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A product of The Baytown Sun - Wednesday, October 17, 2018

Chambers County Weekly - Thursday, October 18, 2018

Breast Cancer Awareness Month –the real deal October is National Breast Cancer cation and treatments are in the past. breast cancer in a year. Additionally, death rates as a result Awareness Month. Today, Americans — and importantly, Simply put, 1 in 8 women will of female breast cancer declined 39 In a world where lobbyists and trade health care providers and insurers — develop a form of breast cancer in the percent between 1989 and 2015. groups use their leverage to establish encourage and support widespread United States each year. On average But even if the occurrence rates and special calendar designations, National education and frequent medical exam- this is roughly 12 percent — but this death percentages seem small, don’t Breast Cancer Awareness is the real inations. can change as the single most influ- be fooled. In America, breast cancer deal. But the truth is we have a long way ential risk factor is the aging process is the second leading cause of death in In 1985, the American Cancer to go in this battle. — for women younger than 40 the rate women — only lung cancer kills more Society and a leading pharmaceutical According to the American Cancer is below 9 percent; for those older than women in a year. The number is still manufacturer of oncology medicine Society, more than 266,000 new cases 80 it’s more than 25 percent. too high. We need more education, established the commemorative month. of invasive breast cancer will be diag- The death rate for women from breast more research and more success. The original goal was to bring the nosed in women in a year. And another cancer is 1 in 38, or about 2.6 percent. Going forward, please don’t push off topic of breast cancer out of the shad- 64,000 cases of carcinoma in situ are Here is the good news — breast the notion of National Breast Cancer ows and into the public discussion. And projected. Carcinoma in situ refers cancer rates are stabilizing, more people Month in October as being another experts agree, the effort has proven to abnormal cells that might become are discovering cancers earlier and worthy cause or commercial promotion remarkably impactful in the more than cancer and spread to nearby normal tis- the number of survivors continues to tied to the calendar. National Breast 33 years since inception. sue, according to the National Cancer increase; it’s now pegged at 3.1 million. Cancer Month is the real deal — and Today, breast cancer is widely and Institute. Self-examinations are regularly per- one that is literally about life and death. openly discussed. And fortunately, the Bottom-line projections are that formed by women and early detections To learn more, please visit www. hushed stigmas of examinations, edu- more than 40,000 women will die from and treatment are increasingly common. cancer.org.

Ladies Night Out in Baytown: Positively Pink for Breast Health

Join us for a fun evening dedicated to breast THURSDAY, OCT. ,  care — from early detection to advanced :  P.M. treatment of breast cancer — presented by Houston Methodist Baytown Hospital and Houston Methodist Baytown Hospital Houston Methodist Breast Care Center.  Garth Rd. | Conference Center Classroom | Baytown, TX  Join us for food, games and giveaways!

Free parking at rear of hospital; enter from W. Baker Road. A limited number of mammograms will be offered on-site from  P.M. Please call in advance to schedule your mammogram at 844.454.PINK (7465).

