currie`s favour
Transcription
currie`s favour
www.ovacome.org.uk CURRIE’S FAVOUR Edwina nails her support for awareness month MEMBERS’ DAY Reviewing the year and looking to future NOW OR NEVER Trial result will bring big news on screening it together Newsletter summer 2015 comments contact Ovacome Chief executive: Louise Bayne: 020 7299 6652 [email protected] Support services nurse: Ruth Payne: 020 7299 6650 [email protected] Steph Poole: 020 7299 6650 [email protected] Volunteer and information manager: Ruth Grigg: 020 7299 6653 [email protected] Office manager: Sonia Vig: 020 7299 6654 [email protected] Fundraising manager: Lee Riley, 020 7299 6651. Email: [email protected] Support line: 0845 371 0554 020 7299 6650 Email: [email protected] Administration line: 020 7299 6654 Email: [email protected] Welcome to Ovacome’s summer newsletter S pring is traditionally the time when Ovacome receives a welcome boost from fundraising: with awareness month in March, followed quickly by the London Marathon. It’s a time that supporters go out of their way en masse to put their name and time to a charity that has usually helped them or a loved one. Whether that involved wearing an Ovacome ribbon, teal nail varnish or branded running vest, contributions will go towards us offering our free services from the nurse led support line, to Members’ Day and this newsletter. So thank you! But in this issue there are a couple of stories showing how people with no connection to ovarian cancer are becoming invaluable benefactors: inspired by the passion for the charity. First, there’s Rachel Galton who stumbled across Ovacome in a Barry M tweet and went on to raise £538 for us in a church hall gathering (see page 13). Then there’s Apricot, the fashion retailer which member Adele Sewell persuaded to work with the charity: this year raising £9,273 and counting, by selling bags, dresses, badges and Barry M Teal Tips nail varnish (page 8). Ovacome plans to keep year-round momentum with its first fundraiser appointment (page 6). For fundraising is not just for awareness month. Happy fundraising! Juliet Morrison. New address: O vacome, CAN Mezzanine, 49-51 East Road London N1 6AH Office hours: Monday to Friday 10am – 5pm. Follow Ovacome on Twitter and Facebook for daily news, or visit www.ovacome.org.uk Registered Charity Number 1159682 To register as a member of Ovacome please send your details to the following address or call the telephone number above © 2015 Ovacome 49-51 East Road London N1 6AH. OVACOME is a voluntary organisation and relies on donations The information gathered in this newsletter is from many sources and is provided for guidance only. Ovacome has made every effort to ensure that it is accurate but can make no undertakings as to its accuracy or completeness. All medical information should be used in conjunction with advice from medical professionals Front cover: Photograph of former health minister Edwina Currie, sporting Ovacome’s Teal Tips nail polish ready for appearance on the Lorraine show. Designed, produced and printed by Berforts Information Press Ltd www.informationpress.com 2 Thoughts from the chair M arch is Ovarian Cancer Awareness Month (OCAM) and provides Ovacome with an opportunity to raise awareness of the disease as widely as possible: with our two campaigns this year reaching millions of people. We were fortunate to have had celebrities involved in our #TellYourDaughter (about ovarian cancer) social media campaign that appeared on television, with former health minister Edwina Currie on the Lorraine show and former Liberty X singer Michelle Heaton on ITV’s This Morning. The campaign was also featured in The Sun and the Daily Mirror. Woman’s Own, Closer and Mother and Baby featured stories on Michelle supporting #TellYourDaughter and Michelle blogged about other aspects of Ovacome’s awareness and fundraising activities in her OK! blogs. There was also a feature on Liberal Democrat parliamentary candidate Sarah Smith on Red online, another on Ovacome member Adele Sewell on Telegraph Online, and various stories on #TellYourDaughter in Yours magazine online, Mature Times, Jump Start, Choice online, Benhealth magazine and Oncology News. Ovacome also featured in the local press where many of our members shared their stories and support for #TellYourDaughter. As well as celebrities such as Lorraine Kelly, Jenny Éclair, Michelle Heaton and Edwina Currie taking selfies with their daughters, many of our members and supporters also demonstrated their commitment to raising awareness with their own family selfies. A massive thank you and well done! Cathy Hughes, chair of trustees. Ovacome was founded in 1996 by Sarah Dickinson. Her husband, Adrian Dickinson, is a patron of the charity. Trustees to the charity are: Cathy Hughes (chair), Simon Chantrey (treasurer), Sean Kehoe (medical adviser), Clare Barsby and Noëline Young. Phone Ovacome’s nurse led support line on 0845 371 0554 it together members’ day Trials and tribulations A a time when the number of treatments for advanced ovarian cancer has been narrowing, women should embrace clinical trials, which give them new options in a safe environment. t This was a key message from Ovacome’s Members’ Day in which some 70 supporters, including partners, carers and friends met to hear the latest developments and advice on living with the disease. Speaker Andy Nordin, a consultant gynaecologist at East Kent Gynaecological Oncology Centre, assured delegates that: “Trials are good.” He explained: “They are important for the gynae oncology community and there is evidence to show that people who take part in them do better.” Maybe, he said, this had to do with the type of people who tended to get involved generally a more engaged and informed patient - but regardless they have been helping everybody all round. Treatment choices for advanced cancer were reduced in England last December, when the Cancer Drugs Fund (CDF), refused to approve Trabectedin and withdrew Avastin from being available on the NHS for relapsed disease. This has left the bizarre situation where women can still access the drug when they are first diagnosed and treated, which might not actually be the most beneficial scenario, Ovacome chief executive Louise Bayne, said. In a further blow, last month olaparib, a maintenance treatment for women with the BRCA gene, was rejected by the CDF. The drug had received marketing authorisation from the European Commission in December 2014 on the basis of phase 2 clinical trial data, however, due to the relative immaturity of these early phase data, the CDF rejected the funding application (see page 11). Clinical trials are a way that women can get access to drugs like Avastin, which may have been deemed too expensive for the NHS, but could in fact improve patient outcomes. However, Louise Bayne, warned that doctors are not telling their patients about trials: something that the charity is treating as a priority to resolve. King’s College oncology nurse tutor Mary Tanay says that some nurses too can be reluctant to discuss trials with patients, as they are often locked in the oldfashioned mindset that trials treat patients like guinea pigs. “Research guidelines are now very strict, studies are closely monitored and safety reporting is present, guided by good clinical practice and a European Directive, so everyone should be reassured,” said Mary. Andy Nordin: “trials are good”. Indeed members, whose current treatment is not working, should be insistent, said Dr Nordin. “If you are invited on a trial, I would be keen for you to take up the offer.” And for those who may not have been approached about a trial he would urge talking to their oncologist or