Participants: Don Miller, Agatha Thrash
Series Code: HYTH
Program Code: HYTH000134
00:01 Breast cancer is a very serious and very common disease in women
00:05 I'm Agatha Thrash, a staff physician at Uchee Pines
00:10 And during the next half an hour I and several members of the
00:13 staff at Uchee Pines will be discussing the subject of breast
00:17 cancer... not only in women but also in men.
00:20 We invite you to stay by and join us for this discussion.
00:45 Welcome to "Help Yourself to Health" with Dr. Agatha Thrash
00:48 of Uchee Pines Institute.
00:50 And now here is your host, Dr. Thrash.
00:53 There are many lifestyle issues involved in breast cancer.
01:01 These lifestyle issues are usually quite simple
01:05 and it isn't difficult to follow these lifestyle principles
01:09 But sometimes people are a little bit reluctant to do it
01:12 because it may cut across some of our established habits.
01:15 Now, we would like to talk with you about various ways of
01:21 finding the cancer early because that is one of the most
01:24 important things that you can do apart from lifestyle.
01:27 And so with me here is Valerie Schreiber.
01:30 Valerie and I work together in our helping women to know how
01:35 to discover their breast lumps.
01:36 And Valerie is going to tell you some things about
01:40 how to discover a lump yourself, Valerie.
01:43 Ladies, pay attention.
01:46 Knowing how to properly examine your breast could save your life
01:50 And I'm going to show you today how to do the triple touch
01:53 method that the American Cancer Society has for us.
01:57 And so you're probably saying to me... "uh, examining my
02:03 breasts, there are so many lumps and so many things I
02:07 feel in there, I can't tell one thing from another. "
02:10 Well, you know, I've been a product of that too
02:11 but that's not the real issue in examining your breasts.
02:15 The real issue in examining your breast is to get familiar
02:18 with your tissues.
02:20 Therefore, if they change in the slightest, you will
02:23 recognize it.
02:24 What happens in most women because they are not familiar
02:27 with their breast tissue, the lump gets quite large or
02:30 dimpled and by then, you're in real trouble.
02:33 So what we want you to do is to learn how to do this
02:36 And I encourage you to go to the American Cancer Society.
02:39 They have an excellent brochure to show you how to do the
02:43 triple touch method.
02:45 Now before we go into that, I want to tell you how
02:49 to go about doing this.
02:50 If you have a regular menstrual cycle, then one week after
02:55 your cycle is when you want to check and you do this every
02:57 month consistently one week after your menstrual cycle ends.
03:02 Now, if you have irregular menstrual cycles or none at all,
03:05 then you pick a week every month and you mark it on your calendar
03:10 and you do it the same time every month.
03:13 That way, if anything happens, you are going to be
03:16 able to pick it up.
03:18 Now let me show you here, the risk.
03:25 The primary risk is age and family history.
03:29 Your secondary risk is reproductive history and
03:31 menstrual history.
03:32 However, the two major things that also influence it is diet
03:36 and hormones.
03:37 Now the triple touch method that the American Cancer Society
03:44 teaches is, you use 3 fingers and 3 levels of pressure.
03:52 And you will see the 3 levels.
03:54 First, it will be light, then it will be medium and a
03:56 little more firm, and how you will do that is you can just
04:00 watch me here, is you take your 3 fingers and you put it on the
04:05 breast and you do a dime-size circle.
04:09 And so you do light, then you go medium and then you
04:14 go more firm and then you just move right down to the next spot
04:19 light, medium, firm and then you just keep doing this all the way
04:25 around your breast.
04:27 Now, the other thing that the American Cancer Society is
04:30 showing us is, they are talking about doing what they call
04:33 the "lawn mower" check and so they are going from the top of
04:37 the shoulder all the way down to the waist, like you would mow
04:40 a lawn, down and up, up and down and up.
04:43 And then you can go across this way and you start underneath
04:48 your arm and you go all the way down to the waist and you do
04:51 those little circles with 3 fingers, light, medium and firm,
04:55 dime-size circles.
04:56 Now another thing you want to do before you actually do this
05:02 check, is to look in the mirror.
