Celebrate Life!
Transcription
Celebrate Life!
October • November • December 2010 Celebrate Life! The Newsletter of the Oncology Support Program at Benedictine Hospital Reuner Cancer Support House, 105 Mary’s Avenue, Kingston, NY 12401 • 845-339-2071 Healing Conversations With Your Physician & Health Care Professional Wed. Nov. 10th 7-8:30 pm Reuner Cancer Support House pg 21 Living Fully with Illness Gregg Krech and Barbara Sarah Sat. Nov. 6th 9 am - 4 pm ASB, Auditorium (fee) pg 26 Bereavement Support Group Wednesdays Nov. 3, 17th, Dec. 1st, 15th 7-8:30 pm ! Reuner Cancer Support House NEW pg 17 Lymphoma & Leukemia Support Group October 14th, November 11th, December 9th 2:30-4 pm W! pg 17 Reuner Cancer Support House NE Annual Holiday Potluck Music and Crafts Celebration Friday Dec. 3rd 6-8:30 pm ASB Auditorium pg 18 Photography Workshop with Barbara Leon Friday October 15th 1- 4:00 pm Reuner Cancer Support House pg 23 Healing Arbor Renewal Workshops Sat. Oct. 25th, 30th, Nov. 13th, 20th 2-4:30 pm (see details) pg 20 Bulb Planting Workshop in the Linda Young Healing Garden Fri. October 22nd 1:30-3:00 (rain date Oct. 29th) Reuner Cancer Support House pg 22 Creative Writing with Marianne Niefeld 10-1:30 am Tuesdays October 12th, 19th, Nov. 2nd, 9th Reuner Cancer Support House pg 22 Music and Imagery Workshop Dr. Gimeno (Assistant Professor, Music Dept. SUNY) Monday October 11th, 1-2:30 pm Reuner Cancer Support House pg 22 Exactly What Are Palliative & Hospice Care— & What Is The Difference? The relief of suffering and the cure of disease must be seen as twin obligations of a medical profession that is truly dedicated to the care of the sick. Physicians’ failure to understand the nature to suffering can result in medical intervention that (though technically adequate) not only fails to relieve suffering but becomes a source of suffering itself. – Eric Cassell, MD Myths and misinformation abound in the minds of many patients, family members, and even health care professionals about palliative and hospice care. Different, though overlapping at a specific phase in the illness experience, these two relatively young medical specialties are often mistakenly clumped together. Hospice is not a place. Rather, similar with palliative care, it is a philosophy of care. While conventional medical practice focuses on the control and cure of illness, the main goal of these emerging medical specialties is comfort care and the alleviation of suffering. The hospice movement was founded in the 1960’s by Dame Cicely Saunders of London. Interestingly, Saunders was a nurse, social worker, medical doctor and researcher; she was also a deeply spiritual person—in all embodying the ‘interdisciplinary’ team model of care. Her focus was on care of the total person and their total, not merely physical, illness and pain experience (Reith & Payne, 2009). Hospice migrated to the U.S. in 1974, in Connecticut. In transferring hospice from philosophy to policy as a qualified Medicare benefit in 1982, Congress limited the terms of its delivery and accessibility. Two qualifications were instituted: 1) the discontinuation of curative and life-prolonging medical interventions, and 2) a prognosis of six-months or less to live. These defining parameters are its confining barriers, placing reluctant physicians as the gatekeepers of hospice referrals. Policy designed to quantify boundaries has resulted in significant underutilization of services and lack of timely referrals, compromising its benefits to patients and families (Hospice, Inc, n.d.; Reith & Payne, 2009). On the positive side, the Medicontinued on page 4 Celebrate Life! Information Index COMPLEMENTS FROM BARBARA page 3 FROM OUR DIRECTOR page 5 LINDA YOUNG OVARIAN CANCER PAGE page 14 EXERCISE PROGRAMS page 24 KIDS/TEEN CONNECTION page 13 Editor Ellen Marshall Graphic Design Peggy Hurley Printing Arnie Puetz ONCOLOGY SUPPORT PROGRAM Founder Barbara Sarah Director Ellen Marshall Social Workers Pat Ernenwein Elise Lark Amber Rose MISO HAPPY COOKING CLUB page 11 Exercise Instructors Ujjala Schwartz Angel Ortloff SUPPORT GROUPS pages 16-20, 23, 27 MSW Interns Linda Erman – Art Myra Hage – Social Work Manuela Mage – Social Work Rosie McLaughlin – Mental Health Counseling 2 The Oncology Support Program at Benedictine Hospital is located at the Herbert H. and Sofia P. Reuner Cancer Support House, 80 Mary’s Avenue, across from the Administrative Services Building. Proofreader Sharon Stonekey Administrative Assistant Doris Blaha The information in this newsletter is for educational purposes only and is not intended to be used as medical advice. Please consult your physician about questions regarding your treatment. Benedictine Hospital Member of Health Alliance of the Hudson Valley does not endorse the content of the articles published in this newsletter. The Oncology Support Program is a team of compassionate professionals and volunteers dedicated to changing how people perceive and respond to cancer through creative programming, education, healing arts, and comprehensive support services. As a bridge between Benedictine Hospital and the community, we offer a nurturing environment that promotes wellness and celebrates the fullness of life! A newsletter for oncology patients, their family and friends is published every three months by the Oncology Support Program at Benedictine Hospital. 105 Mary’s Ave., Kingston, NY Copyright 1994 by Benedictine Hospital All rights reserved NURTURING NEIGHBORHOOD NETWORK page 18 WORKSHOPS/LECTURES pages 19-26 ONCOLOGY SUPPORT PROGRAM VISION & Many Fabulous Volunteers Phone: 845-339-2071 Fax: 845-339-2082 [email protected] SUPPORT SERVICES: Arts & Healing Classes, Dietary Consultations, Pastoral Care, Counseling, Educational Programs, Support Programs for Women, Men, Family Members & Children, Complementary Medicine Discussion Group, Lending Library: Books, Audio Tapes & Videos DESIGNATED WALK-IN HOURS Mon 10am-12pm Thu 1-3pm Tue 2-4pm Fri 10am-12pm Wed 4–6pm or by appointment FERN FELDMAN ANOLICK BREAST CENTER AT BENEDICTINE HOSPITAL HOURS: MONDAY-THURSDAY 7AM-7PM FRIDAY 8AM-4PM 1st & 3rd SAT. of the Month 8AM-2PM SCREENING & DIAGNOSTIC SERVICES FOR MORE INFORMATION, CALL THE BREAST CENTER (845) 334-3099 FOR APPOINTMENTS: (845) 334-3088 SUBSCRIPTION INFORMATION To be on our mailing list please call: 845-339-2071 or email: [email protected] or send your name & address to: Oncology Support Program 105 Mary’s Avenue Kingston, NY 12401 READER SUBMISSIONS ARE WELCOME! Please submit fairly brief articles in 12 pt Arial font to Doris Blaha at [email protected] or fax 845339-2082 or by mail. Deadline for Oct/Nov/Dec 2010 issue is August 15, 2010. Dear Friends, After all this time, it’s still exciting to begin my 17th year here at Benedictine Hospital. We keep developing new programs and helping more people and that makes it so interesting for me to continue to be a part of the Oncology Support Program. A few years ago, it was our beautiful Support House that was new. Last year it was our new Health Alliance affiliation with the Kingston and Margaretville Hospitals. This year, our Program is expanding to offer new opportunities in music and art therapy. We’re also beginning a support group for people who have been diagnosed with leukemia or lymphoma as well as a bereavement group. We’ve had such groups in the past and are glad to be able to offer them again. Please look for announcements about these new programs in this edition of our newsletter! We continue to plan these new programs for our community of patients, caregivers and friends because we know that there are many ways to heal from a cancer diagnosis. Education and information, emotional support and the acquisition of new skills and coping mechanisms are what help us to have meaningful lives. “Life is where we put our attention” and what we do here at Oncology Support helps us to keep our at- tention focused and purposeful. “Attention” is an important teaching at the ToDo Institute in Vermont. ToDo is the place where people come from around the U.S., Canada and other countries to study the Japanese therapies, Morita and Naikan. As many of you know and have read in this newsletter, Morita and Naikan are the philosophies that provide the basis for the work that we do here at the Program. So the other great news for this season is that Gregg Krech, the Director of the Todo Institute, is coming to Ulster County and will be presenting workshops at Benedictine and other venues during the first weekend in November! Gregg was here in 1995 and again in 2001 and his presentations received an overwhelmingly positive response from participants. He and I will be offering Living Fully With Illness at the Benedictine Auditorium on Saturday, November 6th. I hope that many of you will take advantage of Gregg being here in Ulster to learn more about this useful material from a leading expert in the field of Japanese Psychology. Gregg has presented this practical and inspirational work to audiences around the world. He and I have offered Living continued on page 4 Support the Oncology Support Program All Year Round! At the Oncology Support Program, almost all of our services are free or available for a very low fee. This is possible thanks to the support of Benedictine Hospital, as well as donations from the community. Please help us to continue our support of people going through cancer and their families. Donations of all sizes are welcome and will be acknowledged in the following edition of Celebrate Life! Please make checks payable to Benedictine Health Foundation and write Oncology Support in the memo line. Mail donations to Benedictine Health Foundation, OSP, 105 Mary’s Avenue, Kingston, NY 12401. Donations can also be made online at Benedictine’s website, www.benedictine.org. Click on “Health Foundation” on the bottom right of the home page. Then click on “Donate now through Network for Good.” On this form, be sure to designate that your donation is for “Oncology Support.” Name: Phone: Address: q Please use my donation to support the ongoing services of the Oncology Support Program. q Please make my gift in memory of: q Please make my gift in celebration of: q Please send an acknowledgment to: Name: Address: q My company is part of a matching gift program. 3 care benefit maintains the philosophy of hospice and palliative care by requiring multi-discipline holistic care, including social work (Reith & Payne, 2009). In returning death to its proper context, hospice professionals help us to experience the end-of-life as a normative stage within the continuum of illness and of life, rather than a medical emergency requiring hospitalization. Fear of death is strongly associated with fear of pain. Not unwarranted, many patients experience significant pain not only at the end of life, but throughout the illness trajectory. To palliate means to cover or cloak (Meier, Isaacs, & Hughes, 2010). In the case of medicine it refers to the alleviation of symptoms, especially pain. Palliative care is an umbrella term; while all hospice care is palliative in nature, not all palliative care is hospice care. Palliative care is based on the same philosophy as hospice but without the federal policyinduced parameters. Theoretically, as an adaptation of hospice care, it fills gaps and broadens parameters of hospice accessibility; however, this is not always the case in practice. Hospice, palliative, and end-of-life care are interlinking concepts. Optimally utilized they constitute a continuum of care. According to the National Consensus Project definition (NCP, 2004): The goal of palliative care is to prevent and relieve suffering and to support the best possible quality of life for patients and their families, regardless of the stage of the disease or the need for other therapies. Palliative care is both a philosophy of care and an organized, highly structured system for delivering care…concurrently with life-prolonging care or as the main focus of care….Palliative care incorporate[s] psychosocial and spiritual care with consideration of patient/family needs, preferences, values, beliefs, and culture. Evaluation and treatment should be comprehensive and patient-centered with a focus on the central role of the family unit in decision making. Palliative care affirms life by supporting the patient and family’s goals for the future, including their hopes for cure or life-prolongation, as well as their hopes for peace and dignity throughout the course of illness, the dying process, and death (as cited in NCP, 2009, p. 6). Like hospice, palliative care’s key goals includes enhancing quality of life for patient and family, optimizing function, assisting decision making, and providing opportunities for personal growth. Hospice and palliative models of care extract the most current advances in pharmacopeia to achieve medicine’s “most ancient of goals…the relief of suffering” (Meier et al, 2010, p. IX), while expanding on the traditional biomedical disease-model to fit individual needs. The simple and direct words of the mother of the modern hospice movement, Cicely Saunders, remind me of what hospice care encourages us to do: “We must not lose the chance of making good on a great deal of untidiness in our lives, or of making time to pack our bags and say, ‘Sorry, goodbye and thank you.’” This perhaps has always been the work of the living, and the dying. Contributed by Elise Lark References Cassell, E. (1982). The nature of suffering and the goals of medicine. New England Journal of Medicine, 306(11), 639-645. Hospice Inc. (n.d.) Volunteer Manual. Poughkeepsie, NY. Meier, D.E., Isaacs, S. L., & Hughes, R.G. (Eds.). (2010). Palliative care: Transforming the care of serious illness. San Francisco, CA.: Jossey-Bass. National Consensus Project for Quality Palliative Care. (2009). Clinical Practice Guidelines for Quality Palliative Care. (2nd ed.). (Online). Retrieved from http://www.nationalconsensusproject.org/Guideline.pdf on (May, 2010). Reith, M. & Payne, M. (2009). Social work in end-oflife and palliative care. Chicago, Illinois: Lyceum Books, Inc. Fully with Illness in many cities in the U.S. and Canada. For more information about this material, please check out www.TodoInstitute.org. Meanwhile, save the dates of the first weekend in November and please look elsewhere in this newsletter for particulars. I send you all heartfelt greetings for the coming holidays and my deep appreciation for your participation in our program, whether through attendance, financial support or reading this newsletter. 