clinical nurse specialist to see what potentially might be available to them. • To find out more about clinical trials, visit: www.nhs.uk/ Conditions/Clinical-trials/Pages/Takingpart.asp • See full Members’ Day report on pages 4, 5 and 6. To screen or not to screen T he long-awaited results of a study into whether women’s lives would be saved if there was national screening for ovarian cancer will give the government no choice but to introduce a programme or “put the issue to bed forever”. So said Andy Nordin, a consultant gynaecologist at East Kent Gynaecological Oncology Centre, at Members’ Day, who described the it together UKCTOCs research as the definitive study and “one of the greatest screening trials in cancer history”. “The preliminary results are very exciting, but the final analysis will have to show a significant improvement in women’s mortality (that is, deaths from ovarian cancer),” he added. “We should be really proud of Ian Jacobs’ and Usha Menon’s work on this £21m study of over 200,000 women aged 50 and above.” But whatever the results bring, Ovacome’s chief executive Louise Bayne told delegates that the study had provided a “rich environment for research moving forward”. She said: “It has given us a massive store of tumour and blood test samples from people who have participated, which can be used to test new technologies.” See page 11. Phone Ovacome’s nurse led support line on 0845 371 0554 3 members’ day Community matters N year will be the 20th anniversary for Ovacome. Much has changed over that time, but the founding principles of the charity, set down by Sarah Dickinson, remain today: that of being a support network for everyone affected by ovarian cancer. ext This was the message from Ovacome chair Cathy Hughes, who was joined reminder that she is the expert on her ovarian cancer journey. Carolyn Mackrell talked about how she makes it her mission as a regional ovarian cancer co-ordinator for Ovacome in Buckinghamshire to ensure the local GP surgeries and chemists display the BEAT symptoms posters. Kevin Stephens, who set himself the ambitious target of raising £100,000 for Ovacome after Members’ Day: bringing the community together. losing his wife Lorraine to the disease, explained how by fellow trustees Simon Chantrey, he quietly wears a teal blue ribbon to Clare Barsby and Noëline Young, who raise awareness and not so retiringly willingly gave their time to this popular uses his Aston Martin dressed up annual Members’ Day. in charity banners to turn heads at Members commented that they car shows. He invited others to join thought of Ovacome as a family, a safe his JustGiving page to form a team place where they could share concerns to reach what he admits will be a and learn about living with the disease. lifetime’s piece of work. Many have already been helping Clare Barsby explained how rewarding the charity by getting involved being a trustee has been since with volunteering, fundraising and volunteering after having an ovarian awareness media work. scare. And Chris Robinson and Jenny Mary Raftery spoke about how when Hayes said they were enjoying doing she retired she wanted to push herself their bit to educate the medical outside her comfort zone and found community of the future by talking herself promoting Ovacome on about their experience to groups of Channel 5 TV and other press, and nursing and other clinical students, modelling our charity dress on the front in the Survivors Teaching Students cover of the charity’s newsletter and programme. the Tea with Ovacome catwalk. When her nerves kicked in being interviewed by journalists she calmed herself with a 4 But Ovacome needs more volunteers to step forward. We are looking for a couple of trustees, and volunteers in the north of England, around Manchester, York and Leeds, to take part in the Survivors Teaching Students project. The STS programme, funded by the family of the late Dr Lisa Jayne Clark, has proved so popular that medical schools are booking up the speakers as a regular yearly slot, said Ovacome’s chief executive Louise Bayne. “We desperately need more volunteers to talk in front of doctors and nurses of the future,” says Louise. Ovacome member and singer Pauly Ortiz took the group on a rollercoaster of emotions with a song she wrote when she was going through chemotherapy - in which she visualised a ship called Hope travelling towards her as she sat on a beach - through to a beautiful rendition of You Raise Me Up. As well as singing in the Heaven On Earth band with her husband Jo Ortiz, Pauly, from Essex, takes comfort from reiki and mindfulness. She said that she was almost five years clear of cancer and was contemplating whether to have a “quiet dignified party, or a big woohoo!” Phone Ovacome’s nurse led support line on 0845 371 0554 it together members’ day Neuropathy: the hidden side effect C hemotherapy-induced peripheral neuropathy (CIPN) is the forgotten side effect of cancer treatment, Mary Tanay, an oncology nurse tutor at London’s King’s College told Members’ Day delegates. The problem is that unlike other more widely recognised and visually apparent reactions to chemotherapy, such as nausea, vomiting and hair loss, CIPN is more hidden and, because it might not immediately make itself known, can be confused with other problems. Mary said that she has a particular interest in researching the condition, which can be caused by nerve damage from certain chemotherapy drugs, and usually manifests itself with pain, numbness and tingling in the hands and feet, as well as muscle weakness, which can be temporary or last for up to 11 years after treatment. She would like Ovacome members to contact her if they are happy to help her research into the condition, which can also be tricky to pin down because it presents in different sensations for women. Finger nails on a chalkboard, walking on a rock at the bottom of the feet and restless legs with a shooting pain are some of the ways it has been described, she said. And with up to an estimated 40% of cancer patients experiencing long-term symptoms or disability from CIPN it is important that women know the following basics on what might help:• There are three commonly used drugs - Gabapentin (for neuropathic pain), Amitriptyline and Duloxetine - to relieve symptoms, which can be discussed with the oncologist or neurologist. • Acupuncture and reflexology is offered by some hospitals, although research on their efficacy is limited. • For serious cases, reducing the dose or frequency, or a discontinuation of the chemotherapy. However, this should be discussed extensively with an oncologist before making such an important decision. • Some hospitals refer CIPN sufferers to a neurologist (who can thoroughly assess the condition and advise on lifestyle changes), a physiotherapist (for an exercise programme), or an occupational health therapist (to provide equipment, such as handrails next to the bath, or grips for taps to help with everyday living). it together • Fitted shoes should be worn and rugs removed to make balance easier. • And care should be taken to prevent hot and cold injuries. While Mary said Mary Tanay: “the more we chemotherapy related communicate the better”. side effects are inevitable, treatment to reduce nausea and sickness has greatly improved during the 15 years she has worked in nursing. “We now have a big medicine shelf, with a lot of options we can use to reduce nausea and vomiting,” she says “making both much more manageable.” Most importantly, women having chemotherapy should be aware of the susceptibility to infection, particularly around day 10-14 after treatment. If a woman feels unwell or has a temperature, she must call the