Improving Your Self-Esteem after Mastectomy

breast reconstructionA mastectomy affects you not only physically, but also mentally and emotionally. Many women feel like a vital part of them has been taken away, and their self-esteem suffers as a result. If these feelings aren’t resolved, they can lead to depression and other issues. It’s important that if they surface, you recognize them and know you can find help.

Focus on the positive.

While the surgery itself may not be a positive thing, focusing on being optimistic helps your self-esteem. You may decide on breast reconstruction and feel excited about having new breasts, or you may be heartened by the fact that you’re now a breast cancer survivor and can move forward with your life. Often, mastectomy patients find that the smallest things, such as a drive in the mountains or a sunrise, bring them joy.

Allow yourself to grieve.

You’ve had a loss, and it’s likely to provoke the same feelings of grief as losing a loved one. You may feel denial or anger, which is perfectly normal. Allow yourself to experience those feelings instead of minimizing them or holding them inside. If you feel the need for a grief counselor, ask your doctor or religious professional for a referral. A hospice bereavement counselor may also be a good choice.

Talk it out before, during, and after.

Whether you feel relief that the cancer is gone, grief over losing a part of your body, or hesitation in allowing your partner to see you right after your mastectomy, talk it out with someone you trust. Many women confide in their partners first, while others may turn to a family member, fellow breast cancer survivor, or therapist.

Find someone you feel comfortable with, and don’t be afraid to express yourself. The more you bring out in the open, the better you’ll feel.

Consider breast reconstruction as soon as possible.

Many patients look at natural breast reconstruction as their chance to finally have the breasts they’ve always wanted. They become very involved in learning what the surgery entails and what their options are. In fact, reconstruction often improves our patients’ self-esteem because their new breasts signal a new beginning, which is exciting and empowering.

In fact, our happiest patients are those who choose to have reconstruction at the same time as mastectomy, which reduces self-esteem issues.

Treat yourself.

This is the time to celebrate the amazing, unique woman you are. Be kind to yourself, and treat yourself to what you desire as often as you can. Travel, go shopping, and pursue those dreams.

If you’re a survivor, what advice can you give?

How to Enjoy Halloween without Gaining Candy Weight

halloween candyHalloween tests everyone’s resolve to stay on track with his or her healthy eating programs. Even if you’ve been good all year, you may be tempted to snack on a few too many candy bars. Following are a few tips to enjoy some candy without regretting it later.

Eat dinner right before you take the kids trick-or-treating.

You and the kids will all be less tempted to sneak a few treats from goodie bags if you’re still full from dinner. If you’re the one giving the treats, remembering that you just ate may help you stay out of the treat bowl.

Offer higher quality treats to those who come to your door.

Instead of the typical chocolaty, sugar-heavy treats, think outside the box. Offer dark chocolate, fruit roll-ups, and snack-sized boxes of raisins and dried fruit. You may be less tempted to snack, and even if you do, you won’t be doing much damage.

Eat a healthy treat and drink a glass of water before eating candy.

If you’ve decided you want one of those Snickers bars, eat a handful of baby carrots or an apple and drink a glass of water before opening the candy wrapper. You’ll be less likely to eat too much candy because the healthy snack and water will help fill you up.

To make this step even more effective, distract yourself by doing something else for 20–30 minutes before eating the candy. Your stomach will have time to signal your brain that you’re not hungry, and that distraction might last longer than 30 minutes. If it does, and you decide you still want the Snickers, start over with the healthy snack and water.

Keep candy out of sight.

If the kids want to enjoy their candy longer than one night, ration the amount that they can keep and have them put it out of your sight. You can remove the excess from the house the next morning.

Give it away.

If candy is out of the house completely, you can’t eat it. Take it to work, drop it off at a food bank or church, or give it to a neighbor. If possible, gather it up and get rid of it the next morning. The sooner it’s gone, the sooner you won’t have to deal with the temptation.

The holidays coming up are hard enough to manage weight wise without adding an extra few days of eating candy at Halloween. What tips for avoiding Halloween weight gain can you add?

