SharingAutumn 2014 A NEWSLETTER FOR BREAST CANCER SURVIVORS

with Friends

It has been five years since I had the pleasure of writing an article for Sharing amp Caring At that time the United States Preventive Services Task Force (USPSTF) had come out with their new mammography screening guidelines which created a furor across the country and were eventually rescinded by Congress At the present time the Task Force is in the process of redoing their analysis of breast screening guidelines Despite irrefutable scientific evidence which shows major life-saving benefits for women who have annual mammograms starting at the age of forty I am worried that the guidelines will be altered and the USPSTF will recommend less frequent screening There will be more to come about this laterOn a much brighter note we have seen major advances in personalized breast cancer diagnosis and treatment over the past five years Our surgical techniques for breast cancer surgery have continued to evolve Our ability to offer genetic counseling and therapy treatments for women who are predisposed to the development of breast cancer has vastly improved New molecular markers for breast cancer which are detected by our pathologists have enabled them to identify patients who do not need as aggressive therapy as others might Our radiation oncologists are using more precise therapies to treat both focal and more advanced tumors Our medical oncologists also have newer drugs which are better at destroying tumor cells as well as leaving normal healthy tissues intactFrom a diagnostic perspective there has been much excitement among women and also in the media about a new technology called digital breast tomosynthesis (also known

as 3D mammography) This new device is a different type of mammogram (unfortunately the breasts still need to be compressed) What happens is that the x-ray tube which is stationary for a normal 2D mammogram rotates through a series of different angles and images are taken at each angle The amount of time to take these pictures is slightly longer than for a standard mammogram therefore it is important that the patient does not move A computer built into the device analyses all the images It reconstructs the information and displays it on monitors for the radiologist to interpret The images are thin slices of the breast tissue which go from one end of the breast to the other side (imagine slicing a loaf of bread and then looking at each individual slice)The major advantages of looking at these thin slices of breast are twofold First we can improve our ability to find small breast cancers Sometimes it is hard to see through dense breast tissue since it can sit in front of and behind a small tumor A normal 2D digital mammogram cannot see the cancer because it is hidden by this adjacent dense tissue The 3D thin slices separate the small cancer from the surrounding tissue and allow us to find it (imagine a small grape in the loaf of bread- taking one picture of the whole loaf wouldnrsquot allow you to see the grape but individual pictures of each slice would let you find it)Large studies across the world have shown that the increased cancer detection rate ranges from 15-40The second main advantage of tomosynthesis is that it allows us to see normal breast tissue in these thin slices Sometimes normal tissue can arrange itself so it mimics the appearance

Murray Rebner MD FACR Director Section of Breast Imaging

Beaumont Health System Royal Oak Campus Professor of Diagnostic Radiology

Oakland University William Beaumont School of Medicine

with Friends hearts Tomosynthesishow does it differ from regular mammography

hearts Our Expert explains Getting your BEST mammogram

hearts Calendar of Events

In This Issue

Beaumont Cancer CenterMailing Address

3577 W Thirteen MileRoyal Oak MI 48073-6710

248-551-8585email sharingandcaring

beaumontedu

You can make a difference

Sharing amp Caring is a non-profit

organization devoted to the education and support of

breast cancer survivors Donations support

programs for others who follow in the same

footsteps and can be made by a check payable

to Sharing amp Caring at the above address

On the Horizon - Tomosynthesis - aka 3D Mammography

FarewellhellipAs summer comes to a close so

does my time at Sharing amp Caring I am heading to a new full-time

position at Beaumont This was a very difficult decision for me since

I truly enjoy working at SampC and being with all of you

I would like to thank you all for welcoming me into your lives and

allowing me to be a part of your journey I have been blessed to have spent time with so many of you You

have all touched me more than you knowAs I leave I would like to ask you to continue to support SampC Every donation helps no matter how small SampC

programs are about YOU your cancer journey and SURVIVORSHIP Without YOU this program would not

be possibleI wish you all good health and happiness

Hugs Lorelei

Greetings from Lorelei

Tomosynthesis - aka 3D Mammography continued from page 1

of a cancer The thin slices taken through the area proves that all the tissue is normal and there is no cancer at this location This means that fewer women are recalled for extra images to determine if the tissue is normal or if an abnormality really exists at this location Many studies have shown that the decrease in the recall rate ranges from 30-40 for the screening population This means that many women will be called normal and will not have to come back for additional imaging This will decrease their anxiety as well as save them time and moneyIt should be noted that 3D mammography is not a panacea for breast cancer There are still going to be cancers which do not show up either on 2D or 3D mammography This is where tailored imaging for the individual patient depending on her risk for breast cancer becomes important Many medical organizations such as the American College of Radiology the Society of Breast Imaging and the National Comprehensive Cancer Network have specific recommendations for imaging based on risk We encourage patients to discuss their risks (and possible supplemental screening with other devices in addition to mammography) with their health care providers

Digital breast tomosynthesis appears promising at this time However additional research studies are still needed to determine for which type of patients it would have the greatest benefit For example perhaps regular 2D mammograms would be sufficient for a woman who has mostly fatty tissue Also we need to know if 3D mammography finds certain types of cancers which are potentially more aggressive than those detected with 2D images This data has important treatment implications Our team at Beaumont plans to participate in these important studiesAs I write this column there is only one FDA-approved 3D vendor in the USA- Hologic However others including General Electric and Siemens have applied for FDA approval and likely will be approved in the near future We at Beaumont were the only facility in the country to provide GE with the clinical images which they needed for their application We believe in this technology and we hope to have it available for some if not all of our screening patients in the first quarter of 2015

