Friday, September 14, 2012

Open Letter to Facebook

After you read the letter, please see the notes from my conversation with the sales department at Facebook.  She was so nice.  I really appreciated her time.  I don't have $50K.

Dear Mark Zuckerberg,

Here at "Turn Facebook Teal to Heal" have almost doubled our goal!  Men and women around the world are asking for Teal Facebook Pages in September in honor of Ovarian Cancer Awareness Month.

Below is a PSA from Joe Girardi of the Yankees, because his mom died of ovarian cancer.  
I have been researching the FB platform even more and find that the only place for a PSA is the sign in page.  Will you please consider linking this PSA to your sign in page and changing it's color to Teal?

New York Yankees' Manager Joe Girardi speaks about losing his mother to Ovarian Cancer. He discusses the signs and symptoms of ovarian cancer. Together we can break the silence on ovarian cancer! Public Service Announcement by the National Ovarian Cancer Coalition - .  Published on Apr 5, 2012 by NOCCNational

On my blog you will also see a badge that links followers to the CDC, so that anyone can get materials about this deadly disease.  It kills 4 out of 5 women.  

I saw that Facebook is stories now, as part of it's platform.  I am so pleased to see that.  But those stories are not seen before someone signs in.

Please take this unique opportunity to demonstrate the goodwill efforts of Facebook to all individuals, both members and non-members, by linking this PSA to your sign in page and changing the color to Teal in September of 2012.

(This was emailed to Facebook sales and marketing departments on 09-13-12, one of many so far)

I just contacted the sales department by phone  800-608-1600 begin_of_the_skype_highlighting            800-608-1600      end_of_the_skype_highlighting)to ask if they are willing to post a PSA on their sign in page about ovarian cancer.  The representative was overly polite given she could not help me. 

I was told to create a FAN page and use my FAN page to raise awareness.  

I don't agree with that but I will work on one so that the same people who are my friends and petitioners and members of my cause page can "like" me and eventually spread the word.  They already know about ovarian cancer and want you to help us raise awareness.

My goal is to get the message out to people who have never heard of ovarian cancer.  There is no screening test.

  The best chance we have at a long survival is to detect it early.  It's a time bomb ticking away in our bodies and most doctors and gynecologists misdiagnose it.  Literally it's a sneaky bastard, a killer.

So I asked about advertising.  She said that if I could raise 50K dollars we could begin a conversation to do the following:

Turn Facebook's sign in page "TEAL"
Place a badge to the CDC  or PSA link for a Video
And state that this is ovarian cancer awareness month

So much money has already been spent on producing PSAs that are already available to be used.  It would cost Facebook next to nothing to change the color of one page to Teal and add the badge and blurb about ovarian cancer.  

Facebook has only recently started using their sign in page's premium real estate for advertising.  

I don't want to preach to the choir any more.  My friends already know about ovarian cancer.  

We are not a sea of teal yet.  We are a small but feisty group that suffers terribly the side effects of major abdominal surgeries to remove everything but the kitchen sink. Our voices are strong, but spread all over the world.  We are not concentrated in dense populations so we are hard to see.

Our grassroots efforts are making a huge difference, but we don't have time to wait for this message to grow in small stages.  We don't have a screening tool!   

I am asking Facebook to make an exception to the advertising policy and give back to the community that loves them by offering PSA's on their sign in page.  Do something good for the community and begin with our cause.

You will save many lives!

Thank you,
Denise Archuleta

Wednesday, September 12, 2012

People Magazine reports Kathy Bates has breast cancer

I am shocked.  A friend of mine (thank you Regina) sent me a note today that Kathy Bates has breast cancer.  People Magazine reported this today online.....

Here is the link to their article on our lovely and endearing Kathy Bates:,,20628972,00.html#disqus_thread

Dear Kathy Bates, I think you are so gracious and endearing, beautiful and talented.  Thank you for sharing your story with all of us.  May you heal in peace, fully and without suffering.

Peace and Blessings to you,


Sunday, September 9, 2012

Tastes Like Heaven

Sunday is a day of rest for most, at least I hope.  I hope you know that I have been working very hard over the past week or so to spread the word about the importance of learning more about ovarian cancer. I am contacting Facebook and will continue to do so regarding our important petition.  Now it's time to share something unique, something joyful.

Today is a day to tend to what brings us the little "happys" in life.  A day for giving thanks to God (in your own way) and to those around us to make the curves or our mouths go "up".  A time to be in awe of nature, of something artful and inspiring.  A day to stand near a creek or river and listen to the trickling sounds that soothe your heart.  A time to play with the children and laugh from deep inside your gut.  A moment to take time to call a long lost friend or your parents and see how they are doing.  Say hello to your neighbor and smile brightly.   Someone's grandparent probably has an incredible story that needs to be told, and you can be there to listen.

At the risk of creating an outcry, I want to share the cutest little video of my sweet kitty cat Marilyn.  She is my little angel.  She keeps me from feeling lonely and gives me someone to talk to.  She has the most adorable little kitty voice, not a classic "meow", but ....well....I can't describe it.

She literally hangs out with me all the time.  She is so tidy and girly.  She is just the sweetest gift from God.  I was looking for a cat back in January, really debating the whole idea.  What am I doing?  What if something happens to me, who will take care of her?  Do I really want that litter box?  Ha!

I saw her needing adoption from a foster family at that time, along with other beautiful cats, but didn't take action because I just wasn't ready.  Every day I kept saying to myself that I wanted a cat.  I couldn't stop thinking about it.  Finally a few months later I couldn't take it any more.  The apartment was empty, just me and furniture, etc.  No life!

So I was searching and I saw her again!  I scheduled a meeting with the foster parents and just fell in love with her.  She was meant for me.

Before you watch, I want to let you know I did research on roses and cats.  I found no actual proof that rose petals cause problems.  My Marilyn loves rose petals.  So here she is.  Enjoy.


Tuesday, July 3, 2012

How to Find a Lymphedema Specialist

The Cancer Rehabilitation Program at the Abramson Cancer Center and at the Joan Karnell Cancer Center along with the lymphedema program at Good Shepherd Penn Partners help patients prevent or treat lymphedema.

Therapists at Good Shepherd Penn Partners are certified lymphedema therapists (CLT) who have attended programs recognized as the most advanced training available. Many of Penn’s therapists have further certification through the Lymphology Association of North America (LANA).

Penn is also home to groundbreaking research on lymphedema caused by treatment for breast cancer, specifically the Physical Activity and Lymphedema (PAL) Trial. This study found that lifting weights may prevent, or relieve, lymphedema.

The National Lymphedema Network is a well-known patient advocacy group for individuals with lymphedema. Its website is a valuable source of accurate information and for locating treatment professionals

The American Physical Therapy Association lists specialists in many areas, including lymphedema, through its ‘Find a PT’ service.

Friday, June 29, 2012

Cover Up and Protect with SPF Clothing

Colleen Bronstein is a melanoma and breast cancer survivor, mother, artist, entrepreneur and a contributor to the Focus On Cancer blog. After her melanoma diagnosis in 1999, Colleen started her own business, Sun Threadz, which promotes skin cancer awareness and protection with clothing designed to protect skin from the sun’s harmful rays.