4 It has been a time of great transition at the Oncology Support Program and as our members are well aware, change can carry in its wake a range of emotions. But there is great consolation in knowing that there are certain constants in the midst of change. One such constant is the tradition at OSP of providing compassionate and excellent care to all the cancer patients and their loved ones who enter our door. I have felt so privileged to be a member of such a dedicated team. There are so many people I would like to thank. First, I’d like to thank our immediate family at OSP. Thank you, Barbara Sarah for your limitless ability to come up with creative ideas; thank you Elise Lark for the power and wisdom of your heart, thank you Doris Blaha for your amazing competence, hard work and compassionate dedication, thank you Amber Rose for your pure-hearted devotion and thank you Pat Ernenwein for always going above and beyond in the service of our community. I also want to thank the volunteers who were with us this past summer--thank you Ashley Crinieri and Patty Horrigan for being ready and willing to do whatever was needed to support our program and its members. And then there is our extended family…. I want to thank all the Doctors, Nurses, Techs, Clerks and everyone who tenderly and competently care for the cancer patients who find their way to the Oncology Unit. You are such an amazing group of dedicated professionals! Thank you Sisters for your self-less devotion. Sister Dorothy, I always feel warmed by your presence. I also want to thank Kathy Lunney, RN, our new administrator, for her guidance. And to the Administration and all the Health Alliance employees who, behind the scenes, support the Oncology Support Program and in so doing support the men and women diagnosed with cancer in our community along with their loved ones. Together we are all committed to providing cancer patients and their caregivers with the best possible treatment and support. I also wholeheartedly thank the members of the Linda Young Advisory Committee for their tireless dedication and hard work as we make the final arrangements for the 10th annual Dinner Dance and Auction to benefit the Linda Young Ovarian Cancer Program. Everyone is invited to visit the Linda Young Healing Garden behind the Cancer Support House. As we speak there are butterflies dancing about the perennials, and we look forward to a bulb planting workshop in the autumn with a Master Gardener from Cornell Cooperative Extension, so that splashes of color will brighten our spring. There is yet more cause for gratitude. Thank you generous donors to the Oncology Support Program for making all of what we do a possibility. And last but not least, thank all of you, dear members of the Oncology Support Program, who have allowed me the privilege of being part of your journey. The courage I have witnessed is a source of boundless inspiration and I look forward to doing whatever I can to be of service to each and every one of you. I would like to welcome new members to our family at OSP. The interns, Rosie McClaughlin, Linda Erman, Manuela Mage, and Myra Hage, are getting ready to begin their adventures. They join the OSP staff in bringing new and exciting programs to our community alongside the invaluable groups that are already offered at OSP. In addition to our Women’s Support Group, Men’s Support Group, Ovarian Cancer Support Group, Metastatic Support Group, Family and Caregiver’s Group, and Healing Circle Improvisational Group we will be offering a new Lymphoma and Leukemia Support Group. A Bereavement Group, offered in the nurturing environment of the Cancer Support House will provide support and a sense of continuity in care those who have lost a loved one to cancer. During the next few months we will offer a range of healing arts programs including Music and Imagery, Art Therapy for adults, children and families involving a variety of artistic mediums, Creative Writing, and a Photography Workshop which focuses less on the pictures we take and more on awareness and how we see the world. Committed to your health and wellness, we will be adding Pilates classes to a schedule which already includes our Miso Happy Cooking classes, Smartbells, Yoga, Qi-Gong, and Smoking Cessation workshops. There are also educational programs planned for the months ahead. In October, which is Breast Cancer Awareness Month, we will be involved an informational Breast Cancer Panel offered by the Health Alliance. November is the month that brings awareness to Hospice and Palliative Care and we will feature a program entitled “Healing Conversations with your Physician and Health Care Professionals.” In autumn, as the Thanksgiving holiday approaches, we have arranged for Gregg Krech, Director of the Todo Institute to return to OSP in order to offer a program reflecting the teachings of Naikan and Morita Therapy. Living Fully With Illness is a wonderful opportunity for patients, caregivers, health care workers and continued on page 7 5 THE NEW PALLIATIVE CARE INFORMATION ACT: A KEY TO INFORMED MEDICAL DECISIONS WHAT THE NEW LAW WILL MEAN TO YOU & YOUR LOVED ONES Contributed by Elise Lark Summer was a hot season for the advancement of palliative and hospice care. Central was the passage of the Patient Right to Palliative Care Information Act by Gov. Paterson, despite objections from the Medical Society of New York. The law will require the person’s attending doctor or nurse to offer to provide information, consisting of prognosis and a range of appropriate options, and counseling for terminally-ill patients or their representative. These options will include palliative and hospice services, aggressive pain and symptom management, and further life-sustaining treatment. Of course, the patient also has the right to decline the offer for information. Perhaps not coincidentally, the passage of the bill followed what appeared to be a media surge in August bringing palliative and hospice care further into public attention. Notable was physician Atal Gawande’s (2010) compelling article, Letting Go: What should medicine do when it can’t save your life, featured on the cover of the New Yorker. As an experienced surgeon he has observed how many patients—even those who have been aware of their terminal condition for some time—meet the final stage and days of life unprepared. Loved ones left behind are equally bewildered. With the tendency for physicians to shine the medical spotlight on life-prolongation, other practical and human concerns are often blotted out (Awande, 2010). In addition, there was wide coverage of research (including the New York Times and The Wall Street Journal) based on a study published in the New England Journal of Medicine (NEJM, 2010). The NEJM study documented significant improvements in quality of life, mood, and longevity (nearly 3 months) for people living with lung cancer who received early palliative care. Further, this group experienced improvements despite opting for less aggressive end-of-life care compared to those who received standard treatment alone. The findings challenge conventional protocol and the culturally-entrenched myth that palliative and hospice care hasten lives (NEJM, 2010). In response to the passage of the bill, New York Times columnist Jane Brody (2010) noted, Americans and “legislators have begun to recognize the medical, humanitarian, and economic value of helping terminally ill patients and families navigate treatment options as they approach the end of life.” According to the organization who requested the bill, Compassion and Choices of New York, how terminally ill people choose to live their final days constitute “the most important decision of their lives” (as quoted in Brody, 2010). To these means and ends, communication is key. Note: Please join us for a special event related to this topic. See page 21. References Brody, Jane (2010, August 23). Frank talk about care at life’s end. The New York Times, pp. D1, D7. Compassion and Choices, Palliative Care Information Act, (Online). Retrieved from http://compassionandchoices.org/documents/Palliative%20Care%20Information%20Act%20S44 98,%20A7617%20409. pdf.) on August 29, 2010. Gawande, A. (2010, August 2). Letting Go: What should medicine do when it can’t save your life. The New Yorker, pp. 36-49. Temel, J.S., Greer, J.A., Muzikansky,A., Gallagher, E.R., Admane, S., Jackson, V.A., Dahlin, C., M., Blinderman, C.D., Jacobsen, J., Pirl, W.F., Billings, J.A., & Lynch, T.J. (2010). Early Palliative Care for Patients with Metastatic Non–Small-Cell Lung Cancer. New England Journal of Medicine, 363, 733-742. Do you wish to receive future newsletters by e-mail instead of regular (snail) mail? Please contact Doris at dblaha@ benedictine.org to receive the future issues of Celebrate Life! by e-mail in PDF format. 6 Oncology Support Program Donations William Duncan In Memory of Dorothy Cylinder Rose Feldsher In Memory of Beverly Burr The Blaha Family In Honor of Sarah Urech Lee Ferezy Doris Blaha In Honor of Barbara Sarah’s Birthday Myrna Gail Sameth Linda Young Ovarian Cancer Support Program Donations George & Margaret Mc Clure Barbara Garfinkel Maria DeFranco Patricia & Doug Heller Hilary & Bill McKenna Vito Fontana Fran Azouz & Jeremy Wilber Francine Schore Zinn Family Charitable Fund Judith Greenfield Martha Jones Charles and Donna Lawrence Drs. Amy Novatt & Ronald Whitmont Susan & Jeffrey Plonski Mr. & Mrs. James Mitchell From Our New Director – cont’d the community at large to learn about the philosophies that underlie our Program. As the holidays approach, we look forward to bringing joy and light to your lives during the early winter months with Carol singing and our annual holiday party. It will be a busy time at OSP with all these programs, new and old…but once again, there is a constant amidst all the changes. As we move through the seasons from the heat of summer to the glow of Autumn and finally to the chill of winter….our door remains open as we offer warmth and comfort to all the members of our community. Warmly, In Memory of Ora Mae Harding John Harding Margie Griffin In Honor of Kathy Kumiga Debbi Belmore A special thank you to Linda Edelman of Fancy Letters for her generous donation of blank cards for the Women’s Support Group to make handmade cards We Lovingly Remember Beverly Burr Norman Fiero Carole Fletcher Deborah McLees Vincent Nicolosi Jan Olsen-Warner Elizabeth Provost Deborah Putre George Reinhart Joyce Ryan John Yerkins James Zahorsky Those whom we love and lose are no longer where they were before. They are now wherever we are. —St. John Chrysotom (4-5th century) 7 Samira Y. Khera, M.S., M.D. Being holistic means caring about the whole patient. An integrated approach to healthcare is patientcentered, emphasizes wellness, and pays attention to the physical, emotional, and spiritual needs of the patient. I want to look at the whole person because breast cancer is a diagnosis that affects the patient in a way that often raises a mixed range of emotions. A person can experience these different emotions along any part of her (or his – yes, men can and do get breast cancer) journey, from diagnosis through treatment, and during recovery. Support for cancer survivors is critical to optimizing quality of life and survival. Studies have shown that women with breast cancer who attend support groups do better than those that do not. Support can be through family, friends, significant others, as well as through other social networks and support groups. The National Institute of Medicine recognizes the importance of an integrated approach to health care. The Institute held a summit on integrative medicine and the health of the public, where one of the many factors discussed important for healthcare reform was lifestyle modification programs. These programs have been proven to not only improve a patient’s overall health but also mitigate cardiac disease and prostate cancer, among other chronic conditions. As a holistic breast surgeon, I want my patients to know that I will support and encourage them to take control of their survivorship. I will help guide them through their treatment by making individualized treatment recommendations which are standard of care and/or the most appropriate for their situation. The care of the breast cancer survivor is multidisciplinary and requires treatment that often combines surgery, radiation, chemotherapy and hormone therapy. After treatment is completed, I continue to support my patients and offer them resources that empower them to optimize their health, which I hope in turn will optimize their quality of life and may improve their survival rate. My breast surgery practice has created The Integrated Medicine Network (IMN) to assist breast cancer survivors, as well as others who are highly motivated and particularly interested in pursuing a balanced lifestyle through proper diet, physical fitness, and stress management. The IMN practitioners are a team of compassionate professionals who provide comprehensive and holistic modalities to support conventional patient care. The team includes a nutritionist; naturopathic 8 doctor; acupuncturist; massage therapist; life coach; Buddhist-inspired mental wellness counselor; professional organizer; yoga instructor; energy healer; lymph edema specialist; macrobiotic educator; cancer guide, educator, and author; and a breast surgeon (myself). Services are offered at doctors’ offices or other locations and sliding scale fees are available, determined on an individual basis with each practitioner. Equally important to me as an integrated holistic physician is supporting my patients through even the most challenging parts of their journey with breast cancer. That may be while they go through the difficult decision-making regarding whether they should consider breast reconstruction or a prophylactic mastectomy. It may be during a second fight with breast cancer or when it has become metastatic. In some situations, there is no role for surgery; however, I believe there is always a role for support. Recently, I was reminded of this. A dear survivor who battled courageously for 11 years, finally decided she had had enough. She had grown tired, weakened by treatment, and needed to end her fight. She was a true