WEDNESDAY, OCTOBER 28, 2020 A Special Supplement To The Times

by April Scheinoha Reporter t was a cold, blustery Friday morning as the teams gathered outside. Team A lined up on one side of the alley while Team B lined up on the other side. Both teams were ready to cheer on one of their favorite coworkers. This wasn’t the retirement party that they wanted to throw for Kathy Vatthauer, but they made sure she exited in style from Northern State Bank in Thief River Falls. COVID-19 restrictions and Kathy’s diagnosis led to the change in plans to celebrate the end of this chapter in Kathy’s life. The Red Lake Falls resident has worked for Northern State Bank for a combined total of more than 45 years. She is best known for being the manager of the Personal Banking Department for well over 20 years. “If you have ever had an account with Northern State Bank, there is a good chance Kathy has helped you in some way with that account. She was a great leader and mentor for her department and for the cus-tomers and community she served. Most people she dealt with often made the transition from customer to friend,” wrote coworker Fran Wojciechowski with assistance from the noon lunch crew. Kathy, who is battling ovari-an cancer, had an inkling that her coworkers and family were up to something. On Thursday, Oct. 15, she had gone to the Main Branch and had been asked to return the following day to fill out some paperwork that wouldn’t be ready in time. That seemed odd, but Kathy returned the following day with her chauffeur, who was her daughter Kristin, and an entourage of Kathy’s grandchil-dren.

On the way, Kristin received a text from one of Kathy’s coworkers. Kristin’s Chevy likes to announce who is tex-ting her. This heightened Kathy’s awareness that her rel-atives and her work family were up to something. At the predestined time, Kathy’s chariot drove down the alley where her coworkers were waiting. They were divided by team. Depending on whom was talking, one team was the var-sity team and the other was the junior varsity team. The bank has divided its Main Branch staff into two teams in the event of a COVID-19 outbreak. COVID-19 may have led to this socially distanced event, but a multitude of congratula-tory signs greeted Kathy. Coworker Kyle Anderson, aka “Big Ol’ Boy,” probably held the most signs, including one sign congratulating Kathy aka “Baby Cakes.” He also held a congratulatory sign from the late Marty Rabbit and the ambassador to Cuba. Coworkers Barb Guzek and Shelly McFarlane held signs referring to the “Hokey Pokey.” Shelly even showed off her moves with a carpet sweeper. It warmed Kathy’s heart that her coworkers took the time out of their day to wish her well in this way. “I couldn’t believe it,” she said. Kathy’s bank family has been thinking of her ever since she began her cancer fight this winter. She hasn’t worked alongside them since that time, but they remain in contact with her. Kathy has forged relation-ships with past and present col-leagues over the past 45 years. After graduating from Lincoln High School in 1965, the Goodridge native attended the Business Accounting Program at the Vocational School. Kathy completed that program nine months later and was then hired by Northern State Bank

in March 1966 to work as a bookkeeping/proof operator. She continued working there until she left the bank for a nine-year hiatus to care for her and her husband Don’s two children, Dale and Kristin. She returned in September 1982, serving in a variety of roles. The most recent role was that of manager of the Personal Banking Department. “She was adored by everyone who had the pleasure of work-ing with her. She had some of the craziest stories you could imagine. Most you could not dream up if you tried – like taking care of the ambassador to Cuba’s pet rabbit, Marty, while she was growing up. Marty, like most rabbits, had the habit of knocking the phone off the hook every time it would ring. The best part of every story, though, was her infec-tious laugh. You couldn’t help but laugh along,” Fran wrote with assistance from the noon lunch crew. “She was also known for mixing up common phrases, to come up with a Kathy original. She would say these phrases with such conviction, you would question whether or not you knew what it was supposed to be. A few greats were: Why buy the horse when you can eat the hay for free (why buy the cow when you can get the milk for free) or if you give them some rope, they will take a mile (if you give them an inch they will take a mile and give them enough rope they will hang themselves). “She loved to play cards. Every day at noon, you could find her and the rest of the noon lunch group downstairs in the break room playing Smear or Whist. I would like to say she was a gracious player, but most of the time, her competi-tive side wouldn’t allow that. She played to WIN! If you were on her team, you better bring your A game.”

Northern State Bank employees Barb Guzek (left) and Shelly McFarlane (center) congratulat-ed Kathy Vatthauer on her retirement from the bank after a combined total of 45 years. The bank

held a drive-thru retirement celebration for Kathy, who is battling ovarian cancer, on Friday, Oct. 16.

Thief River Falls resident Sunny Wilde has faced many health battles over the years with her hus-band, Ryan, and their daughter, Karleen, by her

side. Her latest battle involved breast cancer. (Submitted)

Looking on the “Sunny” side of things

by April Scheinoha Reporter t would be an under- statement to say that Sunny Wilde has faced health issues. After dealing with dia-betes, two kidney transplants and two pancreas transplants, she was diagnosed with breast cancer. “We’ve been on a roller coaster,” said Sunny, who lives in rural Thief River Falls with her husband, Ryan, and their 17-year-old daughter, Karleen. Sunny’s battle with breast cancer began in December 2018. While on a cruise, she found a lump in her right breast. She immediately thought the worst. Upon returning home, Sunny attempted to obtain a medical appointment in short order. That appointment didn’t hap-pen quickly enough for her or one of her doctors, who assisted in ensuring she obtained biop-sies at Sanford Medical Center in Bemidji. The lump had been quickly growing. Looking back, Sunny thought that it was pos-sible she had also noticed it earlier. As they waited for the results, Sunny continued to have her support system by her side. Ryan, Sunny and Karleen approached this health crisis like any other crisis Sunny has faced in the past. Sunny recalled Ryan telling her that they could deal with it no mat-ter what the outcome. It was Stage 3 breast cancer. “You’re scared to death when you first find out,” said Sunny, who has since learned her anti-rejection medication caused the breast cancer. Sunny met with an oncolo-gist in Fargo, N.D., on a Thursday. The following Tuesday, she underwent a mas-tectomy. Normally, it wouldn’t be that quick between an appointment and surgery. However, there had been a can-cellation. Two weeks after her surgery, Sunny began chemotherapy in Thief River Falls. Her

