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The Vermont Cancer Center’s
Choices and Voices in Breast and Women’s Health
Friday, October 10, 2014 • 8:00 am – 4:30 pm
Sheraton Burlington Hotel & Conference Center, Burlington, Vermont
A Free Community Event!
For patients, survivors, health care providers, family members, and others
interested in breast and women’s health.
presented by
presenting support from
gold support from
www.VermontCancer.org
@vtcancercenter
@vtcancercenter
facebook.com/vermontcancercenter
facebook.com/vermontcancercenter
pinterest.com/vtcancercenter
pinterest.com/vtcancercenter
The Vermont Cancer Center’s
Registration is Free–2 Ways to Register!
1. Online: www.VermontCancer.org
2. By Phone: (802) 656-2292
A Message from
Kathy McBeth, MA
and Patti O’Brien, MD
Co-chairs
E
ach year our Annual Breast Cancer and Women’s Health Conference is
themed around a topic, and we try to weave in various new workshops and
speakers to complement this. This year we felt it was important to talk about
the many choices that women have in their care. Each woman needs to find her own
voice to advocate for the care that she feels will be right for her.
We are all unique. We all have our own values, beliefs, needs, coping skills,
and communication styles. We each have a voice inside of us that helps us choose
our path in life. Depending on how we listened to that inner voice we have each
chosen our own lifestyle, our own preventative health habits and screening practices
differently. When we are faced with choices about our medical care or how we want
to respond to an illness we will each need to use our voices to ask unique questions.
Only if we know how to ask questions and get information can we then move
forward to make informed choices.
A major goal of this conference is to give information to people in a variety
of formats so that everyone can seek knowledge and support that will help them
make healthy choices for themselves, their loved ones, or their patients. This is a
place to come and ask questions, share information, and teach each other. You have
a voice in this conference; this conference is designed by people who have been
coping with cancer, by people who provide care for people dealing with cancer, by
family members, and by previous attendees. Your voice is important. We hope you
will come and use your voice to enrich this conference- if you have a question we
encourage you to ask. Often the person next to you has the same question but is too
shy to ask. You can help that person next to you by sharing your voice. Healthcare
is rapidly changing on many levels. Your voice is needed to help guide these changes
to better serve you and those around you. An informed voice is a strong voice that
will be heard. An informed voice will give strength to those around you who are also
trying to find their voice. We are inviting you to come and share your voice, and join
us as we celebrate the many options that we can all explore in our lives.
The Vermont Cancer Center (VCC) at the University of
Vermont and Fletcher Allen Health Care is a comprehensive clinical and research
cancer center committed to innovative cancer research, life-saving prevention
and treatment programs, public education, and scientific collaboration. With
more than 130 scientists engaged in a full range of basic, translational, clinical
and outcomes research, the VCC plays an important role in cancer prevention
and treatment across the region and beyond. Through the collaborations of
researchers, physicians, and caregivers, the VCC brings advanced treatment
options to patients in our region, including hundreds of clinical trials aimed at
advancing the standard of care and improving overall quality of life for cancer
patients. To learn more about research, education, prevention, patient care, and
support at the VCC, visit www.vermontcancer.org.
Why Your Support Matters
Admission to all Conference sessions and exhibits is free, thanks to a generous grant
from the VT-NH Affiliate of Susan G. Komen for the Cure and support from the
Vermont Cancer Center, University of Vermont College of Medicine, Fletcher
Allen Health Care, Blue Cross Blue Shield of Vermont, Front Porch Forum, and
Seventh Generation. However, ongoing cancer research, patient education and
prevention services, and community outreach efforts are not possible without your
support. Consider making a $17 donation when you register online to celebrate
our 17th annual conference. Your support makes all the difference!
2
PRE-REGISTRATION ENDS AT 8:00 AM ON MONDAY, OCTOBER 6TH!
Attendees may still register for free on-site, but some sessions may be unavailable due to full attendance. Be sure to register early to get into the sessions you want most!
Lunch Registration
Lunch is by reservation only and may be purchased when registering for the conference. The purchase of
a plated lunch is required to attend the keynote presentation.
GRAB AND GO LUNCHES ($10) will be available in the Exhibit Hall starting at 11:30 AM. You will have
your choice of wraps, sides, and a beverage.
PLATED LUNCHES ($22) will be served in the Emerald Ballroom and VCC member
Thomas Ahern, PhD, MPH will deliver a keynote presentation during lunch.
Please do not sign up for a plated lunch if you wish to attend another lunch session.
A Message from
Becky Burke
President, Susan G. Komen for the Cure
Vermont-New Hampshire
Welcome to the Vermont Cancer Center’s 17th Annual Breast Cancer Conference.
Susan G. Komen for the Cure Vermont-New Hampshire is proud to support
this educational resource essential to all individuals in our region interested in
learning about breast health.
We have supported and attended this conference since the beginning in 1998
and have watched it grow with great pride. In concert with Susan G. Komen for
the Cure’s vision of a world without breast cancer, the conference is dedicated
to saving lives, empowering people, ensuring quality care for all, and energizing
science to find the cures. Additionally this year, we are excited to be supporting
the work of Thomas Ahern, PhD, MPH, a Vermont Cancer Center scientist and
recipient of a $450,000 Komen Environmental Challenge Grant. His research into
breast cancer associated with the exposure to certain synthetic chemicals will have
ramifications on breast cancer thinking and possible prevention the world over.
Our support is made possible through various fundraising events held
throughout the year, beginning with the annual Romp to Stomp Snowshoe at
Stratton Mountain, VT. In May, the 3rd Annual Komen New Hampshire Race
for the Cure was held in Portsmouth, NH. Now in our 22nd year, the Komen
Vermont Race for the Cure takes place on September 20th in Manchester, VT.
Our two 10-mile pleasure horseback rides are scheduled for August 30th in New
Boston, NH and October 13th in Woodstock, Vermont. We hope you’ll join us
at one or all events!
We would like to express our gratitude to the VCC and to conference
co-chairs Kathy McBeth and Patti O’Brien for bringing together such a
wonderful and diverse program full of opportunities to provide health care
professionals, breast cancer survivors, and their family and friends with the most
up-to-date and accurate information regarding breast health.
