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Living Beyond Breast Cancer:Living Beyond Breast Cancer:
Celebrating a New NormalCelebrating a New Normal
A Breast Cancer ...
Women’s Center for BreastWomen’s Center for Breast
Health at the Hospital of SaintHealth at the Hospital of Saint
RaphaelR...
What can I do to stay healthy?What can I do to stay healthy?
What Increases the Risk of BreastWhat Increases the Risk of Breast
Cancer ?Cancer ?
• MultifactorialMultifactorial
– Gende...
What Increases the Risk of BreastWhat Increases the Risk of Breast
Cancer ?Cancer ?
• Not having children, or having them ...
Factors with No Defined LinkFactors with No Defined Link
• High fat dietHigh fat diet
• Underwire brasUnderwire bras
• Ant...
Traditional Breast CancerTraditional Breast Cancer
TreatmentTreatment
• SurgerySurgery
• RadiationRadiation
• Chemotherapy...
Breast Cancer Treatment 2009Breast Cancer Treatment 2009
• Individualized treatment planningIndividualized treatment plann...
• Therapies can be hard on the body andTherapies can be hard on the body and
mindmind
• Complementary therapies to ease si...
The goal of complementary medicine is toThe goal of complementary medicine is to
balance the whole person — physically,bal...
Complementary medicineComplementary medicine
treatmentstreatments
• AcupunctureAcupuncture
• AromatherapyAromatherapy
• Ch...
The National Center forThe National Center for
Complementary and AlternativeComplementary and Alternative
Medicine (NCCAM)...
How many people seekHow many people seek
complementary therapy?complementary therapy?
• 2002 National Health Interview Sur...
The National Center forThe National Center for
Complementary and AlternativeComplementary and Alternative
Medicine (NCCAM)...
What have clinical trials shown?What have clinical trials shown?
– Green teaGreen tea
– Vitamin DVitamin D
– TurmericTurme...
When considering Complementary orWhen considering Complementary or
Alternative Medicine, what questions shouldAlternative ...
Through Treatment and BeyondThrough Treatment and Beyond
• NutritionNutrition
• Physical FitnessPhysical Fitness
• Sexuali...
Women’s Center for BreastWomen’s Center for Breast
Health at the Hospital of SaintHealth at the Hospital of Saint
RaphaelR...
Healthful EatingHealthful Eating
Mary Malloy, R.D.Mary Malloy, R.D.
Physical FitnessPhysical Fitness
Cathy Rives, MS, PTCathy Rives, MS, PT
Regaining Intimacy AfterRegaining Intimacy After
TreatmentTreatment
Lois Spivack, PhDLois Spivack, PhD
ASK THE EXPERTSASK THE EXPERTS
Thomas Fynan, MD, Medical OncologyThomas Fynan, MD, Medical Oncology
Vanna Dest, APRN, Gene...
Stress ManagementStress Management
Lori Ratchelous, MSWLori Ratchelous, MSW
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Living Beyond Breast Cancer: Celebrating a New Normal

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Living Beyond Breast Cancer: Celebrating a New Normal

  1. 1. Living Beyond Breast Cancer:Living Beyond Breast Cancer: Celebrating a New NormalCelebrating a New Normal A Breast Cancer SymposiumA Breast Cancer Symposium Saturday, May 30, 2009Saturday, May 30, 2009 Cronin Auditorium, Hospital of Saint Raphael 1450 Chapel St, New Haven CT 06511
  2. 2. Women’s Center for BreastWomen’s Center for Breast Health at the Hospital of SaintHealth at the Hospital of Saint RaphaelRaphael May 30, 2009May 30, 2009
  3. 3. What can I do to stay healthy?What can I do to stay healthy?