warrior all the way to the end. I admired her for her courage all along the way. The only thing I could possibly offer was my love and support to her and her loved ones. Quality of life is as important as anything else. As a holistic physician, I try to honor that. Being able to live and work as a holistic, integrated breast surgeon is both a joy and privilege. I look forward to continuing my practice and serving this great community we live in. Please assist us in our efforts to keep our library full-stocked, current, and organized by returning any overdue books as soon as possible. You may consider returning old books before borrowing new ones, and following the sign-out and return procedures posted. Also, we would love to adopt any new or recently published books that were relevant to you and that you think would be meaningful to others. If you would like to volunteer to help stock and tidy-up the library, we could sure use your assistance! Please contact Elise Lark at (845) 339-2071 X102 or [email protected]. Many thanks to previous volunteers for lending a helping hand. The Health Alliance of the Hudson Valley is sponsoring a Breast Health Awareness Day for women 40-64 years of age on October 15th 9:00-3:00 pm at its three campuses at the Fern Feldman Anolick Breast Center at the Benedictine Hospital Campus (3343099), the Greenspan Center for Women’s Health at the Kingston Campus (334-4255), and the Margaretville Hospital Campus (586-2631). Mammograms will be available (walk-ins welcome). The American Cancer Society will be available to answer questions. If you have no insurance, you may qualify for free mammograms through Healthy Living Partnership, a state program. Educational materials will be available. Enjoy refreshments and door prizes. Adapted from an article written by Gail Muench, R.P. (R)(M)(QM) Lead Mammographer at the Fern Feldman Anolick Breast Center Breast cancer afflicts many women and some men of all races, ages and backgrounds. Breast Cancer does not discriminate on the basis of financial means or social status but there are risk factors that will affect our chances of acquiring breast cancer. So just what are these risks? How can we protect ourselves? The American Cancer Society has recognized the following factors as being “high risk factors”: Aging - Your risk of developing breast cancer increases as you get older. About 1 out of 8 invasive breast cancers are found in women younger than 45, while about 2 out of 3 invasive breast cancers are found in women age 55 or older. Genetic risk factors - About 5% to 10% of breast cancer cases are thought to be hereditary, resulting directly from gene defects (called mutations) inherited from a parent. Family history of breast cancer - Breast cancer risk is higher among women whose close blood relatives have this disease. Having one first-degree relative (mother, sister, or daughter) with breast cancer approximately doubles a woman’s risk. Having 2 firstdegree relatives increases her risk about 5-fold. Personal history of breast cancer - A woman with cancer in one breast has a 3- to 4-fold increased risk of developing a new cancer in the other breast or in another part of the same breast. Certain benign breast conditions such as atypical ductal hyperplasia (ADH) and atypical lobular hyperplasia (ALH). Also women with lobular carcinoma in situ (LCIS) have a 7- to 11-fold increased risk of developing cancer in either breast. While it has been known for a long time that breast cancer cannot be totally prevented, women can take steps to help reduce their risks and reduce the effects of advanced breast cancer. Some of the risk factors that have been identified as lower risk factors are within a woman’s control and should be considered by the woman concerned with her breast cancer risk. These include not being obese, exercising, limiting alcohol intake, limiting the use of oral contraceptives, and having children before the age of 30. The Center for Disease Control and the American Cancer Society recommend the following regimen for early detection: Age 20 – 39 • Clinical breast exam (CBE) by health care professional every 3 years. • Be aware of what your breasts normally look and feel like, and report any changes or new breast symptoms to a doctor or nurse right away. • Breast self exam is an option Age 40 and over: Yearly mammogram. • Yearly clinical breast exam (CBE) by a health care professional, near the time of the mammogram. • Report any breast changes, including changes in how the skin looks or feels, to a doctor or nurse right away. • Breast self exam is an option Women at high risk: • Talk with your doctor about starting mammograms at a younger age, and using breast MRI to screen for breast cancer along with mammograms and CBE. If you have breast cancer risk factors, talk with your doctor about ways you can lower your risk and about screening for breast cancer. References American Cancer Society (2010). Breast Cancer – What are the Risk Factors. New York, New York. Retrieved from http://www.cancer.org/Cancer/ BreastCancer/DetailedGuide/breast-cancer-riskfactors on August 15, 2010. Centers for Disease Control and Prevention. (2010) Breast Cancer – Fast Facts. Retrieved from http:// www.cdc.gov/cancer/breast/basic_info/fast_facts. htm on August 15, 2010. National Cancer Institute. (2010). Breast Cancer Risk Assessment Tool. Retrieved from http://www.cancer.gov/bcrisktool/ on August 15, 2010. 9 OCTOBER 2 – Lee Adrias 2 – Alice Krom 3 – Phyllis Sturm 5 – Peter Letus 5 – Carol Muise 7 – Geraldine Wilson 8 – Angelina Birney 10 – Marjorie Regan 12 – Susan Minkel 12 – Joan Baldinger 13 – Helen Wyatt 16 – Marge Beck 16 – Janet Durand 19 – Craig Mawhirt 21 – Jeannie Vorndran 22 – Teresa Decker 23 – Anna Schrader 23 – Pamela Waldo 24 – Angelo Cimorelli 24 – Tom Fallon 26 – Anne DiNardi 27 – Margaret Morrison 27 – Phyllis Whitman 29 – Maureen Jayner 29 – Wilma De Salvo 29 – Vicki Passikoff NOVEMBER 2 – Dorothy Longwell 3 – Kathleen Hogan Carney 3 – Tante Sarah 3 – John McCole 6 – Carol Paris Steffens 6 – Linda Crow 6 – Elizabeth Hillegas 6 – Carol Nigro 9 – Suzanne Sottile 10 – Christine Benditti 14 – Doris Blaha 14 – Virginia Gray 15 – Leslie Gerber 16 – Mary Joiner 16 – Jane Riley 16 – Hazel Filupeit 17 – Jane Keller 21 – Geri David Alvarez 22 – Luella Jane Winne 24 – Renee Danboise 24 – Angeline Delgaizo 27 – Tina Cucchisi 27 – Judy Schultz 29 – Karen Mulligan 30 – Janet Finch 30 – Charlotte Scholl DECEMBER 3 – Theresa Emmick 5 – Evangeline Angelo 5 – Grace Weber 7 – Ann Fowler 7 – Emilie Hauser 12 – Deborah Ramsden 13 – Arlene Budesa 15 – Linda Puga 16 – Purnima Schachter 16 – Beth Yanick 18 – Margaret Schrage 18 – Cheryl Rice 20 – David Malin 20 – Jeanne Marks 23 – Mary Summerlin 23 – Pamela Waldo 25 – Janet Mills 26 – Nancy Chando 26 – Ruth Madera Hahne 27 – Mary Lou Edwards 31 – Charlene Johnson Please accept our sincere apologies if we have inadvertently omitted or incorrectly listed your birthday in this calendar; it’s definitely a work in progress! Feel free to remind us: you can e-mail Doris at [email protected] or call and leave a message at 339-2071 ext. 100. And let’s remember to celebrate each other every day of the year! This summer I had the great privilege of working with the team at the Oncology Support House. I am a graduate student in Mental Health Counseling and I jumped at the chance to be part of the incredible volunteer network of the OSP. During my time there I was on 4SMC for patient and family visits and spent time with the Women’s Support group. I knew going in that this would be a positive experience for me but I never expected just how rich and amazing it turned out to be. My thanks to everyone for letting me share this journey with you. Please include the following people in your prayers Prayer List ARLENE BUDESA PHYLLIS HAGOPIAN ROBERT HILDENBRAND FRANK LAZZARO WILMA LUCAS YOLANDA MATHIS UJJALA SCHWARTZ 10 “Keep it simple, make it beautiful, eat well” is the theme for the fall series of classes. By keep it simple, we mean limit processed foods, eat a primarily plant based diet, use whole grains, seasonal, and locally produced fresh fruit and vegetables, that provide long term energy, that sustain, nourish, and over time, create a strong healthy body and mind. Make it beautiful, think of your meal as a work of art. Create appealing combinations by choosing colors, textures, and tastes that reflect the season and the energy you want to impart. Cook with attention and happiness and your food will convey those feelings. You may be saying, “I don’t have time to do this in my life.” It is easier than it sounds. Come to a Miso Happy session this fall. Each month’s class will add to a skill set of simple ways to create appeal without much effort. By implementing a plant based diet you will be eating well. The fall series begins on October 26. In this class, we will learn to roll vegan sushi and make rice balls. In November (on the 23rd), we will enjoy a harvest celebration class, featuring local CSA (Community Supported Agriculture) fall varieties of vegetables. We will learn Nishime style preparation, plus festive holiday vegetable recipes. December’s class, date and topic is to be announced. Whatever the program, we always have fun, take home recipes to incorporate into our family meals, and enjoy sampling the prepared dishes. Gather with us for good company, fun, learning, and great food to share as we adapt a more sustainable, plant based diet. The club continues to welcome new participants. We look forward to meeting anyone who might be interested in learning about food from a macrobiotic view. Miso Happy formed in 2005 for the purpose of supporting healing and recovery through healthy eating practice. The principles of macrobiotics, which embrace whole foods, locally grown, preferably organic, are utilized in this program. Join us at the Oncology Support Program’s home, the Herbert H. & Sophia P. Reuner Cancer Support House, 80 Mary’s Avenue, across the street from the Administrative Services Building at Benedictine Hospital. The group meets on the fourth Tuesday of the month, from 10:30am – 1pm. To register or for more information please call (845) 339 2071 ext. 100 or email [email protected]. Shitake mushrooms are available fresh or dried and are a food that provides many benefits. The dried shitake can be stored easily and rehydrated by soaking in water before use. Shitakes are easily added to any cuisine. In a macrobiotic diet, the dried variety is emphasized for its nutritional and medicinal value. Dried shitakes make excellent, tasty broths, are great in soups, sauces, and can be added to vegetable and bean dishes or to any recipe calling for mushrooms. They are also utilized in medicinal preparations. The shitake has healing properties, may be helpful for lowering cancer risk, with antitumor, antibacterial, antifungal and antiviral properties. In addition to improving the body’s immune function, and lowering serum cholesterol, shitake mushrooms are used in some skin creams and may help to firm and brighten the skin. Shitakes have B vitamins and contain proteins, lipids, and carbohydrates, and other minerals. 1-2 dried shitake mushrooms 1 cup water Pinch of sea salt or soy sauce Place dried shitake mushrooms in a small pot with water. Bring to a boil. Remove the mushrooms from the pot and return them to the pot after removing the stem and cutting the remaining cap into pieces. (Or soak the mushrooms, remove the stem and place the remaining mushroom and soaking water in a pot.) Simmer for 10- 20 minutes. Add a pinch of salt or soy sauce and simmer for 1-2 minutes more. Drink tea while hot. The mushroom bits may be eaten, if desired. Drink half the tea when prepared and the other ½ cup later in the day. This tea can be enjoyed occasionally for its cleansing and medicinal properties. Information gathered from: http://www.docstoc.com/docs/43150828/TREATMENT-OFCANCER-BY-MEDICINAL-MUSHROOMS http://www.shiitakemushroomlog.com/facts&nutrition.html http://righteatinghabits.com/2009/04/15/shitake-mushroomtea-internal-cleansing-tea-to-dissolve-fats/ 11 Foods that are over-processed, devoid of nutrients and full of chemicals and sugars are to blame for many of our health problems today, including some cancers. It is believed that approximately 70,000 of breast cancer cases each year could be prevented through healthier lifestyle habits, and improving our diets is one change that we can work on together. Following are a few nutrition tips for you to “chew on” when feeding yourself or your loved ones. Processed sugar and refined flour may titillate your taste buds but the abundance in our diets is a major health concern. From cookies and cakes to soda and breakfast cereals the typical American consumes more than 160 pounds of sugar per year, and roughly 200 pounds of white flour. The consumption of High Fructose Corn Syrup, one of the most recent forms of processed sugar, has reached epidemic proportions. HFCS has been implicated as a contributor to the high rate of obesity because it may interfere with our bodies’ sense of satiety (fullness). Since HFCS is so inexpensive for food companies to produce, it is omnipresent, particularly in drinks. In one thirsty gulp, children and adults are now consuming as many as 16 teaspoons of sugar in a 20 oz. bottle of soda, soft drink or sports drink. As an alternative to refined carbohydrates and sugars, enjoy complex carbohydrates from whole grains and more natural sweeteners, used in moderation. If you’ve tried brown rice, oatmeal and whole wheat pasta, how about trying millet or quinoa. Sweeten your cereal with a little maple syrup, brown rice syrup or honey. If you need help incorporating these healthier alternatives in your diet, join our fun and informative Miso Happy Cooking Class for some practical guidance. An abundance of fruits and vegetables provide plenty of anti-oxidants which protect the cells from cancer causing free radical damage. Dark green leafy vegetables (kale, collards, swiss chard, spinach) and orange vegetables (carrots, squashes) provide plenty of beta carotene, berries are abundant in lycopene, while citrus fruit, cabbage, and broccoli are a few of the many fruits and vegetables abundant in protective vitamin C. Organic is always best since the organic label is the only way to ensure that your food has not been contaminated with cancer causing pesticides or dangerous