chemotherapy treatments spanned from February until December 2019. Sunny had to do some cre-ative juggling to ensure she underwent her five-days-a-week, hours-long home dialysis in enough time to obtain her six-hour chemotherapy treat-ments. Sunny also continued working. She began working remotely in the Digi-Key IT Department before it became fashionable during the COVID-19 pandemic. Sunny speaks highly of the Sanford Infusion Center. “They’re amazing how they work with you, how they talk you through stuff,” said Sunny, who noted that Infusion Center staff encounter people with dif-ferent types of cancer and situ-ations. The Sanford Infusion Center staff are so positive, said Sunny, who noted they made bad days better for her in about two minutes. Sunny also underwent radi-ation from July to August 2019. Sunny relied on Karleen, who had her ag farm driver’s per-mit, to drive her to and from Grand Forks, N.D., each day for the radiation treatments. Losing her hair was one of the worst parts of battling breast cancer. One day, Sunny’s hair was falling out at a high rate. She called her husband and daughter, telling them that they had reached the point where they should shave her head. They did it together. Sunny now has cancer scans every six months. Since Sunny has had cancer, she is unable to be added to the transplant list for five years. Sunny, who suf-fers from diabetes, has under-gone two kidney transplants and two pancreas transplants. All have failed. Sunny received her first kid-ney – from her mom – in 2006. In 2008, Sunny underwent a pancreas transplant. The first pancreas lasted five days. Later that same year, she underwent her second pan-creas transplant. It failed in 2012, so did the first trans-

planted kidney. Ryan donated a kidney to his wife the second time around. Ironically, while participat-ing in a trail ride raising awareness about organ dona-tion in 2018, Sunny’s second transplanted kidney failed. At the time, she and Karleen were in southern Minnesota. They were participating in Trails for Transplants, a long-distance multiple-week trail ride to raise awareness about organ, eye and tissue donation. Sunny was serving as a driver in the caravan while Karleen was rid-ing in the event. Karleen, who was then serving as Miss Northwest Minnesota Outstanding Teen, was also speaking about organ donation and singing to raise awareness. An ambulance transported Sunny to Rochester. Ryan later arrived, leaving some items with Karleen and then joining Sunny. Karleen, then 14, stayed behind with the Trails for Transplants group. The group ensured Karleen, her horse, and the family’s pickup truck and horse trailer contin-ued on the journey. Since that hospital stay, Sunny has been on dialysis. She now undergoes home dialy-sis, receiving assistance from Ryan and Karleen. Her daugh-ter is nicknamed Dr. Karleen for her prowess in placing dial-ysis needles into her mom’s arm. Sunny hopes that she can obtain a double transplant of a pancreas and a kidney. Having both transplanted at the same time will lessen the possibility of rejection. Doctors have deter-mined that Sunny suffers from a clotting disorder that led her body to reject her prior trans-plants. It’s just one of the many things that Sunny has battled over the years. Sunny, who admitted she has her moments of negativity, has tried to focus on the positive. “It’s just how you approach it,” said Sunny, whose first name seems to fit her.

Cheering on a coworker and friendI

I

Page 2 Wednesday, October 28, 2020

Thief River Falls Times

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Schedule Your Annual

Mammogram

If you’re called back after a mammogram Getting called back after a screening mammogram is pret-ty common but can be scary. But getting called back does not mean you have breast can-cer. It means that the doctors have found something they want to look at more closely. If you get called back, it's usually to take new pictures or get other tests. Less than 1 in 10 women called back for more tests are found to have cancer.

What else could it be? Sometimes, the image just isn’t clear and needs to be retaken. This may be because you have dense breast tissue which may make it hard to see parts of your breast. Or, the doctors may see calcifications or a mass, which could be a cyst or solid mass. If this is your first mammo-gram, your doctor may want to look more closely at an area simply because there is no pre-vious mammogram to compare it with.

What will happen at the follow-up appointment?

You likely will have another mammogram called a diagnos-tic mammogram. (Your previ-ous mammogram was called a screening mammogram.) A diagnostic mammogram is still an x-ray of your breasts. However, more pictures are taken so that any areas of con-cern can be carefully studied. A radiologist is on hand to advise the technologist (the person who operates the mammogram machine) to be sure they have all the images that are needed. You may also have an ultra-sound test, which uses sound waves to create a computer image of the inside of your breasts. For this test, you will lie on a table while a technolo-gist applies some gel and places a small instrument that looks like a microphone on your skin. You might feel some pressure, but it should not be painful. This test may be used to look more closely at a change that was seen on a mammogram. Some women will need an MRI (magnetic resonance imaging). A breast MRI uses radio waves and strong mag-nets to make detailed pictures of the inside of the breast. You

will lie face down inside a nar-row tube for up to an hour. The test can be uncomfortable for people who don’t like small, enclosed spaces, but should not be painful. You will most likely learn the results of your tests during the appointment. You might be told: • The extra tests showed nothing to worry about and you can return to your regular mammogram schedule. • The results are probably nothing to worry about, but you should have your next mammo-gram sooner than normal – usually in 6 months – to make sure nothing changes over time. • It could be cancer and a biopsy is needed to tell for sure. You will also get a letter with a summary of the findings, which will tell you if you need follow-up tests or when you should schedule your next mammogram.

What if I need a biopsy? Even if you need a breast biopsy, it still doesn’t mean you have cancer. Most biopsy results do not show cancer. But a biopsy is the only way to find out for sure. During the proce-dure, a small amount of tissue is removed and studied under a microscope to see if there are cancer cells. There are different types of biopsies. Some use a needle, and some are done through a cut in the skin. The type of biopsy you have depends on how concerning the breast change looks, how big it is, where it is in the breast, how many areas of change there are, other medical problems you might have, and your per-sonal preferences. It will take a few days, maybe even more than a week, for you to find out the results. If the results are negative or benign, that means no cancer was found. Be sure to ask the doctor whether you need any follow-up and when you should have your next screening mam-mogram. If the biopsy shows that you have cancer, your doc-tor will refer you to a breast surgeon or other breast special-ist

How can I stay calm while waiting?

Waiting for appointments and the results of tests can be frightening. Many women experience strong emotions including disbelief, anxiety, fear, anger, and sadness during this time. Keep in mind that • It's normal to have these feelings. • Most breast changes are not cancer and are not life-threatening. • Talking with a loved one or a counselor about your feel-ings may help. • Talking with other women who have been through a breast biopsy may help. The American Cancer Society is available at 1-800-227-2345 to answer your questions and provide support.

