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PINK CRUSADE Forging ahead in the battle to fight breast cancer.

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aims to increase breast cancer awareness in our communities

Did you know that, second only the disease. to skin cancer, breast cancer is the The month of October is the most common form of cancer among kickoff season for breast cancer American women? According to the awareness. For the second year (and American Cancer Society, about one in ongoing every year), The Marysville eight women in the United States will Globe and The Arlington Times develop invasive breast cancer during have produced a very special editheir lifetime. The ACS estimated that tion dedicated to this insidious dis290,170 new cases of breast cancer (in ease. New this year, we produced situ and invasive cancers) were diaga special pull-out section devoted nosed among women in 2012. They entirely to breast cancer awareness. project that 232,340 new cases of invaIn these pages, our readers will find sive breast cancer will be diagnosed useful and informative information this year. The ACS estimates that about for early detection. We offer stories 39,620 women will die from breast canfrom people who are surviving and, cer in 2013. Although breast cancer in many cases, thriving since their mostly affects women (99 percent), it detection and treatment. You will can also occur in men and children. find articles detailing local diagnosAfter increasing for more than 20 tic and treatment programs and seryears, female breast cancer incidence vices. We included articles that offer By PAUL BROWN rates began decreasing in 2000. From hope and encouragement to those Publisher 2002 to 2003, breast cancer incidences afflicted and their families. As a husThe Arlington Times and dropped about 7 percent according to band, a father and a grandfather to The Marysville Globe the American Cancer Society. The ACS some “special ladies” in my life, I feel further states that this decrease was thought to be due to it is my obligation to arm them with the necessary inforthe declining use of hormone therapy after menopause, mation that may one day save their lives. I believe our following the published results of the Women’s Health readers feel the same about the women in their lives, too. Initiative in 2002. As we did last year, The Marysville Globe and The There is hope for those diagnosed with breast cancer. Arlington Times will donate a portion of the proceeds Most physicians agree that early detection tests for breast from advertising sales to a woman’s health facility in our cancer will save many thousands of lives each year. And local area for breast cancer diagnoses and treatment. many more lives could be saved through early detection As publisher of your award-winning local community and aggressive treatment options. Sadly, though, many newspapers, I feel it is my privilege and obligation to give who have this disease are not aware they have it until back to our great communities that we have the privilege it’s too late. Many others, possibly through fear, are not to serve. I invite you, our readers to enjoy and learn from performing in-home self breast examinations nor seek- our breast cancer crusade special section. My sincere ing medical tests for early detection. And a great number thanks and appreciation to all our readers for your wonof women (and men) simply do not know enough about derful support! n




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Komen Puget Sound is passionate advocate Every week, more ent of the more than than 100 women in 3,100 free mammoWashington State are grams provided by diagnosed with breast Komen Puget Sound cancer. The good news last year. Even though is, when caught early, a she worked full-time, woman’s five-year surLuisa lacked the vival rate for breast can$900 a month she cer is 98 percent. This needed to pay for is why Komen Puget private health insurSound is such a pasance. Encouraged by sionate advocate for a friend, she attendregular mammograms. ed a Komen funded Yet, too often I hear free mammogram stories of women diagevent in her communosed in the late stages nity, where she was of this disease, when the diagnosed with early chances for survival are stage breast cancer. significantly less. Here is what Luisa There are so many shared with us: By MONA LOCKE reasons for putting off a “My breast cancer Interim Executive Director, mammogram. Perhaps was aggressive, and Komen Puget Sound you think “I have plenI know that if I had ty of time,” or “it won’t waited a few months happen to me.” But the simple fact is a more, the outcome would have been mammogram can save your life. Another much different. Without Komen, I probafact: when breast cancer hits, it affects bly would not have had my mammogram your entire family. You are not just getting in time. I know it saved my life.” that mammogram for yourself, but also I am proud of what we have accomfor your spouse, your children and every- plished for Luisa and thousands of women one you love. For everyone’s sake, take like her, yet I am even more mindful of all charge of your health, and get a mammo- that still needs to be done. Too many of gram. There’s no time to lose. us have lost a wife, a sister, a mother, a At Komen Puget Sound, we bring this daughter, a friend to breast cancer. Please personal sense of urgency to the work join our local fight against breast cancer. we do every day, as we have for the past To learn more about Komen Puget Sound, 20 years. Today, Komen Puget Sound is visit us online at www.komenpugetsound. the single largest funder of free mam- org. Together we can and will save lives mograms to low income and uninsured in our community, and ultimately end women. Luisa Lavalle was one recipi- breast cancer forever. n

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Coaches vs. Cancer

raises funds for American Cancer Society ARLINGTON — After Arlington varsity basketball coach Nick Brown’s wife Caryn Brown was diagnosed with breast cancer at a young age, the whole Arlington community came together to support the family. Part of the team’s dedication to raising breast cancer awareness is hosting the annual Coaches vs. Cancer basketball game — which draws hundreds of attendees every year — and raises money for the American Cancer Society. “This is a huge event for our community and a huge event for our program,” said Nick Brown. “Obviously, my wife was diagnosed, and it’s big for our players and staff. It’s a good way for our student body and our players to Players and spectators wear pink to support breast show solidarity.” cancer awareness during Arlington’s annual Coaches In January of 2013, the vs. Cancer basketball game last year. fourth annual Coaches vs. Cancer game raised more than $4,000 in donations for the American Cancer Society. The Eagles’ varsity basketball team faced the Monroe Bearcats, and in addition to raising money for cancer research, also won the game 68-50. The tradition stands that spectators don pink apparel, from tutus to face-paint, and student leadership decorates the gym with pink posters and streamers. Local businesses donated items for raffles, while art students decorated basketballs to raffle off as well. Cancer survivors are considered honorary coaches and are celebrated during half-time. Arlington’s assistant wrestling coach Barry Knott was honored last year, only months before he lost his battle with pancreatic cancer. “Barry was a good man and he is greatly missed,” said Brown. “Coaches vs. Cancer was a good way for me to have a bond with the wrestling coach. He appreciated what we did, and we appreciated him so much. We will have one of our player’s aunts as an honorary coach this year, and as we get closer to January, we will have more details sorted out.” The fifth annual Coaches vs. Cancer game does not have a set date as of yet, but it will occur after the first of the year. The Arlington Times will include updates on the event as it approaches. n

