fruit or yogurt immediately after working out. Also watch out at the gym’s café. Smoothies or protein bars can pack a surprising number of calories and sugar that may cancel out a good workout.

Remember the fluids: Most exercisers will lose about four cups of fluid per hour of exercise. Stay hydrated by taking in water before, during and after your workout. If you sweat a lot or the weather is humid, you may need a sports drink after your workout to replace lost electrolytes and minerals. Fit Tips are provided by Life Fitness, the leader in designing and manufacturing high-quality exercise equipment for fitness facilities and homes worldwide.



Energize yourself with the right fuel.



Eat an apple, pear or orange. These fruits (as well as veggies like beans or peas) are packed with vitamins, minerals and antioxidants and they give you a dose of fiber, which keeps you regular and at a healthy, lesstaxing-to-your-body weight.

Oats contain the energizing and stresslowering B vitamin family, which helps transform carbs into usable energy. Oats are also low on the glycemic index because they have a lot of fiber. That means that your body gets a steady stream of energy, as opposed to a shortterm spike because the carbohydrates gradually flow into your bloodstream. The key here is to look for high-fiber oatmeal like oat bran. For the best nutrition kick, avoid instant oatmeal and stick with more natural varieties.



Water is the most overlooked “performance enhancing� supplement out there. As many as 75 percent of Americans are chronically dehydrated. Dehydration can limit your physical and mental capacity. Because water is paramount in cooling your body during times of increased heat or stress, as you attempt to ramp up your exercise intensity, dehydration will cause limitations in thermal regulation, circulation and, ultimately, the generation of force. -

Just one ounce of almonds (roughly 20) contains more than 40 percent of your daily value of vitamin E, an antioxidant that supports the immune system by neutralizing free radicals. Almonds, hazelnuts and sunflower seeds also supply beneficial monoand polyunsaturated fats, which are key building blocks for healthy cells. Almonds supply heart-healthy fats that promote healing without clogging arteries.Runnersup: nut butters, avocados and vegetable oils.

March 2015


fitness Our easiest strategies to becoming happy, healthy and motivated.



abits, good or bad, take awhile to form. According to recent studies, 66 days to be exact. And whether it’s breaking a bad one or creating a good one, the will and motivation isn’t always there. You may do just fine for that first week, but then things start to slide. You struggle to stay afloat, but for some reason, you just can’t make it work. Then you give up. If you can’t beat it, you might as well embrace it. Well, that ends now. Kick the cycle of starts and stops, tries and failures for good. It’s your life, so grab the reins and take control. If you have a goal, there is no reason why you shouldn’t be able to reach it. So here’s to the beginning of a new era of your life, filled with success and completed to-do lists.


fitness Aristotle brilliantly said, “We are what we repeatedly


do. Excellence, then, is not an act, but a habit.”


YES YOU CAN! As one parting piece of wisdom, I suggest you begin reading The blog’s author, Leo Babauta has been on the path to changing his unhealthy, stressed life around since 2005 when he quit smoking. Now, several marathons and a bestselling book later, Leo is blogging to let others know that their goals are completely achievable. My recommended post is “Get Off Your Butt: 16 Ways to Get Motivated When You’re in a Slump.” Pretty soon you’ll be checking off all your goals and making new ones like crazy.

In her book Change Your Life in 30 Days, life coach Rhonda Britton says, “If you want to get motivated, get clear on your commitments. When you are focused on what matters, it is easier to do what you need to do even when you don’t want to do it.” Your kids will live if you don’t have a gourmet meal for them every night. You can skip book club for a little while. And, for goodness’ sake, put down that remote. Start with the basics. When you feel less stressed by your life, you will feel better prepared and motivated to tackle a goal that really matters.


Change your life.

That’s right, Set a goal. just one. Too many goals will overwhelm you, making you more susceptible to failure and stopping all together. But don’t sell yourself short with the goal you set. According to a study published by the American Psychological Association, setting specific and challenging goals can actually increase your likelihood of achieving those goals. Furthermore, there was little difference in success between vague, “do your best” goals and no goals at all. So aim high, and don’t be afraid of what you can do. As Diane Scharf-Hunt, author and time management expert, says, “Goals are just dreams with deadlines.”


Set one goal.

Read blogs and books on the topic. Watch an inspirational movie on whatever it is you want to accomplish. Find success stories and use them as a springboard to get you

Be inspired.

Find your inspiration.

moving towards your goal. Whenever you’re in a slump, turn to these stories to set you back on track.


Say your goal out loud. Write a blog post about it. Tweet it or post it on your Facebook wall. Make it known to others—your spouse, children, friends, colleagues and whoever else who will listen. Once you do, there’s no turning back. You are committed and whoever you told will hold you to it. They will ask you about your progress and want to know your tricks. And it will give you a sense of pride and accomplishment in being able to answer their questions.

Tell everyone


Make your goal public.

Make a list of things that you want. It could be anything that you would be willing to work to get. It could be buying a new book or going to see a movie. Set a goal that is achievable yet challenging. Once you complete this goal, reward yourself with something from your list. If you really want it, whatever your goal is won’t seem so painful.

Reward yourself


Reward for success.

“There are essentially two ways you can look at the difficulties ahead of you,” says Bob Green, M.D., R.S., in his book The Life You Want. “You can feel put upon and sorry for yourself, angry that life isn’t fair, or you can see the challenges that lay before you as an opportunity to alter something about yourself or situation that you don’t like.” Greene says the key to success is to embrace our challenges. Replace demotivating thoughts with positive thoughts of the end results. Accept any slip-ups and move on.

Think positive

I think therefore I am.

March 2015



Six Packs are Made In the Kitchen A DIETARY GUIDE TO BEING LEANER WHILE IT IS NOT NECESSARILY IN MY BEST INTEREST AS A CROSSFIT GYM OWNER TO TELL YOU THIS OLD ADAGE, “YOU ARE WHAT YOU EAT.” MOST OF US KNOW THE BASICS. STAY AWAY FROM TRANSFATS, SODA AND FAST FOOD. BUT THERE ARE OTHER NUTRITION PRINCIPLES THAT MUST BE ADOPTED IF ONE IS TO GET LEANER. Log your carbohydrate intake: So often, CrossFitter’s tell me how healthy they are, and proceed to tell me all about their fruit and whole wheat intake. Remember, carbohydrates that don’t get used as initial energy are going to be stored as fat. This includes the carbs in fruit and whole wheat. Sure, fructose is better for you than sucrose, and usually comes with vital vitamins and minerals, but don’t overdo it. Likewise, whole wheat (including whole wheat pasta and brown rice) provides you with more fiber than regular refined white bread and will thus digest more efficiently, but that doesn’t mean it isn’t dishing out serious carbohydrates.  Cut out wasted calories: Ensure you are not overdoing it on wasted sugars, which is one of the more harmful ways to ingest calories. In fact, if you can, try to cut something you know is bad out of your diet. For me, it was soda. In high school, I cut soda out of my diet completely for my freshman year of wrestling. After the season, I tried to go back to drinking soda, but I had lost the taste for it and I never really drank it again since. The amount of calories wasted on soda can now be used on protein. If you consider that one can of coke is the same caloric intake as 3-ounces of beef, the decision from a lean-body perspective is clear and obvious. Don’t be extreme in dropping calorie intake: If you weigh 200 lbs, then don’t immediately start eating 1,200 calories a day in an attempt to get lean. While you will see an initial drop in your weight, you are starving your body far too quickly and your basal metabolic rate will plummet because your brain will think you are starving, and therefore will need to conserve what energy reserves you have left. This will leave you lethargic and will eventually lead to your body packing on the pounds when you inevitably start eating more. The general rule of thumb is to eat 12 calories a day for every pound you weigh. In other words, if you are 200 lbs and you want to stay 200 lbs, eat about 200lbs x 12 = 2,400 calories. If you would like to drop some weight, try cutting your calorie intake to 2,000 calories. Focus on losing a pound a week for the first 20 weeks of your program. All this said, eating less is not always essential for going lean, but it can be an important lifestyle change for a healthier body. Eat lean beef: Lean beef is loaded with things that are conducive to lean muscle gain. While low in calories, lean beef packs a mean punch, providing your body with Vitamin B, Zinc and Iron, as well as a tremendous amount of amino acids. Meat also helps you maintain the lean mass (muscle) you already have. Keeping lean muscle mass is the ultimate key to increasing your metabolism.