2

Donrsquot forget that you can find us on Facebook We are

ldquoSharing amp Caring at Beaumontrdquo

You will find lots more information there including reminders of our programs and

events great healthy recipes and tips updated news about breast cancer and more

Be certain to ldquoLikerdquo the page so that our posts will show in your Facebook feed Feel free to

post your thoughts and comments as well We love hearing from you

FarewellhellipAs summer comes to a close so

does my time at Sharing amp Caring I am heading to a new full-time

position at Beaumont This was a very difficult decision for me since

I truly enjoy working at SampC and being with all of you

I would like to thank you all for welcoming me into your lives and

allowing me to be a part of your journey I have been blessed to have spent time with so many of you You

have all touched me more than you knowAs I leave I would like to ask you to continue to support SampC Every donation helps no matter how small SampC

programs are about YOU your cancer journey and SURVIVORSHIP Without YOU this program would not

be possibleI wish you all good health and happiness

Hugs Lorelei

Greetings from Lorelei

Tomosynthesis - aka 3D Mammography continued from page 1

of a cancer The thin slices taken through the area proves that all the tissue is normal and there is no cancer at this location This means that fewer women are recalled for extra images to determine if the tissue is normal or if an abnormality really exists at this location Many studies have shown that the decrease in the recall rate ranges from 30-40 for the screening population This means that many women will be called normal and will not have to come back for additional imaging This will decrease their anxiety as well as save them time and moneyIt should be noted that 3D mammography is not a panacea for breast cancer There are still going to be cancers which do not show up either on 2D or 3D mammography This is where tailored imaging for the individual patient depending on her risk for breast cancer becomes important Many medical organizations such as the American College of Radiology the Society of Breast Imaging and the National Comprehensive Cancer Network have specific recommendations for imaging based on risk We encourage patients to discuss their risks (and possible supplemental screening with other devices in addition to mammography) with their health care providers

Digital breast tomosynthesis appears promising at this time However additional research studies are still needed to determine for which type of patients it would have the greatest benefit For example perhaps regular 2D mammograms would be sufficient for a woman who has mostly fatty tissue Also we need to know if 3D mammography finds certain types of cancers which are potentially more aggressive than those detected with 2D images This data has important treatment implications Our team at Beaumont plans to participate in these important studiesAs I write this column there is only one FDA-approved 3D vendor in the USA- Hologic However others including General Electric and Siemens have applied for FDA approval and likely will be approved in the near future We at Beaumont were the only facility in the country to provide GE with the clinical images which they needed for their application We believe in this technology and we hope to have it available for some if not all of our screening patients in the first quarter of 2015

2

Donrsquot forget that you can find us on Facebook We are

ldquoSharing amp Caring at Beaumontrdquo

You will find lots more information there including reminders of our programs and

events great healthy recipes and tips updated news about breast cancer and more

Be certain to ldquoLikerdquo the page so that our posts will show in your Facebook feed Feel free to

post your thoughts and comments as well We love hearing from you

Sharyn Schymick RT (M) Radiology Supervisor Diagnostic Radiology Royal Oak

Ask the Expert

hearts How often should I get a mammogramBeaumont follows the American College of Radiology and the America Cancer Society recommendations for screening mammograms Average women who have not been diagnosed as high risk for breast cancer should have a mammogram annually after the age of forty High risk patients should talk to their physician to determine if they would benefit from getting a screening exam earlier and whether they would be a candidate for screening with MRI

hearts When is the best time to schedule my mammogramThe best time to schedule your mammogram is about ten days before you start your period if you are still menstruating Your breasts are the least tender at this time and it will help you to tolerate the compression Some women can tolerate compression better than others If you seem to have trouble with compression during the exam possibly refrain from caffeine before and let the technologist know that you are very sensitive They will work with you to get the best exam and they will try to minimize your discomfort

hearts If something suspicious is found during a mammogram what happens nextIf you are called back for something suspicious on your mammogram donrsquot panic One out of every ten women are called back for a diagnostic work-up Your breasts change as you grow older and any slight change may cause the Radiologist to have you return for additional imaging Make an appointment for your call back Most of the time it will be a slight normal change in your breast tissue that warranted the call back and you will either be able to return to normal screening exams or undergo several short-term six month follow-up studies If at the time of your call back exam you do have to have a biopsy be aware that seventy-five percent of the time it is a negative finding If it does turn out to be a positive finding usually it is a small highly treatable tumor This is why we screen for breast cancer to find early localized tumors which have an excellent prognosis

hearts How accurate is mammographyWith the new digital technology mammograms find more breast cancer They are about eighty-five percent accurate in diagnosing breast cancer However some breast cancers do not appear on a mammogram Your health-care provider should evaluate any abnormality you or heshe feel when examining your breasts

hearts Irsquove been told I have dense breasts What does that meanBreast density is a measure used to describe the proportion of different tissues that make up a womanrsquos breasts Breast density compares the volume of dense fibrous connective tissue seen on a mammogram to fat High breast density means there is a greater amount of fibrous connective tissue compared to fat Low breast density has a greater amount of fat and less connective tissue For women with high breast density digital mammograms can offer benefits over film screen because of its ability to penetrate dense breast tissue

hearts What is new on the horizon for MammographyTomosynthesis is the newest technology in screening for breast cancer It has shown to have fewer call-backs for ultimately negative results It reduces the stress among patients who ultimately are shown to have nothing wrong while being more accurate at finding early stage invasive cancers Beaumont plans to have this available in the first quarter of next year

3

Man

y th

anks

to D

r Re

bner

and

Shar

yn S

chym

ick

Donrsquot forget to schedule YOUR mammogram

With some of the most advanced treatments available for cancer more patients are living through and beyond a cancer diagnosis every day At Beaumont our Cancer Survivorship Program partners with you to develop a plan to help maximize health and healing of mind body and spirit

The Cancer Survivorship Program has four distinct components

hearts Long term follow up and Cancer Survivorship Clinics The long-term effects of cancer and cancer treatment can be challenging To meet these unique needs Beaumont offers a multidisciplinary approach for survivors of breast and other cancers These clinics offer a comprehensive multidisciplinary visit which is designed to focus on any issues you may be experiencing related to treatment and guidance with living a healthy life after treatment Clinicians will work with your physicians in a partnership to provide long term care You will be provided with educational materials relevant to diagnosis treatment and potential late effects of therapy

For information or to make an appointment please call Cancer Survivorship Clinic 888-924-9460 option 6

hearts Psychosocial support Emotional support and resources connection to licensed social workers cancer resource centers classes support groups integrative medicine and spiritual support

hearts Exercise and wellness Licensed physical and occupational therapists are available to provide you with a personal evaluation supervised exercise program individual wellness or physical and occupational therapy with a focus on improving movement and balance promoting fitness and supporting a healthy lifestyle

hearts Nutrition Licensed dietitians will help you develop beneficial nutritional practices that are designed specifically for your needs Following a one-on-one consultation yoursquoll receive a nutritional assessment that includes an evaluation of your daily intake weight diet nutritional needs and challenges Classes within the community are also available Nutrition During Cancer Treatment and Nutrition for Cancer Prevention and Survivorship

