think pink - think pink 2014
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THINK PINK 2014 BREAST CANCER AWARENESS SPECIAL SECTION
Citrine Health shop offers women much more than bras, Page 8
Nourishing the body during treatment, Page 16
Saving lives
Getting strong
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2 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
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The Marysville Globe & The Arlington Times Saturday, 10.04.2014 3 Think Pink • Page 3
By LAUREN SALCEDOFor the Globe-TimesARLINGTON —
After studying public administration at the University of Southern California and spend-ing a year as an intern in Washington, D.C., Kristin Banfield set-tled down in Arlington and began a career doing what she loves.
“Since I graduated college, I’ve worked in government,” said Banfield, director of human resources and communications for the city of Arlington. “I always knew that’s what I wanted to do.”
At the start of 2008, she and her husband, Bill, were planning a trip to Quebec for a hockey tournament and their daughter, Teeghan, was set to begin kindergarten in the fall.
Everything was going well for the young family.
“We love hanging out with family and friends, camping and just enjoying life,” Banfield said. “That’s what I remember was going on at the time, but 2008 is what I call, ‘the year I would like to forget.’”
The diagnosisIt began with a rou-
tine check up that February.
When Dr. Johanna Wang of the Everett
Clinic in Marysville conducted a breast exam during the appointment, Wang noticed something at the top left side of Banfield’s chest.
“She tried to have me feel it, but I couldn’t. That’s how deep it was,” Banfield said.
Wang sent her for a mammogram at Providence Regional
Medical Center in Everett.
With no family his-tory of breast cancer, Banfield was sur-prised.
“I’m 35, a mam-mogram, really?” she said. “Since it was my first mammogram, my mom offereed to go with me. She is a can-cer survivor as well; she had thyroid can-cer in her 20s. But we
weren’t even think-ing of cancer at that point.”
Following the mam-mogram, her doctors decided to do an ultra-sound as well. That’s when Banfield began to worry.
“The ultrasound was the same day, and they said, ‘We defi-nitely see something in there,’” she said.
They ordered a biop-
sy to find out more.“It’s a long needle
with a hole at the end,” Banfield said of the procedure. “They take five samples, so you feel a bit sore the next day.”
The doctor believed it looked like a fibro-adenoma, which is a benign tumor.
“A few days later, the breast center called to go over the results,”
Banfield said. “It was what they call ADH, which stands for atypi-cal ductal hyperplasia. It means the cells are growing.”
They did another test and found that the lump was DCIS, or ductal carcinoma in situ — Stage 0 breast cancer. Stage 0 refers to a non invasive breast
Banfield fights to beat breast cancer
Lauren Salcedo/Staff Photo
Kristin Banfield of Arlington gives the “Fight On” symbol from USC, which is where she went to college. It also symbolizes her battle with breast cancer.
SEE FIGHT, PAGE 4
4 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
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cancer, and DCIS is characterized by abnormal cells in the milk duct.
“Stage 0 means it hasn’t gone any-where outside of that,” Banfield said.
She was scheduled for a lumpectomy in mid -April to remove the tumor. DCIS is treatable, but if left unchecked, can spread into the breast tissue outside of the milk ducts.
“Here I am at 35, we have a 4 -year -old daughter and, in two months, I have gone from a regular check-up to a lumpectomy,” Banfield said.
She was over-whelmed by the turn of events and looked online for information.
“I did something I tell people never to do — I went on the inter-net. Don’t go on the in t e rne t , you just read all these hor-ror stories. You have to stay away from that kind of negativ-ity.”
A lumpectomy is considered a breast -saving surgical proce-dure where the tumor is removed, often
with some of the sur-rounding breast tis-sue. Banfield said she didn’t feel much pain, but did feel soreness
following surgery.
T h e u s u a l treatment for DCIS is radia-tion, fol-lowed by five years on an e s t rogen b l o c k e r c a l l e d
Tamoxefin. Prior to beginning radiation that May, her doc-tor requested that she undergo an MRI exam. Following the exam, Banfield and her fam-ily set out early on a
Memorial Day camp-ing trip.