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Cities of Arlington, Marysville on track to proclaim

October National Breast Cancer Awareness Month


Although they were still “They wouldn’t even have finalizing details as of press found my cancer if my doctor time, the cities of Arlington and hadn’t sent me to get a mamMarysville are both planning to mogram, that I was too young read proclamations of October for, because my results looked of 2013 as National Breast weird,” Banfield said. “Early Cancer Awareness Month. detection is critical. If I’d just Arlington Mayor Barbara ignored what I was told for Tolbert’s proclamation is set another six months, my cancer to note that National Breast would have reached stage 2 or Cancer Awareness Month 3. It was growing that fast. I’m is intended to help educate a true testament to early detecwomen about the importance tion.” of early breast cancer detecWhile Marysville Mayor Jon tion, with the help of a city Nehring won’t read the city employee who’s already well of Marysville’s proclamation aware of the impact that breast until the Monday, Oct. 14, City cancer can have on one’s life. Council meeting for Marysville, Arlington Assistant City he nonetheless took the time to Administrator Kristin Banfield reflect on its significance beforeexpects it’s likely that she’ll be hand. invited to read Tolbert’s proc“Breast cancer is a devastatlamation, asking all of the city’s ing disease that affects one out employees and citizens to “join of every eight women in the U.S,” in this worthwhile cause, to celNehring said. “Breast cancer is Arlington Assistant City Administrator KRISTIN Arlington Mayor BARBARA TOLBERT ebrate successes and memothe most frequently diagnosed BANFIELD, a breast cancer survivor, read the proclaimed October of last year to rialize lost battles,” during the and common form of cancer city’s proclamation of October as National be National Breast Cancer Awareness Monday, Oct. 7, Arlington City among women in Washington Breast Cancer Awareness Month last year. Month. Council meeting. state, and is responsible for Banfield, who served as the highest number of cancer the event chair for this year’s deaths among women of all racial mograms at regular intervals.” Marysville-Tulalip Relay For Life for the American Cancer The city of Arlington’s proclamation for this year and ethnic groups. Everyone needs to be aggressive and Society, read last year’s proclamation, in recognition of further notes that Sunday, Oct. 20, is the date of the informed about their health and health care, and to be her own fight with breast cancer. After being diagnosed American Cancer Society’s “Making Strides Against diligent in the fight against breast cancer. Early detection with breast cancer in April of 2008, Banfield underwent Breast Cancer” event in Everett, which aims to “bring is the key.” several surgeries and now calls herself a breast cancer awareness and raise funds for research, provide free Nehring urged citizens to support breast cancer survivor. information and services fighting the disease, and ensure research and education, and to join in activities that “Mammograms are the best method to detect breast access to mammograms for women who need them.” raise awareness about what can be done to prevent cancer early, when it is easier to treat,” Banfield read from The proclamation likewise acknowledged that “there breast cancer. the proclamation, which also reported that mammogra- remains much to be accomplished,” even in the midst of “During Breast Cancer Awareness Month, we honor phy use has doubled and breast cancer death rates have the many strides that have been made in breast cancer those we have lost, lend our strength to those inspiradeclined since the inception of National Breast Cancer awareness and treatment. tional survivors who carry on the fight, and pledge to Awareness Month. “Breast cancer deaths could decline Banfield described herself as a living example of the educate ourselves and loved ones about this tragic disfurther if all women ages 40 and older received mam- proclamation’s wisdom. ease,” Nehring said. n


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Mother, daughter fight breast cancer together