additives. Researchers at the National Cancer Institute are discovering that cancer cells are supported and encouraged by specific proteins present in the inflammatory response. Specific anti-inflammatory foods can come to our rescue. Anti-inflammatory fats can be 12 found in nuts, seeds and avocados. A recent study has demonstrated that flaxseeds (when fed to chickens) decreases the metastasis of ovarian cancer cell. Several studies have already shown that flaxseed inhibits the formation of colon, breast, skin and lung tumors. Flaxseeds are rich in alpha linolenic acid, a fatty acid that is a precursor to anti-inflammatory prostaglandins. Cold water fish such as salmon, (wild Alaskan is best) mackerel and sardines along with omega 3 enriched eggs are good sources of anti-inflammatory omega-3 fatty acids. As far as oils go, olive oil is your safest bet since it is monounsaturated and less susceptible to oxidation (which promotes free radicals). Butter, when used in moderation, is certainly preferable to margarine which is a partially hydrogenated “trans” fat and damaging to cell membranes. Keep in mind that a food product can advertise “no trans fats” but still contain partially hydrogenated fat as long as there is less than .5 mg. partially hydrogenated fat per serving…. so do you homework and read labels! If you eat animal products, do so in moderation and make sure that the animals are raised without growth hormones – no one in the family needs added estrogenic compounds in his/her diet. There are other food items that have been found to have powerful healing properties. Ginger extracts have both antioxidant, anti-inflammatory and anti-tumor effects on cells. In a recent study, it was shown that exposure to ginger extract caused cell death in ovarian cancer cells. Ginger is so concentrated with active substances; you don’t have to use very much to receive its beneficial effects. For nausea, ginger tea made by steeping one or two 1/2-inch slices of fresh ginger in a cup of hot water. Other items that have been found to have beneficial anti-inflammatory effects are turmeric, cinnamon, basil, garlic and rosemary. So spice up your life with delicious healthy food! There is plenty of controversy surrounding nutrition and what we eat is often an emotionally charged topic. I am certainly available to help you sift through the varied information about nutrition. If you have any questions, please don’t hesitate to call me and if there is something I don’t know I’ll look it up! Together, we can move toward health and wellness. Ellen is available to receive your comments and questions about Nutrition. Call 339-2071 ext. 103. The Kids Connection Program offers individual and family counseling, special events, and a lending library with videos, activity books, and literature for children and teenagers of all ages who have a family member or friend with cancer. We are available year-round for ongoing consultations and counseling. The Teen Connection offers support to young people ages 13 to 18 who have a family member or friend with a cancer diagnosis. Services include counseling, literature, and support groups scheduled upon demand. We’re proud to offer the first issue of Teen Newsletter Fountain of Youth, a newsletter for and by teenagers affected by a family member’s cancer diagnosis, created right here in our Teen Connection Program under the guidance of Valerie Linet. Please let us know if you wish to receive a copy, or know someone who would like one. Kids Connection new Director, Ellen Marshall, and entertainer Rainbow the Magical Clown are available to make Kids Connection house calls. For the past 20 years, Rainbow has been dazzling children with magic tricks and delighting them with balloon animals, face painting and puppets—she’s available in her clown outfit or dressed as a magician! Ellen provides counseling and education using art and action methods to help children express their feelings and integrate their experiences. For more info about the Kids and Teen Connection and to register for any event, please contact Ellen Marshall at 845-339-2071 ext. 103 or [email protected]. For more info about the Kids and Teen Connection and to register for any event, please contact Ellen Marshall at 339-2071 x103 or [email protected]. After an intense period of negotiations among New York State legislators, New York State Governor Paterson signed the Bisphenol - A Free Children and Babies Act, making New York the first state to pass comprehensive BPA legislation. Bisphenol-A (BPA) is one of the most pervasive chemicals we are exposed to in modern life. Mounting scientific evidence has demonstrated that brief exposure to endocrine-disrupting compounds and agents such as BPA during the development of the mammary gland (around the time of birth, and in puberty) lead to changes and abnormalities that can influence breast cancer risk in adulthood. This legislation will ban the use of BPA in pacifiers, unfilled baby bottles, baby bottle liners and cups, cup lids, straws and sippy cups to be used by children under age three. “This landmark legislation is a significant step forward in protecting the health of children and all New Yorkers,” said Philip Landrigan, MD, Director of the Children’s Environmental Health Center, Mount Sinai School of Medicine. Thank you Governor Paterson. 13 Linda Young Ovarian Cancer Page Fulfilling Our Mission, One Woman at a Time The Linda Young Ovarian Cancer Support Program, part of the Oncology Support Program at Benedictine Hospital, was founded in 2000 in memory of Registered Nurse and Lamaze Instructor Linda Young, a long-time employee of both Benedictine and Kingston Hospitals. The Program is guided by a dedicated group of volunteers on the Linda Young Advisory Committee, made up of the family and friends of Linda Young and other support group members, as well as ovarian cancer survivors and advocates. In May 2010, the Ovarian Cancer Support Group celebrates its 10th Anniversary. It offers a deeply meaningful community for women in the Mid-Hudson Valley region affected by ovarian cancer. Several long-term survivors continue to attend the group after nearly a decade, offering hope and support to women diagnosed with ovarian cancer, ages 38 to 80. The Program also provides a comprehensive Ovarian Cancer Resource Guide, financial assistance to gynecologic cancer patients, and ovarian cancer education to medical professionals and the general public. For more information about the Linda Young Program’s services and volunteer opportunities, or to request a presentation on ovarian cancer awareness at your organization, church, or social group, please contact Director Ellen Marshall at 845 339-2071 ext. 103 or [email protected]. 14 Annual Dinner Dance The 10th Annual Dinner Dance with Silent and Live Auction to benefit the Linda Young Ovarian Cancer Support Program took place on Sept. 25, 2010 at the Wiltwyck Country Club. We look forward to reporting on this wonderful event in our next newsletter! Free Ovarian Cancer Resource Guide The Linda Young Advisory Com¬mittee is pleased to offer a free 60-page document with comprehensive information about ovarian cancer, including information about diagnosis, treatment options, support, comple¬mentary modalities, local and na¬tional resources, and more. For more information go the OCNA website www.ovariancancer. org or call the Linda Young Ovarian Cancer Support Program at 3392071 ext. 103. Report on the Annual Ovarian Cancer National Alliance Conference Linda Young Program Coordinator, Ellen Marshall, attended the 13th annual conference of the Ovarian Cancer National Alliance in Washington DC in July. She writes: The 13th annual “Power is Teal” Ovarian Cancer National Alliance conference featured a record number of participants and leading authorities in ovarian cancer research. It was truly inspiring to witness the dedication, hope and courage of survivors, health care practitioners, advocates and presenters, adorned in teal, the color representing ovarian cancer awareness. OCNA did a superb job organizing and hosting this momentous gathering. Conference highlights included a keynote presentation by Barbara Goff of the University of Washington, School of Medicine on screening and early diagnosis of Ovarian Cancer. Dr. Goff reported that only 10% of ovarian cancer is associated with genetic mutations and that the peak age incidence of ovarian cancer is 60 years of age. According to Dr. Goff, only 2030% of Ovarian Cancer is detected at an early stage and when so detected, there is a survival rate of 70-90%. Unfortunately however, 70-80% of ovarian cancer is detected at advanced stages of the disease resulting in a 20-30% survival rate. This speaks to the critical importance of early detection of Ovarian Cancer. Dr. Goff’s survey of 1,750 women with ovarian cancer concluded that 95% of the women surveyed had symptom prior to diagnosis, with abdominal/GI symptoms being the most common. As many as 89% of women with early stage I/ II disease reported symptoms prior to diagnosis. In conclusion, symptoms of the disease are too often overlooked and Ovarian Cancer is too often diagnosed in later stages. In his presentation, Robert Coleman, MD of the MD Anderson Cancer Center reported that the origin of the ovarian cancer tumor may actually be the fallopian tubes and not the ovary. Dr. Coleman reports that 70-75% of women are diagnosed in Stage III and IV, most recur 10-26 months after the first diagnocontinued on page 15 sis and treatment, and the 5-year survival rate is 44%. Although we are not curing more ovarian cancer, according to Dr. Coleman, women are living longer with the disease. Dr. Coleman reported on research regarding tracking Ca125 levels using the “risk of ovarian cancer algorhythm” or “ROCA.” When the Ovarian Cancer Screening algorhythm (ROCA) was used, there were fewer women who were referred for surgery unnecessarily, and a higher percentage of the women referred for surgery were diagnosed at an earlier stage of their disease. Robert Coleman spoke about future strategies for population screening but reminded us that at this point, strategies are still limited. As a result women, must be their own advocates and “fight for their diagnosis” by knowing their bodies, recognizing symptoms and insisting that their health care providers pay attention to their concerns. Michael Seiden, MD, PhD, President and CEO of Fox Chase Cancer, summarized the historical events related to ovarian cancer research. In 1994, the BRCA gene was identified, in 1995; the BRCA 2 gene was identified. In 2005 Bevacizumab was shown to slow the growth of tumors in ovarian cancer by blocking blood vessels which feed the tumors and in 2006, Parp Inhibitors were identified. George Coukas, MD, PhD. of the University of Pennsylvania Health System was given the Rosalind Franklin Excellence in Ovarian Cancer Research Award. He spoke of his promising research in immunotherapy and of the critical importance of clinical trials for the future of ovarian cancer research. He emphasized of the safety standards and varied nature of clinical trials. For more information: http:// www.cancer.gov/clinicaltrials Sheila Thorn, President and CEO of the “Multicultural Healthcare Marketing Groups” gave a talk on disparities in health care as they relate to ovarian cancer. African American women, who have much lower ovarian cancer incidence rates than Caucasian women, are less likely than their Caucasian counterparts to survive five or more years with the disease, regardless of the stage at diagnosis. African American women are more commonly diagnosed with wide-spread disease and therefore advanced stage ovarian masses than Caucasian women. These differences speak to the importance of education of minority populations regarding the symptoms of ovarian treatment and the importance of equalizing health care access. Sandra Park, Staff Attorney of the ACLU Women’s rights Project gave a talk on Genetics and the patenting of the BRCA1/2 human genes. Since the early 1990’s, the U.S. Patent Office has granted patents on human genes, the result of which is a severe limitation on research and clinical practice. There had been a Lawsuit challenging BRCA1/2 patents and in a remarkable victory for patients and researchers, on March 30, 2010, Judge Robert Sweet ruled that these patents are invalid because they “cover products of nature and abstract ideas.” Efforts are being made to overturn this decision by the plaintiffs (Myriad Genetics and U.S. Patent and Trademark Office) and advocacy is needed to ensure that Judge Sweet’s decision is upheld. Visit www.aclu.org/brca for more information There were many more exciting workshops including that of Annette Leal Mattern, survivor of Ovarian Cancer and author of “Outside the Lines of Love, Life and Cancer” She led a workshop on Long term Survivorship focusing on the importance of diet, its role chronic inflammation and links to cancer. http:// www.womentowomen.com/inflammation/whatischronicinflammation. aspx Ann Fonfa, president of The Annie Appleseed Project reported on nutritional research and natural therapies often overlooked by traditional cancer treatment. www.annieappleseedproject.org There were moving and inspiring moments throughout the conference. The Leadership award was presented to Patiricia Modrow PhD, Program Manager for the Department of Defense Ovarian Cancer Research Program, for her untiring and much appreciated commitment to Ovarian Cancer Research. Susan Lowell Butler received the Cindy Melancon Spirit of Survivorship Award and was applauded as a fifteen year survivor of breast and ovarian cancer. As she received the award, she told the audience that she had just been diagnosed with a recurrence and that this time, instead of being frightened, she is angry that there is still no cure for this disease. The touching remembrance ceremony, which took place in the beautiful garden of the Omni Shoreham Hotel, brought tears to many eyes as women read their inspiring poetry. Two renowned physicians, internist Danielle Ofri MD and neuroscientist Michael Saleman MD explored the tie between art and medicine in their presentation, “The Power of Words.” In the words of Dr. Saleman, “beauty may be the antidote to this bear.” Jenny Allen in her performance “I Got Sick Then I Got Better” was somehow able to bring humor to her own challenging experience with Ovarian Cancer. I