“My oncologist was looking through my records and found that, for some reason, they hadn’t done one test, which checks how responsive it is to estrogen and proges-terone,” she said. “So they sent it off to the lab again.”
While the Banfield family was celebrating the holiday in Moses Lake, her oncologist, Dr. Oliver Batson of Providence Regional Medical Center, was trying to reach her.
“Doctor Batson said, ‘I don’t like doing this over the phone but we had your tumor retested, and it’s actu-ally Stage 1,’” said
Banfield, who was stunned. “That meant it was invasive.
“And that same day, I got the phone call on the MRI. They found another tumor.”
The options“Radiation was off
the table with the results that my first tumor was actually invasive and that there was a second tumor discovered. We need-ed to reset our game plan with the new information,” Banfield said. “I could do another lumpectomy and remove the sec-ond tumor, or I could get a mastectomy and remove the whole breast.”
She was unhappy
with the result of her first lumpectomy.
“Because my tumors were so responsive to estrogen, there was no chance for any more kids,” Banfield said.
So she met with a plastic surgeon.
“He offered to make something beautiful, that made me feel like a woman. And I wouldn’t have to worry or stress about it anymore.”
In July of 2008, Banfield underwent surgery to have her left breast removed.
It was during that surgery that doctors found a third tumor that didn’t show on the MRI.
FightFROM Page 3
See Fight, Page 5
“Don’t go on the internet, you just read all of these
horror stories. You have to stay away from that kind of
negativity. ”Kristin Banfield,
Breast cancer survivor
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 5
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With no breast tissue left to radiate, that left chemotherapy to com-plete her treatment.
“They have a cool test called Oncotype DX, which tests your tumors’ likelihood of recurrence and its responsiveness to chemo.
“They rate it on a scale and for anything over 30, they recom-mend chemotherapy. Mine was just under 20,” Banfield said.
“At that point, I was the luckiest person in the world. Not only do I not have to go through radiation, I also don’t have to do chemotherapy.”
“It’s not that often that you don’t have to do radiation or chemo. From my perspective it’s very unusual,” she said.
Banfield then decid-ed, as a precautionary measure, to have her right breast removed. She had the surgery in September of 2008.
“If you only have cancer on one side, there’s a good chance they will find it on the other side,” she said.
“They took my right side and ran it through all the same tests that they would if there was a lump there. There was noth-ing there. It’s always nerve -wracking but you can’t live your life in constant fear,
because that is not a life to live.”
Her new lifeIn January of 2009,
she had her final sur-gery — this time for reconstruction.
“It was the longest year of my life, and for my husband and daughter as well,” she said.
“My husband was my rock. I could always go to him, and he would focus on the positive, even when I was focusing on the
negative.“When we would go
to a doctor appoint-ment, I would hear only negatives, and he would see the positive, and he kept me on that path. I’m sure that when I was under and having surgery, he was probably a nervous wreck. And I think anyone would be.
“When you see the person you love suffer-ing, you want to take all that pain away.”
The toughest part of her journey was wait-
ing for results.“I think the worst
part is probably the time in between when you have your surgery and you are waiting for your test results,” she said.
“It’s so nerve -wracking. It just takes that long to run all those tests. They have gotten faster, but I think it’s always going to be the hardest part.”
Despite the stress and fear that came with the diagnosis and surgeries, Banfield said she had several inspiring people to look to for support.
“I wouldn’t wish it on my worst enemy. I don’t have enemies, but I wouldn’t wish it on anyone,” she said.
“I’ve seen people die, and I’ve seen peo-ple survive. My mom is my inspiration — she is a 30 -plus year survivor. If she can deal with raising me and my brother and survive cancer, then I felt I could too.
“When my daughter was born, my mom’s mom was undergoing treatment for skin can-cer.
