Transcript: Show #27 - Breast Cancer Special | Oct 10, 2000

A slate reads "The advice given in the preceding program is of a general nature only. Viewers should consult their own medical professional for medical advice specific to their circumstances."

Maureen stands in a wood-paneled studio with t.v. screens embedded in the walls. She is in her forties, has short, side-parted, curly brown hair in a bob, and wears red lipstick, a gray suit, and patterned brown blouse.

Maureen says HELLO.
I'M ENTERTAINMENT LAST YEAR
ON YOURSELF, WE PRESENTED A
SPECIAL REPORT ON BREAST
CANCER AND RECEIVED
OVERWHELMING RESPONSE.
AND SO, TO MARK BREAST
CANCER AWARENESS MONTH,
HERE'S AN ENCORE
PRESENTATION.
THIS WEEK, BREAST CANCER.
WHAT CANADIAN WOMEN NEED TO
KNOW.
AMAZING ADVANCES IN BREAST
RECONSTRUCTION, A
CONVERSATION WITH RENOWNED
BREAST SPECIALIST Dr. SUSAN
LOVE AND THE SURVIVORS,
THREE WOMEN SHARE THEIR
STORIES.

Fast clips show pen marks on a removed breast, a surgery, a female doctor and three middle-aged women.

A blond woman says AND BECAUSE I'M A MOTHER,
WHAT GOES WITH THAT IS THE
NOTION THAT I WON'T BE THERE
FOR MY CHILDREN.

(music plays)

The opening sequence begins.

Clips of different people flash against a grey background. A 30-year-old woman with shoulder length black hair looks through a microscope, a 30-year-old with very short black hair holds up her 1-year-old son, a pharmacist counts and organizes red-and-yellow pills, a surgeon cuts into the abdomen of a patient and, finally, a man wearing a ted tank-top lifts weights. An animated microscope, pill bottle, syringe, and small dumbbell fly around the screen.

The title appears: "Your Health. Breast Cancer. A Special Report."

Maureen stands next to a TV screen.

Maureen says HELLO.
I'M MAUREEN TAYLOR.
WELCOME TO "YOUR HEALTH" AND
OUR REPORT ON BREAST CANCER.
IN THIS HOUR, YOU'LL HEAR
FROM SEVERAL EXPERTS IN THE
FIELD, BUT WE ALSO WANT TO
PUT A HUMAN FACE ON THIS
DISEASE.
YOU'LL MEET THREE WOMEN WHO
HAVE MORE IN COMMON THAN A
DIAGNOSIS OF BREAST CANCER.

The TV screen shows the pictures of the three women.

Maureen continues THEY HAVE GUTS.

Mary Sue Douglas sits in her living room holding a cup. She wears a golden necklace and earrings, a brown blouse and a watch. She is bald.

Mary Sue says MY NAME IS MARY SUE
DOUGLAS I'M 59, JUST TURNED
59.
I HAVE BEEN LIVING WITH
BREAST CANCER SINCE 1988.
SO 12... 12 YEARS.
I FOUND A LUNCH TURNING OVER
IN BED ONE NIGHT AND JUST
FELT LIKE... SORT OF A...
LIKE A LITTLE ELECTRIC SHOCK
SOMEHOW UIN MY BREAST,
TURNED OVER AND THERE WAS A
LUMP.
MY HUSBAND WAS SNORING
KNOWSILY BESIDE ME, I WOKE
HIM UP.
I GOT A LUMP IN MY BREAST.
HE SAID, OH, IT'S NOTHING.
GO SEE A TALK... DOCTOR ON
MONDAY.
MY G.P. GOT ME INTO A
SURGEON THE NEXT DAY.
THAT WAS HELPFUL BECAUSE
IT'S A SCARY TIME.
THE DECISION WAS TO HAVE A
MASTECTOMY.
I THOUGHT ONCE THE SURGERY
WAS DONE, BEING A NURSE, I
THOUGHT, IT'S OVER WITH.
THAT'S IT.
I HAD TO SEE AN ONCOLOGIST
AND IT WAS SUGGESTED I HAVE
CHEMOTHERAPY AND AT THAT
POINT, I WAS PUT ON A STUDY
FOR A YEAR OF CHEMOTHERAPY,
WHICH WAS A LONG TIME.
I THOUGHT WHEN THAT WAS OVER,
FINISHED.
THERE WILL BE NO MORE.
THEN ABOUT SIX YEARS LATER,
THEY SPOT A SPOT ON MY LUNG.
THINGS HAVE CHANGED AS
THAT'S PROGRESSED.
METASTATIC BREAST CANCER
MEANS THAT THE BREAST CANCER
HAS SPREAD TO OTHER PARTS OF
THE BODY.
I HAVE SPOTS IN MY LUNG AND
MY LIVER, BUT I DON'T HAVE
LUNG CANCER AND I DON'T HAVE
LIVER CANCER.
I HAVE BREAST CANCER IN THE
LUNGS AND BREAST CANCER IN
THE LIVER.