What if it’s cancer? If you do have cancer and

are referred to a breast special-ist, use these tips to make your appointment as helpful as pos-sible: • Make a list of questions to ask at the appointment. Download a list from the American Cancer Society or call us at 1-800-227-2345. • Take a family member or friend with you. They can serve as an extra pair of ears, help you remember things later, and give you support. • Ask if you can record important conversations. You might also want to take notes. • If someone uses a word you don’t know, ask them to spell it and explain it. • Ask the doctors or nurses to explain anything you don’t understand. Source: American Cancer Society

Hospice of the Red River Valley offers free virtual grief support programs for adults Hospice of the Red River Valley is offering free virtual educational workshops for adults who have recently expe-rienced the death of a loved one. All classes will be held vir-tually/online and are free and open to the public. Registration is required. Grief 101: How to Help Ourselves & Others When grief enters a person’s life, their world changes. Learn the basics of grief and how to manage it, or help others. Attendees will explore the grief process, learn self-care strate-gies and discover ways to help others who are dealing with grief. This virtual class is free and open to the public. Registration is required one day prior to the class date, which is Monday, Nov. 2 from 1 to 2:30 p.m.

Grief During the Holidays

Managing grief in times of celebration can be overwhelm-

ing. Suffering the loss of a loved one is difficult any time of the year, but the holiday season can intensify feelings of loss. This virtual presentation will enable attendees to identify and learn how to manage the mixed emotions that can sur-face when grieving during the holidays. Participants will also learn important self-care strategies. This virtual class is free and open to the public. Registration is required one day prior to the class date. Two class dates are avail-able: • Tuesday, Nov. 10 from 1 to 2 p.m. or • Monday, Nov. 16 from 6 to 7 p.m. Register for classes online at www.bit.ly/griefclassregistra-tion, call (800) 237-4629 and ask for the grief support department, or email grief@hrrv.org. To view the complete class listing, visit www.hrrv.org.

It’s not too late to quit smoking Cigarette smoking causes amost one-third (30%) of all cancer deaths in the U.S. That’s one of the reasons it’s so important to quit, and the sooner the better. Quitting is rewarding no matter how old you are or if you have health problems. And the benefits are almost immediate. People who have quit smoking have fewer ill-nesses such as colds and the flu, lower rates of bronchitis and pneumonia, and tend to feel healthier than people who still smoke. Just 20 minutes after quitting, heart rate and blood pressure drop. In just 12 hours, the carbon monoxide level in blood drops to normal. In as little as two weeks to three months, circulation improves and your lung func-tion increases. Nearly everyone knows that smoking can cause lung cancer, but fewer people realize it is linked to a higher risk for many other kinds of cancers, too. Besides lowering the risk for certain cancers, quitting smok-ing also lowers the risk of heart attack, stroke, and chronic lung disease.

If you have cancer If you've already been diag-nosed with cancer or another significant health problem, quitting smoking often makes it more likely the treatment will be successful and that you'll have fewer side effects or complications from treatment. But a study by American Cancer Society researchers found that about 1 in 10 cancer survivors still reports smoking about nine years after a diag-nosis. Lead author Lee Westmaas, PhD, American Cancer Society director of tobacco control research, says doctors and health care providers must continue to ask survivors about their smoking and provide resources, includ-ing medications and counsel-ing, to help them quit. And if your health care provider does-n't ask you about quitting, says Westmaas, you should do the asking. It could be the first step toward getting the help you need. If you're a caregiver and you smoke, Westmaas says you may be able to help a cancer patient by quitting yourself. In another study, Westmaas and colleagues from the American Cancer Society found that can-cer patients and survivors were

more likely to keep smoking if they lived in the same house-hold with another person who smokes. Quitting when you’re older According to the National Cancer Institute, being older creates both challenges and advantages when it comes to quitting. The challenges: It's likely you've tried to quit before, maybe even more than once. Knowing how hard it is may make you feel discouraged about trying again. And if you’ve been smoking for a long time, it may be so much a part of everyday life, it’s hard to imagine quitting. The advantages: Older adults have some strengths that younger people may not have, and they are strengths that can help them quit. Over their lifetimes, they have had lots of experience accomplish-ing difficult tasks. At this point in their lives, they are likely to be better prepared to quit smoking than when they were younger. They know quitting is tough, and they know it won’t be easy, so once they decide to try again, they may be more willing to work at it to make sure they succeed. The immediate benefits: Soon after quitting you’ll notice your breath smells better, stained teeth get whiter, food tastes better, and everyday activities like climbing stairs might not leave you out of breath as much. You’ll also be protecting your loved ones from the dangers of secondhand smoke. And smoking is expen-sive. Calculate how much money you spend each month on cigarettes for extra motiva-tion to quit.

The Great American Smokeout®

Quitting smoking isn’t easy. It takes time. And a plan. You don’t have to stop smoking in one day. Start with day one. Let the Great American Smokeout event on Nov. 19 be your day to start your journey toward a smoke-free life. You’ll be joining thousands of people who smoke across the country in taking an important step toward a healthier life and reducing your cancer risk. Plus, the American Cancer Society can help you access the resources and support you need to quit. Source: American Cancer Society

A cancer diagnosis can be difficult to process. However, advancements in cancer research over the last several decades have helped more peo-ple survive such diagnoses. That should come as good news to people who have recently been diagnosed with breast cancer. The Centers for Disease

Control and Prevention says breast cancer is the second most common cancer among women in the United States. BreastCancer.org estimates that 276,000 new cases of inva-sive breast cancer and around 49,000 non-invasive cases are expected in 2020 in the United States. The Canadian Cancer Society says breast cancer is

the most commonly diagnosed cancer among Canadian women, and the second most commonly diagnosed cancer in the country. Breast cancer treatment depends on the stage of the cancer, personal choices as well as doctor recommendations. Other factors like preexisting conditions or health history also may play a role in deter-mining patients' treatments. In many cases, chemotherapy is included in a treatment plan. Chemotherapy targets fast-growing cancer cells in the body to prevent cancer from spreading and to shrink tumors. However, the American Cancer Society says other nor-mal cells that are fast-growing can be affected by chemothera-py and cause side effects. These cells include blood-forming cells in bone marrow, hair folli-cles, cells in the mouth, diges-tive tract cells, and reproduc-tive system cells. This is why many people lose their hair during chemotherapy treat-ments. Many women confront chemotherapy-related hair loss with head coverings, and they have various options at their disposal.

