Navigating a relapse

Integrative approaches to

treatment

Famous cancer patients

Surviving Cancer

SurvIvor:HodgkIN’S LympHoma

Special report:

We’ve got spiritHow to cheerlead your partner through a cancer diagnosis

Ethan Zohn – winner of ‘Survivor: africa’ – reveals how he endured the ultimate test of strength and courage

+ask the Expert: david Servan-Schreiber

SurvIvE aNd SurvIvE agaIN‘Survivor: Africa’ champion, Ethan Zohn, reveals how he endured the ultimate test of strength and courage: Hodgkin’s Lymphoma

aNd tHE CaNCEr raN aWay WItH tHE SpooNMany foods are touted as helping cancer survivors get – and stay – well. Here’s a guide to which foods help prevent disease and encourage recovery

dIagNoSIS: CHEErLEadEr How to help your partner cope with chemo

Look oN tHE SuNNy-SIdE upA cancer-recovery recipe from Rebecca Katz, author of “The Cancer-Fighting Kitchen”

aCCENtuatE tHE poSItIvE, INSIdE aNd outAn integrative mind-body-soul approach helps patients win the war on cancer

Ask the Expert • Famous Fighters • Laughter as Medicine • Navigating a Relapse

FEaturES

BrIEFS

B o dy & m o r E

B o d y & M o r e

By Matthew M. F. Miller CTW FEATURES

Laughter isn’t really the best medicine for a cancer patient, but it never hurts to have a chuckle in the face of adversity. Anne Belcher, a registered nurse and director of John Hopkins University Office for Teaching Excellence, Baltimore, emphasizes the use of

humor in her lectures as a healing force for patients. During her time as a cancer nurse, she says she saw the positive effects first hand.

“It’s all about living with hope,” she says. “It doesn’t matter if it’s called faith, a sense of optimism, a positive outlook or a good laugh. Mind does matter when it comes to health. So, if laughter or spirituality seems to be helping a patient, I counsel my nursing col-leagues to just go for it.”

Take heart in these humorous quips that just might give you a good laugh at a time when you need it most.

“My veins are filled, once a week with a Neapolitan carpet cleaner distilled from the Adriatic and I am as bald as an egg. However I still get around and am mean to cats.”

— John Cheever, writer, concerning his cancer and its treatment; from “The Letters of John Cheever” (Simon & Schuster, 1998)

“The doctors said I could still have kids if I have the eggs fertilized in vitro and then find a surrogate. I go, ‘Oh, great. Now I have to meet a guy and a girl.’”

— Julia Sweeney, comedienne, following her hysterectomy while battling cervical cancer

So, this Cancer Walked into a Bar...

“Since i came to the white house, i got two hear-ing aids, a colon operation, skin cancer, a prostate operation and i was shot. the damn thing is i’ve never felt better in my life.”

— Ronald Reagan, former U.S. president

Virginia BuntonAssociate Vice President - Investments Senior Quantitative Choice Portfolio Manager3100 Tower Boulevard, Suite 1500 Durham, NC 27707919-402-2980 office • 919-880-4221 cellwww.home.wellsfargoadvisors.com/virginia.e.bunton

Our unique EnvisionSM process helps identify your top priority goals and develop a plan designed to help you live your life the way you want. It also offers you the flexibility to adjust your priorities to account for any of life’s changes, such as:

• Increasing medical costs• Helping a child or grandchild afford higher education• Caring for an elderly parent• And more

To find out how Envision process can help ensure your investment plan keeps pace with your life, please contact me today.

Be prepared for whateverlife throws your way

Together we’ll go far

Wells Fargo Advisors, LLC Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. ©2009 Wells Fargo Advisors, LLC. All rights reserved. 0909-0647 [78693-v1] A1449

B o dy & m o r E

By daNIELLE roBINSoN CTW FEATURES

Colorectal CancerAudrey Hepburn, actressCharles Schulz, cartoonistSharon Osbourne, televisionDarryl Strawberry, baseball playerEartha Kitt, musicianHarold Pinter, playwright

Skin CancerElizabeth Taylor, actressBob Marley, musicianMelanie Griffith, actressCybill Shepherd, actressJohn McCain, U.S. Senator

Breast CancerSheryl Crow, musicianEdie Falco, actressGloria Steinem, activistRue McClanahan, actressNancy Reagan, first ladyRobin Roberts, journalistCarly Simon, musicianChristina Applegate, actress

prostate CancerNelson Mandela, politicianArnold Palmer, golferJoe Torre, baseball managerRobert De Niro, actorJohn Kerry, politicianJerry Orbach, actorCharlton Heston, actorRupert Murdoch, entrepreneurColin Powell, politicianHarry Belafonte, actor/musician

Lung CancerBryant Gumbel, journalistPeter Jennings, journalistWalt Disney, animatorTammy Faye Messner, televangelistJohn Wayne, actor

pancreatic CancerSteve Jobs, entrepreneurPatrick Swayze, actorDizzy Gillespie, musicianMichael Landon, actorLuciano Pavarotti, musicianJoan Crawford, actress

testicular CancerLance Armstrong, cyclistDean Martin, actorJohn Kruk, baseball player/analystTom Green, comedian

uterine & ovarian CancerAnne Bancroft, actressGilda Radner, comedianKathy Bates, actressCoretta Scott King, activistFran Drescher, actressSusan Sontag, author