05:04 See, and you are going to look for color; you are going to look
05:08 for shape; you are going to look to see if your breasts are going
05:11 in the right direction, or if the nipples are going in a
05:14 different direction.
05:15 You are going to look to see if there could be any dimpling.
05:18 So you want to just stand in front of the mirror and just
05:21 look at yourself and you can turn sideways and look
05:24 at yourself and do it on both sides and look again,
05:27 look very closely.
05:29 Then you are going to want to lift your arms up like this and
05:32 look very closely at your nipples and your breasts and
05:36 again, do your side.
05:38 Then take your hand press them real firm and look again to see
05:42 if anything changes.
05:44 Many times one breast will begin to shrink or one will get larger
05:48 I have seen that in women with breast cancer.
05:50 So you want to look... is one getting much bigger, or smaller
05:53 or anything dimpling.
05:55 Then you would take your hands and go to the back of you, like
05:58 this, and press again real hard and look in the mirror and
06:03 look sideways.
06:04 Then the next way is to put your hands on your hips and press
06:08 in and bend over and look very closely at your breasts and do
06:13 again sideways on both sides of your breasts to see if there is
06:18 anything that could possibly be changing in your breasts.
06:21 So again, I encourage you, go to the American Cancer Society,
06:25 their brochure is excellent that they have for examining your
06:28 breasts and remember ladies, it's not just for looking for a
06:32 lump per se each time, it's knowing your own tissues, so
06:38 that if anything changes, you will pick it up right away.
06:41 You won't have to wait until the lump is great big.
06:43 Dr. Agatha. Oh, I need to show how to position yourself.
06:49 If you can show that now, we'll have Melissa to come up
06:53 and I can take this away and Melissa can actually be placed
06:58 on the table in the way that can let you know what position you
07:02 should take when you are going to examine yourself.
07:05 This is my granddaughter.
07:08 Now this is real important.
07:12 You can make a choice. You could examine your breasts one time
07:16 in the shower, the next time lying down.
07:18 However, lying down spreads the breast tissue so that you are
07:22 able to get into it much better and be able to cover
07:26 it much better.
07:27 So, what you do is, you get yourself a towel, fold it like
07:30 this, put it underneath your shoulder
07:33 and lay back down on it.
07:35 This causes the breast tissue to flare out more and then you lift
07:40 your arm up this way and use your hand to begin the check.
07:45 And going down like a lawn mower all the way down like this and
07:49 then all the way back up and you can go across this way as well.
07:53 Okay, very good. Thank you.
07:55 Well with these very simple instructions, you should be able
07:59 to handle examining your own breasts.
08:03 Now, there are several different kinds of breast cancers.
08:07 In women, there are several kinds and in men there is also
08:11 breast cancer in men.
08:13 And, with me today is Don Miller who will talk with you about
08:17 breast cancer in men and also how to discover it.
08:21 Don Miller.
08:22 It's not the most common disease in the world for men.
08:24 As a matter of fact, fewer than one percent of all breast
08:27 cancers will appear in men but that is a significant number for
08:30 those men who do develop breast cancer.
08:33 This year, probably about 1,400 men will be discovered to have
08:38 breast cancer and of those 1,400 400 of those men will die of
08:43 breast cancer.
08:44 Now, we need to look at a couple of things. One, what predisposes
08:47 a man to breast cancer.
08:49 What are some of the diagnoses of breast cancer.
08:52 What are some of the things that we can tell.
08:53 Now, what Valerie just talked about as far a self examination
08:57 men should do that too.
08:58 Now this was a revelation to me until just recently but we need
09:02 to be checking ourselves too for breast cancer.
09:05 Now there is a condition called gynecomastia, or depending on
09:10 where you are from, it may be "genicomastia. "
09:11 It's the over-development of the male mammary gland.
09:15 That is not a predisposition or a sign that you are going to get
09:19 male breast cancer.
09:21 It's just some men just develop breasts and it's just unordinary
09:28 but it's not a sign that you are going to get the breast cancer.
09:30 The things that will predispose to male breast cancer is...
