BREAST CANCER AWARENESS 2014

WEDNESDAY, OCTOBER 15, 2014 • 1

AWARENESS • EDUCATION • EMPOWERMENT A SPECIAL SECTION OF THE SEQUIM GAZETTE AND PENINSULA DAILY NEWS

BREAST CANCER AWARENESS 2014

2 • WEDNESDAY, OCTOBER 15, 2014

HOW SHOULD A BREAST SELF-EXAM BE PERFORMED?

Performing a breast self-exam

IN THE SHOWER

Using the pads of your fingers, move around your entire breast in a circular pattern moving from the outside to the center, checking the entire breast and armpit area. Check both breasts each month feeling for any lump, thickening or hardened knot. Notice any changes and get lumps evaluated by your health care provider.

IN FRONT OF A MIRROR

Visually inspect your breasts with your arms at your sides. Next, raise your arms high overhead. Look for any changes in the contour, any swelling, or dimpling of the skin or changes in the nipples. Next, rest your palms on your hips and press firmly to flex your chest muscles. Left and right breasts will not exactly match — few women’s breasts do, so look for any dimpling, puckering or changes, particularly on one side.

LYING DOWN

ONCE A MONTH

Adult women of all ages are encouraged to perform breast self-exams at least once a month. Johns Hopkins Medical Center states, “Forty percent of diagnosed breast cancers are detected by women who feel a lump, so establishing a regular breast self-exam is very important.” While mammograms can help you to detect cancer before you can feel a lump, breast self-exams help you to be familiar with how your breasts look and feel so you can alert your health care professional if there are any changes.

When lying down, the breast tissue spreads out evenly along the chest wall. Place a pillow under your right shoulder and your right arm behind your head. Using your left hand, move the pads of your fingers around your right breast gently in small circular motions covering the entire breast area and armpit. Use light, medium and firm pressure. Squeeze the nipple; check for discharge and lumps. Repeat these steps for your left breast.

CAN I RELY ON BREAST SELF-EXAMS ALONE TO BE SURE I AM BREAST CANCER FREE?

Mammography can detect tumors before they can be felt, so screening is key for early detection. But when combined with regular medical care and appropriate guidelinerecommended mammography, breast self-exams can help women know what is normal for them so they can report any changes to their health care provider. If you find a lump, schedule an appointment with your doctor, but don’t panic — 8 out of 10 lumps are not cancerous. For additional peace of mind, call your doctor whenever you have concerns.

SYMPTOMS AND SIGNS

Celebrating the Power of Pink

Every person should know the symptoms and signs of breast cancer, and any time an abnormality is discovered, it should be investigated by a health care professional. Most people who have breast cancer symptoms and signs initially will notice only one or two and the presence of these symptoms and signs do not automatically mean that you have breast cancer. By performing monthly breast self-exams, you will be able to more easily identify any changes in your breast. Be sure to talk to your health care professional if you notice anything unusual.

A CHANGE IN HOW THE BREAST OR NIPPLE FEELS

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BREAST CANCER AWARENESS 2014

WEDNESDAY, OCTOBER 15, 2014 • 3

A change in the skin texture or an enlargement of pores in the skin of the breast (some describe this as similar to an orange peel’s texture) A lump in the breast (It’s important to remember that all lumps should be investigated by a health care professional, but not all lumps are cancerous.)

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Take charge of your health by learning more about breast cancer risk factors and ways you can better prevent this common disease. The following risk factors increase your likelihood of developing breast cancer:

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BREAST CANCER AWARENESS 2014

4 • WEDNESDAY, OCTOBER 15, 2014

What the heck is 3D Mammo?

Now that 3D mammography is available at Olympic Medical Center, you may be asking yourself how 3D is different from digital mammography – the simple answer is 3D mammography finds cancers earlier while reducing false positives and unnecessary biopsies. 3D mammography enhances the abilities of radiologists to detect breast cancer early when it is more easily treatable. This advanced technology also is convenient, as it can be used in conjunction with traditional 2D mammograms.