Let Bread Be Your Friend, Not Your Foe

breadIn their desire to eat healthy, many people have lumped all breads and grains together and given them something of a negative reputation, which they do not deserve. This post will touch on the differences between the breads and grains you should be eating and those you should minimize.

Remember, you can eat anything you like in moderation.

We won’t tell you not to eat something, but we will suggest reducing your intake. We set ourselves up for failure when we say that we won’t eat something, because then we tend to crave it. Have a little, not a lot. Have one slice of bread instead of three, or one cup of grains instead of two. Sensible is the way to go.

Go for brown instead of white, and eat as much whole grain bread as possible.

In general, brown grains and rice are nutritionally superior. White bread and white rice have been processed, meaning they have lost some of their nutrients and fiber. The closer you can stay to the grain as it appears in nature, the better.

Whole-grain bread is better than wheat, which is better than white. To know if you have whole-grain bread, the first ingredient will contain the word whole. Sometimes wheat bread isn’t truly whole wheat—it’s mostly white bread with enough wheat added to change its color. Look at what kind of flour is used in the bread. Wild rice is healthier than brown rice, which is healthier than white.

A note about seeded breads: sometimes these are nothing more than white bread with seeds, so read the label to see which type of flour is used. And don’t let the words unbleached or enriched fool you, as they often mean processed. The key word is whole.

Check fiber content.

Bread should have at least 3 grams of fiber per slice. Less fiber means you’re not eating whole-grain bread.

Read labels.

Often, it’s not the grain that’s the issue, but the sweeteners, additives, and preservatives that have been added to the finished product. Many companies add high fructose corn syrup or hydrogenated oils and vegetable shortening (trans fats) to baked goods, so read your labels. Some bakers now avoid using those harmful chemicals in all their products.

It’s not enough for the label to say 0 trans fats, as a food can have a small amount of trans fats and claim to be trans fat free. You need to read labels.

Eat bread with proteins and fats.

As bread is a carbohydrate, it can raise your blood sugar. Eating bread with proteins and fats, especially if you choose white bread, can somewhat blunt the rise in blood sugar. Many margarines contain trans fats, so be careful what you spread on the bread.

Have you been participating in breast cancer awareness activities this month? If so, what did you do?

Visit the Spa from the Comfort of Your Home: DIY Spa Treatments

spa treatmentsYou don’t need to drive to the spa to enjoy its therapeutic, mood-enhancing benefits—you can relax at home and enjoy a spa atmosphere and treatments with just a little creativity.

Choose a time when you’ll be alone.

Part of the allure of the spa is having time to yourself, so for your at-home spa experience, choose a time when you’ll have no distractions. Plan it for a weekend your spouse will be away. Try a DIY spa day while the kids are in school, or ask other family members to take them for an evening. If your dog never leaves your side, take him to doggie daycare for a few hours and let him play his little heart out while you relax.

Set the mood.

Candles, soft music, a glass of wine, some delicious chocolate, and incense will help you create a spa-like mood. In fact, your favorite spa might sell you some of their incense or candles to help you create your home spa. Some women love to play ocean waves or nature sounds while they pamper themselves.

Soak in a luxurious, hot bubble bath.

Find a bubble bath scent you love and slip into the tub with your wine and a good book, or simply lie back and let the fragrant bubbles soak your cares away. A good bathtub pillow will help you feel like you’re at the spa.

Indulge in a decadent facial.

The at-home options for facials are limitless: you can buy products from your spa, you can find amazing facials and masks at beauty supply stores, or you can create your own with ingredients from your kitchen or supermarket. The right facial is refreshing not only for your face, but for your soul.

Try a paraffin manicure or pedicure.

You can buy a paraffin warmer inexpensively and use it while giving yourself a manicure or pedicure. Splurge on your favorite nail polish and hand cream, or buy a pedicure kit. You’ll love doing it yourself while sipping wine and listening to your favorite music.

Make it a friends’ day out.

If you prefer to go to the spa with friends, have a spa party at home instead. Ask each friend to bring a delicious treat or bottle of wine and their favorite home spa treatment. You’ll love trying something new, and they’ll cherish the time spent with you.

