Annual Ten Mile Breast Cancer Awareness Walk

Annual Ten Mile Breast Cancer Awareness Walk
Come walk with us...Sunday, September 19th 2010

Thursday, December 31, 2009

Heartstrings - Words of Hope, Healing and Humor


Breast cancer adds many new words and phrases to your vocabulary. Sentinel node. Radiation therapy. Adriamyacin and Cytoxin. Tumor bed. Chemo brain. Hair loss. Accepting help.

When I was sixteen, my mother died of breast cancer about a year after her diagnosis. For me, it was not a matter of if I would develop breast cancer, but when. I was diagnosed in January 2005 and I was devastated. I thought that treatment for breast cancer was still as it was in 1973 ~ drastic and ineffective (as my mother’s radical mastectomy was). Almost five years later, I have completely changed my opinion.

I had a lumpectomy, chemo, and herceptin therapy. In April 2007 I had a recurrence of the cancer. Thanks to many people – my oncologist, the nurses at Gonda 10, my family, my generous and kind friends and support group – I am (as the sign in Gonda 10 reads) – I am not dying of cancer, but living with it. I know I will have breast cancer until the end of my life. I have metastasis to my brain, sternum and liver. Yet I am able to work full time, be involved in several causes that are important to me, and help my family. I also continue to enjoy my passions ~ I’m a Dave Matthews Band groupie. My girlfriends and I attended four of their concerts last summer (I’ve attended 21 in all!) and look forward to more next summer. All of this is possible because of the treatment I receive, my amazing support group, and probably, also, my stubbornness.

So back to accepting help. I had a very hard time realizing that I could not fight breast cancer on my own. I have always been self-sufficient, capable, organized, in control of my life. It is so hard to accept that I am not in control of this illness. People want to do something to help. After many episodes of being stubborn and self-centered and declining that help, I realized that I (we ~ my family) could not do everything alone. I learned to accept help. I have had help with meals, housecleaning, transportation, yard work, and many other chores. It was very hard to give up control and allow someone to do these things for me. But it didn’t take long for me to feel the difference in my stress level and my energy as others supported me in these practical ways. Everything turned out so well.

Everyone I knew or met since my journey began has weighed in on the situation. I appreciate everyone’s thoughts, prayers, and good wishes. I know everyone has my best interest at heart. Yet, there are days when I just want to have a pity party and feel sorry for myself. And that’s completely OK as long as it’s for a limited time. When someone says “be strong” or “stay strong” they are trying to keep me going. But there are days when I am tired of “being strong” and just want to stay in bed and sleep and try to forget what’s really going on. That’s my reality and that’s OK, too.

What I have discovered in the last five years, and what I would recommend to other survivors, is to be true to yourself. Find what you need to keep your life going and live as fully as you can. It doesn’t matter if other people think you’re a hero or not. What matters is how you feel about yourself as you go through the journey of breast cancer. For me, work has been a huge factor in helping me be “normal” ~ not a cancer survivor. There I’m the resource person, the expert; work takes me away from the cancer. My family and friends also help me to be the person that I have always been. Just remember, you never need to be alone on this journey.


***************************************************************************************

Your Journey to Health

Recommendations for Screening Mammography; What Has Changed?

The U.S. Preventive Services Task Force (USPSTF) is comprised of health care professionals and researchers who are experts in assessing preventive health services. USPSTF was established by Congress 25 years ago and has worked as an independent ‘think-tank’ that uses scientific criteria to make recommendations about screening tests and other preventive services. It does not dictate health insurance coverage policies or speak for the government, though it has been given a prominent advisory role in the current version of the Senate Health Care bill. The Task Force recently published a controversial set of guidelines regarding the use of screening mammograms, recommending against routine screening mammograms in women age 40-49 and recommending biennial (every two years) screening mammograms for women between the ages of 50-74.

In developing these guidelines, USPSTF reviewed research that had studied the effectiveness of mammography and other forms of breast cancer screening. Their primary goal in evaluating the research outcomes was to examine the effect of screening mammograms on mortality. In other words, how many lives were saved by mammograms? They cited research findings that for women ages 40-49, about 1900 screening mammograms were needed to save one woman from death due to breast cancer, as opposed to 1339 mammograms for women ages 50-59 years, and only 377 mammograms for women ages 60-69. The research also showed that there are some risks involved with mammography, such as the risk of false positive results causing the need for additional tests (mammograms, ultrasounds, or biopsies) and the potential psychological stress that produces. The task force thus concluded that the risks of screening mammograms for women ages 40-49 likely outweighed the benefits. They did note that the decision to use mammograms to screen for breast cancer prior to age 50 should be made between each individual and her health care provider, who can explore and discuss that woman’s personal risks and health status.

At this time, other health agencies including the American Cancer Society, the American Medical Association, the American College of Obstetrics and Gynecology have not changed their recommendations for screening mammograms. Mayo Clinic also continues to offer annual screening mammograms for women beginning at age 40.