HOW DOES IT WORK?

During the 3D part of the mammogram, the X-ray arm sweeps in a slight arc over the breast, taking multiple images. The process only adds a few seconds to the compression time. Then, a computer produces a 3D image of your breast tissue in one millimeter slices, providing greater visibility for radiologists to see breast detail in a way never before possible. They can scroll through images of your entire breast like pages of a book.

WHAT ARE THE BENEFITS?

“3D mammograms allow the radiologist to more easily detect smaller cancers in dense breast tissue, but it benefits patients whose breasts are not dense as well,” says Hampton Sessions, MD, radiologist and medical director of mammography at Olympic Medical Center. “These 3D images also allow the radiologist to recognize overlapping densities in the breast as normal breast tissue and decrease the need to recall the patient for additional views.” Are you overdue for a screening, or do you need to schedule your first mammogram? Call 565-9003 to make an appointment.

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BREAST CANCER AWARENESS 2014

3D MAMMOGRAPHY FREQUENTLY ASKED QUESTIONS

WEDNESDAY, OCTOBER 15, 2014 • 5

OCTOBER IS BREaST CanCER awaREnESS mOnTh

• WHAT IS A 3D MAMMOGRAPHY BREAST EXAM?

3D mammography is a revolutionary new screening and diagnostic tool designed for early breast cancer detection that can be done in conjunction with a traditional 2D digital mammogram. During the 3D part of the exam, the X-ray arm sweeps in a slight arc over your breast, taking multiple breast images. Then, a computer produces a 3D image of your breast tissue in one millimeter slices, providing greater visibility for the radiologist to see breast detail in a way never before possible. They can scroll through images of your entire breast like pages of a book. The additional 3D images make it possible for a radiologist to gain a better understanding of your breast tissue during screening and the confidence to reduce the need for follow-up imaging.

• WHY IS THERE A NEED FOR TOMOSYNTHESIS BREAST EXAMS? WHAT ARE THE BENEFITS?

With conventional digital mammography, the radiologist is viewing all the complexities of your breast tissue in a one flat image. Sometimes breast tissue can overlap, giving the illusion of normal breast tissue looking like an abnormal area. By looking at the breast tissue in one millimeter slices, the radiologist can provide a more confident assessment. In this way, 3D mammography finds cancers missed with conventional 2D mammography. It also means there is less chance your doctor will call you back later for a “second look,” because now they can see breast tissue more clearly.

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• WHAT IS THE DIFFERENCE BETWEEN A SCREENING AND DIAGNOSTIC MAMMOGRAM?

A screening mammogram is your annual mammogram that is done every year. Sometimes the radiologist may ask you to come back for follow-up images which is called a diagnostic mammogram to rule out an unclear area in the breast or if there is a breast complaint that needs to be evaluated.

• WHAT SHOULD I EXPECT DURING THE 3D MAMMOGRAPHY EXAM?

3D mammography complements standard 2D mammography and is performed at the same time with the same system. There is no additional compression required and it only takes a few more seconds longer for each view.

• IS THERE MORE RADIATION DOSE?

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Very low X-ray energy is used during the exam, just about the same amount as a traditional mammogram done on film.

It is approved for all women who would be undergoing a standard mammogram, in both the screening and diagnostic settings.

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BREAST CANCER AWARENESS 2014

6 • WEDNESDAY, OCTOBER 15, 2014

Operation Uplift

Operation Uplift is a nonprofit, 501(c)3 support group for the North Olympic Peninsula. OU is a grass roots organization, founded here in Port Angeles in 1983 so we are celebrating our 31st year. Although OU started as a breast cancer support group we became an all-cancer support group in 1989. Operation Uplift is governed by a board of directors.

“CANCER SURVIVORS” — HOW DO YOU DEFINE “SURVIVOR?”

A person is a survivor from the minute of diagnosis; we want their thinking to be one of surviving and we are there to give them all the support and help we can.

WHAT DOES OPERATION UPLIFT DO?

In addition to providing support for the survivor, we participate in health fairs, sponsor seminars and programs for prevention of cancer. We sponsor two free breast health clinics for women who are without insurance or who have insurance that does not cover breast exams and/or mammograms. One Breast Health Clinic is in June, kicking off the annual “Pink UP” week in Port Angeles and another is held in October. Anytime during the year if a doctor or health care professional requests a voucher for a woman without insurance, we provide these vouchers to the doctor upon request. We work with Olympic Medical Center to make this an uncomplicated experience for the patient. We speak to service groups, clubs, community groups and educational classes about cancer prevention and also

WHAT IS OPERATION UPLIFT? HOW LONG HAS IT BEEN AROUND? IS IT STRICTLY ABOUT BREAST CANCER?

about what Operation Uplift does. We have a wide variety of wigs, turbans and scarves for women going through chemotherapy treatment plus free prostheses and bras for mastectomy survivors. We hold workshops and retreats on cancer-related topics. We have limited financial assistance. Operation Uplift volunteers have been there and can provide the one-on-one support and encouragement that is so important to recovery. OU encourages people to make informed decisions and to participate in their own health care. We do not actively promote any particular form of cancer treatment. We see our role as one of supporting people in the decisions they make. We encourage a positive approach to cancer because there is substantial evidence that attitude directly affects the body’s ability to cope with disease. This positive approach includes providing support, education and information to the citizens in our communities.

WHAT ARE THE CHARGES FOR ALL THESE SERVICES? ARE THERE CERTAIN INCOME CRITERIA, (E.G. LOW INCOME)?

Operation Uplift does not charge for any services or items.

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BREAST CANCER AWARENESS 2014

WEDNESDAY, OCTOBER 15, 2014 • 7

▼ Operation Uplift ... continued

WHAT MAKES OPERATION UPLIFT UNIQUE?

One-hundred percent of fundraising and donations go back to this community. We are all volunteers, the executive director, the board of directors and all the other wonderful volunteers who make this program work. We are a grassroots organization, founded here in Port Angeles. We are not a branch of any cancer organization. We have no hidden agenda, we are there when we are needed. Operation Uplift doesn’t search out survivors; we are trying to become totally visible to our communities. What is contributed to OU stays right here … no overhead, no paid personnel … our volunteers are volunteering 100 percent, they don’t even reimbursed for travel or expenses. How does it go? I’ve just been diagnosed with cancer and I call 457-5141 — What happens? If a volunteer is not available to immediately answer your call, leave your name and one will call you back. If you are a newly diagnosed survivor or calling for a survivor, the the “on-call” volunteer will make arrangements for a survivor with the same type of cancer to contact you and talk with you on the subject of your choosing. Volunteers can assist you with most questions or refer you to someone who can assist you. For other callers needing books, brochures, wigs, prostheses, turbans, etc., the on-call volunteer can arrange for you to come to the office and get these items. Operation Uplift also provides no-cost support services, outdoor activities and programs for women cancer survivors through workshops, retreats, outdoor activities. We will start off again next spring with our “Kick Off Celebration.” During the fall we have a free “Gentle Yoga” class for cancer survivors. Call 457-5141 for more information. Our community has been terrific — of course, our community always is terrific when it comes to helping and fundraising support for those in need. Just when we needed it most, Soroptimist International of Port Angeles Noon Club came to our rescue and has dedicated a yearly Golf Tournament to support OU and then added “Pink Up Port Angeles,” a weeklong series of fun and fundraising events that brought additional cancer awareness to the community. A number of local businesses and organizations have held fundraising events to support us and they are truly appreciated.

WHAT HAVEN’T WE SAID THAT WE OUGHT TO SAY?

If you know someone we could help, call us at 457-5141 or ask them to call us. We’ll do all we can for them.