ARLINGTON — In 1994, when Barb nosed, I felt completely helpless to do Hawkins was just 37 years old, she found anything except offer her my support. a lump in the upper part of her breast. When your child is in danger, you will do She was diagnosed with Stage I breast anything. Everything I was feeling about cancer and underwent a lumpectomy and my cancer went on the back burner to radiation treatment. She took hormone- focus on Sarah and helping her to find the blocking medication for five years and best treatment plan.” was considered to be in remission. Sarah was diagnosed with an aggresFor the next 14 years she lived and sive form of Stage III breast cancer. She worked as normal, watching her two moved from Arlington to Snohomish to be daughters grow up and attend Highland closer to the hospital. Almost as quickly Christian School in Arlington, then gradu- as she was diagnosed, she was told that ate and begin their own lives. treatment would destroy her chances of In 2007, her husband’s father, Vern having children. Hawkins, was diagnosed with breast can“They told me that my fertility could cer. It was hard on the entire family, espe- be completely wiped out and my chance cially her husband James, who had seen of having a child would be gone if I had the effect that cancer had on his wife 13 chemotherapy — and I wouldn’t live withyears earlier. Then, only months later, out chemotherapy,” she said. “I decided Barb went in for her regular mammogram to wait on chemo and had a whole regiand her doctor noticed something unusu- men of fertility treatments. There was no al. It turned out to be a reoccurrence of break for my body doing all this stuff. We breast cancer — this time, Stage III. saved my embryos and then immediately “I was in disbelief,” said Hawkins’ started chemotherapy.” daughter Sarah Lien. “I thought, ‘My mom Because she was young and her body is healthy, what do you mean she has can- was able to withstand it, Sarah was on an cer? I can’t live without my mom. I can’t aggressive chemotherapy treatment. run a house without my mom. I can’t be “I felt so sick,” she said. “I was helpless, a good wife without my mom. What if I laying on the floor, not knowing what to have a baby? I can’t do that without my do. Some nights I would sleep in the bathmom.’ The thought of her being gone just room because I was so nauseated. I would freaked me out, but when something like drop weight, gain weight, and drop weight that happens our family just comes closer again. It was a constant battle of trying to together.” stay alive.” “I decided to have Chemotherapy a double mastectomy caused Sarah to lose “When I found the and chemotherapy,” weight and her hair, lump, I fell on the floor said Barb, who also and she felt like a difunderwent reconferent person. bawling because I knew structive surgery. “You just feel like it was cancer.” Her entire treatment nobody could love concluded in 2010. this person who is She thought that it bald,” she said. “You v was all over and the look so different that Sarah Lien family would be able you don’t even recBreast Cancer Survivor to recover from the ognize yourself in the Arlington pain of multiple canmirror when you are cer diagnoses, but in that sick. I felt like a March of 2010, Barb’s daughter Sarah, light had gone out in my eyes and I was then 24 and newly married to her high just trying to get through and trying not school sweetheart, told her mother that to die.” she had found a lump in her breast. Once her chemotherapy was com“I just felt like the fairy tale plan that plete, she underwent a double mastecI had for my life was completely over,” tomy surgery in September of 2010. said Sarah. “I felt like life was crumbling “I was 24, I wanted to look good. I around me and I didn’t know what to do.” wanted to wear my bikini in Hawaii,” she Although she was young when she said. “I want to live, but I also don’t want discovered the lump, Sarah said she knew to hate my body for the rest of my life.” it was cancer. She found a surgeon who was willing “Most women my age would have to focus on her body after surgery, but said, ‘I should get that checked out,’” said it wasn’t the end of pain for Sarah, who Sarah. “When I found the lump, I fell on used tissue expanders as part of her breast the floor bawling because I knew it was reconstruction. She had her last reconcancer. I called my mom and said I found structive surgery in September of 2011 a lump and she said, ‘We will make an before beginning radiation in December. appointment, we will figure this out.’ She “I had third degree burns from radiawas very cool and collected while she was tion,” said Sarah. “Everything that could on the phone with me, but I can’t even have gone wrong in my treatment did. imagine what was going through her head Five days a week for six weeks, and every and how she reacted when she hung up single day it would get worse, and I’d have the phone.” more pain. It’s a five minute radiation Barb was stunned at her daughter’s treatment, and it feels like you are being discovery. burned with fire. My skin had third degree “It was terrifying because I had just burns — all over my chest and my side.” gone through breast cancer, and then to That fall, Barb participated in the have my daughter, at the age of 24, say Susan G. Komen three-day Breast Cancer she found a lump — it was frightening,” Awareness walk in Seattle. she said. “As a mother, I didn’t want my daughter to go through any of the stuff MOTHER, DAUGHTER that I went through. When she was diagcontinued on page 8


SARAH LIEN, left, during her treatment for breast cancer with her mother BARB HAWKINS, by her side at the hospital.

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» MOTHER, DAUGHTER continued from page 7

“Six weeks after the Susan G. Komen, I found a lump on my right side in the armpit area,” she said. “Doctors thought it was probably just scar tissue, but it was diagnosed as cancer again. This was my third diagnosis of breast cancer.” At that time, Barb had 37 lymph nodes removed — every one of them cancerous. “It was not a good prognosis,” she said. “They said that from the time of diagnosis in October of 2011, even with treatment, I would only live for two years. We are actually going to Ireland in October this year to celebrate life.” Barb and her daughter underwent treatment for breast cancer at the same time. “In 2008, when my mom was going through chemotherapy, I went to all her appointments with her,” said Sarah. “When I was diagnosed, she was at every single chemotherapy treatment with me, even though it was hard and emotional. Then when she was at chemo again, I went to every one with her too. My doctor told me I shouldn’t go because it was putting stress on my body. But I told him, ‘I’m sorry, I’m going to go. She’s my mother and I’m going to be there for her.’ So we were there holding hands, every step of the way together.” Once Sarah had recovered from her treatment and was cancer-free, she and her husband decided to move to Hawaii, a place with special meaning to the couple. “I felt that I had my life back,” she said. “We were planning on moving to Hawaii for a year, just to celebrate being alive. In that time, my mom had gone through chemotherapy and there was no

SARAH LIEN, left, and her mother BARB HAWKINS, dress in pink for the Everett Silvertips ‘Pink the Rink’ breast cancer awareness game and fundraiser.

cancer in her body. We felt we needed to travel because we’d been robbed by the last three years of life, and we needed to explore and have fun. We went to Hawaii in December of 2012 to look for jobs and apartments. We were excited for our future.” Their excitement was short-lived, as the family was hit with more crushing news. “My parents picked us up from the airport and we got home in the middle of the night,” said Sarah. “That’s when my mom said, ‘I have something to share with you guys’ — she told us she had Stage IV bone cancer.” “I am very fortunate because I do not have any pain at this point,” said Barb. “I’m still working and I’m still living. I guess that’s the one thing that Sarah and

