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Cervical cancer remains a significant health concern, especially for cancer survivors who may be navigating ongoing risks and preventive measures. Understanding your risk factors and taking proactive steps can empower you to prioritize your health and well-being. In this blog, we explore the key risks associated with cervical cancer and how you can take preventive actions to protect yourself. What is Cervical Cancer? Cervical cancer occurs when abnormal cells in the cervix grow uncontrollably. It is most commonly caused by persistent infection with certain strains of the human papillomavirus (HPV), a virus that is transmitted through sexual contact. While cervical cancer is preventable and treatable when detected early, it is important for survivors to remain vigilant about their health. Risk Factors for Cervical Cancer Several factors can increase your risk of developing cervical cancer, including: HPV Infection : Nearly all cervical cancer cases are linked to HPV. Persistent infection with high-risk HPV types poses the greatest danger. History of Precancerous Lesions : If you’ve previously had cervical dysplasia or other precancerous conditions, your risk of recurrence may be higher. Smoking : Tobacco use weakens your immune system and makes it harder to fight off HPV infections, increasing the risk of cervical cancer. Infrequent Screening : Regular Pap smears and HPV tests are essential for detecting abnormal cells early. Missing these screenings can delay diagnosis. Prevention Strategies for Cervical Cancer The good news is that cervical cancer is highly preventable with the right steps. Here are some effective strategies to reduce your risk: 1. Regular Screenings: Staying on top of your health means staying proactive about screenings. Pap smears and HPV tests are critical tools for detecting changes in cervical cells before they become cancerous. Ask your healthcare provider how often you should be screened based on your medical history. 2. HPV Vaccination: The HPV vaccine is a powerful tool for preventing cervical cancer. While it is most effective when administered at a younger age, it can still offer benefits for adults. Speak with your doctor about whether the vaccine is right for you. 3. Healthy Lifestyle Choices: Making healthy lifestyle choices can strengthen your immune system and lower your risk. Avoid smoking, maintain a balanced diet rich in fruits and vegetables , and exercise regularly to support your overall health . 4. Safe Sexual Practices: Using protection during sexual activity and limiting the number of sexual partners can reduce your exposure to HPV and other sexually transmitted infections. 5. Follow-Up Care: If you’ve had cervical dysplasia or other precancerous conditions, be sure to attend all follow-up appointments and screenings. Early detection is key to successful treatment.

January marks Thyroid Awareness Month , a time dedicated to raising awareness about the importance of thyroid health and understanding the impact thyroid conditions can have on your body and well-being. The thyroid, a small butterfly-shaped gland located at the base of your neck, plays a significant role in regulating your metabolism, energy levels, and overall health. Thyroid disorders are surprisingly common, affecting an estimated 20 million Americans, yet many go undiagnosed. Untreated thyroid conditions can lead to complications such as heart disease, infertility, and severe fatigue. During Thyroid Awareness Month, we encourage you to learn about the signs, symptoms, and risk factors associated with these conditions so you can seek appropriate care. Here ’s what you need to know about thyroid health, common conditions, and how to support your thyroid function. What Does the Thyroid Do? The thyroid gland produces hormones—primarily thyroxine (T4) and triiodothyronine (T3)—that control your body’s metabolism. These hormones influence: How your body uses energy Heart rate and blood pressure Body temperature Digestive function Muscle control A healthy thyroid ensures these processes run smoothly, but when the gland is underactive or overactive, it can lead to health challenges. Common Thyroid Disorders Hypothyroidism (Underactive Thyroid): When the thyroid doesn’t produce enough hormones, it slows down your metabolism. Symptoms may include: Fatigue Weight gain Cold sensitivity Depression Dry skin and hair Constipation The most common cause of hypothyroidism is Hashimoto’s thyroiditis, an autoimmune condition. Hyperthyroidism (Overactive Thyroid): An overactive thyroid speeds up metabolism, leading to symptoms such as: Rapid heartbeat Weight loss despite increased appetite Nervousness or anxiety Heat sensitivity Tremors Insomnia Graves’ disease, another autoimmune disorder, is a leading cause of hyperthyroidism. Thyroid Nodules or Cancer: Nodules are growths on the thyroid that can be benign or cancerous. While most nodules are harmless, thyroid cancer requires prompt treatment. Goiter: An enlargement of the thyroid, often due to iodine deficiency or other thyroid conditions. How to Support Thyroid Health Know Your Risk Factors: Family history of thyroid disease Being over 60 years old Autoimmune disorders like Type 1 diabetes or lupus Iodine deficiency (rare in the U.S.) Get Screened: If you’re experiencing symptoms or have a family history of thyroid disorders, ask your healthcare provider about thyroid function tests. Blood tests like TSH (thyroid-stimulating hormone) levels are key indicators of thyroid health. Maintain a Balanced Diet : Support your thyroid with nutrients such as: Iodine:  Found in iodized salt, seafood, and dairy. Selenium:  Found in Brazil nuts, fish, and eggs. Zinc:  Found in shellfish, meat, and legumes. Manage Stress: Chronic stress can affect thyroid function. Incorporate stress-reducing activities like yoga, meditation, or mindfulness into your routine. Stay Active: Regular exercise supports your overall metabolism and can help manage symptoms of thyroid conditions. Follow Your Doctor’s Advice: If diagnosed with a thyroid condition, take prescribed medications and follow your doctor’s recommendations for treatment. Taking Care of Your Thyroid Taking care of your thyroid is essential for maintaining energy, mood, and overall well-being. This January, let’s work together to spread awareness, prioritize health, and empower everyone to take charge of their thyroid health. If you’d like to learn more or suspect you may have a thyroid condition, don’t hesitate to contact your healthcare provider or a Physician from our Care Team. Early diagnosis and treatment can make all the difference.