Visit houstonmethodist.org/events or call 281.428.2273 to RSVP for the event. 2B The Baytown Sun Breast Cancer Awareness Wednesday, October 17, 2018 Houston Methodist Baytown Hospital A team approach to Bec e a Lee College battling breast cancer BY ROD EVANS the Houston Method- A seemingly endless list of decisions ist Breast Care Center [C OLLEGE] confront patients and their family members hosts the annual “Ladies in the wake of a breast cancer diagnosis, Night Out: Positively with the question of where to receive treat- Pink for Breast Health” ment perhaps the most important. event on Thursday, Oct. Residents of Baytown and surround- 18 from 5:30 to 7 p.m. ing communities can turn to the Houston The evening is dedicated Methodist Cancer Center at Baytown and to breast care, from ear- the Houston Methodist Breast Care Center DUBROVSKY ly detection to advanced Part Time Schedule at Baytown for convenient access to top- treatment of breast can- ranked physicians, nurses and cancer spe- cer, and includes food, Full Time Student cialists, advanced treatments and compre- games and giveaways. Free mammograms will hensive services. Weekend College at Lee College is a program specifically In addition to medical and radiation on- be offered beginning at cologists, surgeons and nurses, the cancer 5 p.m. designed for working students. Online, hybrid, and web- center team includes cancer-specific -pa In addition to offer- enhanced classes provide a fast, simple, and direct path tient navigators and social workers, who ing advanced treatments are available to help guide patients through and services, the cancer for students to graduate with a degree or certificate in two the frequently intimidating cancer treat- DE LAS CASAS center also provides a years or less. ment landscape. wealth of breast cancer “We are fighting alongside you, and have prevention information a complete team of experts to cover every and resources for the community, including WEEKEND Programs aspect of life that can be affected by can- hosting free seminars and stressing the im- All courses are on Friday nights, Saturday mornings and Saturday afternoons cer,” said Cesar De Las Casas, MD, medi- portance of the potentially life-saving prac- cal oncologist/hematologist at the Houston tice of regular mammograms. Associate of Arts (A.A.) Methodist Cancer Center at Baytown. “Women should have yearly mammo- • Transfer in Allied Health grams beginning at age 40 and should en- The cancer center provides a wide range • General Studies: Social Science Concentration of services and procedures, including ad- courage their friends and family to have vanced treatments in immunotherapy, bone them,” said Dr. Esther Dubrovsky, breast Associate of Applied Science (A.A.S.) marrow transplantation, chemotherapy, 3D surgeon at the Houston Methodist Breast • Management Care Canter at Baytown. mammography and other state-of-the-art • Computer and Network Maintenance Technology imaging modalities, as well as the latest ra- Mammograms can detect breast cancer diation therapy techniques. The center also in its early stages; up to two years before a Certi cate of Completion provides access to programs, such as sup- lump can be felt. Patients at the breast care • Welding Technology port groups and financial assistance coun- center have access to technologically ad- seling for patients. vanced 3D mammography, or digital breast As part of its ongoing mission to pro- tomosynthesis, which improves the ability EVENING Programs vide unsurpassed cancer treatment and of breast radiologists to find early cancers. All courses are on Monday nights, Tuesday nights, and Wednesday nights. services to the community, Houston Meth- The availability of a full, multi-disci- odist Baytown Hospital earlier this year plinary team in Baytown eliminates the Associate of Science (A.S.) launched a $2 million project to renovate need for local patients and families to leave • Business (University Transfer degree) home in order to have access to complete and upgrade facilities at the cancer center Associate of Applied Science (A.A.S.) building, located at 4021 Garth Road. The cancer care. Studies show this approach project is scheduled to be completed by the allows patients to realize improved out- • Child Development end of the year and involves remodeling comes. Certi cate of Completion the interior of the building to accommodate “There are many benefits to receiving care locally, including being close to work, • Electrical Technology additional services and facilities intend- (available at Lee College Education Center, South Liberty County) ed to improve the patient experience. The home, family and friends so the interrup- project includes the addition of 12 private tion to your life is reduced. Our goal is for and semi-private infusion therapy suites, you to get back to being yourself so you updating conference/meeting facilities and can focus on your life,” De Las Casas said. patient waiting areas, and improving build- To register for the Ladies Night Out ing infrastructure and technological capa- event on Oct. 18, call 281-428-2273, or vis- bilities. it houstonmethodist.org/events. To sched- With October designated as National ule a mammogram, visit houstonmethod- Email Call Online Breast Cancer Awareness Month, Hous- ist.org/breast-care, or call 844-454-PINK [email protected] 832.556.4447 www.lee.edu/weekend ton Methodist Baytown Hospital and (7465).

FIGHT BREAST CANCER 50,000 new cancer patients every year. 2 new forever friends.