As a melanoma survivor I understand the need to protect myself when I am exposed to the sun.

I love the beach and everything associated with the beach - swimming, sailing, beachcombing.

But when I was diagnosed with melanoma in 1999, my world was shaken to say the least. I was afraid I could no longer do the things I loved so much, and I was worried I would be homebound during my favorite sunny seasons.

To keep doing all these things that I loved, I had to be well protected from the sun. That meant I needed to do more than just apply sunscreen.

I researched sun protection clothing in 1999 and the clothing was very generic and unisex. Since I would have to wear this clothing out in public for the rest of my life, I wanted something stylish and feminine. I was disappointed in what I saw, so I decided to design some key pieces for myself.

Shirt and skirt from Sun Threadz
The design part was easy, but finding fabric that had sufficient SPF was not. After years of searching I did find a supplier and my clothing line, Sun Threadz, was launched Memorial Day weekend, 2008.

My clothing can be found at Faith & Hope Boutique at the Perelman Center for Advanced Medicine and on my website, 

On my website, you will find SPF clothing for babies, women and men. I have hats, gloves, scarves, bathing suits and jewelry from my sea, sun and sand collection.

Recently, Sun Threadz was invited to be part of the Go Sun Smart Program sponsored by San Diego State University and Klein Buendel. This project is to educate vacationing Americans about comprehensive sun safety techniques and skin cancer prevention. The study is funded by the National Cancer Institute, and has the potential to reach a significant portion of the US population when they are most vulnerable to skin damage from the sun. Employees of the project will be outfitted in sun safe attire and will visit the resorts and interface with vacationers from a nationwide market.

You will always find me and my clothing at the Abramson Cancer Center’s Focus on Melanoma Conference which is held annually in May. I’ll be there to answer your questions, show pieces from my sun-safe collection, and share my own story.

Thursday, June 28, 2012

10 Farmers Markets in Philadelphia and New Jersey

A diet rich in a variety of fresh fruits and vegetables is important for cancer prevention, not to mention it’s trendy too.

An increasing number of farmers have been making their way to Philadelphia and its surrounding areas as a part of a nation-wide movement to buy local.

Did you know most of the fresh fruits and vegetables you purchase in your supermarket have already spent as many as seven to 14 days in transit? Once produce is picked, it stops receiving nutrients from the source plant, but it is still alive. Produce loses heat and moisture over time through a process called respiration, which is one way nutrients and flavor are lost.

Asparagus, broccoli, mushrooms, and spinach have very high respiration rates and will lose moisture, flavor and nutrients quicker than an apple or onion, which have low respiration rates.

Spinach, for example loses up to 50 to 90 percent of its vitamin C content within 24 hours of being picked.

This is why local food is fresher and tastes better than food shipped long distances from other states or countries.

Should You Shop Local?

Although, farmer’s markets appear to be more expensive than supermarkets, food at local farmer’s markets may be more nutritious.

Most of the farmers’ markets accept Farmers' Market Nutrition Program paper vouchers, issued to seniors or WIC recipients. Farm to City, with its partner the Reading Terminal Market Corporation, has terminals that enable farmers to accept SNAP, debit, and credit cards, promoting fresh and local produce to everyone.

Buying local food keeps your dollars circulating in your community.

Shopping Local is a Fun Family Experience

Buy local because it’s fun for the whole family!

Shopping at farmer’s markets is a great way for kids to learn more about the fruits and vegetables on their plates. The farmers are knowledgeable and eager to share information with their customers.

Plus, many farmers sell homemade sausage, eggs, yogurt, cheese, jams, spreads, and baked goods in addition to fruits and vegetables.

To learn more visit and

Farmers Markets in the Philadelphia Area

Clark Park Farmers Market
The Food Trust Farmers' Markets
43rd and Baltimore Avenue, Philadelphia, PA 19104
Tel: 215-568-0830
Contact: The Food Trust
Saturdays, 10 am- to 2pm

Cliveden Park Farmers Market
The Food Trust Farmers' Markets
Chew Avenue & Johnson Street, Philadelphia, PA 19107
Tel: 215-568-0830
Contact: The Food Trust
Wednesdays, 2 pm to 6 pm

Fairmount Farmers' Market
22nd Street and Fairmount Avenue, Philadelphia, PA 19107
Tel: 215-568-0830
Contact: The Food Trust
Thursdays, 3 pm to 7 pm

Headhouse Farmers' Market
The Food Trust Farmers' Markets
2nd and Lombard Streets, Philadelphia, PA 19147
Tel: 215-575-0444
Fax: 215-575-0466
Sundays, 10 am to 2 pm

Overbrook Farms Farmers' Market
The Food Trust
Lancaster Avenue at City Avenue, (Overbrook Presbyterian Church), Philadelphia, PA 19103
Tel: 215-575-0444
Fax: 215-575-0466
Saturdays, 9 am to 1 pm

Farmers Markets in Southern New Jersey

Collingswood Farmers’ Market
Between Collings and Irvin Avenues, Collingswood
Saturdays, 8 am to Noon

Camden Community Farmers Market

Our Lady of Lourdes Community Farmers Market
1600 Haddon Avenue
July 1 to October 28
Wednesdays, 2 pm to 5 pm

Camden Farmers Market
Walter Rand Transportation Center, Broadway
June 23 to October 27
Tuesdays, 10 am to 3 pm

Virtua Health Farmers Market
Atlantic & Mt. Ephriam Aves.
Thursdays 11 am to 3 pm
June 18 to October 29

Wednesday, June 27, 2012

Diagnosing and Staging Lymphedema

Cancer-related lymphedema is characterized as secondary lymphedema since it is ‘secondary to’ known damage to the lymphatic system due to surgery and/or radiation associated with the treatment of cancer.

There are very few medical tests that are valuable in the diagnosis of lymphedema. The diagnosis is made primarily based on an extensive and accurate medical history and physical examination.

Lymphoscinitgraphy is one diagnostic test that may be performed. In this test, radioactive labeled protein is injected beneath the surface of the skin, and the uptake and transport of the labeled protein is observed over several hours. This test can characterize the impairment of the lymphatic system’s ability to transport proteins and fluid, but is rarely necessary to plan and provide appropriate treatment.

Stages of Lymphedema

The stage of lymphedema is determined as part of the diagnosis. Lymphedema can be successfully treated in all stages, but the best and most rapid results occur when the lymphedema is identified and treated early.
  • Stage 0: Achiness, heaviness, increased warmth, sensation of fullness
  • Stage 1: Visible swelling that is soft and ‘pits’ if pressed and may disappear with elevation or overnight in bed
  • Stage 2: Swelling that doesn’t go away with elevation. Often the tissue is becoming more firm and less likely to be indented or ‘pit’ with pressure
  • Stage 3: Hard swelling associated with other changes in the skin- callus formations or small mushroom-like growths called papillomas.

Tuesday, June 26, 2012

Treating Lymphedema in Lower Extremities

Lymphedema is a possible complication of cancer treatment. While it is a well known complication after breast cancer treatment with swelling in the arm or chest wall, lymphedema can also occur in the lower half of the body after treatment for cancers in abdomen and pelvis.