My Mom's holiday decorations, where we usually gather on Christmas Day Does Holidays bring you joy, stress, or both? Life has a way of reminding us that every moment counts, especially during the holidays. For many, this season is synonymous with joy and connection, but it also comes with its fair share of stress. Family gatherings, a house full of people, deadlines that feel urgent but often aren’t—there’s an undercurrent of pressure that can make it hard to be fully present. This year, the holidays carry an even deeper weight for me. My grandfather, who is 85, was diagnosed with stage 3B lung cancer in August. This Christmas could likely be his last, and everyone in our family knows it. It’s a reality that’s hard to shake, hovering like a cloud over what should be a festive time. And yet, this awareness brings a message that I can't ignore: the importance of savoring every moment, no matter how small. Cancer teaches you to be present on a whole new level Last week, we celebrated my sister’s birthday. I took my grandfather to dinner at her place, even though I could tell he wasn’t feeling well. He insisted on going. There was something in his determination that struck me—this unspoken understanding that every small gathering holds significance when you’re facing your mortality. At dinner, I watched him as he laughed at my nephews’ shenanigans, engaged in small talk, and soaked in the warmth of our laughter. Somehow, even though he wasn’t at his best physically, he was entirely present in that moment. On the way home, he asked me to stop at the ER. He needed oxygen, and we stayed until he was stable and better. The memory of that night stays with me. My grandfather didn’t want to miss the gathering, and he showed me how to truly live: fully engaged, soaking up every detail, and refusing to let the inevitable take away his joy for the here and now. A Lesson for the Holidays The holidays aren’t just about the big moments or the perfect plans. They’re about the quiet significance of being together, even in the midst of uncertainty. They’re about choosing to laugh at the chaos, to celebrate the people around you, and to show up fully—even when life feels heavy. My grandfather’s example reminds me that the pressure we feel during the holidays—the endless to-do lists, the deadlines, the quest for perfection—can distract us from what really matters. It’s not the gifts, the food, or even the perfectly decorated tree. It’s the people around us. It’s the shared meals, the heartfelt conversations, the stolen moments of laughter. Cherishing the past, embracing the present, letting go of the future This Christmas, I’ll carry my memories of my grandfather’s presence at that birthday dinner. I’ll remember his quiet courage and his determination to show up for the people he loves. And I’ll try to do the same—not just for him, but for myself and everyone I care about. As we move through this holiday season, I hope we can all slow down a little, let go of the stress, and focus on what truly matters. I invite you to cherish the memories we’ve made but also to create new ones — ones that remind us how precious life is, even in its imperfections. The small moments are the big moments. They always have been despite being hard to sometimes notice it. My grandfather’s determination to show up, no matter what, is a lesson I’ll carry with me long after this season ends. Let’s take this lesson from him: be present, love fully, and never miss an opportunity to connect. After all, it’s those connections that make this time—and life itself—so meaningful.