As we look towards the future, our shared vision with the Vermont Cancer
Center and the countless people who make this event a success each year is to
provide educational opportunities to the region in an effort to end this disease,
so we can ensure that one day we can live knowing that breast cancer no longer
threatens the lives of our mothers and daughters, friends and neighbors.
We are proud to be a part of your day and are sure you will find it an
enriching and inspiring experience!
Breast Cancer Awareness Quilt
Stop by the Vermont Cancer Center table in the Exhibits Hall for an opportunity to win a
beautiful hand-crafted quilt made by June Bugbee of Williston, Vermont. Proceeds from the
raffle will benefit breast cancer research and education efforts at the Vermont Cancer Center.
Agenda at a Glance
4 Predictors of Recurrence After a DCIS
Diagnosis P N RT
POSTER SESSION ❭❭ 8:00-9:00 AM
Our annual scientific poster session will be
held in the Exhibits Hall. Presenters from
the Vermont Cancer Center and our allied
institutions will showcase the latest in cancer
research. Grab a cup of coffee and meet our
poster presenters to start your day!
SESSION ONE ❭❭ 9:00-9:50 AM
1 Sex After a Cancer Diagnosis: Has Anyone Seen
My Libido? N SW
Patti Johnson, RN, OCN, CBCN and Mary Nolan, RN, OCN
This will be a patient-focused presentation with
a wealth of information regarding body image,
intimacy, and dealing with short- and long-term
effects of cancer treatment. There will be a frank
discussion of issues related to sexuality with
time for questions. “Pandora’s Box”, a treasure
trove of resources and enhancement devices, will
be explored. Oncology RN and Breast Cancer
Survivor Mary Nolan will share her personal
experiences in overcoming the emotional and
physical effects of cancer treatment as related to
sexuality.
2 PHYSICIAN TRACK: Breast Cancer MicroRNAs:
Novel Biomarkers for Early Detection and
Prevention of Metastatic Bone Disease P N PT
RT
Jane Lian, PhD V and Marie Wood, MD V
This session will explore the biology behind cancer
metastases to bone. Additionally, we will look
at what factors influence the spread of cancer to
bone and what providers can do to help prevent
and treat bone metastasis. This session is specifically
geared toward primary care providers and other
health care professionals.
Kinesio Tape Management of Trunk, Breast,
and Arm Lymphedema P N PT
3
Julia Child, PT, CLT-LANA
This session will discuss the benefits of kinesio
tape in the management of chronic and acute
lymphedema. Lymphedema causes a decrease
in the space between skin and muscle, resulting
in constriction of lymphatic flow and pressure
on sensory receptors which can cause pain and
numbness. Kinesio tape applied to skin can improve
lymphatic flow, resulting in a decrease in edema and
discomfort associated with lymphedema.
Brian Sprague, PhD V
This session will discuss the basic biology of DCIS
(ductal carcinoma in situ, the most common type
of non-invasive breast cancer) and the magnitude
of this diagnosis as a public health problem;
the typical disease-free survival rates for DCIS,
including the average time from diagnosis to an
invasive breast cancer diagnosis; and predictors of
disease-free survival, including factors related to
the patient, her treatments, and the characteristics
of the DCIS diagnosis.
5 Recipe for Breast Health: Understanding How
Diet and Weight Affect Prevention, Survivorship,
and Caregiving N ND
Chef Curtiss Hemm and Jennifer May, RD, CD
Increasingly studies suggest that a healthy diet may
help minimize the lifetime risk of breast cancer.
This session will address current and trending
thinking about the relationship between breast
cancer, personal nourishment, the modern diet,
contemporary food systems, and discuss how to
sustainably transform one’s current practices. This
session will encourage better breast health and overall
wellness for prevention, survivorship and caregiving.
6
Adjuvant Therapy
P
N PT RT SW
Paul Unger, MD V
This talk will cover the basic concept of giving
treatments in addition to surgery for breast cancer
patients. It will discuss the role of chemotherapy,
hormonal, and immunological treatments for
early stage breast cancer.
7 Integration of Palliative Care into
Cancer Care P N PT SW
Janet Ely, MSN, AOCNP, FNP and Mary Giancola, MSW, LICSW
Palliative care is specialized medical care for people
with serious illness focused on improving quality
of life through relief from the symptoms, pain
and stress of a serious illness. Care is provided by
a team of caregivers who wholly support and care
for the patient and family. Integrating palliative
care into cancer care is appropriate for any cancer
diagnosis and provides an extra layer of support
from the time of initial diagnosis, through active
treatment and, when needed, helping patients and
families transition to end of life care.
Educational Credit
This program has been reviewed and is
acceptable for up to 5.5 Nursing Contact Hours.
The University of Vermont College of Medicine
is accredited by the Accreditation Council
for Continuing Medical Education to provide
continuing medical education for physicians.
The University of Vermont College of Medicine
designates this live activity for a maximum of
5.5 AMA PRA Category 1 CreditsTM.
The University of Vermont-Continuing Medical
Education is an approved provider of continuing
nursing education by the Vermont State Nurses
Association’s Committee on Education, an accredited
approver by the American Nurses Credentialing
Center’s Commission on Accreditation.
Physicians should claim only the credit commensurate with the extent of their participation
in the activity.
Determination of Pharmacotherapeutic credit
is pending. Credit is pending for the following
providers: Social Work CEU, Nutrition and Dietetics
CPE, ASRT and Physical Therapy.
8 Touch, Caring & Cancer: Simple Instruction for
Family and Friends N PT SW
Catherine Cerulli, MEd and Janet Kahn, PhD, LMT
The Touch, Caring, and Cancer (TCC) program
used in cancer centers, hospices, hospitals, and
homes across the United States has been found to
support improved quality of life for cancer patients
and their caregivers. This workshop will provide
patients, caregivers, and health care professionals
with simple, effective techniques such as massage,
acupressure, mindfulness, and aromatherapy.
