A Day at the Oncologists

By DebiLyn Smith www.debilynsmith.com Author of Running From Cancer: a tilted memoir. A breast cancer "treatment survivor" since May 2011, DebiLyn strives to reduce the 50% of life-style induced cancer patients. "You can run, but you can't hide," she says.

Not An Easy Job

"Oncologists & technicians see a steady stream of people battling cancer. It's not an easy job for any of us", says the writer.

It's almost like a work schedule. I have a little blue card with my name and number on it. Inside the card are written the dates and times I am to arrive for my next radiation treatment. They range from 8:48 am to 4:26 pm on Monday to Friday and some days there are two times as I have to see the Oncologist as well.

We have purchased a parking pass for the month for under $4. It seems like such a small lot for all of the people coming and going but everyone only stays for thirty minutes at a time so there always seems to be a spot to stuff the suburban. I have been given my own hospital gown and housecoat to take with me every day that I come. It’s up to me to wash and take care of it. I was wondering if they would mind me attaching some lace and rhinestones to it. It's dowdy enough to plummet even the cheeriest.

Once inside the cancer clinic, I head down radiation alley, passing stations named The Cabin, The Lake, The Park, arriving at The Hills with mere minutes to spare. I am to place my little blue card in a slot marked "drop off" on a desk that no-one is seated at. Someone will eventually notice that I have arrived by the card being in this slot. I get changed in the room across from my station, taking all my clothes with me into the waiting area. There's a jig saw puzzle on the table for anyone to work on, stacks of magazines, a water fountain and a heated blanket machine for you to help yourself to. Maybe I could crawl inside- it's -12C again today.

I'm cranky and not in the mood for the cold fingers of the radiation technicians as they pull my torso this way and push my butt that way to line up their co-ordinates. They mark on my skin with a felt pen each time I come. There is a green lighted line I can see mirrored in the head of the radiation machine that runs from beneath my armpit down along my body. Today there is a young man joining the usual two young women working on me. I make a face at having to bare myself yet again to another trainee and wonder at my childishness. It's just another old lady boob to him.

My arm is stretched over my head and now they all leave the room. The machine whirrs and beeps, then after a few minutes it moves to the other side of my body where it repeats the process of noises. In ten minutes the techs return and I am already out of position, redraping myself, and trying to get off the steel slat I've been lying on.

"See you tomorrow," I call out, like it’s a job. In many ways it feels like one, a very depressing job. Back in the change room I pull the recommended skin cream from my bag and slather the coolness across my warm breast. I know it will get warmer as the day goes on, so I want to be right on top of keeping everything chilled. I get dressed and walk to The Hills reception cubicle where my little blue card is now in the "pickup" slot.

And I'm done for the day. But the technicians have only started. I stop to wonder how they feel about all this? Having to see this never-ending stream of people battling cancer. Old ones, young ones. Ones that arrive in wheelchairs or jog in like I did yesterday.

I come to the conclusion it's not an easy job for any of us.

Breast MRI and Radiation Explained

By DebiLyn Smith www.debilynsmith.com Author of Running From Cancer: a tilted memoir. A breast cancer "treatment survivor" since May 2011, DebiLyn strives to reduce the 50% of life-style induced cancer patients. "You can run, but you can't hide," she says.

How the Magnetic Resonance Imaging Machine Feels to Us

"That MRI may very well have saved my life", says writer Debi-Lyn Smith

Many cancer patients have asked me to explain more about the breast MRI and the radiation treatment that I have been through. After numerous mammograms and follow-up ultra sounds on my very dense breasts, my doctor decided the next course of action would be a breast MRI. Once in the hospital, I was put into a hospital gown and housecoat and lead to a room where the Magnetic Resonance Imaging machine awaited.

I have had a brain MRI before and knew that I would be put on a steel table and slid into a long cylindrical "cigar tube" where the tests would begin with a series of long beep and boop sounds. The difference this time was that I was put face down on my chest with my breasts placed inside squares that had been cut out of the table. The problem with this is you are lying right on your diaphragm making it difficult to draw a full breath. Especially when you're not totally comfortable being in tight spaces to begin with.

A ball is placed in your right fist that you may squeeze if you need to come out, but they stress not to squeeze that ball unless it is absolutely necessary, otherwise they have to start all over again and no-one wants that. I recall lying in there reminding myself I had travelled a long way to have this done and as uncomfortable as it was, I made myself lie still until I didn't think I could do it anymore. You are given headphones that they play music and talk to you through. Some sessions seem very long, others quick, but the entire process still took forty minutes. Long enough for them to test both sides. Long enough for them to surprise us all with a detection of a suspicious miniature mass in the right breast that turned out to be cancerous.