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If you're seeking a straightforward answer, here it is: Teflon and most non-stick cookware are generally regarded as safe for kitchen use under normal cooking conditions. However, the reality is more nuanced. While Teflon itself is stable and non-reactive at standard cooking temperatures, concerns arise from the chemicals involved in its production, which may pose health and environmental risks. To understand these concerns better, let’s clarify a few key terms. Teflon, technically known as polytetrafluoroethylene (PTFE), is a synthetic resin popular in a wide range of industrial applications, including non-stick cookware, due to its slick, non-reactive surface. Developed and patented by the American company DuPont in the 1940s, PTFE quickly became a household staple for its convenience in cooking. In producing Teflon, manufacturers often use chemicals known as PFAS (per- and polyfluoroalkyl substances). PFAS is a broad category of human-made chemicals valued for their resistance to heat, water, and oil. This group includes older substances such as PFOA (perfluorooctanoic acid) and PFOS (perfluorooctane sulfonate), as well as newer alternatives like GenX.  Is Teflon Safe? What Science Tells Us For years, scientists have been studying Teflon to find out if it’s safe for us to use. Testing this directly on humans would be unethical, so researchers have to rely on animal studies or look at people who are already exposed, like workers in Teflon factories. One well-known study exposed rats to super-heated Teflon (about 900°F or 486°C) for 15 minutes. The fumes released were toxic to the rats. But this finding isn't new, the toxicity of these fumes are well known. Cases of what has been called “Teflon flu” have been popping up in the news. It is well-accepted that overheating a non-stick pan can release fumes, which may cause flu-like symptoms that typically resolve within a day or two. Should I stop using Teflon pans then? No. One common factor in these studies and cases is that the pans were heated to extreme temperatures, far beyond what most people typically use in the kitchen and well above the manufacturer’s recommendations. Non-stick pans are safe as long as you follow the manufacturers recommendations and keep temperatures below 500°F (260°C). No health concerns have been found when non-stick pans are used as directed. Another method used to evaluate safety is studying whether any harmful chemicals migrate from the non-stick coating into food. A study by the Central Science Laboratory in York, UK, tested 26 non-stick cookware samples by heating them to 250°C for 30 minutes, simulating typical kitchen conditions. Their findings? “None of the substances identified had the potential to exceed their tolerable daily intake (TDI) value”. In summary, based on available research, including several studies, there is no evidence that Teflon escapes from cookware in substantial amounts and poses any health risk.  When it comes to Teflon potentially leaching into your food, following the manufacturer’s recommendations is key. Non-stick cookware doesn’t last forever; once you notice scratches or peeling on the coating, it’s time to replace it. To help extend the life of your non-stick pan, use wooden, silicone, or plastic utensils and wash it gently by hand. The Real Concern: Manufacturing Chemicals The real concerns stem from the production process of Teflon and the chemicals involved, such as PFOA (perfluorooctanoic acid). PFOA is known to disrupt hormones and has been classified by the International Agency for Research on Cancer (IARC) as possibly carcinogenic to humans. It is highly persistent in the environment, and as of 2011, PFOA was found in the blood of nearly 95% of Americans. With a half-life of several years in the body, PFOA raises concerns about long-term health effects, including potential links to cancer. Workers at manufacturing sites for these chemicals have been found to have a higher risk of developing certain types of cancer. Studies examining cancer rates in individuals living near or working in PFOA-related chemical plants have suggested an increased risk of testicular and kidney cancers with higher PFOA exposure. The contamination of water sources by these chemicals remains a significant and unresolved issue. Due to these concerns, PFOA has largely been replaced by other chemicals, such as GenX. You might wonder, 'So, is the problem solved?' Not exactly. The chemicals replacing PFOA still belong to the same category, PFAS. GenX is one of these alternatives, and while it's less likely to accumulate in the body, concerns remain. Some studies suggest that these newer chemicals may pose similar health risks as their predecessors. Conclusion In conclusion, if you’re wondering whether non-stick cookware is safe to use for your Thanksgiving cooking, the short answer is yes—it’s safe to use under normal cooking conditions. There has never been any evidence that Teflon, when used under normal cooking conditions, poses a health risk. As long as you follow the manufacturer’s guidelines—keeping temperatures below 500°F (260°C) and replacing pans if the coating shows signs of damage—non-stick pans are safe to use. However, the story doesn’t end there. The main risk associated with Teflon isn’t from using it in your kitchen; it’s an environmental and production-related issue tied to the chemicals used to make it, like PFOA. These chemicals have been shown to contaminate water sources and persist in the environment for years, raising long-term health concerns, especially for communities near manufacturing sites. While Teflon itself is safe for cooking when used correctly, the impact of these manufacturing chemicals on the environment and human health remains a serious concern.  Written by Luis Guilherme

