Posts Tagged ‘Breast Cancer’

Integrative Oncology

November 19th, 2012

Donna Karan and Keely Garfield
photo by Everett Meissner

Plato said, “The part can never be well unless the whole is well.” The team of doctors, technicians and staff at The Farber Center for Radiation Oncology take this maxim pretty seriously, and so not long ago they welcomed Donna Karan’s Urban Zen Integrative Therapy program (UZIT) into their midst, actualizing their faith in integrative medicine and the power of combined healthcare strategies towards optimal wellbeing. As the clinical coordinator for the UZIT program, I have witnessed the program’s astounding growth over these months. It continues to unfold and blossom in the perfectly tended soil of this medical oasis through the careful cultivation of everyone who has worked to give it life. This includes the UZIT volunteers and the patients themselves who have listened to their doctors’ urgings to try an UZIT session. For this, they are rewarded with a truly integrated healing experience in an environment of collaborative care.

What is an UZIT session? Generally scheduled right after radiation treatment, it provides one-on-one time with an integrative therapist and usually lasts approximately 30 to 45 minutes. Sessions combine gentle yoga, restorative yoga, breath awareness, meditation, aromatherapy, reiki and contemplative care to address a variety of symptoms including pain, anxiety, nausea, insomnia, constipation and exhaustion. Initially, most patients seek relief from stress and fatigue, wanting to feel more relaxed, and also have more energy. What they discover is a way to help themselves during and after cancer treatments as they go back to their lives with new and simple tools they can use daily. The techniques they learn help them to breath easier, deal with tension, and alleviate pain and discomfort. They begin to realize the importance of self-care and are empowered to make postive changes in their lifestyles beyond recovery. Indeed, they discover, as one great teacher put it, “The land of healing lies within, radiant with the happiness that is blindly sought in a thousand outer directions.”

How does it work? Essentially, our nervous systems are working overtime and the body cannot tell the difference between “good” stress and “bad” stress. Reacting to this or that, the body ratchets up the load of sugars, fats, and hormones such as cortisol we need to take action. We never get a chance to truly rest and recover. Most of us don’t get enough sleep and even when we do, true relaxation can be illusive. Integrative therapy is an invitation to practice active relaxation, amplifying the body’s own ability to repair and renew. Another outcome is the sense of power to be found in regaining control over our lives as we begin to see ourselves as participants in our healing journeys, cure or no.

On a typical day at Farber I can be found working with patients perhaps leading a chair-yoga sequence to boost energy, offering reiki to restore balance, using essential oils such as grapefruit or peppermint to assuage nausea or dizziness, meticulously folding blankets to create a restorative pose that will ease back pain, teaching someone how to stand in tree pose to help focus the mind, guiding another through a body-scan meditation or practicing simply for the joy of it! Being with my patients and holding the space for whatever needs to arise or fall away is vital.

A decade ago, I lived near-by The Farber Center and was caught up in the terrible events of 9/11 that ultimately precipitated my own journey back to life. To be on this turf again, now sharing all of the potent therapeutics that have helped me and that I so passionately believe in, feels like a miracle. My patients share my gratitude and awe for this work, and together we acknowledge the The Farber Center for Radiation Oncology for its leadership, compassion, and vision in creating a home for Urban Zen Integrative Therapy.

Many Bows,
Keely Garfield

Keely Garfield is a certified E-RYT 500 and an Urban Zen Integrative Therapist (UZIT). Having acquired her clinical training at Beth Israel Medical Center, Keely is currently the clinical coordinator for the UZIT program at The Farber Center for Radiation Oncology where she is also an UZIT therapist. Additionally, Keely holds a BA and an MFA in choreography,and her path has been shaped by her work as an acclaimed choreographer and dancer. Keely is also blessed by being the mother of two beautiful beings.

What does Pinktober mean?

October 24th, 2012

Some say that Pinktober ignores breast cancer patients who can’t be cured. Some feel that Pinktober is the barrage of pink-themed promotions, events and activities that seem to highlight early detection — and stress that cancer detected early is almost certainly curable.