LymphomaMichael C. Hall, actorGene Wilder, comedianMario Lemieux, hockey starJacqueline Kennedy Onassis, first ladyMr. T (Laurence Tureaud), actorEd Bradley, journalistJoey Ramone, musicianGabriel Garcia Marquez, author

throat CancerHumphrey Bogart, actorSean Connery, actorSammy Davis, Jr., musician/actorUlysses S. Grant, U.S. PresidentGeorge Harrison, musicianBabe Ruth, baseball playerAaron Spelling, TV producerLana Turner, actress

thyroid CancerIsaac Asimov, authorGail Devers, athleteRoger Ebert, film criticNanci Griffith, musicianJoe Piscopo, actorWilliam Rehnquist, Supreme Court JusticeRod Stewart, musician

© CTW Features

Famous FightersCancer affects millions of Americans each year, regardless of fame or fortune. This list recognizes those who have bravely fought cancer in the public eye.

By JeSSica aBelS CTW FEATURES

Diane Klenke was 47 when doctors told her she had three months to live. Three months of the necessary intense chemotherapy would destroy

her internal organs, they said, and that was assuming she didn’t suc-cumb to the Stage IV cancer that had invaded her pancre-as and spread to her liver.

“At the time, my daughter was expecting, and another was engaged,” says the insurance agent from Green Bay, Wis., now 52. “And I just thought, ‘No!’ My children’s lives are just bubbling over and starting, and they need their mom here. So I wasn’t going anywhere.”

Determined to conquer the “terminal” label she’d been given, Klenke tried countless hospitals, natural healing centers and progressive studies. “They wanted to do blind trials that meant I might or might not get chemo,” she says. “I was so far gone I was going to be a guinea pig.”

When a relative suggested Klenke look at the Web site for the Block Center for Integrative Cancer Treatment in Evanston, Ill., the center’s positive outlook and compre-hensive mind, body and soul approach to treatment made sense to her. It was the beginning of a treatment plan that would put her in remission to this day.

“We often give up on patients way too early,” says Dr. Keith Block, the center’s founder and scientific director. He calls his approach, which involves developing an indi-vidualized diet, exercise and lifestyle plan to accompany traditional therapies, “the second war on cancer.”

“I was trained back in the ’70s that you told a cancer patient to go home and rest,” he says. Yet Block, who watched his grandmother go through a “wasting process” due to breast cancer when he was just a teenager, says he never believed in one-dimensional care.

He’s careful to note that he is not opposed to conven-tional therapy; in fact, he practices it at the Block Center. But this type of care isn’t going far enough, he says. “There were many decades when we were looking for a silver-bullet strategy, but cancer is a multidimensional, complex problem that requires a multitargeted model.”

Block opened the center in 1980, and estimates he’s seen more than 18,000 patients since. “Our model is based on combating the disease by creating an environ-ment that is cancer-inhibiting rather than cancer-cod dling,” he says. “It’s all based on an inspired hope – an envi-ronment that inspires tangible hope.”

That hope may be the most important medicine patients need, but it’s also the hardest to find. Klenke says other doctors who pronounced her inoperable and essen-tially incurable seemed “arrogant.”

“When I went down to Block Center, those people were just so warm and genuine and just truly interested in helping people,” Klenke says. “They are very direct, but it’s not necessarily what they say but how they say it.”

Block believes in a highly individualized approach, and each patient who comes in goes through extensive diag-nostic and genetic testing to establish a tailored care plan. The same approach is outlined in his book, “Life Over Can-cer” (Bantam, 2009).

Like the plans he prescribes to patients in his office, the book’s suggestions are backed by extensive scientific research. When he says he is opposed to trans fats, foods high in saturated and omega-6 fats and refined sugars, Block cites numerous studies that show how diets high in these risky foods contribute to elevated blood sugar levels and inflammation. Instead, he recommends cold-water fish, whole-grain vegetables and bean-based diets.

Diagnosed with Stage III breast cancer at 38, Julia Stew-art flew from Silver Spring, M.D., to see Block in 2002, and she has been a vegetarian since. “I try to limit my dairy, or if I do I go with organic – lots of fruits and vegetables,” she says.

Shortly after seeing Block, Stewart remembers consult ing a plastic surgeon. “He basically told me not to worry about reconstructive surgery because I was going to die,” she recalls. Two years later and cancer-free, she gave birth to a son. “They say technically I’m cured because it’s been five years,” she says.

Stewart also continues to exercise, taking swing danc-ing and salsa classes and practicing yoga. She says the diet and exercise help her to feel like she has control over can-cer. “I think after you have cancer you feel like it could sneak up on you at any time, and this way you’re partici-pating,” she says.