At Texas Oncology, our patients are as remarkable as our care. That’s why we treat them like friends and family. With 420+ physicians, 175+ locations statewide and thousands of clinical trials, we care for more Texans with cancer than any other provider -- including breast cancer patients like Elaine and Melissa. They were born and rasised in the same neighborhood but never met until cancer brought them together as forever friends. See their story at TexasOncology.com/BestFriends

1025 Birdsong Ste. C • Baytown, TX 77521 • 281-427-7298 Wednesday, October 17, 2018 Breast Cancer Awareness The Baytown Sun 3B Breast cancer survival Chambers Health Pink October rates increasing in U.S. October marks the month most A breast ultrasound is A breast cancer diag- popularly recognized as the month for another method of ob- nosis can be a devastat- Breast Cancer Awareness. Various taining additional views ing blow. Upon receiving medical or health related facilities of the breast. Breast such a diagnosis, people and other organizations promote early ultrasounds use sound may begin to ask questions breast cancer detection and screening. waves to make pictures about treatment and the You’ll notice various events and fund- of the tissue inside the impact cancer may have on raisers taking place this month. NELLIE breast. An ultrasound their personal lives. Many Although breast cancer is sometimes LUNSFORD can show all areas of the people who are diagnosed found after symptoms appear, there are breast including the area with cancer also begin to times when no symptoms are present closest to the chest wall, which is hard wonder about their mortal- in those who are diagnosed. This is to study with a mammogram. Breast ity. the reason that regular breast cancer ultrasounds do not use X-rays or other An estimated 266,120 screenings are highly important. Dif- types of radiation. new cases of invasive ferent tests can be used to look for and According to the American Cancer breast cancer and 63,960 diagnose breast cancer. The three most Society, there is little evidence that a new cases of non-invasive, common methods to looking for breast clinical breast exam and breast self-ex- Early detection and better treatment options are improving or in situ, breast cancer cancer include a screening mammo- am help find breast cancer early in are expected to be diag- the chances of surviving breast cancer. gram, a diagnostic mammogram, or a women who also get screening mam- nosed among women in breast ultrasound. mograms. While these findings have the United States this year, SEER Cancer Statistics A similar scenario has Review released in April unfolded in Canada. Breast A screening mammogram is an x-ray been discovered through research, according to Breastcancer. examination of the breasts and is reg- women should still be familiar with org. According to the latest 2018 indicates cancer cancer mortality rates in death rates among women Canada recently decreased ularly performed on women who have how their breasts normally look and statistics presented by the no breast symptoms or signs of breast feel, and they should report any chang- Canadian Breast Cancer decreased by 1.4 percent to 21.4 percent, down from per year between the years 21.8 percent in 2011, states cancer (such as previous abnormal es to their health care provider right foundation, 26,300 women mammograms or an abnormal clinical away. Further tips, recommendations and 230 men had been di- of 2006 and 2015. The data from the Canadian American Cancer Society Cancer Society. Currently, breast exam). The goal of screening and resources can be found at www. agnosed with breast cancer mammograms is to find breast cancer cancer.org/cancer/breast-cancer. in Canada in 2017. says that decreasing death the five-year survival rate when it’s too small to be felt by a wom- So, as you start to see a swarm of The good news is that rates among major can- for breast cancer among breast cancer incidence cer types, including pros- Canadians is 87 percent, an or her healthcare provider. Studies Pink in October, keep in mind that rates began decreasing in tate, colorectal, lung, and and the five-year net -sur have repeatedly shown that finding women around the nation are bringing 2000 after increasing for breast cancers, are driving vival in the United States breast cancers early, before they grow attention to breast cancer awareness. the previous two decades. the overall shift in surviv- is 85 percent. and spread, greatly improves a wom- It’s a time for us to remember that early In addition, death rates al. The ACS says breast Increased knowledge an’s chance for successful treatment detection is the best protection against from breast cancer have cancer death rates among about breast cancer, early and survival. cancer. If you or anyone you know been decreasingly steadily women declined by 39 per- detection through exam- On the other hand, a woman with a requires financial assistance or support, since 1989. cent from 1989 to 2015. inations and mammogra- breast problem (such as a lump, redness or if you would like to schedule your The National Cancer In- That progress is attributed phy and improved treat- or sometimes pain) or an abnormality mammogram at any of the two month- stitute says that the change to improvements in early ments are helping to drive noticed during a screening mammo- ly locations in Chambers County, feel in age-adjusted mortality detection and treatment up the survival rates of gram may be referred for a diagnostic free to contact our Outreach Depart- rates are an indicator of protocols. For anyone do- breast cancer. Although mammogram. Sometimes diagnostic ment at either clinic (Bayside Clinic the progress being made ing the math, over the last this does not make diagno- mammograms are ordered for women at 409-267-4126 or West Chambers in the fight against breast 25 years or so, 322,000 sis any less scary, it does without breast problems, particularly in Medical Center at 281-576-0670). For cancer. The most recent lives have been saved from offer hope to those recently those who may have previously been any questions relating to this program, breast cancer. diagnosed. treated for breast cancer. contact [email protected].