09:35 One, a change in the hormonal balance of a man.
09:39 And this can happen by various ways. One, testicular trauma or
09:45 atrophy and when I mention testicular trauma, it's very
09:49 important for young boys who are out there on the soccer
09:52 field kicking that ball, a real good kick can really traumatize
09:57 the testicles and we need to very much guard against that
10:01 particular problem.
10:02 It can also, as far as testicular or hormonal balance,
10:06 things like liver disease, cirrhosis of the liver, can
10:10 cause a change in the balance of the hormones in a man.
10:15 Sterilization or infertility both are things that will change
10:21 the balance of the hormones in a man.
10:23 All these things can be a predisposition for breast
10:28 cancer in a male.
10:29 The other factor would be just having a familial history or
10:33 family history.
10:34 It's the main thing in women and it's also the main thing in men.
10:38 Now there are a couple of genes they have discovered very
10:41 recently, "BRCA1 and BRCA2" which predispose to breast
10:48 cancer in humans.
10:49 So if a man has breast cancer in his family, as far as his
10:54 females in his family, he may well be in that position to be
10:59 one of those 1,400 men who develop male breast cancer.
11:02 So, we need to be very careful and check in the histories and
11:06 then the checking ourselves.
11:07 Now, how do we check ourselves?
11:08 What Valerie just described is very good.
11:11 Now I'm just going to show it a little bit better
11:13 here on myself.
11:15 Again, you take your 3 fingers the pads of your fingers
11:18 and I'm going to do what she called the "lawn mower" effect
11:21 or being out here in a field is the "farmer effect. "
11:24 Basically, you take your fingers and either above or below your
11:28 your breast, it really doesn't matter
11:29 And you place them maybe about the sternum of your body,
11:34 the mid body and just start and what I like to do is just
11:38 do little, tiny curls as I'm dragging across, feeling,
11:43 always feeling.
11:44 Now, she mentioned something very important...
11:47 Get to know what you feel like.
11:49 If all of a sudden, the first time you do it, you feel a lump
11:52 that lump might have been there since you were born.
11:54 Know what you feel like.
11:55 As a matter of fact, I would recommend for all these things,
11:58 is you make a body chart.
11:59 Every mole, every dimple, every thing that you know when it
12:02 starts changing.
12:03 So you go across, little... I do little curly-Q's but very small
12:08 ones and while I'm doing it, I'm doing the light,
12:11 medium and heavy.
12:12 I do a little bit light, and press a little bit harder,
12:14 harder, harder.
12:16 Now we have to realize also that really traumatizing the breasts
12:19 are not good, so you don't sit there and smash all the way
12:22 through to your spinal cord.
12:23 You're just pressing in there.
12:25 Once you are across, you go back and then wherever your bottom
12:29 finger was, that is where you put your top finger.
12:31 And, so you are overlapping one finger width.
12:34 And you are going across, feeling, feeling, feeling.
12:39 And I would recommend you do this by yourself in the quiet
12:42 so you can be doing all of your concentration just on the
12:46 central touch of your fingers to see if you are feeling anything.
12:49 Once you have covered the entire breast area, then I would
12:53 recommend you go down
12:55 So now you plow the field, or you cut the grass in the other
12:58 direction... going down, feeling that thing, feeling, feeling,
13:02 feeling... go back up 1 finger width overlapping, pressing
13:09 hard, medium, soft... going all the way down doing it
13:12 in both directions.
13:13 If you feel that lump, I would have a doctor check it out.
13:18 It's a... granted only 400 men, "only 400 men" may die of it
13:23 and that may not be a very significant number but if you
13:25 are one or if someone you love is one, it becomes an extremely
13:28 meaningful number.
13:30 Breast cancer is a meaningful disease, Dr. Thrash, and I
13:33 think we need to really be careful with it,
13:34 males and females.
13:36 Yes, it is a very serious disease and, of course, it is
13:39 getting much more common nowadays.
13:41 So, we want to do what we can to discover the lump early
13:46 both in men and in women.