9 Changing Paradigms of Cancer Treatment:
Can Peripheral Blood be a Surrogate for Tumor
Biopsy to Identify Treatment Targets in Patients
with Advanced Breast Cancer? P N
Mary Chamberlin, MD
Tumor biopsy can be an invasive process, but it
is often deemed necessary to identify treatment
for advanced breast cancer patients. But is there
another way? This session will explore the use of
peripheral blood as an alternative way to identify
new treatment targets.
10
Lymph Node Transplant: A Case Study
P
N PT
Justine Dee, PT, MS, OCS
A lymph node transplant involves moving lymph
nodes from one area of the body to another in order
to help patients affected by lymphedema. We will
present the case of a patient with breast cancer related
lymphedema who underwent this procedure.
11
Y oga for Living with Cancer
Susan Marx
This gentle yoga class begins with warm-up
movements and breath awareness to prepare for
yoga postures. The heart of the class is a sequence
of postures that stretch, strengthen, and balance
the body. The class ends with deep relaxation and
calming breath work. This session will help you
wherever you are, whatever your treatment stage
or yoga experience. Please bring your own yoga
mat or towel to this session.
12
L ook Good…Feel Better
Sponsored by the American Cancer Society,
this is a double-length session that will provide
makeovers to current cancer patients, giving them
more hope and confidence. FOR CURRENT
CANCER PATIENTS ONLY. This is a doublelength session that runs from 9:00-10:50 AM.
Cost of physician credit (up to 5.5 credits) - $40
Cost of all other health care provider credit (up
to 5.5 credits) - $20
P
Physician CME
N
Nursing Contact Hours
ND
Nutrition and Dietetics CPE
PT
Physical Therapist CE Credit
RT
Radiologic Technologist CE Credit
SW
Social Worker CEU
V
VCC Member
Schedule subject to change. Please visit www.VermontCancer.org for updates and bios of our speakers and panelists.
3
Agenda at a Glance
SESSION TWO ❭❭ 10:00-10:50 AM
1
Environment and Women’s Health
N ND
Frances Carr, PhD V and Janet Gray, PhD
The environmental choices you make can have a
huge impact on your cancer risk and survivorship
options. This session will explore some of those
environmental factors and give you an idea of what
decisions you can make to ensure a healthier lifestyle.
PHYSICIAN TRACK: The Continuum of Oncology
Rehabilitation for Cancer Survivors P N ND PT
2
Kim Dittus, MD, PhD V
Cancer survivors often have specific needs when it
comes to recovery and rehabilitation. We will discuss
the unique rehabilitative needs of these survivors and
how providers can help facilitate the road to recovery.
This session is specifically geared toward primary care
providers and other health care professionals.
3
Conversations and Choices for the Caregiver
N SW
Kathy McBeth, MA V
What are the plights that caregivers face when
taking care of somebody who is suffering through
cancer? This session will discuss some of the tough
conversations and difficult choices that caregivers
and patients face, as well as some ways to find
guidance through those tough times.
4
Breast Cancer and Weight Gain
P
N ND RT SW
Jean Harvey, PhD, RD V
Weight gain is common in breast cancer patients
after diagnosis. Unfortunately, survivors who are
overweight are more likely than trimmer survivors
to have their cancer recur. This workshop
reviews why weight is likely to change during
treatment and details activities you can do that
have consistently been shown to reduce the risk
of breast cancer, improve odds of survival if
diagnosed, and help prevent other illnesses.
Living with Metastatic Breast Cancer: A Panel
Discussion N ND PT RT SW
5
Rose Colletti, PhD V
Survivors living with Stage IV breast cancer will share
stories and respond to various topics, including how
they maintain HOPE and develop MEANING in
the face of ongoing treatment. Audience questions
and participation will be encouraged.
Choices in Prophylactic Mastectomy: Figuring
out what is Right for YOU N PT SW
6
Clare Ginger, PhD, Robert Nesbit, MD, Patti O’Brien, MD V , and
Michelle Sowden, DO V
The desire for body symmetry after a mastectomy
is a well-recognized need. There are many ways
to try to achieve this symmetry, and this will be a
discussion about the many options. Patients who
have chosen very different options will be talking
about their personal choices. Some women choose
to “add back” a breast using their own tissue, an
implant, or a prosthesis. Some women want the
option to remove the “normal breast” even if they
do not carry a genetic risk factor. These are very
complex personal issues. The plastic surgeon and
the oncology surgeon discuss with each woman to
help her pick what is going to be right for her.
7
P
Ovarian Cancer Screening and Prevention
JOIN US FOR
A COFFEE
CHAT
N PT RT
Elise Everett, MD
This session will discuss the various methods used
to screen for ovarian cancer, symptoms of the
disease, and prophylactic removal of the ovaries
for women at high risk for disease.
8
Genetic Counseling and Testing
Coffee chats will be held in sessions 2, 5, and 6
in the Emerald III Ballroom. These sessions are
more casual and smaller in size, giving you the
chance to have a cup of coffee and a discussion with the presenter and others attending
the chat. More details about the individual
coffee chats can be found online.
N RT SW
Wendy McKinnon, MS V
This session reviews the features of hereditary
breast and ovarian cancer and explains who might
be a candidate for referral for genetic counseling
and, possibly, genetic testing. The talk will review
what happens during a genetic counseling session
and discuss the risks, benefits, and limitations of
undergoing genetic testing for cancer risk.
Integrative Therapies in Cancer Care: Expert
Panel Discussion P N ND PT SW
Coffee for the 17th Annual Breast Cancer
Conference is generously donated by the
Burlington Starbucks stores.
SESSION THREE ❭❭ 11:00-11:50 AM
9
Philip Trabulsy, MD and Janet Kahn, PhD, LMT
A lively presentation and discussion by a panel
of experts in the field of integrative medicine
regarding the growing body of evidence for the
clinical value of supportive cancer care using
the best evidence-informed therapies from
the field of complementary and integrative
medicine, including symptom management, pain
management, rehabilitation, survivorship, health
promotion and cancer prevention. This clinical
panel of integrative practitioners will discuss their
particular healing discipline’s approach to support
the cancer patient and will include such topics as
integrative nutrition, natural supplements, herbal
treatments, acupuncture, oncologic massage
therapy, and mind-body medicine.