I both have learned is not to allow our diagnosis to prevent us from looking at the future.” Sarah and her husband were still in shock at the news of Barb’s fourth cancer diagnosis. “We were sitting in the living room on the couches in disbelief,” said Sarah. “’Stage IV’ and ‘terminal’ are never words you want to hear from a family member. We were preparing to move in two weeks and everything we owned was packed in storage, but I couldn’t leave. Not when I didn’t know how long I would have with my mother. There is no way I could leave her when she has been going through every treatment with me and we’ve been fighting this the whole way together. We cried and cried and cried, and finally she said, ‘If you aren’t going to Hawaii, then

you better be popping out some grandkids.’” Sarah didn’t wait to start fulfilling that wish for her mother. “We transferred two embryos in March and now we are expecting our first child,” she said. Sarah’s daughter, who will share the middle name Elizabeth with both her mother and grandmother, is due on Nov. 20, 2013, Barb’s birthday. “I just started crying when I found out my baby was due on my mom’s birthday,” said Sarah. “When we told my family, my mom screamed in a restaurant and started crying. It was three years almost to the day that I had been diagnosed.” “I have an extremely courageous daughter,” said Barb. “It really is just a miracle that they are having this baby. It’s interesting because I share a birthday with Sarah’s husband’s mother. So the baby is due on both her grandmothers’ birthdays.” Both Barb and Sarah are hoping that their story of survival will encourage other women of all ages to be aware of their bodies. “Definitely do your breast checks, and know your own body,” said Barb. “You also need to be an advocate for yourself. Even if the doctor says it’s probably just scar tissue, it needs to be followed up on because you don’t want to push something off and have it really be serious. Never give up. There is life after a cancer diagnosis.” Barb and family will visit Ireland this month. “We are going to Ireland as a celebration of my life,” she said. “And I hope I get to celebrate it for many, many more years.” n

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provide diagnostic services, treatment for Breast Cancer Awareness Month

As National Breast Cancer Awareness Month returns this October, various health agencies throughout North Snohomish County are reminding women of their diagnosis and treatment options, to help them identify and respond to cases of breast cancer in time to save lives.

Everett Clinic at Smokey Point

Liz DeGraw works in the mammography department at the Everett Clinic’s Smokey Point branch which provides screening and mammography services. DeGraw expressed pride in the Smokey Point Everett Clinic’s modern mammography machines, whose state-of-the-art digital displays offer high-resolution detail. “The technology is so superior that we can find it before you even feel it,” DeGraw said. “You’ll have the peace of mind of knowing that we’re detecting it at its earliest stages.” DeGraw acknowledged that there’s currently a difference of opinion between the American Cancer Society and the U.S. Preventive Services Task Force on the frequency with which mammographies should be conducted. “The ACS recommends starting yearly mammograms at the age of 40 and continuing them as long as you’re healthy, while the USPSTF recommends waiting until 50 to have mammograms done every two years until you’re 74, although they do say you can start as early as 40 if you dis-

Pharmacists such as HAU DONG mix the chemotherapy drugs just down the hall from where the patients receive their treatments, in the Skagit Valley Hospital Regional Cancer Care Center at the Cascade Skagit Health Alliance in Arlington.

cuss the risks with a doctor,” DeGraw said. “It’s up to the patient to talk with their primary care providers, although most insurance will cover yearly mammograms.” The Everett Clinic also recently welcomed breast and endocrine surgeon Dr. Steve R. Martinez to their cancer care team. He came from the University of California Davis Comprehensive Cancer Center, where he was an associate professor of surgical oncology. “His training and experience allow Dr. Martinez to offer his patients the most advanced and minimally-invasive procedures in breast surgery,” said Michele Graves, marketing and PR specialist for the Everett Clinic “He incorporates several advanced techniques into his practice, including the use of the sentinel lymph node biopsy, skin and nipple-sparing mastectomy, and onco-plastic lumpectomy for breast cancer. He originally earned his Medical Degree at the University of Washington School of Medicine, and we’re fortunate to have him back in our area and in Snohomish County.” The Everett Clinic at Smokey Point is located at 2901 174th St. NE and can be called at 360-454-1900. For more information, log onto

Cascade Valley Hospital in Arlington

Staff members of Cascade Valley

» AGENCIES continued on page 11

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» AGENCIES continued from page 10

11 11

tender, so too did Johnson warn patients against wearing any creams, deodorants or powders to their exams that could create false positives. Cascade Valley Hospital in Arlington is located at 330 S. Stillaguamish Ave. and can be called at 360-435-2133, or 360-435-0515 to schedule an appointment. For more information, log onto

Hospital expressed pride in their broad scope of screening and diagnostic services, including not only standard mammograms and breast ultrasounds, but also galactograms and biopsies. “Some days we’re able to schedule biopsies on the same day,” said Jacqueline Johnson, imaging director for Cascade Valley Hospital, who also noted the hospital’s Cascade Skagit Health Alliance in Arlington Cascade Valley Hospital and the Cascade Skagit Health radiology services. “We’re usually able to get them in Alliance in Arlington each offer their own MRI, but the within the week.” Like DeGraw, Johnson described her technology as Cascade Skagit Health Alliance also serves as the site for top-notch and complimented her coworkers for provid- the Skagit Valley Hospital Regional Cancer Care Center. “We can do chemo, lab draws, MRIs and X-rays,” said ing a personalized, almost familial feel to their services, Linda Harrison, unit assistant for the Skagit Valley Hospital which in the case of Cascade Valley Hospital includes Wednesday night mammograms throughout the month Regional Cancer Care Center at the Cascade Skagit Health Alliance. “For radiation and PET of October. These weekly events durscans, we usually send people to ing National Breast Cancer Awareness Mount Vernon, but we’re all con“The technology is Month have even included massage nected to the same doctors here.” sessions and special surprise gifts for so superior that we Harrison noted that on-site the final patients of each evening. pharmacists such as Hau Dong mix can find it before Tammy Leboeuf, one of the hosthe chemotherapy drugs just down pital’s radiologic technologists, toutyou even feel it.” the hall from where the patients ed the staff’s commitment to making receive their treatments. admittedly uncomfortable mammogBarb Jensen, director of oncolv raphy exams as comfortable as posogy for the Skagit Valley Hospital sible. Liz DeGraw Regional Cancer Care Center, noted Mammography Department “A lot of people are afraid of the a number of other services that have Everett Clinic — Smokey Point radiation, but it’s very minimal, espebeen added on-site over the course cially when weighed against the benefits of early detection,” Leboeuf said. “It shouldn’t hurt, of the past year, including a financial advocate for uninsured and underinsured patients, as well as the ability for though.” “Everyone’s experience is slightly different, because we patients to participate in clinical trials. “We have social services staff who will work with you to all have slightly different anatomy, but there shouldn’t be figure out how to pay your bills, and even aid you in filling any pain,” Johnson agreed. “Patients should still feel some compression, because as I tell my own patients, if you’re out the forms,” Jensen said. “We don’t want our patients not feeling some compression, then we’re not doing our to be worried about being financially ruined, or passing debts onto their families, as a result of undergoing treatjobs.” The compression is necessary to scan through the ment, because that can obviously affect the outcome of the breast, and minimizes the amount of tissue that’s exposed treatment itself.” The Cascade Skagit Health Alliance in Arlington is to radiation, but Leboeuf estimated that the average mammography exam only takes 20 minutes. Just as DeGraw located at 3823 172nd St. NE and can be called at 360advised patients to try and schedule their appointments 618-5000. For more information, log onto www.cascadesafter their menstrual cycles, so that their breasts will be less n