That MRI may very well have saved my life. It took two weeks to hear back and after that I saw a surgeon who sent me to Terrace for a biopsy. Four samples were taken, three of which did not hurt. I don't know what was different about the fourth except that it made my toes curl and the breath escape me. Owwwwww. What a wimp I was back then.

As for the radiation machine, same cold steel slab that you lay on, this time face up. You have been warned not to wear any deodorant or perfumed lotion on your skin, no necklaces or jewellery around your neck. Your arm on the affected side is raised up behind you, resting on a cushioned holder. The techs introduce themselves and start moving your torso this way and that. They draw little lines on your skin with a marker that later rubs off. You have two to four new pin-point blue tattooes on your flesh that will stay with you forever as a reminder not to ever radiate this same spot ever again. The techs then flick a switch operating two oblong  over-head light-covers that now illuminate a beautiful forest scene with a babbling brook running through it. This is what you look at as the gigantic head of the machine radiates you on one side of your body with steady humming noises before rotating up and over your chest to your other side. The techs leave the room. There are sliding and clicking noises as different parts of the head open and close, depending on what strength of radiation you are getting (or so I imagine?). The techs re-appear and lower your table to the floor. You hop off and wish them a nice day before heading off to change. You now have the rest of your day to yourself.

Radiation was definitely the easiest part of the cancer experience, physically. Emotionally it is one of the hardest as you start to relax and remember all the things that you have been through the past seven months. You weep both from joy and terror that the treatments are almost over. Your life is about to be back in your own hands and now is when you really face the fact that you just had a big bad brush with that scary "C" word. All you can do is keep on breathing and enjoy the rest of the time you have left as best you can.

I tell you, after all this, going to see the dentist is going to be a breeze!

When Do I Become a Cancer Survivor?

By DebiLyn Smith www.debilynsmith.com Author of Running From Cancer: a tilted memoir. A breast cancer "treatment survivor" since May 2011, DebiLyn strives to reduce the 50% of life-style induced cancer patients. "You can run, but you can't hide," she says.

What Happens After Cancer Treatment?

When does one begin to say they are a breast cancer survivor? I have finished the treatments. The medical profession has cut, poisoned and nuked the part of me that contained the psychotically rapid dividing cells known as cancer. I did survive that, with some scary moments of wondering involved. Or do I have to wait until the recommended five years of drug therapy is finished to declare "I made it!" If, that is, I do make it?

I don't want to be ridiculed at a cancer march or a run for the cure as they applaud the champions who beat this disease when I have yet to find out if indeed we did "get it all" or if there is some little piece that survived, starting to multiply someplace else as we speak. It's a very real concern. Worse than the nightmare about going to Sunday school without my underwear on.  I don't know what to trust anymore. My body let me down once. Will it do it again?

They say that one third of women with hormone dependent tumors (like mine) will have a recurrence. Better than half of those five years or more after surgery. Because I opted for the adjunct therapy (the chemo and radiation) combined with surgery my chance of the cancer coming back goes down. I think I'm at a 3-5% chance. It's still enough to make you worry. I've beaten lower odds before in the luck-less life lottery.

Beginning Life-Long Learning to Stay Healthy

Saying you're a survivor implies the war is over but for me, the battle has just begun. This is going to be a life-long assault of learning and doing what I can to survive not just now, but for as many years as I can squeak out of this body.

So despite everything that's been done, I'm determined to keep the numbers on my side. It's a betting game with no guarantees and you must do what you can to help. Swallow large fish oil and Green Tea capsules (anti-oxidants), stuff in the blueberries by the handful, drink the green spirulina/algae with your pinched, drag your butt to the swimming pool, fill those lungs with good clean fresh air, drink water not wine and whatever you do... don't sweat the small stuff.

Possibly when I'm on my  last breath, when I have lived a much longer life, I will finally declare myself a breast cancer survivor. Until then... Game On!

To find a Cancer Rehab Canada near you, visit the list of British Columbia, Saskatchewan, Ontario, or Nova Scotia locations.

The Best Treatment for Cancer Related Fatigue

Studies indicate that 80% of people who received chemotherapy or radiotherapy will have some degree of fatigue

Cancer Related Fatigue Remains Number One Problem

The most prevalent side effect of cancer treatment is fatigue. Studies suggest that eighty per cent of individuals who have received chemotherapy or radiotherapy will experience some degree of persistent fatigue. In Dead Tired, Dr. Jane Poulson describes her experience of cancer fatigue as "unlike any fatigue I have ever known, not only in severity and longevity but in its effect on my mood and spirits".