10 The Benefits of Nature Contact on
Survivorship N SW
Christine Vatovec, PhD V
How can the power of nature help cancer
survivorship rates? This session will explore the
scientific data surrounding the role that nature
contact, such as walks in a natural area or having
plants in a clinical setting, plays in survivorship.
11
Coffee Chats
Bring your coffee and enjoy a casual, small-group
session in the Emerald III ballroom. Coffee
chats available in this time slot are listed below.
More details can be found on the web at
www.VermontCancer.org.
✱R
educing Toxic Exposure by Reforming
Toxic Policies
Taylor Johnson
✱ C oping with Cancer: A Social Work Perspective
Stephanie Fraser, MSW
✱ T he Benefits of Oncology Massage
Kirsten Wiley
✱ T he Impact of Philanthropy in Cancer Research
Manon O’Connor
✱U
nbridling the Past
Janis Cooper
✱ T ools for Weight Management and Staying Healthy
Siobhan Donegan, MS, RD and staff of Ladies First
1
P
Screening: When, How Often, and Why?
N PT RT SW
Harry Chen, MD, Sally Herschorn, MD V and Marie Wood, MD V
Screening guidelines change from state to state
and from person to person, but what does that
mean for you? This panel, moderated by Vermont
Commissioner of Health Harry Chen, MD, will
discuss the multiple screening guidelines out there,
explain why recommendations differ, and help you
figure out how to make the best choice.
2 PHYSICIAN TRACK: Cancer and Venous Thrombosis:
Risk Factors, Treatment, and Prevention P N PT RT
Neil Zakai, MD
Venous thrombosis is a common complication of
malignancy which affects both the quality and the
quantity of life. It is important to understand the
risk factors for cancer-associated thrombosis, the
appropriate treatment, and novel prevention strategies
in order to provide the highest quality care. We will
discuss the risk factors and treatments for cancerassociated thrombosis and novel prevention strategies.
This session is specifically geared toward primary care
providers and other health care professionals.
3
What Health Care Reform Means for You
Catherine Hamilton, PhD, J. Chris Nunnink, MD V ,
Allan Ramsay, MD
The last year has seen huge changes in health care
across the country. These changes have an impact on
the choices available to patients during diagnosis and
treatment. This session will explain the BlueCross
BlueShield of Vermont Health Care exchange, new
health care reform laws, and how they interact with
cancer treatment and prevention.
4 The Road to Advocacy and Breast Cancer
Deadline 2020®
Nancy Ryan and Susan Pelletier
Learn how to get involved, take action and end
breast cancer! Educated consumer advocates help to
steer breast cancer research, pass critical breast cancer
legislation, and guide breast cancer public policy.
Breast Cancer Deadline 2020® is the National Breast
Cancer Coalition’s call to action for researchers,
policymakers, breast cancer advocates and all other
interested parties, to know, by January 1, 2020, how
to end deaths from breast cancer.
Lunch Sessions ❯ 12:00–1:00 pm
Grab and go lunch is by reservation only.
Plated Lunch and Keynote Presentation by Tom Ahern, PhD, MPH:
What to Expect When You Get Called Back from
Your Routine Screening Mammogram N RT SW
5
PLATED LUNCHES will be served in the Emerald Ballroom. The purchase of a plated lunch is required to
attend the keynote presentation.
Elise Hotaling, MD
Approximately 10% of patients undergoing a
screening mammogram are called back to further
evaluate a finding seen on the initial images. Such
findings may include calcifications, densities, and
masses, any one of which may be a sign of benign
or malignant disease. This presentation discusses
the tools breast imagers use to complete this
additional evaluation and what you can expect as
a result.
Looking for Avoidable Causes of Breast Cancer: No Trivial Pursuit!
GRAB AND GO LUNCHES may be picked up in the Exhibit Hall beginning at 11:30 AM.
Brighten Up: Bright Pink’s™ Educational Workshop
on Breast and Ovarian Health N RT SW
Lymphedema Awareness: Developing a Lymphedema Awareness Program for Breast Cancer Survivors
Betsey Wesson
The Brighten Up Educational Workshop is a signature
program that educates and inspires young women
to be proactive advocates for their health. Facilitated
by a certified Bright Pink Ambassador, these sessions
ground participants in the basics of breast and ovarian
health, introduce them to early detection techniques,
and equip them with life-saving knowledge.
Immediately following the workshop, participants
receive access to tools that can help them calculate
their personal level of cancer risk, develop an action
plan in partnership with their doctor, and monitor for
symptoms and signs of cancer.
7
PHYSICIAN TRACK: Cardiac Disease and Breast Cancer
N PT RT
Paddle Your Way to Recovery and Feel Alive!
N ND PT RT
Linda Dyer
Come learn about our unique support group where the focus is on living, not on the disease. We are
Dragonheart Vermont. Together, we breast cancer survivors have taken on this challenging paddle sport
while learning the true meaning of teamwork. No age limit or athletic experience is necessary. The
Dragonheart Vermont Sisters paddle together on Lake Champlain all summer and race around the world
together. Come learn about our trip to Italy where we raced in the World Club Crew Championships.
We are paddling our way to wellness and loving every moment!
Genetic Testing and Inherited Breast and Ovarian
Cancer: Patient Perspectives N RT SW
8
Bernard Cole, PhD V
This presentation will provide an overview of
the process that new drugs must go through
before they may be approved by the Food and
Drug Administration. We will discuss early- and
intermediate-phase clinical testing, where emphasis
is typically focused on dosing, safety and preliminary
evaluation of efficacy. We will then introduce the
randomized clinical trial and its importance in
modern medicine. The presentation will include
a summary of the studies and process leading to
the recent FDA approval of pertuzumab for two
indications in breast cancer.
P
Susan G. Lakoski, MD V
Treatment for breast cancer may have increased risk factors for heart disease, and care providers need to
understand these risk factors and integrate them into the standard risk factors such as obesity, lipid profile,
smoking, DM, and inactivity. This talk is geared for the care provider that needs to screen breast cancer
survivors for heart disease. Testing guidelines, symptom management and interventions will be discussed.