acute oncology hotline or oncologist straightaway. Other side effects of chemotherapy can be unpleasant too, but Mary said certain action might reduce their impact. • For oral mucositis, good oral healthcare is essential to avoid infection. • When being treated with paclitaxel, women who want to avoid losing their hair, could try scalp cooling, which can have varying results depending on thickness of hair and other factors. It is not suitable for everyone and should be discussed with a doctor before treatment starts. • For women who suffer from having a metallic taste it might be helpful to replace metal cutlery with wood or plastic cutlery. Crucially, Mary says that women should work closely with their clinical nurse specialist or key worker to manage chemotherapy side effects. “Don’t avoid reporting symptoms, it might be important,” she warns “and assessments inbetween treatment are very important”, she adds. “Write down symptoms as they happen. The more we communicate, the better we can work together.” • If you have suffered from CIPN and would like to help Mary in her research, contact her on [email protected] Phone Ovacome’s nurse led support line on 0845 371 0554 5 members’ day Ovacome invests in two key roles M Ovacome’s new fundraising manager, Lee Riley, and support line nurse, Steph Poole, who participated in their first Members’ Day this May. eet Lee has worked within the arts for nearly 20 years, where she has fundraised to secure projects and has been involved in curating exhibitions, lecturing, researching, working on large public arts projects, curating film programmes, planning and arranging concerts. She graduated from East London University with a BA Hons 2:1 Visual Theories: Art and Film and Lee Riley: exciting projects. a Masters from The Royal College of Art in Arts Administration: Curating and Commissioning Contemporary Art. “This is a very exciting time for Ovacome, thanks to everyone’s generosity. Without your support we would not be able to continue.” Steph, who has been working in nursing since 2000, is employed two days a week by the charity. Latterly she has been a bank nurse in the orthopaedic ward at the Parkside Hospital in Wimbledon, to fit around bringing up two young children: Joseph, aged eight and Jenny, six. But she has experience in surgical and medical oncology and has Steph Poole: nursing 15 years. worked at the Royal Marsden. She is thrilled to have joined Ovacome at the end of February: ”I have had the privilege of getting to know the amazing people actively fundraising for our work. I have also been touched by the donations we have received since I started. We cannot thank you enough. Hobbies include karaoke, with her favourite rendition being Bryan Adams’ Summer of 69, and researching song lyrics, such as Carly Simon’s You’re So Vain, which she believes is based on the singer’s former architect boyfriend. “In the coming months I will be working hard to fundraise further. We have major projects that we will be developing over the coming 18 months: projects that will make a difference. Contact Lee if you would like information about various ways to fundraise or charity race/cycling event places at [email protected] or on 020 7299 6651. Recurrence: the hardest blow N ews of an ovarian cancer recurrence is often more devastating than the initial diagnosis and so a group of researchers are about to embark on a project to discover how women facing the disease for a second time can be helped. To date, there has been very little research carried out on the experiences of women diagnosed with a recurrence, Dr Emily Arden-Close, a lecturer at Bournemouth University, told delegates. Also, she says, very few support interventions have been developed. The aim is therefore to use the results of this study to design a web-based support intervention for women diagnosed with a first recurrence of ovarian cancer. it having gained a reputation for being positive in helping women with breast cancer, says Dr Arden-Close. Perhaps this technique is more popular with women, she mused. “But this research will help us to identify exactly what the patient wants and not what professionals think they should have”. The researchers are hoping to find 20 willing participants for this September. If you are interested, you would be required to take part in a telephone interview about your experience of being diagnosed with a recurrence of ovarian cancer. The interview should take approximately 30-60 minutes. All information will be anonymous and kept strictly confidential. The website will be functional in a few years’ time. Researchers at the Universities of Southampton and Bournemouth are conducting the study looking at what women facing a recurrence found helpful or lacking in supporting them through this distressing time. For instance, a similar initiative was carried out for men with prostate cancer who turned out to be uninterested in mindfulness, despite 6 Emily Arden-Close: working on web-based support. Contact Emily at [email protected] if you are interested in taking part. Phone Ovacome’s nurse led support line on 0845 371 0554 it together news Tea with Ovacome 2015 A Sewell and her team of eight staged another knockout event in March, with 180 guests attending. To make next year’s Tea with Ovacome even more successful, why not get involved urges Adele, who explains how this year’s was the biggest and best yet. dele photos at our event; to Barry M which donated teal nail polish for the goody bags and two nail technicians for the day - Camilla and Marthalla - and also to milliner Philip Treacy who gave us a hat to raffle, raising £250. “Louise Diggle is the first On the catwalk: Our members were the stars of the show. of our pledgers to complete her target of raising £100 for Ovacome. in addition to providing clothing for our In fact, she exceeded her pledge by models. raising £177 by donating a percentage “It was also wonderful to have Philip of sales from her recent art exhibition at Chaimo, the founder and Sophia Wimbledon Art Studios. Chiampo, the managing director of Apricot in the audience this year. For the first time we also had the involvement of Simply Be which provided the stunning evening dresses for our models. Our models were delighted when both Apricot and Simply Be gave them all of the clothing worn on the catwalk. Tea With Ovacome team (left to right): Kate Pigden, Karen McGhie, Cherryl Cooper, Jennifer Williams, Adele Sewell, Carolyn Mackrell, Diane Fraser Pigden, Jackie Sewell, Juliet Alexander. “As usual, we remain extremely grateful to fashion retailer Apricot for sponsoring the event programme and donating the lovely canvas goody bags, it together “Charlie Penrose donated his time doing a photoshoot and hair and make up were done by Victoria Penrose, Sarah Marie, Helen Day, Katie Evans and Karen McGhie. A special thanks to Ed Tjon Atsoi for taking a comprehensive collection of “The models of course were the stars and really gave it their all. It was interesting to see how they blossomed from being somewhat anxious taking to the catwalk to their glowing confidence by the time they completed their final stint. The crowd loved them and many guests gave standing ovations. Photo by Ed Tjon Atsoi. “Tea with Ovacome 2015 was another sold out event, for the fourth year running and I am delighted to say that we raised more than £10,000 for Ovacome which is a record for us. Also, for the first time this year we asked guests to pledge to raise funds for Ovacome between now and the next Tea with Ovacome and together the pledges totalled £2,900 which is rather wonderful. “Our speakers on the day were Samixa Shah and Katie Harrington, who spoke movingly about their