How Toxic is Sugar?

sugar 300x200 How Toxic is Sugar?
How toxic is sugar and what can you do to avoid it?

That’s the topic of two major news stories out this week that are causing a lot of buzz online and in the wellness community. The barrage of viewpoints started with The New York Times magazine cover story , which goes so far as to say that sugar in all forms–high-fructose, table sugar (fructose) and even fruit–should be eliminated if not closely monitored from a diet. This is similar to diets I’ve read (and tried to follow), from the likes of Kris Carr and David Servin-Schreiber’s “AntiCancer.”

Tonight comes a slightly different and more conservative viewpoint in a story from the Los Angeles Times. It calls for more moderation than The New York Times story, suggesting its ok to eat sugar in some forms, including fruit as long as it’s after a meal (to avoid a spike in insulin). And, it asks consumers to read labels more closely, knowing which sugars to avoid or consumed in moderation.

I’ve tried, emphasis on tried, to eliminate sugar from my diet. But I have a sweet tooth, what can I say. As a compromise, I try to make up for it in other ways; through exercise, yoga, and munching on more leafy greens and veggies.

Readers, do you believe there is a cause and effect between sugar and diseases such as cancer?

Groundbreaking Lymph Node Study Shakes Pillar of Breast Cancer Care

For about 20 percent of breast cancer patients, removing cancerous nodes, a painful measure that can cause complications, does not improve survival or prevent cancer recurrence, researchers say in a study published Wednesday in the Journal of the American Medical Association. Here’s a link to The New York Times story.

I can speak directly to the complications arising from lymph node removal. In my case, the axillary node dissection resulted in an infection under the arm that recurred during chemo. The infections eventually went away, but the node dissection was probably the worst part of any of my surgeries. And speaking of surgeries…

Jan 2011 Groundbreaking Lymph Node Study Shakes Pillar of Breast Cancer Care

Today was a monumental day. Because it was Breast Reconstruction Day. I was really looking forward to if only because it’s the last major step in this 12-month treatment plan. And the easiest, I’d say. Still waiting for the drugs to wear off, but I’ll write more about the trial implant I selected.

Breast Implants Linked to Rare Cancer According to F.D.A.

Breast implants may cause a small but significant increase in the risk of an extremely rare but treatable type of cancer, the Food and Drug Administration said this week. The indefatigable Denise Grady at The New York Times has the story.

Calcium and Vitamin D: The Long and Short of It (NYT)

A story this week in The New York Times recounts how the new daily recommendations for calcium and vitamin D, issued in November by the Institute of Medicine, have left many people wondering whether they are getting enough, or perhaps too much, in their diets and supplements.

The institute’s expert committee, which included bone specialists, concluded that most people don’t need supplements of these critical nutrients and warned of serious health risks from the high doses some now take — including kidney stones and heart disease linked to calcium supplements, and the very falls and fractures that vitamin D is meant to protect against.

For bone health, vitamin D and calcium go hand in hand, because the vitamin must be present for calcium to be absorbed from the digestive tract. But who, if anyone, needs supplements — and how much? Can you get enough from foods naturally rich in these nutrients or fortified with them? Read the full story here.

As a survivor, I take the standard 2,000 iud of Vitamin D a day, plus a Calcium/Vitamin D supplement (around 600 iud).

Beyond Facebook: The Benefits of Deeper Friendships (WSJ)

Loved this piece in today’s Wall Street Journal. The health benefits of meaningful friendships…

Constantly connected via Facebook and Twitter, you may feel like you have a lot of friends. But will they be your go-to friends in a crisis?

Friendships improve physical and psychological health, and much is lost by letting them wither, research shows. Yet many people are too busy to make time for their friends. We ask women in New York how they do it.

Overwhelmed by home, family and work obligations, many people find it difficult to make and maintain deep friendships. Yet these connections are the kind that best support health and happiness.

Crafting A Communications Plan After a Cancer Diagnosis

The great folks at Cancer and Careers have posted the last in my series of recent posts for their blog, today’s focuses on creating a communications plan following a cancer diagnosis for the self-employed.

You can read it here:

Happy Anniversary

This week marked a milestone—one year since my breast cancer diagnosis. October 26 to be exact. I mused with my brother—who spent New Year’s weekend with me last year following my first chemo treatment—that it really does seem like ages ago. Just like the 2008 election seems like eons ago. Then again, I bet lots of Democrats feel that way :-)

I remember meeting two girlfriends at their house that first night and, over pizza and cupcakes, convincing myself that there was NO WAY I would ever need chemo. My friend was also the first to bring up the idea of moving home for treatment. Which no one thought would be necessary. And we talked a lot about reconstruction. My car battery died earlier that night and AAA was late getting to me. And I remember thinking I had this “big secret” from the AAA guy. How could he be late getting to my car? Didn’t he know I had CANCER!

images1 Happy Anniversary

I received a calendar with my remaining appointments and treatments for 2010 from my doctors earlier this month and couldn’t believe it. I’m almost done. I’ve graduated, in a sense. I’ve transitioned from seeing the oncologist every three weeks if not more, to going months without a visit. What a change from last year, when I couldn’t believe I was expected to see the doctor every three weeks. That first week after diagnosis was a haze of doctor visits, phone calls and appointments—surgeons, oncologist, blood test, MRI. It was a new world for me and a new language. And the constant phone at my ear—calls to and from family, friends, friends of friends, people wanting to help by connecting me with survivors. The American Cancer Society, NIH’s cancer line, research, patient navigators. Trying to quickly get the lay of the land. To find “the name”, THE DOCTOR. And still working which was a godsend, a link to my old reality. A comfort.