A call that changed Christmas It was Christmas Eve in 2018, and as I was on the way home from my last-minute Christmas shopping, I received a call from my pulmonologist.  While I knew she would call me any day now, just as soon as she received back my lung biopsy results, I pulled my car over, took the biggest breath and accepted the call. After so many doctor visits and doubts that lung cancer would be the finding (given my age and smoking history), it was official, my lung biopsy indicated that I had lung cancer . I didn’t understand the importance of it at that moment, but my doctor also shared the “good news” that there was biomarker testing conducted, and it revealed that I have an EGFR mutation.  We ended the call with a plan to come in and meet with a thoracic surgeon, something she arranged that same day. We ended the call, a I found myself parked in a spot where I have no doubt I was meant to be, at the church that is just down the road from my house. I remember feeling numb, frozen with so many emotions but then I looked over at the church and shifted to prayer. I prayed for strength and peace, especially for my children. Thankful that I had this private moment to receive the news and gather strength for what was to become my new life. Starting cancer treatment Just after Christmas, a few days into the New Year, I had my surgery which included a br onchoscopy, mediastinoscopy, right lower lobectomy, thoracic lymphadenectomy. The biopsy from this surgery indicated I had Stage IIB Adenocarcinoma.  After recovering from the surgery, I completed 4 cycles of adjuvant chemotherapy by May 2019. Due to having chronic pain and many other issues, I had a PET scan  on 2/3/23, which showed that I had bleeding lesion in my brain, spine, scapula, sacrum, and other lymph node avidity.   First course of treatment was having a craniotomy followed by SRS radiation.  Following the surgery and radiation in April 2023, I started taking Tagrisso which is a targeted therapy to treat lung cancer with specific mutations. I have had a positive response, with my recent scans showing “Stable to slight improvement with NO recurrent disease”.  Learning I had cancer was what I have come to see as a gift Looking back on what felt like was a very hopeless day on Christmas Eve in 2018, I can honestly say that learning I had cancer was what I have come to see as a gift . While there have been many difficult moments, when things seemed dire, HOPE has kept me going and with gratitude for the gift of life and the countless blessings. There’s a phrase I say (and live) daily, “progress over perfection”. These three words strengthen me and remind me to focus on what I can do NOT what I can’t. No day is promised, and I wake each day with so much gratitude and hope! Lung cancer resources Lung Cancer Initiative (LCI) and LiveLung have been two of the organizations offering wonderful support and hope. In addition to their boundless support through survivor engagement, fundraisers, research and advocacy, LCI connected me with Wind River for the Lung Cancer Retreat, the beginning of what has come to be the most meaningful friendships and connections.  The gift of support Sometimes we just need someone to be there, not to fix anything or do anything in particular, but just to let us know we are supported and cared about.  The gift of having this support helped me learn to live post diagnosis, during and after treatment and in between each surveillance scan .  My words of hope I’d like to share with all survivors and caregivers, is to REMEMBER TO LIVE WHILE YOU’RE BUSY SURVIVING!

I don't write enough about mental health so here goes. IT'S VERY IMPORTANT!!!!! This post is going to cover two things. First, my search for a therapist . And second, the state of my mental health and how it impacts me. My search for a therapist Ok, on to the first. Everyone knows the story of Goldilocks, right? This bed is too hard, this bed is too soft, this bed is juuuuuuuust right! Well, that's been my therapy journey (I am not a fan of the word "journey" (overused) but it works here). My first therapist in Portland was very helpful. He helped me get a lot of insights and connected a lot of dots for me. He also gave me perspective when I needed it. Example: Not to be morbid, but when the cancer thing started we discussed death. As I was talking about it, his response was "We are all going to die and no one knows when". That kind of snapped me back to reality. He also helped me realize that I am not afraid of dying, but I am afraid of not living. Two very different ideas. BUT, he never spoke (or very little). Like literally. I