was so grateful to have had the opportunity to attend the conference, network, and meet the dedicated members of the Ovarian continued on page 16 15 Linda Young Ovarian Cancer Page – cont’d. Cancer community. I left Washington, inspired, aware of the work yet to be done with regard to research, advocacy, and education, and committed to the community of women served by the Linda Young Ovarian Cancer Program. Gynecologic Cancer Support Group No groups are currently scheduled; however, meetings will be offered upon request. If you have any type of gynecologic cancer, including endometrial/ uterine, cervical, vaginal and vulvar cancers, please contact Ellen Marshall at 339-2071 ext. 103 for support and information. Ovarian Cancer Support Group This group offers monthly meetings, generally scheduled on the last Wednesday of the month. Upcom¬ing groups will take place on October 27, November 24, and December 22 from 7-8:30pm in the Reuner Cancer Support House, 80 Mary’s Avenue, across from Benedictine Hospital. The group provides an opportunity to meet with other women diagnosed with ovarian cancer and express concerns, exchange information, and share feelings. A range of topics addressed include surgery and recovery, how to deal with chemo treatments, nutrition, and emotional issues that arise due to the diagno- There are 5 elements in Classical Chinese Medicine. Each element has corresponding seasons, emotions, smells, tastes, sounds, colors, times of day, organs, strengths and weaknesses. The column for this newsletter will focus upon the metal/air element. The Importance Of Metal In Classical 5 Element Acupuncture Welcome to fall 2010! Fall is the season that goes with the metal element. One of the wonderful manifestations to look forward to in autumn is the glorious fall foliage. If you have some time, take a drive, bike or walk in an area where the autumn leaves literally take your breath away. Those gorgeous leaves are the best medicine for this season. Savor those rich colors as they paint a picture against the blue sky. Pay attention to the dryness of the air. What a relief – the lack of humidity! Breathe in the nice crisp fall air. Take some deep breaths. Focus on the preciousness of life. If the element of Metal or Air is out of balance, then the fall can sometimes be challenging. The two pathways and organs that go with this element are the lungs and the large intestine (colon).Some issues that 16 sis. Members have called this support group “an oasis for women with ovarian cancer,” and “a lifeboat in a sometimes turbulent and stormy sea.” Please call Ellen Marshall at 339-2071 ext. 103 or email [email protected] for more information. Linda’s Healing Garden The beautiful healing garden behind the Cancer Support House is alive with the flutter of butterflies. You are all welcome to enjoy this peaceful sanctuary. Our autumn bulb planting workshop will add splashes of color and bring hope and rejuvenation to our spring season. might come up to the surface could be: allergies, asthma, colon and/or skin problems, loneliness, emptiness, loss, grief, feeling negative and complaining a lot, living in the past, and feeling unappreciated/disrespected. Remember you can be your worst enemy, so watch your own negative “self-talk.” Fall may intensify these issues or improve them. Some ways to deal with these manifestations of the metal element are: spicy foods, meditation, prayer, and deep breathing exercises. You also need to find more meaning in life, learn to respect yourself and let go of the past. Enjoy the fabulous fall colors. You may have to rake a few leaves…but it’s worth it! Amber Rose, PhD., MSW, LMSW, LAc. Dr. Amber Rose is a Licensed and Board Certified Acupuncturist, as well as a well-seasoned Social Worker. She has a private practice in Woodstock and Kingston, NY. Dr. Rose also works and volunteers her time at the Oncology Support Program. She can be reached at 845-679-7802 or at: forever_amber_rose@ yahoo.com. When the heart grieves over what it has lost, the spirit rejoices over what it has found – Sufi proverb When someone you love dies, your life may feel out of control and you don’t know how to regain your balance. You can’t sleep, are irritable, feel sad, lonely and tired all the time. You may also be confused, preoccupied, overreact to everyday stresses and begin to ask yourself questions like: Am I going crazy? What is the matter with me? Sometimes talking with someone just once about what is happening to you can be helpful in normalizing the situation. The Oncology Support Program, in partnership with Jewish Family Services, is offering a counselor on call during normal working hours, for anyone overwhelmed by a recent loss of a loved one. Just call the OSP office at 339-2071 to set up an appointment with Toby Krawitz. Toby is a licensed clinical social worker trained to work with bereavement. Please join us for a four-week program to share grief-related stories, poems, reflective exercises, and ideas for coping with the holiday season on Wednesdays November 3 and 17, and December 1 and 15 from 7:00 to 8:30pm. The program will take place in the comforting environment of the Cancer Support House at 80 Mary’s Avenue. Elise Lark, Oncology Support Program (OSP) social worker, will be co-facilitating the group along with one of our new interns. The group is designed to serve as a continuum of services especially for members of the OSP Caregiver’s/Family Group, as well as other members of the community new to OSP that are dealing with a relatively recent loss related to cancer. Together, we will create a safe haven and healing community from which to draw from the well of our own hearts and understanding. Please note: There is a suggested donation of 5 to10 dollars per session; however, no one will be turned away due to financial hardship. Your donation will be used for the OSP Chesed Fund (‘Chesed’ means loving-kindness in Hebrew), which provides small amounts of financial assistance to cancer patients, especially those who may not qualify for other funds or are in need of extra assistance. Further, in addition to registration, a pre-group informal interview is required (preferably in-person if you are new to OSP). The group will be limited to 8 participants; please register early! Participation at all four sessions is strongly recommended. Please contact Elise Lark for further information, registration, and to arrange your interview at (845) 3392071 ext. 102 or at [email protected]. For a number of years in the past, we had offered a Leukemia and Lymphoma Support Group for our patients. Based on current need we would like to reintroduce this opportunity. This group will provide a place to connect with others who are experiencing Leukemia or Lymphoma. Participants will have the opportunity to express and share their feelings and concerns and to exchange ideas and information. Some of the topics that will be addressed include dealing with chemo and radiation treatments, surgery and recover, nutrition and other complementary therapies, as well as any emotional issues that may arise with the diagnosis. The group will meet monthly at the Cancer Support House on the second Thursday of each month, October 14, Nov. 11, and Dec. 9 from 2:30-4 pm. For more information or questions call please call Manuela Mage at 339-2071. This monthly support group for men who have been diagnosed with cancer meets at the Cancer Support House, 80 Mary’s Avenue, across from Benedictine Hospital. Upcoming meetings are on the second Monday of the month and will be: October 11, November 8, and December 13 from 5:30–7pm. Our long-time volunteer, Al Konigsberg, facilitates this group. It is a small, friendly group and newcomers are very welcome. Please call the Oncology Support Program to register or for more information at 339-2071, ext. 100. 17 NNN News If you are dealing with a cancer diagnosis and could use some one-on-one support from someone who’s been through it, you may like to have a Nurturing Neighbor. Nurturing Neighbors are cancer survivors specially trained through the Oncology Support Program to be volunteers. The nurturer will discuss with you how they might be helpful: they may make a weekly phone call to find out how you’re doing and just listen; they might be avail- able to take you to the doctor, or accompany you to a support group or other program. Nurturers can also help you find out how to access cancer-related information and other resources. Both neighbor and nurturer benefit from the Network. Neighbors report their appreciation for the extra support and personable care provided by our volunteer nurturers; in return our nurturers tell us of the riches and rewards they experience through “giving back” to others. If you are interested in having a supportive Neighbor or in further information and registration for the Volunteer training, please contact Elise Lark at 339-2071 ext. 102 or by email at [email protected]. Please join us on Friday, December 3, 6-8:30pm, for our Annual Holiday Potluck Celebration in the Benedictine Auditorium. Be sure to bring your family and friends. We will start with a festive potluck dinner— please bring a healthy potluck dish to share. Come and chat with good friends, meet new folks, make your own balloon hat with help from Rainbow the Magical Clown, be delighted by Benedictine’s adorable therapy dogs, Tiffany and Toby, and shop for special holiday gifts. Afterward, listen and join voices with our two local musician/vocal-artists, David Levy and Jeanne Nametz. Combining voice, music, and poetry they will weave a tapestry of healing sound conducive to the spirit of the season, inviting audience participation. David, a potter and teacher, describes himself as an intuitive musician who plays improvisational flutes, kazoo, and voice. He is interested in the quality of sound/music that can arise each moment in our lives, and in using music as a means to connect to our listening ears and hearts. Jeanne is a singer/songwriter and founder of Angel Care, a local service that enables the elderly to remain in their homes. Her music has been 18 described as a ‘landscape of the soul’, infusing Celtic melodies and poetry. We look forward to celebrating the holiday season together. Please register by Nov. 29 at 339-2071 ext. 100 or email [email protected]. The Oncology Support Staff sends you warm greetings for the Holiday Season. Please join us at Benedictine Hospital for our annual caroling on Wednesday, December 15, at 5:30pm, to sing Christmas Carols and other holiday songs to patients and family members. It is always a heartfelt experience as we make the rounds on different units and become an instant angel choir singing “Angels We Have Heard on High” in the stairwell! All ages welcome, no experience required. Sheet music provided. Please meet in the day room/lounge on 4SMC, the Benedictine Oncology Unit. To register, please call 339-2071 ext. 100. or email [email protected] One of the many wise women in our support group, Jeanne, recently said, “The group is a way to bring my altered self back to the world”. Other women in the group have similarly expressed the importance of the group as a re-entry point into a deeper relationship to oneself, others, and to life. The Women’s Cancer Support Group meets every Thursday from 11:00am to 12:30pm at the Cancer Support House. As always, women of any age, at any stage, and with any kind of cancer are welcome to join us. Some women come intermittently between medical appointments, work schedules, and other commitments, while others are weekly regulars. For further information, please contact Elise Lark at (845) 339-2071 x 102 or [email protected]. Many of the women in the Women’s Group stay in touch, provide emotional support, and plan social events by way of the new MIDHUDSONWOMEN YAHOO SUPPORT NETWORK. Started and co-hosted by one of our group members, the email group is open to all women with a history of cancer, whether or not they attend the Women’s Support Group, are a member of the Oncology Support Program, or reside in the Mid-Hudson Valley region. The Midhudson Women email network is a FREE, easy-to-use service. We will post local events of interest and provide a forum for women dealing with cancer to get support and feedback from their peers. Through the network, you can send and receive group messages, coordinate events, share photos and files, and more. We hope you will consider joining us. To join or send a message to the members of this group, send an email to: [email protected]. For further information, please contact Lauren at [email protected] The Metastatic Support Group at the Cancer Support House welcomes people who have been diagnosed with any type of metastatic disease (stage IV) to come together and share. The group is open to men and women, and provides a wonderful opportunity to meet new people, exchange information and support each other with issues that are unique to living with this disease. The group meets on the first and third Wednesday of the month. Fall meeting dates are: October 6 & 20, November 3 & 17, and December 1 & 15 from 2:00 – 3:30 pm. For further information or to join the group, please call 339-2071 ext. 100. e Caregiver & Family Member Support Group will meet once a month on the third Monday: October 18, November 15, and December 20 from 7-8:30pm at the Reuner Cancer Support House. The group is for caregivers, adult family members and friends of those currently living with cancer. Regular members include men and women whose spouses, parents, children and friends are living with cancer. For more information or to register please call 339-2071 ext. 100. A panel of breast health care experts will provide information about breast health and the services offered through the Health Alliance. Presentors include: • Dr. Zoe Weinstein – Breast Surgeon • Dr. Samira Khera – Breast Surgeon • Judy Lukaszki and Mary Martin – Breast Patient Navigators • Ellen Marshall – Director of the Oncology Support Program • American Cancer Society – Healthy Living Partnership. Join us for an informative evening on October 21 from 5:30-7:00 pm at the ASB, Auditorium. The 7th annual Bike for Cancer Care to benefit The Rosemary D. Gruner memorial Cancer Fund took place on Sept. 26th, 2010. We look forward to reporting on this important event which raises money to help so many men, women and their families who are affected by cancer. 