For more information about any components of the Cancer Survivorship Program contact one of our Cancer Resource Centers 248-551-1339 (Royal Oak) or 248-964-3430 (Troy) or visit us online cancerbeaumonteducancer-survivorship-program

Featuring the Cancer Survivorship Clinic Cancer Survivorship Program

A Word from Nayana Dekhne MD Director Comprehensive Breast Care Centers

It is with mixed feelings that I say farewell to Lorelei A feeling of sadness to see her go yet happiness to see her expanding her career opportunities within the Beaumont Health System Sharing and Caring continues to be an integral part of the breast care program at Beaumont and I am pleased to announce

that we are fully committed to expanding the program including recruitment for Loreleirsquos replacementLorelei came to Sharing amp Caring in late 2009 She developed the Facebook page early the following

spring (Sharing amp Caring was just the second department to host a fb page) and was instrumental in revamping the Metastatic Breast Cancer support group which began again in 2011 Her outgoing and friendly approach was a great benefit to S amp C and we will continue to build upon her success by expanding existing programs and adding new features We look forward to serving our survivors and

thank you for your support

4

With some of the most advanced treatments available for cancer more patients are living through and beyond a cancer diagnosis every day At Beaumont our Cancer Survivorship Program partners with you to develop a plan to help maximize health and healing of mind body and spirit

The Cancer Survivorship Program has four distinct components

hearts Long term follow up and Cancer Survivorship Clinics The long-term effects of cancer and cancer treatment can be challenging To meet these unique needs Beaumont offers a multidisciplinary approach for survivors of breast and other cancers These clinics offer a comprehensive multidisciplinary visit which is designed to focus on any issues you may be experiencing related to treatment and guidance with living a healthy life after treatment Clinicians will work with your physicians in a partnership to provide long term care You will be provided with educational materials relevant to diagnosis treatment and potential late effects of therapy

For information or to make an appointment please call Cancer Survivorship Clinic 888-924-9460 option 6

hearts Psychosocial support Emotional support and resources connection to licensed social workers cancer resource centers classes support groups integrative medicine and spiritual support

hearts Exercise and wellness Licensed physical and occupational therapists are available to provide you with a personal evaluation supervised exercise program individual wellness or physical and occupational therapy with a focus on improving movement and balance promoting fitness and supporting a healthy lifestyle

hearts Nutrition Licensed dietitians will help you develop beneficial nutritional practices that are designed specifically for your needs Following a one-on-one consultation yoursquoll receive a nutritional assessment that includes an evaluation of your daily intake weight diet nutritional needs and challenges Classes within the community are also available Nutrition During Cancer Treatment and Nutrition for Cancer Prevention and Survivorship

For more information about any components of the Cancer Survivorship Program contact one of our Cancer Resource Centers 248-551-1339 (Royal Oak) or 248-964-3430 (Troy) or visit us online cancerbeaumonteducancer-survivorship-program

Featuring the Cancer Survivorship Clinic Cancer Survivorship Program

A Word from Nayana Dekhne MD Director Comprehensive Breast Care Centers

It is with mixed feelings that I say farewell to Lorelei A feeling of sadness to see her go yet happiness to see her expanding her career opportunities within the Beaumont Health System Sharing and Caring continues to be an integral part of the breast care program at Beaumont and I am pleased to announce

that we are fully committed to expanding the program including recruitment for Loreleirsquos replacementLorelei came to Sharing amp Caring in late 2009 She developed the Facebook page early the following

spring (Sharing amp Caring was just the second department to host a fb page) and was instrumental in revamping the Metastatic Breast Cancer support group which began again in 2011 Her outgoing and friendly approach was a great benefit to S amp C and we will continue to build upon her success by expanding existing programs and adding new features We look forward to serving our survivors and

thank you for your support

4

Did you know that there are 155000 Americans currently living with metastatic disease Treatment for metastatic breast cancer is life-long and focuses on control of the disease and quality of life A diagnosis of metastatic disease (also called Stage IV) is NOT an automatic death sentence Many people live long productive happy lives with metastatic breast cancer If you are one of those women living with Stage IV please consider joining our group designed especially for you Our ldquoStage IVrdquo group meets on the 3rd Tuesday evening of each month in the Rose Cancer Center at Beaumont Royal Oak Metastatic disease brings with it unique challenges and issues and it can often be difficult to find a place to share your feelings about the disease This group is a safe haven to listen talk and learn ways to live your best possible life with Stage IV These meetings are facilitated by Psychologist Dr Sally Smolen of Mercy Works in Farmington Hills and Jennifer Martens Oncology Nurse Clinician Please call 248-551-8585 for more information and to reserve your spot

October 13th is Metastatic Breast Cancer Awareness Day

hearts Women Wisdom amp Wellness Breast Cancer AwarenessWednesday October 8 at 600 pm

Gather up your girlfriends and join us for a free evening of health and wellness You will meet experts from Beaumontrsquos medical team who will discuss breast cancer healthy tips on nutrition and

education about Integrative Medicine and Genetics The evening includes wellness advice giveaways door prizes refreshments and hors drsquooeuvres

Location Costick Center 28600 Eleven Mile Rd (14 mile east of Middlebelt) in Farmington HillsRegister at wwwclassesbeaumontedu or call Physician Referral at 800-633-7377

hearts Join the Cancer Clinical Trials Department for complimentary coffee information on how to prevent cancer what tests you need to detect cancer as well

as help to dispel myths that exist about cancer clinical trials and bio-specimen research We will be happy to answer your questions about cancer and clinical trials

Tuesday October 28 930 am - 1030 am at Beaumont Grosse Pointe Hospital main entrance No pre-registration necessary

hearts Genetics Third Annual BRCA SymposiumFriday November 14 2014 800 am To 300 pm at Beaumont Hospital Royal Oak

This is a free conference for patients and families with hereditary breast and ovarian cancer syndrome due to BRCA mutations Call Beaumontrsquos Cancer Genetics Program for more information 248-551-0272