But are those facts really true? According to the Metastatic Breast Cancer Network, 155,000 women and men in the United States have metastatic breast cancer, or cancer that spreads, and some 40,000 die each year. Up to 30 percent of women who survive early-stage breast cancer will eventually find it in their lungs, brain, liver or bones. Some are diagnosed with metastatic cancer from the start.

The focus on the pink ribbon seems to be on those who have beaten the disease. What about those who are living with this disease, who have no cure? Who is going to raise awareness for them?

The Metastatic Breast Cancer network is trying to change that. MBCN is a national, independent, nonprofit, patient advocacy group dedicated to the unique concerns of the women and men living with metastatic breast cancer . They strive to help those living with stage IV breast cancer be their own best advocate through providing education and information on treatments and coping with the disease. Their mission is to raise awareness of metastatic breast cancer by putting a public face on the metastatic experience. They give those living with stage IV disease a greater voice and visibility in the breast cancer community, the medical community, the research community, and with the public-at-large.

Please click here to get the patient/advocate kit: Patient/Advocate Awareness Kit! you can click here to download 13 facts about metastatic breast cancer 13_Facts_About_Metastatic_Breast_Cancer

Breast Cancer Related Lymphedema

July 19th, 2012

Breast Cancer Related Lymphedema (BCRL) is one of the most dreaded side effects of breast cancer treatment and may occur in close to 50% of patients following axillary node dissection and radiation therapy (XRT). It can be seen in up to 20% of patients even following limited axillary dissection (sentinel node biopsy) followed by XRT. BCRL is a chronic debilitating condition that is frequently misdiagnosed and treated too late. It is the abnormal accumulation of protein-rich fluid in the interstitium which results in limb swelling, chronic inflammation and reactive fibrosis in the surrounding tissues.

What you should know is that recent evidence supports the notion that if diagnosed in the subclinical stage, BCRL may be reversible or at least its progression may be significantly halted. BCRL may be divided into subclinical (stage 0) and clinical (stages I,II,III) presentations, the difference being that the subclinical stage is not visible to the naked eye. Subclinical BCRL may exist for month or years before overt BCRL occurs and is more easily managed than advanced stages.

Appropriate surveillance for lymphedema onset is essential and medically necessary. There is a new device that is FDA approved and every breast surgeon should have one. ImpediMed’s L-Dex® technology utilizes the characteristics of frequency dependent current flow to quantify changes in extracellular fluid in the patient’s arm. These changes can aid medical providers in clinically assessing patients for lymphedema of the arm in women. L-Dex technology is specific for extracellular fluid. As fluid accumulates, L-Dex values increase. The device provides an immediate result and is provided with software for tracking changes in patient’s L-Dex values over time. Regular perometry or bioimpedance spectroscopy screenings (L-Dex) pre-surgery and in the years after successful cancer treatment can improve quality of life and reduce fear and the development of irreversible lymphedema.

If you have lympedema and have to wear a compression stocking, I’ve found a great site that was founded and developed by a breast cancer patient who wanted a nicer alternative. www.lympherdivas.com take a look at some of them below. Outcome is directly related to compliance so have fun with it.

Give this new year

January 18th, 2012

Have you ever wondered if there was an easier way to raise money for a friend or loved one in need. As we all know even those who have medical insurance, the out-of-pocket expenses can be daunting. Unfortunately, most sites are set up to help you raise monies for existing non-profit organizations, but I did find a great site called Give Forward. The site started in 2008 and has helped to raise over $5million for out-of-pocket medical expenses. They have over 10,000 users and completed over 5,000 fundraisers.

GiveForward provides personalized fundraising webpages to users, the majority of whom are looking for help for themselves or someone close to them for expenses like co-pays, travel to treatment and making ends meet in the face of a devastating illness. GiveForward funds its service by deducting a 7% fee from donations, which covers credit-card processing fees and the company’s own expenses.

