Lisa J. Frank

 

31 Faces, 31 Days - Breast Cancer Isn't Pretty, and It Isn't Pink

Lisa Frank — YSC Founding Member, Board President and YSC Tour de Pink® Co-Founder

Lisa with her family.

From l. to r., Father Jerry, brother Paul and mother Carol with Lisa at TdP East Coast.

It was 1998; I was 36 and focused on my career as a lawyer. I was enjoying time with friends and having fun dating when I was diagnosed with stage I breast cancer. There was a history of cancer in my family but not breast cancer. Cancer was the last thing on my mind. I was living a busy life and had no plans of stopping.

After my lumpectomy, I went through chemotherapy and radiation and took Tamoxifen. I was so fortunate to have the love and support of my family and friends who were with me every step of the way.

By 2004, I was back to living my life and thought my cancer journey was over. On August 31, I felt something in the scar tissue on my left breast and was re-diagnosed — this time with stage II breast cancer.

Lisa with partner Steve.

Lisa with partner Steve.

I didn’t want to feel like I would always have this weight on my shoulders worrying when the cancer would show up in the other breast, so I opted for a bilateral (double) mastectomy. I was in a relationship with a wonderful man, and my breasts were not going to define me. Cancer wasn’t going to win.

Since the beginning, I was part of Young Survival Coalition (YSC) and connected with other young women who faced breast cancer. With each diagnosis I called my YSC support network to get help. I had questions and needed all the information I could get about treatment and reconstruction options. I could be open and honest with this group without fear of scaring them or sanitizing my concerns.

When I completed surgery for my mastectomy and began to heal, I started to feel like myself again. Since 1994 I had been cycling and had even completed numerous AIDS multi-day charity bike rides.  After my recurrence in 2004, I was mostly off my bike, but I wanted to get back on it.

At the finish of Tour de Pink West Coast

At the finish of Tour de Pink West Coast.

In 2004, a fellow YSC volunteer, who was himself an avid cyclist and racer, and I created the idea of a long distance bike ride to raise money to support YSC and raise awareness that young women can get breast cancer. There weren’t any official bike rides supporting breast cancer, and we saw this as a great opportunity to give back and have a great adventure together. I didn’t ride the first year because I was still recovering, but I organized the fundraising and ride logistics.

This ride became the annual YSC Tour de Pink East Coast ride. To date, YSC Tour de Pink has generated more than $6 million to support young women affected by breast cancer and consists of three outdoor bike rides, with indoor events around the country.

In 2011, as I was about to become YSC’s Board president I found out my breast cancer had returned. This time it spread to my parotid gland, spine, lower back and sacrum. I was 49 and facing breast cancer again. But, like before, I knew I would win this round and got right down to doing just that!

I recently celebrated my 51st birthday and am so proud of that. Every day I wake up and say, “I will fight this. I will live and live well for a long time.” I look forward to telling everyone who asks how old I am. Every birthday is a good one because not having a birthday, well, I don’t consider that an option.

 

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Help Focus the Presidential Candidates’ Attention on Breast Cancer

During Breast Cancer Awareness Month, we hear lots of stories about women who have survived their breast cancer. And yet, this year about 40,000 women and 450 men will die from this disease in the United States. It will take the lives of almost 500,000 women worldwide. It’s taken the lives of far too many women we have known and loved. It’s time to change these statistics. It’s time to change our approach. It’s time to end breast cancer.

A little more than two years ago when we set a deadline to end breast cancer by January 1, 2020—Breast Cancer Deadline 2020®—we were frustrated by the lack of progress and by the complacency in our nation’s approach to breast cancer. We continue to be frustrated that despite the advances in technology and our knowledge about the science of breast cancer, nearly 290,000 women and men will be diagnosed with breast cancer in this country next year. We are frustrated that while we watch policy makers proudly light up buildings in pink this month, they ignore the opportunities to do something meaningful toward ending this disease.

