sâmbătă, 19 octombrie 2013

In Sickness and in Health: A Wedding in the Shadow of Cancer

CHAPPAQUA, N.Y. — Shortly after Nancy Borowick’s boyfriend got down on one knee and popped the question, she began to worry about the wedding. If everything had been normal, Ms. Borowick and her husband-to-be, Kyle Grimm, would have waited a year, until the spring of 2014. She’s 28, he’s 27 and they would have liked the extra time to build their careers and get used to living together. Ms. Borowick works as a freelance photographer and is often up by 6 a.m., calling newspaper photo desks around the city in hopes of getting an assignment. Mr. Grimm is a junior lawyer at a corporate firm who is already married, to his job.
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But before they could make plans, Ms. Borowick needed to know: how long did her parents have? Both had advanced cancers. Pancreatic cancer was eating at her father, breast cancer at her mother, and the daughter could not conceive of getting married without them. “You’re walking me down the aisle,” she kept telling them.
The most likely person to have the answers was Dr. Barry Boyd, who had been caring for Ms. Borowick’s mother, Laurel, since she was first given a diagnosis of cancer in 1997, and more recently, her father.
Dr. Boyd is on the staff at Greenwich Hospital, an assistant research professor at the Yale School of Medicine and a rarity in the medical field, a buoyant oncologist. He would not lie, but he is known for striving to convey the most hopeful version of the truth.
Which is why in April when Ms. Borowick asked for advice on scheduling the wedding, Dr. Boyd’s response startled her. “There’s no reason not to do it as soon as you can,” he said.
She picked Oct. 5.
Nancy Borowick, right, has photographed her parents’ fights against cancer.
Nancy Borowick
Nancy Borowick, right, has photographed her parents’ fights against cancer.
The first time Laurel Borowick received a diagnosis of breast cancer, at the age of 42, she thought she was being very calm and controlled until she walked out of the doctor’s office, got into her car and realized she had forgotten to put on one of her socks and a shoe.
She had been worried since the day her husband Howie had come up from behind, put his arms around her, playfully touched her breasts and felt a lump in the right one.
Cancer ran in both families, or more accurately, raced through them. Mr. Borowick was a baby when his father died of brain cancer and 15 when his mother died of breast cancer; Laurel Borowick was in college when her father died from pancreatic cancer.
The Borowicks met at St. John’s University Law School in Queens, working on a theater production. She sang, he danced. He talked, she listened. A famous Howie Borowick story: “Our first date lasted seven hours. About six hours in, it was 3 a.m., and I looked at Laurel and said, ‘Now you tell me something about yourself.’ ”
She worked full time as a lawyer when they were married, then gave it up to anchor the household.
When their younger daughter fell on a soccer field, he was the parent yelling, “Suck it up, Nance.”
When one of the three children had a birthday, she was the parent who would sneak in to decorate their bedrooms while they slept.
He became a highly successful personal injury lawyer representing union workers. Alan Kaminsky, a lawyer who has battled Mr. Borowick in court on dozens of cases over the years said, “Howie is a formidable adversary; he’s a game changer.” By that he meant that if opposing lawyers saw Mr. Borowick had been hired to try a case, they suddenly became more interested in settling.
While she is quiet and discreet, he will tell strangers his deepest secrets within 10 minutes of saying hello.
But in the fall of 2009, after being well for more than a decade, she learned that her breast cancer had returned. She made him swear not to tell a soul. Their older daughter Jessica was getting married in two weeks, and Ms. Borowick didn’t want anything to distract from the wedding.
“Howie kept the secret,” she said. “I was pleased.”
It turned out to be a 5-centimeter tumor in her chest wall, where her right breast had been removed 12 years earlier. The plan was to shrink it with chemotherapy, then do surgery and radiation.
The couple receiving treatment.
Nancy Borowick for The New York Times
The couple receiving treatment.
The first time Ms. Borowick had cancer, she was frightened of dying and leaving her young children behind; the second time, she says, she was angry. She’d read all the books, learned everything she could, asked a million questions and followed the rules — strict diet, regular exercise — and in the end, so what?
That September, Nancy, then a student at the International Center for Photography, asked about chronicling her mother’s cancer treatment for a project.
The mother liked the idea; it meant they’d spend more time together, and her daughter would learn about her disease.

marți, 15 octombrie 2013

Men can get breast cancer ! 3 Ways to Know if You Have Breast Cancer

Not only women suffering from breast cancer. Men may experience the same problem, albeit in a smaller proportion

For example, in Britain recorded 300 cases annually compared with over 45,000 women who are experiencing this condition, according to bbc.co.uk . Average age of men diagnosed with breast cancer is 65 years, but the disease can manifest itself in young people.

The main reasons: age, genetic inheritance and estrogen levels

   The biggest risk factor for men as for women, is aging. Most cases occurred in men aged between 60 and 70 years. However, young people are not spared either, a higher risk of developing the disease having him who were exposed to radiation.
   Inherited genes plays an important role in the development of this disease, with a probability of 10-20% for the sick to suffer a gene inheritance "flaws". Another relevant factor is the high level of estrogen in the blood. Most men have naturally low levels of estrogen in the body, but if fat overweight problem will generate an excess of estrogen.

Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.

Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.

The breast is made up of lobes and ducts. Each breast has 15 to 20 sections called lobes, which have many smaller sections called lobules. Lobules end in dozens of tiny bulbs that can make milk. The lobes, lobules, and bulbs are linked by thin tubes called ducts.

Drawing of female breast anatomy showing  the lymph nodes, nipple, areola, chest wall, ribs, muscle, fatty tissue, lobe, and ducts.

Anatomy of the female breast. The nipple and areola are shown on the outside of the breast. The lymph nodes, lobes, lobules, ducts, and other parts of the inside of the breast are also shown.



Each breast also has blood vessels and lymph vessels. The lymph vessels carry an almost colorlessfluid called lymph. Lymph vessels lead to organs called lymph nodes. Lymph nodes are small bean-shaped structures that are found throughout the body. They filter substances in a fluid called lymph and help fight infection and disease. Clusters of lymph nodes are found near the breast in the axilla(under the arm), above the collarbone, and in the chest.
The most common type of breast cancer is ductal carcinoma, which begins in the cells of the ducts. Cancer that begins in the lobes or lobules is called lobular carcinoma and is more often found in both breasts than are other types of breast cancer. Inflammatory breast cancer is an uncommon type of breast cancer in which the breast is warm, red, and swollen.
See the following PDQ summaries for more information:

joi, 3 octombrie 2013

Breast Cancer Treatments + VIDEO

Breast cancer is a disease in which malignant (cancer) develops in the breast tissue. Mammary gland (breast) is made ​​up of lobes and ducts. In the structure of the breast are both lymph nodes and lymph vessels. In each structure are found both mammary glands and blood vessels and lymphatic vessels.
You probably already know what is breast cancer and it how appears. If you don't know i will put down some links , because here i don't write about breast cancer but about treatments and other stuffs like how to beat cancer, how to eat during chemotherapy and types of mastectomy .
Cancer treatment often involves a broad approach, multidisciplinary, including chemotherapy, radiotherapy, cancer surgery, each having well-established role in the type of cancer, stage of the patient and associated diseases.
Each method presented have his role and well-established protocols organismes in the profile ensuring coordinated action for the best results in cancer treatment.
 
  Cancer treatment methods are: