When you are a cancer survivor, you are forever embracing uncertainty and, at times, strong emotions. This is quite normal, although, when alone with yourself, you may be doubting them. In fact, the longer you are a survivor, the more you may question these troubling thoughts. Your rational mind says you should be over thinking in that way by now.
But your heart says something different. Just because you are a five-year survivor, or a 10-year survivor for that matter, doesn't mean your mind is back to its old self. I don't want to scare you, but, it never will be. In most cases, it will be better.
So while going through treatment, or perhaps many years later, there are times we have many questions, and there are times we are afraid. We don't always want to burden our loved ones with this, as we sometimes think, whether with reason or being a slight bit paranoid, that they will get tired of hearing us talk about it. "Isn't it about time you started to put this behind you?," are the words we imagine they are thinking to themselves.
There are a multitude of resources available on the Internet. I have come across a variety of sites that encourage cancer survivors to open up and express their fears. There are also a number of blogs, such as mine, where survivors can put themselves in another's shoes and feel solace there.
Since I have had my double mastectomy, there have also been a number of community-based organizations that have opened and that cater to cancer patients, survivors and their families. The resources available now compared to five years ago is astonishing. One example is the Maplesoft Centre in Ottawa. I had the opportunity to meet Linda Eagen, President, and to visit this beautiful facility prior to my operation, and while I was still in Ottawa for work.
As soon as you walk in the door, you are wrapped in a blanket of peacefulness and tranquillity. They are warm and welcoming, really making you feel like you are a priority to them. I met with Heather, a cancer coach, who told me about the centre and the programs available for cancer patients and their families. Everything from Meditation classes, to laughing yoga. They have state of the art studios and kitchen to offer classes on healthy eating, rooms for massage and reiki, as well as an infra-red sauna.
As cancer patients and survivors, we are very fortunate to have such dedicated people working for us in such beautiful facilities. Never before have we been able to reveal our innermost feelings to a cancer coach who listens and helps us develop the cancer care that meets our personal needs. There are more people like Linda Eagen, who work tirelessly in order to better our lives and raise the funds necessary to keep these vibrant centres afloat, and to have more information and resources to lengthen our survivorship and quality of life.
And there are more and more of these centres opening across North America. Centres that better a community and brighten the worlds of those who live with cancer. We no longer have to worry about those feelings we have. There is so much out there that can be just what we need. Reach out to them. You will be so glad that you did.
Results of a massive gene analysis, published last month in the journal <em>Nature</em>, shows that there are <a href="http://www.huffingtonpost.com/2012/09/24/four-breast-cancer-types-genetics-genes_n_1909116.html">four major classes</a> of breast cancer, the Associated Press reported. "With this study, we're one giant step closer to understanding the genetic origins of the <a href="http://www.siteman.wustl.edu/ContentPage.aspx?id=6431">four major subtypes of breast cancer</a>," study researcher Matthew Ellis, M.B., B.Chir., Ph.D., of the Washington University School of Medicine and the Siteman Cancer Center, said in a statement. "Now, we can investigate which drugs work best for patients based on the genetic profiles of their tumors," he added in the statement. "For basal-like breast tumors, it's clear they are genetically more similar to ovarian tumors than to other breast cancers. Whether they can be treated the same way is an intriguing possibility that needs to be explored."
Men are less likely to get breast cancer than women -- but when they do, it's <a href="http://www.huffingtonpost.com/2012/05/04/breast-cancer-men_n_1479739.html">often deadlier</a>, according to a study presented earlier this year at the American Society of Breast Surgeons meeting. The Associated Press reported that <a href="http://www.huffingtonpost.com/2012/05/04/breast-cancer-men_n_1479739.html">men diagnosed with breast cancer</a> live, on average, two fewer years than women who are diagnosed with breast cancer, and are also more likely to have the breast cancer spread, have larger tumors when the cancer is discovered, and be diagnosed later.
Cadmium -- a toxic metal that can be present in foods like shellfish, root vegetables, offal and cereals -- may <a href="http://www.huffingtonpost.com/2012/03/15/cadmium-breast-cancer-intake_n_1347523.html">raise risk of breast cancer</a>, according to a March 2012 study in the journal <em>Cancer Research</em>. The research included 56,000 women. Researchers were able to analyze about how much cadmium each woman was consuming based on the cadmium-rich foods in her diet. They found that those who <a href="http://www.huffingtonpost.com/2012/03/15/cadmium-breast-cancer-intake_n_1347523.html">consumed the most cadmium</a> had a 21 percent higher breast cancer risk, compared with those who consumed the least cadmium, HuffPost's Catherine Pearson reported.
Getting six or fewer hours of sleep <a href="http://www.huffingtonpost.com/2012/09/06/sleep-breast-cancer-aggressive-deprivation_n_1854658.html">may raise the risk of recurrent breast cancer</a> among post-menopausal breast cancer patients, according to a study in the journal <em>Breast Cancer Research and Treatment</em>. However, this same link was not observed for pre-menopausal breast cancer patients. The findings suggest "that <a href="http://www.uhhospitals.org/about/media-news-room/current-news/2012/08/lack-of-sleep-found-to-be-a-new-risk-factor-for-aggressive-breast-cancers">lack of sufficient sleep</a> may cause more aggressive tumors, but more research will need to be done to verify this finding and understand the causes of this association," study researcher Cheryl Thompson, Ph.D. said in the statement.
A <a href="http://www.eurekalert.org/pub_releases/2012-10/acos-afo092712.php">smallpox virus</a> seems to be promising against a hard-to-treat form of breast cancer, called triple-negative breast cancer, according to a study in mice presented at the 2012 Annual Clinical Congress of the American College of Surgeons. "Based upon pathology, we could see that at least 60 percent of the <a href="http://www.eurekalert.org/pub_releases/2012-10/acos-afo092712.php">tumors were completely regressed</a> and the other 40 percent had very little areas of tumor cells present with a lot of necrosis, which is a sign that the tumor was responding to therapy," study researcher Dr. Sepideh Gholami, M.D., of Stanford University Medical Center, said in a statement. ABC News pointed out that this <a href="http://abcnews.go.com/blogs/health/2012/10/01/smallpox-virus-may-help-treat-deadly-form-of-breast-cancer/">kind of breast cancer is notoriously hard to treat</a> because it doesn't respond to other hormonal or immune treatments.
Working the night shift is linked to an increased risk of breast cancer, according to two different studies that came out this year. One of them, published in the journal <em>Occupational and Environmental Medicine</em>, showed that <a href="http://www.huffingtonpost.com/2012/05/30/shift-work-breast-cancer-risk_n_1553058.html">breast cancer risk went up </a>among women who worked the night shift more than twice a week, with the risk being the highest among those who said that they are "morning people" instead of "night people." <em>The Toronto Sun</em> reported that the results of this study confirm the findings of the International Agency for Research on Cancer, which has a list of items and <a href="http://www.torontosun.com/2012/05/29/night-shift-work-linked-to-breast-cancer-risk">habits that may cause cancer</a>. The IARC considers shift work "possibly carcinogenic." The other study, published in the <em>International Journal of Cancer</em>, showed that breast cancer risk is 30 percent higher for <a href="http://www.huffingtonpost.com/2012/07/01/shift-work-breast-cancer-night-sleep_n_1612486.html">women who work the night shift</a>, with the risk being especially clear among those working night-time jobs for four years, or those who worked the night shift for three or fewer nights a week.
The genes that help determine a <a href="http://www.huffingtonpost.com/2012/07/05/breast-cancer-risk-breast-size-study_n_1652292.html">woman's breast size</a> may also be linked with her breast cancer risk, according to a study published earlier this year in the journal <em>BMC Medical Genetics</em>. Researchers examined the genetic data of 16,000 women to find that seven DNA variations, called single nucleotide polymorphisms (SNPs), seem to be <a href="http://www.huffingtonpost.com/2012/07/05/breast-cancer-risk-breast-size-study_n_1652292.html">linked with breast size</a> -- and three of those SNPs are known to be associated with a person's risk of breast cancer, HuffPost's Catherine Pearson reported.
Just a little bit of exercise may help to <a href="http://www.huffingtonpost.com/2012/06/25/exercise-breast-cancer-risk-moderate_n_1619175.html">reduce your risk of breast cancer</a>, though the more you move, the better, according to a study in the journal <em>CANCER</em>. Researchers at the University of North Carolina in Chapel Hill found that postmenopausal or reproductive-age women in their study who exercised the most -- from 10 to 19 hours each week -- had a 30 percent <a href="http://www.huffingtonpost.com/2012/06/25/exercise-breast-cancer-risk-moderate_n_1619175.html">lower risk of breast cancer</a>, though exercising less than that was still linked with some protective benefits. "The observation of a reduced risk of breast cancer for women who <a href="http://www.eurekalert.org/pub_releases/2012-06/w-eem062012.php">engaged in exercise after menopause</a> is particularly encouraging given the late age of onset for breast cancer," study researcher Lauren McCullough said in a statement.
For post-menopausal women, <a href="http://www.telegraph.co.uk/health/healthnews/9541796/Breast-cancer-risk-raised-by-Type-2-diabetes.html">having Type 2 diabetes</a> may raise the risk of breast cancer, according to a review conducted by the International Prevention Research Institute. "On the one hand, it's thought that being overweight, often <a href="http://www.telegraph.co.uk/health/healthnews/9541796/Breast-cancer-risk-raised-by-Type-2-diabetes.html">associated with Type 2 diabetes</a>, and the effect this has on hormone activity may be partly responsible for the processes that lead to cancer growth," study researcher Peter Boyle, the president of the International Prevention Research Institute, told <em>The Telegraph</em>. "But it's also impossible to rule out that some factors related to diabetes may be involved in the process."
Being overweight could lead to worse outcomes from breast cancer, according to a study published August in the journal <em>Cancer</em>. Specifically, the study showed that overweight women who have been treated for breast cancer have a <a href="http://www.msnbc.msn.com/id/48800019/ns/health-cancer/t/being-overweight-tied-breast-cancer-return-death/#.UGxtN_mfGPI">higher risk of recurrence and death</a>, NBC News reported. "Obesity seemed to carry a <a href="http://www.msnbc.msn.com/id/48800019/ns/health-cancer/t/being-overweight-tied-breast-cancer-return-death/#.UGxtN_mfGPI">higher risk of breast cancer</a> recurrence and death -- even in women who were healthy at the time that they were diagnosed, and despite the fact that they received the best available chemotherapy and hormone therapy," study researcher Dr. Joseph Sparano, associate chairman of medical oncology at the Montefiore Einstein Center for Cancer Care, told NBC News.
Marisa Weiss, MD, of breast cancer.org, explains the different breast cancer stages and what they mean.
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