The beauty of exercise Dozens of studies have confirmed that physically active women have a lower risk of developing breast cancer. A lifelong habit of regular, vigorous exercise seems to offer the most benefits, but even women who become more active after menopause have a reduced risk compared with those who are sedentary. One of the key reasons exercise is so beneficial is its impact on female hormone estrogen levels. High levels of estrogen in the blood have been linked to breast cancer risk. Exercise lowers those levels and reduces several other risk factors as well. One study found regular physical activity cut women’s breast cancer risk by as much as 25 percent. Researchers suggest at least 30 minutes of exercise a day most days of the week. Even moderate activities such as a brisk walk at lunchtime can count toward breast cancer prevention. Staying active, eating right – including lots of fresh fruits, vegetables and whole grains in your meals – and maintaining regular screenings are all part of a smart breast health strategy. The American Cancer Society recommends clinical breast exams at least every three years and mammograms every year starting at age 40. You and your physician can discuss the best exam schedule based on your family history.

WHAT DO WE HOPE THAT PEOPLE WILL REMEMBER?

Operation Uplift is here to assist and support; OU was born here, we want to continue to serve our community. We are an all-volunteer organization and whatever funds are raised for Operation Uplift stay right here and are used for our own citizens. A big thank you to this wonderful community for your continued support!

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Breast Cancer Awareness 2014

8 • Wednesday, October 15, 2014

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PREVENTION, PREVENTION AND... PREVENTION

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Breast Cancer Awareness 2014

Wednesday, October 15, 2014 • 9

Three golden rules to remember:

PREVENTION, PREVENTION AND... PREVENTION Every October, the international community promotes Breast Cancer Awareness Month. In the United States, one woman in nine will be afflicted with this type of cancer during her lifetime. This is why it is so important to raise awareness of the ways to prevent this disease from developing.

e Mak am ogr ! m mam tment oin p p a

Of course, priority has to be placed on screening because the sooner a cancer is detected, the higher the chances of survival are. For women 50 years and older, the simple fact of having a mammogram as well as a breast examination every two years reduces the death rate in 50- to 69-year-olds by more than 25%! So it’s clear that breast cancer rates would be reduced significantly if all women had regular breast examinations. Doctors suggest several ways to reduce the risks of contracting this devastating disease. First and foremost, they recommend a diet rich in fruits and vegetables and, even more importantly, low in fat. Several studies demonstrate that a healthy diet can prevent certain cancers as well as heart disease.

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Another component in the fight against cancer is regular exercise. By adding a period of light to moderate physical activity to your daily routine, you can help protect yourself. It doesn’t have to be anything complicated, just a walk around the neighborhood, playing outside with your children or even biking to work. And lastly, it is strongly recommended to reduce alcohol consumption and to stay well away from cigarettes!

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BREAST CANCER AWARENESS 2014

10 • WEDNESDAY, OCTOBER 15, 2014

Pink UP By Linda DeBord, Pink UP chair Pink UP Port Angeles was a brain child of mine when I was frustrated with losing another loved one to cancer. Cancer touches all of us in some way, but it just happened to me for the fifth time in less than a year. I know people are working toward a cure but there had to be something I could do that would make a difference in the

lives of those who are fighting the disease. My friend Liz Waud has been involved with Operation Uplift forever. My thought was I could make a difference to those people who need help in Clallam County by helping Operation Uplift grow and serve more people. Pink, a color known to be for cancer, UP for Uplift, Port Angeles, because that’s the site, even though Operation Uplift serves all of Clallam

supports breast cancer survivors with a personal touch

County (Forks and Sequim). I brought my idea to Operation Uplift and then to Soroptimist International Port Angeles. As Soroptimists we are charged to improve the lives of women and girls, through advocacy, awareness and action. Pink UP fit those goals perfectly. SIPA voted to support Pink UP and work together to raise money, assisting Operation Uplift grow. That was six years ago and each year we do better. To raise money to help Operation Uplift is only one section of Pink UP focus. We want to increase the awareness that there is help for those who are diagnosed with cancer, to help people