“When you see an 80 -year -old woman going through chemo and radiation and say-ing, ‘Ah, you’re going to be fine.” And she is my grandma? If she can do it at 80, I can do it at 30.”
fight fROM Page 4
See fight, Page 6
“At that point I was the luckiest person in the world. Not only do I not have to go through radiation, I also don’t have to do
chemotherapy.”Kristin Banfield,
Breast cancer survivor
6 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
Fighting on
Since her victory over breast cancer five years ago, Banfield has supported other cancer patients through Relay for Life.
“For the last two years, I was the event chair for Marysville/Tulalip Relay for Life,” she said. “You meet so many survi-vors. We share our
stories, but we focus on how we can make survivors and caregiv-ers feel appreciated, feel blessed and feel like they are not alone. There’s unfortunate-ly millions of us out there. But we are all doing something about it, to hopefully find a
cure.”Banfield is still tak-
ing the Tamoxefin, and new studies show that taking it for 10 years decreases the risk of recurrence.
“The side effects are miserable. You get hot flashes and your hair starts getting thin-
ner,” Banfield said. “It basically puts you in menopause. I’ve been on it six years in October, and I’m bound and determined to make it the first ten years.”
She would do any-thing to make sure she can be there for
Teeghan, who just started sixth grade at Haller Middle School.
“It’s worth it if I get to see my daughter graduate high school and graduate college and walk down the aisle,” she said. “It’s a very small price to pay to be able to see all of
that.”Banfield said she is
lucky to have a big support system during her battle with cancer, including her doctors, nurses, neighbors, co-workers, family and friends.
“Everywhere I turned, someone was saying, ‘You can do this’ and ‘You’re going to make it through this,” she said.
“We all made it through it, and we are stronger for it.”
Page 6 • Think Pink
Lauren Secedo/Staff Photo
Kristin Banfield, an Arlington city official, is a fighter, still taking medicines to try to beat the breast cancer that first appeared five years ago.
FIGHT FROM Page 5 “The side effects are miserable. You get hot flashes and your hair starts getting thinner. It
basically puts you in menopause.” Kristin Banfield
Arlington city official
“It’s worth it if I get to see my daughter graduate high school and graduate college
and walk down the aisle.”Kristin Banfield
Breast cancer survivor
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 7
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Kirk Boxleitner/Staff Photo
Angie Fair organizes the bra shop’s inventory.
BY KIRK BOXLEITNERkboxleitner@marysville-
globe.comEVERETT —
Citrine Health’s recent move has allowed the Everett-based non-profit to expand its services to women and families in Snohomish, Skagit, Island, Whatcom, San Juan and Pierce coun-ties, which include meeting the needs of area women who have undergone breast can-cer.
Program Manager Becky Jones reported
that the June 1 move to 2940 W. Marine View Dr. in Everett expand-ed Citrine’s floor space from 6,000 to 11,500 square feet, enough for a 2,800-square-foot event room available for rentals, as well as a dedicated yoga space, two massage rooms and a workspace for 12 employees. It also upgraded its parking from on-street to a 40-space lot.
“We’ve also finally opened our bra shop,”
Bra shop helps women in need
SEE BRA, PAGE 9
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 9
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Think Pink • Page 9
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Citrine Health Program Manager Becky Jones helps certified fitter Angie Fair tidy up the bra shop’s selection.
Jones said. “It offers selections in every woman’s size, includ-ing post-mastectomy breast prostheses. We even have a certified fitter.”
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 preventa-tive healthcare ser-vices, allowing under-insured and uninsured women to receive free mammograms and yearly health exams through 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 navi-gate their way through the system,” Jones said.
While the Sea Mar Community Health Centers and the Community Health Centers of Snohomish County offer similar services to underin-sured and uninsured patients, Citrine’s bra shop makes it unique.
Breast prostheses can run into the $300 range, but Citrine’s new and gently used breast-forms are free to those in need.
BRA FROM Page 8
SEE BRA, A10
10 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
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“You can get some insurance reimburse-ment 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 differ-
ence,” Jones said.“It’s the difference
between getting some-thing basic versus something better.”
