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FREE A m agazine fo r w om e n ' s h e a lt h
Pink ball 2013
complementary therapies in cancer care face the facts: young adults get cancer, too
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Contents 10
spring/ 2013
RF TC Ne ws Pink Ball 2013
02 Get Moving for Stronger Bones 07 Donât Let Cancer Derail Dinner 12 Complementary Therapies in Cancer Care 16 Face the Facts: Young Adults Get Cancer, Too
07
20 Your Questions Answered: Beauty tips, guidance,
and support during cancer treatment
22 Meet Our Friends! 24 Writing Therapy
12 Run for the Cure® Foundation is a registered NPO with the Tokyo Metropolitan Government since 2004. Our mission is to eradicate breast cancer in Japan as a life-threatening disease through education, timely screening, and treatment. Through our activities, the Foundation funds education initiatives, clinical examinations and mammography machines; donates funds to organizations that promote activities specific to the mission of the Foundation; and develops and executes community outreach programs. We have donated six mammography machines to six clinics in areas where women are underserved, more than 14,000 women have benefited from mammograms, with over 3,600 funded screenings. The Foundation holds three annual events open to the general public to raise funds in support of our cause. PiNK is Japan's one and only magazine dedicated to breast cancer. Some 18,000 copies of this quarterly magazine are distributed free-of-charge nationwide through medical institutions, cooking studios, sports shops, libraries and sponsoring companies. Please contact inquiries@runforthecure.org for subscriptions. ®
For more information about how to donate, become a sponsor, and/or volunteer for Run for the Cure Foundation, please visit www.runforthecure.org
pink ⢠spring 2013
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Get Moving for Stronger Bones Exercise can help build bone density. By Jennifer Brown Bonniwell
Are You at Risk of Osteoporosis? Some of the factors your doctor will consider to determine if you are at higher risk of developing osteoporosis include: ⢠Whether you have reached menopause ⢠Smoking ⢠If your parents have broken a hip or if they have osteoporosis ⢠If you have had broken bones as an adult ⢠Drinking more than two or three servings of alcohol per day ⢠Exercise
⢠Dietary habits, including calcium and vitamin D intake ⢠Whether you have had an eating disorder such as anorexia nervosa ⢠Whether you have had regular periods (premenopausal women) ⢠Whether you take any medicines or have any medical conditions that may cause bone loss
Source: National Osteoporosis Foundation; nof.org/aboutosteoporosis/detectingosteoporosis/diagnosing
2
pink ⢠spring 2013
C
arolyn Leake was diagnosed with
a wheelchair with a broken back.â
Osteoporosis, a bone condition
Carolynâs decision to integrate
that literally means âporous bones,â
osteoporosis when
regular exercise into her life
occurs when the rate of bone loss is
she was 53. Her bone-
has now become the standard
greater than that of bone rebuilding,
density tests showed that her bones
recommendation for nearly all women
causing thin and brittle bones that
were so weak and brittle that her
facing osteoporosis. While many
break easily. Researchers estimate
doctor told her that she should stand
women still need to take bone-
that 30 percent of women over 65
against a wall to prevent breaking a
strengthening medication to prevent
have osteoporosis, though far fewer
rib when she coughed or sneezed.
serious bone fractures, studies show
women have been diagnosed with the
She was told she could break a bone
that exercise is a safe and effective
condition. The impact of weak and
if she carried her own groceries or
way to strengthen bones and prevent
easily broken bones on a womanâs
lifted too much wet laundry out of the
bone fractures due to osteoporosis in
quality of life is significant and can
washer.
postmenopausal women.
include limitations on movement,
âI was scared to ride a bicycle
Even women who have not
painful injuries, and repeated
because if I fell I would shatter like a
been diagnosed with osteoporosis
hospitalizations. In the most severe
teacup,â Carolyn says. âFor two days
can benefit from exercises to
cases, even sneezing can cause bone
I just cried. And I thought, This canât
strengthen bones. In fact, experts
fracture.
be it. Iâm only 53. But I realized that I
now recommend that women begin
had the bones of an 80-year-oldâ53
strengthening their bones in their
using a bone-density test. The result
didnât matter at all.â
teens to help counteract the natural
is expressed as a T-score, which
bone loss that all women face
shows how much a patientâs bone
as they age.
mass deviates from the average bone
Now 67, Carolyn has brought her bone-density levelâcalled
Doctors screen for osteoporosis
mass of a healthy adult. A normal
a T-scoreâout of the range of osteoporosis through a combination
Bone Loss and Rebuilding
T-score is between +1.0 and â1.0.
of bone-strengthening medication, a
As we age, our bones constantly
A T-score of less than â2.5 at the
better diet, and exercise. Yes, thatâs
grow and rebuild. In our early years,
femoral neck or spine is typically
right: exercise is good for bones.
bone rebuilding outpaces bone loss,
considered to be within the range of
so bones grow larger and denser.
osteoporosis.
For the past decade, Carolyn has walked 3 miles every dayâsometimes
Bones grow at the fastest pace during
with a weight vestâand does leg
adolescence and reach peak bone
lifts and arm curls with weights in her
mass at around age 20 to 30.
basement. Her diligence has paid
Then, through the natural aging
Exercise Helps Women Continue to Build Bone Even though bone rebuilding naturally
off: she has not broken a bone, and
process, bone loss begins to outpace
slows as we age, regular weight-
she is still strong enough to work up
bone rebuilding. Bone loss speeds
bearing and resistance exercise can
a sweat gardening in her backyard in
up in women after menopause, as
increase rebuilding. Exercise causes
Dixon, Illinois.
estrogen, a hormone that helps
the muscle to contract against
protect bones, decreases. Other
the bone. This action stresses or
only because Iâm strengthening
factors that can contribute to bone
stimulates the bone, spurring the
my body but because I am also
loss include smoking, drinking more
bone to become stronger and denser.
hopefully protecting and extending
than two or three servings of alcohol
Miriam E. Nelson, PhD, director of
my independence by preventing falls
daily, a family history of osteoporosis
the John Hancock Research Center
because of my stronger body and
or bone fractures, and consuming
on Physical Activity, Nutrition, and
better balance,â she says. âIâm doing
inadequate levels of calcium and
Obesity Prevention and associate
this because I donât want to end up in
vitamin D.
professor of nutrition at the Friedman
âI feel 100 percent better. Not
pink ⢠spring 2013
3
Best Bone-Strengthening Exercises
The Power of Exercise âWhen we exercise, we put pressure onto the bones and the bones
Some of the best bone-strengthening exercises include:
respond by getting stronger,â says Karen Kemmis, PT, DPT, MS, a
⢠Jogging or running
physical therapist and exercise
⢠Tennis or racquetbal
physiologist at SUNY Upstate Medical University and a member of the
⢠Field hockey
National Osteoporosis Foundationâs
⢠Stair climbing
Nursing Advisory Council, which
⢠Jumping rope
focuses on educating nurses about osteoporosis.
⢠Basketball
The key to bone strengthening is
⢠Dancing
stimulating the bone with weight-
⢠Hiking
bearing or resistance exercises. This could include weight lifting in a gym or
⢠Soccer
exercises involving lifting a personâs
⢠Weight lifting
own body weight, such as pull-ups or
⢠Weight-bearing exercises such as push-ups and pull-ups
push-ups (see sidebar âBest Bone-
⢠Gymnastics
Strengthening Exercisesâ).