The Block Center offers yoga classes and exercise equipment, and Block even implements fitness plans for bed-ridden patients. They can do muscle work in bed with their feet, arms and legs, he says. Even minute-long rou-tines throughout the day can help.

“Short bouts of low to moderate exercise, which then gradually grow, can markedly reduce profound fatigue, which is a major issue,” he says. “Part of what I’m doing is training the body to bounce back from stress and to recover from biomedical disruption from an inflammatory condition.”

In addition to exercise, Klenke was put on a pro-gram of deep breathing that allowed her to com-bat the low oxygen levels that can accompany che-motherapy. “All the things that [Block] knew about – from the diet to the nutri-tion and exercise – were going into my care. They treated the whole person,” she says.

While there are countless other “life over cancer” suc-cess stories like those of Stewart and Klenke, Block doesn’t tout his plan as a miracle treatment that can cure all.

“I think there are patients who are so far along, that what you try to do for them will improve quality of life, but it doesn’t change their outcome,” he says. “But we all will respond on some fundamental human level with a life-affirming, hope-oriented approach. One’s biology does not have to be one’s destiny.”

© CTW Features

B o d Y & M o r e

accentuate the Positive, inside and outan integrative mind-body-soul approach helps patients win the war on cancer.

Baked or shirred (pronounced “sheared”) eggs have been around forever. In this rec-ipe, baking eggs over a little sautéed spinach with some feta cheese and a shaving of nutmeg creates a dish that both looks and tastes beautiful. Just the sight of these

eggs nestled in ramekins is enough to bring even the most reluctant eater back to the table.

Easy Eggs in a CupMakes 4 servings

1 tablespoon extra-virgin olive oil1/2 cup red onion, finely diced1 teaspoon minced garlic4 cups baby spinach, tightly packed, washed and dried Sea saltFreshly grated nutmeg1/4 cup crumbled organic feta cheese (optional)4 organic eggsFreshly ground pepper

Rebecca’s Notes: Spinach naturally gives off moisture when it cooks. To avoid a watery end-product, make sure your spinach is well-dried prior to sautéing. A salad spinner works miracles on drying spinach quickly and efficiently. As a time-saver, buy a bag of pre-washed organic spinach from the market.

1. Preheat oven to 375 degrees F.2. In a sauté pan, heat olive oil over medium heat. Add onion and sauté until translucent, about 3 minutes. 3. Stir in garlic and sauté an additional 30 seconds. Stir in spinach and a pinch of salt, cooking until wilted and tender, about 30 more seconds. Remove from heat and stir in nutmeg.4. Lightly grease 4 small ramekins with olive oil. In each, spoon one-fourth of the spinach mixture, fol-lowed by 1 tablespoon of feta. Gently crack 1 egg on top. Sprinkle with pepper and a pinch of salt.5. Bake for 12 to 14 minutes, until very little liquid remains. (As a test, lightly shake ramekins. If little to no movement occurs, the eggs are done.) Let cool for 3 minutes.6. Run a knife or offset spatula around the inside edge of each ramekin to loosen eggs. Using the knife or spatula for support, carefully transfer eggs to a plate. Serve immediately.Storage: Store in an airtight container in the refrigerator for 2 days.

Nutritional information per serving: Calories: 120; Total fat: 8.5 g; Saturated fat: 2.1 g; Carbohydrates: 5 g; Protein: 7 g; Dietary fiber: 1 g; Sodium: 185 mg

© CTW Features

a cancer-recovery recipe from rebecca Katz, author of ‘the cancer-Fighting Kitchen’ (celestial arts, 2009).

In the fight against skin cancerthe defense never rests.

Blue Diamond Spa offers:Massage Therapy • Signature Facials • Body Wraps & Treatments

Body Waxing •Spa Packages

Free Skin Analysis and/or MAKEOVER

Northgate Mall • Durham(Mall entrance near Stadium 10)1058 W. Club Blvd • 416-4772www.bluediamondspa-nc.com

The Skin Cancer Foundation recommendsPurePressed Base®, Dream Tint®, LipDrink™Powder-LMe SPF® and Amazing Base® as effective UV sunscreens

See www.pomodoroitaliankitchen.comfor complete menu & coupons!

1811 Hillandale Rd. • Durham • 382-2915

10% of sales on Tuesday, October 26 will be donated to the Pretty In Pink Foundation

look on the Sunny-Side UpB o d Y & M o r e

B o dy & m o r EBy aNNa SaCHSE CTW FEATURES

Like more than 1 million other Americans each year, your spouse or partner has recently been diagnosed with cancer. Now, in concert with your loved one’s

doctor, you’ve both agreed that the best course of action is chemotherapy. But while chemo has been curing, control-ling and relieving cancer symptoms since the early 1950s, the treatment itself can take an immense physical and emotional toll on the patient. As the primary caregiver, it’s your job to provide support, strength and security during this tough time so that your loved one can focus all of his or her energy on your mutual goal: living.Here’s how to give the home team the advantage.

understand How Chemo WorksConventional chemotherapy drugs work by attacking

cells that are dividing quickly, which is why they work against cancer cells, explains Daniel Silverman, M.D., Ph.D., author of “Your Brain After Chemo: A Practical Guide to Lifting the Fog and Getting Back Your Focus” (DeCapo Lifelong Books, 2009).