(soft music plays)
A close-up shot shows black letters against a red background that read "Handle with Care."

Mary Sue continues HANDLE WITH CARE IS A PLAY
THAT IS ABOUT WOMEN LIVING
WITH MED STATIC BREAST
CANCER.

A caption appears on screen. It reads "Courtesy of Tomboy Productions Inc."

Mary Sue now stands on a stage.

Mary Sue says YOU FEEL LIKE YOU'VE GOT
THIS BOMB READY TO GO OFF
INSIDE OF YOU.

A woman says WHAT'S THAT?
WHERE DID IT COME FROM?
FRAGILE, HANDLE WITH CARE.

They look to a large wooden box.

Mary Sue says IN THE INITIAL PART,
THERE'S BOX THAT COMES OUT
AND IT'S GOT "HANDLE WITH
CARE."
HOW ARE YOU GOING TO TREAT
SOMEBODY WITH METASTATIC
BREAST CANCER?
HANDLE WITH CARE AND KEEP
AWAY OR DON'T TOUCH.
ALL THOSE FEELINGS THAT
HAPPEN AND HOW DO I WANT TO
BE HANDLED AS THAT PERSON.
SO THAT... IT'S HANDLE WITH
CARE WITH A QUESTION MARK.
EACH OF US IS DIFFERENT.
EACH OF YOU ARE DIFFERENT.
WE HAVE TO COME UP WITH OUR
OWN WAY OF... OF HANDLING IT.

At the play, Mary Sue says LAEK, STEP RIGHT UP AND
MEET MAGDA THE MAGICIAN WITH
A FEW MAGIC WORDS, I CAN
MAKE THINGS DISAPPEAR.
I CAN EVEN MAKE MYSELF
DISAPPEAR.

The caption changes to "Mary Sue Douglas."

Mary Sue says WHEN WE WOULD PERFORM FOR
MEDICAL PEOPLE AND DOCTORS
WOULD BE IN TEARS AND SAY,
THIS IS SO PROFOUND, AND I
HAVE FORGOTTEN... WE... WE
GET SO BUSY, WE FORGET
THERE'S FAMILIES INVOLVED.
WE FORGET WHAT THE WOMAN IS
THINKING.
IT CHANGED MY ROOTS.
WHEN WOULD PLAY FOR A
COMMUNITY AUDIENCE.
WERE YOU IN A DOCTORS OFFICE
WITH ME?
DO YOU LIVE IN MY HOUSE.

Back at the play, Mary Sue says AND NOW TA-DA.
THE FIVE MAGIC WORDS.
I HAVE METASTATIC BREAST
CANCER.
SO DO YOU SEE ME.

Mary Sue says WHEN I WAS DIAGNOSED, WE
WERE WITH DRIVING TO THE
COTTAGE AND I HAD JUST RUCHB
INTO A FAN AT THE CENTRE
WHO'S HEAD OF RADIATION
ONCOLOGY WHO SAID, MY
LONGEST-LIVING PATIENT HAS
LIVED FOR 23 YEARS.
I THOUGHT, OH, MY GOD, ISN'T
THAT WONDERFUL.
I HAD NO IDEA SOMEBODY COULD
LIVE THAT LONG.
WE WERE DRIVING TO COTTAGE.
I SAID TO PETER, HIS
LONGEST-LIVING PATIENT LIVED
FOR 23 YEARS.
SAID, WELL, OF COURSE.
I LOST IT.
I'M A VERY CALM, CONTROLLED
KIND OF PERSON.
I WAS SO ANGRY WITH HIM THAT
HE WASN'T UNDERSTANDING THAT
SOMEBODY LIVED FOR 23 YEARS
AND THAT WAS HOPEFUL, BUT MY
CHANCES FOR LIVING FOR 23
YEARS WERE PRETTY SLIM.
HE WAS DENYING ALL THAT
AGONY I WAS HAVING TO
STRUGGLE WITH AND PUTTING IT
AWAY AND SAYING, OF COURSE.

Mary Sue watches the play on TV.

A woman in her late fifties acting on the play says WELL, I WANTED TO PULL
THAT CAR OVER AND JUST WHACK
HIM ONE.
HOW DARE HE!
I WAS FURIOUS!
YOU'RE DISMISSING MY REALITY,
MY PAIN, MY FEARS.
YOU KNOW, WHEN SOMEONE COMES
UP TO ME AND SAYS, OH,
YOU'RE GOING TO LIVE TO BE
100, THAT SHUTS ME UP.
THAT DENIES THE REALITY THAT
I'M FACING.
BUT WHEN SOMEONE COMES UP TO
ME AND SAYS, I HOPE YOU LIVE
TO BE 100, CAN SHARE IN
THAT.
I CAN SAY, YES, I HOPE SO,
TOO.