5

During chemotherapy treatment you may find it difficult to concentrate Putting post-itnotes on your bathroom mirror or kitchen cabinets can help

you to remember the things you need to do

Coping with Chemo tip

Sunday Monday Tuesday Wednesday Thursday Friday Saturday1 2 700 pm

LymphedemaTroy

3 4

Yom Kippur

5 6 7 8 9 700 pmStandard of CareRoyal Oak

10 11

12 13Metastatic Breast Cancer Awareness Day

14 15 600 pmShop Beautique Gift Shop Troy

16 700 pmCoffee Chocolate amp Chat RO

17 18 100 pmMacyrsquos Fashion Trend Show - Novi

19 20 1030 amBreast Cancer SupportTroy

21 700 pmMetastatic Breast Cancer Support RO

22 23 630 pm

Henna ArtRoyal Oak

24 25

26 27 28 29 30 31

Halloween

October 2014

Sunday Monday Tuesday Wednesday Thursday Friday Saturday1

2Daylight Savings time begins

3 4 5 6 630 pmHealthy Cooking DemoAuburn Hills

7 8

9 10 11 12 13 630 pm Volunteer Appreciation Dinner RO

14 15

16 17 1030 am Breast Cancer SupportTroy

18 700 pmMetastatic Breast Cancer Support RO

19 20 21 22

23

30

24 256 26 27

Thanksgiving

29 29

November 2014

6

ALL Sharing amp Caring events are RESERVATIONS REQUIRED Please call 248-551-8585 and let us know you plan to attend If no one is available to take your call a message with your name phone

number and which program you want to attend will complete your registration

Sunday Monday Tuesday Wednesday Thursday Friday Saturday1 2 3 4 5 6

7 8 9 600 pmLeon amp Lulu Event Clawson

10 11 12 13

14 15 1030 am Breast Cancer SupportTroy

16 700 pmMetastatic Breast Cancer Support RO

17

Hanukkah

18 19 20

21 22 23 24 25

Christmas

26

Kwanzaa

27

28 29 30

December 2014

7

Donrsquot forget to call 248-551-8585 and reserve your seat If no one is available to take your call a message with your name phone number and

the name of the program you plan to attend will suffice as your reservation

Breast Cancer Support - Therersquos something just right for you

Breast Cancer Support Group Mondays October 20th November 17th and December 15th 1030am Troy Beaumont The sudden and unexpected changes that go along with a breast cancer diagnosis can be difficult to manage This small group discussion led by Oncology Social Worker Laurel Martinez LMSW LCSW OSW-C provides an opportunity for women to discuss the unique challenges facing them as breast cancer survivors Meets in the Wilson Cancer Resource Center 1st floor classroom in the Professional Building at 44344 Dequindre Road across the bridge from Beaumont Hospital Troy

STAGE 4 - A Group for Women with Metastatic Breast Cancer Tuesdays October 21st November 18th and December 16th 700pm Royal Oak BeaumontThis group provides an opportunity for survivors who have metastatic breast cancer to discuss the unique challenges and issues they face Women with stage four breast cancer often feel unable to talk about their cancer This format provides a safe arena to converse about what is on your mind and in your heart You are welcome to attend one or all meetings This meeting will be facilitated by Psychologist Dr Sally Smolen of Mercy Works in Farmington Hills and Jennifer Martens Oncology Nurse Clinician We will be meeting in the Resource Center on the first floor of the Rose Cancer Center Royal Oak

8

Other Programs of Interest

Lymphedema Symptoms Management amp Avoidance Thursday October 2nd 7pm Troy BeaumontDo you know that lymphedema can occur immediately after breast cancer surgery or months or even years later Anytime lymph nodes under the arm have been removed there is a higher risk of lymphedema Join us as Dr Justin Riutta Director of Beaumontrsquos Lymphedema Clinic talks about risk factors prevention treatment and management and Cynthia Tan PT demonstrates proper wrapping Bring your questions Meets in the Troy Professional Building (east side of Dequindre across from Beaumont Hospital Troy) in the 1st floor classroom next to the Sterling Cafeacute

When lsquoStandard of Carersquo Doesnrsquot Work Tuesday October 9th 7pm Royal Oak BeaumontCome out to join a discussion on the future of medicine with Beaumontrsquos Cancer Clinical Trials Office Enjoy a light healthy fruit snack while finding answers to why people choose to participate in research and why others are opposed to participating Bring your questions and meet in the Royal Oak Cancer Center 1st floor classroom

Breast Cancer Awareness Event at Troy Beaumont Gift Shop Wednesday October 15th 6pmSee page 11 for more information about a fun opportunity to save money while shopping and supporting Sharing amp Caring

Coffee Chocolate amp Chat Thursday October 16th 7pm Royal Oak BeaumontAnger denial fear and grief are all normal emotional responses to a breast cancer diagnosis Join us as Psychologist Debra Luria PhD APRN BC guides us in discussion of ways to help manage these feelings Feel free to share your story or just listen Interacting with other survivors can give you added support from those who have been through or are going through some of the same challenges as you Meets in the Royal Oak Cancer Center 1st floor classroom

Macyrsquos 3rd Annual Breast Cancer Awareness Fashion Trend Show Saturday October 18th 1pmSee page 10 for more information about this fun annual event Donrsquot forget to call 248-344-6928 to register and reserve your space

Rehabilitative Henna Art Thursday October 23rd 630pm Royal Oak BeaumontJoin us as Dr Mala C Malgeri from Synergy Therapy teaches us all about her new Rehabilitative Henna Art-geared specifically for individuals receivingneeding a variety of therapies including breast cancer survivors She will be teaching us how to create patterns and also give us an opportunity to be decorated with the Henna Art See page 11 for more details

Field Trip Healthy Cooking Demonstration Thursday November 6th 630pm We will be observing how to how to make healthy tasty meals Trevarrow Inc a beautiful culinary kitchen and auditorium Wersquoll learn diet tips and sample dishes as well Make sure to register early for this special evening See page 10 for details

Volunteer Appreciation Night Thursday November 13th 630pm Royal Oak BeaumontCalling all the Sharing amp Caring volunteers who have helped so much this past year and those of you who would like to help out in the future Please join us for a light dinner and dessert We will talk about volunteer opportunities for the coming year and how you might like to help THANK YOU for another great year We will meet in the Royal Oak Cancer Center 1st floor classroom Please be sure to call 248-551-8585 and let us know you will be there