 Exercise Lowers Reported Fatigue Levels by 40 - 50%

Physical exercise has been suggested as helpful in reducing fatigue

Although it seems counter-intuitive to most people, the best cure for fatigue is exercise. The scientific evidence supporting exercise as the best intervention for fatigue is very strong. However it is often difficult for those overwhelmed by fatigue to know how to get themselves going again. They need guidance to start slowly and gradually increase their exercise over weeks and months. Every individual is different and some people have medical precautions which make finding their safe level of exercise more challenging. Appropriate screening and modifications of prescribed exercise is extremely important.

Cancer Exercise in the Community

At Cancer Rehab Canada we encourage you to get out there and get active. We want you to find a safe and engaging way to exercise. For some people this may be doing Yoga or Pilates at a local gym, and for others it might mean walking the dog. Exercising with others in a group setting is often an excellent way to take your mind off your fatigue and motivate you to get going, but you need to be mindful that you are an individual and everyone is unique.

If you have any doubt about your abilities to do certain exercises, please consult with a rehab professional at Cancer Rehab Canada. Starting an exercise program after an illness isn't easy, and often a few simple strategies can get you safely on your way to a full recovery. Before you know it you will be able to enjoy increased energy and much less fatigue.

To find a Cancer Rehab Canada near you, visit the list of British Columbia, Saskatchewan, Ontario, or Nova Scotia locations.

Calgary Volunteers Raise Awareness for Cancer at Run for the Cure

by Barb Morrison, Clinical Director, Max Bell Physiotherapy

Run for the Cure Shows Spirit of the Calgary Community

This year, Calgary's Mayor Naheed Nenshi sent out a message to Calgarians about volunteerism. Whether it is bringing this city back to life after the floods or supporting events such as the Run for the Cure, volunteers make it happen. "This is Calgary, folks," he said. "This is the spirit of the Calgary community."

Centric Health's Calgary Region Provide CIBC Run for the Cure Team and Massages to Participants

On October 6, 2013, Centric Health's Calgary Region once again gave back to the community by providing a CIBC Run for the Cure team. For the eighth year in a row, employees provided massages to the participants as well as entered a team that walked or jogged the five kilometre route.

Clinical Director Barb Morrison gets a 'selfie' with Calgary Mayor Nenshi

As Physiotherapists, Chiropractors, Kinesiologists and Massage Therapists, we are fortunate to have a skill set that allows us to provide this service to our community. More than 7,780 registered runners and about 1,000 volunteers took part in this year's CIBC Run for the Cure, which raised more than $1.3 million in Calgary alone. At the start of the race, I took a moment to get a 'selfie' with Mayor Nenshi.

We all have very busy lives and we may question whether we have the time to volunteer, but having the opportunity to participate in events such as Run for the Cure is very rewarding. At the end of the event, a woman in a pink 'Survivor' shirt came over and gave me a hug. She said "Thank you for what you... I am still here because of people like you who volunteer to raise awareness about the impact of cancer."

A huge thank you goes out to all of the Centric Health employees and family members who participated. Every year Centric Health has a strong presence at this event and we are recognized as a key player in the Calgary Run for the Cure.

See you next year!

Barb Morrison
Clinical Director, Max Bell Physiotherapy

November is Lung Cancer Awareness Month

Public opinion is turning a blind eye to lung cancer patients' need for support

Lung Cancer Awareness Month Signals the Need for Greater Public Awareness

In a first-ever public opinion poll on Canadians' understanding of lung cancer, Lung Cancer Canada found that while over half of respondents knew of someone with the devastating disease, very few knew that more women die of lung cancer than breast cancer in Canada every year - and the five-year survival rate for lung cancer patients has remained only 15% for years. As reported in Lung Cancer Canada's Spring 2013 newsletter, "The fact that most Canadians are unconcerned about a disease that accounts for over a quarter of all cancer deaths in this country only reinforces how much work we have to do," said Dr. Natasha Leighl, President of Lung Cancer Canada and a medical oncologist at Princess Margaret Hospital in Toronto. "Ignoring this dreadful disease won't make it go away."

Public Opinion Turning a Blind Eye to Lung Cancer Patients' Need for Support

Fundraising for lung cancer research and assistance for lung cancer patients have both been compromised by the public's association of lung cancer with smoking. This has caused public opinion to turn a blind eye to patients' need for support. Additional support for lung cancer patients could include greater public understanding of the disease, more dollars raised to help fight it, and increased awareness of the benefits of cancer rehabilitation to help patients recover from the side effects of cancer treatment.