experiences with ovarian cancer. The event commenced with a welcome from Louise Bayne, chief executive of Ovacome and our MC, Juliet Alexander, kept the guests entertained.” Adele sent a survey to guests after the event to get some feedback on what they enjoyed. The following comments were typical: • “The humour of the compere, the genuine love in the room, the celebration of people’s courage and above all, the dignity of all the ladies affected by the illness. Such events restore hope and belief in the goodness of humanity at a time when there is so much chaos and negativity around.” • “The ambience, the variety of activities, the organisation and the fun and the humour.” Phone Ovacome’s nurse led support line on 0845 371 0554 7 news Lights, camera, action: an awareness success T his year’s awareness month Ovacome had the backing of media heavyweights Edwina Currie, Lorraine Kelly, Michelle Heaton and Jenny Éclair, alongside an army of members who all helped us reach millions of women with our BEAT ovarian cancer symptoms message. A special thanks must go to the former health minister Edwina Currie, who literally went the extra mile by travelling down to London from the Peak District to appear on ITV’s Lorraine show, dressed in Ovacome’s teal nail varnish. Be sure to buy a copy of the June issue of Choice magazine in which Edwina explains how an ovarian cyst scare and her political career led her to supporting Ovacome. Then there’s former Liberty X singer and TV presenter Michelle Heaton. The media was falling over itself to interview her about her involvement in our #TellYourDaughter Our dress in an Apricot social media shop window, modelled campaign, especially by Ovacome supporter after news broke on Michelle Heaton. actor Angelina Jolie taking the same preventative action as Michelle had already. It was then that Michelle spoke poignantly on ITV’s This Morning and discussed #TellYourDaughter with Phillip Schofield and Amanda Holden. And there were follow-up pieces in both the Daily Mirror and The Sun, as well as many women’s magazines. This is publicity gold and we cannot thank our celebrity supporters enough. Our members were incredible too. Adele Sewell, barely recovering from her Tea with Ovacome extravaganza, was interviewed for a moving piece in The Telegraph Online. Sarah Smith was taking calls from her chemotherapy suite, to help with PR, as well as campaigning at the time to become a Liberal Democrat MP for Dover and Deal. She gave us a reach into Red magazine online and her local paper. Esther Jury appeared on her local TV channel and was the front page story of Norwich Evening News. And that’s not to mention the hundreds of supporters who backed our #TellYourDaughter awareness campaign by posting selfies with their daughters, nieces, friends and other members of their families. Every one had a valuable place in spreading the BEAT acronym: B is for bloating that does not come and go; E is for eating less and feeling fuller quicker; A is for abdominal pain and T is for telling your GP. Also many media virgins - including Sue Woods, Priti Shah, Helen Standing, Lovis PassfieldTaylor and Emma Kenyon - appeared in their local paper talking about why they were supporting Teal Tips, the Barry M sponsored campaign to raise awareness by Selfless selfies Ovacome volunteer and information manager Ruth Grigg with her daughters Fleur (left) and Ursula. Jenny Agutter (second left): with (left to right), her nieces Rachel and Georgina and her sister in law Caroline Agutter. wearing teal coloured nail polish. Some £500 was raised by Barry M, which donated a percentage of every bottle sold online of the Teal Tips varnish in February and March. Fashion retailer Apricot gave an amazing level of support to Ovacome as well. It has raised £9,273.35 and counting for the charity, with the sale of the dress it designed for awareness month, Ovacome-branded canvas bags, the Barry M nail polish and teal ribbon badges from its high street stores. Apricot still has the dresses and bags in stock to sell throughout summer and it expects the final amount it donates will be closer to £20,000. Ovacome members in the Apricot fundraiser dress, which is still for sale. Picture credit: Charlie Penrose. 8 Phone Ovacome’s nurse led support line on 0845 371 0554 it together ask the doctor BRCA: unwanted inheritance M questions have arisen about the faulty BRCA gene, since the actor and carrier Angelina Jolie had preventative surgery this spring to avoid contracting ovarian cancer. Dr Adam Rosenthal, Consultant Gynaecologist at University College Hospital, London (right), has some answers. any What are the risks of developing ovarian and breast cancer if a woman is found to be BRCA1/2 positive? AR: “Depending on which gene, lifetime risks are around one in two to one in four for ovarian cancer and around 70% for breast cancer. These risks are far higher than the general population risks for ovarian and breast cancer (around one in 50 and one in eight respectively).” What advice do you give to women who have had ovarian cancer and are found to be BRCA positive? AR: “It is crucially important for a woman with ovarian cancer to be BRCA tested, as it may change the types of drug which can be used to treat the cancer. “I would advise them to ask their oncologist if there are any trials of drugs targeted at BRCA-related ovarian cancer which they could take part in. I’d also advise them to discuss the result with their family, so that their relatives - male as well as female - could potentially get tested. If a relative is found to be positive, they then have the option of riskreducing measures, which could be life-saving. A positive BRCA result can predispose men to cancer of the breast, prostate and pancreas.” What steps can young women who may not have completed their families, but are BRCA positive take to avoid ovarian and breast cancer without having preventative surgery? the risk of premature menopause. Short-term data suggests that it doesn’t in BRCA-negative women, but larger/longer studies are required to confirm this. Also, if the woman then goes on to have her ovaries removed at a later date, the surgery might be more complex because of scar tissue from her previous operation. She would also be exposed to the risks of two operations, rather than just one. We do already have good evidence that removing the tubes and ovaries does prevent tubal and ovarian cancers in BRCA-carriers, so for the time-being, this has to be considered standard advice. Some BRCA-carriers do get tubal/ovarian cancer before the age of natural menopause, so if only removing the tubes turns out not to prevent all of these cancers, then delaying oophorectomy (removal of the ovaries) may be dangerous.” When else might women consider having their fallopian tubes removed only, if they are BRCA positive? AR: “Although going on the pill can reduce the risk of ovarian cancer in BRCA-carriers, there is no guarantee that this will be effective. I tend to advise that if a woman is happy using it as a contraceptive, and there are no medical reasons why she shouldn’t, then she should consider using it. It’s important to know that using modern lower dose pills does not appear to increase the already very high risk of breast cancer in BRCA-carriers. I wouldn’t push everyone to take the pill purely for prevention – it’s very individual. AR: “Any time they are having surgery in their abdomen or pelvis for another reason (e.g. to have their appendix removed) potentially offers the opportunity for removal of the fallopian tubes at the same time. This may not always be appropriate, and if the woman is postmenopausal, then having her ovaries removed at the same time