These powerful drugs may be used alone or in a vari-ety of combinations. They are typically administered intra-venously in cycles at an outpatient oncology facility, although there are also pill, liquid and shot versions. Chemo begins on the first day of each cycle, after which the body is usually given about two or three weeks to recover. Although the number of cycles varies by patient, drugs and severity of the cancer, they generally last about three to six months when following surgery.

One complication, however, is that other cells in the body, such as those in the intestines, lining of the mouth, bone marrow and hair follicles, also divide quickly.

“These cells are also likely to be affected by chemothera-py, which can lead to side effects,” Silverman says. Some pos-sible side effects include hair loss, mouth sores, loss of appetite, nausea, easy bruising or bleeding, increased chance of infections, depression, fatigue, fertility issues and problems with concentration and memory, or “chemo brain.”

Most side effects slowly resolve when treatment con-cludes, but it is still important to tell your loved one’s med-ical team if they appear, Silverman says, as there are often ways to lessen them.

Become the CaregiverYour positive, careful and reliable support is crucial to

both the physical and emotional well-being of your loved one during chemotherapy. And it’s a big job. As a caregiver, you’re the person most involved in making sure the patient arrives for treatments on time and will likely attend most or all doctor’s appointments.

“Four ears are always better than two,” says John W. Anderson, author of “Stand by Her: A Breast Cancer Guide

diagnosis: Cheerleader

How to help your partner cope with chemo.

B o dy & m o r E

Caregiver CareWhile your loved one gets treatment, you also need to protect yourself from the actual chemotherapy toxins. “A lot of these drugs are metabolized in about 48 hours, but they can come out in urine, stools or vomit relatively unchanged,” says Kimberly Stump-Sutliff, R.N., M.S.N., AOCNS, associate medical editor for the American Cancer Society. Talk to your loved one’s doctor or go to Cancer.org for a list of safety precautions, such as wearing disposable gloves, flushing the toilet twice and doing laundry twice in hot water.

© CTW Features

for Men” (AMACOM, 2009). “Take along a notebook and write down all key information and tips that might be helpful later.” You essentially become your loved one’s secretary, as well their legal assistant, financial manager, advocate, PR rep, housekeeper, chef, chauffeur and therapist.

In many ways, you are also a nurse. “Caregivers are providing medical services at home today that never would have happened at home 20 years ago,” says Kimberly Stump-Sutliff, registered nurse and the associate medical editor for the American Cancer Society. These duties might include administering shots and medications, tracking and reporting side effects, flushing ports and taking care of wounds and infections, in addition to helping your loved one eat, bathe and dress.

At the same time, part of your role is also ensuring your loved one maintains a sense of normalcy in their everyday life, Anderson adds. His book is based on having provided sup-port for his wife, sister, mother and mother’s best friend after each was diagnosed with breast cancer. This includes empowering your partner to actively make decisions about their own activities, health, home, career and family. You can help them stay as mentally sharp as possible by encouraging exercise (especially aerobic), which directly promotes the growth of brain cells and reduces stress, notes Silverman. Motivate them to get moving by offering to exercise together. In addition, keep your partner mentally engaged by read-ing out loud, discussing complex issues, playing challenging games or musical instruments together and socializing.

Be thereThe key to providing superior support is open communication, Stump-Sutliff

says. Start by letting your loved one know you are available and encourage them to share their feelings, fears and needs, without pressing the point – sometimes patients just need quiet or might feel more comfortable “communicating” by writ-ing or simply holding hands. You will also need to give your loved one private time and space to talk with others.

If they do choose to share with you, it’s your job to stop talking, and “listen, lis-ten, listen,” Anderson says. Then, mirror your loved one’s mood. If they want to cry, provide comfort; if they get angry, agree that chemotherapy stinks. Try to only offer your opinion when asked, and don’t hound. “It’s OK to make suggestions about issues related to their care,” says Stump-Sutliff, “but pick your battles carefully.” For example, if your loved one is feeling tired and depressed, it might not be worth your energy to make them use the bathroom instead of a bedpan. But the trade-off is that they must take all their medicines as instructed.

Keep in mind that your actions can have just as much impact on your partner’s state of mind as words can. Sometimes, all a patient needs to keep going is a kiss and a compliment. Because of the stigmas that are still attached to cancer (that it has a smell or you could catch it like a cold), some people are afraid to hug, have sex with or even touch patients, which can be very isolating. It’s highly important to express your sexual attraction to your loved one and display affection, Ander-son says. Further intimacy is also fine, but let your loved one lead the way.