would walk in and he wouldn't say anything. For those who know me, I am very chatty. It was almost always awkward and the awkwardness got me to talk more and to process. I would not look forward to it and found myself worried about what I would discuss in every session. He was too hard. My next therapist was the exact opposite. Very nice, empathetic, chatty, and easy to talk to. BUT, she didn't challenge me at all. She wouldn't use things that I had said in the past to connect ideas, wouldn't call me out on bullshit, etc. We discussed it (I am very honest) but we still couldn't get there. She was too soft. So now, I am looking for juuuuuuuuuust right. I think I found her. I will let you know soon. She seems to have good energy, seems very honest, and seems like she will listen to me and push me. After all, if you leave a therapy session and feel like it was easy, it's worth questioning the value of the session. One thing I like is that when we spoke (I now interview therapists to see if it feels like a fit before I commit) I asked her if she wanted to see my blog or anything else. She said no, she wants to know how I am in the moment and to discuss that. I liked that approach. So fingers crossed! And, she's a NYer. And I seem to gravitate to that energy. It's the right amount of humor, directness, no BS, and insight. My mental health state Now let's discuss my state. A few weeks ago, I was mopey. I don't know how Krista did it but I couldn't have been fun to be around. I wasn't mean, depressed or anything, I just didn't have my usual energy. I started to realize it last week. Once I realized it I decided to do something about it (this wasn't one of those, "it's okay to be down" feelings, it was more "I am bored and need to do something different"). So I went to the gym , I hiked twice (5 miles on a beautiful trail and 6.3 miles in Forest Park (look it up, it's amazing), went to the beach and I went skydiving. Guess what? I feel much better. I am back to pushing myself and doing different things. I am happier, more engaged, and feel better. Now I am working on the house and planning trips. There isn't one neat bow to tie around this post other than just to say that my mental health is what drives me. I focus and spend more time on my mental health, than I do on treatments. And it works. When I am feeling good mentally, I feel good physically. My guess is that 60-70% of my time is focused on my mental health through activities, music, writing, walking, therapy, etc. There are 10,080 minutes in a week and 40,320 minutes in 4 weeks. My physical treatment is a shot that takes 30 minutes once every 28 days (4 weeks), which leaves a lot of time to focus on my mental state. I am beginning to let that sink in.

Chemotherapy was born from the ashes of war. The first drug used as a chemotherapy agent came from an unexpected source: mustard gas, a highly toxic substance and one of the most effective weapons ever developed. The gas that was first used during World War I and has a long history as a chemical weapon also served as the molecular basis for the first chemotherapy agent, known as Mechlorethamine. A history that is a subtle invitation to understand the nature of cancer treatment from its burdens, very well represented by Mechlorethamine, to its success. From its beginnings to the present day, cancer treatment has been marked by numerous side effects, but that is a reality that is slowly changing. To raise awareness for Lung Cancer Awareness Month , let’s briefly tell the history of how lung cancer treatment is becoming a showcase of 21st-century discoveries. Mechlorethamine and the nature of chemotherapy Great things can arise from tragedy. In an effort to understand how mustard gas affected the human body, autopsies were performed on 75 soldiers exposed to it. These autopsies revealed a significant reduction in white blood cells in the soldiers. Apparently, when inhaled, the gas was especially toxic to white blood cells. This led to the hypothesis that a similar substance might be used to target cancerous white blood cells in lymphoma patients. Goodman and Gilman, two of the greatest pharmacists of all time, in their lab at Yale, designed a chemically altered version of mustard gas. When tested on a terminally ill lymphosarcoma patient, the drug yielded fantastic results, destroying cancer cells like never seen before. Mechlorethamine is still in use today under the interesting name "Mustargen".  Mechlorethamine became the first chemotherapy agent, marking the beginning of decades of investment and discovery in cancer treatment. However, like the many chemotherapy drugs that followed, it comes with significant side effects, and there is a reason for this.  Pharmacology is about specificity, which means targeting specific disease mechanisms while minimizing effects on other systems in the body. This approach works well for bacteria, for example, as their cellular structures differ from ours, allowing for targeted drugs. But cancer presents a unique challenge, as cancer cells are, at their core, human cells. How, then, can we target cancer cells without harming healthy cells? Truthfully, throughout most of cancer treatment history, we couldn’t. Most chemotherapy drugs target molecules involved in cell reproduction, which, although also present in normal human cells, are more active in cancer cells. That is the reason why chemotherapy has so many adverse effects.  