Source National Osteoporosis Foundation; US Department of Health and Human Services Office on Womenâs Health.
Vary Strength-Training Exercises to Stimulate Bones The best exercises for bone health are weight-bearing and resistance
School of Nutrition Science and
key to look at the mechanics involved:
exercises that stimulate the bone
Policy at Tufts University, has been
âBone adapts to novel forces,â she
beyond the impact of daily activities.
researching bone health in women
says, âso if you start doing something
In general, Kemmis says, these
since the late 1980s, when she co-
very different, the bone adapts. Just
exercises include âeverything where
authored a study for the National
like our bodies are very adaptable,
you pick up your foot and set it
Institutes of Health to examine how
so the bones adapt when you start
down,â though she notes that ânot
strength training affects bone density
doing something different.â
all exercises are for everybody. Stay
in middle-aged and older women.
4
Since then new research confirms
safe with an amount of impact that is
The study was pivotal in bone
that exercise has a positive impact
health research, Dr. Nelson says,
on bone health, though the amount
because it changed the way we think
of impact is still not certain. A 2011
exercises you use to stimulate the
about bone lossâand the potential
Cochrane review of current research
bones. Bones will get stronger only if
for rebuilding. âMost people thought
found âa relatively small statistically
the body intuits that the bones need
that you got to 35 and then you
significant, but possibly important,
to rebuild to meet a new activity or
[experienced only bone loss], but this
effect of exercise on bone density
exercise, Kemmis says. âWhen we do
study showed that women in their
compared with control groups.â In
our normal activities, our bones get
fifties who have been sedentary can
other words, exercise is good for your
used to that activity. If I do the same
gain bone density.â To understand
bones, but the extent of the possible
thing every day, my bones have the
how this works, Dr. Nelson says, itâs
benefit is still unknown.
exact same strength. To strengthen,
pink ⢠spring 2013
appropriate for each person.â It is also important to change the
it has to be over and above what we
recovering from an injury or have
The diagnosis came as a shock to
do in normal life. It always has to be a
some other problem that makes it
her. But after she saw a list of the risk
little bit more.â
difficult to do impact-based activities?
factors, she says she probably should
Keep doing whatever exercise you
not have been surprised: âI met, like,
Not All Exercise Strengthens Bones, Experts Say
like best. Then review your activity
eight of the 10 risk factors.â
Swimming and bicycling do not
supplement with strength training.
with a trainer or physical therapist to
Among those risk factors were that she had been a lifelong smoker (though she had quit a few years
have the same bone-strengthening benefits as running and tennis
One Womanâs Story
before she was diagnosed with
because they do not put stress on
Carolyn Leake did not know that
osteoporosis) and she rarely drank
the bones. The same is true for yoga
she was at high risk for osteoporosis
milk or ate calcium-rich dairy
and Pilates, which typically involve
until she was diagnosed with a
products. Her mother also had
smooth movements and little or no
very severe case of the disease.
osteoporosisâthough Carolyn didnât
impact-based exercise.
In 1999 her bone-density T-score
know that at the time of her own
measured as high as â3.6. She was
diagnosisâand later broke her hip. In
antigravity, into space,â Kemmis says.
well below â2.5, which is considered
addition, at just 87 pounds, Carolynâs
âIt is good exercise for your heart
the beginning of the range for
slight build put her at risk because
and lungs, but it is not helpful for the
osteoporosis. The greater the
her bones didnât naturally have to
bones.â
negative number, the more severe
carry as much weight.
âSwimming is almost like going
So, what should you do if you are
the condition.
Detecting and Treating Osteoporosis
Carolynâs doctor prescribed
By Kari Bohlke, ScD
To detect osteoporosis the US Preventive Services Task Force recommends routine screening of women age 65 and older. Screening may need to begin at a younger age for women at increased risk of osteoporosis. The most common bone-density test is a DXA (dual-energy X-ray absorptiometry) test, which measures your bone mineral density and compares it with an established standard. If the test indicates that you have osteoporosis, the condition can be treated. Treatment of osteoporosis reduces the risk of fracture. Drugs known as bisphosphonates have been used for many years to treat osteoporosis. Bisphosphonates include Fosamax® (alendronate), Actonel® (risedronate), Atelvia® (risedronate), Boniva® (ibandronate), and Reclast® (zoledronic acid). A newer drug called Prolia® (denosumab) was approved in 2010 for postmenopausal women with osteoporosis and a high risk of fracture. The drug has also been shown to increase bone mass among patients undergoing certain types of cancer treatment. Prolia targets a protein known as the RANK ligand. This protein regulates the activity of osteoclasts, the cells that break down bone. Other osteoporosis treatment options include Evista® (raloxifene), Forteo® (teriparatide), calcitonin, and estrogen. All osteoporosis medications have potential side effects, and your doctor can help you make a decision that balances the benefits of treatment against the risks. If you are found to have lower-than-normal bone mass (but not osteoporosis), your doctor may talk with you about how to reduce further bone loss. Not everyone with low bone mass develops osteoporosis, but low bone mass does increase the risk. Source: Screening for Osteoporosis. US Preventive Services Task Force website. Available at: http://www.ahrq.gov/clinic/uspstf/uspsoste.htm (Accessed April 9, 2012).
pink ⢠spring 2013
5
Fosamax® (alendronate), one of the most well known of the bonestrengthening drugs. She has been on Fosamax or a similar medication since then. She also altered her diet to include more calcium. And she began exercising. Carolyn now walks every day, though she is still afraid of falling on icy streets in the winter, so she walks on a treadmill when it is cold. Carolyn also has started taking a weight-training class called Strong Women Strong Bones, based on the exercise program developed by Dr. Nelson. The program aims to teach women how to exercise in ways that strengthen bones. For example, Carolyn says she never realized that she should increase the intensity of her exercises by adding weight rather than simply doing more repetitions. âIt is a lot of work, but Iâm just frightened to death. I didnât want to break my back and end up in a wheelchair,â she says. âI am very fortunate that I was diagnosed as young as I was. I decided that I didnât want to let it beat me.â m
Resources The following websites provide education, support, and other resources related to preventing osteoporosis and promoting healthy bones. National Osteoporosis Foundation nof.org
US Department of Health and Human Services Office on Womenâs Health womenshealth.gov/publications/our-publications/fact-sheet/osteoporosis.cfm Best Bones Forever!
