Sharing with Friends - Spring 2014

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A newsletter for breast cancer survivors


  • Sharing

    Beaumont Cancer CenterMailing Address:

    3577 W. Thirteen MileRoyal Oak, MI 48073-6710

    248-551-8585email: sharingandcaring@

    Our Cover Stories: Potential Dangers of Moisturizers AND Beaumont Grosse Pointe Breast Care Center Opens! Our Expert explains: Hormone Therapy following Active Treatment

    Calendar of Events

    In This Issue:


    with Friends

    When I flip through magazines, I often find myself getting sucked into the swirl of skin care ads. The promises are hard to ignore: with just a few pats of a cream or serum, I can look younger, with firmer, softer skin protected against the signs of aging. Any and all perceived flaws seem to magically disappear, sometimes instantly. Its no wonder that moisturizers and other anti-aging products are things we cant seem to live without. Yet despite these claims - which arent closely regulated by the U.S. Food and Drug Administration (FDA) - some moisturizing products may actually do more harm than good.

    What goes on you can go in you. Your skin absorbs many of the things that you put on it. Just think of todays new medicines that can deliver a full dose of a medicine through a small patch you place on your skin. So it is important to use healthy products on your skin.

    Moisturizers are made up of many chemicals, some of which may be cause for concern. The chemicals may be the active ingredient, a fragrance to make

    it smell good, or a preservative added to help extend the shelf life of the product. Theres also the potential risk of contaminants - chemicals that come along with added ingredients and other chemicals that are formed when the additives react with each other.

    Unless youre a chemist, its hard to keep up with all the potentially harmful ingredients. As Ive mentioned before, Ive come to rely on the Environmental Working Groups Skin Deep Cosmetics Database. The database provides hazard ratings for more than 3,000 common moisturizers, as well as other types of products. Hazard ratings range from the lowest, 0, to the highest, 10. The ratings are based on each products ingredients; the higher the rating, the higher the risk of potentially harmful ingredients. Moisturizing products with higher hazard ratings often contain ingredients such as:

    Fragrance Sunscreen Estrogen.

    So how to moisturize with minimal risk?Use just a small amount of the product. continued on page 6...

    Moisturizers: Hope or Harm? compiled from Marisa Weiss, MD, President and Founder,

    with Friends

    New Beaumont Grosse Pointe Breast Care Center OpensMost women experience anxiety when it is time for their routine, annual mammogram. When a woman learns of an abnormality through self-discovery or after a physical examination by a physician, that anxiety immediately escalates. The unknown is always frightening, says Michele Ramsdell, M.D., diagnostic radiologist, Beaumont Hospital, Grosse Pointe. When a woman comes to our new Breast Care Center for a routine or diagnostic mammogram, we want to provide her with a diagnosis and treatment plan right then and there.

    Beaumont, Grosse Pointes new Breast Care Center will help ease a womans anxiety by providing expedited breast care in a comfortable, home-like setting. The breast care center will have specialists in risk assessment, with state-of-the-art diagnostic imaging.

    The Breast Care Center team of breast imagers, surgeons and nurses will provide expedited care for their patients. Screening mammograms (for patients with no symptoms) are reviewed and if additional views and ultrasounds continued on next page...
  • Greetings!Now that Spring is upon us, how about coming out for an S&C program! It is a bit warmer and the roads are clear, so join us for a packed quarter of programs.

    April brings us to Beaumont Grosse Pointe, where we will tour the new breast care center and listen to Dr.

    Adil Yakan discuss bone health for the breast cancer survivor. We are very privileged to have Dr. Yakan speak to S&C. He is the Chief of Hematology and Oncology at Grosse Pointe and is a wealth of knowledge!

    May kicks off with S&Cs 15th Annual Breast Cancer Symposium Body, Heart & Soul - Living Your Best Life after Breast Cancer. It will be an information packed day: Dr. Anna Marandici, Cardiologist, and Dr. Debra Luria, Psychologist and Breast Cancer Survivor are just two of our speakers. Held at The Village Club in Bloomfield Hills, it is always an wonderful, elegant day.