  4. 4. What Increases the Risk of BreastWhat Increases the Risk of Breast Cancer ?Cancer ? • MultifactorialMultifactorial – GenderGender – AgeAge – Family historyFamily history – Personal historyPersonal history – Dense breast tissueDense breast tissue – Radiation to chestRadiation to chest
  5. 5. What Increases the Risk of BreastWhat Increases the Risk of Breast Cancer ?Cancer ? • Not having children, or having them laterNot having children, or having them later in lifein life • Recent use of birth control pillsRecent use of birth control pills • Long-term use of combined hormoneLong-term use of combined hormone replacement therapyreplacement therapy • AlcoholAlcohol • Lack of ExerciseLack of Exercise
  6. 6. Factors with No Defined LinkFactors with No Defined Link • High fat dietHigh fat diet • Underwire brasUnderwire bras • AntiperspirantsAntiperspirants • Breast implantsBreast implants • PollutionPollution • SmokingSmoking • Night workNight work
  7. 7. Traditional Breast CancerTraditional Breast Cancer TreatmentTreatment • SurgerySurgery • RadiationRadiation • ChemotherapyChemotherapy • Hormonal TherapyHormonal Therapy
  8. 8. Breast Cancer Treatment 2009Breast Cancer Treatment 2009 • Individualized treatment planningIndividualized treatment planning • Genetic testingGenetic testing • Genomic profilingGenomic profiling • Complementary and Alternative MedicineComplementary and Alternative Medicine
  9. 9. • Therapies can be hard on the body andTherapies can be hard on the body and mindmind • Complementary therapies to ease sideComplementary therapies to ease side effect, anxiety, and promote sense of welleffect, anxiety, and promote sense of well beingbeing
  10. 10. The goal of complementary medicine is toThe goal of complementary medicine is to balance the whole person — physically,balance the whole person — physically, mentally, and emotionally — while conventionalmentally, and emotionally — while conventional medicine does its work. For many peoplemedicine does its work. For many people diagnosed with breast cancer, complementarydiagnosed with breast cancer, complementary medicine has helped to:medicine has helped to: relieve symptomsrelieve symptoms ease treatment side effectsease treatment side effects improve quality of lifeimprove quality of life
  11. 11. Complementary medicineComplementary medicine treatmentstreatments • AcupunctureAcupuncture • AromatherapyAromatherapy • Chiropractic TherapyChiropractic Therapy • Guided ImageryGuided Imagery • HypnosisHypnosis • JournalingJournaling • MassageMassage • MeditationMeditation • Music TherapyMusic Therapy • Progressive Muscle RelaxationProgressive Muscle Relaxation • ReikiReiki • ShiatsuShiatsu • Spirituality and PrayerSpirituality and Prayer • Support GroupsSupport Groups • Tai ChiTai Chi • YogaYoga
  12. 12. The National Center forThe National Center for Complementary and AlternativeComplementary and Alternative Medicine (NCCAM)Medicine (NCCAM) • Division of NIHDivision of NIH • NaturopathyNaturopathy: a system in which the body is encouraged: a system in which the body is encouraged to heal itself through changes in nutrition and lifestyleto heal itself through changes in nutrition and lifestyle • Ayurveda: a system in which the body, mind and spiritAyurveda: a system in which the body, mind and spirit are integrated to prevent or treat health problemsare integrated to prevent or treat health problems • Meditation: a practice that encourages clearing of theMeditation: a practice that encourages clearing of the mind and inward focusmind and inward focus • Creative therapy: such as art or music, in which patientsCreative therapy: such as art or music, in which patients express their feelings and hopes through drawing,express their feelings and hopes through drawing, painting, singing or playing a favorite instrumentpainting, singing or playing a favorite instrument • Yoga: which uses controlled breathing and posturesYoga: which uses controlled breathing and postures
  13. 13. How many people seekHow many people seek complementary therapy?complementary therapy? • 2002 National Health Interview Survey, (Centers for Disease Control2002 National Health Interview Survey, (Centers for Disease Control and Prevention).and Prevention). – 36% of U.S. adults are using some form of CAM.36% of U.S. adults are using some form of CAM. – 62% if megavitamin therapy and prayer for health reasons are included62% if megavitamin therapy and prayer for health reasons are included • July 2000 issue of theJuly 2000 issue of the Journal of Clinical OncologyJournal of Clinical Oncology found thatfound that – 69% of 453 cancer patients had used at least one CAM therapy as part69% of 453 cancer patients had used at least one CAM therapy as part of their cancer treatment.of their cancer treatment. • December 2004 issue of theDecember 2004 issue of the Journal of Clinical OncologyJournal of Clinical Oncology – 88% of 102 people with cancer who were enrolled in phase I clinical88% of 102 people with cancer who were enrolled in phase I clinical trials (research studies in people) at the Mayo Comprehensive Cancertrials (research studies in people) at the Mayo Comprehensive Cancer Center had used at least one CAM therapy.Center had used at least one CAM therapy.