· Scarves: Many women like to tie lightweight scarves around their heads. These scarves come in various pat-terns. Pre-tied scarves that can be pulled on also are available. · Cloches: A cloche is a fitted, bell-shaped hat that gained popularity in the 1920s and 1930s. · Turbans: Turban style hats are pull-on options and are knotted or twisted in the front or side. Some may have decora-tive embellishments on the front. · Baseball hat: Some base-ball hats designed specifically for cancer patients provide more coverage than traditional baseball hats by stretching fur-ther down the back of the head and neck. They feature a brim and can offer substantial pro-tection while out in the sun. Other baseball hats may come equipped with artificial or real human hair extensions attached inside of the hat to offer stylish options. · Wigs: When a hat or scarf is not desirable, women can consider wigs. Wigs can be undetectable and mimic real hair. To simplify choosing a wig, women can bring a picture of their typical hairstyle. Save a lock of hair from the top front of the head where hair is the lightest to match wig color. Make sure the wig is adjustable. . Hair loss is a side effect of some cancer treatments. Finding head coverings can bridge the gap until hair regrows.

Not all people who get lung cancer smoke. As many as 20% of people who die from lung cancer in the United States every year have never smoked or used any other form of tobac-co. But, lung cancer in people who have never smoked is one of the most fatal cancers in the United States. While it’s true that staying away from tobacco is the most important thing any of us can do to help lower our risk of get-ting lung cancer, there are also other risk factors. Some of the risk factors for lung cancer can cause changes or mutations in the lung cells. These changes can lead to abnormal cell growth and sometimes cancer. Some people who get lung can-cer have no known risk factors. Researchers continue to make progress in understand-ing what can cause lung cancer in people who have never used tobacco: • Radon gas. Radon is a naturally occuring radioactive gas that results from the breakdown of uranium in soil and rocks. Outdoors, there is so little radon that it is not likely to be dangerous. But if there is radon indoors, it can be more concentrated. Breathing it in may increase a person's risk of lung cancer. According to the US Environmental Protection Agency (EPA), radon is the sec-ond leading cause of lung can-cer in this country, and is the leading cause among people who don't smoke. A Citizen’s Guide to Radon explains how to test your home for radon easily and inexpensively, as well as what to do if your levels are too high. • Secondhand smoke. Each year, about 7,000 adults die of lung cancer as a result of breathing secondhand smoke. Laws that ban smoking in pub-

lic places have helped to reduce this danger. The American Cancer Society Cancer Action NetworkSM (ACS CAN) - the nonprofit, nonpartisan advoca-cy affiliate of the American Cancer Society - is working to expand and strengthen these laws to further protect both people who smoke and those who don't from the dangers of secondhand smoke. • Cancer-causing agents at work. Some people are exposed to carcinogens (cancer-causing agents) such as arsenic, urani-um, asbestos and diesel exhaust at their workplace. Work-related exposure to such cancer-causing materials has decreased as the government and industry have taken steps to help protect workers. Still, if you work around these agents, be careful to limit your expo-sure whenever possible. • Air pollution. In cities, air pollution (especially near heav-ily trafficked roads) appears to raise the risk of lung cancer

slightly. • Gene mutations (changes). Certain changes in lung cells can lead to abnormal cell growth, and sometimes, cancer. Lifestyle changes to lower

risk People who don't smoke avoid the greatest risk factor for lung cancer. But they can make some other lifestyle changes to help reduce their risk even more. In addition to testing your home for radon, avoiding sec-ondhand smoke, and limiting exposures to carcinogens at work, following a healthy eat-ing pattern with a variety of fruits and vegetables may also help reduce your risk of lung cancer. Some evidence suggests that a diet high in fruits and vegetables may help protect against lung cancer in both people who smoke and those who don't. Source: American Cancer Society

Wednesday, October 28, 2020 Page 3 Thief River Falls Times

218-681-4287116 Third Street West, Thief River Falls, MN

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Stand undressed from the waist up in front of a large mirror in a well-lit room. Look at your breasts. Don't be alarmed if they do not look equal in size or shape. Most women's breasts aren't. With your arms relaxed by your sides, look for any changes in size, shape, or position, or any changes to the skin of the breasts. Look for any skin puckering, dimpling, sores, or discol-oration. Inspect your nipples and look for any sores, peeling, or change in the direction of the nipples. Feel for nodes, irregularity and tenderness both in breasts and axiliary areas. Next, place your hands on your hips and press down firmly to tighten the chest muscles beneath your breasts. Turn from side to side so you can inspect the outer part of your breasts.

Then bend forward toward the mirror. Roll your shoulders and elbows forward to tighten your chest muscles. Your breasts will fall forward. Look for any changes in the shape or contour of your breasts.

Now, clasp your hands behind your head and press your hands forward. Again, turn from side to side to inspect your breasts' outer portions. Remember to inspect the border underneath your breasts. You may need to lift your breasts with your hand to see this area.

Check your nipples for discharge (fluid). Place your thumb and forefinger on the tissue surrounding the nipple and pull outward toward the end of the nipple. Look for any discharge. Repeat on your other breast.

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We Stand Together in the Fight Against Breast Cancer!Medical experts agree that early detection is a woman’s best defense in overcoming breast cancer. In fact, the National Breast Cancer Foundation reports that when breast cancer is detected in the early, localized stage, the five-year survival rate is 98 percent. The organization encourages every woman to develop an early detection plan consisting of breast self-exams, clinical breast exams and mammograms based on age and health history. To learn how to perform a monthly breast self-exam, go to www.nationalbreast-cancer.org or ask your healthcare professional. A family physician or gynecologist should perform a clinical breast exam as part of an annual visit, and can advise women on the frequency of mammography scheduling.