Phil Gephardt FACTUM Head CrossFit Instructor, MMA, Wrestling, Jiu Jitsu, CrossFit and Muay Thai instructor FACTUM is a fitness club in Sandy, UT that offers training for martial arts and CrossFit as a way to get healthy or compete. A lifelong wrestler and jiu jitsu practitioner, Phil left his NCAA D1 wrestling career to try his hand at MMA halfway through his freshman year of college. Opening this gym has been Phil’s passion, and he’s excited to share this passion with his students.




SORRY TO BURST YOUR BUBBLE, BUT YOU CAN’T. That’s right, the detox “solutions” you hear all about these days are scams. And here’s why. Your body is beautifully created, perfectly capable of clearing out its own toxins. If you had these so-called built-up toxins in your cells and organs, you’d probably be dead. It’s the specific job of your liver and kidneys to eliminate any toxins from your body and keep you running at full capacity. If you suspect a build-up of “toxins,” it would mean you probably have organ failure and you should talk to your doctor, not start a juice fast. In fact, as it turns out, many of the companies that offer a “detox” product don’t even know what the term “detox” means. In 2009, scientists working for the UK charity Sense about Science asked for

evidence from the manufacturers of 15 socalled “detox” products. What evidence were they given? None. Not a single manufacturer could tell them what they meant by “detoxification” and couldn’t name even one “toxin” it claimed to remove.

Wrong. “People assume that the world is carefully regulated and that there are benign institutions guarding them from making any kind of errors. A lot of marketing drip-feeds that idea, surreptitiously. So if people see somebody with apparently the right credentials, they think they’re listening to a respectable medic and trust their advice,” says Ayton. So how can we protect ourselves against frivolous advertising and “health” products?

They sell it because we’ll buy it.

The first step to avoid being suckered in to these marketing ploys is to recognize that there are no quick fixes. The same advice you’ve heard for years still holds true: don’t smoke, exercise regularly, and eat a balanced diet.

Peter Ayton, a professor at City University London, explains that we are bombarded by so much information in our world that we are quick to trust anyone who might have a deeper understanding than us. If a doctor appears on your TV screen telling you that he/she found the magic pills that clean out your cells and help you lose weight, it wouldn’t be that difficult to believe him/her. Hey, who isn’t trying to lose weight? And he’s a doctor so he/she must be telling the truth, right?

If you have a specific medical problem or question and you think you’ve heard of a product that can help you, be skeptical and ask your doctor. Your doctor isn’t trying to make money off those products so he/she won’t try to sell you on something that won’t help. When in doubt, ask your doctor. Unless your doctor is Dr. Oz or the person on the TV promoting the product, you’re in safe hands going to him/her for advice.

Gasp! How can they trick us like that? How can they sell and market something that doesn’t do what they say it does?

March 2015



Japanese Ginger ‘Noodle’ Bowls This aromatic one-bowl dinner features a classic combination of Japanese flavors, but the spicy, gingerinfused sauce is what sets the dish apart.

Makes 4 servings 1 2 tbsp 1 tbsp 11⁄2 cups 1⁄4 cup 2 tsp 2 cups 8 oz 1 tbsp 1⁄4 cup 1.




spaghetti squash (about 2 lbs) minced gingerroot coconut sugar coconut water liquid coconut amino acids Asian chile-garlic sauce thinly sliced onions firm or extra-firm tofu, cut into 1⁄2-inch cubes virgin coconut oil Fine sea salt and freshly ground black pepper thinly sliced green onions

Pierce squash all over with a fork. Place on a paper towel in the microwave. Microwave on Medium-High (70%) for 13 to 15 minutes or until soft. Let cool for 5 to 10 minutes. Meanwhile, in a small saucepan, whisk together ginger, coconut sugar, coconut water, amino acids and chile-garlic sauce. Bring to a boil over medium-high heat. Add onions, reduce heat and simmer, stirring occasionally, for 5 to 7 minutes or until softened. Add tofu and cook, stirring, for 1 to 2 minutes or until heated through. Cut squash in half, remove seeds and scoop out pulp. Transfer pulp to a bowl and, using a fork, rake into strands. Add coconut oil and toss to coat. Season to taste with salt and pepper. Divide squash among four bowls and top with tofu mixture. Sprinkle with green onions.


The spaghetti squash can also be prepared in the oven. Preheat oven to 325°F and lightly spray a small rimmed baking sheet with nonstick cooking spray (preferably olive oil). Cut squash in half lengthwise and remove seeds. Place squash, cut side down, on prepared baking sheet and bake for 35 to 40 minutes or until a knife is easily inserted. Let cool for 5 to 10 minutes, then scoop out pulp and continue with step 3.

An equal amount of gluten-free soy sauce can be used in place of the liquid amino acids.


Courtesy of The Complete Coconut Cookbook by Camilla V Saulsbury, 2014 © Reprinted with publisher permission. Available where books are sold.


Nonna’s Mini-Meatball Soup (kid-fav) This soup reminds of the one I’m served when I visit my friend Maria’s house. Her mother always has a pot of soup on the stove, or if she doesn’t, she will quickly make one for you with whatever ingredients she has on hand. You’ll need: Minimum 5-quart slow cooker

Makes 6 to 8 servings 1 lb 1 lb 1 cup 1 cup 2 1 1⁄2 tsp 1⁄2 tsp 6 cups 2 cups

lean ground beef lean ground pork finely grated Parmesan cheese fine dry Italian bread crumbs eggs, lightly beaten bunch flat-leaf (Italian) parsley, finely chopped (about 1 cup) salt freshly ground black pepper chicken broth packed baby spinach, coarsely chopped,

or chopped escarole 2 cups cooked small pasta, such as elbows, tubetti, shells or stars Freshly grated Parmesan cheese (optional) 1.

2. 3. 4.

In a large bowl, combine beef, pork, Parmesan, bread crumbs, eggs, parsley, salt and pepper. Using your hands, roll into 3⁄4inch (2 cm) meatballs. Place meatballs in slow cooker stoneware. Gently pour in broth. Cover and cook on Low for 8 to 9 hours or on High for 41⁄2 to 5 hours, until soup is bubbling and meatballs are cooked through. Stir in spinach. Cover and cook on High for 10 to 15 minutes or until greens are wilted, bright green and tender. Stir in cooked pasta. Ladle into bowls and sprinkle with additional Parmesan, if desired.


If you don’t have homemade chicken stock, use ready-to-use chicken broth. I like to keep 32oz Tetra Paks of broth on hand, especially the sodium-reduced variety. They come in handy when you’re making soups and stews. Another option is to use three 10-oz cans of broth and add enough water to make 6 cups. Avoid broth cubes and powders, which tend to be salty.

Courtesy of Easy Everyday Slow Cooker Recipes by Donna-Marie Pye, 2014 © Reprinted with publisher permission. Available where books are sold.

March 2015



Foreign Flavors

Mahider Ethiopian food is simply fun to eat—if you are okay with getting a little messy, that is— and what Mahider dishes out is no exception. A traditional Ethiopian dish is to cook up an enormous pancake-like flat bread made from teff, a grain indigenous to Ethiopia, and then put a bunch of different foods in piles on the bread. Then you just tear off pieces of the bread and grab any variety of food you like.


Sleshi, the owner, runs an Ethiopian store right next door, where he imports spices and other products from his home country, which are used in the cooking. We liked pretty much everything on the teff bread platter, including the curry and lentil dishes.