A website aimed at girls and their BFFs to promote healthy bones during the prime bone-building
adolescent years, from the US Department of Health and Human Services Office on Womenâs Health bestbonesforever.gov/index.cfm
6
pink ⢠spring 2013
Donât Let Cancer Derail Dinner Find the timeâor ask a friendâto prepare healthy meals in spite of cancer. By Laurie Wertich
W
ith or without cancer, managing family
hungry kids still need to be fed. How do you juggle cancer
life today is often a juggling act. Between
treatment and still manage to get dinner on the table? Itâs
soccer practice, piano lessons, carpools,
not easy, but it is possible with a little planning. In other
homework, laundry, grocery shopping, and cleaning, it
words, the best defense is a good offense.
can be difficult to find time to prepare healthy dinners. Throw cancer treatment into the schedule, and meal
Keep It Healthy
planning becomes even more of a challenge. When one
Because your family has been touched by cancer, youâre
family member is diagnosed with cancer, the entire family
likely more focused than ever on choosing healthy foods.
is struck by the disease. Most cancer survivors will attest,
But with the plethora of information (and misinformation)
however, that once the initial shock of the diagnosis
out there, it can be overwhelming and difficult to discern
wears off, that pile of laundry still needs to be washed and
the health from the hype. Donât despair. Just follow the
Nutritious Grab-and-go Snacks ⢠Celery sticks and almond butter
⢠Trail mix
⢠Carrot sticks and hummus
⢠Granola bars
⢠Apple slices and peanut butter
⢠Hard-cooked eggs
⢠Grapes
pink ⢠spring 2013
7
simplest rule of healthy eating: eat real foodâyou know,
growth. Good sources of protein include fish, poultry,
the kind that occurs in nature. Potatoes? Yes. Fresh fruit?
dairy products, lean meat, nuts, and legumes. Chace
Absolutely. Whole grains? You bet. That box of chicken-
suggests also incorporating protein powder, which is easy
flavored crackers? Not so much. This is a time to get
to digest and can be added to a smoothie.
back to the basics. Daniella Chace, MS, CN, a certified nutritionist and the author of several cancer nutrition books
Be Prepared
including The What to Eat If You Have Cancer Cookbook,
So now you know what to eat, but how can you make the
suggests eating food in its most natural form and avoiding
time to create all these healthy meals? Sunday afternoons
refined and highly processed foods. In addition, strive
can be a great time to plan ahead to ensure that you
for a wide variety, ensuring that you are getting the
and your family eat well for the week. Spend a few hours
macronutrients (protein, fat, and carbohydrates) and the
preparing, and weeknight meals will come together
micronutrients (vitamins and minerals) that your body
quickly. Try these strategies to help you make the most of
needs.
your time:
When you walk the aisles of the grocery store, do so
⢠Start by making a menu and a grocery list for the week.
with these guidelines in mind: Shop the perimeter, where
This will not only help you prepare but also allow you to
youâll find fresh produce and natural foods. Reach for
see if you are meeting your nutritional needs. Be sure to
whole grains such as quinoa or brown rice instead of
include a variety of choices from different food groups.
refined and processed foods such as white flour, chips,
⢠That first hour home from the grocery store is your
and other boxed items. Fill your basket with fresh fruits
window of opportunity. Before you put away the carrots
and vegetables, nuts, seeds, legumes, whole grains,
and the celery, how about washing and chopping them
organic dairy products, and lean meats or fish. If youâre
up so that they are ready for a grab-and-go snack?
battling cancer, Chace says, you may also want to
⢠Take the time to make as many components of
increase your protein intake. âProtein is necessary for
upcoming dinners as you can. For example, brown rice
healing and providing the essential amino acids for optimal
is a delicious and healthy addition to many meals, but
immune function,â she explains. Protein helps repair
it takes almost an hour to cook and not many kids can
body tissue, strengthen the immune system, and ensure
wait that long for dinner to be ready. Instead, make a
If Youâre Not Able to Cook for Yourself If your treatment has you sidelined and unable to devote
planning and communication will ensure that you donât
energy to cooking, hand this information off to your
receive six tuna casseroles in a row.
caregiver or to friends and family members who want to
⢠Ask friends to drop off meals that can be easily frozen.
help. Theyâll be glad you asked, and youâll be able to rest
⢠Ask people to drop off perishable items that have been
and know that your family is eating well.
washed and chopped so that you can easily grab
⢠Make a list of food allergies, likes, and dislikes so that
healthy snacks.
friends dropping off meals can be sure to include foods your family will eat. ⢠Make a master grocery list and ask friends or family to shop for you. ⢠Put someone in charge. Often one friend can create a master calendar and coordinate meal deliveries. A little
8
pink ⢠spring 2013
⢠Provide recipes. If you donât have the energy to make your kidsâ favorite dish, donât be shyâshare the recipe with a friend. Theyâll be happy to know how to help. ⢠Ask for single servings of things that can be used for healthy lunches for you or to go in your childâs lunchbox.
large pot of brown rice on Sunday afternoon and keep it
Think outside the box. Cancer treatment, busy schedules,
in the refrigerator to use throughout the week. That way
and picky eaters can make it hard to plan sit-down meals.
the base of your meal will be ready and you can build
When itâs not possible to gather at the table, something
around it.
fast and nutritious, like a smoothie, might be the best
⢠If possible, make meals ahead of time that you can
option. âSmoothies are an easy and quick way to provide
throw in the oven after a long day, such as lasagna or
a nutrient-dense meal for a child,â Chace says. âEven the
enchiladas. While youâre at it, make two and freeze one
most finicky eaters will drink a protein shake or smoothie.â
to use later.
Enjoy! Keep It Simple
Remember, gathering together as a family and enjoying
Meals do not have to be elaborate gourmet events to be
healthy food is a pleasure and a blessing. A shared meal
delicious and healthy. Use simple ingredients and keep it
that provides your family with the nutrition you all need
basic. A crockpot is a great tool for preparing quick, easy
and allows you to spend time together is an opportunity to
meals that are also packed with nutrients. Throw some
fuel your body and your spirit. m
fresh veggies, potatoes, broth, and lean red meat into the crock-pot as you leave in the morning and come home to a delicious and nutritious stew.
Healthy Alternatives When Youâre On the Go If youâre tempted to:
Try this instead:
Swing through the drive-thru at a local
Swing through the grocery store instead.
fast-food joint.
Most stores have a salad bar filled with healthy options. Those few extra minutes will be well spent.
Order pizza.
In the 20 minutes it takes for that pizza to arrive, you could make your own healthy alternative. Use a whole-wheat tortilla as the crust and top with sauce, fresh veggies, and a little cheese.
Pop in a toaster pastry.
Blend a smoothie. Mix a liquid (such as juice, soy milk, or water) with frozen fruit and protein powder and you have a delicious, nutritious, and quick meal.
pink ⢠spring 2013
9
Run for the Cure ® News
R un for t he C u re ® News
2013 spring
Bloom! Deadline 2020
NE W
S
R
NEWS
C
R F T C
F T
David C. Hulme
Martin, combined with a stay at the Hyatt Regency Hakone Resort & Spa. A beautiful DIAVANTE diamond pendant also invited keen bidding. Among the 75 alluring silent auction prizes were international travel and destination packages, and a special luncheon for 10 at the Saudi Arabian Embassy. Describing the Foundationâs
© Benjamin Parks
achievements so far as phenomenal, U.S. Ambassador to Japan John V. Roos emphasized that breast cancer is a disease that affects everyone. âYou cannot find a family that has not
T
he battle against breast cancer
Seigo Nakamura, medical advisor to the
in Japan went up a notch at
Foundation. He attended as the inaugural
Pink Ball 2013.
recipient of the Run for the Cure®
Run for the Cure® founder Vickie
Paradise Green welcomed the 325 guests
dedication to fighting breast cancer and
at The Westin Tokyoâs Galaxy Ballroom
his totally selfless support for the cause.
with the challenge of a 2020 deadline for a cure. The message got through.
âIn Japan, we should be making much more effort to find a cure for breast
âI agree with what Vickie said, and
cancer, because the number of cases is
I am confident that in 10 years, if not
still increasing rapidly,â he told PiNK.
sooner, we will be able to find a cure for
âSo we need better screening programs
breast cancer,â said Run for the Cure®
and higher awareness among the general
Honorary Chairperson Susan H. Roos.
population.â
Not being sure whether she would still
Through the generosity of guests, and
be in Japan at the time of next yearâs Pink
with the help of about 60 volunteers,
Ball, she added: âMaybe I will make a
raffle, silent and live auctions raised 12.9
special trip to come back.â
million yen, so that the 10th Anniversary
Among guests enjoying a sumptuous five-course dinner prepared by Luca
âBloom!â Pink Ball cleared a total of 19 million yen.