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Headcovering options for cancer patients

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Page 4 Wednesday, October 28, 2020Thief River Falls Times

The novel coronavirus COVID-19 first appeared in late 2019 and has changed life for the forseeable future. While many people are quick to focus on the ways COVID-19 has impacted their abilities to shop, visit with friends and relatives or travel, the virus has made life especially difficult for people with preexisting health condi-tions. Medical News Today reports that the symptoms of COVID-19 may be more severe for breast cancer patients. Furthermore, the Centers for Disease Control and Prevention notes that undergoing cancer treatment can weaken the immune sys-tem, further increasing a per-son's vulnerability to infection. Specifically, targeted therapies, chemotherapy and radiation can weaken the immune system and compromise its ability to

fight off the coronavirus. Furthermore, these treatments also may cause lung problems that can exacerbate COVID-19 symptoms, particularly among breast cancer patients whose cancer has metastasized to the lungs. In April 2020, new guidelines for the prioritization and treat-ment of breast cancer patients during the COVID-19 pandemic were released, compiled by a group of U.S. medical organiza-tions, including the National Accreditation Program for Breast Centers, the American College of Radiology and the Comprehensive Cancer Network. At hospitals where resources and staff have become limited due to COVID-19 treat-ment efforts, doctors have had to define which breast cancer patients need urgent care and which can have delayed or alter-

native treatments. These meas-ures can help balance maintain-ing positive survival outcomes as well as reducing risk of expo-sure to the virus, according to the American Society of Breast Surgeons. Breast cancer patients have been broken down into priority levels of A, B and C for urgency of care. · Priority A: A patient has conditions that are immediately life-threatening or require urgent treatment. · Priority B: A patient has conditions that don't require immediate treatment, but he or she should begin treatment before the end of the pandemic. · Priority C: A patient has conditions for which treatment can be safely put on hold. Breast cancer patients are further urged to take extra cau-tion in their daily activities to

help reduce the risk of contract-ing COVID-19. That means always wearing a mask or another face covering when interacting with other people. This advice may be applicable even if a six-foot distance can be maintained. Wash hands fre-quently, especially when coming in from public places. If possi-ble, ask a friend or family mem-ber to do your shopping or run errands for you to limit expo-sure to other people and crowds. Breast cancer patients may have to discuss the possibility of altering or delaying treatment for breast cancer with their oncologists because of increased risk factors presented by COVID-19. Together, patients and doctors can work to keep breast cancer patients as healthy as possible.

The moment a person is diag-nosed with cancer can elicit a variety of emotions. Fear of what's to come is a common reaction to such a diagnosis, and some people may feel alone upon learning they have cancer. But no cancer patient should face their diagnosis and treat-ment alone. In fact, a strong support network can be vital to patients' recoveries. According to Weill Cornell Medicine, recent changes in the healthcare industry have shift-ed the burden of care from the hospital to the home. That underscores the importance of a strong support network. Many of the challenges cancer patients face in the months after diagnosis will be new, and patients can expect a range of emotions. According to Breast Cancer Now, a charitable organ-ization that funds one-third of

breast cancer research in the United Kingdom, women may experience emotions such as shock, anger, disbelief, anxiety, and sadness after being diag-nosed with breast cancer. Having loved ones there to help them make sense of those emo-tions and stay positive as they navigate their way through the treatment process is essential. In addition to providing emo-tional support, loved ones of breast cancer patients may need to take on additional roles as they help their friends or family members face the challenges that lay ahead. Because of the industry changes noted by Weill Cornell Medicine, cancer care-givers and support networks may need to prepare themselves to take on the following roles, each of which is vital to cancer patients' survival. Monitor the disease: Support

networks may need to keep track of how their loved ones' disease is progressing and if there are any complications from treatment. · Manage symptoms: Breastcancer.org notes that treatment causes severe side effects in many women. Such side effects may include nau-sea/vomiting, diarrhea, consti-pation, pain, arm swelling, shortness of breath, and skin irritation. Thankfully, most of these side effects can be treated. In addition, Breastcancer.org notes that most side effects ease up after treatment is completed. In the meantime, support net-works may need to help patients manage those symptoms, per-forming a host of tasks to make their loved ones' lives easier. For example, patients experi-encing shortness of breath may be incapable of performing

chores around the house. In such instances, members of a support network can tackle those chores until their loved one bounces back. · Administer medication: Breast cancer patients may be too overwhelmed to handle their own medications, so support networks can take over this important responsibility for them. · Assist with personal care: Some patients may experience fatigue after treatment. In such instances, support networks can help patients maintain their personal hygiene. Support networks can be vital to helping cancer patients overcome their disease and nav-igate their way through success-ful treatment regimens.

Among American women, breast cancer ranks as either the most commonly occurring cancer or a close second. The World Cancer Research Fund says there were two million new cases of breast cancer in 2018 across the globe, while the American Cancer Society notes the chance that a woman will die from breast cancer is about 2.6 percent. Fortunately, for most women, a cancer diagnosis is not termi-nal. Early detection and thor-ough treatment helps to improve the five-year survival rate, especially for those with cancer that is localized to the breast or has only minimally spread. Women may have to undergo various forms of treat-ment, including radiation, chemotherapy and surgery. The National Cancer Institute notes that, while they're effective, breast cancer treatments can cause changes that affect a woman's physique, body image and sexuality. Some changes will be short-term, such as hair loss or fatigue. Others may be permanent, such as breast loss or scarring from lumpectomy and mastectomy. Fertility also may be affected, potentially compromising a woman's ability to get pregnant after treatment. Regardless of the changes, breast cancer patients must realize they are not alone. Scores of women have experi-enced similar feelings and can

be sources of support and inspi-ration during recovery. In addi-tion, a handful of strategies can help women confront the physi-cal changes resulting from can-cer treatment in a positive way. · Understand that it is okay to feel frustrated, upset or angry with the changes that have occurred. It doesn't make you shallow. Anyone has the right to grieve treatment options that have changed their bodies in various ways. · Attempt to focus on how cancer treatment and the entire experience has made you stronger and more in tune with life. Cancer can be a wake-up call that sparks positive

changes going forward. Focus on your strengths, rather than on what you cannot reverse. · Look for new ways to enhance your appearance, like a new hairstyle. A makeup makeover also can help. Some women like to splurge on a styl-ist who can help shape a wig or offer them some innovative ideas to change their appear-ance. · Speak with a doctor about what you can do to treat and camouflage skin changes from treatment. Topical creams may alleviate redness or dry patches while other remedies can mini-mize surgical scarring. The changes in body image

that breast cancer survivors experience tend to be connected to the features that society char-acterizes as "feminine." Loss of one or both breasts can greatly affect body image. However, if mastectomy surgery is neces-sary, speak with your doctor about reconstruction possibili-ties. There also are very good prosthetic inserts and bras that can mimic the look of natural breasts under clothing. Physical changes are com-mon after cancer treatment. Women can try a handful of strategies to successfully con-front these changes.