What’s your favorite part of an at-home spa day?

How to Spice Up A Boring Salad—the Healthy Way

saladYou’re eating healthier by having a salad once or twice a day, but it’s getting a tad boring. What can you do to spice it up and give it a little taste pizzazz? When it comes to delicious healthy additions, you’re limited only by your imagination.

Peppers

Here you have a variety of choices, including bell peppers (green, red, yellow, orange), banana peppers, hot peppers including habanero and jalapeño, and dried peppers used as a spice. Peppers are full of fiber and antioxidants, vitamins, and carotenoids to nourish your body. Red peppers are loaded with vitamins A, C, and K, as well as lycopene. The capsaicin in hot peppers may help improve immunity and kill stomach bacteria that cause ulcers.

Nuts and seeds

Any salad tastes better with a little crunch. Nuts and seeds are rich in healthy unsaturated fats, fiber, vitamin E, and minerals including magnesium, iron, and zinc. Eat a variety of nuts and seeds to get as many nutrients as possible. Good choices for salads include sunflower and pumpkin seeds, walnuts, almonds, pecans, and pistachios.

Eggs

A hardboiled egg is only about 70 calories, and is a tasty and healthy addition to any salad. Eggs are chock-full of nutrients, including essential fatty acids that help keep your brain, eyes, and muscles healthy. The protein in eggs is high quality, and if you’re pregnant, the choline in eggs helps your child’s brain develop properly.

Fennel or Anise

This aromatic and flavorful veggie contains fiber, folate, and vitamin C, and delivers a slight licorice flavor.

Beans

Another food full of nutrients, beans will fill you up and add fiber and protein to your salad. Try black or kidney beans for a rich taste that’s never boring.

Fruit

Why not add orange slices, kiwi, strawberries, or blueberries to your salad? Fruit is high in vitamin C, fiber, and antioxidants, which give fruits and veggies their color. Eat a variety of colors, and you’ll feel incredible.

Dressing

If you’re bored with oil and vinegar, try something new. Use a different type of oil, or sample rice or balsamic vinegar. Add a few squeezes of lemon or lime juice, or try yogurt mixed with olive oil and vinegar. Add a new ingredient with a kick, such as red pepper or mustard, or buy a pepper mill and crack fresh pepper over your salad. Don’t be afraid to use spices liberally, such as Mrs. Dash or sea salt.

What do you do to spice up your salads?

Can Breast Reconstruction Improve A Woman’s Psychological and Sexual Wellbeing?

DIEP flapIn a recent article, titled Advanced Post-Mastectomy Breast Reconstruction Improves Women’s Psychosocial and Sexual Wellbeing, by CANCER Online Journal, a study found that “After a mastectomy, women who undergo breast reconstruction with tissue from their own abdomen experience significant gains in psychological, social, and sexual wellbeing as soon as three weeks after surgery.” (CANCER Online Journal: http://www.canceronlinejournal.com/newsroom)

The study was performed by Toni Zhong, MD, MHS, of the University Health Network Breast Restoration Program in collaboration with several others at the Memorial Sloan Kettering Cancer Center in New York City. They surveyed 51 women who were preparing for their MS-TRAM or DIEP flap reconstructive surgery during the months between June 2009 and November 2010.

Breast reconstruction is restoring the form of a breast that has been damaged, partially removed, or completely removed. Breast reconstruction is almost always done after treatment for breast cancer, although there are some birth defects that can result in the need for breast reconstruction. Breast reconstruction can be performed with implants (the same ones used for breast augmentation), or with the body’s own excess tissue (usually from the abdomen or buttocks), thus avoiding the need to place foreign objects in the body.

The study found that these women who experienced breast reconstruction “reported significant improvements in psychological, social, and sexual wellbeing just three weeks after surgery,” according to the article.

Although The Center for Natural Breast Reconstruction has not performed a formal study on the feelings that patients experience post breast reconstructive surgery, we have found that many of them feel a sense of improved psyche and self-esteem. Just ask Leslie Haywood who underwent breast reconstruction with the Charleston breast surgeons of The Center for Natural Breast Reconstruction: “I have never been happier with my body and I have never been more in shape in my entire life!”