Citrine will celebrate the bra shop’s grand opening in its new location Wednesday, Oct. 15, from 4-7 p.m.
“My personal goal is to recruit at least a hundred breast cancer
survivors to help us cut the ribbon,” Jones said.
Patients can be billed through their insurance, Medicaid and Medicare, rather than having to pay out-of-pocket.
Citrine accepts donations and gener-ates support for its bra shop through sales of
bras and lingerie to the public.
Those who wish to help the bra shop and Citrine’s other programs can stop by to check out its shop full of locally hand-made art and fash-ion, 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 detec-tion methods.
Citrine’s classes for women’s wellness include not only yoga and massage, but also Bowen, circuit-train-ing and a personal
trainer.Citrine personnel
even guide eligible families through the process of apply-ing for Basic Food Assistance, such as food stamps, from the state.
For more informa-tion, call 425-259-9899 or log onto www.citrinehealth.org.
BRA FROM Page 9
Kirk Boxleitner/Staff Photo
Citrine offers message as part of its wellness therapy.Kirk Boxleitner/Staff Photo
Circuit training and personal trainers help with all-around health.
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 11
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Dear Readers,Some people have asked,
“Why is the publisher of The Marysville Globe and The Arlington Times so passionate about the dis-ease of breast cancer?”
I’ll be happy to share with you why. I’m a hus-band, a father and grandfa-ther of women. I am also a first cousin of a stage four breast cancer survivor.
And I have some very close personal friends who are now afflicted with the disease. I have per-sonally experienced what many family and friends of breast cancer patients experience every day. And I am optimistic that a cure can be achieved within our lifetimes.
According to the American Cancer Society, breast cancer is the sec-ond-leading cause of death among women in the United States, led only by lung cancer. One-out-of-eight women will be diagnosed; it happens every two minutes in the United States. The good
news is that deaths related to breast cancer have been declining since 1989, pri-marily due to increased awareness and early diag-nosis through screening and improved treatments.
Did you know that breast cancer is not “a women’s only” disease? While it’s true that mostly women are afflicted, men and children are suscep-tible, too. According to the American Cancer Society, about 2,360 new cases of invasive breast cancer will be detected in men this year. About 430 will die. While not common, chil-dren are potential victims
as well. October is Breast Cancer
Awareness Month. This year, as in the previous two years, The Marysville Globe and The Arlington Times is pleased to pro-vide you, our readers, with a very special supplement; titled “Think Pink” it is devoted entirely to breast cancer awareness.
Our goal is to provide the communities we serve with relevant, informative and useful information about this insidious dis-ease.
We will provide you with interviews from local breast cancer experts, physicians, clinicians and support groups in the Marysville, Tulalip, Arlington, Smokey Point and Lakewood areas. You will learn about some of the concepts our medi-cal society has available to more-effectively detect and treat this condition. And you will read about
many knowledgeable sup-port and assistance groups that are available to assist when the diagnosis takes place.
But just as important, we are providing stories from actual breast cancer survi-vors within our neighbor-hoods. These courageous people share their stories of how they transcended the common fears that are typically experienced; from examination, to detection, to treatment, to recovery.
Here, you will find heart-warming accounts of the survivors’ journey, which includes their families as well.
This year, as in previ-ous years, The Marysville Globe and The Arlington Times will be donating a generous portion of the proceeds from our com-munity businesses who are advertising in this spe-cial section to the Cascade Valley Health Foundation.
These donated funds will be used locally by CVH Foundation to help
offset the financial costs for women and families who cannot afford medical diagnoses and treatment for breast cancer. Last year, we were proud to pres-ent the CVH Foundation board of directors with a check for $1,600.
I would like to extend my sincere, deep apprecia-tion to the businesses that contributed to this piece. And my sincere gratitude goes to all the wonderful people who took the time to spend with us during the interviews and writ-ing of the stories contained herein.
The entire staff of The Globe and The Times is truly proud of this special section. A lot of hard work and long hours have gone in to making this section the success we believe it is.