I am peeved, but not surprised that, although the National Breast Cancer Coalition has asked both Presidential candidates to make ending breast cancer by 2020 a national priority, during the Presidential debates on Wednesday there was no discussion about breast cancer. It is time to disrupt the business and system of breast cancer. It’s time to demand our President demonstrate leadership and commit to making the end of breast cancer a national priority. Time to create an innovative environment for breast cancer research that will lead us toward the eradication of the disease—once and for all.

NBCC is asking all those who want to see an end to breast cancer to sign our Petition to the President. We will collect 290,000 signatures—representing the number of women and men who will be diagnosed with breast cancer in this country next year. And we will deliver them to the President shortly after Inauguration Day. We are asking him to bring this nation’s leadership, intellectual and creative forces to bear on a matter of utmost importance to everyone, around the world.

If you’ve not yet signed the Petition to the President, please do so now. If you have signed, please email five friends and ask them to sign the petition. Or download the petition to collect signatures and mail them to us.

The election is next month. Please help us focus the Presidential candidates’ attention on meaningful issues in breast cancer.

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Categories: Guest Bloggers

“I’ve got this hill … I’ve been training for 8 hours a day for the last 2 days!”

Day One Finish: Kristin Westbrook, Marcia Donziger and Me

Well, I did it! I needed to prove to myself that cancer had not beaten me … and I did. With the amazing support of friends who rode with me (specifically, Kristin Westbrook and Marcia Donziger who never left my side), my husband and the entire Tour de Pink community – I rode my bike for 200 miles this past weekend … TAKE THAT CANCER!!!

There are too many amazing stories to recount, and too many incredible people to mention … but what’s important is that because of YSC no other event like this exists to give young women with breast cancer the support and encouragement they need to do this.

And I did it!!!

Now, and I have to be honest – I  wasn’t the first one across the finish line each day. Day one AND day two I actually was dead last, but I didn’t care. I was too proud (and tired) to worry about my ranking.

It isn’t about riding every mile. It’s is about pushing yourself harder than you have since cancer and proving to YOURSELF, and no one else, that cancer didn’t beat you. And whether you ride 75 miles during the weekend or the entire 200, as long as you feel awesome … YSC has achieved its mission!!!

YSC is excited to be working with Capture14 as the Tour de Pink event photographer taking some of the most amazing photos I think I have ever seen. He’s generously offered to donate 50% of what he sells back to YSC. These photos capture of essence of the ride … It’s hard, but beautiful. Intense, but warm. Long, but also too short.

For all of you doing the West Coast ride … we have ONE WEEK to go!!! I can’t wait to see all of you! Please feel free to have your friends sign up and join you for one-day rides and encourage people to cheer us on at our designated cheering stations.

As the 2012 Tour de Pink East Coast ride comes to a close…. I leave you with one last thing:
“ON YOUR LEFT!!!!!”

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Categories: Taking my Body Back

Breast Cancer Isn’t Pretty, and It’s Not Pink

Before I was diagnosed with breast cancer, I didn’t understand that October was Breast Cancer Awareness Month (BCAM). Sure, I might have noticed pink around this time of year and maybe given a donation to support women with breast cancer, but October was about Halloween, preparing for winter and the holidays … not cancer. Well, not anymore.

Rewind two years to October 2010. I was recovering from a bilateral mastectomy and preparing for my second surgery and treatment … I suddenly began to see pink everywhere. I remember wondering if it was always there and I just hadn’t noticed it … or if it was the time of year.

Now, October is the busiest time of year in my professional life. Pink is everywhere … it’s in the media, in print publications, on products with pink ribbons. The public seems singularly focused on breast cancer.

Each one of us has a different feeling about October. Some people cover themselves in pink to remind others of someone they have lost or that a cure is still needed. Others might reject anything pink with a passion.

The point is October is just a month – nothing more, nothing less. What we really should be focusing on is that there is currently no way to prevent breast cancer from occurring and we are still not able to cure the disease. Young women are being diagnosed every day – women just starting their careers, building lives, getting married, happily expecting a child or raising young children. Yes, many women live long lives after breast cancer, but the fact is that young women are still dying of breast cancer every day. This is not acceptable.