Cancer Rehabilitation Can Help Manage Treatment Side Effects for Lung Cancer Patients

Greater public awareness of lung cancer can also encourage lung cancer patients to seek cancer rehabilitation, which may help reduce anxiety and overcome feelings of shortness of breath, whether they have survived the disease or are in palliative care. Some other concerns experienced by lung cancer patients are difficulty breathing, pain, fatigue, and post-surgical mobility restrictions. Many of these conditions can be improved with interventions from a rehabilitation professional with specialized training, such as a physiotherapist, occupational therapist or massage therapist. People who have had cancer treatments are often not receiving cancer therapy or rehabilitation service despite the growing scientific evidence that it is very beneficial in obtaining optimal recovery.

To find out more about lung cancer, visit Lung Cancer Canada.

To find a Cancer Rehab Canada near you, visit the list of British Columbia, Saskatchewan, Ontario, or Nova Scotia locations.

Cancer Patients Need a Plan to Help Them Get Back to Work

Cancer patients need a plan to help them get back to work

If you have completed cancer treatment and want to improve your abilities so you can return to work and leisure activities, you are a candidate for the Cancer Rehab Canada program. Here are a few things that you can expect on your first visit:

An Assessment Allows Your Rehab Team to Make a Treatment Plan

You will be assessed by a physiotherapist and/or occupational therapist on your first visit. Your functional status may also be assessed by a kinesiologist, testing for your ability to do things such as lifting, walking, squatting etc. From this information, together with your input, the rehab team will make recommendations and prepare an individualized treatment plan based on your needs.

What a Typical Treatment Program Can Involve

Your treatment sessions will likely vary in length, and your therapist will advise you of this after the first visit. Often sessions become longer as you are able to tolerate more exercise/work conditioning. Although treatment varies for each individual based on their goals, some of the more common type of treatment for cancer rehab may include:

• Exercise
• Work Conditioning
• Manual Therapy
• Cognitive Behavioural Therapy
• Lymphedema Management
• Acupuncture
• Education & Coping Strategies
• Techniques to Reduce Dizziness or Vertigo
• Pelvic Floor Treatment

What You Should Bring to Your First Appointment

We recommend that you dress in comfortable clothing that you can easily move around in, and bring running shoes and a water bottle if possible. Since some clients feel more comfortable using their own mats, so you can also bring your own “yoga” mat if desired.

Principles of the Cancer Rehabilitation Program

Client-centered, active rehabilitation and empowerment are the guiding principles of the program that is now offered at 24 LifeMark/Centric Health clinics.

Client Centered – individualized, evidence based care provided in your community

Active – increasing your physical activity will have the biggest impact on your recovery

Rehabilitation – includes a multi-disciplinary team of rehab professionals

Empowerment – providing you with the tools you need to regain control of your life

Contact us for more information at judy.boivin@lifemark.cajudy.boivin@lifemark.ca.

Cancer Rehabilitation Improves Cancer Survivors' Quality of Life

Cancer Rehabilitation Benefits Optimal Recovery

Why aren't cancer patients routinely offered cancer rehabilitation services to help them return to normal life? These services are regularly provided for recovering cardiac patients and patients who had joint replacement surgery. Yet those people who have had cancer treatments such as chemotherapy, radiation or surgeries such as masectomy, are often not receiving cancer therapy or rehabilitation service despite the growing scientific evidence that it is very beneficial in obtaining optimal recovery.

Cancer Survivors Often Suffer From Disabilities Associated With Cancer Treatments

Cancer survivors benefit from client centered, active rehabilitation & empowerment

Cancer survivors often suffer from the side effects of their diagnosis and related treatment. Their functional impairments may include persistent fatigue, radiation fibrosis, chemotherapy fog, lymphedema, frozen shoulder and pain. Many of these conditions can be improved with interventions from a rehabilitation professional with specialized training, such as a physiotherapist, occupational therapist or massage therapist.

According to the Canadian Partners Against Cancer, there is estimated to be 1 million cancer survivors in Canada today, with that number expected to increase to over 2 million by 2020. Physical disability is a leading cause of distress in this population. It is critical that this population be appropriately screened and treated for their impairments, so that we minimize their disabilities and maximize their quality of life.

Cancer C.A.R.E. Provides Client Centered, Active Rehabilitation & Empowerment for Cancer Survivors

Judy Boivin, a registered physiotherapist and cancer survivor, will be blogging about ways that cancer survivors can feel better, stronger and happier. Judy has recently developed and implemented an evidence based cancer rehabilitation program at 24 LifeMark/Centric Health locations across Ontario. The program provides Client centered, Active, Rehabilitation and Empowerment for cancer survivors. This service is appropriate for anyone who has received a cancer diagnosis and is receiving or recovering from cancer treatment.