19 In 1997 the Healing Arbor was born, created through the Healing Circle Visual Arts Program of Benedictine Hospital for the Kingston Sculpture Biennial of that year. The art program began as a community service project to join middle school students with those touched by cancer and their loved ones. Six months later, facilitator/educator Susan Togut, experienced in the field of public art, led the oncology group in proposing an outdoor healing environment for the Sculpture Exhibition. Though the participants were not familiar with this kind of work all became enthusiastic when we collaboratively chose a site on the Kingston waterfront, developed the Healing Arbor concept, and congealed as a group creating two sided healing mandalas out of car hubcaps. All the steps in construction and installation were worked out in short order with generous community members donating materials and services as requested. We had virtually no budget for this project, but worked on a wing and a prayer knowing the funds would come. The Healing Arbor evolved through its beautiful spirit both in its process of creation and its existence on the waterfront for the past thirteen years. Originally it was meant to stay for six months as a temporary installation. Since it became a highly trafficked, much loved contemplative place in the City of Kingston, Mayor Gallo decided it could be permanent. In 1998 it was moved by the city a short distance within the park (now called Gallo Park). In 2001 it was renewed with new simulated stained glass windows replacing the hubcap mandalas, a new steel dome (donated), benches and plantings. Other improvements have been planned over time including better lighting, plantings, a paved floor and pathways. In the past few months the Arbor went through another major transition as it was moved by the city to a site on the Benedictine Hospital campus near the former emergency room. Now we are planning art workshops to create another set of simulated stained glass windows and perhaps, other components for the Arbor. Clearly this is a living, breathing place that grows and changes as the years pass. Currently the Oncology Support Program is joining forces with the Fine Arts Program of Northeast Center for Special Care which serves people challenged by traumatic brain injuries and related conditions. Northeast Center has a large, beautiful, naturally lit art studio, directed by the same facilitator (Susan Togut) who started the Benedictine art program and the Arbor. This studio currently offers stained glass painting and many other forms of visual art making. It is a place filled with dynamic, diverse art that inspires all who enter. Start20 ing in late October 2010, four workshops will be offered on Saturday afternoons for the creation of new Arbor, stained lexan (non-breakable) windows. Workshops will run from 2-4:30 pm on October 23 and 30, November 13 and 20. Stained glass painting is a delicate and beautiful process in which the most important factor is to let the light through. These components for the Arbor will be illuminated windows, activated by changing sunlight daily and seasonally. Steps involved during the workshops will be developing a concept and design for a window, transferring the design with leading to the transparent lexan, and painting the image (and text, if desired) with transparent paints, etc. All materials are non toxic and lovely to experience. Lessons will include developing strong concepts, composition, shading, etc. to truly make your window come alive. These contributions will offer diverse expressions of wellness and healing. They may honor specific individuals, including yourselves. During the first workshop series, we will mostly focus on designing the windows, but there are possibilities for subsequent series in the future. The Northeast Center, Art Studio is located in Lake Katrine, minutes from Adams off 9W. To sign up for the workshop, please contact 3392071 ext. 100 or email [email protected]. Space is limited. There are possibilities for a subsequent series in the future. As the year moves towards its culmination, we will prepare for a spring awakening and a renewed, ever more beautiful and poignant, Healing Arbor to be enjoyed by all for contemplation and inspiration. Come join us for a monthly post-treatment cancer support group on the third Tuesday of each month, 2–3pm, for all individuals who have completed any type of treatment for any kind of cancer. The group is facilitated by a volunteer cancer survivor. Upcoming dates are October 19, November 16, and December 21. Family members and caregivers are welcome to attend. The group meets at Ulster Radiation Oncology Center next to Benedictine Hospital at 111 Mary’s Avenue, Kingston, NY (the building marked “Cancer Center”). For our current schedule or if you have questions, please contact Pat Ernenwein in Case Management at Ulster Radiation Oncology Center at (845) 339-7700. Do you ever feel like your physician’s appointment is rushed? Do you realize, after you have left her/his office, that you still do not fully understand, or are unsatisfied with, what you were just told and have more questions? We often rely on our physicians to know everything about our medical condition and believe that they will share everything with us. The fact of the matter is there may be some information that is not shared or discussed, especially surrounding palliative care, end-of-life care, and hospice care options. It is up to us as patients, family members or significant others to empower ourselves and take control of the conversation in order to get the answers we need to make important decisions. Please join us for this free community educational event in tribute to National Hospice & Palliative Care Month and the new Patient Right to Palliative Care Information Act. In this discussion, Kristin Swanson, Hospice, Inc. nurse and community educator, will provide you with suggestions on what questions to ask your doctor, how to become more informed about your health care, and how to make the most out of your medical appointment. For registration, please please contact Doris Blaha at (845) 339-2071 ext. 100 or at dblaha@benedictine. org by November 5. We’ve all been through experiences that are hard to talk about, even with a loved one or a therapist. Making a painting, collage, or 3-D art piece can help us organize confusing or uncomfortable thoughts and feelings without having to speak about them directly. The established mental health profession of Creative Arts Therapy employs the creative process to help people express seemingly inexpressible inner experiences, resolve conflicts, develop interpersonal skills, reduce stress, manage behavior and addictions, increase self-esteem, and achieve insight. You don’t need to be an artist to enjoy art therapy. Your work will not be judged or “psychoanalyzed” in any way, and all art therapy sessions are strictly confidential. From September until early next May, Linda Erman, a second-year graduate intern working towards her Master’s in Art Therapy and Creativity Development at Pratt Institute, will offer free (and fun!) “Kitchen Table Art Therapy sessions at the Reuner Cancer Support House. (For more details, see the art therapy “menu” in this newsletter.) Space is limited, so hurry! To schedule a Monday or Thursday session for you, your family, or a family member, or to reserve your space in an art therapy group, please email Linda at [email protected] or call (845) 339-2071 ext. 104. Creative Fiber Tuesdays Relax by creating with cozy natural fibers! Create simple but meaningful two and three dimensional art pieces, including healing amulets, needle-felted dream pillows, “comfort dolls,” and more. No previous sewing experience needed! October 5 & 12, 19 & 26, November 2, 9, 16, 23 & 30, and December 7, 14 & 21 3:30-5 pm Visual Memoir Wednesdays Words can only go so far. Tell your story, or just part of it, in a whole new way, using handmade papers, photo images, fiber collage, and more! October 13 & 27, Nov. 10, and Dec. 8 & 22 2-3:30 pm Individual Art Therapy Sessions Tuesdays & Wednesdays, by appt. Treat your “creative self” to some deeply restorative, one-on-one attention. Family Art Therapy Sessions Tuesdays & Wednesdays, by appointment. Bring the whole family—or just part of it—to the “art table,” and work things out, creatively, as a group. To register, please contact lerman@benedictine. org or call 339-2071, ext. 104. All sessions are free, but hurry; space is limited! 21 Linda will be offering individual and group art therapy sessions for adults, children, teens and families on Tuesdays and Wednesdays at the Reuner Cancer Support House. Art therapy is a powerful, whole body/mind journey to self-empowerment and healing. Recent neuro-scientific evidence suggests that therapeutic art making restores balance to stressed out autonomic nerves, thereby powering up our immune systems. Best of all, it’s really fun—even if you haven’t picked up a pencil since third grade. We will revel in the art making process, not the product. So please don’t think you need to “be artistic” to explore the colors, textures, and dreamlike landscapes on the “visual” side of your “inner garden” gate. As your tour guide, I’ll bet you a butterfly that you will be amazed by the view. For more information or to register for a session please call 845-339-2071 ext. 104 Dr. Montserrat Gimeno, an assistant professor from the Music Department at SUNY New Paltz, will continue to offer free Music and Imagery Sessions to members and friends of the Oncology Support Program. MI is a process of music therapy in which music experiences are used to bring about therapeutic change. With a doctorate in Counseling Psychology, her research has focused on patients dealing with cancer. A MI Session is approximately an hour to an hour-and-a-half in length and takes place in a private, comfortable setting. During this therapeutic process you may experience visual imagery, feeling states, and/or body responses as evoked by the music. This process will help you better cope with major life issues. MI is suitable for gaining a deeper understanding of yourself while exploring and deepening your spiritual journey. Dr. Gimeno will be available, by appointment only, at the Cancer Support House. Please call 845-339-2071 ext. 100 or email [email protected] to make an appointment for a private or group session. Private Sessions are Mondays at 9:00am and 10:30am. Group Sessions take place at 1:00pm. Dr. Gimeno will be offering an introductory workshop on October 11 from 1:00-2:30pm. Dr. Gimeno is bilingual and will be offering the service to English as well as Spanish speaking-only individuals. To register, please call 339-2071 ext, 100 22 Creative writing is a wonderful outlet for expressing oneself. The purpose of this writing group is to stimulate the imagination, create stories of joy and sorrow, regret and pride, love and pain, and embrace life, new ideas, and humor. We will journey together to use writing as a process that will bring us to new places, reaching both within and outside of ourselves. Exercises to move our imagination will be used, such as spark words, prompts, and photographs. Using the spark word “diet,” for example, can mean different things to different people, and create a plethora of stories. Or what about using your imagination to rewrite the story from a front page photo in a tabloid? Come release your inner self. There is no judgment or criticism here. The idea is to get moving and keep writing, even when you feel stuck. We will share in the joy of group dynamics to see what emerges. Writing techniques, advice and experiences from notable writers will be discussed. This workshop is open to anyone, regardless of writing skill or background. Writing format is open to personal preference: short story, essay, poetry, or a springboard for a longer piece. Marianne Neifeld is a freelance writer living in Rhinebeck, and has written for the Poughkeepsie Journal, Kingston Daily Freeman, Living and Being Magazine, and Chronogram. There is a limit of 10 people. Workshop will take place Tuesdays, October 12, October 19, November 2, and November 9 from 10-11:30 am. To register please call 339-2071 ext. 100 or email [email protected] When we plant bulbs in the Autumn they are nurtured by the Earth and transformed into beautiful flowers in the Spring, bringing joy and hope to all. Plant bulbs with Barbara Vermeulen, Master Gardener of the Cornell Cooperative Extension, and partake in the rejuvenating power of Nature. Join Barbara on Friday, October 22 from 1:30-3PM in the Linda Young Healing Garden at the Cancer Support House. Raindate: October 29. To register, please call 339-2071 ext. 100 or email [email protected]. Please join in this exciting new workshop with Barbara Leon, DPM and photographer on Friday, October 15 from 1:00-4:00pm at the Cancer Support House. In this workshop I hope to share with people a way of seeing the world anew through the lens of a camera. As a cancer patient who has known the confidence of long term remission, and the shock of relapse, I have had to be present to a wide range of emotions over many years. Taking a photograph may seem very removed from the trials and tribulations of going through a cancer experience. But, for me, the awareness that I experience when I take a photograph has helped me to unravel some of the complex feelings I have in dealing with disease in my life. Much of my photography concentrates on the very minute, almost unseen details in the natural world. The heart of a flower, the crystals of ice on frozen grass, the reflections and shadows on still waters... these images have been the stepping stones across difficult waters for me. The big picture of cancer is daunting for anyone. The complex tests for diagnosis, the multitude of treatments, and endless onslaught of information, can easily overwhelm a person facing this difficult diagnosis. Of course, we rely on doctors to decode the tests and treatment options, but inwardly, the cancer patient can feel removed and disconnected. It is tempting to close the door of awareness and check out psychically and physically to what is happening to our bodies. The simple power of photography is that it keeps our eyes open and our mind present to what is happening in our immediate surroundings. To be aware of what we see is to remain present. And that