If you want to wear pink this October by all means do so – I know I will be – but please also help YSC raise awareness that young women can and do get breast cancer and remind people that breast cancer isn’t all pretty pink ribbons. We need to end to this disease.

#1 YSC is collecting signatures to represent the more than 13,000 young women who are diagnosed annually for NBCC’s petition to the next President (whomever that might be) to make ending breast cancer one of his initiatives. Please sign the petition today and get it into the hands of your family, friends and co-workers.

#2 AND we are going to tell the stories of 31 young women affected by breast cancer to showcase some of the unique issues young women battling this disease face. Please leave these courageous women a message of support on our special Facebook “31 Faces, 31 Days” app and share their stories with your friends.

Because the reality is – young women can and do get breast cancer – and they still die from it every day.

Breast cancer isn’t pretty, and it’s not pink. Please join me in getting these amazing stories of young women affected by breast cancer out in the public and gathering as many signatures are we possibly can!!!

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This Ride Is Not About Winning

The first of two Tour de Pink rides happening this weekend starts tomorrow, and I can’t tell if I am nervous that it will be too hard, excited for the challenge or anxious to have this behind me … probably a combination of all three.

I have to be honest, the thought of “what in the heck did I get myself into?” has crossed my mind a few times during the past month. Long gone are the days when a quick one-hour ride was something to look forward to — now I feel that if I am going to be on the bike, I need to be riding 50 miles, which, at my speed, pretty much eats up the entire day.

The East Coast Tour de Pink ride starts at the Philadelphia Art Museum tomorrow (Friday, September 28) morning. There will be 72 survivors riding, which is incredible!!! That means that out of the 249 people riding, 29% have been diagnosed with breast cancer and are now strong enough to ride 200 miles!

This ride is not about winning, it is about being part of a young woman’s journey to create her “new normal.” So many of these women have faced challenges greater then a huge hill on a bike, yet that huge hill takes the same strength and determination to conquer that breast cancer did.

Recently I have been thinking a lot about last year’s Tour de Pink ride, which I watched as an observer. I remember thinking “there is no way I could ever do that” as I watched the survivors climb onto their bikes day after day. I remember feeling amazed by the net of support that the community of riders makes around every survivor. I remember a longing to be strong again and to live without pain.

It feels like everywhere you turn these days someone is riding, walking or running for a cause. And to every one of you who donated to Tour de Pink in some way, thank you from the bottom of my heart! YSC expects to raise over $750,000 this weekend! Thanks to you, YSC is able to continue supporting all young women affected by breast cancer and ensure that no young woman facing breast cancer ever has to feel alone.

For those of you who live between Philly and D.C. – or know people who do – please come and cheer on our survivors and riders!!!  For the first time, YSC is setting up cheering stations – so come out and join us!!!

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Categories: Taking my Body Back

Remembering Kathleen (Kat) Werner, Breast Cancer Advocate, Volunteer and YSC Board Member

In Remembrance
Kathleen (Kat) Werner
1975-2012

Dear Breast Cancer Community,

We are deeply saddened by the loss of a fierce advocate, compassionate leader and member of our Board of Directors, Kat Werner. Kat died suddenly Sunday, September 23, as the result of a blood clot, about one week after giving birth to her fourth child. She was 37 years old.

Kat fulfilled so many roles in breast cancer advocacy, support and outreach. YSC and the community at large have suffered a tremendous loss. Kat’s intelligent approach to problems large and small, her generous supportive nature and overall zest for life were inspiring to us all. Kat had a remarkable ability to translate the research and science of breast cancer into information that was digestible for newly diagnosed women and explained the impact of science and research findings throughout the advocacy community. She often helped to lead the dialogue between advocates, survivors and researchers – gaining the respect, admiration and appreciation of them all.