Mary Sue says WHEN I WAS FIRST
DIAGNOSED WITH METASTATIC
BREAST CANCER THERE WERE
SORT OF FOUR TREATMENTS THAT
WERE AVAILABLE.
THAT WAS A NUMBER OF YEARS
AGO.
EACH TIME I GO IN WITH A NEW
SPOT, THERE ARE FOUR MORE
TREATMENTS.
SO IF I CAN JUST HANG IN
THERE, THERE MIGHT BE THE
ONE THAT WORKS.
SO I WOULD LIKE PEOPLE TO
KNOW THAT I THINK I'D LIKE
PEOPLE TO KNOW THERE'S STILL
JOY IN LIFE, EVEN WITH THIS.

A blue slate reads "60 percent of women diagnosed with breast cancer will NOT have a recurrence. Source: Breast Cancer and You."

The opening sequence rolls again.

At the studio, Maureen says WELL, MUCH OF THE BREAST
CANCER RESEARCH TODAY IS
LOOKING AT TREATMENT.
THERE'S ALSO A LOT OF WORK
ON PREVENTION.
DIET IS AN OBVIOUS STARTING
POINT.
HERE IS McGILL CHEMISTRY
PROFESSOR JOE SCHWARCZ ON
THE PROMISE AND THE PERILS
OF SOY.

Joe Schwartcz sits in a dimly lit studio. Laboratory glassware sits in a shelf behind him. He is in his late forties, clean-shaven with gray hair. He wears a black jacket, dark gray shirt, patterned tie and gray trousers.

Joe says NO SINGLE FOOD HAS
GENERATED AS MUCH INTEREST
IN TERMS OF BREAST CANCER
PREVENTION AS SOY.
THAT'S BECAUSE SOY BEANS
CONTAIN FIDO ESTROGENS.
ESTROGEN IS IMPLICATED IN
BREAST CANCER.
WOMEN WHO HAVE FEWER
PREGNANCIES AND THEREFORE
EXPOSED TO MORE ESTROGEN.
THIS SUED DOUGH ESTROGEN IS
NOT POWERFUL AS ESTROGEN IN
STIMULATING CELLS TO DIVIDE.
THE IDEA IS IF YOU EAT SOY,
IT BLOCKS THE ACTION OF THE
ESTROGEN.
THERE'S SOME EVIDENCE FOR
THAT.
JAPANESE WOMEN WHO HAVE ONE
QUART TER BREAST CANCER
ACCIDENTS OF NORTH
AMERICANING CONSUME 30 TIMES
AS MUCH SOY PRODUCTS.
NOW, WE'RE NOT TALK ABOUT
AGAIN NETICS HERE BECAUSE
THEY MOVED TO NORTH AMERICA,
TAKE ON NORTH AMERICAN
DIETARYY PATTERNS AND CANCER
PAT TEMPS AS WELL.

The caption changes to "Dr. Joe Schwarcz, Ph.D. Professor of Chemistry."."

He continues A STUDY FROM SINGAPORE TELLS
US THAT WOMEN WHO HAVE MORE
PHYTOESTROGENS... YOUNG
WOMEN WHO CONSUME THE MOST
SOY PRODUCTS ARE AT REDUCED
RERVEG.
BUT THERE'S ALWAYS A FLY IN
THE OINTMENT, ISN'T THERE?
SOME SCIENTISTS SUGGEST THAT
WHILE PHYTOESTROGENS ARE
WEAK, IF YOU CONSUME ENOUGH,
THEY WILL HAVE A STIMULANT
EFFECT THAT IS
COUNTERPRODUCTIVE.
Dr. JENKINS FED LARGE AMOUNT
OF SOY PRODUCTS TO BOTH MEN
AND WOMEN AND STUDIED THE
EFFECTS.
FE HOUND THEIR CHOLESTEROL
WAS WITH LOWERED, WHICH WAS
EXPECTED.
HE COLLECTED THEIR DOWNRIN
BECAUSE HE WANTED TO TEST
THE YOU'RE... FOR POSSIBLE
STILLTORY EFFECTS.
HE DISCOVERED THERE WEREN'T
ANY.
INDEED, Dr. JENKINS BELIEVES
SOY IS PROTECTIVE.
WHAT ABOUT POST MENOPAUSAL
WOMEN?
THERE'S NO WHEREIN TO
BELIEVE INCORPORATING SOY
PRODUCTS IS ANYTHING TO BEN
FIRM.
WHERE THE YOUR IS OUT IS
WOMEN WHO UNFORTUNATE HAVE
BEEN STRUCK BY THIS DISEASE.
WE HAVE NO GOOD INFORMATION
THAT WOULD TELL US WHETHER
OR NOT THOSE ISOFLAVONES ARE
A GOOD THING WHEN THE
DISEASE IS ALREADY
ESTABLISHED.
TODAY, I THINK THE PRUDENT
APPROACH WOULD BE FOR
SOMEONE WHO DOES HAVE BREAST
CANCER TO NOT GO OVERBOARD
ON THE CONSUMPTION OF SOY
PRODUCTS, BUT THE GENERAL
POPULATION CAN REST ASSURED
THAT WE DO HAVE PRETTY
SIGNIFICANT EVIDENCE THAT
INCREASED CONSUMPTION OF SOY
IS PREVENTIVE IN TERMS OF
THIS TERRIBLE DISEASE.