presence has the power to lift us up from our fear, and discover a place of peace within ourselves. In this workshop it is my hope that together we can discover a new way of connecting to the world. The moment we see a beautiful thing in nature, focus on it, and click a camera, we are connecting to more than our surroundings. We’re connecting to ourselves again and again. Hope to see you there, with camera in hand. Space is limited, so please register early by calling 845 339-2071 ext. 100 or email dblaha@benedictine. org. (We will shoot pictures in the beautiful Linda Young Healing Garden, behind the Cancer Support House.) The Healing Circle Improv Group came into being in 1995 as a part of the Oncology Support Program’s Healing Arts Program. We will meet at 5:30pm in the 4SMC lounge on the following Wednesdays: October 6 & 20, November 3 & 17, and December 1 (December 15 is our Annual Carol Singing). We visit patients in the hospital and, upon request, at their homes. We also have demonstrated our work at conferences, workshops, and programs through¬out New York State and Canada. The Improv Group is composed of cancer survivors who have developed a method of visiting patients that helps to lift patients’ spirits and offers them support in a creative and loving way. Members of the Group also support each other, enjoying the spontaneity and the welcoming and appreciative response from the people we visit. If you’d like to join the Group or know someone who would like to have a healing visit from the Improv Group, please call Barbara Sarah at the OSP office at 339-2071 ext.101. No experience in improvisation is required, just a willingness to help others, have fun, and participate in a very meaningful spiritual activity! Learning to meditate is no easy task. It takes guidance, patience and a willingness to explore a quiet place inside your self. We will learn to “still the mind” through various breathing techniques and guided meditations as we incorporate supported restorative yoga postures that are deeply relaxing and softening to the entire parasympathetic nervous system. As we deliberately slow ourselves down and allow our hearts and minds to open, we release and move energy and cultivate equanimity in our bodies and minds. Maggie Heinzel-Neel is a certified yoga instructor and teacher of “mind-body meditation.” Friday mornings at 11:00 to 12:30 am at the Cancer Support House Oct. 29, Nov. 5, 12, & 19, and Dec. 3, 10, & 17. To register, please call 3392071 ext. 100 or email dblaha@ benedictine.org 23 Exercise for health and fun with Angel Ortloff in the SmartBells® Exercise class held on Thursday Mornings, 9:30-10:45am in the Auditorium of the Administration Building, corner of Mary’s Avenue and Webster Street. Our bodies were made to move. SmartBells® motivates you while exercising in a group or in pairs which connects you to others. From more information or to register for classes please call 845-339-2071 ext. 100 or email dblaha@ benedictine.org. $6 donation per class. Angel Ortloff L.M.T., vice president of Ulster County women’s network, has been involved with “Celebrating Life” as a teacher, a nurturing neighbor and a member. A licensed massage therapist and Shiatsu specialist, she is also a certified SmartBells trainer. Angel works with Woodstock integrative health and in her private practice. She is a volunteer for Health Care as a human right, free holistic clinic. “SmartBells practice is good for most people” Angel says, “not just for oncology patients, it strengthens and invigorates the whole body. Each hour long class participants feel the benefits of strength, balance and vigor.” The Advanced QiGong class taught by Jeff Bartfield will continue to meet each Tuesday evening, 7-8 pm, generally held in ASB Auditorium. Please note that this class is now open to new members. Keeping in mind that many of his students have or have had cancer, Jeff concentrates on exercises that are most beneficial in dealing with this illness, although qigong practice will benefit people who deal with any mental/ physical ailment. “Qi Gong is a method by which a person uses exercises to train the breath, body and mind—holistic training for self-reliance, self-adjustment and strengthening the constitution,” Jeff states. Qi Gong exercises are done with gentle movement and are suitable for people of all ages. Classes are $6 donation per session. Please call the Oncology Support Program at 339-2071, ext. 100 for more information or email [email protected]. Classes take place every Wednesday, 9:3010:45am, generally in the ASB Auditorium or when it is not available, in the Reuner Cancer Support House living room. Return to your natural state of ease and 24 vitality with gentle, yet powerful yoga-inspired movement, breathing techniques and guided meditation. Yoga includes stretching and strengthening the body, and calming and focusing the mind. It is a great way to reduce stress, which may help with pain management. Deb Albright is a Kripalu-certified yoga and meditation instructor and W.I.T.S. certified personal fitness trainer. Beginners and all levels welcome. Come to any or all classes. Mats are provided. Caregivers are welcome. Classes are $6 donation per session. To register for this class, please call 339-2071 ext. 100 or e-mail [email protected]. Pilates is a system of exercise that is designed to build strength, flexibility and core stability. Through the use of well-defined movements, a typical workout consists of a series of exercises that focuses on different muscle groups creating a total body workout without fatigue. The level of difficulty can range from gentle to extreme. Join Elizabeth Panzer, Pilates Instructor, on Monday, October 18 at 10:00 am and Wednesday, October 20 at 6:00 pm at the ASB Auditorium, for fundamentals and basic choreography used in a standard Pilates mat class. All levels are welcome. There will be time for discussion after the class. Classes are $6 donation per session. To register, please call 339-2071 ext. 100 or e-mail [email protected] The Pink Ribbon Program originated when Doreen Puglisi, a Pilates instructor and Exercise Physiologist, began working with breast cancer survivors. She was stunned to discover that survivors were discharged following mastectomy, lymph node dissections and even reconstructive surgeries without a plan for either physical therapy or rehabilitation of the affected side. With her energy, drive and knowledge of exercise physiology, she set out to develop a program to help her clients achieve their best possible recovery. The Pink Ribbon Program was well underway when Doreen faced her own cancer diagnosis. Even with her level of fitness and understanding of breast cancer, she was overwhelmed by the both the diagnosis and recovery. She applied the Pink Ribbon protocol to her own recovery, and continued to tweak the exercises and stages based on her experience. Today the Pink Ribbon Program is a gentle, staged process that begins when the survivor is either six weeks past her surgery or has received her doctor’s approval to begin gentle exercise. Local Pilates instructor, Elizabeth Panzer, will lead a workshop/discussion about the Pink Ribbon Program, and how it may benefit you or your patients on Tuesday, October 26 from 4:00-5:30pm at the Cancer Support House. Active in Pilates for over 15 years, Elizabeth is one of 350 certified Pink Ribbon instructors nationwide. She offers private and semi-private sessions in the Pink Ribbon Program, and currently teaches at Pilates at the Bungalow in Accord, NY. To register, please call 339-2071 ext. 100 or e-mail [email protected] Please join us on Monday, October 11 from 1-2:30 pm for a wonderful workshop with Dr. Montserrat Gimeno. Come and explore the use of Music and Imagery in you personal journey. The music and imagery session has four phases: (1) the first phase is called Prelude, during this time you will be involved in a brief conversation with the mu¬sic therapist to verbalize issues that concern you; (2) the second phase is called Induction, during this time the music therapist will verbalize some suggestions to relax your body and prepare your mind to be receptive for the music listening inviting to visualization; (3) during the third phase you will be engaged in listening for 15 minutes while doing free drawing; (4) this last phase will involve the processing of the experience you just had. María Montserrat Gimeno, Ed.D., MT-BC, FAMI, is the Assistant Professor, Music Therapy Program at SUNY, New Paltz. To register, please call 339-2071 ext. 100 or e-mail [email protected] Please join our Smoking Cessation Group led by Frayda Kafka, CHT on Wednesdays, October 13, November 10, and December 8 from 4:00-5:30 pm, to learn self-hypnosis. Whether you have been trying to stop for years or have just decided that now is the time to end the habit, hypnosis is a tried and true method of smoke cessation. Hypnosis is a form of highly focused attention, an induced state of mind that enables people to alter the way they perceive and process reality. After the deeply relaxing group experience, you will learn a simple, 10 second method of self hypnosis which you can use wherever you are, any time you get the urge. The fee is $25 per session (required at registration). According to Frayda, one or two sessions are often sufficient to cease smoking; however, some people prefer to attend more sessions for reinforcement. Reinforcement sessions are $10 per session (required at registration). Several OSP members who have worked with her have successfully stopped smoking. Frayda Kafka, a therapeutic hypnotist, has been working with smokers for over 30 years. During the last 15 years, she has specialized in short term work and has taught self-hypnosis at Benedictine Hospital’s freestanding health center in Jewett, The Mental Health Associations of Ulster and Dutchess counties, Hospice and other public and private institutions. For further information about Frayda, please visit her website at callthehypnotist.com. For registration, please contact Doris at 339-2071 ext. 100 or [email protected]. ‘Chesed’ means kindness in Hebrew. It’s the name of a special fund of the Oncology Support Program, started by a generous anonymous donor. It’s available to provide small amounts of financial assistance to cancer patients. Donations are always welcome. Checks can be made out to Benedictine Health Foundation. Please note ‘Oncology Support-Chesed Fund’ in the memo line. Mail to Benedictine Health Foundation, Oncology Support Program, Benedictine Hospital, 105 Mary’s Avenue, Kingston, NY 12401 The Rosemary D. Gruner Memorial Fund is a financial assistance program for income-eligible cancer patients residing in Ulster County, or those residing in neighboring counties but receiving treatment in Ulster County. Administered through the Oncology Support Program and the Benedictine Health Foundation, this fund provides an invaluable resource for local families. Please note: due to increasing demand, applications are being processed on a month to month basis; we ask for your patience with longer processing times. The Oncology Support staff can also help you locate other financial resources. For more information or an application, please contact us at 339-2071 ext. 100. 25 9 am–4 pm living fully with illness Benedictine hospital auditorium gregg Krech & Barbara sarah present a program to inspire you, help you cope and encourage you to use your time wisely 105 Mary’s Avenue, Kingston, NY Drawing from the principles of Japanese Psychology, this program can help us to create a framework for “living fully with illness.” Meaningful Life Therapy (MLT) originated in Japan as a program to provide guidance, support and skills for those who are dealing with or living with serious illness, primarily cancer. It complements the patient’s medical treatment and is based on the premise that the mind and body are not separate. The patient’s attitude and life activity can also impact on his or her health and well-being. Director of the ToDo Institute in Middlebury, Vermont, Gregg is a leading authority on Japanese Psychology and author of several books including Naikan: Gratitude, Grace and the Japanese Art of Self-reflection (Stone Bridge Press). He is also the Editor of Thirty Thousand Days: A Journal for Purposeful Living. Articles about his work have appeared in many publications including Counseling Today and Yoga Journal. Barbara Sarah Cost: $75. Advance registration $85. At the door $60. Seniors 65+, full-time students, patients currently in treatment Limited financial assistance available Box Lunch available (Vegetarian or Vegan): $8.50 for more information or to register: 1-800-950-6034 845-339-2071 ext. 101 7. the value of humor Gregg Krech 8. the role of spirituality in coping with illness by Moira Joyce I recently went to the funeral of Shirley Ann Younger. I had met her in the hospital, through the Improv Cancer Support Group at Benedictine Hospital. We are cancer survivors who give support to people who are dealing with cancer. We can say we know what you are going through, because we have all been there. I am dealing with my dis-ease holistically, food being my medicine. Shirley was interested in learning more about healthy foods. After she got out of the hospital, I went to her house on several occasions and we discussed healthy foods and how to prepare them. I enjoyed her very much and we became friends. I was so sad to hear about her death. I went on May 28th to her church in Ellenville. I was not thrilled to go to a funeral, and even less thrilled to go to a church, as I have not been an observer for years. From the minute I got there, I was so enthralled by what I witnessed. I have never been to a church like that. Women and men were singing, clapping their hands, dancing with so much joy and happiness. I sat there with tears of pure joy running down my face. Every voice was so rich and resonated with something I have never felt. I wanted them never to stop. If I had gone to a church like that when I was growing up I might still be going! The minister was so charismatic; I was moved by his 26 5. the culti- A professional social worker, Barbara is the founder and former Director of the Oncology Support Program at Benedictine Hospital. Barbara is currently the Director of Third Opinion, a private practice that supports cancer patients through decision making, treatment