r y

LIZ DEGRAW shows off the state-of-the-art mammography technology at the Everett Clinic’s Smokey Point branch.

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The Arlington Times • The Marysville Globe

Sea Mar, CHC, Planned Parenthood offer

first line of defense for patients with fewer resources

For those who are uninsured, underinsured, lowincome or living within limited means, coping with breast cancer is especially challenging, but those people stand a better chance of catching cancer before it becomes insurmountable through the services provided by the Sea Mar Community Health Center of Marysville, Community Health Centers of Snohomish County and Planned Parenthood of the Great Northwest.

Sea Mar Community Health Center of Marysville

Jasmine Potter, the nursing supervisor at Sea Mar in Marysville, explained that Sea Mar’s main role lies in

Community Health Centers of Snohomish County

Dr. Katie Dunbar noted that the Community Health Centers of Snohomish County in Arlington and Everett, like Sea Mar, also refer their patients to other clinics for mammograms and biopsies, while screening services are provided in-house. However, she sees the CHC as serving another essential role for patients. “We’re a primary care provider that’s sort of the captain of the ship, coordinating a number of different aspects of health care for them,” Dunbar said. “Navigating the health care system can be scary, and a lot of folks don’t know where to go for the services and resources that they need.”

» DEFENSE continued on page 13

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DR. KATIE DUNBAR checks patients’ medical records electronically at the Community Health Center of Snohomish County in Everett.

screening for cancer. She touted this role as especially important since Sea Mar serves a number of clients for whom English is a second language or insurance coverage is not an option. “A mobile mammography unit comes here every month to every other month,” Potter said. “If our screenings yield suspicious findings, we refer them on to other providers. We partner with so many other agencies that we’re often able to get those services greatly reduced or at no cost to our clients.” Sea Mar takes into account factors such as age, low income levels and family histories of cancers to try and provide access to as many clients as possible. The Breast, Cervical & Colon Health Program of Washington state is one of their partners in this endeavor. “If our clients are eligible, we can even get their mammographies paid for,” said Potter, who also touted Sea Mar’s work with Familias Unidas to provide counseling, advocacy and information services to clients regardless of culture or ethnicity. “We can do a certain amount of lab work in house, but a lot of our work is on the phone, scheduling appointments and followups with folks who might not be comfortable speaking in English.” Sea Mar’s customer service likewise includes assistance in applying for insurance and filling out forms for the state Department of Social and Health Services. The Sea Mar Community Health Center of Marysville is located at 9710 State Ave. and can be called at 360-6531742. For more information, log onto www.seamarchc. org.


The Arlington Times • The Marysville Globe

13 13

be called at 360-572-5400.

LISA MIRANDA schedules appointments and followups with patients at the Sea Mar Community Health Center of Marysville.

» DEFENSE continued from page 12 While Dunbar would welcome any expansion of health care coverage and access that the Affordable Care Act might bring, she acknowledged that it also comes with no small amount of confusion, which she wants to help clear up for her patients. “A lot of our patients are uninsured or have limited means, but I hate to see them play the odds by putting their symptoms on the back burner,” Dunbar said. “What was once a very scary diagnosis can now be countered with a lot of very effective treatment, which is less invasive than ever before. Your best chance of beating breast cancer is catching it at an early stage through regular screenings.” The Community Health Center of Snohomish County in Arlington is located at 326 S. Stillaguamish Ave. and can