But there is a promising future ahead This was the reality until things began to evolve near the 21st century. Cancer treatment has transformed in extraordinary ways. As we studied cancer in greater detail, we discovered genetic alterations, proteins, and receptors that are unique or more active in cancer cells. This understanding allowed us to develop drugs targeting these specific traits. We call this "targeted therapy," a broad and somewhat loosely defined category of drugs that aim for these unique cancer-specific characteristics. With targeted therapy, we can focus on attacking cancer cells directly, sparing more of the healthy cells. One of the most exciting examples of targeted therapy’s impact is seen in treatments for Non-Small Cell Lung Cancer (NSCLC), which accounts for 85% of lung cancer cases. Several key mutations have been identified in NSCLC, and therapies designed to target these mutations have shown remarkable clinical success. Genes like EGFR, MET, ALK, RET, and HER2 frequently exhibit mutations in lung cancer, and specific drugs have been developed to target these abnormalities. For instance, a patient with an EGFR mutation (found in about 15% of cases in the U.S.) can receive a treatment designed to target that specific mutation. As cancer cells evolve to resist EGFR inhibitors, science has kept pace by developing second and third-generation drugs to outsmart this resistance. Immunotherapy has also emerged as a first-line treatment for certain types of lung cancer. Immune checkpoint inhibitors are a novel category of Immunotherapy drugs that enable the body’s immune system to attack lung cancer. Normally, cancer cells evade immune response by sending "don’t attack" signals to immune cells. Immunotherapy drugs block these signals, allowing the immune system to recognize and target the cancer. It’s like lifting a disguise, enabling the body to fight back with its own defenses. For some lung cancer patients who have the specific receptor that these drugs aim for, this approach can lead to lasting remission. This highly specific treatment means that some patients may completely avoid common chemotherapy-related side effects, such as hair loss. Since the prevalence of these mutations varies among patients, genetic testing has become essential in identifying them. This is why modern lung cancer treatment includes a comprehensive set of genetic tests, enabling doctors to tailor therapies to each cancer’s unique genetic profile. The vision of personalized therapy is no longer just a dream, it’s becoming a reality. Over the past decades, these advancements have led to changes in what truly matters: significant improvements in overall survival and reductions in mortality. The two-year survival rate among men with NSCLC improved substantially, from 26% for those diagnosed in 2001 to 35% for those diagnosed in 2014. Mortality declined by 3.2% annually from 2006 through 2013, then decreased even more rapidly, by 6.3% annually, from 2013 through 2016. Conclusion  These may not be the enormous gains some might expect, but given that lung cancer remains one of the most common cancers in the U.S. with nearly 250,000 cases per year, this progress represents thousands of lives each year. Though we've focused here on lung cancer , similar advancements are transforming treatment for other cancer types as well. As our understanding of cancer deepens, we’re developing drugs with greater precision to target cancer’s unique vulnerabilities, allowing us to combat the disease in ways we never thought possible. Lung cancer research, in particular, is a beautiful showcase of this new generation of therapies that improve survival rates and enhance quality of life. This progress not only saves lives but brings us closer to a future where cancer can be managed with minimal impact on patients’ daily lives. Written by Luis Guilherme

Lung cancer awareness and support events offer invaluable opportunities for patients, survivors, families, and communities to come together, educate, and raise funds to combat lung cancer. North Carolina hosts several impactful events, blending community engagement, education, and awareness. Here’s a look at some of the top lung cancer events in the state, each offering unique ways to get involved, learn, and support those affected by lung cancer. 1. Updates in Lung Cancer: Community Education Event Date: November 7th  from 12:00 p.m. until 1:30 p.m. Location : Atrium Health Levine Cancer Institute Click here for more info This educational event provides the latest updates in lung cancer treatment and research, featuring talks from experts and healthcare professionals. Participants gain a deeper understanding of advancements in lung cancer therapies and current research trends, which are invaluable for patients, caregivers, and anyone affected by lung cancer. It's an excellent opportunity to learn directly from experts about ongoing progress and emerging treatments, making a significant impact on the way communities approach lung cancer care. 2. Jodi Kovach Memorial 5K Date : November 10th Location : Forest Hills Park, Durham, NC Click here for more info The Jodi Kovach Memorial 5K celebrates the life and legacy of Jodi Kovach, who courageously battled lung cancer. This race is a community-driven event with proceeds going towards lung cancer research and support services. Runners, walkers, and families gather in a supportive and fun atmosphere, making it a meaningful experience for everyone involved. Participating in the 5K not only raises awareness but also contributes directly to lung cancer research, honoring those who have been impacted by this disease. 