What is lymphedema?

The body’s lymphatic system performs several important functions.
  • Drains protein and excessive fluid from the tissues
  • Helps to digest fat
  • Works as part of the immune system to protect against infection and cancer
Lymphedema is the accumulation of protein-rich fluid causing swelling, or edema, in the soft tissues. This edema irritates the tissues causing inflammation that can lead to thickening and hardening of the tissue. Lymph node sampling (removal) or radiation therapy, as part of treatment for cancer, are two known risk factors for the developing lymphedema after cancer.

Early signs and symptoms of lymphedema include:
  • Achiness
  • Heaviness
  • Increased warmth
  • Swelling
  • Unusual sensation in the limb
Swelling in the region of surgery is normal after a surgical procedure, but swelling that persists for extended periods of time may be cause for concern.

Lymphedema in Lower Extremities

Cardiac disease, nutritional abnormalities or blood clots (deep vein thrombosis or DVT) are all conditions that can cause swelling in the legs. It’s important to have any swelling evaluated by a physician to determine the cause.

If it is determined that the swelling is caused by lymphedema it’s important to be evaluated by a health professional with expertise in lymphedema management. Only a few physicians in the United States have expertise in lymphedema diagnosis and management, but many specialists in oncology or physical medicine and rehabilitation recognize this condition and make referrals to specialists in lymphedema management.

Friday, June 22, 2012

A Sister’s Journey: Cancer Treatment

Caroline (left) with her sister.
Cassandra Hogue is a guest contributor to the Focus On Cancer blog. Cassandra’s sister was treated at Penn’s Abramson Cancer Center. Through her sister’s surgery, several rounds of chemotherapy, radiation therapy and most recently, proton therapy, Cassandra has been a solid source of support and comfort for her sister.

My sister Caroline began cancer treatment at Penn’s Abramson Cancer Center, two months after she was diagnosed with cancer. Those were two of the longest, strangest and scariest months I can remember.

Her doctors explained thoroughly and patiently that mapping studies were needed before radiation therapy could begin, surgery was needed to place the chemotherapy port, and even more diagnostic tests had to be done before anything else could be scheduled.

When her treatment finally began, I was simultaneously relieved and worried. This was totally foreign territory shadowed by my own fear and every horror story I’ve heard about cancer treatment.

How sick would she be? Would she need blood transfusions? What constituted an “emergency?” All of the staff, especially her physicians, gave so much of their time to answer every “what if” question that we could ask.

And so began six weeks of daily trips to Penn, and weekly visits by nurses to change the chemo infusion pack that Caroline had to wear 24 hours a day. My constant anxiety slowly diminished, and my resilience slowly grew. I focused on my Buddhist meditation practice with new fervor, now suddenly realizing the truth of impermanence.

When Caroline began radiation treatment, the Perelman Center for Advanced Medicine at Penn had just opened. We became friendly with the receptionists, the parking lot attendants, and of course her oncology and radiation technicians and nurses. In a very real way, having a normal conversation with kind and considerate people made it so much easier.

Caroline tolerated the chemotherapy and radiation treatments incredibly well. She was even allowed a single weekly glass of wine, that we often enjoyed together Friday nights outside on the deck.

Major life-changing surgery was ahead for Caroline. But for now, she was feeling well. She even accompanied me to Barcelona on a business trip. As I worked, she visited art museums, strolled the Ramblas, and sipped espresso in outdoor cafes in the September sunshine. She seemed to enjoy every moment with a quiet strength.

A week before her surgery was scheduled, she and I planted dozens of tulip bulbs, in shades of wine red and golden yellow. We didn’t talk much that day; we had had many amazing talks over the weeks of her treatment. We had spoken of so many things that only sisters can share: childhood memories, adult disappointments, accomplishments and happiness.

We planted those 50 bulbs on a chilly day in October, trusting that spring would come.

Thursday, June 21, 2012

Cancer-fighting Foods: Rosemary-Lemon White Bean Dip

This cancer-fighting recipe for Rosemary-Lemon White Bean Dip is perfect to take to a summer picnic or party. And, it's healthy.

Limonene, a compound shown to have anti-cancer properties in laboratory animals, is found in the rind of the lemon.

Rosemary and garlic have a number of phytochemicals with bacteria killing and cancer-fighting properties.

Cannellini beans are a high in fiber and protein. They also contain B6, which may contribute to maintenance of healthy immune function.



Rosemary-Lemon White Bean Dip

Yields 2 cups

  • 2 cups cooked white beans (i.e. cannellini), drained but moist
  • 1 to 3 cloves garlic
  • ¼ cup + 1 tbsp extra virgin olive oil
  • 2 tsp minced fresh rosemary
  • The zest of 2 lemons

  1. Put the beans in the container of a food processor with 1 clove of garlic, along with a pinch of salt, blend and add the ¼ cup olive oil in a steady stream to the mixture, until smooth. Add more garlic, to taste.
  2. Beat in the rosemary, lemon zest and remaining tbsp of olive oil, add more salt and pepper as needed.
  3. Use immediately, can be refrigerated for up to 3 days.

Nutrition Facts/serving: 65 kcals; 4 grams of fat; 2 grams of protein; 1.5grams of fiber; 5 grams of carbohydrates

Recipe credit: Mark Bittman, author of Food Matters Cook Book (2010)

Wednesday, June 20, 2012

Who is at Risk for Pancreatic Cancer?

Christine Wilson, cancer survivor, shares her experiences from the Abramson Cancer Center’s Focus On Pancreatic Cancer Conference. In this blog, she recaps the conference. You can view the conference in its entirety, including presentations here.

Approximately five to 10 percent of pancreatic cancer is considered to be familial, or hereditary.  For those who have a family history of pancreatic cancer or one of several genetically linked syndromes that predispose them to pancreatic cancer, it is very important to identify that risk and get appropriate screening and intervention. 

Anyone who has had at least one parent or sibling (first-degree relative) with pancreatic cancer should meet with a certified genetic counselor to develop a comprehensive family history, and discuss their own risk for developing pancreatic cancer.  A genetic counselor can also help identify conditions such as hereditary pancreatitis that can significantly increase the risk of developing pancreatic cancer, as well as specific genetic mutations that increase the risk of developing other cancers.

The gene mutation BRCA1, for example, is associated with a high incidence of breast cancer, and has also been linked to increases in pancreatic cancer. 

It is important to realize not all risks are equal. By learning family history, every person can understand their own personal risk level. That information can be used to make decisions about screenings and tests as well as medical interventions that may reduce the chance of someone developing pancreatic cancer. 

The Abramson Cancer Center’s Gastrointestinal Cancer Risk Evaluation Program offers complete genetic testing and can provide clinical, genetic and research services for people with concerns about their risk for developing pancreatic as well as other GI cancers.

View the Focus on Pancreatic Cancer Conference to learn more about your risk for pancreatic cancer.

Tuesday, June 19, 2012

Learn About New Treatment Options for Prostate Cancer

Join Penn Medicine and 6 ABC News for a webchat about advances in prostate cancer treatment, and treatment options for prostate cancer available at Penn Medicine.

