La Dolce Vita

I have returned from a memorable family trip to Italy; something I have always wanted to do. Since arriving home,friends and colleagues have asked, “what was the best part of your vacation?” Unequivocally, I have answered,“being together as a family."

But, I have to admit, the sites were breathtaking. Each Italian city is so different. It didn't take long to find our pace, absorb the Italian culture and the gelato. We were fortunate to visit the proprietor of a vineyard and wonderful Tuscan inn, take a cooking class in magnificent Florence, ride Venice’s Grand Canal and explore ancient Rome. No matter where we travel, however, there always are reminders of reality facing us at home.

When we visited the Vatican, our guide pointed out a sculpture of Artemis. This Greek Goddess of fertility was the daughter of Zeus and Leto and the twin sister of Apollo. The sculpture is distinctive with more than a dozen breasts. I was familiar with the second century artwork because Artemis also is the name of the Johns Hopkins breast center's e-newsletter. But, seeing the sculpture in person, and in Italy, was a reminder that the world is small and that women everywhere face many of the same health issues.

As we returned home I reflected on the two cultures. Florentian gelato may be memorable, but we are fortunate to have a program like A Woman’s Journey to learn about diagnosing breast cancer and a myriad of other health issues confronting us. We may not serve gelato or ice cream at the conferences, but you will be treated to a healthy serving of new medical information.

Ciao,
Leslie

Statistics Don't Lie

Last week I attended a professional briefing and was struck by a fact included in the speaker’s presentation. By 2013, cancer is expected to surpass heart disease as the leading cause of death in the United States. I don’t know why I was startled. The American Cancer Society reported 1.5 million new cases of cancer in the United States in 2010. Most weeks I hear about cancer affecting someone I know; just this month, several people have asked me about the pancreatic center at Johns Hopkins.

It’s no surprise then, that so many women responding to the recent Woman’s Journey survey of health interests identified Strategies to Prevent Cancer as their top choice. So, in response to the survey outcomes, the annual Johns Hopkins women’s health conference November 12, 2011 will include four sessions related to cancer:

• Advanced in Diagnosing Breast Cancer
• Ten Ways to Reduce Your Risk of Cancer
• What You Eat Can Save Your Life
• Changing the Outcomes for Pancreatic Cancer

Johns Hopkins faculty speakers also will focus on dozens of other topics, but from my perspective, I will be sure I learn about cancer prevention. For myself and my family I want to do everything possible to reduce the likelihood of having cancer as well as know about advances in diagnoses and treatments. Perhaps after hearing about the projected rate of cancer, you will too.

Be Well,
Leslie

A Chance to Expand Your Vocabulary

“Personalized medicine” is a phrase we are going to hear a lot more about in the future.

Recently I have attended meetings or picked up articles about “personalized medicine.” It seems like many people are beginning to use the term in different contexts. Some use the term to refer to high-end concierge medical practices in which a patient pays a primary care physician an annual “membership” fee. But, the term conveys far more power and has implications for many of us.

Last year I had the opportunity to talk with Dr. Bill Nelson, Professor and Director of the Sidney Kimmel Cancer Center at Johns Hopkins. He explained that “within the next few years, all cancer patients at the Kimmel Cancer Center will have their tumors analyzed to reveal a unique “fingerprint.” The fingerprint represents the combination of genetic alterations specific to each person’s cancer. Just as every person is genetically unique, so is every cancer. Targeting these alterations, say scientists, will improve treatment outcomes, thwart cancers before they develop, and slash the costs of new drug discovery.”

The new edition of the Hopkins publication, Promise and Progress, describes how The Johns Hopkins Kimmel Cancer Center is translating laboratory discoveries into remarkable new therapies that target the unique cellular characteristics of each patient’s cancer. [ http://www.hopkinsmedicine.org/news/publications/promise_progress/the_time_is_now_2010_2011_/personalized_medicine_is_here_the_time_is_now].

Personalized medicine may sound like a simple concept, but the science behind it may change the course of cancer treatment. Like me, you may want to add the phrase to your lexicon.

What’s In a Name?

Each year I assemble a small group of colleagues to study the schedule of seminars that have been confirmed for the Johns Hopkins Medicine annual women’s health conference, A Woman’s Journey. Our agenda is to craft titles for each lecture. These are critical subjects about improving your health and sometimes devastating diseases. Naming a seminar is serious business. Never the less, the meeting sometimes becomes raucous. It’s challenging. We need to be creative, yet maintain the integrity of the subject matter. The bottom line is to appeal to your curiosity and interests.