Further, there are several ways in which the data is interpreted and communicated, which can be confusing. For example, the research showed that it takes about 1900 screening mammograms to save one 40-49 year old woman from cancer death. The same research describes this finding by reporting that mammography screening reduces breast cancer deaths by 15% for women aged 39-49 years. One out of 1900 seems trivial but the number 15% does not! This is still a significant finding.

Additionally, there is criticism that the task force does not consider the impact to morbidity; that is, the effect to the overall health and quality of life of the patient. Breast cancer screening has two aims: 1) to reduce breast cancer deaths, and 2) to improve treatment options. If the cancer is found early, patients have a higher likelihood of having a breast preservation surgery rather than mastectomy, and fewer women need axillary lymph node dissection, both of which are directly related to quality of life issues. There is a strong association between screening and more conservative treatments and while mortality rates are important, preserving quality of life should be of paramount concern as well.

Another shortcoming of the research is that no studies which included newer technologies, such as digital mammography, were reviewed. Digital mammography more accurately detects cancers in younger women and those with dense breast tissue. While it’s not yet known if that would have altered the research results, evidence to that effect is compelling.

Finally, the USPSTF acknowledges that “breast cancer mortality has been decreasing since 1990 by 2.3% per year overall and by 3.3% for women aged 40-50 years. This decrease is largely attibuted to the combination of mammography screening with improved treatment ”. This same publication recommends that individuals should consider routine screening mammography based on their health and risk factors, yet it is well known that approximately 80% of breast cancers are diagnosed in women without a family history of breast cancers.

Breast cancer is the most common cancer in women in the United States, with more than 190,000 women receiving a diagnosis of invasive disease annually and more than 40,000 dying of breast cancer each year. The updated USPSTF recommendations have sparked substantial controversy resulting in confusion, fear, and anger among patients, their families, and various women's health advocates.

While we may disagree with USPSTF’s newly updated recommendations, we can appreciate the attention it has brought to breast cancer and to the need to improve our screening and early cancer detection processes. Mammography is still the best screening tool we have available to us today. We, at Join the Journey, will continue to encourage women to be aware of their breasts and to see their health care provider promptly if there are any changes, to have annual clinical breast exams and screening mammograms. Women are encouraged to discuss their concerns with their health care providers and learn more about the risks and benefits, as well as the limitations of mammography. We continue to support breast cancer research to advance the science and technology and hopefully, one day, we will be better able to individualize screening and medical care for our patients.

JTJ appreciates the editing assistance of Dr. Sandhya Pruthi, Mayo Clinic Breast Clinic


Check out the Susan Komen organizational response to the USPSTF recommendations on the web-site www.susankomen.com under research, then news.

President's Thoughts


On behalf of Join the Journey I’d like to wish all of you Happy Holidays! In this busy season I hope you make time to enjoy the simple things ~ the lights, the traditions. Allow the season to strengthen your faith, deepen your hope, and ignite your charity. I wish you a season with time for love and laughter.

Join the Journey is celebrating our 5th year of success and tremendous growth! In September our walk was attended by over 1000 participants who earned over $100,000 ~ thanks to your support! This, in turn, increases the programs and patient support we provide. I’d like to take this time to send a sincere thank you to our largest contributors:

• Rochester New Car & Truck Dealers Association
• Olmsted Medical Center
• Think Mutual Bank
• Lakeside Dentistry
• Lasker Jewelers
• Psimos Oral Surgery
• Napa Auto-Rochester
• Star Limo
• Rochester Ford Mazda
• Salon Nouvo
• Taste of Woodland Benefit
• Catering by Design
• Booker Mini Foundation
• Kwik Trip
• 102.5 The Fox radio station

It is due to the support of these sponsors that we are able to help so many breast cancer patients with educational materials, Pink Ribbon Mentors, gas and grocery gift cards, Care Baskets, Making Waves dragon boat program, and more.

Join the Journey looks forward to another year of success, expanding the number of patients we reach and the benefits we provide in partnership with our community. We are so very thankful for this community that has so passionately supported our mission. It is overwhelming to see what can happen when one bold idea is embraced by three strong founders, and now, five short years later, we have over 200 volunteers standing shoulder to shoulder with us in carrying out our programs! It is heart warming to participate in such a strong, vibrant community!

God Bless you and Happy New Year!
Connie Lexvold

**************************************************************************

Making Waves; a floating support group




The dragon boat, Big Red, has been stored for the season and this fall ritual was combined with a Making Waves gathering at the home of Cyndie Kahn in rural Plainview. The group enjoyed a hayride through the farm (complete with wildlife to spot!) then settled in for a bonfire, hot dogs, fresh cheese curds, and, of course, great company. Many thanks to Cyndie and her husband and kids for hosting this fun event! Making Waves members recently enjoyed a Christmas Gathering at the home of Patty Hutchings and will continue to meet for socialization and support periodically through the winter season. Also, watch for information on our upcoming Yoga sessions starting in January. This very gentle yoga is intended to provide stretching and strengthening for breast cancer survivors and their supporters. If you’d like to be notified of these sessions via e-mail, please send your address to jointhejourney@charter.net.