Chief of the Division of Urology Alan Wein, MD, PhD (Hon), and Chief of Genitourinary Service, Department of Radiation Oncology Neha Vapiwala, MD, will discuss proton therapy for prostate cancer, as well as the many options for prostate cancer treatment at Penn Medicine.

Date: Thursday, June 21
Time: 5 to 6 pm EST
Register here

Register for this webchat about prostate cancer treatment options at Penn Medicine, and submit your questions to Drs. Wein and Vapiwala.

If you or a loved one would like a consultation for prostate cancer treatment, you can schedule an appointment with a Penn clinician to learn about your specific treatment options.

About Prostate Cancer Treatment at Penn

Penn Medicine has one of the few programs in the nation to offer all the available options for cancer treatment.

During this one-hour live event, participants will be able to get answers to questions like:
  • What are all the treatment options for prostate cancer?
  • How do you choose the right treatment plan?
  • What is proton therapy, and how is it effective?
  • Is proton therapy right for everyone?
  • What are the latest research discoveries in prostate cancer treatment?
Register here for the live webchat about prostate cancer treatment options. 

Monday, June 18, 2012

"Good Morning America" Host Reveals She Has Blood Disorder

Last week, "Good Morning America" host Robin Roberts revealed Monday she has myelodysplastic syndrome (MDS) a blood and bone marrow disorder characterized by the production of blood cells.

The 51-year-old co-host says she developed MDS after treatment for breast cancer in 2007.

Selina Luger, MD, is director of the leukemia program at Penn Medicine. She says previous cancer treatment with chemotherapy or radiation can be a risk factor for developing MDS. Dr. Luger is not treating Robin Roberts but has experience treating patients with this disease.

“Most people who develop MDS have not had prior chemotherapy or radiation treatment for cancer,” says Dr. Luger. “However, there is a small percentage of people who may develop MDS 18 to 24 months or 5 to 7 years after their treatment for cancer, depending on the type of treatment they received.”

What is MDS?

To understand MDS, it’s helpful to understand how it affects the body. In the body, there are three main types of cells that circulate in the blood:
  1. Red blood cells carry inhaled oxygen from the lungs to the rest of the body, and carry carbon dioxide from the body to the lungs to be exhaled.
  2. Platelets help blood clot.
  3. White blood cells help the body fight off infection.

Blood cells originate in the spongy material inside the bones called bone marrow. In people with MDS, bone marrow stem cells do not mature properly. They create immature blood cells called blasts, which are not capable of becoming fully functional white blood cells, red blood cells or platelets. If left untreated, the number of normal blood cells continue to decrease, resulting in significant impairment of quality of life or an increase in the number of blasts resulting in progression to acute leukemia.

In either case patients are at risk of life threatening complications most often because of infections or bleeding that cannot be controlled.

“When bone marrow is not functioning properly, blood counts become low and people have symptoms or complications related to those low blood counts,” says Dr. Luger. “Most people learn they have MDS after going to their doctor because they are tired. They may be anemic, and tests might reveal abnormalities.”

Treatment of MDS can either manage symptoms of the disease if the disease is not aggressive, or can be very aggressive if the disease warrants it.

“Most patients are treated for low blood counts with transfusions and other medications that provide supportive care, but those provide only temporary benefits,” says Dr. Luger. “In patients with an aggressive MDS, a bone marrow transplant offers the only chance for a cure.”

Bone Marrow Transplant for MDS

In the past the only treatment option, other than supportive care, available for patients with MDS was a traditional myeloablative bone marrow transplant from a donor (allogeneic). The patient receives massive doses of chemotherapy with or without radiation to destroy existing abnormal cells. The patient then receives bone marrow from a donor – if possible someone related. Those cells populate the body, replacing the unhealthy bone marrow cells with healthy donor bone marrow cells. Also, the bone marrow and blood cells bring with them a new immune system, which continues long term to fight off abnormal cells in a way that the patient’s immune system hadn’t previously done. Unfortunately, however, sometimes the new immune system also sees the patient’s body as foreign and tries to attack it, causing something called ‘graft versus host disease” which can be life threatening.

Although the only potentially curative option, a traditional bone marrow transplant is risky, and limited to patients under age 55 because the risks increase with age. Until recently, many patients with MDS did not have any treatment options other than supportive care, since the majority of patients are over age 60.

“Over the last five to 10 years, we have developed significant advances in the treatment of MDS. We now know that transplants don’t have to be myeoablative (irreversibly destroy the bone marrow) in order to be successful. We now do ‘mini’ or ‘reduced intensity’ transplants that are suitable for patients up to 75 years of age,” says Dr. Luger.

In a reduced intensity-transplant, less aggressive chemotherapies which don’t kill off the patient’s bone marrow cells, are used to prepare the patient’s body to accept the donor cells. Once the transplant takes place, the new marrow engrafts and over time the donor’s immune system destroys the cancer cells that are there. This is also referred to as a “graft versus tumor” effect.

Also, thanks to research and clinical trials that have been done, there are new drugs available for patients with MDS. Some of them have been shown to improve the blood counts and as a result improve quality of life of these patients, while others, while not curative have been shown to improve survival in patients with aggressive MDS.

Treatment for MDS at Penn

Penn hematologists/oncologists are national leaders in the treatment of MDS and other blood and bone marrow cancers as well as in bone marrow and stem cell transplant.

The Abramson Cancer Center also has one of the few hematologic malignancy research programs in the country approved and funded by the National Cancer Institute.

“Patients at Penn have access to the best treatment available for MDS as well as the latest clinical trials for MDS and leukemia,” says Dr. Luger..”

Learn more about bone marrow transplant for MDS at the Abramson Cancer Center.

Learn more about MDS at Oncolink.

Friday, June 15, 2012

This Father's Day: Forever Filled With Gratitude

Frank Jr., and his dad.
In 2010, Frank McKee was diagnosed with prostate cancer. He chose to have proton therapy at Penn Medicine for prostate cancer, and today, lives a full life with his family and friends. In this blog post, his son, Frank McKee, Jr., talks about what it was like to watch his father overcome prostate cancer with proton therapy treatment at Penn.

I’ll never forget the moment my dad told me he had prostate cancer. I was leaving work, getting ready to get in my car when he called. There was something ominous about his voice that told me I shouldn’t start the car – that I was about to hear some news that would affect me deeply.

He told me he had prostate cancer, and that it was found very early. He sounded calm and collected as he told me he was researching treatments for prostate cancer and had a good chance of overcoming cancer.

Despite his optimism, my heart began to sink. His diagnosis would forever change my world.

Choosing Proton Therapy for Prostate Cancer

My dad was very confident, and after meeting with Stephen Hahn, MD, he chose Penn Medicine for proton therapy. I was confident in Penn Medicine, and was ready to be there for him to support him every step of the way.

Except, he really didn’t need it! He’d drive himself to receive proton therapy treatments nearly every day – rarely accepting an offer for a ride from me or my family. He went to work everyday too. His treatment made him a little tired, but it was nothing that stopped him from his daily routine.

His life didn’t have to stop just because he had prostate cancer.

As a son watching his father go through cancer treatment, it was challenging to be strong for him. He made it easier though, because he had a great spirit about him and was always very optimistic.