It has been a labor of love for all of us. And we hope you will be educated by its contents and enjoy the stories.
Paul BrownPublisher
Like many of you, I also know people with cancer
Paul Brown, publisher
Opinion
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 13
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Events like the Masquerade Gala at the Tulalip Resort Casino raise money to fight cancer.
Millions of dollars are donated every year to fund research to find a cure for cancer, and some of that money comes from events held in Marysville and Arlington.
The 5th Annual Night of Hope Masquerade Gala held
at the Tulalip Resort Casino Sept. 13 was one such event. About 250 people attended, at a cost of $150 a ticket or more. Along with dinner, enter-tainment and danc-ing, more money was raised at silent and live auctions.
There are other local events that raise money to fight cancer.
A fun run will take place this year on Oct. 25 at Arlington’s Legion Park, 114 N. Olympic Ave. Called Taking Steps to Beat
Fundraisers aid cancer fight
SEE FUNDS,PAGE 14
14 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
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Breast Cancer, the event will start at 10 a.m. It is a 5-kilometer walk or run.
Four other events have longer traditions locally. The annual Relay for Life
has events in both Arlington and Marysville.
In Arlington, the event for next year already is planned. It will take place June 20, 2015 starting at noon that Saturday. It will be at Arlington High School, 18821 Crown Ridge Road.
To sign up for either that relay or the one in Marysville go to: www.relay.acsevents.org.
The one in Marysville-Tulalip will be June 28, 2015 at Marysville-Pilchuck High School, 5611 108th St. NE.
At those events, walkers get sponsors to donate an amount. Business sponsors also donate. At the event itself businesses sell items or have drawings to raise even more funds.
Two other events in Arlington and Marysville
are called Bark for Life. These are similar to the Relay for Life, except that you walk your dog. Both events are in May. The one in Arlington is at Haller Middle School and the one in Marysville is at Asbury Field.
FUNDS FROM Page 13
Kirk Boxleitner/Staff Photo
The popular Relay for Life event in Arlington brings in thousands of dollars every year to fund research to find a cure for cancer.
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 15
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By Deanna DuffFor The Globe-TimesFinding the time and
energy to plan meals can be difficult under normal cir-cumstances. It can be par-ticularly overwhelming for cancer patients when eat-ing itself becomes a chal-lenge.
Arlington native Karena Raino-Nevratakis was diag-nosed with breast cancer in October 2011. After her first round of chemothera-py, she ate at a restaurant and soon after contracted pneumonia.
“I recommend staying home and out of public res-taurants as much as possible when it comes to food,” the 39-year-old said. “I caught pneumonia after going to the restaurant and associate the two as possibly con-nected.”
Taste changes during treatment.
“During chemotherapy, I had severe taste bud chang-es the whole time. Nothing had much taste or it tasted awful. It was hard to eat because you just don’t want to,” said Corinna Howard,
diagnosed with breast can-cer in June 2013.
The 44-year-old received treatment — surgery, che-motherapy and radiation — at Everett’s Providence Regional Cancer Partnership. Medications caused chronic pancreatitis, a digestive disease, which further exacerbated eating issues. She lost upwards of 50 pounds and struggled with nutrition issues.
“Especially with the pan-creatitis, no one ever real-ly advised me on what I needed to do to get better,” Howard said.
Like many patients, Howard identified palat-able foods through trial and error. However, dietary tips can sometimes help ease the process. Many medical institutions offer nutrition counseling via registered dietitians and classes.
What to eat?“I see a lot of people
who start following a very restrictive diet after being diagnosed,” said Margaret Hines, registered oncology dietician at the partnership.
Nutrition even more important for cancer patients
Courtesy Photo
Cancer patients should eat: eggs, cheese, whole grain, clean fruits and vegetables, peanut butter, olive oil, SEE EAT, PAGE 18
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 17
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“It’s not necessarily the time to make big changes and start eating only kale smoothies. People need to maintain weight, hydra-tion and keep the immune system strong during treat-ment.”