One extra note: we are so proud of our very own Sheila Kramer for advancing to the Senior National Tennis Championships at Indian Wells, California. Sheila’s team participates in the 4.0 Senior Women’s USTA Adult League and compiled an impressive 7-1 record in the Summer Twin Cities Daytime League. Way to go!

What's Happening?



Join the Journey

Our 5th Annual Walk was a huge success! 1100 walkers enjoyed fantastic weather, excellent food and entertainment, and a wonderful positive energy throughout the entire event. Over $100,000 was raised to continue the mission of Join the Journey ~ Wow! Kudos goes to Margot Potts, our Walk Chairwoman, and her superb team of volunteers. We, at Join the Journey, are so grateful to all who participated.

Want to stay connected to that good energy throughout the year? BECOME A FAN! Join the Journey now has a Fan page on Facebook. Please checkout our website www.jointhejourney.us and become a Fan by clicking on the Facebook link. We will be posting photos of events and keeping everyone informed of what is happening. This is a great place to write comments and share your thoughts. You may post your favorite photos from the Annual JTJ walk.

We are also going to give Twitter a try! There is a Twitter link just below our Facebook link and you can follow along as we send “Tweets” about what’s happening at JTJ!

Social networking is a great way to keep in touch and we are so happy to share this with all of our loyal supporters. Let us know what you think! Tell your friends ~ the more the merrier!

***********************************************************************************

It is a common experience that a problem difficult at night is resolved in the morning after the committee of sleep has worked on it. (John Steinbeck, American writer)

***********************************************************************************


Pink Ribbon Mentors (PRMs)

This group continues their work of “being there” for women newly diagnosed with breast cancer. One of the mainstays of Join the Journey’s outreach efforts, this group provides a volunteer presence in the chemotherapy suite (Gonda 10) at Mayo Clinic five days a week. The mentors visit with women while they receive chemo, answer questions they might have and provide encouragement and support. The mentors also visit women who are hospitalized after breast surgery, answering their questions and offering the gift of the Moonlight Pillow, to help make their recovery more comfortable. For those women who desire ongoing support, mentors maintain contact for the duration of their treatment and sometimes beyond, making phone calls or meeting together to share their experience with reconstruction surgery, medication issues, or other aspects of dealing with breast cancer. On-going training and support sessions are held for the mentors on a monthly basis. To learn more about mentors, contact Linda Miller at miller.linda@mayo.edu.


Strengthening Healing Sessions

Art can help us heal the spirit, cope with adversity, and free the soul. Join the Journey provides these sessions to explore the creativity to express thoughts and feelings. Sessions are held on Tuesdays from 1:30-3pm at the Women's Cancer Resource Room, Gonda 10, Mayo Clinic.

December: 3-D Quilted Cards, Karen Quinn, artist
January: Painted glass bulbs (like ornaments), Zumbro Valley Fiber Arts
February: Wire Beaded Bookmarks, Janelle Forsthoffer, artist
March: Water Color, Hee June Shin, artist


Other Opportunities

Volunteers Sought for Research Study on Physical and Occupational Therapy
Mayo clinic is seeking breast cancer survivors, ages 18 and older, for participation in a research study. The purpose of the study is to learn more about your experience with rehabilitation services (physical and occupational therapy) and exercise after breast cancer treatment. You may be eligible to participate if you have had a mastectomy and removal of lymph nodes; AND you have had either chemotherapy, radiation, or both. Eligible participants will be asked to come to Mayo for a 1 ½ hour visit, will be interviewed and complete a questionnaire. Remuneration will be offered. For more information or to participate in the study please call the Mayo Doctoral in Physical Therapy Program at (507) 284-2054.


Volunteers sought for Research Study on Hot Flashes
Mayo clinic is seeking post-menopausal women who are experiencing hot flashes. The purpose of this study is to evaluate the effects of a low dose antidepressant, venlafaxine, with a behavioral intervention, hypnosis or focused attention, on hot flashes. If you choose to participate, you will receive venlafaxine or a placebo for seven weeks and will receive one of two behavioral interventions trainings. You will meet with the research therapist weekly for four weeks for training and will be given instructions and a CD to use at home to continue practicing the intervention you were taught. A parking pass and some reimbursement for your time is provided. For more information, please call (507) 538-6323 or email smclinicaltrials@mayo.edu



For more information on lifestyle factors that can reduce the risk of breast cancer, follow the link to the Women’s Health section of Mayoclinic.com:
http://www.mayoclinic.com/health/breast-cancer-prevention/WO00091

**********************************************************************************
Courage is what it takes to stand up and speak; courage is also what it takes to sit down and listen. (Sir Winston Churchill)

***********************************************************************************