when compared to nondrinkers. Breast- Conducting a breast self-exam Did you know? cancer.org notes that experts estimate that a woman’s risk of developing breast A woman’s risk of developing breast Women recognize the shower. A breast exam- process on the left breast. cancer increases by 10 percent for each cancer increases with the amount of alco- importance of living a ination can take place in • Conduct a visual exam- additional drink she consumes each day. healthy lifestyle, which in- the shower while you are ination. Standing in front hol she consumes. When compared with The risk is considerable for young girls cludes conducting self-ex- washing. The shower is a of the mirror, you can look nondrinkers, women who consume one who consume alcohol as well, as teen ams to detect for breast convenient place to con- at your breasts with your alcoholic beverage per day have a slight- and tween girls between the ages of nine cancer. Breast self-exams duct an exam since you hands at your side and ly higher risk of developing breast cancer. and 15 who drink three to five drinks per are vital to discovering already have removed your over your head. Look for But the risk of developing breast cancer week have three times the risk of devel- abnormalities, including clothes. NBCF says you any differences between is roughly one and a half times greater oping benign breast lumps, which have lumps or tenderness, in the should use the pads of your breasts. Many women find for those women who consume between been linked to a higher risk of breast can- breasts. fingers and move around that their breasts are not two and five alcoholic beverages per day cer later in life. Self-examination in- your entire breast in a cir- creases the chances of ear- cular pattern, moving from exactly the same shape or ly detection of breast can- the outside to the center, size, but unusual dimpling cer. John Hopkins Medical checking the entire breast or taut or thick skin may be Center states that 40 per- and armpit area. Check indicative of a problem. cent of diagnosed breast both breasts each month Should any lumps or ab- cancers are detected by for any lumps, thickening normalities be discovered women who feel a lump. or hardened knots. If you during an examination, a Doctors urge women to find a lump, visit your phy- woman should not panic conduct monthly self-ex- sician for an evaluation. but schedule an appoint- ams to familiarize them- • Conduct an examina- ment with her doctor for selves with the look and tion in bed. The breast a more thorough examina- feel of their breasts, which tissue will naturally dis- tion, which may include a enables them to more read- tribute over your chest mammogram or ultrasound ily recognize any abnor- wall and ribs when you to map out images of the malities that may indicate are lying down. NBCF ad- breast that may be hidden illness. There are a number vises you to place a pillow to the naked eye. of ways to conduct a breast under your right shoulder Breast self-examinations self-exam, and women are and your right arm behind urged to find the method your head. Using your left are an essential element they feel is most comfort- hand, move the pads of of a healthy lifestyle for able for them. your fingers around your women. Early detection of The National Breast right breast gently in small breast cancer vastly im- Cancer Foundation, Inc., circular motions covering proves survival rates, and offers these tips for con- the entire breast area and self-examination is often We have 25 years ducting a breast examina- armpit. Squeeze the nipple the most effective way to tion at home. and check for discharge detect breast cancer early • Examine breasts in the or lumps. Then repeat the on. experience providing The story behind the ‘Pink Ribbon’ Hospice Care to our community. The pink ribbon has been synonymous ribbons stating, “The National Cancer In- with breast cancer for years. Nowadays, stitute annual budget is $1.8 billion, only people rarely think twice when they see 5 percent goes for cancer prevention. Help pink ribbons, having grown accustomed us wake up our legislators and America by to the pink ribbon and what it symbolizes. wearing this ribbon.” Breast Cancer Awareness Month has The same year Evelyn Lauder, senior been celebrated each year since 1985, and corporate vice president for the Estee many other breast cancer awareness ini- Lauder company, and Self magazine ed- tiatives have been devised since then. itor Alexandra Penney teamed up to pro- While the pink ribbon may seem like it’s duce a pink ribbon. It was distributed at been in use for just as long, it was actually makeup counters all across the coun- established only about 20 years ago. try. The company collected more than Ribbons have long symbolized some- 200,000 pink ribbon petitions asking the thing important. For decades, yellow U.S. government for increased funding ribbons have been used to alert others to for breast cancer research. soldiers at war or hostages that hadn’t yet Although Lauder and Haley reached come home. People often tie yellow rib- people on different levels, their goals bons around trees at home until their ser- were the same: To educate the public on vice men and women came home safely. the lack of funds allotted to breast cancer During the height of HIV/AIDS activism research. and awareness, red ribbons were worn to Pink ribbons are now seen all over and symbolize support for those with the dis- have become the uniting force for millions ease. of women who are facing breast cancer or Although the pink ribbon evolved be- supporting someone with the disease. cause pink expresses femininity, calm, In 1996, Nancy Nick created a blue- health, and youth, the first breast -can and-pink ribbon to symbolize male breast cer ribbon was actually peach. Charlotte cancer ribbons in honor of her late father. Haley is credited with devising the first The ribbons remind others that breast can- breast cancer ribbon in 1992. cer can affect men as well as women. She was a breast cancer survivor and Although you can see waves of pink ev- came from a family of women who also ery October for Breast Cancer Awareness fought the disease. She created peach-col- Month, many people don their ribbons ored loops at home and then distributed year-round. the ribbons at her local grocery stores. Great strides have been made with re- Haley encouraged people to wear the spect to breast cancer, but with about ribbons and contact legislators to demand 225,000 new cases popping up each year more funding for breast cancer research. in the United States alone, there is still An attached note was distributed with the work to be done. 4B The Baytown Sun Breast Cancer Awareness Wednesday, October 17, 2018