find Operation Uplift. We also want to distribute information on the different signs of cancer and that early detection is lifesaving. More funds allow Operation Uplift to serve more people, whether it’s with a free mammogram, a wig, a sleeve, prosthesis, a knowledgeable ear, assistance to treatment or activity. I’m so proud of Pink UP, it has accomplished all these goals. I’m also so proud of Operation Uplift where 100 percent of the money donated goes to service for those who need help. All volunteer, the help doesn’t end with treatment. There is a very active survivors group that restores the soul of those who have battled cancer. Building bridges of friendship between those people who have been there, fought and won, attitude is clearly a part of success. Pink UP is a part of my

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BY THE NUMBERS

These statistics from the American Cancer Society shed light on breast cancer survivorship: • 93%-100% survival rate for Stages I and II of breast cancer • 72% survival rate for Stage III breast cancer • 22% survival rate for Stage IV breast cancer • 2.8 million number of breast cancer survivors living in the United States

life, it’s what I do — I hate cancer and if I can make it better for those who are in battle, I’m complete. We have a week filled with activities, fundraisers and fun. We are getting help from the Port Angeles Association

of Realtors, the City of Port Angeles, other service clubs and we continue to grow. Look out cancer, we’re going to wipe you out. Come and help. We can tell you how. Contact me at 360-457-5141 or deBord@olypen.com.

Breast Cancer Awareness 2014

Wednesday, October 15, 2014 • 11

Pink Up Port Angeles Thank You 2014 It has been another smashing year for the history books. Pink Up Port Angeles week of fun was stretched out a bit more than 7 days and the results were tremendous. The Final count was over $38,000 together with the help of the Port Angeles Association of Realtors®. The week began with a FREE Breast Health Clinic of which 20 women were assisted. That same day Soroptimist spread PINK ribbons all over Port Angeles to raise awareness of the weeks events. Sunday, the 3rd annual Dennis Wilcox Pooch Walk and the 5K Fun Run flooded the waterfront trail. The Pooch Walk was sponsored by Windermere Real Estate and Kathleen Graf LMP. The 5K was sponsored by Olympic Medical Center and PA Auto. Over $1,100 was raised. Everyone received a goodie bag and a t-shirt for participating. The next event was Pink Out the Pier. Music surrounded

the dancers as the kids chased bubbles and drew art pieces on the concrete. Bubbles and chalk sponsored by Kandu Enterprises. Cancer prevention information and locations to receive assistance were distributed. This event was sponsored by Olympic Peninsula Title Company. FREE cookies baked by the culinary class of the Skill Center were provided by Angeles Collision Repair and Towing. Friday, the shotgun-start of the Golf Tournament at Peninsula Golf Course started promptly at noon. Prizes offered for a hole-in-one included a 2014 GMC Sierra 1500 SLE Truck, a resort vacation and a $500 shopping spree sponsored by Mac Ruddell Community Fund. A reception held at Peninsula Golf Club included heavy hors d’ oeuvres, prizes and a 50/50 raffle This event brought in over $5,000. Saturday, a super-bake-sale took place at Swain’s. Items sold included Soroptimist baked pies and goodies, sales of

Pink T-Shirts and jewelry. Great job, as almost $1,700 was raised from the sale. Saturday, June 28 was the Chestnut Cottage Spaghetti Feed. Celebrity servers took over the restaurant for an evening of fun. Cash donations exceeded $12,000 including $9,000 in tips. A huge gift basket from Franni’s Gift Expressions was raffled off to a lucky diner. This year was a first for our city council to declare by proclamation that the city name be changed for the “Pink Up Week” to “Pink Angeles”, a pink flag flew over City Hall recognizing the fight against cancer and the help that is available from Operation Uplift. Peninsula Daily News and Pen Print are extraordinary sponsors, we could not do the work we do without their help. We look forward to 2015 and have a few new events in mind to raise more money for Operation Uplift.