If you know of someone who would be interested in hearing about this study, visit the CANCER Online Journal newsroom where the article will soon publish to: http://www.canceronlinejournal.com/newsroom

Are you Practicing Safe Breast Health?

reconstructive surgeryIn November 2010, the U.S. Preventative Services Task Force changed their mammogram guidelines from annually after age 40 to biannually starting at age 50. They also recommended stopping breast self-exams. Their reasoning was that less-frequent mammograms are just as effective in detecting cancer, and self-exams lead to increased and unnecessary doctors’ visits and procedures.

As you can imagine, this created quite a stir among doctors, especially those who have had patients between the ages of 40 and 50 with breast cancer detected by mammogram or self-exams. The data on mammogram effectiveness is conflicting, and women are left wondering about the ramifications of waiting until 50 for their first mammogram. Some physicians and women also wonder whether cost savings plays a role in the recommendations, though the USPSTF says it did not.

Mammograms are the standard of care in detecting breast cancer, and are the best tool we have for early detection. Its technology continues to improve, and currently, digital mammograms are in use in some areas. Most doctors continue to recommend self-exams and annual screenings for patients over 40, with high-risk patients starting mammograms earlier. The American Cancer Society also reviewed its guidelines last year, and it stands by the age of 40 to begin annual mammograms but neither recommended nor discouraged monthly self-exams.

Women under 50 tend to have denser breasts, making tumors difficult to see with mammograms, so for them self-exams are crucial. Most doctors will tell you that they’ve had many, many women find their own lumps during self-exams, and women know better than anyone else does what is normal for their breasts. Doing monthly self-exams is the best way to get to know your breasts so that if a lump does occur, you can detect it as soon as possible and treat it.

We encourage you to talk to your doctor about your individual risk factors and decide which mammogram schedule makes sense for you.

For more information on the USPSTF guidelines, as well as the ACOG revised guidelines for Pap smears, visit http://www.womenshealthmag.com/health/breast-health.

Can Green Tea Really Help Fight Cancer and Help Your Heart?

green teaFor years, green tea was believed to help keep your heart healthy and fight cancer, among other health benefits, and we’re learning more about it every year.

Catechins are the antioxidants in green tea, and they act as scavengers in your system, gobbling up free radicals that can contribute to disease. These antioxidants are abundant in green tea because it doesn’t go through the processing that other teas do. One particular catechin, epigallocatechin-3-gallate, or EGCG, was found to shrink tumors in mice in one Canadian study. Other lab studies have shown it stops cancer growth, but human trials have not proven it yet.

According to Marji McCullough of the American Cancer Society, the challenge of green tea human studies is finding populations that drink enough green tea for an adequate length of time. A few human studies have shown green tea to be effective, but most were conducted in Asia and the East, where green tea is widely used. Also, the typical Asian diet is higher in fish and soy than the standard American diet, which may influence results.

One study in Japan showed that women with Stage I and Stage II breast cancer had a lower recurrence if they drank more green tea before and after surgery. A second study in China showed that increased green tea consumption led to lower risk of several cancers including colorectal, stomach, prostate, and pancreatic. An analysis of 22 studies found that green tea could reduce risk of lung cancer.

In the case of heart disease, Japanese researchers found that four cups of green tea a day might have contributed to a reduced severity of heart disease among men in one study. A Dutch study of over 3,000 women and men found that those who drank more tea had less severe blood vessel clogging, perhaps because green tea’s antioxidants improve the flexibility of blood vessels. In addition, green tea has been found to help obesity and reduce LDL cholesterol levels, which also improve heart health.

Although the studies aren’t yet there to prove green tea’s benefits, researchers believe that the antioxidant load from green tea is beneficial. For more on green tea, click here.

What are your thoughts on the benefits of green tea?

5 Tips for Improving Skin’s Appearance and Health

skincare tipsHealthy, beautiful skin is within reach of anyone, no matter the age. A few simple tips will help your skin heal itself and glow.