This session is specifically geared toward primary care providers and other healthcare professionals.
Elise Everett, MD
This session will discuss the treatments used to
treat ovarian cancer at various stages, side effect
management, and research for new therapies. An
overview of surgical and medical interventions
used.
9 Evaluating Safety and Efficacy of Novel Drug
Therapies: The Journey from Early Testing to
FDA Approval P N
N PT
Kathy Weatherly
Lymphedema is a chronic swelling and chronic challenge for many cancer patients. In this discussion Kathy
will discuss methods of education and self-monitoring methods that PTs can use in their community to
help breast cancer patients. Therapists will learn to develop an Action Plan for each patient, including
taking monthly measurements and tips to help them reduce their risk of developing lymphedema.
Materials will be made available for lymphedema specialists to utilize in their communities.
Ovarian Cancer Treatments
Wendy McKinnon, MS
This panel discussion includes several individuals
who have undergone genetic counseling and testing
for the BRCA1/BRCA2 genes. These two genes are
associated with the majority of inherited breast and
ovarian cancers. There will be a variety of results
and a range of perspectives on the testing process.
Anyone interested in learning more about the
BRCA1/BRCA2 counseling and testing process is
encouraged to attend.
N ND SW
Lunch Sessions:
6
P
P
Tom Ahern, PhD, MPH V
The premise of cause and effect drives epidemiologists, scientists that deal with incidence, distribution, and
possible control of diseases, in their hunt for avoidable causes of breast cancer. In this talk, Dr. Ahern will
explain a theory which focuses current research efforts to find highly prevalent, yet avoidable, contributors
in the development of breast cancer which, if mitigated, substantially reduce the burden of breast cancer in
a population.
10
Spirituality as a Cornerstone of Coping
N SW
Rebecca Brooks, Patricia Fontaine, MACP, and Roz Grossman, MA
For many of us, a relationship with spirituality keeps
us company during the healing journey with cancer.
This panel of survivors, each with a different spiritual
connection, offers reflections on what this relationship
means to them. We welcome questions and will leave
time to reflect as a group on your own journeys.
11
Culinary Demonstration ND
Join local chefs for a culinary demonstration outside
G’s Restaurant. This demo will give you a chance to
learn some nutritional recipes and techniques that you
can apply to create fast, healthy, and delicious meals
anywhere and anytime.
SESSION FOUR ❭❭ 1:15-2:05 PM
1
Chemobrain
P
N ND PT SW
Kim Dittus, MD, PhD V , Owen Drudge, PhD, Julie Dumas, PhD V ,
and Patti O’Brien, MD V
Women frequently comment that their memory
declines during and after therapy for breast cancer.
A panel of experts, including a cognitive expert, an
oncologist, and a breast cancer survivor, discuss the
science behind cognitive change and research efforts
to increase our understanding of this condition.
2 PHYSICIAN TRACK: Deep Inferior Epigastric Artery
Perforator (DIEP) Flap Breast Reconstruction
P
N PT SW
Robert Nesbit, MD
The DIEP flap is a common breast reconstruction
procedure that has many benefits. This session
will examine DIEP flap breast reconstruction as
well as the benefits and challenges for physicians
and their patients. This session is specifically geared
toward primary care providers and other health care
professionals.
Phthalates are Everywhere–But Do They Cause
Breast Cancer? P N ND SW
3
Tom Ahern, PhD, MPH V
Phthalate compounds have made their way
into a number of consumer products including
food containers, children’s toys, cosmetics, and
pharmaceuticals. Phthalates are suspected to disrupt
hormonal pathways in our bodies, and have the
potential to cause cancer. Dr. Thomas Ahern will
discuss the pervasiveness of these compounds in our
daily environment, summarize current evidence of the
effect of phthalates on breast cancer occurrence, and
introduce his new study, funded by Susan G. Komen
for the Cure, which will thoroughly explore this topic
in a population of women at risk for breast cancer.
5
Agenda at a Glance
Healing Through Play: Strategies to Care for
Self and Family N SW
9 Pilates Anywhere: Core Strength and Stability
Exercises for Home, Work, and Travel
Ali Waltien, CCLS and Julia Wick, MS, LCMHC
In this experiential session, Licensed Clinical
Mental Health Counselor Julia Wick and Certified
Child Life Specialist Ali Waltien acknowledge that
breast cancer impacts all members of the family.
Using therapeutic play techniques, Julia and Ali
will work with adult participants to give them tools
to address the many emotions of cancer to support
themselves and all members of the family.
Janet Franz
Pilates exercises create strong, stable core muscles in
the abdomen, lower back and derrière. This helps
you move easier, avoid back and hip pain, improve
your posture, and enjoy a flatter tummy and tighter
bottom. You will learn how to do Pilates exercises on
your own, anytime, anywhere. Practice these moves
with or without equipment at your desk, on the
floor, standing up, or sitting in a chair.
5 A Multidisciplinary Approach to Breast Cancer
Diagnosis and Treatment P N PT RT SW
10 Mindfulness Tools: An Introduction to Practices
and Scientific Evidence N SW
4
Deborah Rubin, MD, Mary Stanley, MD V , and Erin Tsai, MD
Current breast cancer care involves the
coordination of multiple medical disciplines:
surgery, pathology, radiology, and specialists in
chemotherapy and radiation treatment. In this
session you will sit in on a reenactment of a weekly
breast cancer case conference where specialists
review clinical, radiologic, and pathologic findings
of patients recently diagnosed with breast cancer
and discuss the best approaches to treatment.
Vermonters Taking Action Against Breast Cancer:
An Open Forum
6
David Cranmer V and Sharon Mallory
Vermonters Taking Action Against Cancer, the state
cancer coalition, in conjunction with the Vermont
Cancer Center, has presented an annual forum for
breast cancer patients, advocates and care providers
since 2006. This is an opportunity for participants
to discuss ways to collaborate with one voice to
reduce the burden of breast cancer in Vermont.