Fantin, Executive Chef for Bulgari Hotels
Live auction prizes included a
& Resorts Il Ristorante in Ginza, was Dr.
weekend in possession of an Aston
D 10
Unknown Hero Award, for his tireless
been affected by breast cancer at some point,â he said, and he fully endorsed the 2020 target. âAn important goal has been set to conquer breast cancer,â he said. âIt will take an all-out effort by everyone, including those who could not be here tonight. I hope they will be here next time.â Many guests accepted the invitation to pen a Dear Survivor message, using an elegant Caran dâAche fountain pen. The writers of the three most inspiring messages, as selected by a team of three breast cancer survivors, each won a Caran dâAche pen. No doubt, awareness is spreading, along with the reputation of Pink Ball. Soroptimist Akemi Shimada brought a group of 10 from Kagoshima. âThe founder of Pink Ribbon in my district asked me to come and see what is going on, because it is so nice. If possible,
For more photos of any of the events, please visit www.runforthecure.org!
pink ⢠spring 2013
On the road
Help us build our first Mammo Bus! Run for the Cure® Foundation is trying to raise 80 million yen to build and maintain our first Mammo Bus with mammography equipment and ultrasound screening capability. This will enable us to travel nationwide and provide free screening to anyone who needs it, especially in medically underserved areas.
If you, your company or organization is interested in participating, please check out the details at www.runforthecure.org or drop us a line at inquiries@runforthecure.org
she wants to do it in our district,â she said. Said Elio Orsara, resplendent in formal hakama for his role as auctioneer: âThis is a great occasion for those who love Japan to give something back.â Pink Ball first-timers were highly impressed by every aspect of the evening.
Debra Hollasch, who in December
Senior Executive John Tadman. âI am sure
celebrated one year cancer-free, was
we will be back next year.â
another Pink Ball first-timer.
âThis is my first time, but I like it so
âI was very lucky. It was found early,
much that I will be back,â said Annette
through a mammogram,â she said, adding
Hausner. âIt shocked me to find out
that now, with a future full of hope: âIt
that breast cancer is still increasing,â she
is an honor for me to help other women. Early detection is the key.â m
added.
© Benjamin Parks
âIt is a fantastic event, for a great cause,
and very well organized,â said Accenture
Sponsors of Pink Ball 2013 (Alphabetical order) Partners Delta Air Lines, DIAVANTE, New Balance Japan, Inc., Paradigm, TURKISH AIRLINES, The Westin Tokyo, U.GOTO Florist, UNITED Platinum Starwood Hotels & Resorts Worldwide Gold Aflac International Incorporated, Caran dâAche, KIOI Corporation KK - Elio Group, OPIJAPAN K.K., Robert Walters Japan K.K., Royal Co., Ltd. VERA@ITALIA, Small Luxury Hotels of the World Patron adidas Japan K.K., Aston Martin Asia Pacific, Coca-Cola Japan Co., Ltd., Kunitaro Co., Ltd. Friend BiCE TOKYO K.K., Bulgari Japan Ltd., CAMPARI JAPAN, ClarkClaudon Vineyards, Hyatt Regency Hakone Resort & Spa , Hotel Imperial, Marriott International, Pacific Islands Club Saipan, Park Hyatt Tokyo, PASSION FOODS INC., The
Run for the Cure Partners
Peninsula Tokyo, Prince Hotels and Resorts, QUIKSILVER JAPAN K.K., The Ritz-Carlton Tokyo, S.T. Dupont Japon K.K., Shoichi Sakurai, St. Regis Bangkok, St. Regis Osaka, Steelcase Inc., The Strings by InterContinental Tokyo, SWAROVSKI JAPAN K.K., Tokyo American Club, United Dental Office Tokyo, Vietnam Airlines, Village Cellars Ltd., ZWIESEL JAPAN Associate Baird Brewing Company, Biscotti Tapas & Wine Bar, BLUE NOTE TOKYO, Bulgari Hotels & Resorts Tokyo Restaurants, Callaway Golf K.K., Câest Moi, CLUB 360, COTTON CLUB, Do Justice, Furla Japan Co., Ltd., Global-Dining, Inc., GOLDâS GYM, Grand Hyatt Tokyo, Hokusetsu Sake Brewery Co., Ltd., HOOTERS JAPAN, Interior Collection K.K., Japan
Europe Trading Co., Ltd., JEROBOAM CO. LTD., Lynn C. Cooper, Mario i Sentieri, Nagoya Marriott Associa Hotel, NOBU TOKYO, Norlake International Co., Ltd., Nozawa Hospitality Co., Ltd., Oakwood, Okinawa Marriott Resort & Spa, Orca International, The Prince Karuizawa, The Prince Park Tower Tokyo, Reebok Japan, Riedel Japan, Roberto Cavalli, Royal Copenhagen Japan Co., Ltd., Royal Embassy of Saudi Arabia in Tokyo, Japan, Temple University, Japan Campus, Tumi Japan, WDI Corporation In Appreciation Luca Fantin, Ira Bolden, Elio Orsara, Sarajean Rossitto, Benjamin Parks, Steven MorinâŠand all the wonderful, fabulous, generous volunteers.
(Alphapetical order)
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11
Complementary Therapies in Cancer Care An ongoing series highlighting complementary therapies, adapted from The Complete Guide to Complementary Therapies in Cancer Care By Barrie R. Cassileth, MS, PhD
C
omplementary therapies are noninvasive,
practices delivered or taught by trained practitioners. They
non-pharmacologic adjuncts to mainstream
include mind-body practices such as meditation and self-
treatment. They improve patients̢۪ strength
hypnosis; massage therapies; nutritional counseling; physical
and control of the physical and emotional
fitness, including programs such as aerobic exercise, qigong,
symptoms associated with cancer and other illnesses. They
tai chi, yoga, and many other practices; music therapy; and
provide self-help guidance to enhance body and soul at times
acupuncture.
when one feels vulnerable and life seems out of control.
12
Complementary therapies are used as adjuncts to mainstream
Naturopathic Medicine
care of cancer and other illnesses, not as substitutes. They
Naturopathic medicine is an approach to healing practiced
improve physical and emotional function and manage
by naturopathic doctors (NDs), who diagnose illness with
stress and symptoms of aging, regardless of health status.
the same techniques used by conventional physicians.
Complementary therapies are rational, evidence-based
They treat illness with natural methods, however, generally
pink â€Ë spring 2013
avoiding pharmaceutical drugs and other products of modern
How Are Naturopathic Doctors Trained?
medicine.
Naturopathic physicians attend a four-year academic program
Naturopathy was organized in the late nineteenth century.
at a naturopathic medical school after completing a four-
By the early 1900s, there were more than 20 schools of
year undergraduate college degree. Acceptance requirements
naturopathic medicine in the United States, and naturopathic
for naturopathic medical school are similar to those for
conventions in the 1920s often attracted more than 10,000
mainstream medical schools, including a college degree and
practitioners.
the completion of courses in physics, biology, and chemistry.