3. Survivor Engagement Event Date : November 14th Location : Online Click here for more info This annual event celebrates lung cancer survivors, bringing them together with supporters for an inspiring day of connection and empowerment. Activities focus on survivor stories, shared experiences, and resources for ongoing support. Events like these foster a strong sense of community, where survivors and their loved ones can engage in meaningful discussions, gain support, and inspire one another. It’s a powerful reminder of resilience and hope, offering survivors a space to connect and thrive. 4. All In to Fight Cancer Raleigh Event Date : November 21, 2024 Location : The Ritz, Raleigh, NC Click here for more info This exciting annual fundraiser event gathers the community for a night of entertainment, awareness, and fundraising for lung cancer and other cancer types. Held at The Ritz in Raleigh, the “All In” event includes live music, games, and opportunities to learn about local cancer initiatives. With a focus on community involvement and support, this event combines fun with purpose, drawing in diverse groups all committed to the cause. Funds raised go directly to support cancer research and patient care, making a difference in the lives of North Carolinians affected by cancer. 5. Hockey Fights Cancer - North Carolina NHL Date : November, 2024 Location : NHL Arenas across North Carolina Click here for more info Hockey Fights Cancer is an annual NHL initiative where hockey teams across the nation, including in North Carolina, raise awareness and funds for cancer patients. Teams wear special uniforms and engage fans with activities that highlight cancer awareness, making it a memorable event for hockey enthusiasts and families. The event showcases the sports community’s commitment to fighting cancer and provides a platform to educate fans on cancer prevention and early detection. For anyone who loves hockey, it’s a chance to support a great cause while enjoying the sport. Each of these events provides unique ways to support and raise awareness for lung cancer in North Carolina. Whether through education, community engagement, or physical activity, these gatherings reflect the dedication of communities and organizations in the fight against lung cancer. By attending, donating, or participating, we can all play a part in bringing hope, knowledge, and support to those affected by lung cancer.

Hearing "you have cancer" In May of 2014 I was told something no one should ever hear, “you have cancer”. The path to write this 10 years later was not linear, it was filled with challenges from my diagnosis Stage 4 NSCLC to negative thoughts such as anger, anxiety, sadness and sorry. I was at the lowest point of my life, but survival was driving everything I did. Life is about momentum and that propelled me to find my path. Joining an immunotherapy clinical trial Because I felt a traditional path of treatment was not for me, I researched clinical trials and found that Duke had one underway for a new treatment called immunotherapy, with a bit of luck I fit the profile of what they needed, non-small cell lung cancer with no mutations. After 14 months of infusions with optivo and yervoy my tumors reduced in size to a point where if they did not grow, I would be considered in remission. I now get yearly MRI/ CT scans to ensure it does not return. Getting treatment was easier than the aftermath For me this was the easy part, the total focus on treatment and survival was the journey. The hard part for me was dealing with the aftermath of the trauma inflicted. Everything was different and the new path was unknown. I was finally able to dwell in the gratitude of having a second chance and the way I found to maintain this good feeling was getting involved in issues I cared about and giving back by volunteering . Exercise and eating well was not enough. Getting involved with Lung Cancer Initiative Getting involved with Lung Cancer Initiative was important for my mental health, I was able to meet other survivors who had gone through a similar experience and hearing their stories about their journeys really put things in perspective for me. It let me know I was not alone and many of their stories were much worse than mine. I know that sharing my story helped others as well.  Cancer research has come a long way in just the last 10 years from immunotherapy to targeted therapy it has helped many survive what 20 years ago would have been a death sentence. The research grants that LCI provides is one of the many ways they support cancer research and the cancer community.