whites, and added that Hispanic women are 20 percent more likely to die from breast cancer when compared to Planned Parenthood of the Great Northwest non-Hispanic white women diagnosed at similar ages Planned Parenthood of the Great Northwest, which and stages. has offices in Marysville and Everett, emphasized that it’s “African-American women actually have the highest not just women who are 40 years and older who need to incidence of breast cancer under the age of 40, and it’s be attentive toward their breast health. much more aggressive than the breast cancers that are “There’s a lot that women under 40 can do to reduce found at similar ages and stages among white women their risk of breast cancer,” said Dr. Kara Cadwallader, and Latinas,” Cadwallader said. “With Latinas, by the senior medical director of Planned Parenthood of the time the diagnosis is made, it’s more likely to have a poor Great Northwest. “Our big push is for women to take outcome.” charge of their own health through early detection.” Cadwallader identified a number of intersecting facOf Planned Parenthood’s patients in Snohomish tors as contributing to higher incidences of more aggresCounty, 94 percent are under the age of 40. Although sive breast cancer among African-American women, as Cadwallader acknowledged that women under 40 make well as the higher mortality rate of Hispanic women, up a small portion of the total number of women diag- including the increased difficulty of leading a healthier nosed with breast cancer every year, lifestyle when you have more limited she warned that when breast cancer means, as well as a lack of access to “There’s a lot that does occur in younger women it is basic health care services. While she often aggressive. As such, she strongly still recommends that women exercise women under 40 can urged women to see their health care and reduce their intake of both alcodo to reduce their risk professionals if they notice any changhol and tobacco products, she shares es in their breasts. Dunbar’s hopes that the implemenof breast cancer.” Planned Parenthood of the Great tation of the Affordable Care Act will v Northwest’s doctors and nurses proopen more health care options to milvide as many as tens of thousands of lions more women. Dr. Kara Cadwallader Senior Medical Director breast exams on young women each “We’re doing a big push in October Planned Parenthood year. If a Planned Parenthood provider to help people understand the finds an abnormality during an exam, Affordable Care Act and get enrolled the patient is referred to a breast specialist for further in new health plans,” said Cadwallader, who referred peoexamination which may include diagnostic tests such as ple to Planned Parenthood’s microsite at http://ppvotesan ultrasound or biopsy. Planned Parenthood health care for further details. professionals also inform young women of factors that In the meantime, since breast cancer remains the can reduce their breast cancer risk, among them getting leading cause of cancer death among Latinas, who are regular exercise and limiting their alcohol intake. sometimes reluctant to seek care due to a language barPlanned Parenthood of the Great Northwest’s diag- rier, Planned Parenthood educators are continuing to nostic grant program helps to cover the costs of these speak with Latinas in their communities about the importests for patients when possible, since the tests can be tance of screening and connecting women to health care costly, especially for uninsured and low-income women. services, helping them take control of their health. Cadwallader cited studies showing that Hispanic To schedule an appointment at the Marysville or Americans tend not to get screened for common can- Everett Planned Parenthood health centers, call 1-800cers, such as breast cancer, as regularly as non-Hispanic 230-7526 or log onto n

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JOY VERADY, a nurse practitioner at the Providence Comprehensive Breast Center in Everett, employs software designed to look for genetic risks of cancer in patients’ family histories.

The Arlington Times • The Marysville Globe

JANEL JACOBSON, a medical assistant at the Providence Comprehensive Breast Center in Everett, reviews a patient’s charts.

Providence Regional Cancer Partnership provides EVERETT — While a number of other health agencies throughout Snohomish County are able to specialize in diagnosing and treating certain parts of breast cancer, many of them refer their support services to the Providence Regional Cancer Partnership. Mary Gallagher and Nicola Mucci, who work in patient support services at the Providence Regional Cancer Partnership, noted that Providence provides not only diagnostic services, surgery, chemotherapy and radiation, but also support services such as counseling, support groups, massage, acupuncture, yoga and dietician services. Many of these services are integrated to ensure that Providence is caring for patients’ minds and bodies at the same time. “Patient support services offer a more holistic approach to health care,” Mucci said. “Patients can work with our teams and take advantage of our resources to address the emotional aspects of what they’re going through.” “Relationships have become a focus for us lately,” Gallagher said. “We’re looking at how women with breast cancer and their families are adapting to the new circum-

DR. NANCY NEUBAUER, a radiologist at the Providence Comprehensive Breast Center in Everett, studies mammography scans through state-of-the-art imaging systems.

mind and body care for cancer patients

stances that they’re all facing, the patients and their loved ones alike. How do they deal with these new emotions?” Mucci explained that, because there is such a wide variety of experiences that cancer patients and their families can face, Providence’s menu of support groups includes not only a general cancer survivors group, but also therapy groups, groups for patients in the advanced stages of cancer, two groups for breast cancer patients — one set aside specifically for younger patients — and a support group for cancer survivors. “Younger breast cancer patients are going to be facing issues that are less relevant to women who are 45 years and older,” Mucci said. “Younger women need to know how to deal with breast cancer when they still have young children at home, and how to balance their family, career and health concerns. There are also going to be issues tied to sexuality and intimacy with their partners, as well as the shock of being diagnosed with breast cancer at a younger age.” Mucci added that, regardless of whether the support groups are specific to younger or older cancer patients,

family members are always welcome to attend, and indeed, Gallagher pointed out that many aspects of cancer impact the patients’ families as hard as the patients themselves. “The idea is to let patients know that they have that emotional support at every stage of their journeys,” Gallagher said. “At the same time, we try to help those patients’ caregivers manage their own stress levels. Simple tasks such as balancing the checkbook and doing the laundry become much more challenging when they’re undergoing treatment, so especially if the caregivers are the adult children of the patients, they need to learn to be patient with their parents.” Between scheduling appointments, providing transportation, picking up medications and running errands such as grocery shopping for their loved ones, Gallagher estimated that caregivers can easily find themselves saddled with an extra 20 hours of work per week. “To keep them from overextending themselves and

» MIND & BODY Continued on page 16

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October 12, 2013

The Arlington Times • The Marysville Globe

» MIND & BODY Continued from page 14

“What’s new in how we’re helping caregivers is that we’re acknowledging that everyone in the family is affected by cancer, not just the patient,” Mucci said. “The family is the patient,” Gallagher said. “Patients burning out, we teach them how to ‘Share the Care,’” Gallagher said. “If they can get help from their own fami- who are used to living independent, private lives need lies and friends, and disperse those tasks, it lightens the to learn how to open up to others. At the same time, they need to have self-esteem load on everyone.” and feel good about themCaregivers have more “What’s new in how we’re helping selves. The mind and the than one support group caregivers is that we’re acknowledging body are so interwoven devoted to their needs that everyone in the family is affected by that we can experience at Providence, with one stresses as physical sensagroup addressing the concancer, not just the patient.” tions.” cerns of individual caregivThe Providence Regional ers, while the “Share the v Cancer Partnership’s Care” support group is Nicola Mucci Patient Support Services scope of programs related tailored toward those who Providence Regional Cancer Partnership to patients’ well-being is act as caregivers to cancer also expansive enough to patients in groups. While the individual caregiver support group teaches caregiv- include social workers, financial management, childers how to take care of themselves in addition to seeing care, elder care, chaplains and psychologists. The Providence Regional Cancer Partnership is locatto those with cancer, the “Share the Care” support group trains groups on how to give care to cancer patients as ed at 1717 13th St. in Everett. For more information, log onto n teams.