1465 S State St. 7 Closed Mondays (801) 975-1111

“When you put yourself into a restaurant, it’s hard for other places to compete with you,” says Woot Pongsawan, owner of Ekamai Thai, which has locations in downtown Salt Lake City and Sugarhouse. You can see it on the restaurant walls, in some of the dishes and in the music—Woot really has meshed who he is into Ekamai, and this became evident the longer I talked to him and ate his food. The best dish we had was his short rib masaman curry, which you of course won’t find in just any Thai restaurant. The curry dumpling appetizers were awesome, as was the salmon panang curry. The twist on these otherwise common dishes sets Ekamai part, and gives a novel dining experience that now has a loyal following. Woot came to United States when he was 19, and eventually ended up at college. He spent time at other colleges , and when at the U of U, he started Ekamai downtown. The first year consisted of 16-hour days in the restaurant, while juggling a new child and a new wife, who was the mastermind behind the menu. His awesome older sister, who you’ll see busy at the restaurant, was also there at the beginning. Now his downtown location is mostly busy during the lunch rush, and serves select menu items that change daily. The Sugarhouse location has a full menu and opened three years ago in a cool house-like building renovated to be a restaurant. One inside wall was painted by Kier Defstar, a local graffiti-style artist. The captivating entrées come with a purple rice that you won’t often find locally, and the rice’s taste and texture compliments the food extraordinarily well. Downtown 336 W. 300 S. #102

Cupbop One of more popular food trucks you’ll find , Cupbop is Korean barbecue, started by a few young, marketing-savvy Koreans who are highly loyal to customers. In fact, once a month, they’ll reach out to one of their 15,000 social media followers and throw a party for their friends and family, at that person’s house. The food is excellent, though the flavors and textures caught us off guard a bit, not in an unpleasant way. The noodles are made from sweet potato, which is tasty. The meat is quality, and their 1-10 heat scale is great for personalizing your meal. A tip: 7.5 is the most popular heat level. Jung, one of the owners, says to look for a third Cupbop truck coming soon, and for a whole new food truck experience called Kotako, created by these talented food truck entrepreneurs. They’ll be serving Korean style tacos. To see their locations:

Marketing Director, Erik Pfeiffer is loving on the CupBop food truck.

Sugarhouse 1405 E. 2100 S.


March 2015


3-D Mammography in Utah The advantages of this new technology improve breast cancer detection rates

Cindy Stewart, BSRT Patient Navigator Davis Hospital and Medical Center

Breast cancer remains one of the most common types of cancer among women in the U.S. and the second leading cause of cancerrelated death in women. However, death rates from breast cancer have declined since the late 1980s, largely due to improvements in diagnostic technology, earlier detection rates, increased education and awareness, and improved treatment options. Routine check-ups and exams should be a part of every woman’s health care. Davis Hospital and Medical Center’s Breast Care Center offers comprehensive breast health services, including: • 3-D mammograms • Digital mammograms • Minimally invasive biopsy • Breast MRI • Breast ultrasound • High-risk assessments and counseling • Genetic BRCA testing • Certified breast cancer navigators

arc over the breast. Multiple images are acquired at different angles, creating a three-dimensional view of the breast. Radiologists can then view each layer of tissue—similar to leafing through individual pages of a book. Expanding the amount of tissues a radiologist can examine may result in increased detection rates of smaller, harder to see lesions in the breast and decreased false alarms. Potential benefits of 3-D mammograms • Earlier detection of small breast lesions, especially in dense breast tissue • Increased accuracy in determining the size, shape, and location of breast abnormalities • Decreased risk of false-positive results • Reduced need for additional testing • Clearer, more accurate images of breast tissue, especially in dense breasts Is 3-D mammography the right test for you? Although the medical community has not reached a definitive answer about whether some women should receive 3-D mammography over conventional mammography, many results from 3-D mammography are promising. As with any new diagnostic technology, long-term studies are currently underway, which may yield valuable feedback about the potential risks and benefits and help physicians refine the qualifications a patient should meet before receiving this type of mammogram. Patients who may benefit from 3-D mammography include:

How is 3-D mammography different from conventional mammography?

• Women with dense breast tissue • Women who need a baseline mammogram to serve as the basis for comparison in later exams • Women with family history of breast cancer • Women who have a personal history of breast cancer

Conventional digital mammography produces only one image of the breast from two angles by overlapping the tissue horizontally and vertically, which makes it more difficult to detect cancers. According to the National Cancer Institute, about 20 percent of breast cancers go undetected through conventional mammography. Additionally, there is a higher risk of delivering a false positive result, meaning women may have to undergo more testing and likely a heightened level of anxiety.

For now, it is important to speak with your physician about your options for diagnostic testing. 3-D mammography is not a substitute for conventional mammography, and it is currently performed in combination with conventional mammography on the same imaging machine. If 3-D mammography seems right for you, it is also necessary that you understand the overall process and potential risks associated with this type of testing.

The technology behind 3-D mammography, called tomosynthesis, allows radiologists to view the whole breast in greater detail. During 3-D mammography, a special imaging machine moves in an

For more information about 3-D mammography and to schedule your mammogram, call 801-807-7120 or visit


Know Your Risk

Healthy lifestyle practices to help lower your risk of breast cancer

Anne Kieryn, MD Jordan Valley Medical Center

Breast cancer is the second leading cause of cancer-related death in women, and an estimated one in eight women will be diagnosed with breast cancer in her lifetime. Although these statistics may be disconcerting, there are several nutritional and healthy lifestyle practices that may help lower your risk of breast cancer. Women at any age—pubescent through postmenopausal—should implement these healthy behaviors in order to improve overall health and wellbeing. First and foremost, an important step to take is educating yourself about breast cancer facts, risk reduction and breast self-awareness. Learning what feels normal for you at each stage in life can be a valuable tool if changes do occur in your breast health. Healthy Weight Body weight can affect a woman’s risk of many diseases and cancers, including breast cancer. Studies show that a combination of excess body weight, physical inactivity and poor nutritional choices contributes to an increased risk of breast cancer. Excess weight or obesity in a postmenopausal woman can increase her risk of breast cancer by 30–60 percent. The link between excess weight and cancer risk is complicated, and while more information needs to be gathered, research shows that extra fat cells in the body, especially concentrated around a woman’s midsection, can contribute to the growth and development of certain types of breast cancer. However, weight gain and obesity have a different affect on a woman’s risk depending on her age. Postmenopausal women should take extra precautions when it comes to their weight, as excess fat is the leading source of estrogen among women after menopause. Staying Active Exercising for your health does not necessarily mean an intense workout every day. The American Cancer Society recommends at least 150 minutes of physical activity per week, including strengthtraining exercises. Being active can lower your risk of breast cancer development, recurrence, and breast cancer-related death. Additionally, physical activity can improve your bone health, energy and wellbeing.

Breast Self-Awareness • Know your personal risk of breast cancer and family history of breast cancer • Recognize what feels normal for you through self exams • Get clinical breast exams beginning in your 20s and mammograms every year starting at age 40 • Speak with your doctor about your health and risk factors Cancer Center at Jordan Valley Medical Center The Breast Care Center, which is the first center in the Salt Lake area to provide women with comprehensive breast health care, offers a high level of individualized care from a multidisciplinary team of medical professionals in a comfortable and supportive environment.

Cancer Center at Jordan Valley Medical Center to open spring 2016

In the spring of 2016, Jordan Valley Medical Center will open its new community Cancer Center—a two-story cancer facility for inpatient and outpatient care. The Cancer Center’s specialties will include breast, urological, gynecological, head, neck, SRS, SBRT, IMRT, brachytherapy, IGRT, lung cancer, central nervous system, skin cancer and lymphoma/ leukemia gastrointestinal treatment. This expansion includes exciting changes for the Breast Care Center. In addition to the services already provided, the Breast Care Center will have the space, technology and expertise needed to treat each Robin Anderson patient completely—from diagnosis Patient Navigator JVMC BCC through treatment and after care.

For more information and patient coordination questions, call Patient Navigator Robin Anderson at 801-601-2399. To schedule an appointment, call 866-431-WELL (9355). March 2015





HEALTH PROFESSIONALS CALL FOR REGULATION AND RESEARCH, AND CITIES PASS ANTI E-CIG LEGISLATION Years of research by Denise and Eric Kandel have shown that nicotine may enhance the effects of cocaine and marijuana by lowering inhibition and activating reward signals in the brain. Their studies show that most who start taking cocaine were smoking at the time. The Kandels (Eric is a Nobel Prize winner and Denise is a professor of psychiatry at Columbia University Medical Center) believe that e-cigarettes lead to similar effects on the use of illegal drugs compared to regular cigarettes, even though e-cigs (a.k.a electronic cigarettes) don’t have tar and other harmful byproducts. “Although e-cigarettes eliminate some of the morbidity associated with combustible tobacco, they and related products are pure nicotine-delivery devices,” they write in New England Journal of Medicine, adding that “they pose the same risk of addiction to other drugs and experiences.” The health community and many governing bodies are increasingly suspicious of e-cigarettes, which are lauded by some as a stepping-stone for quitting smoking.