Take a look, its easy to set up:GiveForward

A few of their current fundraisers

Integrative therapy at The Farber Center

October 17th, 2011

We have partnered with Urben Zen to provide Integrative therapy to all our Farber Center patients on treatment. What is an integrative therapy session? There are specific yoga therapies, Reiki therapy, and Oil therapy that deal with different aspects of the symptoms of all diseases. Urben Zen has designed the following yoga therapies to assit with the symptoms of pain, anxiety, nausea, insomnia, constipation and exhaustion. These therapies will now be provided at The Farber Center for Radiation Oncology:

IN-BED MOVEMENTS
Helps to relieve anxiety, improve circultion, minimize constipation, and decrease insomnia
RESTORATIVE PROCESS
Enhances circulation, digestion and respiration
BREATH AWARENESS
Assists in dealing with pain, anxiety, nausea, insomnia and constipation
BODY SCANNING
Meditation assists in minimizing pain and releasing anxiety

What is Reiki?
Reiki treats the whole person- emotionally, physically, & spiritually- creating many beneficial effects that include relaxation and feelings for peace, security and well-being.

What is Essential Oil Therapy?
Essential oil therapy promotes a general sense of well being by promoting relaxation to relieve stress and anxiety as well as assisting to minimize insomnia, nausea, and pain.

The voice of the patient should be listened to and heard. Please take a moment to watch this video to learn why Urban Zen was inspired to make healthcare and well-being an initiative of great.

And when your cancer treatment is over The Farber Center for Radiation Oncology has joined forces with Urban Zen’s integrative therapy program (UZIT) and created OHE (optimal healing environment) classes to create a place/space where you can explore the issues that brought you treatment and to do what you can to prevent you or your loved ones from going through it again.

The 4-week integrative program is targeted to EMPOWER the cancer patent to get the best treatment of mind, body and sprit.

Program:
Initial consultation: with one of our physicians to review the overall scope of the program, the concept of functional medicine, heart disease, diabetes, obesity, “knowing your numbers,” and introduction of “Daily Health Log.” There are no out of pocket expenses for Farber Center patients.

Week 1: Nutrition/Zen*
Discuss various dietary options and specific guidelines for CA patients, esp related to preventing recurrences. Dieting,Supplements, Juicing, Fiber, etc.

Week 2: Movement/Zen*
Explore physical activity with emphasis on yoga

Week 3: Mind/Body/Zen*
Tools for stress reduction and empowerment

Week 4: Guest Lectures/Zen*
Nutrition, Stress Reduction, Adrenal Fatigue,Inflammation, Immunity,

*Zen: each week will include guided meditation and yoga practice with therapist from the Urban Zen integrative therapy program. The UZIT program is a 12 month program that includes training in yoga therapy, essential oil therapy, Reiki, nutrition, and contemplative care giving to addresses the key patient symptoms of PANIC- pain, anxiety, nausea, insomnia, constipation, and exhaustion.

To find out more about the program or to register for our October 18th class please contact The Farber Center at 212 300-0663

FALL SCHEDULE

New 5 Day Non Invasive Treatment for Breast Cancer

October 11th, 2011

As you might recall The Farber Center for Radiation Oncology was the first in NYC to treat patients with AccuBoost, an image-guided treatment for breast cancer. The process uses digital mammography for localization and surface applications for the delivery of radiation. Prior to AccuBoost, partial breast irradiation treatment was performed via invasive techniques such as employing multiple protruding catheters or with inflatable balloon devices implanted into the breast. AccuBoost is the first technology to allow High Dose Rate (HDR) treatment of breast cancer in a Non-Invasive way.

Now The Farber Center for Radiation Oncology will take part as a clinical site with Brown University Oncology Group in an AccuBoost Study designed to evaluate the toxicity, recurrence, and cosmetic outcome of AccuBoost as a form of non-invasive accelerated partial breast irradiation (APBI). The faculty in the department of Radiation Oncology at Rhode Island Hospital and Brown University is among international experts in partial breast irradiation and has had expertise in this field that spans several decades. We are proud to be working with them.

Whole breast radiation therapy as a standard technique for adjuvant RT following breast conservation surgery is typically daily treatments for 3.5 weeks to 6.5 weeks. The AccuBoost accelerated partial breast irradiation reduces the volume of breast tissue treated and surrounding organs (heart, lung), in a shorter treatment time (10 treatments over 5-10 days). Patients can be treated twice a day for 5 days or once a day for 10 days in place of whole breast radiation therapy.