  14. 14. The National Center forThe National Center for Complementary and AlternativeComplementary and Alternative Medicine (NCCAM)Medicine (NCCAM) • Acupuncture to relieve neck and shoulder painAcupuncture to relieve neck and shoulder pain following surgery for head or neck cancerfollowing surgery for head or neck cancer • Ginger as a treatment for nausea and vomitingGinger as a treatment for nausea and vomiting caused by chemotherapycaused by chemotherapy • Massage for the treatment of cancer painMassage for the treatment of cancer pain • Mistletoe extract combined with chemotherapyMistletoe extract combined with chemotherapy for the treatment of solid tumorsfor the treatment of solid tumors
  15. 15. What have clinical trials shown?What have clinical trials shown? – Green teaGreen tea – Vitamin DVitamin D – TurmericTurmeric • Nutritional supplements must be taken in addition toNutritional supplements must be taken in addition to conventional surgery, radiation and chemotherapy toconventional surgery, radiation and chemotherapy to achieve improved outcomes reported in clinical trialsachieve improved outcomes reported in clinical trials • 1997, a panel of experts at the National Institutes of1997, a panel of experts at the National Institutes of Health (NIH) Consensus Conference found acupunctureHealth (NIH) Consensus Conference found acupuncture to be effective in managing chemotherapy-associatedto be effective in managing chemotherapy-associated nausea and vomiting and in controlling pain associatednausea and vomiting and in controlling pain associated with surgerywith surgery
  16. 16. When considering Complementary orWhen considering Complementary or Alternative Medicine, what questions shouldAlternative Medicine, what questions should I ask my health care providers?I ask my health care providers? • What benefits can be expected from this therapy?What benefits can be expected from this therapy? • What are the risks associated with this therapy?What are the risks associated with this therapy? • Do the known benefits outweigh the risks?Do the known benefits outweigh the risks? • What are the potential side effects?What are the potential side effects? • Will the therapy interfere with conventional treatment?Will the therapy interfere with conventional treatment? • Is this therapy part of a clinical trial? If so, who isIs this therapy part of a clinical trial? If so, who is sponsoring the trial?sponsoring the trial? • Will the therapy be covered by health insurance?Will the therapy be covered by health insurance?
  17. 17. Through Treatment and BeyondThrough Treatment and Beyond • NutritionNutrition • Physical FitnessPhysical Fitness • SexualitySexuality • Stress ManagementStress Management
  18. 18. Women’s Center for BreastWomen’s Center for Breast Health at the Hospital of SaintHealth at the Hospital of Saint RaphaelRaphael May 30, 2009May 30, 2009
  19. 19. Healthful EatingHealthful Eating Mary Malloy, R.D.Mary Malloy, R.D.
  20. 20. Physical FitnessPhysical Fitness Cathy Rives, MS, PTCathy Rives, MS, PT
  21. 21. Regaining Intimacy AfterRegaining Intimacy After TreatmentTreatment Lois Spivack, PhDLois Spivack, PhD
  22. 22. ASK THE EXPERTSASK THE EXPERTS Thomas Fynan, MD, Medical OncologyThomas Fynan, MD, Medical Oncology Vanna Dest, APRN, Genetic CounselingVanna Dest, APRN, Genetic Counseling Joyce Chung, MD, Radiation OncologyJoyce Chung, MD, Radiation Oncology Nhu Ngo, MD, PathologyNhu Ngo, MD, Pathology Amy Sherman, MD, Breast ImagingAmy Sherman, MD, Breast Imaging Denise Barajas, MD, SurgeryDenise Barajas, MD, Surgery
  23. 23. Stress ManagementStress Management Lori Ratchelous, MSWLori Ratchelous, MSW

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