The suspicion comes from the lack of research and data so far about the effects of electronic cigarettes on health. The American Heart Association (AHA) recently released a statement that called for regulation of e-cigarettes, especially for youth. “Over the last 50 years, 20 million Americans died because of tobacco. We are fiercely committed to preventing the tobacco industry from addicting another generation of smokers,” said Nancy Brown, CEO of the American Heart Association, in the statement. “Recent studies raise concerns that e-cigarettes may be a gateway to traditional tobacco products for the nation’s youth, and could renormalize smoking in our society. These disturbing developments have helped convince the association that e-cigarettes need to be strongly regulated, thoroughly researched and closely monitored.” The AHA called for a ban on e-cigarettes for minors, and for FDA regulation identical to regulation for regular cigarettes. Currently, the FDA doesn’t regulate e-cigs. A study published in Pediatrics found that youth exposure to e-cigarette advertising rose by more than 250 percent from 2011 to 2013. Other research suggests that young people who aren’t interested in traditional smoking may be interested in

trying e-cigarettes. In fact, more high schoolers smoke e-cigarettes than regular cigarettes. There are thousands of flavors, which appeals to younger people. Studies also show that young people consider e-cigs to be “high-tech.” Many e-cigs contain nicotine but not tobacco, and therefore people are using them to wean off regular cigarettes. Data on the effectiveness of this cessation technique is limited. The FDA doesn’t approve of the method, but some studies do show effectiveness similar to nicotine patches. The AHA statement said that using e-cigs to quit smoking should only be used when conventional treatment fails. Many use e-cigs because they’re allowed in places where smoking is banned. But this is changing quickly. New York City recently banned electronic cigarettes in public places, and New Jersey, Utah, Los Angeles and North Dakota are in the same boat. In Chicago, “vaping,” as it is called, is banned in indoor public places. In Toronto, they’re banned for teenagers. Despite the bans, TIME reports that 10 new e-cig companies are coming to market every month. Wells Fargo predicts that e-cigarette sales will hit about $10 billion by 2017. Sources: TIME,



CCORDING TO A GALLUP POLL, THE AVERAGE AMERICAN SLEEPS 6.8 HOURS PER NIGHT. NOT ONLY IS THIS BELOW THE RECOMMENDED MINIMUM OF SEVEN, BUT IT IS ALSO A SOLID HOUR LESS THAN THE AVERAGE OF THE 1940S. While there are many factors affecting sleep deprivation, one of the hidden culprits is tablet and smart phone use. A study from Brigham and Women’s Hospital and Harvard Medical School detailed the harmful effects that tablet and smart phone use is having on sleep quality and quantity. Using a two week period to monitor participants in a sleep lab, the researchers had some participants read a tablet before bed, and had other participants read a paper book before bed. The participants who were assigned to read a tablet took an average of ten minutes longer to fall asleep, and had less rapid eye movement (REM).

happens to be the light given off by electronics like computers and cell phones, and also by energy efficient bulbs. This light has been shown to delay the release of melatonin which is a sleep inducing hormone.” Lack of sleep impairs cognitive ability, leading to decreased concentration, alertness, and critical thinking skills. Chronic sleep deprivation is linked to many serious health complications, including diabetes, stroke, heart attack, heart failure, and high blood pressure. So, are you feeling busy, tired, and stressed? Put the tablet down and pick up a book.

“Try and keep electronics out of the bedroom, especially those used at close range, for at least an hour before bed,” says Dr. Maya Thomas, a sleep specialist in Murray, UT. “The circadian rhythm is sensitive to light with short wavelengths, particularly blue light in the 460 nanometer range of the electromagnetic spectrum, which

March 2015




-------------------------------ADVISOR CLIENT CONTENT

• Loose teeth • Changes to the way dentures fit • Tongue, jaw, or throat pain • Difficulty or pain when swallowing and chewing • A lump or feeling of something caught in your throat “If you notice any of these signs, call your dentist immediately,” advises Dr. Ferguson. If you don’t have a dentist you can visit the Dental Clinic at Roseman University in South Jordan ( for affordable, high quality care by Doctor of Dental Medicine students and faculty.


In addition to checking for oral cancer, there are things you can do to help lower your risk of developing the disease. • Quit smoking and immediately stop using any type of tobacco, including cigarettes, cigars, pipes, chewing tobacco, and snuff • Avoid excessive alcohol consumption • Eat a diet with lots of fruits and vegetables • Protect your lips with a lip balm that includes SPF whenever you are going to be out in the sun

Checking for Oral Cancer A GUIDE TO SYMPTOMS AND SIGNS IN YOUR MOUTH The term “oral cancer” is actually a broad term that covers several different types of cancers that might affect your lips, mouth, nose, larynx, and throat (the oral cavity). While these cancers don’t garner as much attention as breast cancer or lymphoma, they are still very dangerous. The Oral Cancer Foundation reports that over 54,000 Americans will be diagnosed with oral, larynx, or pharyngeal cancer this year, and only slightly more than half of those diagnosed will still be alive in five years—a number that has not significantly improved in the last few decades, even as survival rates increase for other cancers. “Part of what makes oral cancer so dangerous is the difficulty in diagnosing the disease,” said Dr. Aaron Ferguson, Director of Public Health Sciences Education and Assistant Professor at Roseman University of Health Sciences’ College of Dental Medicine. “The symptoms might not produce pain or other obvious signs, or might mimic other conditions and thus go untreated and undiagnosed until the cancer has reached a more advanced stage.” This is especially true for patients who don’t have a “dental home”, according to


Ferguson. A dental home is a specific place where a patient routinely visits the same dentist. Often the visible signs of developing oral cancers can be identified by a dentist, but it is much easier for the dentist to notice changes if he or she has been seeing the patient over a long period of time. For patients who rarely or never visit the dentist, or frequently change dental care providers, these subtle changes are harder to spot. In addition, a new virus called HPV16 has contributed to a rise in oral cancer cases that manifest in the back of the mouth and throat, and often don’t produce visible lesions or discoloration that dentists can readily identify as a warning sign.


There are a few signs you can look for to identify oral cancers, and along with regular dental checkups and screenings these things can help you spot cancer earlier and get proper treatment. These signs include: • Mouth sores that don’t heal • Lumps or thick skin in the lips or soft tissue inside your mouth • White or red patches on the inside of the mouth

• Get checked for the sexually transmitted virus human papillomavirus (HPV) • Find a “dental home” and get regular checkups and screenings from your dentist, especially if you are over the age of 40 and have any other potential risk factors Oral cancer treatments generally include a mix of surgery, radiation, chemotherapy, and targeted drugs depending on the location and stage of the cancer, as well as your overall health. While you may not be able to control all your risk factors, understanding the dangers of oral cancer and getting regular screenings can help you discover and diagnose it at an earlier stage, which often leads to better outcomes.


William Carroll, DDS Roseman University of Health Sciences South Jordan Campus 801.302.2600

Dr. Carroll is Associate Dean for Academic Affairs and Associate Professor at Roseman University College of Dental Medicine in South Jordan. He graduated from the UCSF School of Dentistry, completed a two-year AEGD residency at Walter Reed National Military Medical Center in Bethesda, MD and recently retired from the US Navy after more than 30 years of service.

March 2015




-------------------------------ADVISOR CLIENT CONTENT

Problems With Current Prostate Cancer Therapy

In 2015 most cancers diagnosed by prostate biopsy are Gleason’s 3+3=6 (scored by the pathologist), and many of these can be managed with Active Surveillance (AS); several leading institutions (NYU, Mayo, UCSF, and others) have done studies on AS and developed protocols for this, usually including repeat prostate biopsies and in some cases multiparametric MRI scans, with or without fusion biopsy, to ensure cancer stability.