Most schools of naturopathy became defunct by the 1940s,
The first two years of naturopathic medical school include
however, when standards of quality were introduced, bringing
conventional medical science courses, such as anatomy,
increased scrutiny to medicine and the licensing of medical
physiology, and pathology. The last two years are devoted to
schools. Interest in naturopathy waned shortly thereafter.
the specific techniques of naturopathic treatment discussed
Today, however, naturopathy is among the many forms
previously and to seeing patients, primarily in outpatient
of alternative and complementary medicine enjoying a
(nonhospital) environments, under the supervision of fully
resurgence of interest.
trained and experienced naturopathic practitioners. While both conventional and naturopathic physicians
What Is Naturopathic Medicine?
undergo four years of training, conventional physicians must
Naturopathic medicine, positioned as a low-cost, more gentle
also serve a minimum of three years of residency after medical
alternative to conventional care, combines modern knowledge
school before they may practice even the most basic medical
of the body and disease with a variety of healing methods not
care. Naturopathic physicians who pass certifying exams
used in mainstream medicine. The naturopathic approach
offered by the Council on Naturopathic Medical Education
to disease includes the many natural methods geared to
are licensed and may begin practice directly after completing
strengthen the body̢۪s own healing ability. Treatment avoids
their four-year program.
drugs and surgery. Although naturopaths are not MDs, they do perform minor surgical procedures.
What Practitioners Say It Does
Unlike many alternative systems of care, naturopathic
Naturopaths view naturopathic medicine as an alternative to
medicine does not have its own view of human physiology,
conventional primary care, claiming to treat the entire range
function, and disease apart from that held by conventional
of illness, from self-limiting and minor problems to diseases
medicine. Rather than rely on concepts such as the body
like AIDS and cancer. Naturopaths do not, however, provide
types of Ayurvedic medicine or the vital life-force concept of
emergency care, and they do not perform major surgery,
traditional Chinese medicine, naturopaths study conventional
referring patients to conventional specialists as necessary.
anatomy and other medical sciences. They use X-rays, order
Some naturopathic physicians do practice natural childbirth
laboratory tests, and apply physical examination techniques as
in home or birth center settings.
do conventional physicians. Naturopathy and conventional medicine differ, however, in
Proponents stress that naturopathic therapy has fewer side effects and lower costs than conventional medicine. Some
emphasis and treatment. Naturopathy is not associated with
of these differences, however, may be due to the fact that
a unique healing technology. Rather it uses a collection of
naturopaths refer patients with complicated cases and those
natural treatment modalities:
requiring major treatment to conventional practitioners.
Some naturopathic physicians obtain further training in one or more of these techniques and specialize in treating
For example, naturopaths do not attend problematic births, referring such cases to hospital-based obstetricians.
patients with these methods. Naturopathic doctors may also apply other alternative or unproven techniques, such as ozone
Beliefs on Which Naturopathy Is Based
therapy for patients with cancer or AIDS.
The overarching goal of naturopathy is to enlist the natural
pink â€Ë spring 2013
13
healing power of the body to fight disease. Some naturopaths
⢠Emphasizing treatment of the whole person,
equate this healing power with the âvital forceâ idea that
based on a detailed examination of the patientâs
underlies the traditional healing systems of several ancient
lifestyle, environment, and medical history that can
cultures. There are other principles as well:
influence well-being ⢠Emphasizing preventive medicine
⢠Uncovering and treating the cause of disease instead of merely alleviating symptoms ⢠Avoiding drugs and surgery in favor of natural methods
Patients are taught to adopt healthful diets and lifestyles in an effort to ward off the development of illness. To this end naturopathic doctors are seen as teachers who educate
Homeopathy is a system of
Acupuncture involves the
medicine involving the use of very
insertion of needles in specific
small amounts of a symptom-
points on the body to cure or
causing substance to treat the
treat disease.
condition that produces similar symptoms.
Hydrotherapy, or spa
Traditional Chinese medicine
therapy, prescribes rest
applies techniques developed in
treatment at spas.
ancient China to treat disease.
Physical medicine includes a system
Botanical medicine involves the
of manipulating the bones and
use of whole plants and herbs
the spine in a way that is similar
as medicines, a practice with a
to chiropractic and osteopathic
long tradition in many cultures.
manipulation. Physical forces such
Naturopathic physicians believe
as electricity, heat, and sound also
that botanical medicines are
are applied to treat patients, as
superior to synthetic drugs in
are various massage and exercise
some instances. They also claim
techniques.
that botanical medicines are safer, have fewer side effects, and are less costly.
Nutritional therapies ensure that
Counseling, or behavioral
each patient follows the optimum
medicine, is an important
diet for his or her health and lifestyle.
component of naturopathy, and
Healthful, nutritionally balanced diets
practitioners emphasize the role
are prescribed. Advocates point to
played by mental and emotional
increasing evidence about the role of
health in disease. Naturopathic
nutrition in disease and the extensive
physicians are trained in
training in nutrition received by
counseling, biofeedback, stress
naturopathic doctors compared with
reduction, and other means of
conventional physicians.
helping improve mental and therefore overall health.
14
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patients about their own bodies and the best ways to maintain health. Naturopathyâs beliefs and methods stem from case-history
Licensure for Naturopaths
observations, medical records, practitionersâ experience in treating patients, clinical nutritional data, and therapies long popular in Europe, Asia, and India.
Research Evidence to Date Naturopathic medicine uses several specific techniques that vary in their effectiveness or ability to influence health. Some naturopathic approaches, such as homeopathy, may be of little value. Others are documented and known to be effective. Examples include the importance of diet in modifying the risk of severe illnesses such as heart disease and cancer and the use of acupuncture to reduce pain and to assist withdrawal from addiction. Researchers at the University of Minnesota Medical School examined naturopathic treatments and found some supporting scientific evidence in their favor but noted the need for definitive clinical trials. Naturopathic medicine is an excellent example of how the nature of proof can differ between conventional and alternative physicians. Most techniques used by naturopathic physicians have long traditions, and practitioners cite these traditions as evidence of effectiveness. In contrast, conventional medicine requires validation of therapies with
About two dozen US states and Canadian provinces license naturopathic doctors. Accreditation is provided by the American Association of Naturopathic Physicians (AANP), naturopathyâs national professional organization. The AANP strongly recommends that patients verify their naturopathic physicianâs certification with the AANP. The AANP warns that some practitioners who advertise themselves as naturopathic doctors obtained degrees from unaccredited schools or through the mail rather than at accredited institutions. Most US states do not license naturopaths, but many doctors practice naturopathy without licenses and in states that do not offer licensure. The AANP provides consumer information and a searchable database of members by location: naturopathic.org.
objective proof, such as clinical trials.