as her tubes makes the most sense on current evidence. Even if she is premenopausal, depending on how old she is, it may be safest on current evidence to remove the ovaries as well.” How about BRCA positive women who have had their families, should they consider having their fallopian tubes removed, but keep their ovaries so that they have a natural menopause? How about women who have had a hysterectomy and had their ovaries removed as part of their ovarian cancer treatment, but are at risk of breast cancer because they have the faulty BRCA gene? Can they take HRT? What are their options to reduce the chance of getting breast cancer? AR: “We don’t yet know if removing the fallopian tubes whilst leaving the ovaries behind offers BRCA-carriers protection, but there is reason to believe it might do. However, it is not yet known if this procedure increases it together AR: “For women who were premenopausal when they were diagnosed with ovarian cancer, taking HRT is usually considered fine up to the age of natural menopause (51 Phone Ovacome’s nurse led support line on 0845 371 0554 9 ask the doctor years), but there is limited evidence about safety in terms of ovarian cancer recurrence, so this should be discussed with their oncologist. HRT is not thought to increase the risk of breast cancer significantly in BRCA-carriers who have had their ovaries removed and do not take it beyond the age of natural menopause. Taking it beyond that age may increase breast cancer risk (which is already very high in BRCAcarriers). “BRCA-positive women should be able to get high risk breast screening as part of the National Breast Screening Programme. “Having a healthy diet, maintaining normal weight and getting enough exercise are all good for anyone wanting to reduce their risk of cancer, but unfortunately, none of these are guaranteed to completely prevent cancer. “Breast feeding your children is also thought to reduce your own risk of breast cancer (possibly in BRCA1 positive women only). It may also protect against ovarian cancer. “The risk of breast cancer can also be reduced by taking certain drugs (tamoxifen and aromatase inhibitors). These need to be prescribed by a doctor.” BRCA positive women who have been treated for ovarian cancer and have daughters will be concerned for their children. What should they do? AR: “Once we have identified a specific BRCA mutation in a family then it is technically possible to offer testing to both the sons and the daughters of that woman. If the son has inherited the good copy then there is no need to offer testing to his daughters. If the son has inherited the mutation then we could offer testing to his daughters at some stage. “When testing unaffected daughters it is important to remember that they have a 50% chance of inheriting the faulty copy and we need to have a plan of action for those who have inherited a BRCA mutation. The usual advice is to consider removing their ovaries and fallopian tubes, so we would normally delay testing until that woman is old enough to take preventative measures as outlined above. However this is a very individual decision and some women may decide to have testing at an earlier age, but it must be stressed that they are at 50% chance of inheriting the mutation. “If you are the child of a male or female BRCA-carrier, the risk is the same – it’s 50:50 if you inherit the good copy or the bad copy of the gene from your BRCA-positive parent, irrespective of their gender.” What is the process of being considered for BRCA testing and having the simple blood test? the family history of cancer is. Those with cancer should ask their surgeon/oncologist. How big a deal is preventative surgery? AR: “This is hugely individual and depends on if we are talking about removing the tubes and ovaries, or about removing the breasts. It may also depend on whether the woman has been through the menopause or not. The key thing is for her to get as much advice as possible before opting for the surgery, so she is clear that she understands the possible outcomes. This should help the woman avoid regretting her decision later. “Keyhole (laparoscopic) surgery to remove the fallopian tubes and ovaries typically takes around half an hour, but can take longer. Some women will need to stay the night. “Recovery time is very variable and again will depend on a number of factors, including if the woman is menopausal or not before she has the surgery. I generally advise avoiding strenuous exercise for six weeks, but most women will actually feel well physically sooner than this. Getting used to HRT may take longer, and a minority of women will never feel entirely happy on HRT. And how about mastectomy? AR: “A bilateral prophylactic mastectomy is a major operation and needs very careful consideration. Some women may be happy to continue with careful regular breast screening. Any woman considering bilateral mastectomy should have a full and open discussion with both her breast surgeon and her plastic surgeon before making a decision.” If women have their ovaries and fallopian tubes removed, what should they be prepared for afterwards? AR: “If women are premenopausal they should be prepared for the possibility that taking HRT afterwards may not make them feel the same way they felt before surgery. For example, they may notice changes in mood/sex drive. Whilst most women are glad they had the surgery, some will have significant side-effects, and it is difficult to predict who is likely to run into problems. “There is a small residual risk (around one in 50) of them developing peritoneal (lining of the pelvis) cancer in the future, so if they get ovarian cancer symptoms they should ask their GP for an urgent transvaginal pelvic ultrasound scan and CA125 blood test. This piece has been reviewed by Dr James Mackay, consultant genetic oncologist at University College London. AR: “This will depend on a number of factors, such as if they have been diagnosed with cancer themselves, if they have a relative who is known to be BRCA-positive, and how strong 10 Phone Ovacome’s nurse led support line on 0845 371 0554 it together news Olaparib setback Cameron outlines T greater weekend he decision by the NHS England Cancer Drugs Fund to prevent access to a life prolonging ovarian cancer drug for women with the BRCA 1/2 gene, has been described as “devastating” by doctors. Last month the NHS England Cancer Drugs Fund (CDF) rejected AstraZeneca’s application to fund LynparzaTM (olaparib) as a treatment for platinum-sensitive relapsed (PSR) BRCA-mutated (BRCAm) ovarian cancer. Olaparib received marketing authorisation from the European Commission in December 2014 on the basis of phase two clinical trial data; however, due to the relative immaturity of these early phase data, the CDF rejected the funding application. Professor Jonathan Ledermann, Professor of Medical Oncology at the University College London Cancer Institute and Primary Investigator of the pivotal olaparib clinical trial said: “This is devastating news for the small group of women with a BRCA mutation who would have been eligible for treatment with olaparib and I am disappointed by the decision of the CDF.” Screening update A new CA125 screening method can detect twice as many women with ovarian cancer as conventional CA125 blood tests, according to the latest results from the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS), Scientists found that the new method, which calculates changing levels of CA125, detected cancer in 86% of women with invasive epithelial ovarian cancer. access to doctors A seven day week NHS, aimed at addressing the problem of more patient deaths at the weekend when there is less top medical