Kat worked in breast cancer research advocacy full-time for various organizations including Young Survival Coalition, National Institute of Health, the Cochrane Collaboration, American Cancer Society, the Department of Defense Congressionally Directed Medical Research Programs, Virginia Breast Cancer Foundation, Research Advocacy Network, the National Cancer Institute and Susan G. Komen for the Cure. She was a graduate of the National Breast Cancer Coalition’s Project LEAD Institute, Research Advocacy Network Focus on Research, American Association for Cancer Research’s Scientist ↔ Survivor program, and the Alamo Breast Cancer Foundation’s Advocate Program.

In 2011, YSC was honored to have Kat join its Board of Directors (news release) as a strong voice for all young women with breast cancer, particularly those that connect using social media. As a young survivor, Kat supported countless other young women through their breast cancer diagnosis using Facebook, the YSC message boards and tirelessly volunteering.

Kat was funny, open-minded, engaging and never judged. Her warmth made it easy for young women to open up, listen and exchange perspectives. Her enthusiasm and unwavering dedication will be greatly missed and we will work to honor her by continuing to further the mission of YSC.

Kat leaves behind her husband of 13 years, Jeff, and their four children: Bethany, Liam, Elise and Micah (who was born last week).

Kat, we will miss your leadership, determination and passion.

Sincerely,

The YSC Board of Directors

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Categories: Guest Bloggers

Community and Celebration

Survivor Photo, 2012 Kansas City’s In Living Pink

This past weekend I flew to Kansas City to attend YSC Kansas City’s In Living Pink gala. It was awesome! Everyone looked beautiful and the energy throughout the event was electrifying, filled with love and compassion.

My favorite part of any YSC In Living Pink event is always the survivor photo. When you are standing there surrounded by so many spectacular women it reminds you how important the YSC community is to so many people. If you were to see any of these women walking down the street the LAST thing you would think of is cancer – your thoughts would probably be “Wow, she is beautiful … ” or “Check out her shoes!” But, the reality is that every one of these women has been told “You have breast cancer” and together, we are doing way more than just surviving!

Throughout the memorable speeches at the event a common thread weaved in-and-out …. Hope. Whether it was Dr. John Michael Quinn talking about the hope that got him thru his own cancer diagnosis, Mrs. Kansas Brandi Palmer‘s hope that all young women pay attention to their bodies and understand that young women can and do get breast cancer, or Lara Moritz from KMBC TV, who kept us all grounded in the hope for a cure some day. The nine survivors in the fashion show also provided hope  that there is life after breast cancer and you can thrive with your new normal.

The most amazing part of the evening was grasping the extreme generosity of the Kansas City community. In less than one hour, the generous individuals who bought tables and tickets donated an additional $30,000 to YSC!!! WOW!!! During the evening, I was overwhelmed with the energy of this community and their dedication to each other and all young women affected by breast cancer.

Thank you, Kansas City, for making me feel so welcome and for your determination to ensure that no young woman faces breast cancer alone. You are outstanding … and I can’t wait to see you all again soon!!!

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A Gift to My Daughter on her 21st Birthday

Nicole and her daughter Kailee in 2004

How amazing would it be to end breast cancer by 2020? Is it possible? How far are we from finding the cure(s)? These were some of the questions I had going into a five-day intensive training course through the National Breast Cancer Coalition (NBBC) called the Project LEAD® Institute in July 2012.

The graduates of Project LEAD are armed to become leaders in the research advocacy world. They go on to do things like work with scientists on clinical trials, review grant proposals and explain the significance of recent research to their local communities. Completing the program was one of the hardest, most challenging and rewarding things I’ve done in my life – which includes treatment for stage-3 breast cancer, getting my Master’s degree and parenting (my other full-time job). It had been at least 13 years since I’d stepped inside a classroom.

The first two days we reviewed basic science education, which completely consumed and overwhelmed my brain. Some of it came back to me, at times in my sleep, “chromosomes, nucleus, peptides, gene factors …” But some of the information was brand new and mind-blowing. There are so many things that have to happen at the cellular level to create the being we know as human. It only takes one tiny thing to go wrong, be out of order or just located in the wrong place, for a cancer to form and grow. This concept still blows me away. The way the cells talk to each other and have very specialized jobs is incredibly complex. It completely consumed me at the beginning of the week.