Last but not least, don’t forget to take care of yourself. Multiple studies show that caregivers tend to disregard their own health care. As a result, they are far more likely than non-caregivers to develop problems like heart disease, high blood pressure, infections, depression and fatigue. Ask for help before you need it. Other family and friends usually want to pitch in but may not know what you need. Stump-Sutliff suggests making a list of simple, specific things that can make a huge difference, such as grocery shopping or picking up the kids from soccer practice. Keep a chart of who is assigned what, and mark it off when it’s done. “It can be very uplifting,” Stump-Sutliff says. “It’s a visual reminder of all the people who are there to support you as you support your loved one.”

You should also make sure to maintain your own medications and routine checkups, eat right, exercise, limit alcohol consumption and don’t smoke. Try to do relaxing, fulfilling and fun activities, such as reading a book, finishing a project or going out to dinner or a movie with friends. It will only make you a more capa-ble caregiver.

Extensive resources, including support networks and discussion forums spe-cifically for caregivers, can be found online at Cancer.org, GildasClub.org, Lotsa-HelpingHands.com and StandByHer.org. © CTW Features

HairUWear® is a proud sponsor of the American Cancer Society.

signature wigs, additions and clip-in extensions

HairUWear®is a proud sponsor of the American Cancer Society.

signature wigs, additions and clip-in extensions

HairUWear® is a proud sponsor of the American Cancer Society.

Please Note:Ads must run at the sizethey appear here:

Changing the size riskspoor reproduction qualityin the publication.

© 2009 HairUWear®

RAQUELWELCH™

RAQUELWELCH™

versatile style

RAQUELWELCH™

signature wigs, additions and clip-in extensions

new freeform collection—just like real hair, style it

wavy, curly or straight

versatile style

new freeform collection—

just like real hair, style it wavy,

curly or straight

new freeform collection—just like real hair,

style it wavy, curly or straight

versatile style

High Quality Human Hair & Synthetic Wigs • Scarves & Hats • Skincare for Chemotherapy & Radiation Patients

3401 University Drive, Academy CourtDurham • 919-490-5790www.inthepinkwigs.com

Present Coupon for

$2000 offWig Purchase thru 11-30-10.

See store for details.

B o d Y & M o r e

Survive andSurvive againSurvive andSurvive again

‘Survivor: africa’ champion, ethan Zohn, reveals how he endured the ultimate test of strength and courage: hodgkin’s lymphoma

By liSa iannUcci CTW FEATURES

The word ‘survivor’ follows Ethan Zohn wherever he goes. Eight years ago, he became instantly recognized as the million-dollar winner of “Survivor: Africa,” the

third season of the reality TV series “Survivor.” But today, the word has a different meaning for him. He is now a cancer sur-vivor, too.

It’s difficult to imagine anything, even cancer, slowing down the young, good-looking, former professional soccer player. After winning “Survivor,” he co-founded Grassroots Soccer, an organization that helps prevent the spread of AIDS. He’s traveled the world and even performed a 550-mile marathon soccer dribbling session from Boston to Washing-ton, D.C., to increase AIDS awareness.

But it only took one phone call, while driving to give a speech at a university, to turn his world upside down, changing him from activist to patient. After suffering from severely itchy skin that failed to respond to a vari-ety of treatments and soreness under his collarbone, Zohn was diagnosed with Stage II Hodgkin’s Lympho-ma. The soreness turned out to be a swollen lymph node.

“I cried, screamed and yelled,” says the now 36-year-old. But as he did on “Survivor” when thrown into unknown African territory, Zohn decided that he couldn’t face the biggest challenge of his life feeling sorry for himself.

“There are two things you can do – feel bad for your-self and let it destroy you, or take care of the situation, remain positive and fight and battle,” he says. “I chose to fight.”

But it wouldn’t be an easy fight. His opponent had already taken people close to him. His dad lost his battle with colon cancer when Zohn was only 14. “With that

experience I thought that I was going to die, too,” he says.His girlfriend, Jenna Morasca, a survivor in her own right

as the grand prize winner of “Survivor: The Amazon,” lost her mom to breast cancer in 2004. Morasca stood strong as she heard the news, supporting Zohn through what would become a yearlong battle.

Zohn’s first round of chemotherapy, which cost him his trademark curly locks, didn’t work. He endured it again. “If it weren’t for Jenna, my mom, my brothers and my friends, I didn’t think I would get through,” Zohn says. “There were days that I was crying and didn’t want to get out of bed, but they were there for me, helping to cook or clean. Jenna went to every doctor’s appointment I had.”

Unfortunately, the chemotherapy failed again. The doctors decided to try radiation therapy, the blast that finally rid the cancer cells from his system. Along with the radiation therapy, Zohn endured a stem cell transplant, a grueling and painful process that completely eliminates white and red blood cells in the body and replaces them with new, clean cells.

The treatment worked. Finally, in early December, Zohn was told he was in remission. His fans celebrated the diagnosis, too. Zohn had made his battle with can-cer public and took his fans on the eventful journey with him. He filmed his head being shaved after his hair started to come out, documented his daily medication intake and chemotherapy treatment and even shared the tearful phone call telling his mom he was in remis-sion.

“Some people questioned my decision to go public, ask-ing why I would open myself up to complete strangers,” he says. “But it was an opportunity for me to be a face of cancer and educate and inspire those who may be going through the same thing. I wanted to show them it’s not all gloom and doom.”