Field Trip Leon amp Lulu Tuesday December 9th 6pmWe had so much fun last year wersquore going to do it again Please join us for holiday shopping and refreshments at this eclectic shop in Clawson See page 9 for details

9

Saturday October 18th 100 pmCome on out and show your support for your fellow Sharing amp Caring breast cancer

survivors as they model some of the latest fashion and cosmetic trends Wersquove had so much fun in the past wersquore doing it again

Light refreshments will be served and all those making a donation to Sharing amp Caring will receive a token of appreciation from Macyrsquos

You wonrsquot want to miss this fun-filled afternoon

Please sign up early by calling 248-344-6928 to reserve your place Cosmetics amp Fragrances Department

Macyrsquos Twelve Oaks Mall Novi Northest corner of I-96 and Novi Rd

10

If you feel overwhelmed ndash or just stumped about how to prepare cancer-fighting foods this program is designed for you Personal Chef and cancer survivor

Mary LeComte Bowler will prepare dishes high in fiber and cancer-fighting properties while Sola Life amp Fitness Registered Dietitian Stephanie Vella answers nutrition questions and offers healthy diet tips We will sample Maryrsquos dishes as we learn Wersquoll meet at their beautiful culinary training kitchenauditorium at Trevarrow Inc which they are generously sharing with us for the evening Located at 1295 N Opdyke Road in Auburn Hills 14 mile North of M-59 (Opdyke Road Exit 39) or 15 miles south east of I-75 (University Drive Exit 79) on the corner of Opdyke Road and Centre Road BE CERTAIN TO CALL 248-551-8585 EARLY AND RESERVE YOUR SPOT Space is limited

Healthy Cooking Demonstration

Third Annual Breast Cancer Awareness Fashion Trend Show

Thursday November 6th 630 pm

Sunday Monday Tuesday Wednesday Thursday Friday Saturday1 2 3 4 5 6

7 8 9 600 pmLeon amp Lulu Event Clawson

10 11 12 13

14 15 1030 am Breast Cancer SupportTroy

16 700 pmMetastatic Breast Cancer Support RO

17

Hanukkah

18 19 20

21 22 23 24 25

Christmas

26

Kwanzaa

27

28 29 30

December 2014

7

Donrsquot forget to call 248-551-8585 and reserve your seat If no one is available to take your call a message with your name phone number and

the name of the program you plan to attend will suffice as your reservation

Breast Cancer Support - Therersquos something just right for you

Breast Cancer Support Group Mondays October 20th November 17th and December 15th 1030am Troy Beaumont The sudden and unexpected changes that go along with a breast cancer diagnosis can be difficult to manage This small group discussion led by Oncology Social Worker Laurel Martinez LMSW LCSW OSW-C provides an opportunity for women to discuss the unique challenges facing them as breast cancer survivors Meets in the Wilson Cancer Resource Center 1st floor classroom in the Professional Building at 44344 Dequindre Road across the bridge from Beaumont Hospital Troy

STAGE 4 - A Group for Women with Metastatic Breast Cancer Tuesdays October 21st November 18th and December 16th 700pm Royal Oak BeaumontThis group provides an opportunity for survivors who have metastatic breast cancer to discuss the unique challenges and issues they face Women with stage four breast cancer often feel unable to talk about their cancer This format provides a safe arena to converse about what is on your mind and in your heart You are welcome to attend one or all meetings This meeting will be facilitated by Psychologist Dr Sally Smolen of Mercy Works in Farmington Hills and Jennifer Martens Oncology Nurse Clinician We will be meeting in the Resource Center on the first floor of the Rose Cancer Center Royal Oak

8

Other Programs of Interest

Lymphedema Symptoms Management amp Avoidance Thursday October 2nd 7pm Troy BeaumontDo you know that lymphedema can occur immediately after breast cancer surgery or months or even years later Anytime lymph nodes under the arm have been removed there is a higher risk of lymphedema Join us as Dr Justin Riutta Director of Beaumontrsquos Lymphedema Clinic talks about risk factors prevention treatment and management and Cynthia Tan PT demonstrates proper wrapping Bring your questions Meets in the Troy Professional Building (east side of Dequindre across from Beaumont Hospital Troy) in the 1st floor classroom next to the Sterling Cafeacute

When lsquoStandard of Carersquo Doesnrsquot Work Tuesday October 9th 7pm Royal Oak BeaumontCome out to join a discussion on the future of medicine with Beaumontrsquos Cancer Clinical Trials Office Enjoy a light healthy fruit snack while finding answers to why people choose to participate in research and why others are opposed to participating Bring your questions and meet in the Royal Oak Cancer Center 1st floor classroom

Breast Cancer Awareness Event at Troy Beaumont Gift Shop Wednesday October 15th 6pmSee page 11 for more information about a fun opportunity to save money while shopping and supporting Sharing amp Caring

Coffee Chocolate amp Chat Thursday October 16th 7pm Royal Oak BeaumontAnger denial fear and grief are all normal emotional responses to a breast cancer diagnosis Join us as Psychologist Debra Luria PhD APRN BC guides us in discussion of ways to help manage these feelings Feel free to share your story or just listen Interacting with other survivors can give you added support from those who have been through or are going through some of the same challenges as you Meets in the Royal Oak Cancer Center 1st floor classroom

Macyrsquos 3rd Annual Breast Cancer Awareness Fashion Trend Show Saturday October 18th 1pmSee page 10 for more information about this fun annual event Donrsquot forget to call 248-344-6928 to register and reserve your space

Rehabilitative Henna Art Thursday October 23rd 630pm Royal Oak BeaumontJoin us as Dr Mala C Malgeri from Synergy Therapy teaches us all about her new Rehabilitative Henna Art-geared specifically for individuals receivingneeding a variety of therapies including breast cancer survivors She will be teaching us how to create patterns and also give us an opportunity to be decorated with the Henna Art See page 11 for more details

Field Trip Healthy Cooking Demonstration Thursday November 6th 630pm We will be observing how to how to make healthy tasty meals Trevarrow Inc a beautiful culinary kitchen and auditorium Wersquoll learn diet tips and sample dishes as well Make sure to register early for this special evening See page 10 for details