and survivorship. Both Gregg and Barbara have presented Living Fully with Illness workshops in agencies and hospitals throughout the continent. and actively managing your health 2. living with a sense of purpose saturday, november 6 4. worKing sKillfully with your attention 6. educating yourself 1. coping with anxiety and fear 3. helping yourself By helping others vation of gratitude through self-reflection Beyond recovery sermon. Shirley was loved by many people. Shirley’s friends and family stood up and talked about her and what she meant to them and how they loved her. It was a beautiful ceremony and service. I left there feeling that her life and death were celebrated in a way she would have been happy about. Four times a year, over 2,500 copies of this newsletter are mailed to our members, as well as doctor’s offices and libraries, and you can be part of this wonderful outreach! We’re looking for more volunteers to assist with folding, taping, and labeling our newsletters for shipping. We’ll call you a few days ahead of time, and you are welcome to join us for a few hours, or even just an hour. Please contact Doris if you’d like to help us in this way at 845-339-2017 ext. 100 or dblaha@ benedictine.org and we’ll be forever grateful to you! BREAST CANCER OPTIONS 845/339-HOPE (4673) www.breastcanceroptions.org Hope Nemiroff, Executive Director Breast Cancer Options 7th ANNUAL FUNDRAISER & SILENT AUCTION Sunday, October 3, 2010 - Noon to 4pm Wiltwyck Golf Club, Kingston Guest Speaker: Devra Davis, PhD, MPH Epidemiologist, Author, Cancer Prevention Researcher Breast Cancer & the Environment: From the Workplace to Cellphones Presentations of appreciation of outstanding and continuing commitment to the promotion of cancer risk reduction in the Hudson Valley: ▪ Margery Gaffin/Ameribag ▪The Omega Institute for Holistic Studies QIGONG WORKSHOP FOR BREAST CANCER SURVIVORS October 7th - 6pm Columbia Greene Healthcare Consortium- Hudson NY Mind-body practices like Qigong sustains and improves the health of the immune system, provides relaxation and stress management, improves range of motion, improves core muscles, improves flexibility and increases energy. Must pre-register for this workshop as space is limited. 845-339-4673 ONGOING PROGRAMS Breast Cancer Options is a community based organization serving the Hudson Valley, providing support, advocacy and education. Our services are free. Please see our website for information. www.breastcanceroptions.org PEER LED SUPPORT GROUPS: Ulster, Dutchess, Columbia, Greene, Sullivan & Orange Counties. COMPANION/ADVOCATES: Trained survivors accompany newly diagnosed patients on initial medical visits. CAMP LIGHTHEART: A free sleep-away camp for the children of breast cancer patients and survivors. Held in August. TELEPHONE AND E-MAIL CONSULTATIONS: A reliable resource for confidential answers to questions and for referrals for additional information or services. ANNUAL COMPLEMENTARY MEDICINE CONFERENCE: Evidence-based CAM information featuring experts in the field of Integrative Medicine. SAVE THE DATE: Sunday, April 3, 2011- SUNY New Paltz. BREAST CANCER RESOURCE GUIDE: Online and/or pocket sized guide (mailed by request) with National and Local resources for medical, financial, legal and other help, including decision aids. ACUPUNCTURE CLINICS: 5 free visits for women in treatment or suffering from treatment side effects. Call us for locations and paperwork. Sponsored by a grant from Miles of Hope Breast Cancer Foundation. PEER-TO-PEER MENTORING: Call 845-339-HOPE if you are interested in speaking with a breast cancer survivor. We provide resources and support for caregivers, families and spouses of women with breast cancer REFERRALS FOR FINANCIAL AND LEGAL PROBLEMS: Callfor our pocket resource guide and resource list if you are having insurance problems or cannot work because of cancer treatments. 2011 HEATHY LIFESTYLES CALENDER: An informational digest with tips for risk reduction is now available. Please call for a copy. *Breast Cancer Options needs volunteers for a number of things. If you can help please call: 845-339-4673 or email us at: [email protected]. Serving Ulster, Dutchess, Columbia, Greene, Orange & Sullivan Counties 27 ASB = Administrative Services Building Cancer Support House @ 80 Mary’s Avenue Benedictine Hospital, Kingston, NY Oncology Support Program 845-339-2071 SUNDAY MONDAY TUESDAY 3 4 5 10 11 12 Music & Imagery Workshop 1-2:30pm Cancer Support House --Men’s Support Group 5:30-7pm Cancer Support House COLUMBUS DAY Creative Fiber 3:30-5pm Cancer Support House --Qigong 7-8pm ASB, Auditorium Creative Writing Workshop 10-11:30am Cancer Support House --Creative Fiber 3:30-5pm Cancer Support House --Qigong 7-8pm ASB, Auditorium WEDNESDAY THURSDAY FRIDAY 2 6 7 8 9 13 14 15 16 Gentle Yoga 9:30-10:45am TBA --Metastatic Support Group 2-3:30pm Cancer Support House --Healing Circle Improv 5:30pm Gentle Yoga 9:30-10:45am TBA --Visual Memoir 2-3:30pm Cancer Support House --Smoking Cessation 4-5:30pm Cancer Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Group 11am-1pm Cancer Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Group 11am-1pm Cancer Support House --Leukemia/Lymphoma Support Group 2:30-4pm Cancer Support House HA Breast Health Awareness Day 9am-3pm Benedictine, Kingston & Margaretville Hospitals --Photography Workshop 1-4pm Cancer Support House 17 18 19 20 21 22 24 25 26 27 28 29 Introduction to Pilates 10am ABS, Auditorium --Caregiver/Family Support Group 7-8:30pm Cancer Support House 31 HALLOWEEN 28 Creative Writing Workshop 10-11:30am Cancer Support House --Post Treatment Support Group 2pm UROC, 111 Mary’s Ave --Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium Miso Happy Cooking Club 10:30am-1pm Cancer Support House Kitchen --Creative Fiber 3:30-5pm Cancer Support House --Pink Ribbon Program 4-5:30pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium SATURDAY 1 Gentle Yoga 9:30-10:45am TBA --Metastatic Support Group 2-3:30pm Cancer Support House --Healing Circle Improv 5:30pm --Introduction to Pilates 6pm ABS Auditorium Gentle Yoga 9:30-10:45am TBA --Visual Memoir 2-3:30pm Cancer Support House --Ovarian Support Group 7-8:30pm Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Grp 11am-1pm Cancer Support House --Your Breast Health: Here and Now” 5:30-7pm ASB, Auditorium Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Group 11am-1pm Cancer Support House Bulb Planting Workshop 1:30-3pm Linda’s Healing Garden Mind-Body Meditation 11am-12:30pm Cancer Support House --Bulb Planting Workshop (raindate) 1:30-3pm Linda’s Healing Garden 23 Healing Arbor Workshops 2-4:30pm Northeast Center 30 Healing Arbor Workshops 2-4:30pm Northeast Center ASB = Administrative Services Building Cancer Support House @ 80 Mary’s Avenue Benedictine Hospital, Kingston, NY Oncology Support Program 845-339-2071 SUNDAY MONDAY 1 TUESDAY 2 Creative Writing Workshop 10-11:30am Cancer Support House --Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium ELECTION DAY 7 8 Men’s Support Group 5:30-7pm Cancer Support House 9 Creative Writing Workshop 10-11:30am Cancer Support House --Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium WEDNESDAY THURSDAY FRIDAY SATURDAY 3 4 5 6 10 11 12 13 Gentle Yoga 9:30-10:45am TBA --Metastatic Support Grp 2-3:30pm Cancer Support House --Healing Circle Improv 5:30pm --Bereavement Support Grp 7-8:30pm Cancer Support House Gentle Yoga 930-10:45am TBA --Visual Memoir 2-3:30pm Cancer Support House --Smoking Cessation 4-5:30pm Cancer Support House --Healing Conversations 7-8:30pm ASB Auditorium Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Group 11am-1pm Cancer Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Grp 11am-1pm Cancer Support House --Leukemia/Lymphoma Support Group 2:30-4pm Cancer Support House Mind-Body Meditation 11am-12:30pm Cancer Support House Mind-Body Meditation 11am-12:30pm Cancer Support House Living Fully With Ilness 9am-4pm ASB, Auditorium Healing Arbor Workshops 2-4:30pm Northeast Center VETERAN’S DAY 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Caregiver/Family Support Group 7-8:30pm Cancer Support House 29 Post Treatment Support Group 2pm UROC, 111 Mary’s Ave. --Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium Miso Happy Cooking Club 10:30am-1pm Cancer Support House Kitchen --Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium Gentle Yoga 9:30-10:45am TBA --Metastatic Support Grp 2-3:30pm Cancer Support House --Healing Circle Improv 5:30pm --Bereavement Support Grp 7-8:30pm Cancer Support House Gentle Yoga 9:30-10:45am TBA --Ovarian Support Group 7-8:30pm Cancer Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Grp 11am-1pm Cancer Support House Mind-Body Meditation 11am-12:30pm Cancer Support House Healing Arbor Workshops 2-4:30pm Northeast Center THANKSGIVING 30 Qi Gong 7-8pm ASB, Auditorium --Creative Fiber 3:30-5pm Cancer Support House 29 ASB = Administrative Services Building Cancer Support House @ 80 Mary’s Avenue Benedictine Hospital, Kingston, NY Oncology Support Program 845-339-2071 SUNDAY MONDAY TUESDAY WEDNESDAY 1 Gentle Yoga 9:30-10:45am TBA --Metastatic Spt Group 2-3:30pm Cancer Support House --Healing Circle Improv 5:30pm --Bereavement Support Grp 7-8:30pm Cancer Support House 5 6 7 8 12 13 14 19 20 21 Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium Men’s Support Group 5:30-7pm Cancer Support House Caregiver/Family Support Group 7-8:30pm Cancer Support House Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium Post Treatment Spt Grp 2pm – UROC, 111 Mary’s Ave. --Creative Fiber 3:30-5pm Cancer Support House --Qi Gong 7-8pm ASB, Auditorium THURSDAY 2 Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Grp 11am-1pm Cancer Support House CLOSED 30 27 28 CLOSED Mind-Body Meditation 11am-12:30pm Cancer Support House --Holiday Potluck Party 6-8:30pm ASB, Auditorium 4 9 10 11 15 16 17 18 22 23 24 25 Gentle Yoga 9:30-10:45am TBA --Visual Memoir 2-3:30pm Cancer Support House --Smoking Cessation 4-5:30pm Cancer Support House Gentle Yoga 9:30-10:45am TBA --Metastatic Spt Group 2-3:30pm Cancer Support House --Carol Singing 5:30pm 4SMC, Benedictine Hospital --Bereavement Support Grp 7-8:30pm Cancer Support House Gentle Yoga 9:30-10:45am TBA --Visual Memoir 2-3:30pm Cancer Support House --Ovarian Support Group 7-8:30pm Cancer Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Group 11am-1pm Cancer Support House --Leukemia/Lymphoma Support Group 2:30-4pm Cancer Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Group 11am-1pm Cancer Support House Smart Bells w/Angel 9:30-10:45am ASB, Auditorium --Women’s Support Group 11am-1pm Cancer Support House Mind-Body Meditation 11am-12:30pm Cancer Support House Mind-Body Meditation 11am-12:30pm Cancer Support House CHRISTMAS EVE 29 CLOSED 3 SATURDAY HANUKKAH DECEMBER SOLSTICE 26 FRIDAY 30 CLOSED 31 CLOSED NEW YEAR’S EVE CHRISTMAS Doris Barnes, Holistic Life Coach Supporting the Benedictine Hospital Oncology Support Program Commitment to the Community Body-centered Emotional Healing Reiki and Polarity Energy Balancing (845) 254-5164 Cell (845) 625-9644 __________________________ 2 free introductory sessions for people dealing with cancer and cancer survivors. Elizabeth Tapen, MD Rates negotiable depending on need after that. Ulster Radiation Oncology Center Joint venture Benedictine Hospital & Vassar Brothers Medical Center BREAST CANCER OPTIONS (845) 339-HOPE www.BreastCancerOptions.org serving Ulster, Dutchess, Greene, Columbia & Sullivan counties What We Do ◄Find the information you need to make an informed decision ◄Help you find the support services you need ◄Give you referrals for help with insurance problems and financial aid ◄Ease the decision-making process ◄Share our experience as survivors We’ve Been In Your Shoes… Now It’s Our Turn to Help! If you need support services, an advocate, information about breast cancer, or if you just want to talk, contact us. SUPPORTIVE HEART-BASED COUNSELLING PRISCILLA A. BRIGHT, MA Kingston, NY office. Call for free phone consultation. (845) 688-7175 32SP1194 Breast Care Specialist, PLLC Compassionate Care You Can Count On! ALL PATIENTS ARE WELCOME! Samira Y. Khera M.S., M.D. FELLOWSHIP-TRAINED BREAST SURGEON Benedictine Medical Arts Building 117 Mary’s Ave., Suite 105, Kingston 845.338.8680 www.breastcarespecialist.net INTRODUCING... The Integrative Medicine Network! This network includes a team of licensed/accredited professionals working together to provide you with acupuncture, nutritional counseling, naturopathy, emotional & spiritual counseling, energy healing and medical massage therapy to promote healing and healthy living. 31 Imagine that you had won the following prize in a contest: ACTUALLY, this GAME is REALITY! Each morning, your bank would deposit $86,400 in a private account for your use. However, this prize has certain rules, just as any game has certain rules. Each of us is in possession of such a magical bank. We just can’t seem to see it. The MAGICAL BANK is TIME! The rules would be: Everything that you didn’t spend during each day would be taken away from you. You may not simply transfer money into some other account. You may only spend it. Each morning upon awakening, the bank would deposit another $86,400 into the account for that day. Each morning, we awaken to receive 86,400 seconds as a gift of life, and when we go to sleep at night, any remaining time is NOT credited to us. What we haven’t lived up that day is forever lost. Yesterday is forever gone. And one final rule would be: The bank can end the game without warning. At any time, it can say, “The game is over!” It can close the account and you will not receive a new one. What would you personally do? You would buy anything and everything you wanted, right? Not only for yourself, but for all people you love, right? Even for people you don’t know, because you couldn’t possibly spend it all on yourself, right? You would try to spend every cent, and use it all, right? BENEDICTINE HOSPITAL 105 MARY’S AVENUE KINGSTON, NY 12401 Each morning, the account is refilled, but the bank can dissolve your account at any time....WITHOUT WARNING. SO, what will YOU do with your 86,400 seconds? Aren’t these 86,400 seconds worth so much more than the same amount in dollars? Think about that, and always think of this: Use every second of your life, because time races by so much more quickly than you think. —Author unknown