Please join SIPA in thanking the following 2014 supporters: MAJOR SPONSORS

Peninsula Pretzels Franni’s Gift Expressions Olympic Tire & Auto Repair John Wayne’s Automotive Ruth and Robert Goodrich Wilder Auto Center Olympic Medical Center APS Electrical J & J Construction Elwha/Clallam Tribe Union Bank Ray Gruver, State Farm Insurance Soroptimist International P.A. (Noon Club) BUSINESS SPONSORS

Gellor Insurance George Symonds OD Naval Elks Lodge #353 Olympic Stationers Callis and Associates Insurance Toga’s Soup House

Angeles Beauty Supply and Salon Skin Care Suites and Spa Case Painting Little Mount Pet Grooming M&M Fryer & Sons Insurance Advantage Escrow Lloyd and Carol Eisenman Tracy’s Insulation Port Angeles Realty Susan Parr Travel Downriggers Tim and Donna Thompson Marge and Frank Clemens Fran and Brent Moore Sunrise Meats Sears Port Angeles Angeles Furniture Tiny Bubbles Pet Spa Odyssey Bookshop Boulevard Hair Design Beauty and the Beach

Sound Bikes and Kayaks Cherry Creek Mortgage Steve Methner, State Farm Leitz Farms La Belle Creperie Strait Alignment & Brake Tami Zieglar, Hair Solutions Captain “T”s Bob Lovell, Port Angeles Chevron Wild Branch Garden Services Selinda Barkhuis Leslie Spotkov Dan and Carol Diguilio Traylor’s Restaurant Tranco Transmissions Ernst Fine Photography Sergio’s Hacienda & Cantina Sassy Kat Salon Drakes U-Bake Pizza & Subs First Street Haven Karen Sue Scott King Cross Fit

Strait Occupational & Hand Therapy Karon’s Frame Center Rex and Sandy Springer Beth and Gary Velie Karen Sistek Coffee Cottage, Jessica Matthews P.O.E. CELEBRITY SERVERS

(Raised over $9,000 tips) Ken, Diane, Renae & Chestnut Cottage Staff Terri Wood Jesse Long Lori Taylor Terry Gallager Dan McKeen Terry Neske Jennifer Holcomb Sue Stoneman Sue Roaf Vonnie McKnight Greg Bondy Ann Johnson Soroprimist Bus People

Thank you to anyone who may have been inadvertently omitted.

See you next year!

GOLF TOURNAMENT

Mac Ruddell Community Fund D&K Painting First Federal Triggs Dental Lab 7 Cedars Casino Bruch and Bruch Construction Rinehart Consulting Friends of DeeAnn Anderson Rudy’s Auto Repair Del Hur Inc. J&J Construction Glass Services Lena Washke Accounting Services Dr. Al Mangan Tom and Ida McKeown Peninsula Bottling

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First Federal R-J Services Randy’s Auto Sales and Motorsports Zenovic and Associates Olympic Peninsula Title Spa Shop Windermere Real Estate Jim’s Pharmacy Properties By Landmark Pen Print Angeles Vision Clinic Angeles Collision Repair and Towing PA Auto Sales Chestnut Cottage Arrow Launch Services Kitsap Bank Coldwell Banker Uptown Realty Kathleen Graf BS LMP Strait-View Credit Union 7 Cedars Casino Peninsula Daily News Shirley Weatherbee Sound Community Bank

BREAST CANCER AWARENESS 2014

12 • WEDNESDAY, OCTOBER 15, 2014

3D

MAMMOGRAPHY IS HERE .

Seeing detail as never before possible. 3D mammography brings a new dimension to breast health by offering greater clarity and more certainty. This innovative new technology allows doctors to see breast tissue detail in a way never before possible to help find breast cancer at its earliest stages, when it is most treatable. When breast cancer is found early, the five-year survival rate is 98%. Call (360) 565-9003 to learn more or to schedule your 3D mammogram at one of our convenient locations in Port Angeles and Sequim.

(360) 565-9003 4A1143881