Volunteer Appreciation Night Thursday November 13th 630pm Royal Oak BeaumontCalling all the Sharing amp Caring volunteers who have helped so much this past year and those of you who would like to help out in the future Please join us for a light dinner and dessert We will talk about volunteer opportunities for the coming year and how you might like to help THANK YOU for another great year We will meet in the Royal Oak Cancer Center 1st floor classroom Please be sure to call 248-551-8585 and let us know you will be there

Field Trip Leon amp Lulu Tuesday December 9th 6pmWe had so much fun last year wersquore going to do it again Please join us for holiday shopping and refreshments at this eclectic shop in Clawson See page 9 for details

9

Saturday October 18th 100 pmCome on out and show your support for your fellow Sharing amp Caring breast cancer

survivors as they model some of the latest fashion and cosmetic trends Wersquove had so much fun in the past wersquore doing it again

Light refreshments will be served and all those making a donation to Sharing amp Caring will receive a token of appreciation from Macyrsquos

You wonrsquot want to miss this fun-filled afternoon

Please sign up early by calling 248-344-6928 to reserve your place Cosmetics amp Fragrances Department

Macyrsquos Twelve Oaks Mall Novi Northest corner of I-96 and Novi Rd

10

If you feel overwhelmed ndash or just stumped about how to prepare cancer-fighting foods this program is designed for you Personal Chef and cancer survivor

Mary LeComte Bowler will prepare dishes high in fiber and cancer-fighting properties while Sola Life amp Fitness Registered Dietitian Stephanie Vella answers nutrition questions and offers healthy diet tips We will sample Maryrsquos dishes as we learn Wersquoll meet at their beautiful culinary training kitchenauditorium at Trevarrow Inc which they are generously sharing with us for the evening Located at 1295 N Opdyke Road in Auburn Hills 14 mile North of M-59 (Opdyke Road Exit 39) or 15 miles south east of I-75 (University Drive Exit 79) on the corner of Opdyke Road and Centre Road BE CERTAIN TO CALL 248-551-8585 EARLY AND RESERVE YOUR SPOT Space is limited

Healthy Cooking Demonstration

Third Annual Breast Cancer Awareness Fashion Trend Show

Thursday November 6th 630 pm

8

Other Programs of Interest

Lymphedema Symptoms Management amp Avoidance Thursday October 2nd 7pm Troy BeaumontDo you know that lymphedema can occur immediately after breast cancer surgery or months or even years later Anytime lymph nodes under the arm have been removed there is a higher risk of lymphedema Join us as Dr Justin Riutta Director of Beaumontrsquos Lymphedema Clinic talks about risk factors prevention treatment and management and Cynthia Tan PT demonstrates proper wrapping Bring your questions Meets in the Troy Professional Building (east side of Dequindre across from Beaumont Hospital Troy) in the 1st floor classroom next to the Sterling Cafeacute

When lsquoStandard of Carersquo Doesnrsquot Work Tuesday October 9th 7pm Royal Oak BeaumontCome out to join a discussion on the future of medicine with Beaumontrsquos Cancer Clinical Trials Office Enjoy a light healthy fruit snack while finding answers to why people choose to participate in research and why others are opposed to participating Bring your questions and meet in the Royal Oak Cancer Center 1st floor classroom

Breast Cancer Awareness Event at Troy Beaumont Gift Shop Wednesday October 15th 6pmSee page 11 for more information about a fun opportunity to save money while shopping and supporting Sharing amp Caring

Coffee Chocolate amp Chat Thursday October 16th 7pm Royal Oak BeaumontAnger denial fear and grief are all normal emotional responses to a breast cancer diagnosis Join us as Psychologist Debra Luria PhD APRN BC guides us in discussion of ways to help manage these feelings Feel free to share your story or just listen Interacting with other survivors can give you added support from those who have been through or are going through some of the same challenges as you Meets in the Royal Oak Cancer Center 1st floor classroom

Macyrsquos 3rd Annual Breast Cancer Awareness Fashion Trend Show Saturday October 18th 1pmSee page 10 for more information about this fun annual event Donrsquot forget to call 248-344-6928 to register and reserve your space

Rehabilitative Henna Art Thursday October 23rd 630pm Royal Oak BeaumontJoin us as Dr Mala C Malgeri from Synergy Therapy teaches us all about her new Rehabilitative Henna Art-geared specifically for individuals receivingneeding a variety of therapies including breast cancer survivors She will be teaching us how to create patterns and also give us an opportunity to be decorated with the Henna Art See page 11 for more details

Field Trip Healthy Cooking Demonstration Thursday November 6th 630pm We will be observing how to how to make healthy tasty meals Trevarrow Inc a beautiful culinary kitchen and auditorium Wersquoll learn diet tips and sample dishes as well Make sure to register early for this special evening See page 10 for details

Volunteer Appreciation Night Thursday November 13th 630pm Royal Oak BeaumontCalling all the Sharing amp Caring volunteers who have helped so much this past year and those of you who would like to help out in the future Please join us for a light dinner and dessert We will talk about volunteer opportunities for the coming year and how you might like to help THANK YOU for another great year We will meet in the Royal Oak Cancer Center 1st floor classroom Please be sure to call 248-551-8585 and let us know you will be there

Field Trip Leon amp Lulu Tuesday December 9th 6pmWe had so much fun last year wersquore going to do it again Please join us for holiday shopping and refreshments at this eclectic shop in Clawson See page 9 for details

9

Saturday October 18th 100 pmCome on out and show your support for your fellow Sharing amp Caring breast cancer

survivors as they model some of the latest fashion and cosmetic trends Wersquove had so much fun in the past wersquore doing it again

Light refreshments will be served and all those making a donation to Sharing amp Caring will receive a token of appreciation from Macyrsquos

You wonrsquot want to miss this fun-filled afternoon

Please sign up early by calling 248-344-6928 to reserve your place Cosmetics amp Fragrances Department

Macyrsquos Twelve Oaks Mall Novi Northest corner of I-96 and Novi Rd

10

If you feel overwhelmed ndash or just stumped about how to prepare cancer-fighting foods this program is designed for you Personal Chef and cancer survivor

Mary LeComte Bowler will prepare dishes high in fiber and cancer-fighting properties while Sola Life amp Fitness Registered Dietitian Stephanie Vella answers nutrition questions and offers healthy diet tips We will sample Maryrsquos dishes as we learn Wersquoll meet at their beautiful culinary training kitchenauditorium at Trevarrow Inc which they are generously sharing with us for the evening Located at 1295 N Opdyke Road in Auburn Hills 14 mile North of M-59 (Opdyke Road Exit 39) or 15 miles south east of I-75 (University Drive Exit 79) on the corner of Opdyke Road and Centre Road BE CERTAIN TO CALL 248-551-8585 EARLY AND RESERVE YOUR SPOT Space is limited