At his last treatment, our entire family came with him to celebrate with noisemakers and signs. It was a great feeling to see him at the finish line.

He finished proton therapy for prostate cancer, and today, I’d say his experience changed him for the better. He is living his life to the fullest, and has adopted a healthy lifestyle.

This Father’s Day – and every Father’s Day since his diagnosis, will be filled with gratitude.

Happy Father’s Day, Dad.

Diagnosed with prostate cancer?

Have you or a loved one been diagnosed with prostate cancer?

Penn Medicine is one of only 10 centers in the United States to offer proton therapy. Proton therapy treats prostate cancer with external beam radiotherapy in which protons are directed at a tumor. The radiation dose that is given through proton therapy is very precise, and limits the exposure of radiation to normal tissues. This reduced exposure leads to the possibility of decreased toxicity, side effects and complications for patients.

Learn more about proton therapy for prostate cancer, and how proton therapy offers potentially less side effects for men with prostate cancer.

Thursday, June 14, 2012

This Father's Day: The Hardest Thing I’ve Had to Do

Robert Lustig, MD, is professor of radiation oncology at Penn Medicine, prostate cancer survivor and proton beam therapy patient. At Penn, Dr. Lustig was able to have proton therapy for prostate cancer at the Abramson Cancer Center. In this blog, he discusses his diagnosis, and how difficult it was to tell his kids he had cancer.

A few years ago I went to the urologist for a problem unrelated to my prostate. I was not at all concerned about prostate cancer as my prostate-specific antigen (PSA) was less than 1.

While my presenting problem was minor, the urologist felt a scar on my prostate and recommended a biopsy. Two days after the biopsy, I read the diagnosis, prostatic intraepithelial neoplasia (PIN).

PIN can be a precursor of prostate cancer or may actually regress spontaneously. Six months later, a repeat biopsy confirmed my prostate was normal, and I let out a great sigh of relief.

I continued to monitor my PSA, which increased slightly but remained below 1. Two years later at a follow-up appointment, my urologist recommend a repeat biopsy, as some of the newest data recommended a repeat biopsy to confirm there was no malignancy.

I expected the third biopsy to be normal, but instead, I learned I had prostate cancer.

I checked to see that it was my report, and I read it again.

Now, how to tell my family?

My wife is a social worker in the medical field and has spent many years working with cancer patients, so telling her my diagnosis and discussing my feelings was easy. But how do I tell my children? How would they feel? How scared would they be? Their father’s mortality would suddenly jump out at them. My wife and I spent some time talking about how to tell the children.

I have two daughters, and at the time they were 27 and 33.

My youngest came home for a family discussion, and I explained to her that I had a low grade prostate cancer diagnosed at a very early stage with a very high rate of cure. I told her I would be receiving proton beam therapy at Penn, and I did not expect to miss a day of work. I assured her I would be around for a long time.

While I do not believe in keeping health secrets, the three of us agreed not to tell my eldest daughter as she was due with her first child in less than a month. This health secret was only temporary and absolutely necessary.

About a month after her delivery we again sat down as a family and told her that I would be treated for early stage prostate cancer. She obviously had similar concerns as my youngest but at least they could talk to each other.

Today, I am one year post proton beam radiation therapy for my prostate cancer.

My PSA is 0.28. I never missed a day of work.I still have the “what if the cancer comes back” thoughts, but less frequently.

Telling my children I had cancer was one of the most difficult things I ever had to do. Difficult situations occur in life. But they pass and life goes on.

Read more about Dr. Lustig’s story, and watch a video in which he discusses his experience with proton therapy at Penn Medicine. Get 10 tips for talking to kids about cancer.

Diagnosed with prostate cancer?

Have you or a loved one been diagnosed with prostate cancer?

Penn Medicine is one of only 10 centers in the United States to offer proton therapy. Proton therapy treats prostate cancer with external beam radiotherapy in which protons are directed at a tumor. The radiation dose that is given through proton therapy is very precise, and limits the exposure of radiation to normal tissues. This reduced exposure leads to the possibility of decreased toxicity, side effects and complications for patients.

Learn more about proton therapy for prostate cancer, and how proton therapy offers potentially less side effects for men with prostate cancer.

Wednesday, June 13, 2012

Should You Tell Your Child About Your Cancer Diagnosis?

Ruth Steinman, MD, is a clinical associate professor of psychiatry at the Abramson Cancer Center. Here, Dr. Steinman discusses ways to tell children of all ages about a cancer diagnosis.

Many parents feel overwhelmed about their cancer diagnosis and how it affects their families, especially their children. They may wonder what they should tell their children, or how their children will react to their cancer diagnosis.

Each child copes with a parent’s cancer according to his or her phase of development and his or her coping style. Children can cope far better than parents imagine if there is an understanding of their developmental needs and how to maximize an important support system for their children.

Children old enough to speak should be told about a parent’s cancer diagnosis. Below are recommendations for how to tell children of any age group about a cancer diagnosis and what a parent can expect at certain ages and stages of development.

Infants (age 0 to 2)
Babies and very young children are sensitive to changes in their routine and may respond with increased fussiness to the change in emotional tone in the household. Increased difficulty with separation in not uncommon and sleep may become an issue.
Maintaining consistency in caregiving is very important.

Pre-school children (age 3 to 6)
Preschoolers do not need a lot of detailed information. Magical thinking is common: “My sister was born and then mommy got cancer so my sister caused mommy’s cancer” or “I made my mommy angry and that is what made her sick.” It’s important for parents to tell their children that they did not cause cancer.

Under stress, preschoolers can regress and problems can manifest around separation, toileting and bedtime. Maintaining routine is essential with familiar toys, sippy-cups, and a consistent bedtime routine. These routines may help lower anxiety and worry.

School-aged children (age 7 to 12)
School-aged kids can cope with more information, but they too need to be reminded that they are in no way are responsible for their parent’s cancer. These children often cope by fact-finding so they tend to ask a lot of questions. They worry about how the illness affects them socially. Support consistent engagement in school activities and friendships. Anger often shows before sadness.

Adolescents (age 13 to 20)
Adolescents can understand more abstract concepts about prognosis and uncertainty. Some may stay close and other’s may withdraw, show little emotion and become occupied with peer relationships and activities. Try to limit how much extra responsibility is given to teenagers and continue to maintain as much routine as possible. Support and foster relationships teenagers have with trustworthy adults.

What if they ask if I’m going to die?
If children ask about dying, tell them you are doing everything you can to get better. Reassure them you will be honest with them along the way and that when they have concerns, they should talk to you: “From what I’ve been told, I don’t expect to die from this cancer, but if there are any changes, I’ll talk to you about it.”

Help them learn the difference between when the treatment is making you sick and when symptoms are caused by cancer: “Many people are made better by these treatments but the cancer cells are pretty nasty and I need really strong medicine to make me better,” or “The treatment is making my hair fall out and making me so tired all the time—not the cancer.”

Learn more about talking to your child about your cancer diagnosis.

Tuesday, June 12, 2012

Young Friends Fund Young Faculty

Dr. Julia Tchou with son at a Young Friends event.
Chef Daniel Stern has helped lead the revolution in Philadelphia’s restaurant scene as chef at some of the city’s premier restaurants — Le Bec Fin, Gayle, Rae, R2L and Mid-Atlantic.

Together with wife, Jennifer, co-chairs Robert Blumenthal, Jonathan Feinberg, David Goldstein, Maria Papadakis, and honorary co-chairs, Judy Abramson Felgoise, Marcy A. Shoemaker, and Nancy A. Wolfson, Stern is now leading the charge to support young faculty members at Penn’s Abramson Cancer Center.

The Young Friends of the Abramson Cancer Center supports young faculty members and researchers with funds and resources to help them develop the next generation of cancer therapies, treatments and preventive measures.

Through philanthropy and fundraising events, the group supports clinicians and scientists whose research is often underfunded.

“The Young Friends bring a different perspective to cancer philanthropy,” says Stern. “Cancer affects so many families, and it’s a cause that is very meaningful to me and my family.”

Group members encompass a wide range of ages and interests – from recent college graduates, to men and women with careers in business, real estate and design. Every member of the group has a personal desire to eradicate cancer and improve the lives of those afflicted with the disease.

Support the Young Friends of the Abramson Cancer Center, learn more about the organization here or get involved here,  or email

Monday, June 11, 2012

Understanding How Pancreatic Cancer Spreads

Christine Wilson, cancer survivor, shares her experiences from the Abramson Cancer Center’s Focus On Pancreatic Cancer Conference. In this blog, she recaps the conference. You can view the conference in its entirety, including presentations here.

The ability of cancer cells to invade neighboring tissue and spread to distant organs, called metastasis, is what makes pancreatic cancer such a dangerous and potentially deadly disease. How does metastasis occur? When do cancer cells start to spread?

Metastasis is a very complex, multistep process that requires a gradual accumulation of changes in the cells, or mutations. At the cellular level, metastasis is actually very rare. Only a very few cells in a tumor ever develop the ability to spread, which makes it difficult to study.

At the Focus On Pancreatic Cancer conference, Ben Stanger, MD, PhD, likened the challenge to that of "finding Waldo." Stanger's research aims to understand which cells metastasize and how and when they do.

Early results of his research indicate in pancreatic cancer, the process may begin much earlier than previously thought. Even some pre-malignant cells appear to begin moving away from their site of origin and taking on the characteristics of the cells that surround them, which are critical steps in metastasis. Dr. Stanger’s work provides important clues as to why pancreatic cancer is so difficult to treat effectively, and it could potentially lead to the development of new therapies.

Using the Immune System to Fight Pancreatic Cancer

Greg Beatty, MD, PhD, is taking another approach to understanding how pancreatic cancers interact with normal cells in the body. His research centers on the ways in which pancreatic cancer "teaches our immune systems to help them grow and spread, cloaking themselves to avoid detection."

The body’s immune system has the ability to identify cancer cells as enemies and destroy them. But in many cases this doesn't occur and the cancer cells actually are able to interact with surrounding tissue and the immune system to help promote their growth.

Dr. Beatty calls this "bad education," and is working on approaches to send the immune system "back to school," re-educating it to attack and destroy cancer cells. Pre-clinical research has yielded positive results, and a clinical trial that utilizes an antibody known as CD40 to treat metastatic pancreatic cancer is under way at Penn.

View the Focus on Pancreatic Cancer Conference to learn more about pancreatic cancer research being done at the Abramson Cancer Center

Saturday, June 9, 2012

Mangkuraga Surga Krupuk


 Mangkuraga , di kenal sebagai surganya kerupuk , tak heran disetiap jalan kalian akan melihat Kerecek ( bahan mentah dari kerupuk ) karena sebagian besar masyarakat mangkuraga jual kerupuk .

yah sekilas jika kalian hanya sekedar jalan melewati jalan Buyut/ Mangkuraga di benat kalian pasti artikel ini bercerita Bohong , Oh tidak... yang kalian lihat itu hanyalah pabrik pabrik Induknay.
dan saya katakan kebanyakan masyarakat mangku itu jual kerupuk memang benar , jika kalian survei pagi pagi sekali antara Pukul 01.00 WIB sampai 07.00 pasti kalian akan melihat pedagang-pedagang keliling yang menjajakannya dengan motor .
dan mereka akan berdagang ditempat tempat yang tak mungkin anda terpikirkan seperti di : Pasar Arjawinaggun , Pasar Jamblang , Pasar Bode , Pasar Minggu , dan masi banyak lagi , Itu baru yang pake Motor , ada juga yang pakai sepeda ,
nah jika yang sepeda ini jualannya keliling kemana mana tak menentu , mereka hanya berfikir Barang dagangannya Habis terjual.
Dan setiap pabribk pabrik pasti ada perbedaan penyajian kerupuknya .
Yah njelasinnya susah . Tapi jika anda berminat untuk menikmati kerupuk Mangkuraga , anda bisa dapatkan di Mangkuraga . Banyak dah Tempat kerupuknay .
bagi pelancong/ pembeli saya sarankan jangan berhenti di satu tempat saja , anda harus masuk kedalam mangkuraga dan temukan beberapa tempat kerupuk . hehehe
saya mau Promosi , jika anda berminat mencicipi krupuk mangku anda bisa beli di Jaln Mangkuraga no170 Rt/18 Rw/06 Lurah -Plumbon-Cirebon-45155 (mang Ja'i dan Bu Dawiyah ) itu Embah saya . mampir ya .

Thursday, June 7, 2012

Botol Ajaib

Botol Ajaib

Hey kawan sobat islam bagaimana kabarnya nih , Cerita Ini Lumayan Buat ngakak Sejenak
tapimasih ada benang merahnay Loh cari sendiri dah .  ayo lanjutkan cerita Abu Nawas

Botol Ajaib

Tidak ada henti-hentinya. Tidak ada kapok-kapoknya, Baginda selalu
memanggil Abu Nawas untuk dijebak dengan berbagai pertanyaan atau tugas
yang aneh-aneh. Hari ini Abu Nawas juga dipanggil ke istana.
Setelah tiba di istana, Baginda Raja menyambut Abu Nawas dengan sebuah
"Akhir-akhir ini aku sering mendapat gangguan perut. Kata tabib pribadiku, aku
kena serangan angin." kata Baginda Raja memulai pembicaraan.
"Ampun Tuanku, apa yang bisa hamba lakukan hingga hamba dipanggil." tanya
Abu Nawas.
"Aku hanya menginginkan engkau menangkap angin dan memenjarakannya."
kata Baginda.
Abu Nawas hanya diam. Tak sepatah kata pun keluar dari mulutnya. la tidak
memikirkan bagaimana cara menangkap angin nanti tetapi ia masih bingung
bagaimana cara membuktikan bahwa yang ditangkap itu memang benar-benar
Karena angin tidak bisa dilihat. Tidak ada benda yang lebih aneh dari angin.
Tidak seperti halnya air walaupun tidak berwarna tetapi masih bisa dilihat.
Sedangkan angin tidak.

Baginda hanya memberi Abu Nawas waktu tidak lebih dari tiga hari. Abu Nawas
pulang membawa pekerjaan rumah dari Baginda Raja. Namun Abu Nawas tidak
begitu sedih. Karena berpikir sudah merupakan bagian dari hidupnya, bahkan
merupakan suatu kebutuhan. la yakin bahwa dengan berpikir akan terbentang
jalan keluar dari kesulitan yang sedang dihadapi. Dan dengan berpikir pula ia
yakin bisa menyumbangkan sesuatu kepada orang lain yang membutuhkan
terutama orang-orang miskin. Karena tidak jarang Abu Nawas menggondol
sepundi penuh uang emas hadiah dari Baginda Raja atas kecerdikannya.
Tetapi sudah dua hari ini Abu Nawas belum juga mendapat akal untuk
menangkap angin apalagi memenjarakannya. Sedangkan besok adalah hari
terakhir yang telah ditetapkan Baginda Raja. Abu Nawas hampir putus asa. Abu
Nawas benar-benar tidak bisa tidur walau hanya sekejap.
Mungkin sudah takdir; kayaknya kali ini Abu Nawas harus menjalani hukuman
karena gagal melaksanakan perintah Baginda. la berjalan gontai menuju istana.
Di sela-sela kepasrahannya kepada takdir ia ingat sesuatu, yaitu Aladin dan
lampu wasiatnya.
"Bukankah jin itu tidak terlihat?" Abu Nawas bertanya kepada diri sendiri. la
berjingkrak girang dan segera berlari pulang. Sesampai di rumah ia secepat
mungkin menyiapkan segala sesuatunya kemudian menuju istana. Di pintu
gerbang istana Abu Nawas langsung dipersilahkan masuk oleh para pengawal
karena Baginda sedang menunggu kehadirannya.
Dengan tidak sabar Baginda langsung bertanya kepada Abu Nawas.

"Sudahkah engkau berhasil memenjarakan angin, hai Abu Nawas?"
"Sudah Paduka yang mulia." jawab Abu Nawas dengan muka berseri-seri sambil
mengeluarkan botol yang sudah disumbat. Kemudian Abu Nawas menyerahkan
botol itu.
Baginda menimang-nimang botol itu.
"Mana angin itu, hai Abu Nawas?" tanya Baginda.
"Di dalam, Tuanku yang mulia." jawab Abu Nawas penuh takzim.
"Aku tak melihat apa-apa." kata Baginda Raja.
"Ampun Tuanku, memang angin tak bisa dilihat, tetapi bila Paduka ingin tahu
angin, tutup botol itu harus dibuka terlebih dahulu." kata Abu Nawas
menjelaskan. Setelah tutup botol dibuka Baginda mencium bau busuk. Bau
kentut yang begitu menyengat hidung.
"Bau apa ini, hai Abu Nawas?!" tanya Baginda marah. "Ampun Tuanku yang
mulia, tadi hamba buang angin dan hamba masukkan ke dalam botol. Karena
hamba takut angin yang hamba buang itu keluar maka hamba
memenjarakannya dengan cara menyumbat mulut botol." kata Abu Nawas
Tetapi Baginda tidak jadi marah karena penjelasan Abu Nawas memang masuk
akal. Dan untuk kesekian kali Abu Nawas selamat.


Catur Ilustration

 Catur itu sebenarnay Olahraga yang menyenangkan dan tentunya dapat terjangkau oleh masyarakat Umum . Nah diwaktu Nganggur ini jika kalian males belajar kalian bisa cari teman untuk mengasah Otak anda .
karena catur  / dengan bermain catur membuat otak kita berfikir / dan lebih waspada dan pasti akan bisa mengerti dalam kehidupan tentang arti Resiko yang akan di dapat apabila salah langkah .
dan saya sarankan jika kalian ingin mencari lawan untuk mengasah Otak anda carilah lawan yang sekiranya Kuat/susah untuk kau kalahkan , karena semakin kuat musuhnya maka kita juga akan mengikutinya , tapi apabila kita sudah hebat tapi terus saja bertanding sama yang biasa biasa saja itu membuat dirinya tertinggal Setrategi .
jadi Intinya Lawan sama siapa saja ( saran yang paling kuat jika tidak ada pilih yang sepantaran atau diantara mereka yang terkuat) asalkan bisa memunculkan setrategi baru . (um)

Cara Menghilangkan Navbar

Cara Menghilangkan Navbar
Masi ada Navbar

Navbar itu bagian yang diatas Blog yang ada share , Report Abuse, Next Blog , ( Gmail/Yahookamu >jika sudah Login) , Dashboard , Sign Out . Menurut saya Navbar itu kurang penting enggak tau alesannay pokoknya saya kurang suka sama Navbar hehe.. mau tau caranya Lanjut Donk
Nah begini Caranya Di Tampilan Blogger Yang Baru ajah yah
1. Login Bloggermu
2. masuk ke Templete Design > Pilih Ubahsesuaikan/Costumesize
3.pilih Advanced / Tingkat Lanjutkan
4. kebawah terus pilih Add CSS masukkan Kode di bawah ini Copy Paste ajah .

#navbar-iframe {
display: none !important;

selamat Mencoba (Um)

The Benefits of Protein

In this video, Debra DeMille, MS, RD, CSO, registered dietitian and nutritional counselor at the Joan Karnell Cancer Center, discusses the benefits of eating protein and offers tips for choosing and cooking meat, fish and other sources of protein.

Cara Membuat Social Plug in Facebook

Cara Membuat Social Plugin Facebook

Anda Blogger Sejati , Bikin Blogmu menjadi Keren dengan memasang akun Like Facebook , Like Book , Send Button , Live stream, registration dll.
Caranya begitu Mudah Kok , anda cukup kunjungi
Facebook Develop .setelah itu anda akan masuk ke Core concepts > Social Plugin > ( Pilih Plugin apa yang mau elo pake )
setelah itu isi dah pengaturannya , Kalu udah seneng dengan tampilannya Ambil Code dan Copy Paste. Saran saya nanti akan Tampil 2 Code biar gak Repot make gadget ajah , Lalu Taruh semua Code itu di Gadget Html Java Script . Lalu lihatlah Di Blognya.
masi Bingung Leave Coment . :) Thanks


Cara Membaut Plug in Twitter

Cara Membaut Plug in Twitter

apakah anda Blogger ? yah yah. . semoga artikel ini bermanfaat , sebenernya tujuan saya sendiri menjoinkan Blogger saya ke Twitter atau sebaliknya supaya Followers twit saya bertambah banyak . dan supaya para Followers dapat dengan mudah mengetahi perkembangan terkini dari Umar-Kun.
Plug in Twitter ini sanagt menarik , mau tau Caranya . Sini.
cara menjoinkan Plugin Twitter ke Blog anda , dengan cara ini mungkin akan mengembangkan Plugin Baru (Jika Anda Kreative)

1. Buka Blog Anda .
2. Masuk ke Twitter > Profil
3. Profil> Pengaturan
4. Pilih di bawah "situs Web" Anda juga dapat menambahkan Twitter ke situs Anda di sini.
5. Anda akan masuk di Plugin Twitter . Klik disini
6. lalu pergi ke Sumber Daya . Klik Disini
7. Happy seting dah, Terus Copy dan Paste Codenya pada Html Java Script Blog Anda
terimakasih (Um)