opinion available, was the theme of David Cameron’s first major speech eight days after being re-elected as Prime Minister. The Conservative Party has outlined that it plans to have more high calibre staff available in hospitals over the weekend and to recruit an extra 5,000 GPs, in what it calls a reinvention of the GP service. On Radio 4, the Secretary of State for Health, Jeremy Hunt, said the idea is for GP surgeries to employ more nurses and PA type staff to take some of the burden away from general practice: an area of medicine which is proving hard to attract new medical students and has a high burn out rate with existing GPs. But critics are questioning where the extra £8bn a year funding by 2020 will come from and also how an equivalent of 5,000 full-time doctors will be found in an area of medicine which is struggling to replace GPs as they leave the profession. The Secretary of State for Health, Jeremy Hunt, is due to make a further speech about the plans before the end of June. The results come from analysis of one arm of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS), the world’s largest ovarian cancer screening trial, led by UCL. Professor Usha Menon, UKCTOCS co-principal investigator and trial co-ordinator at UCL, who has led the implementation of this 14 year trial, says the results are very encouraging. “They show that use of an early detection strategy based on an individual’s CA125 profile significantly improved cancer detection compared to what we’ve seen in previous screening trials. “The numbers of unnecessary operations and complications were within acceptable limits and we were able to safely and effectively deliver screening for over a decade across 13 NHS Trusts. While this is a significant achievement, we need to wait until later this year when the final analysis of the trial is completed to know whether the cancers detected through screening were caught early enough to save lives.” it together Ovacome’s chief executive Louise Bayne (front row, sixth to the right) took World Ovarian Cancer Day to the charity’s research centre in Birmingham University. Led by Ovacome’s medical advisor Professor Sean Kehoe, the centre is investigating how tumours change during treatment and how this data can be used to improve treatment. It was an appropriate setting therefore for Louise to promote what was the third of these global events on Friday 8 May in which the four UK ovarian cancer charities unite to raise awareness. This year, the campaign celebrated the natural bond between women and encouraged participants to join in by posting photos on social media and to sign an awareness pledge. Phone Ovacome’s nurse led support line on 0845 371 0554 11 fundraising Photography taken by Ash Narod. After treatment Joy retired to France with her husband, but faced a recurrence just over two years later. She died in December 2011, a month after Iain’s second child was born. It was when Iain hit the 22nd mile that this flooded back. “I thought about my mum, my family and how hard things had been and continue to be for others going through what we had,” says Iain, who raised £2,800. Marvellous marathon runners O vacome’s team of eight London Marathon runners raised over £16,000 for the charity, completing the 26 miler for their own reasons on a perfect April day. Katherine Ditch, juggled marathon training with a law degree and working parttime. But the 23-year-old from Katerhine Ditch: tough. Chichester was determined to run in remembrance of her “idol”, her Granny, who she lost to ovarian cancer last June. Katherine had recently lost six stone in weight and had acquired a new love of running. This was her first marathon and she says “a massive deal” for her. “With all the conflicting advice on what to do and not to do while training, I wasn’t sure if I had done enough when it came to race day, which made me unbelievably nervous,” she says. The event proved tough, with an ankle injury in mile 17, but Katherine finished in 6:51 and raised around £1,200. “I found the run difficult, especially the second half, but it was beyond 12 electrifying. I enjoyed every single moment,” says Katherine. “I wasn’t running for a time, I was running for a well deserved charity.” Mark Tibbles, hit his target of finishing in under 3:45, with a 3:34 time and £2,700 for Ovacome. It was the fourth time the 46-year-old estate agent from Hemel Hempstead took part and as always, he says, his training got him to 20-22 miles, but the last four were very much a case of “mind over matter”. Mark, who lost his first wife to ovarian cancer in 2002, says he was proud to have run for “a wonderful organisation like Ovacome, which offers its services free and can help sufferers, their family and friends, adopt a positive mental attitude”. Iain Whatley, a 34-year-old firefighter from Longworth in Oxfordshire, has likened the last two miles of the marathon to how he would imagine childbirth. Ian took up the challenge to remember his late mother Joy, who was diagnosed with ovarian cancer a month after his wedding in the summer of 2009. For Julie Caudle, a 52-year-old estate agency director on the Isle of Wight, it was her third marathon. Julie, who lost her mother to ovarian cancer six years ago, found training the hardest, but she finished in 4:28, raising £1,412. Julie Caudle: jubilant. “I always did my long run on a Sunday which does have rather an impact on your social life, as you really need to be to bed early on a Saturday and are generally very tired on the Sunday.” Wearing the Ovacome T-shirt on the day helped. “The fact that the letters were so big meant everyone was shouting my name! I think my mum was watching over me to carry me through. I felt jubilation and pride as I was running around.” “I have to say my legs did ache afterwards, but nothing that a lovely meal and a huge glass of wine did not put right that evening!” Mark Varley from Birmingham was running in memory of his mother in law Christine, who died of ovarian cancer in 2008 “blowing a hole” in his family’s life. Mark, a director of an import business, achieved a personal best at 3:29 and raised £1,700. But he says despite it being his fourth marathon, it did not feel any easier, with the last six miles being “a struggle of the mind”. Phone Ovacome’s nurse led support line on 0845 371 0554 it together fundraising Her friend, Helen Clarke (also pictured left, behind Yinka in pink), who was famously late in starting the race, was in a different wave of runners and had been waiting to start with her. Yinka completed the marathon, her first, in 4:40, and said all was well until mile 23 when she started to really struggle. “Luckily I knew that once I caught sight of Big Ben, I wasn’t too far away,” says Yinka. “Afterwards, I felt great. I couldn’t believe I had just completed the marathon. “Fortunately for me, I had lots of support from my partner and plenty of people to train with as I am a member of a local running group called Run Dem Crew.” Pip Lee-Woolf and Zara de Haldevang had an eventful time during their training. In the 16 weeks before the race, Zara had Pip Lee-Woolf: 4:54. to unfortunately pull out with a viral chest and throat infection as well as two damaged IT bands and a damaged patella. Pip, despite being ill up until the event and also revising for his APC (Chartered Surveyor exam, which was five days after the marathon), pushed through and managed to finish in 4:54. They raised £4,073. Ovacome member, 51-year-old Wendy Johnson also had to back out on doctor’s orders. But despite the disappointment of suffering from a trapped nerve in her back, she still donated £1,000 to Ovacome. it together ixteen year-old Zoe Adey raised £781.35 for