What It Can Do for You
Oregon; National University of Health Sciences in Chicago,
Because naturopathy uses many different techniques, it is
Illinois; Southwest College of Naturopathic Medicine in
necessary to examine them individually, just as conventional
Phoenix, Arizona; and the University of Bridgeport in
medical therapy would be evaluated. Most naturopathic
Bridgeport, Connecticut. All of these can be accessed
remedies are considered harmless by conventional
on the Internet.
practitioners, but more study is needed before naturopathic
Many insurance companies in the United States and
therapies can be said to reverse disease. Naturopathic
Canada cover naturopathic care. Some companies offer
treatments generally can be helpful against minor illnesses,
subscribers a choice between naturopathic and conventional
but using naturopathic instead of conventional therapy for
services. These programs use naturopaths as primary care
major illnesses or serious conditions is not wise.
doctors who maintain responsibility for patientsâ overall care and typically refer patients to mainstream medical specialists
Where to Get It There are seven accredited naturopathic medical schools
as necessary. The American Association of Naturopathic Physicians and
in North America: Bastyr University in Seattle; Boucher
the Canadian Association of Naturopathic Doctors provide
Institute of Naturopathic Medicine in Vancouver, Canada;
information about naturopathic training as well as lists of
Canadian College of Naturopathic Medicine in Toronto,
licensed naturopathic practitioners. m
Canada; National College of Natural Medicine in Portland,
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15
face the
facts Young Adults Get Cancer, Too Adolescents and young adults face tough challenges when they hear the words âyou have cancer.â By Diana Price
16
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E
ach year about 70,000 adolescents and young
at Seattle Childrenâs Hospitalâto shed some light on the most
adults (ages 15 to 39) are diagnosed with
significant challenges that patients diagnosed with cancer as
cancer in the United States. This statistic can
teens and young adults face.
surprise people, says Matthew Zachary, founder
of Stupid Cancer (also known as the Iâm Too Young for This!
Fertility
Cancer Foundation, stupidcancer.com), the nationâs largest support organization for young adults affected by cancer.
Some types of cancer treatment can decrease fertility, and
âMost people find it hard to grasp the concept that teens and
issues surrounding fertility can be a major concern for AYA
young adults in their twenties and thirties even get cancer,â
patients who have not yet had children or have not completed
he says, adding, âThe cultural consciousness of the average
their family. Unfortunately, patients are not always offered
American is that cancer affects only old people and little kids.â
clear information about this impact of treatment, if they are
But the truth is, young people do get cancer, and when they
offered information at all. âCurrently, there is not a great
do they need an entirely different type of support to address
way to predict who will become infertile as a result of their
the unique issuesâphysical and psychosocialâthat arise
treatment,â Dr. Johnson says.
during this stage of life. âThe most significant challenge for
âA lot of people are at risk of becoming infertile, but
this population,â Matthew says, âis finding age-appropriate
currently the best we can do to predict is to say, âYouâre at
resources.â Organizations like Stupid Cancer help fill that
low (20 percent or less), intermediate (30 to 70 percent), or
need (see sidebar for additional resources), as do programs
high risk (80 percent or more),â which are really pretty broad
created specifically for adolescent and young adult (AYA)
categories. And even low risk is one in five people, so this is a
oncology patients at hospitals across the country.
huge concern.â
We called on the directors of two of those programsâ
Sometimes patients are not provided with even this general
Karen M. Fasciano, PsyD, director of the young adult
information and learn of the impact of their treatment on their
program at the Dana-Farber Cancer Institute, and Rebecca H.
fertility only later, when itâs too late for fertility preservation.
Johnson, MD, medical director of the AYA oncology program
âStudies have shown that [fertility preservation information] is
Support and service Two AYA programs provide young adult cancer patients with resources and community. Cancer treatment centers across the country are increasingly recognizing the need for specialized services and support for adolescent and young adult (AYA) cancer patients. At Seattle Childrenâs Hospital, Rebecca H. Johnson, MD, medical director of the AYA oncology program, says the program she has helped develop includes a regular support group for AYA patients, a specially designed binder of educational materials for teens and young adults, and quarterly Look Good . . . Feel Better programming. In addition, the hospitalâs dedicated AYA life specialist works with other support organizations in the area to offer AYA patients opportunities for community building and education. While Dr. Johnson is happy to offer her patients these resources, she knows that there is much more work to be done to meet the needs of AYA patients. âTo improve psychosocial and medical outcomes for this population, we have to continue to study the problem,â she says, âwhich will help us design programs that will really benefit this group.â At the Dana-Farber Cancer Institute in Boston, Karen M. Fasciano, PsyD, directs the young adult program, which includes emotional support services, networking opportunities, educational programs, and a recently added private online community (YAP@DFCI) that provides a platform for young adult patients to connect and learn from one another throughout their journeys. Dr. Fasciano says that the online component is vital. âYoung adult culture includes high utilization of Internet and social-networking resources, and a young adult program must provide some way to meet patients in this cultural setting.â
pink ⢠spring 2013
17
âItâs important for young adults to realize that dependence does not negate independence. Independence is just expressed in different ways during illness.â ÂDr. Fasciano
work with pediatric patients may overlook it because they are used to working with children,â Dr. Johnson says, adding, âItâs something that should be directly addressed with patients.â In addition, patients often experience side effectsâ including hair loss, skin changes, and weight gain or lossâ that alter their physical appearance in ways that make it hard for them to see themselves as sexual beings. âYoung adults are concerned about sex appeal,â Dr. Johnson says, âand any feelings about physical difference are accentuated at this stage.â Navigating intimate relationships can also be challenging. âCancer is a challenge to any intimate relationship,â Dr. Fasciano says, but she also points out that âmany young adults find that going through cancer treatment strengthens relationships.â For those not already in a relationship at the time of diagnosis, deciding how and when to tell a new partner about a diagnosis can be difficult. Coping with this issue is made more difficult, Dr. Johnson notes, by the fact that âthere are not many support resources for patients who are young and
not always offered at the time of diagnosis,â Dr. Johnson says.
single and wanting to date.â
âNot every center has a standard practice for offering patients resources.â
Finances and Insurance Issues
And even if patients are offered information, some of the preservation methodsâfor women, specificallyâtake a long
Young adulthood is a transitional time for many people,
time. âTime isnât always an option for our population,â
whether they are students, young professionals, or newly
Dr. Johnson says.
settled and starting families. Itâs a time when a personâs
In addition to the logistical and physical concerns related to
financial life is not always secure and when insurance coverage
fertility, AYA patients also deal with the emotional impact of
is not a given. In fact, according to Dr. Johnson, âPediatric
issues related to fertility. âYoung adulthood encompasses peak
and young adult patients are the most likely to be uninsured.â
reproductive years, and creating a family and having children
And, she says, even if they have insurance, managing
are normal drives for many young adults,â says Dr. Fasciano.
insurance and financial issues can be hugely intimidating.
âActual infertility due to cancer treatment can be a huge loss
Dr. Johnson is herself a cancer survivor, having been
for patients when they are already experiencing other losses or
diagnosed with breast cancer in her mid-twenties. She
disappointments due to their illness and treatment.â
remembers well the many hours on the phone and the maze of details she had to wade through while undergoing treatment
Sexuality
and working. âThe time it takes to navigate this aspect of the experience is overwhelming,â she says.