We will be looking for patients to participate in the study that fill the following criteria:
Patients referred for adjuvant radiation therapy who are diagnosed as early stage node negative hormone receptor positive with:

1. A confirmed histological diagnosis of invasive breast carcinoma or DCIS
2. Age greater or equal to 50 years old
3. Treated by breast conserving surgery with axillary node dissection or sentinel lymph node biopsy

If you are interested in participating in the study please contact The Farber Center for Radiation Oncology at 212 300-0663 to schedule a consultation.

77WABC Breast Cancer Expert

October 4th, 2011

Dr. Marnee Spierer from The Farber Center for Radiation Oncology is now 77WABC’s Breast cancer expert. Please watch as Dr. Spierer talks about what a breast cancer patient should know.

To learn more about breast cancer please visit The Farber Center for Radiation Oncology here: The Farber Center
To visit 77WABC breast cancer page go here: 77WABC

Integrative oncology

August 11th, 2011

The Farber Center for Radiation Oncology

So what is “integrative oncology?” It depends on who you ask. When you google “integrative oncology,” chances are, the modalities under discussion will usually focus primarily on various dietary changes and lifestyle interventions, such as exercise. You will also find that some will refer to it as quackademic medicine.

What does is mean to The Farber Center? It means we use and coordinate the best evidence-based treatments (i.e. surgery, chemotherapy, radiation therapy) with complimentary modalities (i.e. acupuncture, massage, stress reduction, herbal/botanicals, etc.) with the goal of treating your cancer, preventing recurrence and reducing side effects and symptoms. We do all of this in an environment that soothes and nurtures you.

No matter what kind of treatment a cancer patient receives, the fight against cancer is more than a physical challenge. It impacts everything from emotional well-being to financial stability. We believe that caring for a patient is caring for a person. We realize that people exist within a matrix of family, friends, jobs, homes, neighborhoods, geographical areas, and psychological and cultural environments, all of which can influence health and disease. Our mission is to develop a treatment plan that is right for our patient and their loved ones in an environment that supports and nurtures them.

Going to a physician who believes in integrative oncology won’t change your diagnosis, but it will put your body in a better place to get healthy. Integrative Oncology encourages living a healthy lifestyle to help the body in its’ innate abilities to fight and prevent cancer. This can be accomplished by learning strategies to reduce stress, increasing physical activity and eating healthfully (“anti-cancer diet & nutrition.”) Practicing these lifestyle changes creates a place where the healthy cells in your immune system can flourish and do their best work.

And when your cancer treatment is over The Farber Center for Radiation Oncology has joined forces with Urban Zen’s integrative therapy program (UZIT) and created OHE (optimal healing environment) classes to create a place/space where you can explore the issues that brought you treatment and to do what you can to prevent you or your loved ones from going through it again.

The 4-week integrative program is targeted to EMPOWER the cancer patent to get the best treatment of mind, body and sprit.

Program:
Initial consultation: with one of our physicians to review the overall scope of the program, the concept of functional medicine, heart disease, diabetes, obesity, “knowing your numbers,” and introduction of “Daily Health Log.” There are no out of pocket expenses for Farber Center patients.

Week 1: Nutrition/Zen*
Discuss various dietary options and specific guidelines for CA patients, esp related to preventing recurrences. Dieting,Supplements, Juicing, Fiber, etc.

Week 2: Movement/Zen*
Explore physical activity with emphasis on yoga

Week 3: Mind/Body/Zen*
Tools for stress reduction and empowerment

Week 4: Guest Lectures/Zen*
Nutrition, Stress Reduction, Adrenal Fatigue,Inflammation, Immunity,

*Zen: each week will include guided meditation and yoga practice with therapist from the Urban Zen integrative therapy program. The UZIT program is a 12 month program that includes training in yoga therapy, essential oil therapy, Reiki, nutrition, and contemplative care giving to addresses the key patient symptoms of PANIC- pain, anxiety, nausea, insomnia, constipation, and exhaustion.