Zohn has already heard from fans who saw his story, recognized that they had similar symptoms, went to the doctor sooner than they might have otherwise and received early diagnoses that could save their lives.

Zohn must wait five years to be called cured, but with the stem cell transplant behind him, he’s ready to start living again. He even wrote two children’s books during his treatment.

“I haven’t traveled and couldn’t use public transpor-tation during this, but I’m ready to get back out onto the speaking circuit,” he says.

“I don’t want to forget about cancer,” he says. “It molded my life, but I just don’t want to be defined by it.”

But go ahead and define him as a survivor. “I’ve been called a survivor twice, and I’m proud of that,” he says. “It means a strong-willed, dedicated and devoted person and I’ve taken what I’ve learned from both experiences and use them to move forward and build a better life.”

© CTW Features

B o d Y & M o r e

“there are two things you can do – feel bad for yourself and let it destroy

you or take care of the situation, remain positive

and fight and battle. i chose to fight.”

We can compound customized medications for:

• nausea/vomiting• mouth sores• pain management• anxiety

Jennifer Burch,PharmD,RPh,CDE,CPP

Central Pharmacy 2609 N Duke St, Suite 103 • Durham, NC 27704

919-220-5121

Central Compounding Center North1921 Northpointe Drive • Durham, NC 27705

919-471-8327

Central Compounding Center South6224 Fayetteville Road • Durham, NC 27713

919-484-7600

www.centralcompounding.com

Compounding Solutions for Cancer

We can also suggest ideas for reducing your risk of developing cancerincluding:

• Hormone testing and balancing• Stress reduction• Professional grade nutritional

supplementation

B o dy & m o r E

By darCI SmItH CTW FEATURES

David Servan-Schreiber, a 31-year-old doctor, was testing out a brain-scan-ning machine when he discovered

his own brain tumor. Following chemo and surgery, he asked his oncologist what pre-cautions would help head off a relapse. Unsatisfied with his doctor’s reply of “Noth-ing special,” Servan-Schreiber set out to find the latest discoveries about mind-body and nutritional approaches to fighting cancer.

The result of his research is “Anticancer: A New Way of Life,” a New York Times best-seller.

Body & More spoke with Servan-Schreiber about what he believes makes cancer cells thrive and what can be done to harness the body’s natural defenses against them.

Why DO CANCER RAtES CONtINUE tO SOAR?We are sinking deeper and deeper into a lifestyle that makes our bodies perfect soil for growing tiny and harmless cancer tumors that most people have into aggressive ones. At least 85 percent of cancers are related to how we lead our lives and what environmental factors we are exposed to. If we do not control these, we let cancer grow freely.

DO ChEMICALS IN OUR FOOD AND thE WAy WE pROCESS FOOD hAvE AN IMpACt ON CANCER RAtES?The World Health Organization estimates that 40 percent of cancers are directly related just to bad nutrition and lack of physical activity. We know that eating trans fats on a regu-lar basis doubles the risk of breast cancer, for example. Same double-risk for women eat-ing a high-carbohydrate diet. Eating only industrial beef, eggs and dairy, which all lack omega-3 fatty acids now that animals are no longer eating grass and seeds, is associated with increased risks for a variety of cancers. Chemicals such as inorganic phosphates are common food additives used abundantly in sodas, for example. A 2009 study shows that they activate the biochemistry leading to lung cancer. Others, such as bisphenol-A from cans and heated plastics, can block the effects of chemotherapy on breast cancer cells.

WhAt ARE SOME OF thE MOSt SURpRISING FOODS thAt FIGht CANCER? IS It DIFFICULt tO ADhERE tO AN ANtICANCER DIEt?Some of the most surprisingly powerful are simple foods such as green tea or the spice turmeric (the basic spice that lends its yellow color to curry), which turns out to be as powerful an anti-inflammatory as ibuprofen but also a powerful anticancer agent. Also

Ask the Expert: David Servan-SchreiberThe doctor, cancer survivor and author of ‘Anticancer: A New Way of Life’ talks about how chemicals, hormones and the mind alter the way patients survive.

chocolate, which contains as many polyphenols in two squares as several cups of green tea, as long as it is dark chocolate and more than 70-percent cocoa.

When you know that the basic anticancer diet is very similar to the Italian and Greek diet of 50 years ago that many of us long for, you realize that it’s not that hard to fol-low!

WhAt ARE SOME OF thE MOSt SURpRISING FOODS thAt hAvE bEEN LINkED tO CANCER? Perhaps the most surprising is the fact that eggs, meat and dairy are no longer at all the same as they were in 1950. Now that animals eat only corn and soy instead of grass, ani-mal products lack key health ingredients (such as omega-3 fatty acids) that are only present in grass and seeds they had been eating for million of years but no longer do. An egg

was a genuine health food in 1950, full of good omega-3 fatty acids. In 2000, it no longer contains any and it has become a pro-inflammatory, cancer- and fat-promoting food.