Ovacome and a whole lot of awareness by packing bags at a supermarket with eight of her friends, her nineyear-old brother Daniel and her dad Steve. As she approached the year anniversary of her mother Helen’s death, Zoe wanted to keep her mother’s memory alive and give something back to Ovacome, which had helped her mother. The group packed bags at their local Sainsbury’s in Farlington, Hampshire, for six hours, which Zoe said “flew by” and gave her the chance to speak with lots of people about ovarian cancer. “My mum was supported by Ovacome as she could read other stories of women going through the same thing and know she wasn’t alone. I want to give something back,” says Zoe, who is now considering a 73-mile bicycle fundraiser for next year. Zoe with her dad Steve and brother Daniel. Tweet success T he power of social media should never be under-estimated. It was only after reading a Barry M tweet about Ovacome’s awareness month activity in March that 25-year-old Rachel Galton decided to fundraise for the charity. Rachel has no connection with ovarian cancer, but she wanted to get involved with Ovacome after Rachel and her mother reading about the Elaine: raised £538. help that it gives to women, their families and friends affected by the disease. “Sometimes you don’t need to be affected by something personally to do something to help others,” says Rachel. Having been diagnosed with early stage ovarian cancer 18 years ago, and then going on to have two children and a cancer free life, Wendy has a passion to raise awareness and funds for the charity. “I will really try hard to be ready for 2016,” says Wendy who lives in the Netherlands. Sixteen-year-old bags £781.35 for Ovacome S So, helped by her mother Elaine, the administrator from East London hired a church hall in Bow and held a fundraiser get together including a cake sale, a manicure table with treatments costing £4 a go, face painting and a raffle. Together with a JustGiving page she raised £538. Rachael v horses in gruelling country run R achael Thorn told her mother two days before she died that she would take part in the gruelling cross country Man v Horse Marathon, an annual race in Wales, which crosses hills, rivers and muddy bogs. In her mother’s memory, the 24-yearold Barnardo’s family support worker, has signed up for this June’s Llanwrtyd Wells race with her boyfriend Chris Parry, pitching Rachael and their fitness against boyfriend Chris: riders on horseback in it together. over the 35km. Rachael, from Caldicot in Monmouthshire, whose longest running competition has been a half marathon, says that the training has helped her cope with the grief of losing her mother. “I’ve also been able to cancel my gym membership,” she laughs. Visit https://www.justgiving.com/ Rachael-Thorn to help Rachael hit her £2,000 target. Phone Ovacome’s nurse led support line on 0845 371 0554 13 Picture credit: The News Portsmouth/Malcolm Wells. Yinka McKay (pictured left in blue T-shirt), a trainee solicitor from Bethnal Green, made the headlines during her run, in which she raised £2,650. postbag Benefits battle M y name is Esther Jury and I was diagnosed with ovarian cancer stage 1C in May 2014. I was lucky that I had a great GP, who referred me for a scan as soon as I told her I had abdominal pains. Of course, I hadn’t gone to the doctor when my other symptoms started, as like many others I put them down to having a new baby - bloated stomach and tiredness and being a gardener lower lumbar backache. It wasn’t until the abdominal pains became really hard to ignore and I was getting sharp pains during intercourse and when emptying my bowels that I did go. I was told at the scan that there was a 10cm mass on one of my ovaries. It was then my battle started. We didn’t have any critical illness insurance. I thought that it might take a few weeks to receive unemployment benefit. It took five months. I was repeatedly told that my form was the wrong type and that another one would be sent to me, then several months after completing and returning the correct form and chasing to find out why nothing had happened, they informed me that they needed to see my husband’s passport and that I needed to make an appointment at the local job centre. All this whilst I was supposed to be recovering from major surgery and then having chemotherapy! At no point was I told by a telephone advisor that I could get some emergency funds if necessary. I was extremely lucky to have family who helped during that time. It wasn’t with medical staff; they were all fantastic. Esther Jury with her daughter. No, my battles were with the I did write to my local MP about this and I have had a Department of Work and Pensions, when I tried to make letter of apology from the minister responsible, which is of a claim for unemployment benefit. As a family we had little comfort, as what I really want are some changes to the no income as my husband and I had been working in benefit application process to be put in place. partnership and although luckily we owned our home and didn’t have to worry about mortgage repayments, we needed I’d like to hear through Ovacome whether other readers have to feed ourselves and our two children and had all the usual had a similar experience. bills to pay. Esther Jury, Norwich. Don’t put off until tomorrow... A fter the initial shock of being diagnosed July last year with stage IV primary peritoneal cancer - a disease which is treated in the same way as ovarian cancer and has similar symptoms - I adopted a “let’s do this” attitude. This, along with my family and friends being so amazing, helped me through to hearing the great news in February that I was clear (for now). Emma Kenyon: has set wedding date. I’m aged 43 and having this awful disease and my mortality put to question really woke me up. It made me see just how important life is and how I want to go out and live it the best way I can and with the people I love. We’ve had a tough few years with ill health. My partner had just had a 14 stroke before my diagnosis. We now just want to get back out there and start really living life and experiencing all it has to offer. We started with our new kitchen and garden, which we had put off for a long while, and we have had a couple of well deserved holidays in Devon. We’ve also drawn up a wish list including a trip up the Shard and Warner Bros Harry Potter studio tour scheduled in. We even have dinner booked at The Ritz! Enjoying time with friends and family is so important too, we have dates in the diary for family meals, spa days, dinner with friends and of course the pub! Also, we finally set a date for our wedding after being together for 15 years. It will be this November and our beautiful daughter Jamie-Leigh (who has been so strong and amazing throughout my illness, is helping us plan it). I hope to have some hair by then. If not Jamie-Leigh has said some double-sided sticky tape will do to hold the tiara on! Making new, happy and fun memories is what it’s all about for us moving forward. We don’t know what’s around the corner and I for one will not waste a second of the here and now. Phone Ovacome’s nurse led support line on 0845 371 0554 Emma Kenyon, Milton Keynes. it together postbag line… From the frontline… I t’s a ritual that I enjoy. Every year to mark Ovarian Cancer Awareness Month (OCAM) I have a pedicure. But not just any old pedi. I turn my toe nails teal to mark the month. When people comment on the varnish I’m able to tell them why I’ve picked the colour. I think it’s important to spread the message and be part of the national awareness campaign which hopefully will help many other women. Also, it’s a great way to celebrate being alive. It was