There’s a risk...

Annual check ups are the most effective means of detecting breast cancer.

Schedule a mammogram today. The risk isn’t worth it!

-Your friends at Patients ER

10133 Interstate 10 East (281) 576-0555 | www.PatientsER.com Wednesday, October 17, 2018 Breast Cancer Awareness The Baytown Sun 5B

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 XXXMFFFEVSNJ  6B The Baytown Sun Breast Cancer Awareness Wednesday, October 17, 2018

Breast cancer is more survivable than ever. Strength training is a key to helping women survive well. Breast cancer survivors who lose muscle mass can benefit from strength training, studies suggest BY LYNN PANTON In studies with healthy pre- compared to exercising alone. FLORIDA STATE UNIVERSITY menopausal women, women have We compared this function- Breast cancer research has re- been able to achieve an increase al impact training program to a sulted in treatment that has great- in bone mineral density with re- program of yin yoga, or a slow- ly improved survival rates. As a sistance training. The benefits are er-paced yoga in which postures result, there are 3.1 million breast best when resistance training is are held for longer periods, that cancer survivors alive in the Unit- combined with high-impact ac- consisted of non-weight-bearing ed States today. The five-year tivities, such as jumping, hopping stretching and relaxation pos- survival rate is about 90 percent. and plyometrics. Plyometrics are tures. We again evaluated the ef- This is great news. exercises that require one to jump fects on body composition, bone But, survivors are still left to down and jump up in one contin- mineral density, strength, phys- struggle with many adverse side uous movement. It involves re- ical function and quality of life effects from the disease and can- peated rapid stretching and con- over the six-month period. cer treatments, which include tracting of the muscles. We are currently analyzing the surgery, radiation, chemotherapy In postmenopausal women and data for this project, but so far, and hormonal suppression drugs in some breast cancer survivors, the results look promising. Both that are used to suppress hor- most increases in bone mineral the functional impact training and mones that may have fueled the density are seen when resistance the yin yoga were effective in breast cancer. A woman works with one of the researchers to increase strength. training is combined with medi- improving lower-body strength, Particularly worrisome side Such exercises have been shown to help women who have lost cations that help to build bone. physical function and quality effects are accelerated losses in muscle mass and strength due to breast cancer treatment. More benefits on horizon of life. The functional impact bone mineral density and mus- with greater choices of exercise training had the added benefit of cle mass – with gains in fat mass. increase upper-body strength af- press down, overhead press, seat- In our third intervention study, improving upper-body strength, These changes can lead to osteo- ter the surgery site or sites had ed row, leg press, leg extension, we incorporated high-impact ex- which is very important in the porosis and fractures, as well as healed. leg curls, abdominal crunches ercises that provided a variety of breast cancer population. Unfor- lower strength, decreases in phys- In our three-month and six- and lower back hyperextensions. different loading patterns, since tunately, the functional impact ical function, and becoming over- month intervention studies us- The amount of weight was in- unusual loading patterns have training program was not effec- weight and obese, which can lead ing resistance machines for both creased as the women were able been found to be more beneficial tive in improving body composi- to poorer survival rates. the upper body and lower body, to achieve 10 to 12 repetitions on for improving bone mineral den- tion or bone mineral density. sity than exercises that provide These findings along with pre- These side effects can ultimate- we found about a 25 percent all sets. consistent strain, like that of re- vious research highlight how ly reduce overall quality of life improvement in both upper and Although we did not find -in sistance training. important it is for health care and increase the risk for chronic lower body strength. Physical creases in bone mineral density in disease and disability in breast This study incorporated a six- providers to make sure that their function and quality of life also our six-month training study, the month circuit of functional re- patients get involved with some cancer survivors. improved, with no adverse ef- women did not experience any Over the last 10 years, our lab- sistance training exercises that type of exercise that can improve fects on lymphedema, or swell- decreases in these measures over combined different high-impact body composition, strength, oratory has been evaluating the ing that can occur from damage the training period. Bone miner- effects of exercise interventions, exercises to provide women with physical function and ultimately to the lymph nodes, with either al density has been shown to de- specifically resistance-type - ex unusual loading patterns. Exer- quality of life. There are a num- the low- or high-intensity resis- crease by 1 to 2 percent each year ercise on muscle mass, fat mass, cises included lunges, squats, ber of exercises and programs bone mineral density, strength, tance training. Even the women after menopause, and the losses jumping jacks, burpees, push- available for women to choose physical function and quality of who participated in high-intensi- may be