What is


Better outcomes, fewer side effects for localized prostate cancer therapy High Intensity Focused Ultrasound (HIFU) is a truly minimally invasive technology which involves focusing sound waves to obliterate target tissue (the best analogy is the use of a magnifying lens to focus the sunlight and burn a hole in a leaf; in both processes the focal point, or “F2” in physics nomenclature, is the site of maximal energy delivery, and can be more precisely targeted than when using a surgical scalpel). HIFU technology was first developed in the 1950s by two PhD brothers working at Focus Surgery in Indianapolis, IN. Various clinical applications were explored over the next half century, including work on both benign and malignant prostate problems, beginning in the mid-1990s under the leadership of urologist Dr. John Donahue. HIFU for uterine fibroids (ExAblate, InSighttec, Haifa, Isreal) was FDAapproved in 2004, and currently represents the only approved indication for HIFU in the United States. Because of the physical properties of focused sound waves mentioned above, tissue can be precisely heated (up to 100 degrees Celcius), which results in immediate cellular death within the treated region. Additionally, because simultaneous imaging is performed while conducting HIFU, it is possible to deliver HIFU energy only to the area of concern, while sparing adjacent nerves, blood vessels, and muscular tissue. Sophisticated computer programming allows for progressive treatment of the tumor over a period of several hours. Because of the precision involved, side effects associated with HIFU are generally less common and less impactful than those seen with traditional treatment options.


See for a summary of the data produced recently at Sunnybrook Research Institute by Dr. Lorry Klotz, a widely regarded thought leader in localized prostate cancer management. Nonetheless, not everyone wants to be or is able to be observed; thus various localized prostate cancer therapies remain in vogue, and affected men and their urologists are required to sort out and compare/ contrast available options. Among the most popular are the da Vinci robotic prostatectomy, and various forms of radiation (external beam, IMRT, brachytherapy with seeds or by HDR, and proton beam). Detailed discussion of these options is beyond the scope of this article; suffice it to say that the biggest problem with these available options is side effects (eg, erectile dysfunction, loss of urinary control/incontinence, and scar tissue formation requiring additional therapy). Patients remain frustrated that no available treatment option feels safe; the treatment decision is thus often the most challenging choice a man with prostate cancer has ever had to make.

HIFU for Prostate Cancer

Beginning with trials conducted at Indiana University in the 1990s, HIFU for prostate cancer has been progressively been refined. In its current configuration a man is anesthetized and a probe is then placed into the rectum which both images the prostate and focuses the ultrasound waves; a small suprapubic catheter is placed into the bladder because urination after prostate HIFU ablation takes time to return to baseline. Two companies produce HIFU machines (Ablatherm/ Edap, France, and Sonablate/SonaCare, USA). Both companies have been conducting trials in the US in the past few years, hoping for FDA-approval; however, both companies presented their cumulative data to FDA in 2014 and neither HIFU technology was approved. It appears that the FDA wants more data before considering approval. As a side note, the FDA has never had to approve a procedure for prostate cancer— surgery (including the robot), cryotherapy, and radiation (including brachytherapy) were in existence in some form prior to the formation of our FDA; thus, all of those procedures were “grandfathered” approval by FDA. Meanwhile HIFU is APPROVED in nearly 40 countries worldwide, and is a leading treatment option for localized prostate cancer in Japan and Europe. Beginning with the pioneering work of Dr. George Suarez in the Dominican Republic in about 2005, HIFU has now been made available to US urologists and their patients who are willing to travel. Only a very small number of US urologists (20 or so) have completed training and proctoring, and perform HIFU with any regularity. Currently HIFU for prostate cancer by US urologists is being conducted in the Bahamas, Mexico, and now Grand Cayman Island (under the umbrella of the International HIFU Society, a recently formed entity dedicated to HIFU education and conduct). Motivated patients are required to pay for the treatment ($25,000—infrequently reimbursed by US insurers—covers the cost of the acquisition

and maintenance of the complex HIFU machinery, as well as nursing and engineering personnel, and the urologist and anesthesiologist’s professional fees; travel and lodging represent additional costs). Many men approach this as medical tourism, arriving several days prior to HIFU to enjoy the surroundings with family members. The procedure itself is painless, and patients can travel home the next day; the suprapubic tube is removed in a few weeks as urination returns to normal. Risks of incontinence (0%) and erectile dysfunction (20%) are much lower than with traditional modalities. There is a reported risk of urethral stricture (19%); most of these can be managed with in-office dilation. The most feared complication of rectal injury and subsequent fistula formation is exceedingly rare (0.1%). Interestingly FOCAL HIFU (i.e. treating only the affected portion of the prostate gland) is now being explored (led by the work of Dr. Marc Emberton in the UK); early evidence suggests even fewer side effects and excellent cancer control. With respect to whole gland HIFU, Dr. Toyoaki Uchida of the Tokai University in Japan published an update of his ongoing work in The Journal of Urology in January 2015; this included both primary and salvage (post-radiation) HIFU and the follow up NEGATIVE positive biopsy rate was nearly 90%. This is the best data we have seen so far for HIFU for prostate cancer.

My HIFU Story

I trained at UCLA and University of Kentucky. I performed over 500 radical perineal prostatectomies from 1993-2008; I was skilled with this minimally invasive procedure and taught others how to do it, saw very rare cancer recurrence, and transfused only one patient in my career. Nonetheless side effects were a very real part of my practice (and I consequently did my fair share of artificial urinary sphincter and inflatable penile prosthesis surgeries), and this frustrated me! I continued to explore less morbid options, and performed many curative HDR brachytherapy cases (but unfortunately still saw too many side effects). In 2009, under the tutelage of the most prolific US HIFU urologists Drs. Suarez and Stephen Scionti, I received formal HIFU training and had 5 cases proctored so that I could become an independent HIFU practitioner. These cases were performed in Mexico in conjunction with SonaCare (then US HIFU) using a Sonablate machine (I have no experience with the distinctly different Ablatherm technology). I now perform my Sonablate cases in Grand Cayman. In my growing HIFU experience I have seen excellent cancer control and very few side effects (most commonly the annoying and usually easilymanaged urethral stricture). I have abandoned radical prostatectomy entirely (I never learned the robotic procedure, but other than less blood loss, less pain, and a shorter hospital stay, the side effects of the da Vinci are every bit as high as with open prostatectomy). I perform cases frequently, and have begun training other US urologists interested in the technology with an accredited CME course which I developed. Most importantly I can now finally answer a patient’s query “What would you do doc?” with one word: “HIFU.”


Steven N. Gange, MD, FACS Salt Lake City, UT



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proper diet and exercise. Another thing is to breastfeed your children. Studies have shown that for each child a woman nurses for at least 6 months, her risk of breast cancer decreases by a whopping 7 percent. The more children you breast feed, the less likely you are to eventually develop breast cancer! Nursing is truly the best thing you can do for both your baby and yourself!

Women and Cancer


his current issue of “ Healthy Magazine “ is, as you now know, devoted to cancer. Yes, to most people cancer is a scary and ugly word. We all know of someone young or old who in our own personal realm has been affected by or even died from cancer. So what specifically we do to decrease our own personal risk of developing cancer? I am a firm believer in the old adage, “an ounce of prevention is worth a pound of cure.” Although we may not be able to totally prevent the ravages of cancer, there are a few caveats that may help. From a numerical standpoint, skin cancer is far and away the most common cancer among both men and women, with over 600,000 cases per year in the US alone. The most common type is called Basal Cell Carcinoma and, as far as cancer goes, it’s relatively indolent, in that it rarely spreads to other parts of the body. Despite this, it does kill a large number of people because it can be very locally aggressive and difficult to totally excise. The prevention lies in the wearing of proper clothing and sunscreen in protecting against ultraviolet light. Each “sunburn” you get very significantly increases the odds of you getting skin cancer. A little sunshine in the form of Vitamin D is a good thing, but too much all at once in the form of a sunburn just is inviting skin cancer down the road.  Even though there are more cases of breast cancer, the number one cancer killer among women is actually lung cancer. The good news with lung cancer is that it is almost totally preventable. The truth is that 92 percent of all lung cancer cases are

associated directly to cigarette smoking. Even if you don’t smoke yourself, second hand smoke has been shown to cause lung cancer to those exposed to it. I had an uncle who never smoked, but was exposed for many years to second hand smoke in an office environment, and he was among the 8 percent of lung cancer patients who are non-smokers. It has been demonstrated that the average age of people who smoke started to smoke at the tender age of 14! Yes, 14! The number one factor in beginning to smoke is parents who smoke. If you smoke, NOW is the time to stop. It will not only greatly benefit your own health, but positively influence your family for generations to come. Breast cancer on the other hand is much less preventable. Perhaps the biggest risk of breast cancer is due to your genes and your age, both of which are beyond your control. One very important reason to see your gynecologist on a regular basis is to have not only a yearly clinical breast exam, but to also discuss with him or her your own risk of developing breast cancer based upon your family history. If you have at least one first degree relative or two second degree relatives who have had breast cancer, you should discuss with your doctor being tested for BrCa1 or BrCa2 genes. This is a simple blood test that can help determine your lifetime risk of developing breast cancer and help guide your frequency of clinical breast evaluations, mammograms, and even MRIs. Age and even being overweight have been shown to increase the odds of getting breast cancer as well. What can you do to decrease your likelihood of getting breast cancer? The first is to maintain a healthy weight through