Common treatment side effects include taste chang-es and sensitivity to food temperature, mucositis characterized by sores and dryness of the mouth and digestive tract, loss of appe-tite, nausea, vomiting and diarrhea. Fatigue also can become an obstacle.
For patients with dimin-ished appetites, large amounts can be overwhelm-ing. Try smaller meals and snacks. Whenever possible, Hines recommends incor-porating healthy, high-calo-rie items such as avocados, extra olive oil and nut but-ters. Add peanut butter to everything from shakes to toast for a calorie and pro-tein boost.
“Both cancer itself and treatment causes the body’s metabolism to change. Try to compensate for the extra protein the body consumes for healing,” recommend-ed Angela Merges, regis-
tered dietician at Swedish Medical Center’s Edmonds Breast Center.
Increase protein — pref-erably lean — at every meal and snacks. Merges recommends additions such as an extra egg at breakfast and chicken, salmon or tuna salad for lunch. Add cheese to crackers, potatoes and sandwiches. Additionally, eat whole-grain carbohy-drates for energy.
Many patients expe-rience a change in taste, which can shift even
daily. Chemotherapy often imparts a metallic flavor to food. The effect, Hines said, is sometimes lessened by eating with plastic uten-sils, cooking in glassware and avoiding food from cans.
“The blander the bet-ter for me,” Howard said. “Cream of Wheat was a go-to along with oatmeal, plain crackers and mashed potatoes. The less flavor, the less conflict between my taste buds and what I knew it should normally
taste like.”Well-intentioned friends
and family — even busi-nesses — sometimes pres-sure patients to eat “cure-all” foods. Follow your gut both literally and figura-tively.
“Unfortunately, cancer patients are vulnerable to all sorts of weird diet advice,” Hines said. “There is no magic bullet, elixir or herb that you can take to make everything imme-diately better. If there was, we’d tell you.”
Instead, Hines recom-mends consulting with an oncologist, registered dieti-cian or reputable sourc-es such as the American Cancer Society or National Cancer Association.
Staying hydrated is essen-
tial to good health, but even more so during cancer treat-ment.
“Especially with chemo, doctors generally advise lots of fluids to help flush things through,” Hines said. “Treatment can diminish the sense of thirst, so we usually tell people to drink more than they think they need.”
If water doesn’t whet the appetite, flavor it with crushed fruit. Beverages such as Gatorade are recom-mended both for replenish-ing fluid and electrolytes. Popsicles, fruit juice and broth are also good options.
“If you don’t have much appetite or problems with nausea, separate fluid intake from meals. Don’t fill up on water so that you don’t eat food and vice versa. You don’t want to miss out on either,” Merges said.
Cancer patients often experience neutropenia, abnormally low counts of white blood cells, which help fight infections. Food bacteria that is safe for a healthy person can be high-risk for those with weak-ened immune systems. Cook meals — particularly meat — thoroughly.
EAT FROM Page 16
Courtesy Photo
Cancer patients need to wash fruits and veg-etables and stay hydrated with water or Gatorade.
“The blander the better for me ... The less flavor, the less conflict between my taste buds and what I knew it
should normally taste like.”Corinna Howard
Breast cancer patient
SEE EAT, PAGE 20
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 19
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If dining out is a must, pass on raw items such as salads and sushi. Inform serv-ers of the need for food to be cooked extra hot and well done.
Be cautious even of meals prepared by well-meaning friends and family. Ensure that proper food-safe-ty precautions were taken. Even if a patient simply can’t tolerate the taste, feel free to decline.
“Find what works best for you so food doesn’t become anoth-er stressor,” Merges said.
“You know your body best.”
Nutrition tips•Eat smaller, more
frequent meals and snacks rather than large, overwhelming servings.
•To combat weight loss, incorporate healthy, high-calorie foods such as avoca-dos, olive oil and pea-nut butter.
•Bright flavors, such as strawberry and lemon, sometimes off-set a lack of taste.
•If food tastes unpleasant, bland items and tepid tem-peratures are often more tolerable.