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COVID-19 and breast cancer guidelines

The vital role of a cancer support network

How to cope with physical changes resulting from cancer treatment

Various factors can affect a woman's risk for breast cancer. Some of these factors, including whether or not a woman is physically active, are within her control. But others are not, and those include when a she start-ed to menstruate. According to Breastcancer. org, women who started men-struating prior to age 12 have a higher risk of developing breast cancer later in life. But that's not the only link between men-struation and breast cancer risk, as women who go through menopause when they're older than 55 years of age also have a higher risk of developing breast cancer later in life.

Breastcancer.org notes that, over the last two decades, girls have begun puberty at younger ages than girls in previous gen-erations. Researchers have linked that phenomenon to the obesity epidemic and broad exposure to hormone disrup-tors. A rise in hormones triggers the onset of puberty. The breast tissue of girls who begin men-struating at a younger age tends to be immature and sensi-tive to hormonal influences, which is associated with a high-er risk of breast cancer later in life. Women may not be able to control when they start and stop menstruating, but they can

control certain factors that can make them less likely to men-struate early. Breastcancer.org notes that maintaining a healthy weight, exercising regu-larly and eating nutritious foods are some lifestyle choices that girls and women can make to keep their risk for breast cancer as low as possible. Various factors can increase a woman's risk of developing breast cancer. Understanding the link between those factors and cancer risk can help women make healthy decisions that benefit both their short- and long-term health.

Menstrual history and breast cancer risk

Finding breast cancer early usually makes it easier to treat. Along with getting regular screening mammograms, being aware of how your breasts look and feel is an important part of early detection. Some breast cancer signs are detected best by mammogram. Other signs may be more easily seen as changes in how the breasts look or feel. It is important to know that not all changes in the breasts are cancer. Benign (non-cancer-ous) breast conditions are much more common than breast can-cer. But it is important to let your health care team know about any changes in your breast so they can be looked into. Below are some common breast symptoms that should be checked right away.

A lump in your breast A lump or mass in the breast is the most common symptom of breast cancer. Lumps are often hard and painless, although some are painful. However, not all lumps are can-

cer. Benign breast conditions (like cysts) can also cause lumps. Still, it’s important to have your doctor check out any new lump or mass right away. If it does turn out to be cancer, the sooner it’s diagnosed the better. Swelling in or around your

breast, collarbone, or armpit

Swelling in these areas can occur for many reasons but may indicate cancer. Breast swelling can be caused by cer-tain types of breast cancer. Swelling or lumps around your collarbone or armpits can be caused by breast cancer that has spread to lymph nodes in those areas. The swelling can occur even before you can feel a lump in your breast. If you have swelling, be sure to let your health care team know as soon as possible.

Skin dimpling If the skin of your breast starts to feel thicker and looks a bit like an orange peel, have it checked right away. This can be caused by mastitis. This

infection is most common among women who are breast feeding but can happen in other women as well. Your doctor may choose to first treat you with antibiotics. However, if your symptoms don’t improve after a week or so, you should get checked again. These symptoms can also be caused by inflammatory breast cancer. This form of breast cancer can look a lot like a breast infection but is less common and needs to be treat-ed as soon as possible.

Nipple retraction Breast cancer can some-times cause your nipple to turn inward. If you notice a change in your nipple, get checked by your health care team right away. This could be a symptom of breast cancer. But nipple retraction can also occur with aging and non-cancer breast conditions.

Nipple or breast redness, dryness, flaking or

thickening Breast or nipple redness, dryness, flaking or thickening

may be symptoms of infection or irritation. However, they may also be caused by breast cancer. For any of these types of changes, get checked out by your healthcare team as soon as possible.

Nipple discharge Having anything other than milk come out of your nipple may be alarming. In most cases it is caused by injury, infection, or a benign tumor (not cancer). However, breast cancer is a possibility, especially if the fluid is bloody, so have your health care team check it out.

Pain Although most breast can-cers do not cause pain in the breast or nipple, some do. More often, women have breast pain or discomfort related to their menstrual cycle. Also, some non-cancer breast conditions, such as mastitis, may cause a more sudden pain. However, if you have breast pain that is severe or persists, you should be checked by your health care team. You could have cancer or a benign condition that needs to be treated. Breast health includes not only regular mammograms but also watching for changes in how your breasts look and feel. Become familiar with your breasts and report any changes to your healthcare team right away! Source: American Cancer Society

1. Get to and stay at a healthy weight. Being overweight or obese increases breast cancer risk, especially after menopause. Gaining weight as an adult adds to your risk. After menopause, most of your estrogen comes from fat tissue. Having more fat tissue increases the amount of estro-gen your body makes, raising your risk of breast cancer. Also, women who are overweight tend to have higher levels of insulin. Higher insulin levels have also been linked to breast cancer. If you’re already at a healthy weight, stay there. If you’re carrying extra pounds, try to lose some. There’s some evi-dence that losing weight may lower breast cancer risk. Losing even a small amount of weight can also have other health benefits and is a good place to start. 2. Be physically active and avoid time spent sitting.