This session, open to all attendees, is a great way for
advocates and patients to share and network.
7
W
riting for Healing
Patricia Fontaine, MACP
The natural ability of the body to heal can be
enhanced by artistic expression, and writing is a
form of art accessible to all of us. Using simple
writing techniques, participants will leave with
some concrete tools and resources to begin their
own writing practice.
8
Marijuana for Symptom Relief
P
N ND SW
Bridget Conry, Shayne Lynn, Jeffrey Wallin, and Lindsey Wells
What is my role as a provider? How do I become
a registered patient? This session will focus on
the process of registering with the Vermont
Marijuana Registry and what happens after a
patient is registered.
2:00-2:15 pm
ICE CREAM
BREAK
Exhibit Hall & Level 2
Enjoy some ice cream, check out our
scientific posters, and visit with exhibitors!
Roz Grossman, MA and Yu-Jing Sun, PhD V
Meditation and other mindfulness practices can
benefit cancer recovery. This session will introduce
mindfulness tools known to ease stress and anxiety
and encourage calmness and wellbeing for cancer
survivors and caregivers. Recently published scientific
studies on mindfulness meditation in the areas of
neuroscience, biology and immunology including
clinical outcomes and potential mechanisms will
be presented and discussed as well as resources for
further mindfulness exploration.
11
Culinary Demonstration ND
Join local chefs for a culinary demonstration
outside G’s Restaurant. This demo will give you
a chance to learn some nutritional recipes and
techniques that you can apply to create fast, healthy,
and delicious meals anywhere and anytime.
12
L ook Good…Feel Better
Sponsored by the American Cancer Society,
this is a double-length session that will provide
makeovers to current cancer patients, giving them
more hope and confidence. FOR CURRENT
CANCER PATIENTS ONLY. This is a doublelength session that runs from 1:15–3:05 PM.
SESSION FIVE ❭❭ 2:15-3:05 PM
Are There Choices in Fertility Management
after Breast Cancer? P N SW
1
Elizabeth McGee, MD V
What are the options for fertility and family
building after one has been treated for breast
cancer? How can you know if you are still fertile?
Can infertility be treated? Is it safe? Could it be
an option for me? This session will answer these
and other important questions about fertility
management after breast cancer.
2 PHYSICIAN TRACK: The Many Benefits of
Palliative Care as a Part of a Comprehensive Cancer
Team P N PT SW
Diana Barnard, MD and Jaina Clough, MD
This session will discuss palliative treatments from
a provider’s standpoint and give a comprehensive
discussion on how every provider can benefit
from knowing more about this field. This session
is specifically geared toward primary care providers
and other health care professionals. Please note that
in order to fill the palliative care portion of the
new CME requirements, this session will run
until 3:15 PM.
Everyday Chemical Exposures and Breast Cancer:
Why Are We Concerned? What Can We Do? N ND
3
Janet Gray, PhD
Many common products we use in our everyday
life contain chemicals, including endocrine
disrupting compounds, which have been linked
to increased risk for developing breast cancer (and
many other diseases). We will look at some of
the scientific evidence that raises concerns about
these chemicals, and then talk about ways that
we as individuals can decrease exposures. And we
will talk very briefly about pending federal policy
and market-based initiatives that, if implemented,
would make our homes and environment safer.
4 Management of the Axilla in 2014: Can the Past
Guide the Future? N PT RT
Kari Rosenkranz, MD
The role of axillary surgery in the management of
breast cancer has been a constantly evolving thing
over the years. This session will explore the history
of this procedure and discuss what the past can tell
us about the future of treatment.
5
Clinical Trials and You
P
N ND PT RT SW
Chris Holmes, MD, PhD V
Clinical trials are among the greatest weapons we
have in fighting cancer. This panel discussion will
explore the world of clinical trials, how they help
find new treatments for cancer, and how you can
become a part of this important process.
Aromatase Inhibitors: Managing Pain, Hot Flashes,
and Bone and Sexual Health P N PT
6
Joanna Schwartz, PharmD
This session will focus on emerging data and
treatments for aromatase inhibitor-induced muscle
and joint pains, vaginal dryness and pain with
intercourse, and bone health. Dr Schwartz, who
is a pharmacist, will also provide information on
access to the treatments in the studies, such as if
they are over-the-counter, prescription only, or
compounding pharmacy only.
7
What to do When you Find a Breast Lump
N RT SW
Ted James, MD V
This session is geared for anyone who wants to
understand the nature of breast lumps and what
to do when you find one. The talk will review
the various causes of breast lumps and walk
participants through the diagnostic process for
evaluating a new breast lump. Recommendations
to ensure timely, safe and high-quality care will be
discussed.
8
P
What’s New in Breast Cancer Reconstruction?
N PT RT SW
Susan MacLennan, MD
In this session, we will focus on newer techniques
for reconstruction after breast cancer surgery.
Some of the techniques discussed may include
oncoplastic surgery after lumpectomy, nipple
sparing mastectomy, and new technologies that
may improve reconstructive outcomes.
9
Komen for the Cure Grant Workshop
Terry Farkas
We will discuss the various breast cancer programs
currently being funded by the Vermont/New
Hampshire affiliate of Susan G. Komen for the
Cure and the unique nature of Komen Community
Grants. Additionally, we will offer a presentation on
how your breast health program can become involved
in our granting process.
10 Grow Your Wellness and Joy After Cancer:
Survivorship NOW VT
Linda Dyer and Susie McNamara
Tap into the positive effects that exercise and
connection have on your health. Learn more about
Survivorship NOW’s FREE wellness programs with
our exciting calendar of programs that vary from
fitness to art to music to nutrition and more! Come
learn how you can take part in Survivorship NOW
today! Get stronger, fitter, and more connected. Feel
empowered. Have fun! Open to males and females.
We welcome survivors of all cancers.
11
Coffee Chats
Bring your coffee and enjoy a casual session in the
Emerald III ballroom. Coffee chats available in this
time slot are listed below. For more information,
please visit www.VermontCancer.org.