•Boost protein by adding items such as eggs and cheese to meals.
•Soft foods, shakes, ice cream and soups are easier when deal-ing with mouth sores.
•Avoid fibrous foods when suffering from diarrhea. Soluble fiber in applesauce, how-
ever, helps decrease diarrhea.
•Drink lots of water. Add fruit, lemon or cucumbers for flavor. Popsicles, broth and fruit juice are also good options.
•Place eight full glasses of water in the fridge every morning as a visual reminder to hydrate.
•Separate meals and water intake — don’t fill up on one at the expense of the other.
•Stick with cooked, canned or packaged foods that are bacteria free.
•Avoid restaurants whenever possible.
•If cooking at home, make double batches and freeze leftovers for when you’re too tired to prepare meals.
•Prepare food in the morning when you have the most energy.
EAT FROM Page 18
Courtesy Photo
Eating smaller portions and fish like salmon and tuna are important for cancer patients.
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 21
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The Skagit Regional Health Breast Institute, funded in part through $600,000 in grants from Safeway, real-izes that breast cancer treatment is not one size fits all.
The team in Mount Vernon with a clinic in Arlington examines each case to develop a treatment plan tailored to the uniqueness of each patient. There may be more than one right option, officials there say.
From diagnosis to curative treatment, most women with breast cancer will
have surgery. Breast surgery has evolved dramatically over the last decade, and many less-invasive proce-dures are now avail-able.
Most cancers are treated with drug therapy to kill divid-ing cancer cells. Using highly precise tech-niques to deliver indi-vidualized treatments, Skagit minimizes the dose to normal tissues while delivering high doses to the cancer. Drug therapy includes chemotherapy and biotherapy.
Chemotherapy is
systemic drug therapy administered oral-ly or through an IV that kills cancer cells at different stages of growth. These drugs may also kill healthy cells, resulting in com-mon side effects such as nausea, hair loss and diarrhea.
Biotherapy is a sys-temic drug therapy that may be targeted specifically to kill only cancer cells. These drugs generally have fewer side effects and toxicities than chemo-therapy.
Cancer treatments varyCourtesy Photo
A mammogram can help detect breast cancer in its earliest stages.
SEE TREAT, PAGE 22
22 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
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New drug therapies are being developed to more specifically treat the can-cer and spare healthy cells by using the patient’s own immune system to attack and kill the cancer, experts there say.
RadiationThe other major type
of treatment is radiation. Radiation therapy uses high-energy x-rays to treat tumors. Sometimes a patient will have both types of treatment.
Clinical trialsSome women decide to
be part of clinical trials. That treatment includes the use of new drugs developed to fight cancer. Cancer trials usually com-pare existing treatments to something thought to be better, so cancer patients always receive at least the best treatment currently available.
A clinical trial is a medical research study in which participants volun-teer to test new methods to prevent, screen, diagnose
or treat a disease. All of today’s recognized cancer treatments were proved by clinical trials.
Symptom reliefSome complemen-
tary medicine may help relieve certain symptoms of cancer, relieve side effects of cancer treatment
or improve a patient’s sense of well-being. They include:
• Art and Healing: First and third Mondays of each month, 2-4 p.m. Creating art may reduce anxiety and stress plus improve emotional well-being.
• Mindful Living with Cancer: For patients, sur-
vivors and caregivers, it can be a powerful tool for dealing with stress, illness and other medical and psy-chological conditions. The free weekly class includes meditation, gentle stretch-ing and activities to increase one’s understand-ing of the mind and body. It is held on Thursdays
from 11 a.m. to noon.• Thinking About
Complementary and Alternative Medicine: Good nutrition can assist in aiding tolerance to treatment, enhance ener-gy level and support the immune system.
Support servicesSupport services are
available during treatment, including: social services, nutrition, educational and community resources, as well as support groups and classes. Transportation, lodging and survivor cel-ebrations also take place.