The third day was focused on clinical trials, which is one of the areas I’m most interested in. I never realized how long it requires, how many people, dollars and years it takes, to evolve from an idea to a clinical trial setting. It’s a miracle we have as many going on as we do. We are very close to having vaccines for certain types of cancers and that fills me with more hope than words can describe. Targeted therapies are increasing and the more we learn about the many kinds of breast cancer that exist, the easier it will be to treat or even prevent them with promising immunotherapy.

The final days were spent learning all about NBCC and how much it’s accomplished over the years as a coalition. The fact that it fought, and won, the right to have laypeople (like me) sitting across the table from scientists to discuss the latest research or grants is quite an achievement of the diverse group of people and organizations that comprise the NBCC. They have invested generously in training advocates like me to become involved at every level and to stay connected with continuous learning and networking opportunities.

Everyone is assigned a mentor and you work within a study group diving deeper into topics and ensuring everyone understands the material to the best of their ability. This was invaluable and these relationships will continue to fuel the work I do on both the local and national levels.

This was something I wanted to do for myself both personally and professionally. As a YSC staff member this background will strengthen my understanding of breast cancer science, research and advocacy. I feel honored to have been chosen and received a scholarship to attend so I can have this knowledge under my belt as I work with young survivors and volunteers.

Nicole and Kailee in 2012

I do have another reason and it’s purely a selfish one: to end breast cancer as a gift to my daughter on her 21st birthday. As it stands she will begin annual screening at age 24 (10 years before my diagnosis at age 34). She is now 13 years old and has watched this disease take at least 30 young women with breast cancer I have known personally over a span of eight years. Some were and are my best friends, and women whom I consider family. My daughter has endured more than her share of heartache and has had to grow up fast in many ways, as I did when I lost my mom to a brain tumor when I was a child. She deserves to have a future in a world without breast cancer.

Can this be accomplished in the next eight years? That is a question that remains to be seen, but I for one, want to be on the front lines doing whatever I can to make that happen. Thank you NBCC and Project LEAD for giving me my wings. Life is what you make of it – I intend to make mine count.

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Categories: Guest Bloggers

Staying in the Moment

Me and Kristin, living in the moment

“The secret of health for both mind and body is not to mourn for the past, worry about the future, or anticipate troubles, but to live in the present moment wisely and earnestly.” — Buddha

All of us have given this concept thought at some point in our lives, either because we ourselves wish we did it better or because we are giving advice to people we care about who could use some help focusing on today.

I personally have struggled with this notion for much of my life. I have always lived in the future, working out in my mind what will be happening, instead of focusing what IS happening. But I am getting better and I have to be honest, I have cancer to thank.

When you meet and talk with a young woman struggling through breast cancer, you can’t help but look at life differently, realizing the wisdom behind this notion.

When you are faced with the horror of losing a young woman with breast cancer that you love, you find yourself focusing on right now because life is precious and you don’t want it to end.

I am also finding that the motto of living in the present is helping me through my journey of taking my body back from cancer.

For someone like me, who is new to the sport of cycling, all the equipment and the experience of sitting on a bike seat for six hours — focusing on the many hours to come as you ride towards your goal can be overwhelming.

But as my dear friend Kristin Westbrook always reminds me … that if you focus on the right now, it really isn’t all that bad. Actually, I have found that when you focus on the exact moment you are in and not how much more you have to go or a big hill in your future - the experience shifts. Suddenly you notice a cool bird flying beside you, or engage in a great conversation with a fellow rider, or just let your mind rest as your body works …

So, how will I make it from Philly to D.C. on a bike after only riding a bike six months, two years after a cancer diagnosis? WHO KNOWS!!! I am not going to think about it now, I will focus on today instead and know that each moment will be a step towards my goal of taking my body back from cancer.