From left, ARLINGTON FIRE DEPARTMENT personnel Tom Cooper, Brandon Asher, Chris Dickison, Kirk Normand, Bryce Lyshol, Harold Smith, Cody Kraski, Matt Hickman, Doug Schmidt, Cary Stuart and Bruce Stedman will don pink T-shirts during this year’s National Breast Cancer Awareness Month.

From left, MARYSVILLE FIRE DISTRICT Fleet and Facilities Lead Josh Farnes, firefighters Grant Elsworth and Steve Neyens, Capt. Matt Campbell and Battalion Chief Scott Goodale donned pink T-shirts during last year’s National Breast Cancer Awareness Month.

Marysville, Arlington firefighters


‘Care Enough to Wear Pink’ Their fire engines will remain the same colors, but the firefighters of Marysville and Arlington will be wearing pink with their uniforms throughout the month of October, in recognition of National Breast Cancer Awareness Month. As they’ve done in previous years, members of the Marysville Fire District and the Arlington Fire Department are making plans to don their pink T-shirts on select days in October. The International Association of Fire Fighters and the Washington State Council of Fire Fighters have each encouraged all their members to participate in the “Cares Enough to Wear Pink” campaign, to help raise funds and awareness for all women who are battling cancer. The two groups are urging firefighters to join together and help lead the way in portraying an image of hope, strength and courage to those women who worry about being alone in their battle for life. “Wearing pink allows each of us to reflect on those who have suffered from this type of cancer, and to support those survivors,” Marysville Fire Chief Greg Corn said. “Providing support for breast cancer activities has become a large part of our culture, as we work towards raising awareness for breast cancer,” said Jason Tucker, president of Marysville Professional Firefighters Local 3219. “Our firefighters came to us because they wanted to be on board with this,” said Kristin Banfield, assistant city administrator for Arlington, who noted that it’s been at least four years since Arlington firefighters first showed their support for Breast Cancer Awareness Month by donning pink T-shirts. “As part of the calls they go out on, they’ve seen people being treated for cancer, so they know the value of early detection.” The Marysville Fire District and Arlington Fire Department hope that the rest of their communities will follow their lead by wearing pink to promote breast cancer awareness. n


October 12, 2013

The Arlington Times • The Marysville Globe

17 17

Citrine Health aims to provide prostheses and fittings for all income levels

SHELLY HENDERSON, manager of the Citrine Health Women’s Wellness Center in Everett, shows off some of the locally handmade art and fashion for sale at their shop.

HEATHER ROSS, a trained bra-fitter at the Citrine Health Women’s Wellness Center in Everett, compares a few of the bras that will be offered through Citrine’s Bra Shop

ANNE MILES, a trained bra-fitter at the Citrine Health Women’s Wellness Center in Everett, checks the selection of breast prostheses that will be offered through Citrine’s Bra Shop.

EVERETT — Surviving cancer can exact a physical toll beyond that of other illnesses, and while the Everett-based nonprofit Citrine Health serves many of the other health needs of women and families in Snohomish, Skagit, Island, Whatcom, San Juan and Pierce counties, it also offers a relatively unique service to area women who have battled breast cancer. Citrine Health Program Manager Becky Jones explained that Citrine partners with the Washington State Department of Health’s Breast, Cervical and Colon Health Program to connect women to free or low-cost preventative healthcare services, allowing underinsured and uninsured women to receive free mammograms and yearly health exams through more than 100 contracted health providers and facilities, including the Comprehensive Breast Center in Everett and Cascade Valley Hospital in Arlington. “We can help them pay the bills and navigate their way through the system,” Jones said. “We’re still in the learning phase of how this will work under the Affordable Care Act, but so is everyone in the health care industry. The point is, our screening program still exists.” While the Sea Mar Community Health Centers and the community Health Centers of Snohomish County offer similar services to underinsured and uninsured patients, what Citrine Health provides that’s unique to the region is the Bra Shop that it’s starting up in its Women’s Wellness Center in Everett. “There’s been nothing locally, closer than Mount Vernon, since Virginia’s Feminine Boutique in Marysville closed last year,” said Kerri Mallams, executive director of Citrine Health, who explained that the Bra Shop in the Women’s Wellness Center aims to furnish breast cancer patients with not only bras and post-mastectomy breasts prostheses, but also qualified fitters for both. “Patients can be billed through their insurance, Medicaid and Medicare, rather than having to pay out-of-pocket, and our four trained bra and breast-form fitters are a treasured commodity, since a

proper fit is as important as the prosthesis itself.” While breast prostheses can run into the $300 range, the new and gently used breast-forms on the shelves of the Women’s Wellness Center in Everett are going for free to those in need, although Citrine Health is accepting donations and hopes to help support the Bra Shop through sales of bras and lingerie to the general public. “You can get some insurance reimbursement for breast-forms through other avenues, but they might say, ‘We’ll only cover you for form A,’ and if you prefer form B, you would have to cover the cost difference,” Jones said. “It’s the difference between getting something basic versus something better.” Jones expects the Bra Shop to be open by next year, but in the meantime, those who wish to help support the Women’s Wellness Center programs can stop by to check out its shop full of locally handmade art and fashion, from jewelry and scarves to keychains whose beads are sized to match the rough dimensions of lumps that can be found in women’s breasts through various detection methods. The Women’s Wellness Center also hosts yoga, Zumba and meditation classes, along with massage and hypnotherapy, which are available through scholarships to women who are disabled or undergoing treatments, just down the hall from the offices of Citrine Health’s Basic Food Education and Outreach personnel, who guide eligible families through the process of applying for Basic Food Assistance, such as food stamps, from the state. “If you call or come in, we can go over whether you’re eligible,” said Meghan Gosting, outreach manager for Citrine Health. “It’ll be quick and painless. We’re actually able to assist a lot of people in the general population, whether they’ve lost employment or are on minimum wage.” Citrine Health and its Women’s Wellness Center are located at 2817 Rockefeller Ave. in Everett. For more information, call 425-259-9899 or log onto www. n