✱ Y ou are What you Breathe
Martin Wolf
✱ L ight, Darkness, Color, and Sound in Healing
Martha Loving
✱P
erforming a Self Breast Exam
UVM Nursing Students
✱ F ight Cancer Deliciously!
Chef Curtiss Hemm
✱ C oping with the Physical and Emotional Pain of
Cancer Treatment
Suzanne Hall, RN, BSW
✱ L aughter-cize and You
Traci Pena
12
Culinary Demonstration ND
Join local chefs for a culinary demonstration outside
G’s Restaurant. This demo will give you a chance to
learn some nutritional recipes and techniques that
you can apply to create fast, healthy, and delicious
meals anywhere and anytime.
SESSION SIX ❭❭ 3:15-4:05 PM
1
P
Oncology Rehabilitation: Steps to Wellness
N PT RT SW
Kim Dittus, MD, PhD V , Kristie Grover, PhD, Rebecca Reynolds, BS,
Diane Stevens, PT
Steps to Wellness is a comprehensive oncology rehab
program. This session will be presented by the team
that provides this care. It is also a research program
and Dr. Dittus will be discussing the findings and
implications of this research. Persons interested in
joining the program will find the overview helpful and
professionals who want to build a team in their facility
will learn gain an understanding of development. We
will discuss how a structured exercise program can
improve health after cancer treatment.
2 PHYSICIAN TRACK: The Use of Opiates During Cancer
Treatment P N
CULINARY
DEMONSTRATIONS
Mark Pasanen, MD
The use of opiates as a way to treat cancer symptoms
and relieve pain can be extremely beneficial to
patients, but it also carries risks if misused. This
session will discuss the prescribing of opiates, when
it is best to do so, and how to properly manage
these powerful tools. This session is specifically geared
toward primary care providers and other health care
professionals. Please note that in order to fill the opiate
management portion of the new CME requirements, this
session will run until 4:15 PM.
Back by popular
demand, culinary
demonstrations will
be held outside of G’s
Restaurant in sessions
3, 4, 5, and 6. Presented by a variety of
local businesses and
organizations, these
demos will give you
a way to enjoy meals and snacks that are healthy
as well as delicious. Good nutrition is the first step
to a lifestyle change that can help you fight off
cancer more effectively, and we hope that these
culinary demos will give you a place to start. Visit
VermontCancer.org for full details.
3 Risk of Breast Cancer Recurrence Associated with
Carbohydrate Intake and Tissue Expression of IGF-1
Receptor P N ND
Jennifer Emond, MSc, PhD
There is growing interest in how carbohydrate
content of the diet may impact prognosis among
breast cancer survivors. The study presented in this
session assessed the association between a change in
carbohydrate intake within a few years of completing
treatment on prognosis among postmenopausal breast
cancer survivors, and tested the mediating effect of
that association due to expression of the insulin-like
growth factor 1 (IGF1) receptor in the primary breast
tumor tissue.
4
What’s New in Radiation Oncology
P
N RT
Rick Lovett, MD V
This session discusses the principles of radiation and
how tissue sparing is accomplished, the new advances
in radiation treatments, and how individualized
radiation treatments are designed.
5
P
Symptom Control During Chemotherapy
N ND PT SW
Jennifer May, RD, CD
This session will provide helpful hints for
the management of common side effects of
chemotherapy, including taste changes, nausea,
and constipation. The goal of the presentation
will be to help patients find strategies for optimal
tolerance of treatment and preservation of quality
of life. Additionally, focus will be placed on the
maintenance of one’s nutritional status to ensure
treatment can be continued uninterrupted, and aid
in healing. Information will be presented through
the collaboration of a dietitian and a panel of
oncology nurses. Time will be allotted for questions
and discussion.
6
Enhancing Treatment and Survival with ACT
N SW
Suzanne Hall, RN, BSW
This session will help care providers explore the
ACT system (Acceptance and Commitment
Therapy). Understanding the principles underlying
ACT gives care providers a whole new set of
simple communication and interpersonal skills
to use when treating patients. ACT empowers
patients to choose a new approach to the physical
and emotional pain they experience during the
treatment process, providing them with a new
outlook and emotional understanding that can
help them face difficult times.
7
B reast Lymphedema
N PT RT
Kristi Johnson, PT, LANA
This session will cover the myths and mysteries
of lymphedema specifically related to breast
edema. Learning objectives are to obtain a basic
understanding of: the lymphatic system, breast related
lymphedema, risks and precautions, as well as some
treatment options.
8 Is There Sex After Cancer? Reviving your Sex Life
After Cancer P N SW
Gale Golden, LICSW, BCD
When an illness occurs, the accompanying
treatments, medications and surgeries may diminish
desire for sex and intimacy. Even in the best of
relationships, an open discussion about sex may be
daunting and thus avoided. This discussion will offer
practical help on starting the dialogue and reviving
the comfort of an intimate and sexual relationship.
Help is on its way!
9
Survivorship NOW’s Art as Healing
Carolyn Subin, PhD, LSW
Express yourself with watercolors. Tap into your
creative side—maybe one you never knew you had—
to enhance your healing and joy. No experience or
artistic skills necessary. Let Carolyn bring out the
artiste in you!
10
Culinary Demonstration
ND
Join local chefs for a culinary demonstration outside
G’s Restaurant. This demo will give you a chance to
learn some nutritional recipes and techniques that
you can apply to create fast, healthy, and delicious
meals anywhere and anytime.
7
Exhibitors
We anticipate additional exhibitors. Please check www.vermontcancer.org for exhibitor
updates. For more information on exhibiting, please contact Charles Brooks at (802) 656-2176
or [email protected]. Exhibitor registration deadline is September 12, 2014.