From my personal experience, the similarity between climbing Mount Kilimanjaro and the experience of cancer survivorship is overwhelming .   When you first hear the word “cancer”, the immediate thoughts that run through your mind include “I can’t do this”, “fear”, “overwhelmed”, and “scared” which are recurrent thoughts during different stages of the route to climb Mtn Kilimanjaro. Even the thought of death sneaks into your mind as you assess some of the scary portions of the Kilimanjaro climb, which is certainly a big part of the cancer experience.  Gather your gear list The first phase of preparing to climb Kilimanjaro is gathering your needed gear list.  The first phase of cancer diagnosis has a similar stage:  gathering CT/MRI scan results, lab results, physical exam, and biopsy/pathology results.  Once you have all your information and equipment you are ready to select your route and proceed with the journey. Take one step at a time On the Kilimanjaro climb, you only take one short slow step at a time with all your attention on where you will place your foot for the next step.  Your attention cannot waiver to even enjoy the surrounding scenery for fear of a miss-step.  If you look ahead (i.e., worry about what comes next) the path seems daunting and unachievable but with your head down and focused on each moment, you make the day’s journey one small step at a time.  Our African guides continuously reminded us to “pole, pole” which is Swahili means "slowly, gently, softly, quietly; be calm, take it quietly. Ask for assistance On the Kili climb, you have guides, which advise you and lead you on the correct path at the correct speed.  In survivorship, our guides are our physicians and navigators.  Near the summit it was so cold that at times I needed my guide to help me with the simple task of putting my gloves back onto my hands.  In cancer, you often have to ask for assistance with the simple tasks of life. Get support On the Kili climb, you have porters, whose job is to carry all your needed equipment (tents, food, equipment, luggage, etc.).  In survivorship, we have many resources to help us carry the load – such as oncology nurses and nonprofits. Surround yourself with people who encourage you On the Kili climb, we have our teammates who help encourage, motivate and inspire us each day.  In survivorship, we have our friends and other survivors who play this role. Share the experience Finally, we have our tent-mates on the climb and in survivorship we have our family who are there with us day and night, minute by minute, even when we are weak, tired and dirty – they are there to share our lives and experience. While climbing Kilimanjaro, your body and mind has to continually adjust to smaller amounts of available oxygen as you reach higher altitude, which often leads to fatigue and shortness of breath. The journey through cancer survivorship often leaves you feeling the exact same way! So while both “mountains” seem insurmountable, by taking small slow steps with the help of guides, porters, teammates and tent mates – if you “pole, pole” – then you will indeed reach the summit of whatever mountain you are facing!  So thank you Kilimanjaro for teaching me another valuable lesson regarding life and cancer survivorship! “Pole, Pole ya’ll". About Dr. Chasse Bailey-Dorton Dr. Chasse Bailey-Dorton, MD  is a 21 year breast cancer survivor and the Medical Director of The After Cancer. Her mission is to provide reliable information for someone with a cancer diagnosis, being treated for cancer, recovering from treatment, seeking cancer recurrence risk reduction strategies, or at high risk for cancer.

5 years breast cancer survivor It's hard to believe that I am 5 years out from my initial breast cancer diagnosis. Through all the decisions that I had to make and treatments that I chose to endure, I discovered an inner strength I never knew I had. It was difficult to identify with this "new normal" of being a cancer survivor, considering pre-cancer diagnosis, I led a very active and healthy lifestyle. I had mixed emotions of joy and relief after my last doctor's appointment but also felt anxious and fearful of a recurrence .  Healing my body and mind Slowly, as my body healed, I worked on my mindset to not only survive but thrive in this next chapter of my life. I had to work on replacing the fear and anxiety with more positive thinking. It's been helpful to practice mindfulness and engage in activities that allow me to share my story and feelings. Through this connection with others, I find hope, strength and determination to embrace life more fully. I find joy in the little things and do what I can to share those moments so that others may enjoy it.  How integrative medicine has helped me Integrative medicine has been instrumental in supporting my journey through remission. Embracing a holistic approach has helped me navigate both the physical and emotional aspects of recovery. Here are some lifestyle aspects I recommend incorporating into your life as your body allows: Nutrition :  Focus on fueling your body with healthy foods such as lean meats, whole grains, fresh fruits, and vegetables to support overall health and recovery. Physical Activity:  Engage in regular physical activity that matches your energy levels and physical capabilities. Setting and achieving personal goals, like qualifying for a marathon, can be incredibly empowering and beneficial for your overall well-being. Complementary Therapies:  Consider integrating complementary therapies such as acupuncture or massage therapy. These can help manage stress, alleviate symptoms, and enhance your overall sense of well-being. Stress Management:  Practice stress-management techniques such as mindfulness, meditation, or yoga. These practices can help maintain emotional balance and reduce anxiety related to remission. Sleep:  Ensure you prioritize good sleep hygiene. Adequate rest is crucial for healing and maintaining your physical and emotional health. Relationships:  Cultivate and nurture supportive relationships with friends, family, or support groups. Positive social connections can provide emotional support, encouragement, and a sense of community. By incorporating these practices into your daily routine, you can support your ongoing journey through remission and enhance your overall quality of life. Fortunately today, I am in remission but I know that is not synonymous with a cure. I focus my mind to appreciate what each day brings and do what I can to feel at peace and spread that feeling to others. I am grateful to be thriving and leading a very fulfilling life. About Dr. Maria Cayelli Dr. Maria Cayelli, MD , is Board Certified in Family Medicine and trained in Integrative Medicine. She's part of The After Cancer Care Team  and she assists patients in exploring the best of modern medicine as well as evidence-based complementary therapies to empower them with individualized medicine.