Many studies have found that regular physical activity reduces breast cancer risk. Recent updates to the American Cancer Society Guideline for Diet and Physical Activity recommend getting at least 150-300 minutes of mod-erate intensity or 75-150 min-utes of vigorous intensity activ-ity each week. Getting to or exceeding 300 minutes is ideal. You can learn more about get-ting active in Fitting in Fitness. In addition, you should limit sedentary behavior such as sit-ting, lying down, watching TV, and other forms of screen-based entertainment. This is especially important if you spend most of your working day sitting. 3. Follow a healthy eating pattern. A healthy eating pattern includes a variety of vegeta-bles, fiber-rich legumes (beans and peas), fruits in a variety of colors, and whole grains. It is

best to avoid or limit red and processed meats, sugar-sweet-ened beverages, highly processed foods and refined grain products. This will pro-vide you with key nutrients in amounts that help you get to and stay at a healthy weight. 4. It is best not to drink alco-hol. Research has shown that drinking any alcohol increases the risk of breast cancer. If you choose to drink alcohol, the American Cancer Society rec-ommends that women have no more than 1 alcohol drink on any given day. A drink is 12 ounces of regular beer, 5 ounces of wine, or 1.5 ounces of hard liquor. 5. Think carefully about using hormone replacement therapy (HRT). Studies show that HRT using a combination of estrogen and progestin increases the risk of breast cancer. This com-bination can also lead to increased breast density, mak-ing it harder to find breast can-cer on mammogram. The good news is that within 3 years of stopping the hormones, the risk returns to that of a woman who has not used HRT. For women who have had a hysterectomy, taking HRT that only includes estrogen may be a better option. Estrogen alone does not increase breast cancer risk. However, women who still have a uterus are at increased risk of endometrial cancer from estrogen only HRT. Talk with your doctor about all the options to control your menopause symptoms, includ-ing the risks and benefits of each. If you decide to try HRT, it is best to use it at the lowest dose that works for you and for as short a time as possible. Source: American Cancer Society

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Wednesday, October 28, 2020 Page 5

Thief River Falls Times

Tougher than Breast Cancer

Breast cancer symptoms: What you need to know

Here are 5 ways to help protect your breast health

Symptoms of male breast cancer Breast cancer is one of the most common forms of cancer diagnosed among the female population. Though breast can-cer may seem like a disease that's exclusive to women, breast cancer can affect men as well. While they have a smaller concentration than women, men have breast tissue, which means it's possible for them to develop breast cancer. Male breast cancer is most common in older men, but it is impor-tant that men recognize that the disease can strike them at any age.

Signs and symptoms Men with breast cancer experience symptoms that are similar to those experienced by women. Possible signs to be aware of include: · skin dimpling or puckering · a lump or swelling, which is typically (but not always) painless · nipple retraction · redness or scaling of the nipple or breast skin · discharge from the nipple, which may be clear or blood-tinged The American Cancer Society advises that sometimes breast cancer can spread to the lymph nodes under the arm or around the collar bone and cause a lump or swelling in these locations. The protrusion may be noticeable even before the original tumor in the breast is large enough to be felt. Men should realize that enlargements or issues affect-ing both breasts (not on just one side) typically aren’t can-cer. Enlargement or changes to both breasts in men can be caused by weight gain, medica-tions or heavy alcohol con-sumption.

Types of male breast cancer

Various types of breast can-cer can affect men, according to the Mayo Clinic: · Ductal carcinoma: Cancer that begins in the milk ducts. Nearly all male breast cancer is ductal carcinoma. · Lobular carcinoma: Cancer that begins in the milk-produc-ing glands. This type is rare in men because they have few lob-ules in their breast tissue. Especially rare types of breast cancer that can occur in men include Paget's disease of the nipple and inflammatory breast cancer.

Diagnosis BreastCancer.org says that a small study of breast cancer in men found that the average time between first symptoms and diagnosis was about 19 months. This can be startling because early diagnosis can be vital to survival. Through the realization that breast cancer can happen to men and more education and awareness, men can feel more comfortable about discussing changes to breast tissue with their doc-tors. Male breast cancer is a very real occurrence, albeit a rare one. It is important that men take any abnormalities in their chests seriously.

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In the battle against breast cancer, early detection is a woman’s most powerful weapon. In fact, according to the National Cancer Institute, when breast cancer is detected in an early, localized stage, the five-year survival rate is 98 percent. That’s why it is so important for all women to make breast health awareness a regular part of their healthcare routine.

Growing Awareness to Save Lives A mammogram can detect breast cancer in its earliest, most treatable stages, and many major health organizations recommend annual mammogram screenings for women beginning at age 40 . Experts also recommend clinical breast exams and breast self-exams to check for breast abnormalities on a regular basis. Any woman noticing unusual changes in her breasts should contact her healthcare provider immedi-ately. Women of all ages should speak to their doctor about his or her personalized recommendations for breast cancer screening. As we recognize Breast Cancer Awareness Month, we remember the women who have lost their lives to the disease, and we voice our support for those in the fight of their lives.

Submitted by Hospice of the Red River Valley Cancer can take a tremen-dous physical and emotional toll on both patients and their families. When cancer treat-ments become ineffective, a cure or long-term remission is no longer possible, or when the burden of treatment outweighs the benefit, it may be time to shift the focus from cure to comfort. With hospice, the care continues with an emphasis on improving quality of life. Research shows that cancer patients and their families who use hospice services report a higher quality of life than those who don’t. How can hospice care help

those with cancer? Hospice helps cancer patients to be cared for, sup-ported and surrounded by the people and things they love. Hospice care often reduces the need for repeat stays in the hospital. Because we provide care for medical problems and training and education for caregivers in the comfort of your home, hospice patients spend less time in the hospital. The hospice team will evaluate the patient’s condition and update the plan of care as fre-quently as necessary. The goal of hospice is to relieve physical and emotional distress so patients can live as fully as possible, retain their dignity and remain comfortable at home. Hospice of the Red River Valley’s plan of care for those with cancer includes: • Expert pain and symptom management in the comfort of your home that addresses fatigue, loss of appetite, nau-sea/vomiting, shortness of breath, loss of sleep and other symptoms of cancer • A comprehensive evalua-tion by the hospice team • Medications and non-med-ical interventions to appropri-ately respond to pain and other symptoms • Around the clock availabil-ity and support via phone • Assistance with  advance care planning that aligns with the patient’s needs, priorities and goals • Caregiving support,  edu-cation and guidance from your

hospice team • Durable medical equip-ment, supplies and medica-tions related to your cancer • Help with dressing, bathing, grooming and eating • Emotional and spiritual support • Grief support Each person is different, and symptoms vary according to the kind of cancer. There are several signs consistent among cancers that commonly mean the disease has progressed to an advanced stage: • The person is rapidly weakening, and the malignan-cy is progressing • Treatment is no longer fully effective • The emotional, physical and spiritual costs of treatment on the ill person and the family are greater than the expected benefits • Weight loss If you see yourself or your loved one in this description, you can request a hospice eval-uation. Your physician may also make this request, although you do not need to wait for a referral from a doc-tor. You can contact us at any time to find out how Hospice of the Red River Valley can help you live well.