Reduce sun exposure.

While a certain amount of sun exposure is a vital source of vitamin D, spending too much time in the sun can prematurely age your skin. Don’t be afraid to spend 10–15 minutes in the sun without sunblock a couple of times a week. The more skin you can expose, the less time you need to spend in the sun. Be sure to use sunscreen, cover-ups, and hats if you’re out longer.

Increase antioxidants.

While antioxidants are added to some skin products, you also want to get them from your diet. Eating plenty of vegetables and fruits of all colors gives you a full range of antioxidants, which strengthen collagen and restore elasticity to skin. Other sources of dietary antioxidants include green tea, wine, coffee, dark chocolate, and grapeseed oil.

Eat more essential fatty acids.

If you’re getting the good fats you need every day, your skin will glow and your hair will shine. The best way to get these fatty acids is to eat real food, such as avocados, fish, and nuts. Some women keep their skin supple and moist by applying coconut oil or olive oil directly to the skin. Beware: a little bit goes a long way!

Read labels and reduce the number of products you use.

Beauty products are full of chemicals, petroleum, and preservatives. Many women are switching to gentler, more natural beauty products, such as goats’ milk soap. Read your labels, and consider switching to products with fewer ingredients.

Many of us are using the same products we used when we were young adults, and we may not need them anymore. For example, toner formulated for younger skin can be drying, while cleansers may be harsh. Don’t kill your skin—cleanse it gently and rethink the products you use, including all of your makeup. Do you really need them? Could you use a moisturizing cleanser and skip a separate moisturizer?

Try mineral makeup.

In addition to using the same skin care products we used 20+ years ago, we also tend to use the same type of makeup we did as youngsters. Mineral makeup covers as well as any other foundation—even if you have acne or rosacea—and it’s better for your skin because it’s not made from petroleum and doesn’t clog your pores. Mineral makeup has fewer chemicals, is easy to use, and makes your skin glow. It’s you, just better.

When buying mineral makeup, beware of the ingredient bismuth oxychloride, as it can cause irritation or itching.

What do you do to keep your skin healthy and beautiful?

Celebrating National Hereditary Breast and Ovarian Cancer Week

Image to the left taken from the FacingOurRisk.org website.

In the United States, at least one million people carry genes, such as the BRCA or breast cancer gene, that put them at risk for cancer. In 2010, a Congressional resolution created National Hereditary Breast and Ovarian Cancer (HBOC) Week.

From September 25–October 2, 2011, HBOC Week raises awareness of hereditary cancer and recognizes those affected, including those with a family history of cancer, ovarian and breast cancer survivors, and previvors, those with a high risk of cancer who have not yet developed it.

Previvor Day is Wednesday, September 28, 2011, and a free teleconference with inspirational speaker and previvor Merit Gest will be held at noon EST. This event will focus on empowering previvors to understand the complex choices they face and make decisions about their health. To register, visit http://meritgest.com/national-previvor-day-september-28-2011.html.

HBOC Week falls in the week transitioning from Ovarian Cancer Awareness Month to Breast Cancer Awareness Month. During HBOC Week, Passing the Torch Ceremonies across the country pass a ceremonial flame from an ovarian cancer survivor to a breast cancer survivor to commemorate the transition.

The group FORCE (Facing Our Risk of Cancer Empowered) is a community dedicated to fighting hereditary breast and ovarian cancer, and it has chapters throughout the U.S. Events during HBOC Week are scheduled by local FORCE groups and can be found at http://www.facingourrisk.org/events/HBOCWeekEvents.php. This year, chapters will be sponsoring walk / runs, film screenings, conferences, discussions, and charity events.

FORCE’s website offers the latest information and research on HBOC, and features webinars, books, and movies, as well as support to hereditary cancer victims and their families. FORCE holds an annual conference and HBOC forum during the summer, and focuses on cancer advocacy, education, and peer support. Visitors to the site will find inspiring artwork and blogs, a tribute wall, and the latest news about HBOC.

For more information, or to find out how you can help, visit http://www.facingourrisk.org.