Healthy Cooking Demonstration

Third Annual Breast Cancer Awareness Fashion Trend Show

Thursday November 6th 630 pm

9

Saturday October 18th 100 pmCome on out and show your support for your fellow Sharing amp Caring breast cancer

survivors as they model some of the latest fashion and cosmetic trends Wersquove had so much fun in the past wersquore doing it again

Light refreshments will be served and all those making a donation to Sharing amp Caring will receive a token of appreciation from Macyrsquos

You wonrsquot want to miss this fun-filled afternoon

Please sign up early by calling 248-344-6928 to reserve your place Cosmetics amp Fragrances Department

Macyrsquos Twelve Oaks Mall Novi Northest corner of I-96 and Novi Rd

10

If you feel overwhelmed ndash or just stumped about how to prepare cancer-fighting foods this program is designed for you Personal Chef and cancer survivor

Mary LeComte Bowler will prepare dishes high in fiber and cancer-fighting properties while Sola Life amp Fitness Registered Dietitian Stephanie Vella answers nutrition questions and offers healthy diet tips We will sample Maryrsquos dishes as we learn Wersquoll meet at their beautiful culinary training kitchenauditorium at Trevarrow Inc which they are generously sharing with us for the evening Located at 1295 N Opdyke Road in Auburn Hills 14 mile North of M-59 (Opdyke Road Exit 39) or 15 miles south east of I-75 (University Drive Exit 79) on the corner of Opdyke Road and Centre Road BE CERTAIN TO CALL 248-551-8585 EARLY AND RESERVE YOUR SPOT Space is limited

Healthy Cooking Demonstration

Third Annual Breast Cancer Awareness Fashion Trend Show

Thursday November 6th 630 pm

Saturday October 18th 100 pmCome on out and show your support for your fellow Sharing amp Caring breast cancer

survivors as they model some of the latest fashion and cosmetic trends Wersquove had so much fun in the past wersquore doing it again

Light refreshments will be served and all those making a donation to Sharing amp Caring will receive a token of appreciation from Macyrsquos

You wonrsquot want to miss this fun-filled afternoon

Please sign up early by calling 248-344-6928 to reserve your place Cosmetics amp Fragrances Department

Macyrsquos Twelve Oaks Mall Novi Northest corner of I-96 and Novi Rd

10

If you feel overwhelmed ndash or just stumped about how to prepare cancer-fighting foods this program is designed for you Personal Chef and cancer survivor

Mary LeComte Bowler will prepare dishes high in fiber and cancer-fighting properties while Sola Life amp Fitness Registered Dietitian Stephanie Vella answers nutrition questions and offers healthy diet tips We will sample Maryrsquos dishes as we learn Wersquoll meet at their beautiful culinary training kitchenauditorium at Trevarrow Inc which they are generously sharing with us for the evening Located at 1295 N Opdyke Road in Auburn Hills 14 mile North of M-59 (Opdyke Road Exit 39) or 15 miles south east of I-75 (University Drive Exit 79) on the corner of Opdyke Road and Centre Road BE CERTAIN TO CALL 248-551-8585 EARLY AND RESERVE YOUR SPOT Space is limited

Healthy Cooking Demonstration

Third Annual Breast Cancer Awareness Fashion Trend Show

Thursday November 6th 630 pm

hearts Fun opportunity to shop and

support the Sharing amp Caring program hearts Shoppers will receive 20 discount

on all in-store merchandise from 6 - 8 pm hearts Sample Starbucks beverages and

visit with the gift shoprsquos volunteer Fashionista

Pam Pokley to hear her great suggestions on

creating your own style hearts Bonus Across from the Beaubulltique

Gift Shop Silviquersquos Sterling Silver is having a

50 off sale Stop by their table for a chance to

win a door prize

At the Beautique

Gift Shop

Located

inside Beaumont

Hospital Troy

Breast Cancer Awareness Event Wednesday October 15th 600 pmm

Rehabilitative Henna Art Thursday October 23

at 630pm Royal Oak Beaumont

Henna also called lsquoMehindirsquo has been used throughout history and in a variety of cultures to dye skin hair fingernails and fabrics Typically Henna is worn for decorative purposes during weddings and festivities but is also used for its

herbal qualities that provide cooling soothing and calming properties Join us as Dr Mala C Malgeri from Synergy Therapy teaches us all about her new Rehabilitative Henna Art-geared specifically for individuals receivingneeding a variety of therapies but open to all breast cancer survivors She will be teaching us how to create patterns and also give us an opportunity to be decorated with the Henna Art We will meet in the Rose Cancer Center 1st floor classroom Please call 248-551-8585 to reserve your place

11

Please note that these are not Sharing amp Caring programs and each of these events has separate contact information and phone numbers

Look Good Feel Better This program is presented in conjunction with the American Cancer Society to help women who are currently undergoing cancer treatment to improve their appearance and self image by teaching them hands-on beauty techniques to overcome the appearance-related side effects of cancer treatments We will also learn how to tie head scarves get tips on choosing the right wig and even bring home a beautiful kit filled with new makeup Reservations for LGFB for Troy (10 am meeting time) or Royal Oak (6 pm meeting time) or Grosse Pointe (630 pm meeting time) must be made by calling the American Cancer Society at 1-800-227-2345 Meeting dates for Royal Oak and Troy are Mondays October 13 November 10 and December 8 Grosse Pointe meets on October 13 only

Silver Linings Summer 2014 Silver Linings teaches meditation gentle yoga mindful eating and mindful communication skills to women who have completed cancer treatment To register for the program you must come to ONE informationregistration meeting held Thursdays September 11th and 18th at 630 pm at the Royal Oak Campus Autumn session will start October 2nd and finish on November 20th For more information about the program or to RSVP for ONE of the InfoRegistration dates please call Pam Jablonski at 248-551-4645 or email pjablonskibeaumontedu

ldquoTailgate without the Footballrdquo Breast Cancer Awareness Event on Wednesday October 8th at Vasileff Medical Group 525 Southfield Road in Birmingham This will be a great opportunity to talk to Dr Vasileff and his staff and learn more about looking and feeling your best all the time Information on breast cancer detection and prevention will be available Stop by between 530 and 730 pm for refreshments Everyone making a donation to Sharing amp Caring at that time will receive a discount towards any purchase