18
Young adults also often grapple with issues related to
Dr. Fasciano adds that the financial burden that young adults
sexualityâboth their concept of themselves as sexual beings
face is significant and has long-term ramifications. âThe cost
and issues surrounding intimate relationships. Doctors may
of medical care is considerableâeven with insurance; there
not always think to talk to their patients about the sexual
are additional costs like transportation to the medical center,
ramifications. âProviders who are used to working with an
co-pays, and deductibles; and delays in education and career
adult oncology population may overlook the topic because
advancement that can result from treatment can have an
they are used to patients being elderly, and providers who
ongoing impact on a personâs finances.â
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Family Relationships and Friendships Establishing independenceâprofessionally, financially, and emotionallyâis a hallmark of young adulthood. A cancer diagnosis can interfere significantly with this aspect of young adults lives, as they are often required to depend once again on family, sometimes moving back home to be cared for and giving up their own homes, peer groups, and careers. While this transition can be rocky, as parents and young adults renegotiate their relationships and learn to live together again, it can also be positive. âMoving home is hard in that it seems a step back,â Dr. Johnson says, âbut of course in most cases nobody can care for you like your parents.â In fact, she says, it is the young
Rebecca H. Johnson, MD
adults who must live on their own while undergoing treatment who elicit concern on the part of providers because âa peer group is much less likely to provide good care, versus a parent
Emotional Wellness
or partner who can provide more-dedicated support. Those who arenât married or partnered are at risk of having their
Running throughout many of the issues that young adults
care fall through the cracks.â
must work through after a cancer diagnosis is the common
In the face of this challenge to independence, Dr. Fasciano
thread of emotional upheaval. Coping with the many
notes that itâs important for young adults to realize that
emotions that arise during this time, which can be magnified
âdependence does not negate independence. Independence is
by side effects like fatigue and pain, Dr. Fasciano notes, can
just expressed in different ways during illness.â While this can
be a challenge. âRemember,â she says, âyoung adults are still
be challenging, as parents and their adult children learn to live
mastering their understanding of emotions and developing
together again, it can be a positive experience if both parties
emotional coping strategies and the ability to bear strong
can learn to negotiate the new territory and honestly express
feelings.â m
their own needs.
Resources for young adults Stupid Cancer (Iâm Too Young for This! Cancer Foundation) stupidcancer.com Planet Cancer planetcancer.org Fertile Hope fertilehope.org Ulman Cancer Fund for Young Adults ulmanfund.org Young Survival Coalition youngsurvival.org CancerConnect.com cancerconnect.com/groups/young-adults/
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19
Your Questions Answered Beauty tips, guidance, and support during cancer treatment By Jodie Hecker
Q1 I am in the midst of chemotherapy treatment, and I
a pencil, be sure to use short, feathery strokes. You can
have begun to lose my hair, including my eyebrows and
seal the color with a brow gel or brow wax, if preferred.
eyelashes. Can you provide me with a few tips for making my eyes pop again?
A For those who are undergoing chemotherapy and
eyelid, from your lash line to your brows. The idea is that
losing brows and lashes, creating a wider and brighter
light shades brighten the eye. Using too many dark colors
look can help accentuate your eyes. Here are some
makes eyes look smaller. Next, shade the outer corner of
simple tips.
the lid and the crease with a darker color and blend well
First, you will need a few tools, which you may already
using a gentle back-and-forth motion.
have in your makeup bag: ⢠Bone or natural-colored eye shadow
Step 3 Dab a little white or champagne-colored cream
⢠Darker-colored crease shadow
shadow under the brow bone and blend. Add a touch
⢠White or champagne cream shadow
more to the center of the lid and watch how your eyes
⢠Black or deep-brown eyeliner
instantly brighten up.
⢠White eyeliner ⢠Eyebrow stencil ⢠Eyebrow powder or eyebrow pencil
Step 1 Examine your eyebrows and use tweezers to
Step 4 Use the dark eyeliner to apply a thin line just above your upper eyelashes. Be sure to extend the line just past the outer corner of your eye. If you no longer have lashes, add another line on top of the original line to
pluck away any stray hairs that prevent them from looking
create depth and to give the illusion of lashes. Line your
tidy. If you donât have any eyebrows remaining, using an
lower lashes with a lighter touch, then smudge both lines
eyebrow stencil is the easiest way to re-create a perfect
with a smudging brush to soften the look. Next, use a
brow. Just match up the stencil along the brow bone and
white or cream-colored eyeliner along the inner rims of
fill in with eyebrow powder or an eyebrow pencil. If using
your eyes.
Q2
Iâd like to use concealer to help cover up the dark
Step 2 For extreme discoloration around the eyes, try a
circles under my eyes. How should I go about choosing a
color-correcting concealer. Alabaster covers dark circles
concealer or foundation color and type?
on warm skin tones, lavender gives a yellowish complexion
A Follow these easy steps to finding the right combination.
Step 1 If youâre using a foundation, choose a concealer no more than one shade lighter than your skin. If you choose to wear concealer without foundation, a shade closer to your natural skin color will look best.
20
Step 2 Apply a pale, neutral base color to your entire
pink ⢠spring 2013
a healthy glow and covers sallowness, mint neutralizes redness, pink highlights all skin tones, and orange covers blue tones such as veins and dark circles on dark skin.
Step 3 Choose a shade that matches the color of your skin at the jaw line.
Q3 Since I have been undergoing cancer treatment, I
your makeup. This should
rarely have much energy to devote to applying makeup.
take you only about two to three
Do you have any quick, simple steps that wonât take a lot
minutes.
of time or effort?
A If youâre short on time or you donât have a lot of energy
Step 2 Accentuate your best features.
but feel incomplete without makeup, here are a few tips to
Now that youâve minimized the trouble
help you look and feel your best with minimal effort.
spots, pick out your best feature and draw
Step 1 Camouflage your not-so-flattering features.
attention to it. Perhaps you have a great smile; if so, accentuate your mouth with a bright lipstick or a
If your skin is blotchy or feeling dry, dab a little moisturizer
soft gloss that flatters your skin tone. Maybe you have
on your face. You will want to use a concealer to hide
gorgeous eyes; play those up with colorful eyeliner.
dark circles under the eyes, facial blotchiness, and
Use a darker color on the top lid, such as black or dark
discoloration. Next, use a foundation that matches your
brown, and use a lighter color on the bottom lash, such
skin tone for a sheer, natural finish. If your skin is pale or
as blue or light green. Any of these quick tricks will take
sallow, try a pink or peachy blush (whichever flatters your
about a minute.
skin tone) for an added glow. Give a big smile and lightly apply blush to the apples of your cheeks. Blend along the
Step 3 Apply some finishing touches for on-the-go
cheekbone in an upward motion toward the ear. Finally,
makeup. All you have to do now is apply your eyebrows
lightly apply translucent powder over your face to set
(see the first question for eyebrow tips).
Q4 My skin is much more sensitive since I have begun
sensitive skinâpreferably cream-based. Then select a
treatment. Do you have any recommendations for
facial moisturizer. With these products on hand, take the
cleansing and moisturizing?
following steps.
A
Developing sensitive skin during cancer treatment
is quite common because the treatment disrupts the skinâs normal process of rejuvenation. You may experience dryness, increased sensitivity, and perhaps changes in texture. To care for your skin properly during this time, the first step is to have the right cleanser and moisturizer on hand. Choose a cleanser made specifically for dry or
Step 1 Wash your face with the gentle cleanser. Start from the forehead, using a light rotating motion outward, and work your way down.
Step 2 Rinse with lukewarm water. Step 3 Moisturize with a gentle facial moisturizer. If you are experiencing dryness, try a cream-based moisturizer.
Jodie Hecker is a licensed makeup artist and esthetician from Gaithersburg, Maryland, and has been a freelance makeup artist and skin care consultant for more than 10 years. Jodie has been volunteering with the Look Good . . . Feel Better program for more than eight years. She co-facilitates the monthly Look Good . . . Feel Better workshops at Georgetown University Medical Centerâs Lombardi Comprehensive Cancer Center and programs at Sibley Memorial Hospital in Washington, DC. Jodie also volunteers with Look Good . . . Feel Better at the national level, working with the Personal Care Products Council Foundation on a variety of nationwide projects. The Look Good . . . Feel Better program was founded and developed in 1989 by the Personal Care Products Council Foundation, a charitable organization established by the Personal Care Products Council, the leading national trade association representing the global cosmetic and personal care products industry. The program is a collaboration of the Personal Care Products Council Foundation, the American Cancer Society, and the Professional Beauty Association/National Cosmetology Association, a national organization that includes salons, spas, distributors, manufacturers, and more than 25,000 beauty professionals.
pink ⢠spring 2013
21
Meet Our Friends!