At the same time, we went from eating 12 pounds of refined sugar per person per year in the 1800s to eating 154 pounds per person per year in 2000. Sugar, too, feeds cancer growth. The combination of these two changes has had terrible consequences on our health and has been feeding the obesity and the cancer epidemics.

hOW DO OthER COUNtRIES DEAL WIth CANCER? DO thEy hAvE bEttER ANtI-CANCER LIFEStyLES thAN thE AvERAGE AMERICAN?Asian countries in particular had very low cancer rates compared to us. Unfortunately, as their lifestyle became largely Americanized in the last 30 years, their cancer rates are now catching up with ours. And we know that Japanese or Chinese people who live in San Francisco have the same cancer rates as Americans.

Why ARE SOME DOCtORS RELUCtANt tO RECOMMEND AN ANtICANCER LIFE-StyLE LIkE thE ONE yOU DESCRIbE?Mostly because as doctors, it’s just not what we do. I know because I went through the best medical and scientific training there is in the United States, and I learned nothing about nutrition or systematic lifestyle changes to help improve health. The bottom line is that there are no profits in promoting broccoli, green tea, a good walk, meeting with friends or yogic breathing – even though a 2008 study from Ohio State University shows that it can reduce mortality after breast cancer treatment by 68 percent!

hOW CAN ONE FIND thE pERFECt bLEND OF tRADItIONAL AND ALtERNA-tIvE hEALth CARE?I had difficulty finding that blend myself. This is the reason I wrote “Anticancer.” There are now a number of outstanding integrative oncology centers in large academic hospitals that are showing the way. Until this becomes more widely available, it’s important to get the best conventional care possible and to put in place a strong anticancer lifestyle based on solid research, such as the one I [describe] in my book.

WhAt ANtICANCER bENEFItS CAN bE FOUND IN ExERCISE, yOGA AND MEDItA-tION?Exercise helps the body detoxify from carcinogens, stimulates the immune system, reduc-es circulating estrogens, reduces blood sugar and insulin surges and reduces inflamma-tion. Yoga and meditation help balance cortisol and reduce adrenaline levels, and that, in turn, strengthens immune function and reduces inflammation throughout the body.

© CTW Features

B o dy & m o r E

And the Cancer RanAway With the SpoonAnd the Cancer RanAway With the Spoon

Many foods are touted as helping cancer survivors get – and stay – well. Here’s a guide to which foods really do help prevent disease and encourage recovery.

By daWN kLINgENSmItH CTW FEATURES

Foods that do the best job of nourishing our bodies may, at the same time, cause cer-tain cancers to “starve” – at least in a figurative sense.

For example, fresh or frozen berries might inhibit a tumor’s ability to form blood ves-sels, and without a blood supply, the tumor cannot survive.

Other foods can help prevent cancer from forming in the first place.“The relationship between food and cancer is complex,” says Dr. Mark Fesen, a Hutchin-

son, Kan.-based oncologist and author of “Surviving the Cancer System” (AMACOM, 2009). Scientific studies can be confusing or even contradictory, but the consensus among doctors and researchers is that a daily diet rich in fruits, vegetables and whole grains can protect against a wide range of cancers.

However, “Your total amount of calories eaten is the most important factor in the risk of developing cancer,” Fesen says. “Obesity is linked to several cancers, including prostate, colon and breast cancers.”

Substitute fish, poultry and beans for red and processed meats whenever possible, advises epidemiologist Dr. Julia Greer, University of Pittsburgh School of Medicine.

As for supplements, “The only one I recommend is vitamin D,” which reduces the risk of colorectal and breast cancer, says biochemist Richard Beliveau, chairholder in cancer prevention and treatment at the University of Quebec at Montreal.

Not all of the following cancer-fighting foods are suitable for people undergoing treat-ment. Cancer patients have special dietary needs they should discuss with their physi-cians. For example, “Your protein needs increase during treatment,” Greer says, “and because of side effects such as mouth and esophageal sores, eating acidic foods such as tomatoes and citrus fruit is a very bad idea.”

B o dy & m o r EBerries

Berries are bursting with com-pounds that can slow the growth and metabolism of cancerous cells. An antioxidant in raspberries has been shown to inhibit cervical cancer growth and may decrease pancreatic cancer risk and skin cancer cell divi-sion.

Citrus fruitsRich in vitamin C, which may fight

breast cancer, citrus fruits may also reduce the risk of esophageal cancer. The fruits’ pectin may lower the risk of ovarian cancer and delay the growth of cancerous cells in men diagnosed with recurrent prostate cancer. Peel and eat oranges and grapefruits in sections because spooning them out leaves behind a white membrane packed with can-cer-fighting flavonoids, Greer says.

tomatoesTomatoes contain lycopene,

which is linked to a decreased risk of pancreatic and prostate cancers. Go ahead and hit the sauce – heating tomatoes does not destroy lycopene; in fact, it enhances it. Ounce for ounce, tomato paste, spaghetti sauce and ketchup contain more lycopene than a raw tomato, Greer says.