higher in the first few ups, dumbell rows, mountain from. For women who may want life in breast cancer survivors. ty resistance training tolerated it years of menopause in healthy climbers, step-ups, biceps curls, to start off with yoga and then Survivors, already tough, well and experienced the added women. Therefore, being able to triceps extensions, running in progress to more moderate to vig- get tougher and stronger benefit of increasing muscle mass maintain bone mineral density in place, high knee lifts and planks. orous activity as they feel better, One of our first studies found in both the upper and lower body breast cancer survivors is a pos- The women progressed to more our studies provide evidence that that breast cancer survivors had after the three months of training. itive outcome, especially in the high-impact versions of these ex- benefits can be obtained safely lower strength, upper-body bone In these two studies, women upper body, which is more sus- ercises through the six months. from yin yoga and low intensity mineral density and physical performed three or six months ceptible to losses due to cancer The exercise sessions lasted 45 resistance training. function compared to women of resistance training on two treatment and disuse. minutes and were completed The studies also suggest that matched for age and weight who nonconsecutive days each week. There are a limited number of twice a week. women can achieve greater ben- had not had cancer. Many of the In the studies, the participants studies that have evaluated re- In this intervention, we used a efits with higher-intensity resis- breast cancer survivors had lim- performed two or three sets of sistance training on bone miner- group exercise format, as many tance training and high-intensity ited their activity after breast eight to 12 repetitions of each al density in survivors. Of those breast cancer survivors report that functional training that incorpo- surgery, especially in the upper exercise. The exercises included studies, only maintenance in bone they prefer to exercise with one rates intervals of strength and aer- body, and were never advised to chest press, biceps curl, triceps mineral density has been found. other person or in a group setting obic exercises. Knowing & recognizing the signs of breast cancer may save your life As with many types of cancer, inspire women and even men to like an orange peel. Swelling or † Clear or bloody discharge breast cancer warrants an im- breast cancer is most success- visit their physicians for thor- shrinking of the breast, especial- from the nipple: Women who mediate discussion with a phy- fully treated when it is detected ough examinations and screen- ly when such symptoms appear are breastfeeding often notice a sician. early. Over the previous quarter ings. on just one breast, may also in- milky discharge from their nip- century, death rates for breast † Changes in the feeling of dicate breast cancer. In addition, ple after breastfeeding. Such Even women who are a picture of cancer have been on the decline, the breast or nipple: A change some women with breast cancer discharges are normal. Howev- health can develop breast cancer, high- a positive development that in how the breast or nipple feels notice a sudden asymmetry with er, when a woman who is not lighting the importance women must Breastcancer.org, a nonprofit or- could be indicative of a larger their breasts despite their breasts breastfeeding notices the pres- place on recognizing ganization dedicated to provid- problem. If the nipple is espe- previously being symmetrical, ence of a clear or bloody dis- and detecting the ing reliable, complete and up- cially tender and this persists and such a development should charge from her nipple, such a symptoms of this to-date information about breast for an extended period of time, immediately be brought to the development should be brought often curable cancer, suggests is a byproduct exercise caution and discuss attention of a physician. to the attention of a physician. disease. of the heightened awareness of this change with your physician. † Changes in the appearance Any of the aforementioned breast cancer over the last 25 Similarly, if a lump or thick- of the nipple: A nipple that ap- signs and symptoms may be a years and the increasing em- ening develops on or near the pears different also may be a sign of infection or the presence phasis placed on breast cancer breast or underarms, speak with sign of breast cancer. Some of a cyst, both of screening. your physician. women with breast cancer have which are less Understanding the symp- † Changes in appearance of noticed a nipple turned slightly severe than the toms of breast cancer also can the breast: A lump or thickening inward or inverted prior to their presence of help women battle and defeat in the breast may affect the ap- breast cancer diagnosis. Skin of breast cancer. this potentially deadly disease. pearance of the breast. Another the nipple, as well as that of the But the success While the presence of any of the visible symptom of breast can- breast and areola, which is the rates of treating can- following symptoms does not cer is a change in the skin texture dark circle of skin around the cers that are detect- necessarily mean breast cancer or an enlargement of pores in the nipple, may also become red, ed early is such that is present, the appearance of the skin of the breast, which may ap- scaly or swollen when breast any potential symptom of following should be enough to pear similar to dimpling, not un- cancer is present. Wednesday, October 17, 2018 The Baytown Sun 7B WONDERWORD PHOEBEAND HER UNICORN ® by Dana Simpson