M
ost survivors will tell you that a cancer diagnosis can impose a sense of isolation. No matter
the level of support from family, friends, and faith, the words âYou have cancerâ have the power to build a wall between you and the wider world. For many, social media can be a powerful tool in dissembling this barrier by breaking down the fear and the anxiety that can result from feeling alone on the journey. Online communities of cancer survivors are thriving, and Women magazine is glad to be a part of the network of support and inspiration. Through awomanshealth. com and our Facebook and Twitter communities, we are grateful to have the opportunity to engage with our readers and participate in the conversation. Now, as part of our ongoing series profiling members of our Facebook community, weâd like to introduce you to a young survivor who has offered to share her story in the hope that her experiences will offer inspiration and perspective to other women diagnosed with cancer. Weâre grateful for her courage and inspired by her desire to make a difference.
22
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Writing gave me the ability to express my experience and struggles while I was in the heat of recovery.
Nicole Cassity, 26 Marsing, Idaho Like so many cancer survivors, Nicole Cassity learned
through treatment,â Nicole says. âWriting gave me the
some pretty powerful lessons in the wake of a cancer
ability to express my experience and struggles while I was
diagnosis and the treatment that followed. As she
in the heat of recovery. It was incredibly healing to read
underwent a double mastectomy and chemotherapy to
comments of encouragement from family, friends, and
treat Stage II breast cancer (followed by reconstructive
even complete strangers.â The healing benefit Nicole felt from sharing her journey
surgery), Nicole felt her priorities shift as she viewed the world through the lens of her survivorship. âI learned just how precious and delicate life is and how
online was deepened by the knowledge that she was also supporting other women facing a similarly challenging
important family is,â she says. âI learned how powerful and
time. âMy posts helped other women from all corners
healing a strong faith in God can be and that itâs okay to
of the world who were going through a diagnosis and
ask for help. I learned how incredibly giving people can
facing similar emotional and physical struggles. Touching
be. Ultimately, my diagnosis cut all of the crap out of my
other peopleâs lives and knowing I was helping them in
life and gave me an incredibly clear understanding of what
even a very small way was powerfulâespecially when I
truly matters and what never would or did. For the first
considered the fact that they were strangers, and if
time in my life, I learned what it meant to be humbled.â
it had not been for the web, our paths would have
A stay-at-home mom with a one-year-old daughter at
never crossed.â Nicole is well aware of the unique power of the support
the time of her diagnosis, Nicole was committed to doing all she could to fight the disease. âI was terrified, but I was
that survivors can offer each other, and she shares this
determined to see my daughter grow up,â she says. She
advice with women now facing a diagnosis: âYou are
found strength in her husband and her faith throughout
going to come across people who have very strong
her journey; she also found inspiration in the stories
opinions about what you should and shouldnât do.
of other women who had been down a similar path. âI
Unfortunately, there is no one right answer, so take othersâ
reached out to another young survivor,â Nicole says, âand
opinions and advice lightly. At the end of the day, only you
her advice and insight were very inspiring and uplifting. I
know the right decision for you. There are some tough
left our initial meeting with hope and the belief that I too
times ahead; donât hesitate to allow God to carry some of
was going to be okay.â
your burdens. Believe in yourself, never give up, and most
Sharing her experiences with family and friendsâ
importantly believe you deserve to get better.â
and strangersâvia social media and through a blog
Now on the other side of treatment and cancer-free,
(ifightlikeagirl.wordpress.com) that she wrote during
Nicole is relishing the time she has with her family. She
her journey was another critical coping tool. âI found
gave birth to a second child, a boy, in 2011 and is looking
blogging to be a great emotional outlet while going
forward to watching both of her children grow. m
TOKYO BOSOM BUDDIES : Survivor Group in Tokyo for Foreigners and English-speaking Japanese. Gatherings at Franciscan chapel center in Roppongi once a month. ® For details, please contact Run for the Cure Foundation at pink@runforthecure.org
pink ⢠spring 2013
23
Writing Therapy
T
he therapeutic impact of writing to relieve stress, and thereby potentially improve immune function, is increasingly recognized by cancer treatment
centers as they develop mind-body resources for patients. Many centers now offer writing therapy programs, which aim to provide patients with emotional support as they manage their diagnosis. A random selection of offerings at treatment centers around the country makes clear their growing popularity: at Memorial Sloan-Kettering Cancer Center, the Visible Ink program pairs patients with experienced writers, editors, or teachers to pursue a writing project of their choice; at UC Davis Comprehensive Cancer Center, the weekly Writing as Healing group provides a supportive environment for patients to share their work; and at the Georgetown Lombardi Comprehensive Cancer Center, Writing for Your Health workshops bring patients together to write about their experiences and share
fingers to keyboard. For those who want specific direction,
their feelings.
Vettickal says there are several exercises that patients can try,
At Cancer Treatment Centers of America® (CTCA) in Zion, Illinois, mind-body therapist Rachana Vettickal, MS,
⢠Dialogue with a symptom. Think of a symptom, problem,
LSW, helps coordinate an expressive arts series, which
or emotion; name that issue and write about it (what it
includes writing. âWriting offers a valuable avenue of
is, when it started, what the journey has been like). If you
expression, especially when there are things that are hard to
have trouble getting started, imagine that the symptom/
talk about,â she says.
problem/emotion is sitting in a chair across from you and
Katherine Puckett, PhD, MS, MSW, LCSW, national
actually record a dialogue with it. A variation on this is to
director of mind-body medicine at CTCA, agrees, adding
use the dominant hand to write (ask) the questions, and the
that because writing can be an entirely private exercise, it
nondominant hand to write the responses. This can access
can provide an outlet that is freeing, as the writer is able to
different parts of the brain and may be especially helpful if
process without filtering and without fear of any type of
the writer feels stuck.
judgment, and can provoke valuable self-discovery. âWriting
⢠Dialogue with a person. This can be especially effective if
may tap into the unconscious,â Dr. Puckett says, âespecially
the writer has strong feelings about a person but is unable to
if the person has taken a little time to sit quietly first. Through
express them directly to that person. The writer can imagine
writing people often discover or uncover things they werenât
that the person is present and can write what she would have
consciously aware of.â
wanted to say to the person.
In addition, when paired with talk therapy, writing can serve
⢠Keep a journal. Start an ongoing record of feelings,
to facilitate conversations that might be difficult to otherwise
thoughts, and events.
have. âIt often works well for people to write first and then
⢠Write for a specified amount of time. Write for a set time
talk about what they have written,â Vettickal says. âWriting
(5 to 10 minutes, for example) without stopping or editingâ
first can make it easier to talk about the issue at hand.â
and never let the pen leave the paper. Unexpected things may
For those interested in writing about their feelings and experiences, it can be as simple as putting pen to paperâor
24
either alone or in a group or therapy setting:
pink ⢠spring 2013
emerge when weâre not stopping to think about what weâre writing. m
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