Whole grainsHigh intake levels of whole grains

correlate with reduced pancreatic, colon, endometrial and ovarian cancer risks.

grapesRed varieties contain high levels of resveratrol, which

can decrease or stop the growth of breast, prostate, pan-creatic, stomach, liver and colorectal cancers.

tart cherries This fruit naturally depletes the body of cancer-caus-

ing substances. They can also slow the growth of cancer-ous cells, particularly in the case of colon and breast cancers.

pomegranatesPomegranates contain four chemical components that

have been shown to inhibit prostate cancer cell growth. Antioxidants found in pomegranates and their juice may

also help prevent breast and lung cancer cells from divid-ing and can even kill cancer cells.

Leafy greensGreen is good – leafy greens, such as spinach, can

decrease the risk of breast, colon, skin, lung, head, neck, ovarian and stomach cancers. “Watercress intake, in par-ticular, is associated with decreased ovarian cancer,” Greer says.

Cruciferous vegetablesStudies suggest that broccoli, cauliflower, Brussels

sprouts, cabbage and bok choy help ward off prostate, lung, breast, head, neck and pancreatic cancers. “The com-pounds in cruciferous vegetables have been shown to keep cancers from forming, as well as to slow the growth of tumors that are already present,” Greer says.

garlic and onionsGarlic may reduce stomach cancer

and women’s risk of colon cancer. Onions may play a role in fighting lung, colon, bladder, skin, prostate, stomach and endometrial cancers, as well as leukemia. Red and yellow onions pack the most nutritional punch.

Nuts and seedsNuts and seeds contain healthy

monounsaturated fat, which has been shown to protect against breast can-cer. The mineral selenium – found in certain kinds of nuts – may inhibit the development or growth of prostate, lung and bladder cancer cells, while also protecting against colon cancer.

green tea“Tea is the best source of anti-can-

cer compounds called catechins, and green tea contains about three times as much as black tea,” Greer says. One study showed that drinking three or more cups of green tea each day reduced the recurrence rate of Stage I breast cancer.

red wineDrinking moderate amounts of

red wine may decrease the risk of kid-ney cancer and Hodgkin’s and non-Hodgkin’s lymphomas. But beware: Drinking moderate to heavy amounts of alcohol has been shown to increase the risk of cancers of the

upper airway and digestive tract, as well as breast and col-orectal cancers. Even one glass of alcohol a day may increase a woman’s risk of getting breast cancer. Beliveau recommends that women limit their intake to one alco-holic beverage per day, and men should have no more than two.

dark chocolate Extracts of dark chocolate can inhibit the formation of breast, colon and prostate cancers, and can decrease the division rate of liver cancer cells. A 2003 Cornell Universi-ty study compared the anti-cancer properties of certain beverages and found that unprocessed cocoa had nearly twice the amount of antioxidants as red wine and up to three times more than green tea.

© CTW Features

B o dy & m o r E

By aNNa SaCHSE CTW FEATURES

There is no way to be ready for the unwelcome return of cancer – no matter how well a patient coped with and recovered from the illness the

first time.Don’t assume the process will unfold the same

way it did on the first go-around. “When cancer comes back, it usually gets harder and harder to treat, and the doctors have to pull out bigger guns,” says Kimberly Stump-Sutliff, registered nurse and associate medical editor for the American Cancer Society. The treatment will likely be more intense and the out-come may be different, so you have to be prepared

for new and potentially more difficult physical conse-quences.

Your loved one may also react differently from how they did before. While some patients might be ready to fight the cancer again as soon as they hear the news, it is also perfectly normal to feel disappoint-ed, sad, anxious, depressed or angry at the doctor or their own body. “I always tell patients that they are entitled to those feelings – cancer sucks,” Stump-Sutliff says. “But then I tell them that they can’t live in that mindset, so let’s focus on what we’re going to do next.”

Nevertheless, you ultimately have to allow your loved one to make their own decisions about the course of treatment. Be patient, open-minded, commu-nicative and supportive. They may choose to rally for another round of chemo. However, if a patient decides they no longer wish to continue treatment, you must respect their wishes, even if you don’t agree, Stump-Sutliff says. “Maybe that’s just how they feel right this second, and tomorrow they will wakeup and be ready to fight it again. But you can’t make a cancer patient do something they don’t want to do.”

Getting your loved one’s health care providers involved may also be helpful, as they can weigh in on the likelihood that further treatment will be effective.

Navigating a relapsethey made it through cancer once. How do you best help someone who has to do it all over again?

“When cancer comes back, it usually gets harder and harder to treat, and the doctors have to pull out bigger guns.”

— Kimberly Stump-Sutliff, registered nurse and associate medical editor for the American Cancer Society

© CTW Features

A’NUE LIGNESAINT JAMES®

WEILLPARIS

BANOBoutique

Voted #1 BoutiqueHerald-Sun Reader’s Choice Winner2006, 2007, 2008, 2009, 2010

2699 Durham Chapel Hill Blvd.Durham • 489-9006

Across from Guglhupf & Foster’s MarketExpert Alterations

www.banoboutique.com