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The Arlington Times • The Marysville Globe

Making Strides returns to Everett to raise funds, awareness for cancer EVERETT — The American Cancer Society will be “Making Strides Against Cancer” again this year, from 9 a.m. to noon on Sunday, Oct. 20, in Everett, and event organizers and participants alike hope to recruit as many fellow members of the community as they can, to help continue the ACS’s progress in dealing with this disease. Jerri Wood, a specialist with mission delivery for the Great West Division of ACS in Everett, explained that Making Strides aims to enlist 200 teams in meeting an income goal of $165,000 this year, and as of the last week in September, they were just shy of 90 teams who’d raised slightly more than $40,000. She elaborated that Making Strides helps fund a variety of services for breast cancer patients, including Citrine Health of Everett, which has made a mission out of providing not only free bras and breast prostheses for post-mastectomy patients, but also fittings for both. “I met one woman who’d been using an old washrag in her bra, and she said, ‘You mean I could have had a real boob?’” Wood said. “It’s important for your spine and neck to try and maintain the weight balance that you had, and Citrine Health helps people with the paperwork, and to see if they qualify for Medicaid or Medicare.” Another service which Making Strides helps to support is the American Cancer Society’s own “Reach to Recovery,” which utilizes cancer survivors as a resource to guide those who have just been diagnosed with cancer through the journey of dealing with the disease. “If you’ve been a cancer survivor for one year, we can train you to be a coach to newly diagnosed cancer patients, so that they can look at you and see that you’ve made it

Walkers turned out in force for last year’s ‘Making Strides Against Cancer’ in Everett, to raise funds for programs and services to detect, treat, research and hopefully ultimately cure cancer.

through what they’re about to go through,” said Wood, who added that the ACS works to match survivors and newly diagnosed patients based on criteria such as their ages and types of cancer. “Being diagnosed with cancer doesn’t have to feel like a death sentence.” Wood also touted the American Cancer Society’s “Road to Recovery,” which eases the burden on cancer patients’ families by providing patients with free transportation to treatment, as well as the ACS hotline at 800227-2345, which is staffed 24 hours a day, seven days a week to answer questions about treatment options and locating resources, as well as simply providing some small measure

of comfort. “We have people call at 2 a.m. who are coming up on their yearly mammograms and are worried that they’ll find something,” Wood said. “We also have a number of survivors who finish their treatments and find themselves wondering what their purpose in life is. By volunteering to give rides to other folks who are fighting cancer, they can give something back.” In the meantime, Making Strides offers walkers throughout the region an opportunity to raise funds for all these programs, while also learning about other services, such as the Providence Regional Cancer Partnership’s Survivorship Series and the

YMCA’s exercise classes tailored toward those coping with cancer. “Besides the on-site educators, we’ll even have the American College of Cosmetology offering a two-hour class on cosmetics for cancer patients, including how to draw in your own eyebrows after your hair has fallen out,” Wood said. Making Strides drew an estimated 1,000 attendees last year, and this year’s kickoff at the Snohomish County Courthouse Plaza, located at 3000 Rockefeller Ave. in Everett, is drawing walkers from as for north as Arlington, including Kerry Munnich, who’s chaired that city’s Relay For Life for the American Cancer Society for multiple years. “This is our fourth year of coming to Making Strides,” said Munnich, captain of “Friends for a Cure,” an eight-member team made up of women from Arlington and Marysville. “We’re here for our friend Bobbi McFarland, a breast cancer survivor. Most of us have known each other since elementary school. The rest of us met up in middle school and high school. Point being, we’ve all known each other for a really long time.” Munnich explained that she and her friends walk in Making Strides and Relay For Life not only to raise funds for programs and services to detect, treat, research and hopefully ultimately cure cancer, but also to raise awareness about cancer-related issues. “We want to get people thinking about early detection, to nip it in the bud in time,” Munnich said. “Each year’s walks are powerfully emotional celebrations, and it’s one of the easiest things that you can do to make a difference, so why wouldn’t you do it?” For more information on this year’s Making Strides, log onto its website at n

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Join Roy Robinson Chevrolet As We Make Strides To End Breast Cancer... You’re invited to join us at Roy Robinson Chevrolet for a community GARAGE SALE event. Location is the Roy Robinson RV Center Saturday, October 19th, 8:00 am to 4:00 pm. TASTY REFRESHMENTS TO BE SERVED! All proceeds to be donated to The American Cancer Society! Please donate your useable and gently used items for the garage sale! We request that all donated items to be dropped off by October 16th. Also … Please join the Roy Robinson Chevrolet team in “The Making Strides” 5-K walk Sunday, October 20th! Walk begins at 9:30 am at the Snohomish County Courthouse. Please type this url directly in your address bar of your browser: Go to the homepage, then find “support a walker or team”, click on “find a team” type Roy Robinson Chevrolet. You may join us on the walk or donate or both!

Roy Robinson is committed to join the fight against Breast Cancer! For more information, Please contact Karena: PH: (360) 659-6236 EMAIL: 878103

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Special Sections - PINK CRUSADE 2013  


Special Sections - PINK CRUSADE 2013