So, how to mark the occasion on the blog? I know some people who go out to dinner, throw a big party for themselves. I went for a manicure with my sister and niece over the weekend but really I wanted it to be like any other day–especially since I’ve been busy with “what’s next” for me with work, planning reconstruction and firming up my resume. I think that celebrations could sort of roll out on the blog over time.

I thought I would start by jotting down rather extemporaneously some memories or phrases that stand out to me as I look back. So much of it is a blur.

I’ve also started to wonder what it means to a be survivor. To be exact, when are you allowed to CALL yourself a survivor? Is there some protocol to follow–like the five-year threshold when you are considered “cured?” I was told that some people call themselves a survivor on the day of their diagnosis. Other people wait until their treatments have ended. That’s good enough for me, though I’m starting to warm to the “thriver” label that I’ve heard others use. So here it is, random thoughts about the last year in no particular order.

Gratitude. For old friends, for nurses and doctors and caretakers and family

Relief

What it means to feel well

Limits

The new people who have come into my life, like my cancer mentors and chemo buddies

Opportunities to talk to people or do things I may not have done otherwise—yoga I’m talking about you

Some things never change

Rekindling old relationships

People can still surprise me and that’s a good thing

Realizing—good or bad–that I still like what I’ve always liked politics, news, pop culture, clothes.

Going to “chemo class” and being asked if I was there to take notes for a parent

The nurse at chemo class who guffawed when I told her my plans to continue working full time through treatment

The nurse who told me shortly after my diagnosis while I was squirming before a needle prick, that “You’re a cancer patient now, get used to it.”

Getting to know my body, its rhythms and responses

That you can’t plan for everything and though it might sound cliché, there are times to let go

While it seemed a HUGE deal at first, losing my hair wasn’t the worst thing ever (in fact, given the summer we had it wasn’t bad at all)

Visits to the doctor. For someone who only went about once a year before getting used to visits every three weeks seemed crazy

Happy Breast Cancer Awareness Month-NOT!!

I’ve been awashed with pink ribbons for Breast Cancer Awareness Month. Between being asked to model in a survivor’s fashion show, to the numerous walks, runs and galas, it’s hard not to know that this is a special month. Until The Atlantic pointed out this Los Angeles Times article today by Dr. H. Gilbert Welch

images Happy Breast Cancer Awareness Month NOT!!

The Atlantic’s Heather Horn quotes from Dr. Welch’s piece that too much breast cancer awareness may be unhealthy. ” In the end, he writes, it’s important to remember that health also involves thoughts and feelings. In that respect, then, “too much disease awareness may not be good for your health.” He explains:

Health means more than the absence of abnormality. Health is also about how people feel; it’s also a state of mind. And it’s hard to feel good when things are constantly being found wrong. Pursuing health, ironically, may require that we not pay too much attention to it.

With respect to screening mammograms, which are indeed important, the writer goes on to say…

More, however, have been harmed by unneeded surgery, radiation and chemotherapy for small “cancers” that would not have been found without the mammogram and would never have caused problems. Many more have been caught in cycles of testing, abnormal results, biopsies and worry.

When is too much awareness enough? Dr. Welch argues that the statistics of breast cancer deaths don’t warrant all the attention. Do you agree?

Tips for the Self Employed (part 3)

In this (never ending?) series of posts at Cancer and Careers, here are some of my additional tips for being self-employed and dealing with cancer.

News You Can Use on Self Breast Exams, Mammos, Amgen Drug

Here’s some important news on a number of fronts–self breast exams, mammograms and the new Amgen drug for osteoporosis.

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The inimitable Maggie Fox of Reuters covers a new Swedish study of women aged 40-49 who received screening mammograms and as a result, were 29 percent less likely to die from the disease. The results come on the heels of last year’s controversial report from a U.S. task force that said mammos can be alternated every other year in women with low risk factors for the disease. And other reports that show early detection may not necessarily extend life. The implications are critical for U.S. insurance companies as well. As an aside, at the YWBCP event I attended last weekend, a 40-year old woman who was 3 -years out from treatment said her annual mammogram was recently rejected by her insurance company.

Scientists also said in a new study published in NATURE that Amgen’s osteoporosis drug, denosumab, shows promising results in treating hormone-induced breast cancer (c’est moi!). I’d be curious to know how the results may differ than the drug Zometa (which, I believe, is close to being approved for breast cancer treatment by the FDA). It’s actually a topic I plan to raise at my next doctor visit…

Latest Oprah Mag All Over BC

201010 omag omagcover201010large 144x180 News You Can Use on Self Breast Exams, Mammos, Amgen Drug

I finally cracked open the latest OPRAH magazine. I’m a little late to the party, but there’s a whole spread of informative articles and yes, the gift guide, in honor of Breast Cancer Awareness Month in October. The work of Dr. Susan Love’s Army of Women (AOW) is mentioned–an answer to a trivia night question from last weekend.

There’s also a story near to my heart, the importance of self breast exams. The same U.S. task force last year that discouraged regular mammograms also discouraged women performing self breast exams (SBE’s). The writer asks, “Are they worthless or do we need to get better at doing them?” FYI: My doctor found my lump during my annual exam. Read all about it here.