So, as you plan your fall, I hope you will check out hopkinsmedicine.org/awomansjourney. Read the titles of A Woman’s Journey’s 32 seminars that will be taught by Johns Hopkins physicians. Laugh at some of the titles; be motivated by others. But, when you finish reading the seminar names, be sure to go to our website, register for A Woman’s Journey, and learn what’s really in a name.
Leslie

Benefits of Another Day

Three years ago this week my college roommate passed away. She died of recurrent breast cancer after an 18-month struggle fraught with chemotherapy, radiation, clinical trails and finally palliative care. I find my self questioning if she had survived, would new treatments be available to sustain her life?

Through A Woman’s Journey I have learned about new drugs and experimental approaches to treatment. I don’t know if additional time would have reaped any benefit, but wish that others live long enough to benefit from new developments.

Fortunately for the rest of us, Lillie Shockney, survivor, administrative director of the Johns Hopkins Avon Breast Center and a national spokesperson will speak at A Woman’s Journey in Baltimore on November 20, 2010, in Palm Beach on January 20, 2011, and Naples on January 21. For those of us who have had an abnormal mammogram or felt a breast lump, Lillie will offer a road map telling women how to proceed when they fear a diagnosis of breast cancer.

You can bet that Lillie will be enlightening and somehow will find a way to interject humor into her otherwise serious remarks.

I hope you will be able to attend the conference (www.hopkinsmeidcine.org/awomansjourney) and hear this extraordinary speaker.

Leslie

Breast Cancer Screening Recommendations

Women have learned two lessons: schedule an annual mammogram and perform breast self exam each month in the shower. That's why women of all ages--from my daughter to my mother--became alarmed and concerned last week when The US Preventive Services Task Force recommended changes in screening for breast cancer.

Just yesterday a cousin asked me what I had heard from Johns Hopkins physicians. I was able to share a statement from Dr. Nagi Khouri, director of breast imaging, and Lillie Shockney, a breast cancer survivor and administrative director of the Avon Breast Center at Johns Hopkins. You too will be interested in reading their comments:

The Johns Hopkins Avon Foundation Breast Center remains committed to caring for the screening needs of women at every age. We tailor our prevention services to each individual, and decisions on routine screening are made between patients and their physicians. The study released by the United States Preventive Services Task Force will not change current practices at Johns Hopkins. We will maintain our recommendations that routine screening for women at average risk for cancer occurs annually from 40 years of age through 80, when it can be altered at that point. We also feel it is important to continue educating women about their bodies including the normal contours of the breast to promote awareness of breast health. We believe that when women are armed with knowledge about their breasts, they are more likely to report changes to their physician. Again, please continue to schedule your mammograms annually, check your breasts, and let your physician know when changes occur.

Sincerely,

Nagi Khouri, M.D. and Lillie Shockney, RN., BS., MAS
Johns Hopkins Avon Foundation Breast Center

I have known too many women who have detected breast cancer through breast self exam and annual screening mammography. Each of them believes that these important screening tools improved their treatments outcome and, in some cases, saved their lives. I hope each of you will therefore heed the advise from Dr. Khouri and Lillie Shockney.

Leslie

P.S. Listen to Johns Hopkins radiologist Dr. Nagi Khouri and breast surgeon Dr. Lisa Jacobs discuss breast imaging technologies and new management and operative strategies to improve the rate of breast preservation and cosmesis.

A Tribute to a Great Lady

I haven’t written in a while; it’s been a difficult month.

My mother-in-law passed away after two years of declining health. During this time, I have thought a lot about her and her life. Thinking back, I realize that as a long-time breast cancer survivor she was an inspiration to many women. When she was afflicted with breast cancer more than 40 years ago, people didn’t speak about cancer. Certainly times have changed. Cancer prevention, early detection and treatment options are now frequent topics of discussion. We all want to be aware of the latest research findings and recommended therapies.

So, in my mother-in-law’s honor, I want to let you know about some important information that will be presented at this year’s Johns Hopkins Medicine's annual women’s health conference, A Woman’s Journey, on Saturday, November 14, 2009. Presentations by Johns Hopkins physicians will include:
· Preventing Cancer: You Are What You Eat
· Integrating Traditional Healing With Modern Medicine
· Antioxidants, Vitamins and Supplements
· Common Symptoms Women Shouldn’t Ignore
· New Advances in treating Breast Cancer
I hope you will join me at the conference. It will be in our own best interest as well as a tribute to all cancer survivors, including my mother-in-law.
Leslie