13:47 Now in women, we recommend... you will notice that the
13:51 technique was different in as Don Miller showed it, in one
13:56 respect for men, than for women
13:58 And that is that you reach across the chest with one hand
14:02 you reach across the chest to examine the opposite breast
14:04 because it's more difficult for a woman to do the same side
14:09 breast because of the way that the breast needs to fall to
14:14 spread, so that she can feel the breast more easily.
14:18 Now in lifestyle things, there are so many different things
14:22 that a woman can do to make certain that she doesn't have
14:27 breast cancer or she does what she can to make certain she
14:31 doesn't have breast cancer.
14:32 Of course, with everything good and perfect in lifestyle, not
14:36 everybody is going to avoid breast cancer.
14:38 And if you have breast cancer, you should not blame yourself,
14:42 nor feel guilty that your lifestyle maybe has not always
14:45 been what it should have been
14:47 but we go from what we have and go from this point.
14:51 So if you should discover a lump then, of course, you need
14:54 professional help right away.
14:56 Now with some of the lifestyle things, of course food always
15:01 looms up as one of the very first things.
15:03 And Valerie Schreiber is a master of the kitchen and can
15:10 turn out some positively wonderful foods...
15:13 So she is going to tell you a few things about what you can
15:16 do to make protecting yourself against breast cancer
15:21 actually fun... Valerie is able to do that.
15:24 So, Valerie, what do you have here for us?
15:27 Well, we are going to talk a a little bit about flaxseed
15:30 and flax is an essential fatty acid that we need for our
15:35 body and it is an oil and contrary to popular myths,
15:39 the body does need fats but it needs the right kinds of fats
15:43 And flaxseed, which we have right here in the bowl, are
15:47 these pretty little brown seeds as you can see here.
15:50 You can use them in many ways
15:52 and I'm just going to show you how.
15:54 I have a little nut mill here that I can grind them in;
15:56 however, if you don't have a nut mill, you can do it in
15:59 your blender as well.
16:00 But you can just put this on and just push it down like this
16:04 and grind them.
16:06 When you get done, this is essentially what they look like.
16:12 All ground up and you can grind them a little finer if you like
16:17 and they will get just like powder.
16:19 And what is so wonderful about the flaxseed, the ground
16:22 flaxseed like this, is you can sprinkle it over your cereals,
16:26 you can sprinkle it over your salads.
16:28 You can put it over the top of any vegetables.
16:32 It's kind of got a nutty little flavor to it but it
16:34 is quite delicious.
16:35 It is not offensive in any way but you will get your omega 3
16:39 fatty acids as a result of it.
16:41 Now there are other places that you can get the essential
16:44 fatty acids and that is in your legume family, your nut family,
16:49 and your seed family.
16:50 So there are those places that you can get the
16:54 essential fatty acids.
16:55 Now, they play a major role in hair loss, in your skin,
17:01 prevention of arthritis.
17:03 We use it for an anti-inflammatory.
17:05 It is excellent in that.
17:07 It lowers triglycerides and cholesterol.
17:11 And, it plays a major role in cardiovascular disease.
17:14 Dr. Agatha will continue to talk to us about it.
17:19 In fact, I might eat some of those flaxseeds. Yeah.
17:21 Because I really enjoy flaxseed.
17:25 When I first started, I have to admit that I didn't really like
17:27 flaxseed all that well.
17:29 But, as I became accustomed to it and also as I learned
17:32 that in many countries of the world, flaxseed are a staple
17:36 article of food, then I began to think, "well, it's not too
17:39 bad, you could get so that you could enjoy that. "
17:43 So I started sprinkling it on cereal and stirring it in fruit
17:46 juice or in many ways, trying to increase the exposure that
17:51 my family have to flaxseed.
17:53 You can put it in breads or put it in waffles and that can be
17:57 helpful but we just grind it and use it in that way.
18:02 Now, you might be interested in the fact that there are many
18:07 different aspects of soy, some of which are anticancer and also
18:16 in anything of this nature, you can expect that there is some
18:19 controversy concerning it.
18:21 And there is right now, a conflict over the scientific
18:26 benefits of soy in one's diet.
18:30 Whether or not one should actually use soy in the diet or
18:34 whether it might be harmful.