Up until about the 1960’s, cervical cancer was actually the number one cancer killer in women, but thanks to a Greek physician named “Papanicolaou,” cervical cancer is now number seven on the list. Pap smears can detect cervical dysplasia, which is the early stages of cancer, and therefore catch it when it is still highly treatable. Just as lung cancer is associated with smoking, cervical cancer is highly associated with the number of sexual partners a woman has. In fact, 93 percent of cervical cancer cases have been tied to a sexually transmitted infection of HPV or Human papillomavirus. Therefore, the earlier a girl starts to have intercourse, and the higher number of sexual partners she has, the more likely she is to eventually get cervical cancer. Prevention lies in limiting your number of partners, and getting regular pap smears. One other point I’d like to mention is that smoking has been highly associated with increased risk of developing cervical cancer as well.


Stop smoking and avoid second hand smoke.


Maintain a healthy weight with proper diet and exercise.


Breastfeed your children and have a large family.


Obtain regular mammograms, pap smears, and colonoscopies.


Have annual exams and discuss any unusual symptoms with your doctor.


Be Happy! Yes, multiple studies have demonstrated an association with happiness and longevity!


Mark Saunders, MD Obstetrics & Gynecology Personal Care 801-692-1429

Dr. Mark Saunders is a well-respected board certified obstetrician and gynecologist that has been practicing in the American Fork area for over 18 years.

March 2015




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and Your Dental Health


n the frenzy of decisions and preparations you are now faced with since your diagnosis, more often than not, dental health is not even given a second thought. However, this should not be the case. Cancer treatments such as chemotherapy and radiation often have negative side effects on your mouth and teeth. There are a few steps you can take to minimize the damage and at the same time reduce the unwanted and painful symptoms and complications you will experience.


Visit your dentist to evaluate your dental health and discuss treatment options you should consider. Periodontal disease (gum disease) and tooth decay (cavities) should be treated. In addition, discuss what preventive measures you should take, i.e. home care routines, fluoride treatments, antibacterial rinses etc. Prevention is the best medicine.


Consult with your cancer treatment team so that you can make your dentist aware of any special considerations that are relevant to receiving dental treatment.


Mucositis: Most people will experience some degree of mouth and throat sores. These sores make it difficult to eat, and at a time when proper nutrition is critical.


Consult with your dentist or physician about prescription rinses that can help with this problem. These rinses may include some that simply coat and numb the tissues to minimize discomfort, that help minimize the incidence of bacteria and fungal infections, and/or that help prevent tooth decay and periodontal disease.

Dry Mouth: In addition to increasing the mouth and tongue soreness, dry mouth puts your teeth at greater risk of developing cavities. If you are like most adults and have some degree of gum recession that has exposed the sensitive and venerable roots of the teeth, you will be even more at risk of developing cavities. The decrease in saliva is caused by the effects of the cancer treatments on the salivary glands, and often worsens with additional medications you may need to take. Treatment for the dry mouth may include: oral rinses to minimize the risk of developing tooth decay, rinses to coat and sooth the oral tissues, professionally applied fluoride treatments, and home fluoride treatments.

Infections: Because the cancer treatments will often weaken your immune system— your body’s natural ability to fight infection—you will be more susceptible to infections in your mouth. Treatment for infections may require you to see your dentist for treatment, antibiotics and

antibacterial rinses. The best prevention for infections is maintaining very thorough oral hygiene, i.e. brush at least two times per day, floss at least one time per day, and rinse your mouth often.


After completion of cancer treatments, you should visit your dentist for a check-up and cleaning to address any problems that may have developed during the course of cancer treatment. It is also very important to maintain excellent care of your teeth and mouth through proper brushing and flossing techniques. Your normal saliva flow (spit) may not return for several months or years, so taking continued preventive measures is critical to long term dental health.


Dr. Ryan S. McNeil, D.D.S Midvale Family Dental PC

6895 South 900 East Midvale Dr. Ryan S. McNeil, D.D.S is a certified TruDenta Provider. If you would like to learn more about TruDenta, or to find out if you are a candidate for this treatment, please visit our website or call to schedule a Complimentary Consultation. 801-255-4555

March 2015




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A Proactive Approach

to Children’s Dental Health

Modern dentistry and a new form of preventive orthodontia allow us to take action early to protect our children’s mouths, and our wallets.


e live in an incredible era of change, as swift advancements in science and technology continually improve the lives of millions of people around the world. The field of medicine is certainly one industry that has felt the direct effects of such exciting changes, with technology paving the way for new and improved treatments for a variety of ailments. With our refined understanding of the human body, preventive medicine is becoming a more effective and more common way of maintaining your wellbeing. Preventive care is especially effective in dentistry, in which neglect of your dental health can cause general health problems down the road, leading to more extensive treatment (and increased cost). Maintaining a healthy, attractive smile can sometimes be an intimidating process for those unfamiliar with dental treatment options. There is a wealth of choices available to improve the look and function of your smile, but what if there was a treatment option that could prevent the need for such complicated procedures?

Fortunately, preventive medicine has touched the field of dentistry in the form of Perfect Start™, a means of preventive orthodontia designed for children ages 5-12 whose teeth are still coming in. This new and advanced orthodontic process takes less time than traditional orthodontic treatments, costs less, and prevents the need for more extensive treatment later in life. Perfect Start™ works differently from traditional orthodontics in a number of key ways. First and foremost, Perfect Start™


With hundreds of dentists having successfully completed over 2,000,000 Perfect Start™ cases, this is a tried and true way of improving the overall experience of orthodontic work, which in-turn improves the lives of those you love.

foregoes the use of invasive wires and brackets, and instead guides the teeth into alignment using a clear, removable appliance. This appliance is only worn periodically—normally at night—which allows patients to continue to enjoy their favorite foods and activities during the full length of the treatment phase. Because Perfect Start™ appliances guide the teeth into alignment during the initial tooth eruption process, it is an effective means of preventing relapse and misalignment as the patient grows older. Many of us remember having to undergo traditional orthodontic treatment as teenagers. It was a long and arduous process that seemed to punctuate everything that was awkward about being young. It is fortunate that we live in a time in which such awkwardness and discomfort can be avoided outright, so why not take advantage of it?


Dr. Joseph S. Maio D.D.S.

Despite the countless happy Perfect Start™ patients nationwide, this revolutionary treatment technology has not yet seen widespread adoption. The doctors at Apex Dental are strong advocates for the use of Perfect Start™ and we are proud to offer this treatment to all of our patients. If you or someone you know could benefit from Perfect Start™, we would be delighted to perform a free evaluation to determine if they are a candidate.

Apex Family & Cosmetic Dentistry 801-758-5459 Dr. Maio received his undergraduate education in Denver, Colorado at the prestigious private institution, Regis University, where he graduated Magna Cum Laude. He has been recognized as an American Top Dentist for 4 consecutive years, as chosen by the Consumers Research Council of America.

If you would like any additional clarification about how Perfect Start™ works or if you would like to schedule your first appointment, give us a call today at 801-758-5459.



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Environmental Toxins

and Fertility


ertain toxins put you at risk for low fertility, reduced hormone production and autoimmune problems. How can you protect your fertility and future family? The first step is to know what to avoid. Dioxin chemicals, produced by certain industrial processes, increase the risk of endometriosis and significantly increase the risk of preterm deliveries. PCBs and BPA (Bisphenol A) found in plastic bottles left in sunlight or heat affect mitotic spindles and reduce the pool of a woman’s eggs (her ovarian reserve), alter the estrogen response, reduce fertilization rates by as much as 50 percent in in vitro fertilization (IVF) and embryo transfer cycles, contribute to poor embryo quality and increase miscarriage risks. In males, these BPAs reduce male sperm concentration and quality. Certain herbal medications as well as some shell fish contain heavy metal contaminants including cadmium, lead and mercury which cause increased oxidative stress to the oocytes (eggs), modify estrogen receptors and reduce the ability of the embryo to implant in the uterine lining.