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Categories: Taking my Body Back

Journaling for Better Health

A cancer diagnosis brings overwhelming feelings, a multitude of appointments, a sense of managing a second job for which the pay is fatigue, possible hair loss and a tired debit card laden with co-pays. As an oncology social worker and journal group facilitator, my goal with survivors is often focused on finding an action plan grounded in self-care amidst this flurry of activity.

The benefits of journal writing have been studied for over 25 years. Among those studies, included are ones focused on the benefits of journal writing with cancer survivors. Generally, the benefits have been positive.

If you knew that something as simple as writing in a journal for as little as five minutes might bring you some relief from the overwhelming feelings of cancer, would you give it a shot? If you knew that it is completely normal for you to feel triggered by walking back into the doctor’s office for a follow-up appointment, might you go a little easier on yourself?

I have heard survivors mention these following triggers coming up for them: walking past the infusion center; certain smells in the building where the doctor’s office is; and just going to park the car on the deck where they parked to go for treatment. Post-traumatic stress has been studied in cancer and I want you to know that you are in good company with others who have experienced symptoms like these.

Utilizing journal writing techniques can assist in healing and recovery from treatment and encourage a gentle grounding in the midst of the overwhelming experience of cancer.

In one of my cancer survivor journal writing groups, a big question which surfaced for the participants was, “Who am I now?” This came out of a technique called Lists of 100 created by Kathleen (Kay) Adams, the Director for the Center for Journal Therapy. Their journals led them to reframe that idea to, “I want …” I watched their lives change before my eyes. One participant, a young woman surviving breast cancer, completely changed jobs. Another’s relationship with his children, including a son serving in Afghanistan, transformed through writing and exchanging poetry.

Try this: Either dust off a journal that has been patiently waiting for you on your bookshelf or pick up one at the dollar store. Take five minutes to try one or more of the following prompts and then write for a few minutes about how it felt and what you noticed. Leave me a comment and tell me how it went. If you are new to journaling, please know there is no rule book. Your journal is yours and is a private relationship. The journal is your buddy and it will never, ever care what you write in it.

1: List: 10 Ways I Feel Safe

2: Describe a room in your house where you feel safe, comfortable and relaxed. Include as many details as you want. What time of day is it? What color are the walls? What photos are in plain view? What books are within reach? Is music playing? What is it? (You get the idea).

3: Here’s one to celebrate autumn: How will you celebrate and enjoy fall? Football? Pumpkins? Halloween candy? Planning a new, non-traditional dish to add to the spread for Thanksgiving? Jumping in raked piles of leaves? You tell me.

Remember to write feedback when you’re finished. And, please feel free to leave me a comment on the blog – I’d love to hear what surfaced for you!

A few references for you (email me if you’d like me to send you a PDF of any of these articles):

Adams, K., (1999). Writing as therapy. Counseling and Human Development, 31, 1-16.

Frisina, P.G., Borod, J.C., & Lepore, S.J., (2004). A meta-analysis of the effects of written emotional disclosure on  the health outcomes of clinical populations. The Journal of Nervous and Mental Disease, 192, 629-634.

Hampton, M.R., & Frombach, I. (2000). Women’s experience of traumatic stress in cancer. Health Care for Women International, 21, 67-76.

Kangas, M., Henry, J.L., & Bryant, R.A. (2002). Posttraumatic stress disorder following cancer: A conceptual and empirical review.  Clinical Psychology Review, 22, 499-524.

Stanton, A.L., & Danoff-Burg, S., (2002). Emotional expression, expressive writing, and cancer. In S.J. Lepore & J.M. Smyth (Eds.) The writing cure: How expressive writing promotes health and emotional well-being (pp. 31-51). Washington, DC: American     Psychological Association.

Ullrich, P.M., & Lutgendorf, S. K., (2002). Journaling about stressful events: Effects of cognitive processing and emotional expression.
Annals of Behavioral Medicine, 24, 244-250.

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Categories: Guest Bloggers