18:36 >From the best that I can tell, soy is not harmful to you...
18:40 although there have been some research projects, mainly 2 or 3
18:46 that show that there might be some deleterious effect
18:50 especially if a women with breast cancer is taking
18:53 tamoxifen, which is a chemotherapeutic agent used in
18:59 breast cancer.
19:00 It may be that those who are taking tamoxifen should
19:04 leave off soy.
19:05 But in all other cases, it seems to me there is just too much
19:10 evidence that soybeans have a beneficial effect for women's
19:14 health, especially in helping to prevent cancer or even in
19:18 treating cancer of the breast that is not of the hormone-
19:22 dependent variety.
19:24 So, with those remarks, then we can say that there are many
19:29 other things that soy can be useful for.
19:33 Osteoporosis is one of those and women who have osteoporosis
19:37 can take soybeans and use soy in many different kinds of ways.
19:44 The commercial products may or may not be that beneficial.
19:49 As an example, soy milk may not have the essential portions of
19:56 soy that would make the soy milk beneficial for a woman.
20:00 But that it will, to some degree perhaps help but she should not
20:07 depend on soy milk as her source of soy.
20:10 I like to recommend to women that they take the
20:13 soybeans themselves, or they actually purchase the beans or
20:17 grow them in her own garden.
20:19 That would give her more benefits than one.
20:21 And as she develops her interest in soy, she will find many, many
20:27 many recipes, both those that are on the market and those
20:34 that she develops herself.
20:35 And, we have developed several soybean recipes
20:39 at Uchee Pines and I like to experiment with these.
20:44 We use it for breakfast.
20:46 We use it as sandwich spreads.
20:48 We use it for lunch and we can fix them ahead of time and
20:53 freeze recipes.
20:54 And so Valerie is going to show you some of the recipes that
21:00 we have developed at Uchee Pines and some ways
21:03 that you can use these.
21:05 We have a number of products to show you here today that are
21:09 readily available on the market.
21:11 You can find many of these in your local grocery stores today,
21:14 as well as your local health food store.
21:16 But I'd like to read a quote to you that has meant a lot to me
21:19 and really says it all about soy bean.
21:21 It is by Dorothy Van Gundy Jones
21:23 She says, "Soybeans are one of the best sources of protein
21:26 in the vegetable kingdom. They can honestly claim the title
21:30 the meat that grows on vines. "
21:34 And really, that is true.
21:35 It is the meat that grows on vines.
21:37 You can do everything in the world with soybean.
21:40 And it has wonderful minerals in it, vitamins in it.
21:45 It's rich is calcium, phosphorus and iron.
21:48 Now, it has very little starch.
21:51 It's high in your B vitamins, B12, your vitamin E
21:56 and your omega 3 fatty acids which are your essential fatty
22:00 acids that everyone is concerned about today.
22:03 And, it is abundant in fiber.
22:06 So, you get plenty of fiber.
22:07 And, ladies, those that are having trouble with hot flashes
22:11 out there today, one-half cup of soybeans daily can reduce or
22:17 stop your hot flashes.
22:18 So it is very good for women that are in menopause.
22:23 Also, women eating soybeans also experience a drop in their LDL
22:27 cholesterol, so those that are concerned about high cholesterol
22:31 eat your soybeans.
22:32 Now let me just show you a few products that you can get at
22:36 your local grocery stores or health food stores.
22:38 This one here, which is "Silk," it happens to be readily
22:43 available in almost all grocery stores and it is an excellent
22:46 milk product for soy.
22:47 And they also have a very delicious yogurt that they make
22:53 in various flavors, as well as plain.
22:54 that you can use.
22:56 And, you can take the Silk yogurt, that I have right here,
23:04 and you can take and make sour cream.
23:08 You can make tartar sauce.
23:12 You can do various things with just this product.
23:14 So, it makes it very simple for those moms out there that are
23:17 having to work and don't have a lot of time to prepare products.
23:21 There are cream cheeses that are already prepared, right here...
23:26 "Better than Milk" makes a real nice cream cheese.
23:30 Then there are some other soy products and you can find these
23:35 usually in your local grocery store, as well as in your
23:38 health food store.
23:39 The Vitasoy makes wonderful products.
23:42 There are many other products such as your TVP which is not
23:48 flavored and you can use these TVPs and flavor them yourself
23:53 and this sort of like takes the place of chicken.
23:55 We also have another one that is in a dark color and that would
24:00 take the place of your beef and you can flavor it.
24:03 There are many flavorings that you can buy in your local health
24:05 food store that have a beef-type flavoring or a chicken-type
24:08 flavoring and you can make wonderful things with this.
24:12 For instance, you can soak it in water or in your flavoring and
24:16 then you can make burgers, you can make chicken salad that
24:19 is absolutely scrumptious... the chicken salad that I make.
24:22 Now, there are a few other things that I want to show you
24:25 that you can use and one of the other ones is the chunks.
24:30 Now, this is like a beef-like chunk.
24:33 In fact, we had a meal yesterday that had this in it, a Chinese
24:36 meal and it was absolutely delicious.
24:39 So, you can soak this and make whatever flavor you want.
24:41 You can use it in Oriental dishes or spaghetti or
24:46 stews, or soups and it is very, very good and takes the place
24:50 quite well of eating meat, especially when you are in this
24:53 transition of going from eating a meat diet, this is very
24:57 good to use.
24:58 Now, I would like to just show you another way to use soybeans
25:02 because it is really nice if you can use the whole soybean
25:06 And I have a bowl of soybeans right here that I have soaked.
25:12 Now, what you do is, you just take your soybean and you soak
25:15 it for several hours, or all night and then run that water
25:19 off and then you can take your soybeans and you can put them in
25:22 several packages and put them all ready in your freezer, so
25:25 that you will have either a cup or 2 cups, whatever you want to
25:28 use and then you can take your soybeans and you can grind them
25:35 the next morning in your blender with whatever flavorings that
25:39 you would like to use, and it turns out like this.
25:42 We make egg salad out of this, deviled eggs out of this,
25:46 scrambled eggs out of this.
25:48 You can just do almost anything and you can put this in corn
25:52 muffins and it will make them just puff up and get real light
25:56 and beautiful.
25:57 You can put it in your bread.
25:59 You can put it in almost any loaf that you would choose to
26:02 make and it makes it light and fluffy and very delicious and
26:06 then you are going to get your quota of your soybean and your
26:10 essential fatty acids, your minerals, your calcium,
26:13 your phosphorus.
26:14 You will get everything you need and high fiber at that.
26:16 Thank you.
26:18 And I want to know how you make a chicken salad
26:22 sandwich out of this.
26:23 Well, first off, I take this and I scramble it.
26:28 I put it in a frying pan, and I scramble it with water and I
26:34 put all my seasonings in it and I put a little turmeric so that
26:38 I can make it yellow.
26:39 And when I get all that done and it's all cooled down,
26:44 then I put it over in another bowl and I add my homemade
26:47 mayonnaise and I dice up onion and...
26:51 Was it egg salad or chicken salad?
26:52 Um, either one.
26:53 Either one, you can do either one.
26:54 And I put pickle relish in it and diced up onion and diced
26:59 up celery and I mix it all up and I'm telling you, it tastes
27:03 like egg salad.
27:05 But, I tell you, I do it two ways.
27:06 Before that, I will take a little bit of this out and I
27:10 will go ahead and make a home- made mustard and my mayonnaise
27:13 and dice up real, real fine onion and that makes like a
27:18 deviled egg and so then I take a glob of that and I put it on
27:23 like a corn chip, like a round corn chip and I put it right
27:27 on there and it makes a wonderful deviled egg.
27:30 You could do so many wonderful things.
27:32 Get a good cookbook.
27:33 It's all in nice cookbooks.
27:34 Thank you.
27:36 Well, I'm quite certain after this very good discussion about
27:40 soy, that no one should be in the dark about how one
27:44 can use it.
27:45 There are so many good things to do that are beneficial, that
27:50 there is no reason for anyone to feel that they are trapped
27:52 in a bad program, so God's blessings to you.