Nutrition for Cancer Survivorship Learn How Diet Influences Cancer Recipes and sample foods provided Presented by Betty Boscarino RD and Chef Steve Chapman at the Rehabilitation amp Dialysis Center 44300 Dequindre Sterling Heights 48314 2nd Floor Staff Lounge 700 pm - 830 pm Nutrition During Cancer Treatment Thursdays October 9th and December 11th Nutrition for Cancer Survivorship Thursday November 13th Call 248-964-3430 to reserve your seat

ldquoWine amp Dine For A Curerdquo Friday October 10 600 pm till midnight Orion Center 1335 Joslyn Road Lake Orion $35 per person $50 per couple Wear your pink in October for Breast Cancer Awareness Month Join us for a catered dinner as we strive toward our goal Dinner drinks door prizes and entertainment are included Proceeds will be donated to cancer education free mammograms for women in need and support for survivors Semi-formal attire please Keynote Speaker for the evening Eric Brown MD Director of Oncology Services and Center for Breast Health at Beaumont Hospital - Troy On the Membership Committee of the American Society of Breast Disease since 2007 and A Top Doc award recipient in the Detroit Metro area in 2010 2011 and 2012 To register please call 248-391-0304 or go to their website at wwworiontownshiporg

Shades of Pink Foundation ldquoWhatrsquos New What Else and Whatrsquos In Your Breast Cancer Journeyrdquo Updates on Breast Cancer Care and Prevention with Pamela Benitez MD Breast Cancer Surgeon Tuesday October 14 Choose between Luncheon at 1230 pm and seminar at 100 ndash 200 pm or dinner snack at 600 pm and seminar at 630 ndash 730 pm Time for Q amp A with doctor after seminar Location PNC Building ndash Southwest entrance 2nd floor Beaumont Education Classroom 1 755 W Big Beaver Troy MI 48084 $2000 per person donation all profits will go to Shades of Pink Foundation Register at wwwpreventionmichianacom If any questions call Diane at 248-625-8742

The information in this newsletter is not intended as a replacement for medical care The advice of your physician should take precedence in your health care matters

Additional Programs and Events of Interest

Confronting breast cancer with knowledge support and hope

Please note that these are not Sharing amp Caring programs and each of these events has separate contact information and phone numbers

Look Good Feel Better This program is presented in conjunction with the American Cancer Society to help women who are currently undergoing cancer treatment to improve their appearance and self image by teaching them hands-on beauty techniques to overcome the appearance-related side effects of cancer treatments We will also learn how to tie head scarves get tips on choosing the right wig and even bring home a beautiful kit filled with new makeup Reservations for LGFB for Troy (10 am meeting time) or Royal Oak (6 pm meeting time) or Grosse Pointe (630 pm meeting time) must be made by calling the American Cancer Society at 1-800-227-2345 Meeting dates for Royal Oak and Troy are Mondays October 13 November 10 and December 8 Grosse Pointe meets on October 13 only

Silver Linings Summer 2014 Silver Linings teaches meditation gentle yoga mindful eating and mindful communication skills to women who have completed cancer treatment To register for the program you must come to ONE informationregistration meeting held Thursdays September 11th and 18th at 630 pm at the Royal Oak Campus Autumn session will start October 2nd and finish on November 20th For more information about the program or to RSVP for ONE of the InfoRegistration dates please call Pam Jablonski at 248-551-4645 or email pjablonskibeaumontedu

ldquoTailgate without the Footballrdquo Breast Cancer Awareness Event on Wednesday October 8th at Vasileff Medical Group 525 Southfield Road in Birmingham This will be a great opportunity to talk to Dr Vasileff and his staff and learn more about looking and feeling your best all the time Information on breast cancer detection and prevention will be available Stop by between 530 and 730 pm for refreshments Everyone making a donation to Sharing amp Caring at that time will receive a discount towards any purchase

Nutrition for Cancer Survivorship Learn How Diet Influences Cancer Recipes and sample foods provided Presented by Betty Boscarino RD and Chef Steve Chapman at the Rehabilitation amp Dialysis Center 44300 Dequindre Sterling Heights 48314 2nd Floor Staff Lounge 700 pm - 830 pm Nutrition During Cancer Treatment Thursdays October 9th and December 11th Nutrition for Cancer Survivorship Thursday November 13th Call 248-964-3430 to reserve your seat

ldquoWine amp Dine For A Curerdquo Friday October 10 600 pm till midnight Orion Center 1335 Joslyn Road Lake Orion $35 per person $50 per couple Wear your pink in October for Breast Cancer Awareness Month Join us for a catered dinner as we strive toward our goal Dinner drinks door prizes and entertainment are included Proceeds will be donated to cancer education free mammograms for women in need and support for survivors Semi-formal attire please Keynote Speaker for the evening Eric Brown MD Director of Oncology Services and Center for Breast Health at Beaumont Hospital - Troy On the Membership Committee of the American Society of Breast Disease since 2007 and A Top Doc award recipient in the Detroit Metro area in 2010 2011 and 2012 To register please call 248-391-0304 or go to their website at wwworiontownshiporg

Shades of Pink Foundation ldquoWhatrsquos New What Else and Whatrsquos In Your Breast Cancer Journeyrdquo Updates on Breast Cancer Care and Prevention with Pamela Benitez MD Breast Cancer Surgeon Tuesday October 14 Choose between Luncheon at 1230 pm and seminar at 100 ndash 200 pm or dinner snack at 600 pm and seminar at 630 ndash 730 pm Time for Q amp A with doctor after seminar Location PNC Building ndash Southwest entrance 2nd floor Beaumont Education Classroom 1 755 W Big Beaver Troy MI 48084 $2000 per person donation all profits will go to Shades of Pink Foundation Register at wwwpreventionmichianacom If any questions call Diane at 248-625-8742

The information in this newsletter is not intended as a replacement for medical care The advice of your physician should take precedence in your health care matters

Additional Programs and Events of Interest

Confronting breast cancer with knowledge support and hope