To find out more about the program please contact The Farber Center at 212 300-0663

Cancer Patients Speak Out About The Farber Center

August 9th, 2011

A special thank you to our patients who were kind enough to speak out and tell their stories and allow us to put together this video. These patients are fighting breast cancer, prostate cancer, sarcoma, and brain cancer. We will have longer versions of the stories available soon on our website. Grace Huang directed the film, and Industrial color handled the post production.

About Grace Huang: You might remember her from our Rocks Against Cancer Video. Grace began her photography career at Harvard University, where she obtained a BA in Visual Environmental Studies under the tutelage of acclaimed fine art photographer Christopher James. After graduation, a Rotary International Fellowship afforded her the opportunity to spend an adventurous year in and around Provence while attending the Ecole Nationale de la Photographie. Settling in New York City, Grace began her professional photographic career shooting everything from fashion and beauty to lifestyle and travel for a wide range of magazines. Her signature style of cinematic storytelling and naturalistic spontaneity evolved over the next decade. Today she has a eclectic career shooting both stills and motion for a diverse editorial and advertising clientele. Her editorial clients include InStyle, British Marie Claire, Red, German InStyle, Self and Lucky. Her advertising clientele includes Dove, EOS, Mary Kay, St. Ives, Aveeno, Clinique, John Frieda, Cyzone, Gillette, Johnsons, Carefree, Hue, No Nonsense, Gardasil, Olay, Avon, Lilly Pulitzer, Liz Claiborne, Target, Godiva, Walmart and Saks Fifth Avenue. Grace has photographed a range of celebrities such as Krysten Ritter, Katrina Bowden, Poppy Delevingne, Bijou Phillips, Cory Kennedy, Jennifer Morrison, Carmen Electra, Julie Delpy, Jessica Simpson, Cynthia Rowley, Shiva Rose, Sarah Chalke, Elisha Cuthbert, Mia Tyler, Daisy Fuentes, Rhona Mitra, Whitney Port, Daveigh Chase, Sarah Wynter, B. Smith, Jesse Martin, Christy Turlington, Frederick Fekkai, Sergio Garcia, and Henrik Lundqvist.

About Industrial Color: From top tech and production support on over 10,000 shoots to inventing online digital photo workflow, Industrial Color continues to push the limits and develop industry standards. With offices in New York, Los Angeles and Miami, their talented team and extensive production capacity enables them to provide a full range of high-end services to clients whether it be in studio or on location anywhere around the globe. Services of Industrial Color include: digital still and RED and HD video capture, post-production, color and video editing services, archival printing, high-speed file transfer, online image management, archive and file storage.

Talk About Health

August 2nd, 2011

TalkAboutHealth is where patients and caregivers get personalized, helpful, and accurate answers from experts, survivors, and organizations.

TalkAboutHealth has carefully chosen leading medical professionals and experts to join the community and share their expertise and knowledge. They are a welcoming and caring community who have come together to meet, share, and learn with each other. They welcome patients, families, caregivers, survivors, professionals, and organizations. Everyone is encouraged to share their unique knowledge and experiences. The more we share, the more lives we improve and save.

How does it work:
TalkAboutHealth finds and notifies the right experts, survivors, and organizations to answer questions. They then connect patients, high risk individuals, and supporters who need health support, with survivors, experts, and organizations who can help.

You can then post your discoveries or what you are thinking to educate others and start conversations. Talk About Health then recommends matches for you with people who can help, such as experienced peers, survivors, and experts. They match members based on experiences, disease, treatments, medications, side effects, demographics, cultural background, and much more.

Accurate, timely, and helpful

The right people are notified right away to answer questions based on experience and specialty. Both the staff at TalkAboutHealth and experienced community members review all answers. If answers are not accurate or helpful, they are marked “Not helpful”, or are flagged and removed.

Personalized and relevant

They match you with the answers and knowledge you need based on your health and profile information.

Organized and curated

The community organizes and curates the questions and answers so that the information is trusted and easily found.

Real-time notifications

They notify you of new answers and updates via facebook, email, instant message, and twitter so you get the latest information.

Click here for current work shops, one featuring Dr. Leonard Farber from The Farber Center for Radiation Oncology answering questions on Radiation Oncology and Partial Breast Irradiation (APBI): Current Work Shops