Herbicides, pesticides, Round-Up, high levels of hydrocarbons, high sugar intake, processed foods, steroid fed animals, lack of exercise, insulin resistance and obesity all increase body inflammation, reduce fertility, interfere with normal DNA repair and increase the risk of autoimmune diseases, clots, heart attacks and cancer development. WHAT POTENTIAL PARENTS SHOULD DO There are important to keys to reducing your exposure to some of the above toxins. 1. 2.

3. 4. 5.


Alter your diet and eat more natural organic foods Reduce rapid heating of foods in non-safe plastic containers in the microwave oven Lose weight Reduce insulin resistance Eat and drink things with high amounts of antioxidants including cruciferous vegetables—broccoli, cauliflower, cabbage and all green leafy vegetables Eat whole fruits

Contact East Bay Fertility at 801-377-0580 with any questions.


Dr Glen Andrew D.O. East Bay Fertility Center 801-377-0580 EDUCATION

Brigham Young University, Provo, UT Kirksville College of Osteopathic Medicine, Kirksville, MO Metropolitan Hospital, Grand Rapids, MI West Michigan Reproductive Institute, Grand Rapids, MI


16+ years of experience in infertility Has performed over 1,000 In Vitro Fertilization & Embryo Transfer Cycles with an 80% success rate 15+ years of experience in Bio-Identical Hormone Therapy His infertility training took on a greater personal meaning and importance as Dr. Andrew and his wife were experiencing problems conceiving their first two children. They know firsthand, from their own experience, the frustrations, invasive tests, procedures and emotional roller coaster that come with infertility. Dr. Andrew and Kaylene have a beautiful family with four children. They enjoy spending time together traveling, hiking, canyoneering, rock-climbing, camping and scouting.

March 2015




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Asthma and Airway Inflammation:



sthma is a chronic inflammatory disorder. This inflammation causes the airway swelling and narrowing which leads to airway constriction. The symptoms of asthma— wheezing, shortness of breath, chest tightness, and coughing are due to this constriction. Airway constriction can be measured using traditional lung function tests such as spirometry. However, while measuring airway constriction is important, it may not tell the whole story. In many cases, lung function tests may be normal, but airway inflammation can be present. This may indicate a potential loss of asthma control. When the airway inflammation is high it may indicate a higher risk of hospitalization or the need to go to the emergency room due to asthma. Understanding airway inflammation Airway inflammation is most frequently caused by exposure to allergens such as seasonal pollens, mold spores, and indoor allergens (e.g., animals or dust mites).


High levels of nitric oxide (NO) in the breath is a sign of allergic airway inflammation, and people with asthma have higher concentrations of NO in their breath than those without asthma. The measure of the concentration of NO in the breath is referred to as fractional exhaled nitric oxide, or FeNO. There is a simple, noninvasive breath test that is now available to measure FeNO. Measuring FeNO In 2011, the American Thoracic Society published a guideline for the use of FeNO in asthma management. They concluded that FeNO is directly related to allergic airway inflammation and that it can be reliably used to assess and manage asthma. FeNO does not replace spirometry or a physician’s clinical assessment, but it can be a valuable tool to assist asthma management. Treating asthma effectively means taking into account the patient’s history,

appropriate use of diagnostic tests, and appropriate interpretation of test results by a skilled physician who has been specially trained to diagnose and treat asthma. It is critical that the physician know how to appropriately utilize certain testing modalities and also know how to tailor treatment based off of correct interpretation. Many studies have shown that regularly measuring airway inflammation using FeNO can help specialists prevent asthma exacerbations in their patients and also better manage the patients’ long-term asthma control. In particular, pregnant women whose asthma was managed by FeNO had fewer asthma exacerbations and neonatal hospitalizations were also reduced. FeNO allows better control of asthma in pregnant women with the least medication. Long-term asthma management The preferred asthma therapies are inhaled steroids—

they are highly effective in controlling asthma symptoms. Although these medicines work well, they are associated with risks that necessitate close monitoring. The FeNO test is an inexpensive test that is used routinely in my office for effective monitoring of asthma inflammation. Please call 801-755-9800 or visit our website at


Douglas H. Jones, MD

Rocky Mountain Allergy, Asthma & Immunology 801-775-9800 Dr. Jones specializes in the diagnosis and treatment of all conditions relating to allergies, asthma and immune system disorders. He is board certified by the American Board of Allergy and Immunology and the American Board of Internal Medicine. He earned his MD from Penn State University and completed his specialty training at Creighton University.ars.



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It Works!



medical study published in Annals of Surgery document that laparoscopic adjustable gastric banding (Lap-Band) is both a safe and effective 15 years after surgery. It is the longest Lap-Band follow-up study ever reported.  Researchers from Monash University reviewed the results of gastric banding in more than 3200 patients who underwent the procedure between 1994 (when the procedure was first introduced), and 2011. Through his findings, Dr. O’Brien concluded that:

“LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING IS SAFE AND EFFECTIVE, AND HAS LASTING BENEFITS. SIGNIFICANT WEIGHT LOSS CAN IMPROVE THE LIVES OF PEOPLE WHO ARE OBESE AND THEY CAN BE HEALTHIER AND LIVE LONGER.” Finally, he noted that weight loss induced by Lap-Band surgery can effectively control diabetes symptoms without the need for medication in about threequarters of cases.

They also looked at all published studies of long term weight loss for the most common bariatric surgeries. O’Brien noted that laparoscopic adjustable gastric banding differs from gastricbypass procedures in that weight loss with the bypass procedure occurs primarily in the first year. With gastric banding, two to three years are required for peak weight loss. However, at the end of three years, the weight loss curves for both are flat and superimposed on each other. I am currently a Lap-Band Proctor who certifies new surgeons who are starting to use the Allergan Lap-Band devise to insure safe and correct techniques for successful outcomes. I have seen similar results as the studies mentioned above in the nearly 1000 patients I’ve worked with over the past 10 years I have been performing the procedure.


Darrin F. Hansen, MD, FACS Premier Lap-Band 801-523-6177

Dr. Hansen is a Center of Excellence surgeon for the LAP-BAND procedure. This credential is given to surgeons who maintain the highest standards for bariatric patient care. With over ten years of weight loss surgery experience and over 1000 LAP-BAND procedures combined with ongoing advanced training and techniques, patients have the best chance for excellent results.

March 2015



Will Your Legs Be Ready for Spring and Summer? Sclerotherapy Treatment for Varicose and Spider Veins Would you like to feel good about the appearance of your legs when warm weather arrives? Now would be a good time to begin sclerotherapy treat-ment for unsightly varicose and spider veins.

a very fine needle. The number of veins injected during any one treatment depends on the size and location of the veins and the patient’s overall health.


To determine whether you would be During the sclerotherapy procedure, a good candidate for sclerotherapy, the patient may experience mild you should first discomfort and cramping schedule a confor one to two minutes sultation with an Varicose and spider veins following the injection. experienced vein The injected solution affect about half of people scleroses the vessel and specialist. The doctor will evalover age 50. Risk factors over time it fades from uate your veins view. and recommend include age, hormonal an appropriate changes, pregnancy, obesity Following the procedure, course of treatpatients may experience ment. For larger and lack of movement. some itching, redness, or varicose veins, bruising at the site of your doctor may recommend laser the injections. Spider veins usually vein treatment options. respond to treatment in three to six weeks. Larger veins may take three Sclerotherapy is a medical procedure to four months to respond. Studies that is used to eliminate varicose and show 80% of vessels will respond after spider veins, and is performed in the two to three treatments. Results doctor’s office. A saline-based solution vary by patient. is injected into the problem vein through

Craig Wilkinson, MD Vein Care Center

3570 West 9000 S, Suite 110 West Jordan, Utah 84088 801-685-2900

Dr. Wilkinson offers years of experience and expertise in the treatment of varicose veins and venous reflux disease. He is boardcertified by the American Board of Surgery and the American Board of Phlebology.



Disc Replacement Offers Exciting Alternative to Fusion The Disc Replacement Center at Jordan Valley Medical Center is the leading center in Utah for an innovative procedure that replaces damaged cervical disc(s) with an artificial disc replacement. Orthopedic spine surgeon, Armen Khachatryan is one of the pioneers of disc replacement surgery and is excited about the results his patients are experiencing. “Traditionally, most cervical disc surgeries have resulted in a fusion of the damaged discs. Fusion is still the only alternative for some patients, but with fusion, patients experience a fairly lengthy recovery and lose range of motion in the neck,” explained Dr. Khachatryan. Recent clinical studies have also shown that four years after cervical fusion, the risk of adjacent level degeneration is increased by nearly three-fold compared to disc replacement. Artificial discs are structurally similar to natural discs, which serve as shock absorbers in the neck and back. Artifical disc replacement offers numerous benefits including: • Faster recovery times • Improved range of motion • Decreased pain

• A faster return-to-work and normal activities • Prevents degeneration of discs above or below the damaged disc

Who May be a Candidate for Disc Replacement? If you suffer from one or more of the following neck or back conditions, you may be a candidate for artificial disc replacement surgery to relieve your pain symptoms: • • • • • • •

Herniated/bulging disc Spinal stenosis Foraminal stenosis Chronic neck pain Arthritis of the spine Degenerative disc disease Some cases of cervical spondylotic myelopathy

To learn more about this new alternative to spinal fusion, call the Disc Replacement Center at 1-844-2-FIXDISC, or visit

Armen Khachatryan, MD

Orthopedic Spine Surgeon - The Disc Replacement Center at Jordan Valley Medical Center 3584 West 9000 South, Ste 405 West Jordan, UT 84088 1-844-2-FIXDISC

Dr. Khachatryan is a board-certified orthopedic surgeon specializing in minimally invasive microsurgery and the treatment of cervical and lumbar spinal disease. He is one of the most experienced disc replacement surgeons in the United States.

March 2015


out ‘n about / MARCH ‘15

Events 1-6







Alice Gallery at the Glendinning Home This exhibition features selected works by Utah artists interpreting non-Utah places and things. The work spans the 1930’s through the end of the 20th Century.

The Palace Convention Center The Outdoor Recreation Summit will offer an outstanding venue for all those who enjoy outdoor recreation lifestyle to share best practices, ideas, and principles. Enjoy networking within the state’s outdoor community and great key-note presentations and breakout sessions. Speakers include Jerry Stritzke, CEO of REI, Stacy Bare, a National Geographic Adventurer of the Year, Ivan Levin of the Outdoor Foundation and more.








De Jong Concert Hall, Harris Fine Arts Center, Brigham Young University Featuring YA alumni from 45 years of world tours in a fastpaced revue about those moments in life when love touches us in expected ways. Highlights include show tunes from awardwinning Broadway musical How to Success in Business Without Really Trying, Cinderella, Singin’ in the Rain, and Thoroughly Modern Millie and international hits by The Beatles, Elvis Presley, Adele, and Michael Jackson.


Brighton Ski Resort The 13th annual Wasatch Powder Keg backcountry race will be held at Brighton Ski Resort. The Powder Keg is a test of speed, strength, and endurance for any backcountry skier. This year we will feature 3 races and racers have the option of doing any individual race or all 3 races. There will be a BBQ, awards ceremony, and raffle following the Saturday and Sunday races at the Milly Chalet.

11-14 US NATIONAL AMATEUR DANCESPORT CHAMPIONSHIPS Arts Center at Marriott Center The DanceSport competition features dancers from across the country in more than 30 different divisions. National amateur titles will be awarded in Latin, standard, smooth, rhythm, cabaret, and formation in all age categories.

The Nature Center Help us bring in the new season as we learn how animals and plants adapt to warmer temperatures and longer days. Join us as we hit the trails looking for signs of spring. Be prepared to hear chorus frogs and keep an eye out for migrating birds.

Energy Solutions Center, A host of characters will take to the ice in this Disney presentation. Mickey Mouse, Minnie Mouse, Donald and Goofy celebrate a Very Merry Unbirthday Party with Alice and the Mad Hatter; your favorite Disney Princesses, including Cinderella, Ariel, Belle and Tiana celebrate a Royal Valentine’s Day Ball; there’s a winter wonderland with Woody, Jessie and Buzz Lightyear, and more!

Moab Brand Trails Fun weekend of demo bicycles and industry events. The Thaw kicks off on Friday with a women’s only group ride/skills clinic and continues throughout the weekend at the Moab Brand trails. Come join Moab’s best bike guides and cycling personalities for a great time!





Renowned rapper Talib Kweli comes to town in March.

State University When life hands you lemons ... Working through conflicts and challenges. Date Your Mate is a couples relationship workshop series, where couples learn ways to strengthen relationships, improve communication skills, gain new perspectives on problem solving, and learn to make love last.

13-14 NIGHT AT THE MUSEUM HUTCHINGS MUSEUM OF NATURAL AND CULTURAL HISTORY Downtown The Hutchings Museum  will be hosting our own “Night at the Museum” seven years in a row. This is where you come to see for yourself if characters and exhibits come to life.




out ‘n about / MARCH ‘15




Ogden Nature Center Green is the theme for the Ogden Nature Center’s St. Patrick’s Day program. Once again it’s time to get your green on and discover why so many things in nature are green. Go on a scavenger hunt around the Nature Center searching for all things green. You’ll be amazed at what you can find!
















Zion National Park This exciting program, now in its sixth year, is made possible by a partnership between Utah State Poetry Society, Zion Natural History Association and Zion Canyon Field Institute. It is partially funded by grants from the Utah State Division of Arts and Museums, and the National Endowment for the Arts.



Abravanel Hall Come enjoy Beethoven’s Piano Concerto No. 2 and Wagner’s orchestral Suite from The Ring.

Wasatch Mountain State Park Friends of Wasatch Mountain State Park is sponsoring three full-moon snowshoe hikes this winter. These hikes are used as a fund-raiser for the FOW organization and all monies raised go to improving park facilities, programs and trails. Call: 435-654-1791

Craft Lake City at West Elm This month’s workshop presents a tutorial in natural skin care with Denise Cartwright of CRUDE Personal Care. $25 General Admission.

Moab, UT With a variety of course options on the Klondike Bluff Trails, this fun course features slick work, red-dirt trails, and scenic views of Arches National Park.

Santa Clara Desert Reserve We are excited to announce a new course for the 2015 Red Mountain 50k, 30k, and Dirty Hurty Half Marathon trail races.  The new course incorporates the scenic dirt trails of the Santa Clara Reserve located in the west central portion of Washington County, directly southwest of the communities of Ivins and Santa Clara and east of the Shivwits Indian Reservation.

Riverton The route will stay on the Jordan River Parkway and run under 12600 South. This is a much smoother route with fewer busy intersections to cross and more time on the Jordan River Parkway.

University Avenue According to Traditional Chinese Medicine, spring is conceptually related to liver and gallbladder energy. These specific energy meridians focus on moving the flow of energy through your body and releasing it from energetic interference and stagnation. Spring tends to agitate people dealing with allergies, asthma, anxiety or depression, joint pain and weight gain, but it can also be the perfect time to clean, renew and prepare your body for a healthy and balanced year. Join us to learn about your body’s 12 energy channels and the acupressure points that can help you and your family smoothly transition from winter to summer. allergies

Huntsville One of a series of races held throughout the late winter here in the Ogden, Huntsville’s Winter Racing Circuit Half Marathon is the fourth of six races in the series that take place from early February through late April each year, which includes a 5K, a 10K, a 10-Mile and a 30K race in addition to the half marathon in March.

March 2015



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Hoopes Vision I’m ready to see how far I can go. Get FOCUSED. Get LASIK!

When it comes to finding your own freedom and focus, trust your eyes, as so many athletes have, to the safety and proven results of Hoopes Vision. What are you waiting for? Call, schedule your VIP consultation, save 1000 off your ALL-LASER procedure.




Not valid with any other offer, discount, or procedure. Expires 3/31/2015. Call for details. Discount applies to bilateral procedures only. Offer not valid towards already purchased services. LASIK is not for everyone. As with any surgery there is some risk. During your consultation, you will be told if you are a LASIK candidate, if another procedure may be better, or if you are not a candidate for vision correction surgery. Risks and benefits will be discussed in detail to allow you to make an educated decision.

March 2015


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March 2015



March 2015



Healthy Magazine | MAR '15  

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