American Cancer Society
www.cancer.org
Cocktails Curing Cancer
www.cocktailscuringcancer.com
American Red Cross Blood Services
www.redcrossblood.org
Dana Medical Library
library.uvm.edu/dana
Amgen
www.amgen.com
Dragonheart/Survivorship NOW
www.survivorshipnowVT.org
Be the Match Registry
www.marrow.org
Eleanor B. Daniels Fund
www.ebdfund.org
BlueCross BlueShield of Vermont
www.bcbsvt.com
FAHC Breast Imaging
www.fletcherallen.org/services/womens_
health/specialties/breast_imaging
Bright Pink Vermont
www.bebrightpink.org
Cancer Patient Support Program,
Fletcher Allen Health Care
www.cpspvt.org
Central Vermont Medical Center
www.cvmc.org
Christ Memorial Church
www.cmcvermont.org
FAHC Frymoyer Community Health
Resource Center
www.fletcherallen.org/community_
resources/resource_center
National Network of Libraries of Medicine –
New England Region
www.nnlm.gov/ner
Vermont Cancer Center
www.VermontCancer.org
Norris Cotton Cancer Center
cancer.dartmouth.edu
Pink Ribbon Butterfly Project
Vermonters Taking Action Against Cancer
(VTAAC)
www.vtaac.org
Solaris
www.solarismed.com
Steps to Wellness
(Oncology Rehabilitation Program)
www.stepstowellnessvt.org
Accessibility for People with Disabilities
Although the Breast Cancer Conference is spatially accessible to people with disabilities, please note that there are significant distances between some of the sessions at the event. We regret that we are unable to provide individual assistance for
traveling throughout the premises. You are welcome, however, to be accompanied
by someone of your choosing. We ask only that your assistant register for the event
as well. For more information, please visit www.VermontCancer.org
Conference Disclaimer
The scientific views, statements, and recommendations expressed, displayed, or
distributed during the Vermont Cancer Center Breast Cancer Conference represent
those of the speakers and exhibitors, and do not necessarily represent the views of
the Vermont Cancer Center, the University of Vermont, or Fletcher Allen Health Care.
Inappropriate Behavior
The Vermont Cancer Center Breast Cancer Conference is a community event meant to
encourage togetherness and cooperation in the cancer community. Individuals who
are disruptive or whose behavior runs counter to the goals of the conference will be
asked to leave.
Refund Policy
The conference is free and open to the public. However, there are fees involved
if you choose to order a lunch or request credit. Refunds for these fees may be
obtained if notice of cancellation is received on or before October 1st. We are sorry,
but no refunds are possible after this date.
Vermont Reiki Association
www.vermontreikiassociation.org
14th Annual Retreat for Stage IV Breast Cancer Survivors
Thursday, October 9, 2014
Sheraton Burlington Hotel & Conference Center
Join us for a wonderful opportunity to meet other cancer survivors and share experiences related
to coping with metastatic disease. The retreat begins at 11 AM and continues into the evening.
Participants share stories, learn new coping techniques, have time to swim, exercise, and use
the spa. Lunch, dinner, and breakfast as well as overnight accommodations at the Sheraton are
funded with a grant from the VT/NH Affiliate of Susan G. Komen.
A limited number of scholarships are available for Vermont and New York state residents.
Survivors from other states are welcome to attend, depending on space availability, and will need
to cover their expenses. Please contact Rose Colletti, PhD at 802 847-5714 for more information.
Retreat participants will be on site at the Sheraton to attend the 17th Annual Breast Cancer
Conference on Friday, October 10, 2014. Registration for the conference is separate from the retreat.
For information and to reserve your space at the retreat, contact:
Rose Colletti, PhD, Staff Psychologist, Cancer Patient Support Program, Hematology/Oncology
Clinic, Fletcher Allen Health Care, Burlington, Vermont • 802-847-5714
(Retreat registration deadline: September 1, 2014)
Sponsored by a grant from the VT/NH Affiliate of Susan G. Komen for the Cure
Post-Conference Event: Ultimate Survivor: A Culinary and Exercise
Boot Camp for Cancer Survivors
Saturday and Sunday, October 11th and 12th
Curtiss Hemm, Pink Ribbon Cooking, Kim Dittus, MD, PhD, and Jean Harvey, PhD
The Ultimate Survivor Boot Camp is designed to introduce cancer survivors to modifiable lifestyle
changes that promote wellness and health after cancer treatment. Attendees will participate in
guided hands-on healthy cooking instruction, supervised instruction on how to exercise and keep
exercising and acquire skills that promote weight loss or maintenance. Participants must be able
to walk for exercise and also should not be in active cancer treatment. All registrants will receive a
personal phone call from Boot Camp Staff to review their medical history prior to the event.
Special registration is required. Please visit www.VermontCancer.org.
PRESENTING SUPPORT FROM
www.med.uvm.edu
www.FletcherAllen.org
Vermont Cancer Survivor Network
www.vcsn.net
Vermont Department of Financial
Regulation
www.dfr.vermont.gov
Peace Village Projects
Greater Burlington YMCA
www.gbymca.org
Hotel & Travel Information
This year’s conference will be held at the Sheraton Burlington Hotel & Conference
Center (870 Williston Road, South Burlington, Vermont 05403).
A limited number of rooms are available at a reduced conference rate. To
receive this special rate, reservations must be made before September 12th.
For more information about staying at the Sheraton or to make a room reservation, call (802) 865-6600. Visit www.VermontCancer.org for travel directions.
www.VermontCancer.org (877) 540-HOPE
Vermont Campaign for
Healthcare Security Education Fund
www.catamounthealth.org
Solidea Medical
www.solideamedical.com
Thanks to support from the VT/NH Affiliate of Susan G. Komen for the
Cure, there are a limited number of scholarships available for travel assistance for the 17th Annual Breast Cancer Conference. If you want to attend
the conference but would be unable to do so because of the cost of
travel, please call the Vermont Cancer Center at (802) 656-2176 or email
[email protected] to inquire about receiving travel assistance.
Susan G. Komen for the Cure
VT-NH Affiliate
www.komenvtnh.org
National Breast Cancer Coalition
www.breastcancerdeadline2020.org
Genomic Health, Inc.
www.genomichealth.com
Travel Scholarships Available
PRESENTED BY
Lesbian Health
Mammography Reporting System
www.mrsys.com
www.komenvtnh.org
www.komen.org
GOLD-LEVEL SUPPORTER
www.bsbsvt.com
SILVER-LEVEL SUPPORTER
www.frontporchforum.com