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Hospice of the Red River Valley is an independent, non-profit hospice serving more than 35  counties in North Dakota and Minnesota. Hospice care is intensive com-fort care that alleviates pain and suffering, enhancing the quality of life for patients with life-limiting illnesses and their loved ones by addressing their medical, emotional, spiritual and grief needs. For more infor-mation, call toll free 1-800-237-4629, email questions@hrrv.org or visit www.hrrv.org.

Wednesday, October 28, 2020 Page 7 Thief River Falls Times

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In the battle against breast cancer, early detection is a woman’s most powerful weapon. In fact, according to the National Cancer Institute, when breast cancer is detected in an early, localized stage, the five-year survival rate is 98 percent. That’s why it is so important for all women to make breast health awareness a regular part of their healthcare routine.

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Altru’s providers encourage patients to be “Saved by the Scan” Altru’s providers are encour-aging patients to be “Saved by the Scan” this November, in recognition of Lung Cancer Awareness Month. “When detected early, lung cancer patients have more treatment options and a far greater chance of survival,” said Dr. Karine Darbinyan, a hematology and oncology spe-cialist at Altru Cancer Center. Each year, more people die of lung cancer than of colon, breast and prostate cancers combined. However, the signs of lung cancer do not appear until the disease has already spread and is at an advanced,

non-curable stage. Detection is crucial to the best health out-comes. “The five-year survival rate for those diagnosed before the cancer has spread rises from 18 out of every 100 people to 55 out of every 100. But the key is being tested for lung cancer early.” Screening is recommended for patients who are currently smoking or smoked within the last 15 years and anyone over the age of 55. Speak with your primary care doctor to see if you qualify for lung cancer screenings or for more information.

When is it the right time for hospice care?

A new breast cancer report from the Minnesota Department of Health (MDH) shows a 30-year trend of decreasing mortality rates, suggesting improved diagnosis and treatment of breast cancer in Minnesota. However, providers and public health officials are concerned that delays in breast cancer screen-ings in 2020 may slow the progress. Though breast cancer is the most common cancer diagnosed in Minnesota women, the report shows survival rates of about 93%. This high survival rate is due to decades of progress in early diagnosis and treatment. Between 1988 and 2017, Minnesota breast cancer mortality rates declined 2.4% per year compared with the national overall decline of 1.8% per year, according to the report, Breast Cancer in Minnesota Women. For more information, see Minnesota Cancer Reporting System (MCRS) Cancer Statistics and Reports. However, public health offi-cials are concerned that some

women may choose to delay screenings in order to avoid vis-its to a health care facility dur-ing the COVID-19 pandemic. Studies from the National Cancer Institute and the American College of Radiology indicate that such delays could impact breast cancer survival rates. “We know women have their best chance of beating breast cancer when it is diagnosed and treated early, and this is why mammograms are so impor-tant,” said Minnesota Commissioner of Health Jan Malcolm. “Our health care sys-tems are taking extra precau-tions to ensure the safety of patients and staff, and we urge all women to talk to their pri-mary care provider about can-cer screenings. This report also underscores the importance of focusing on health equity and ensuring women of color have safe access to screenings and treatment.” Mammograms are the most reliable way to detect breast cancer early when it is the eas-iest to treat. Not scheduling a mammogram can allow breast

cancers to grow, becoming less treatable with time, and more deadly. MDH’s Sage Screening Program partners with more than 480 clinics statewide to offer free mammograms and pap tests to Minnesota’s women. Sage observed a rapid decline in the number of breast and cervical cancer screenings through their program since the start of the COVID-19 pan-demic. MDH urges women to talk with their doctor about the risks and benefits of being screened now or postponing for a later date, taking into account personal and family history, other risk factors, and previous screenings. “In the spring, it made sense to hold off on routine health visits, but mammograms are potentially lifesaving tests,” said Matt Flory, cancer control strategic partnerships manager with the North Region American Cancer Society. “Hospitals and clinics have learned a lot since then. Now is a great time to call your doctor to see if you should schedule a

screening.” Minnesota’s persistent health inequalities have a sig-nificant effect on Black Minnesotans with breast can-cer. Black and American Indian women have the highest mor-tality rates, due in large part to later diagnoses and limited access to treatment. Black and American Indian/Alaska Native women die of breast cancers at higher rates than white women. Black women in Minnesota have substantially lower overall relative survival compared to white women (78.7% for Blacks compared to 92.9% for whites). New to this year’s report is a description of the frequency of four main breast cancer molec-ular subtypes, Luminal A, Luminal B, Triple negative/basal-like and HER2-enriched. Studying and track-ing breast cancer subtypes is useful in planning treatment strategies and developing new therapies.

Page 8 Wednesday, October 28, 2020Thief River Falls Times

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The two Main Branch teams from Northern State Bank gathered on opposite sides of the alley Friday, Oct. 16 to wish Kathy Vatthauer well in

her retirement. Pictured are (from left) Michelle Janisch, Jon Bushy, Pam Bettin and Anthony Holthusen.

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1985 1990 1995 2000 2005 2010 2015 2020

Minnesota US

Source: Minnesota Department of Health Office of Vital Records (1988-2017 Minnesota age-standardized mortality rates). National Center for Health Statistics (1988-2017 U.S. age-standardized mortality rates). Rates are per 100,000 population and age-standardized to the 2000 U.S. Standard Population (19 age groups – Census P25-1130).

Breast cancer survival rates underscore importance of regular screening MDH encourages anyone with a delayed mammogram to schedule an appointment this October as part of Breast Cancer Awareness Month

Breast cancer mortality rates have been decreasing in Twin Cities Seven-County Metro and non-Metro regions since 1988

MN Dept. of Health breast cancer report findings • In 2017, there were more than seven times as many new breast cancer diagnoses (4,643) as deaths from breast cancer (627) for Minnesota women. • In 2017, an estimated 61,650 women (or 2.2%) in Minnesota were either newly diagnosed with a breast cancer or were diagnosed before 2017 and survived their cancer. • The report also found that Minnesota is on par with national public health stan-dards set by Healthy People 2020 to reduce breast cancer mortality rates to 20.7 per 100,000 women. • Incidence rates in Greater Minnesota have been historically lower than rates for the Twin Cities seven-coun-ty metro area, but overall trends in both regions were similar to the state.