in March 2012 that I was told that I had stage 3 ovarian cancer. Having a vibrant colour reminds me I’m still here. Since diagnosis I’ve had more than 50 sessions of chemo. The most recent course ended in January. It left me exhausted. However, having a beauty treatment was one of the few things I could manage. It’s amazing how something so simple can make you feel so lovely. It’s not something I only do once a year. I like to have pedicures as often as I can. I’m sticking with the teal colour over the summer. It Helen’s teal toes. means that I’ll be continuing to raise awareness about this horrible disease. That also needs doing more than once a year. • Helen Fawkes is a BBC correspondent living with advanced ovarian cancer. She was first diagnosed 13 years ago. Follow her on Twitter @Helenfawkesuk or on her blog: helenfawkes.wordpress.com it together I get by with a little help from my friends, reiki, diet, granddaughter... I diagnosed with stage 3 ovarian cancer in July 2004, which was a total shock as the doctors and I all thought I had Irritable Bowel Syndrome, which was getting worse. was One of the hardest things then was telling my two boys. It was really difficult to get the right balance of honesty and optimism. The surgeon told me I had a 25% chance of getting to five years and here I am nearly 11 years later and planning lots of 60th birthday celebrations in November. I have had many recurrences and am currently on my sixth lot of chemo, but I have been lucky to be very fit and well between treatments and have endeavoured to live life to the full. This is what has worked for me: I have tried many complementary and alternative therapies over the years and believe that some have helped me be well and maybe prolonged my life. Particularly useful have been acupuncture, reflexology and reiki, which I’ve had regularly for many years now and helps me relax, feel nurtured and gives me energy. I have become fitter since diagnosis by exercising more, jogging, walking, swimming and going to yoga Francesca Hannah: almost and tai chi classes with a very supportive group of 11 years since stage 3 diagnosis. women. I’m also fortunate in having some very supportive friends, family and neighbours and also a local cancer care centre called Beechwood and based in Stockport where I live, which provides free complementary therapies, counselling and lots more. I’ve tried various anti cancer diets including six months on the Gerson diet, which was hard, but I felt very cleansed and well even though my CA125 still kept rising, albeit slowly. Generally, I now eat a low sugar diet, lots of fruit and vegetables, organic where possible, lots of wholefoods, nuts, seeds, some chicken and fish and avoid most dairy. But I do allow myself some treats too. Also my love of nature has helped greatly and I’ve become a bit of a bird watcher. I also volunteer every week at The Donkey Sanctuary in Manchester, where I get lots of donkey cuddles. When I’m well, I travel a lot with my partner, Mark, and we have become big fans of cruises. Finally, one of the most important people who has helped me enormously to keep going with chemo when I’ve felt like giving up and who always puts a big smile on my face is my beautiful one-year-old granddaughter Lily. There is a lot more information on my website www.cancerselfcare.com Phone Ovacome’s nurse led support line on 0845 371 0554 Francesca Hannah, Stockport. 15 scrapbook Meet the trustees I the first of a new series introducing Ovacome’s trustees, our treasurer Simon Chantrey explains his involvement in the charity after losing his wife to a disease similar to ovarian cancer, primary peritoneal cancer. n “Following my wife’s death I had wanted to do something to help women with ovarian cancer and their families. I had been married to Susanna for 36 years and she had her 60th birthday in her last year, two and a half years after initial diagnosis. “I had been talking about becoming a regional ovarian cancer coordinator (a ROCC) Simon Chantrey with his grandchildren. for the charity, but at an induction meeting Noëline, who was Ovacome’s chair at the time, made a beeline towards me and almost immediately asked if I would be interested in the treasurer role. I’m still unsure how she knew I was an accountant. “It seemed a logical way to use my experience. I am a qualified chartered accountant, although my career had taken me in a more general financial direction in the city and elsewhere. Latterly, I became heavily involved in the financing of the early cable television industry in the UK and then acted as financial adviser to a range of smaller companies in helping them to grow. My workload ran down during my wife’s illness, so 2006 was my last full year. “I have a variety of interests, with golf a major consumer of time! I finished a year as captain of my golf club last May and was once its treasurer. I also play bridge and am an active theatre goer. I follow Formula One, cricket (I am a member of Surrey County Cricket Club at the Oval), golf and tennis. About six years ago I set myself a target of going to as many F1 circuits as possible and have been to 11 to date; this provides a nice centrepiece for holidays in lovely places. “The key is for me to help Ovacome succeed and grow in its role as a support network. This can be done by managing its finances as tightly as possible and providing trustees and staff with the financial information that can help them in their roles: typically taking a half day a week of my time. “I have two sons, a daughter and six grandchildren – ranging from age one to 11. They live quite near my home in Woking, Berkshire, so I get to see them quite regularly. I have a partner who had been a good friend of Susanna’s. 16 On your marks. Get set. Bake! S ummer is the perfect time to roll out the gingham table cloths, hang up the bunting and stage your own Mary Berry style bake off. Ovacome’s Big Ovacome Bake Off party packs were so popular last year that we decided to offer them again free to members for a second summer. Most people will want to ask competitors to bring along their bakes - to a village hall, fête or open garden - rather than make them on site. The packs, which include bunting, a winner’s certificate and a free T-towel to give away as a prize, provide a template to host a hassle-free event. It also has a favourite gluten free cake recipe from Ovacome’s patron, the actor, Jenny Agutter and also from celebrity chef Chris Horridge. The idea of the bake-offs is to charge entrants to take part and then to sell their cakes at the event: to provide a double income. Having different categories, helps to inspire and to get varying levels of talent involved. A children’s category can work well, as well as fairy cakes, a Victoria sponge and a showstopper. Happy baking! • For your free Big Ovacome Bake Off party pack, contact [email protected] Fundraising with a click I f you would like to take part in fundraising, but don’t have the time or energy to train for a race, hold a bake off or other event, then why not consider sponsoring some of our supporters that do. Rebecca Watt, for example, is taking part in the Great North Run half marathon on 13 September. Her mother has been treated for ovarian cancer and she wants to raise £100 to help Ovacome with its work. This is her second half marathon and she hopes to better her time in this one. Her JustGiving page link is: www.justgiving.com/Beccawatt Many of our fundraisers on pages 12 and 13 will have JustGiving pages which are easy to Google. So if you like any of their stories why not top up their fundraising before their pages close. Phone Ovacome’s nurse led support line on 0845 371 0554 it together