    May will also be the month of two other very popular programs: Brassiere Bazaar at Nordstroms Somerset and Deb Martz, RD, helping us with our food choices in Navigating Nutrition.

    In perfect time for summer, Integrative Medicines Oncology Esthetician Nicole Akemann-Hogan will teach us about good skin care. Nicole understands the special needs of a woman who has undergone breast cancer treatments and the affects treatment has on our skin. Lastly, I would like to mention Cancer Survivor Day is June 1st and Beaumont will be celebrating all of you at the Sterling Inn again this year! Linda and I are in the bingo room, so please stop by and say hello.Hope to see you all soon!

    Regards, Lorelei

    Dont forget to like us on Facebook where youll always find the latest goings-on at Sharing & Caring!

    Greetings from Lorelei

    New Breast Care Center, continued from previous page

    are needed, they are usually scheduled within three days. If a biopsy is necessary, it too will be done at this appointment by a breast-certified radiologist. For patients with a lump, a diagnostic mammogram, ultrasound and biopsy will be done the same day.

    Dr. Ramsdell explains most abnormalities and biopsies are not cancerous. However, for those that are cancerous, the patient will be seen by Dharti Sheth, M.D., surgeon, Beaumont, Grosse Pointe, normally the next clinic day. Dr. Sheth will explain to the patient the recommendations and treatment plan, determined by a multidisciplinary team of specialists. The comprehensive, expedited care at the Breast Care Center will help decrease

    the time from diagnosis to treatment to help lessen the patients anxiety, says Dr. Sheth.

    The new Breast Care Center at Beaumont, Grosse Pointe is located in a newly constructed area within the hospital. It is equipped with two full-view digital imaging mammography units that can image women of all breast sizes, and two ultrasound rooms to perform same-day biopsies. To further lessen patient anxiety, Breast Care Center nurses will help patients make follow up surgical and nonsurgical appointments.

    This new comprehensive center will provide patients with the latest therapy options and a variety of support, education and community outreach programs, says Donna Hoban, M.D., senior vice president and physician-in-chief, Beaumont, Grosse Pointe. Beaumont is committed to providing compassionate care and to restoring hope, confidence and self-esteem, all of which are so important to women battling breast cancer.For more information or to make an appointment, call 800-633-7377.

    Dr. Sheth explains breast care treatment options to a patient.

  • Adil Yakan, MDChief of Hematology/Oncology, Beaumont Health System, Grosse Pointe

    Ask the Expert

    1. I am a 65 year old woman who just finished chemo for breast cancer. I heard that chemo can really make your bones weak. In addition I have been prescribed an anti-hormonal therapy that may cause bones loss. I am very concerned about my risk for fractures. What type of monitoring do I need and how often should I have it done?Chemotherapy increases the risk of osteoporosis mostly in premenopausal women due to ovarian ablation. Aromatase inhibitors are used in post menopausal women to help reduce the risk of recurrence and improve survival. Aromatase inhibitors increase the risk of osteoporosis as it lowers estrogen levels significantly. Prior to starting treatment all patients should undergo a baseline bone density test, and an evaluation using the WHO fracture risk assessment tool. Typically, bone density tests are repeated every two years. However; in women who are considered high risk or if a significant change was noted on follow up tests, the BMD test may be repeated yearly.

    2. Is there anything I can take to protect my bones?Women who are on an aromatase inhibitor should be on an exercise program, and have their vitamin D levels checked. Vitamin D supplementation is strongly recommended in patients with low vitamin D. In patients with a bone density in the osteopenic range bisphosphonate therapy may be considered. In patients with a bone mineral density in the osteoporotic range bisphosphonates are strongly recommended.

    3. What type of side effects does this medication have? Who can prescribe it for me?Bisphosphonats can be prescribed by your oncologist or PCP. These medications are contraindicated in patients with low calcium and vitamin D. Some patients may experience some bone pain. The oral forms can be associated with esophageal irritation. Case reports of esophageal cancer have been described in the post-marketing data. Jaw osteonecrois is an uncommon side effect that is more prevalent in the intravenous forms of bisp