BREAKING NEWS CAT® by Georgia Dunn

WALLACE THE BRAVE ® by Will Henry

RIPHAYWIRE ® by Dan Thompson Last puzzle’s answer:

ASTROGRAPH HERMAN® by Hermann Huppen BY BERNICE BEDE OSOL LIBRA (Sept. 23-Oct. 23) -- Anger will not alleviate discontent. You need to follow your heart and do your own thing. Refuse to let anyone put demands on you or challenge MONTY ® by Jim Meddick you mentally or physically. SCORPIO (Oct. 24-Nov. 22) -- Work around any last- minute changes that come into play. Getting upset will not help matters move forward faster. Your patience and innovation will help you find a good alternative. SAGITTARIUS (Nov. 23- Dec. 21) -- Take your chores and responsibilities seriously. Don’t leave anything to chance. ® Putting your energy where it HEARTOF THE CITY by Mark Tatulli counts will bring you the most in return. Making a fuss will only hinder you. CAPRICORN (Dec. 22- Jan. 19) -- Make last-minute alterations to ensure that what you want to happen will unfold flawlessly. Your input, insight and dedication will pay off. MODERATELY CONFUSED ® by Jeff Stahler Share your feelings. AQUARIUS (Jan. 20-Feb. 19) -- Move forward with trepidation. Don’t trust someone THEGRIZZWELLS ® by Bill Schorr else to pull his or her weight or follow along. Walk away from peer pressure or behavior that you don’t condone. PISCES (Feb. 20-March 20) -- Seeing is believing. Ask questions and get your facts straight before moving forward. A chance to get ahead is present if you negotiate on your own behalf. ARIES (March 21-April 19) -- What you willingly do ® for others today will make BIG NATE by Lincoln Pierce` you feel good, and the favors will eventually be returned. A change of attitude regarding a partnership will bring about transformation. TAURUS (April 20-May 20) -- If you watch how others react and respond, you will know exactly how to counter any changes that don’t sit right with you. Share your concerns as well as possible solutions. REALITY CHECK ® by Dave Whamond GEMINI (May 21-June 20) GARFIELD ® by Jim Davis -- Look for answers before you start something new or make changes. Someone will lead you astray if you are too trusting. Do the legwork and double-check your options. CANCER (June 21-July 22) -- You don’t have to spend money or get involved in someone else’s plans if they don’t suit your needs. Do your own thing and align yourself with like-minded thinkers. ALLEYOOP ® by Jack Bender Romance is highlighted. LEO (July 23-Aug. 22) -- Take a moment to go over what’s happening in your life and to figure out how to respond to someone or keep the peace. VIRGO (Aug. 23-Sept. 22) -- A business trip, conference call or family meeting will help you get positive results. Your opinion will make a difference and will bring about needed change. ARLO &JANIS ® by Jimmy Johnson FRANK & EARNEST ® by Bob Thaves