StatisticsNationwide, the five-
year survival rate for women with breast can-cer has improved from 85 percent in 1970 to 95 per-cent in 2010. If caught in stages 0 to 2, often when the patient has a mam-mogram, the survival rate is 94 percent and better. Stage 3 survival rate is 85 percent.
If the cancer spreads to the lymph nodes the sur-vival rate is 32 percent. If it metastasizes the rate is 5 percent.
TREAT FROM Page 21
Courtesy Photo
Breast cancer is an emeny of all women. The color pink and ribbons symbolize the fight against breast cancer.
New drug therapies are being developed to more specifically treat the cancer and spare healthy cells by using the patient’s
own immune system to attack and kill the cancer.
A clinical trial is a medical research study in which participants volunteer
to test new methods to prevent, screen, diagnose or treat a disease ... Patients
always receive at least the best treatment currently available.
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 23
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24 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
The Daily Herald would like to thank its sponsors:
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Page 24 • Think Pink
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Community Health Centers like Sea Mar in Marysville help low-income people with breast cancer screenings.
BY BRANDON ADAMbadam@arlingtontimes.
comMARYSVILLE —
Breast cancer is the most common inva-sive cancer for women so it is imperative to get checked out before symptoms become threatening.
But not everyone can easily afford access to medical centers that screen for cancer.
Some people face an economic barriers.
Community health centers are federally qualified health facili-
ties that provide pri-mary health care ser-vices to low income and undocumented individuals.
“If you have any barriers in getting the necessary screening done, definitely go to your local community health center,” Sea Mar clinic manager Anthony Amos said. “They bridge the gap between low-income residents and health care.”
Sea Mar, located off
Centers help low-income folks
SEE CENTER, PAGE 25
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 25
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off of State Avenue in Marysville, is one of those health centers.
Originating as a health center aid-ing migrant farming communities between Seattle and Marysville, it has since expanded to nine other counties.
The organization helps promote aware-ness and preventive measures of diseases
to underserved geo-graphic areas and pop-ulations.
Aside from provid-ing dental, mental and general health care, Sea Mar provides free breast cancer screen-ing.
“Routine screenings are recommended at 40, but family histo-ry may have you get checked sooner then that,” nurse manager Jasmine Potter said.
Many women put off getting mammograms because they feel they can’t afford it.
The Marysville Globe and The Arlington Times feel that women can’t afford not to get that procedure done.
That is why some proceeds from this special section are donated to the Cascade Valley Hospital Foundation.
The foundation was established to receive
and administer funds that support hospital in Arlington and commu-nity health services.
Last year, the Globe-Times donated $1,600 as a result of the spe-cial section.
This year the news-paper hopes to donate more since it’s eight pages larger.
The foundation was organized in 1998. It is funded by chari-table contributions and memorial funds, as well as grants from
community partners.Donations are tax
deductible. Your gift may be made in a variety of ways: cash, bequests, stocks, bonds, life insurance policies or other prop-erty.
People also can buy an engraved tile for the hospital’s roof gar-den. Minimum dona-tion is $100.
For more on the foundation go to www.facebook.com/cvhfoundation.
Proceeds go to foundation
Center FrOM Page 24
See Center, Page 26
“Routine screenings are recommended at 40, but family history may have you get checked
sooner than that.”Jasmine Porter,
Nurse manager
26 Saturday, 10.04.2014 The Marysville Globe & The Arlington Times
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“We talk to our clients about getting their screen-ing mammogram done; it’s routine for everyone that comes in,” Potter said.
Sea Mar also has partner-ships with Evergreen Radia and Health for screening their patients.
If Sea Mar screens some-thing that could be dan-gerous, they encourage the clients to seek further screening or treatment at a health care provider.
“We help them through the process of getting them involved with programs that will help them,” Potter said. “Those places will give us a cash pay quo, and sometimes it’s much lower when you send someone to a hospital.”
CENTER FROM Page 25
Brandon Adam/Staff Photo
Staff at Sea Mar Community Health Center help patients make sure they get the best care possible.
The Marysville Globe & The Arlington Times Saturday, 10.04.2014 27
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