Wednesday, June 6, 2012

Asmara Memang Aneh

Secara tak terduga Pangeran yang menjadi putra marikota jatuh sakit. Sudah
banyak tabib yang didatangkan untuk memeriksa dan mengobati tapi tak
seorang pun mampu menyembuhkannya. Akhirnya Raja mengadakan
sayembara. Sayembara boleh diikuti oleh rakyat dari semua lapisan. Tidak
terkecuali oleh para penduduk negeri tetangga.
Sayembara yang menyediakan hadiah menggiurkan itu dalam waktu beberapa
hari berhasil menyerap ratusan peserta.
Namun tak satu pun dari merekaberhasil mengobati penyakit sang pangeran. Akhirnya sebagai sahabat dekatAbu Nawas, menawarkan jasa baik untuk menolong sang putra mahkota.
Baginda Harun Al Rasyid menerima usul itu dengan penuh harap. Abu Nawas
sadar bahwa dirinya bukan tabib. Dari itu ia tidak membawa peralatan apa-apa.
Para tabib yang ada di istana tercengang melihat Abu Nawas yang datang tanpa
peralatan yang mungkin diperlukan. Mereka berpikir mungkinkah orang macam
Abu Nawas ini bisa mengobati penyakit sang pangeran? Sedangkan para tabib
terkenal dengan peralatan yang lengkap saja tidak sanggup. Bahkan
penyakitnya tidak terlacak. Abu Nawas merasa bahwa seluruh perhatian tertuju
padanya. Namun Abu Nawas tidak begitu memperdulikannya.
Abu Nawas dipersilahkan memasuki kamar pangeran yang sedang terbaring. la
menghampiri sang pangeran dan duduk di sisinya.
Setelah Abu Nawas dan sang pangeran saling pandang beberapa saat, Abu
Nawas berkata, "Saya membutuhkan seorang tua yang di masa mudanya sering
mengembara ke pelosok negeri."
Orang tua yang diinginkan Abu Nawas didatangkan. "Sebutkan satu persatu
nama-nama desa di daerah selatan." perintah Abu Nawas kepada orang tua itu.
Ketika orang tua itu menyebutkan nama-nama desa bagian selatan, Abu Nawas
menempelkan telinganya ke dada sang pangeran. Kemudian Abu Nawas
memerintahkan agar menyebutkan bagian utara, barat dan timur. Setelah

semua bagian negeri disebutkan, Abu Nawas mohon agar diizinkan mengunjungi
sebuah desa di sebelah utara. Raja merasa heran.
"Engkau kuundang ke sini bukan untuk bertamasya." "Hamba tidak bermaksud
berlibur Yang Mulia." kata Abu Nawas.
"Tetapi aku belum paham." kata Raja.
"Maafkan hamba, Paduka Yang Mulia. Kurang bijaksana rasanya bila hamba
jelaskan sekarang." kata Abu Nawas. Abu Nawas pergi selama dua hari.
Sekembali dari desa itu Abu Nawas menemui sang pangeran dan membisikkan
sesuatu kemudian menempelkan telinganya ke dada sang pangeran. Lalu Abu
Nawas menghadap Raja.
"Apakah Yang Mulia masih menginginkan sang pangeran tetap hidup?" tanya
Abu Nawas.
"Apa maksudmu?" Raja balas bertanya.

"Sang pangeran sedang jatuh cinta pada seorang gadis desa di sebelah utara
negeri ini." kata Abu Nawas menjelaskan.
"Bagaimana kau tahu?"
"Ketika nama-nama desa di seluruh negeri disebutkan tiba-tiba degup
jantungnya bertambah keras ketika mendengarkan nama sebuah desa di bagian
utara negeri ini. Dan sang pangeran tidak berani mengutarakannya kepada
"Lalu apa yang harus aku lakukan?" tanya Raja.
"Mengawinkan pangeran dengan gadis desa itu."
"Kalau tidak?" tawar Raja ragu-ragu.
"Cinta itu buta. Bila kita tidak berusaha mengobati kebutaannya, maka ia akan
mati." Rupanya saran Abu Nawas tidak bisa ditolak. Sang pangeran adalah putra
satu-satunya yang merupakan pewaris tunggal kerajaan.

Abu Nawas benar. Begitu mendengar persetujuan sang Raja, sang pangeran
berangsur-angsur pulih. Sebagai tanda terima kasih Raja memberi Abu Nawas
sebuah cincin permata yang amat indah.

Maintain Oral Health During Cancer Treatment

Elizabeta Evtimovska, DDS, MS, is a maxillofacial prosthodontist at Penn. In this article, she discusses complications from treatments for head and neck cancer, and how patients can prevent long-term side effects of head and neck cancer treatment.

Head and neck radiation and chemotherapy can cause a range of short and long-term oral complications.

The acute complications such as mucositis (sores) and infections, as well as others are managed by the oncology team during the treatment. Some of the long-term complication, such as xerostomia (dry mouth) and osteoradionecrosis (ORN), is a serious complication of radiation therapy for head and neck cancer that occurs in a small percentage of patients as result of head and neck radiation treatment.

Osteoradionecrosis is bone that has died. Because radiation works to destroy cancerous cells through the deprivation of oxygen and vital nutrients, it inevitably destroys normal cells as well, damaging small arteries and reducing circulation to the area of the mandible (jaw bone).

As there is no treatment for ORN, the focus is on prevention. This means, avoiding extractions of teeth from the radiated parts of the jaws and making sure that dentures fit properly and don’t cause any sores. It most often occurs in the setting of tooth extraction from the radiated parts of the jaws, but can also occur spontaneously. In both cases, there is exposed bone in the mouth which can be asymptomatic or it can be further complicated by infections, pain, and/or malodor.

Preparing for head and neck cancer therapy

Patients who are planning to undergo chemotherapy or radiation should be evaluated by a dentist prior to the start of treatment.

During this appointment, the patient’s oral condition is evaluated and it is determined if any teeth need to be extracted prior to the start of radiation treatment. This visit is also a perfect time to go over good oral health care.

In our practice, I advise patients to do the following during and after radiation:
  • Maintain excellent oral hygiene by flossing and brushing every morning and evening and after every meal. If dry mouth develops, it is especially crucial to brush teeth after every meal and only drink water between meals, as opposed to sugary drinks or snacks.
  • Use fluoride to prevent caries (when xerostomia, dry mouth, is present, the patient has increased risk of caries). Fluoride is especially important to prevent extracting teeth from the radiated parts of the jaws and therefore prevent osteoradionecrosis.
  • Visit a local dentist regularly for regularly scheduled maintenance visits (cleanings), as well as any other routine dental treatment.
The severity of oral complications from chemoradiation differs depending on the diagnosis, the type of treatment administered, the amount and location of the delivered radiation, etc. Therefore, it is best to consult with a dentist prior to and after radiation in terms of the above discussed needs and recommended treatment.

Learn about managing cancer treatment side effects.

Learn about the Abramson Cancer Center Center’s Center for Head and Neck Cancer.