BORNLOSER ® by Art Chip THATA BABY ® by Paul Trap 8B The Baytown Sun Wednesday, October 17, 2018 DEAR ABBY Wife irked as man reconnects with old partners on facebook Dear Abby: My husband has an extensive active. Was he also able children to my mentally ill sister? “Evange- encounters with her ARE actually unplanned? sexual history. He has had sex with more than to keep his grade point line” is bipolar, has borderline personality dis- Sometimes people -- myself included -- get 80 partners. All the encounters were when he up? You say he has been order and sometimes acts out in public. They into the habit of patronizing certain restau- was in high school and in his early 20s. Most honest with you about his know how strongly I feel about this but find rants because they are nearby and serve reli- were one-night stands with female friends. sexual history. Nowhere ways to expose my children to her anyway. ably good food. It’s easy to fall into a com- When we met, he was honest, and I was un- in your letter have you My kids don’t want to be around Evangeline, fortable pattern. derstanding. He didn’t keep in touch with any indicated that there has but my parents continue to push her on them. Because you feel so strongly about these of those females (pre-Facebook). But now been any infidelity. I sus- I’ll give you an example: They’ll take the kids encounters, tell your parents you prefer they he’s friends with several of them on Face- DEAR ABBY pect that in spite of your out to dinner and “bump into her unplanned” take your children to places your sister doesn’t book, and while he doesn’t “talk” to them, denial, you may be feeling at a restaurant. I don’t know what else I can do frequent. However, if they persist in “pushing he comments and “likes” many of their posts. a bit insecure, and if your husband is telling other than tell them I don’t like it. But when her on,” as you put it, then you may have to This makes me uncomfortable because I don’t you that you’re coming across as controlling, I do, they refuse to listen and get upset when consider restricting your parents’ visits with feel that past sexual partners should be part of that is the way he perceives it. “Liking” the my kids tell me they saw her. Please advise. the grandkids to situations you can control. one’s life once someone is married. I’m not Facebook posts of someone you haven’t seen Looking out for my kids jealous or insecure, I just think it’s disrespect- in decades isn’t inviting the person to have an Dear looking: Mental illness isn’t conta- Dear Abby is written by Abigail Van Bu- ful. Am I controlling? affair. If I were you, I’d calm down. gious. As long as Evangeline is on her med- ren, also known as Jeanne Phillips, and was Anxious in Arizona Dear Abby: How do I get across to my par- ication, she poses no threat to your children. founded by her mother, Pauline Phillips. Dear anxious: Your husband was certainly ents that I don’t want them exposing my minor Is it beyond the realm of possibility that these Contact Dear Abby at www.DearAbby.com. TODAY’S CROSSWORD CELEBRITYCIPHER

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