(music plays)

A clip shows a female doctor checking a woman’s breasts.

Maureen says COMING UP, IS THIS THE
BEST WAY TO DETECT BREAST
CANCER.
MORE ON SCREENING AND
DIAGNOSIS LATER.

Back at the studio, Maureen stands next to a TV screen reads "Breast Cancer. A Special Report."

Maureen says BREAST CANCER IS
INDISCRIMINATE, STRIKING
EVEN ACTIVE, HEALTHY WOMEN
WHO FEEL THEY'VE DONE
EVERYTHING RIGHT.

The TV screen shows a picture of Esther Myers.

A clip plays.

Esther sits on the floor splitting her legs. She has short gray hair and wears a turquoise shirt and gray tights.

Esther says MY NAME IS ESTHER MYERS,
I'M 53.
I HAD BREAST CANCER SIX
YEARS AGO.
I'M A YOGA TEACHER AND HAVE
BEEN FOR, REALLY, 25 YEARS.
YOU KNOW, I FELT LIKE I WAS
LEADING A VERY HEALTHY LIFE
AND THAT WAS GOING TO BE
ENOUGH TO PROTECT ME.
IT WAS A COMPLETE SHOCK TO
FIND OUT THAT IT WASN'T.
BECAUSE MY MOTHER HAD DIED
OF BREAST CANCER, I STARTED
HAVING MAMMOGRAMS AT THE AGE
OF 40.
WHAT HAPPENED WAS THAT A
COUPLE SMALL AREAS SHOWED UP
ON A MAMMOGRAM.
THE DAY I GOT THE DIAGNOSIS
WAS A MONDAY MORNING.
THAT PART I REMEMBER
DISTINCTLY.
I WAS AT HOME.
THE SURGEON CALLED AND TOLD
ME THE TUMOURS WERE
MALIGNANT AND I WENT TO
PIECES PRETTY MUCH.
THE SURGEON GAVE ME A CHOICE
OF EITHER... PART OF THE
BIOPSY WAS A LUMPECTOMY.
HE SAID, WE COULD TRY A
LARGER LURP EVENING
TESTIMONY YOU.

DUMPECTOMY.
THERE WERE CANCER SEEDS
AROUND THESE TWO TUMOURS.
HE SAID, WE COULD TRY A
LARGER LUMPECTOMY.
I WANT AN AREA CLEAR OF
CANCER AND I WOULD NEED
RADIATION.
OR I COULD HAVE A MASTECTOMY.
I WAS UNEASY WITH RADIATION.
HE SAID... HIS WORDS WERE
SIGNIFICANTLY DEFORMED.
I THOUGHT, IF THE SURGEON IS
SAYING SIGNIFICANTLY
DEFORMED, HE REALLY MEANS
IT.
THE BREAST SURGERY ITSELF
HAD A HUGE EFFECT ON ME
PHYSICALLY AND EMOTIONALLY.
WHEN I HAD THE BIOPSY, I WAS
DOING HANDSTANDS TEN DAYS
LATER.
IT DIDN'T IMPACT IN THAT
SENSE.
THE MASTECTOMY, NOBODY
PREPARED ME FOR THIS PART.
THE MASTECTOMY IS A BIGGER
SURGERY.
IT IMFACTS ON MOVEMENT AND
STRENGTH.
A YEAR AND A HALF AGO I HAD
A HISS... HYSTERECTOMY.

The caption changes to "Esther Myers."

Esther continues A YEAR AFTER I HAD THE
MASTECTOMY, I HAD A BIOPSY
ON THE OTHER BREAST THAT WAS
NEGATIVE.
THERE'S A LOT OF SCARS.
VISUALLY, I'M KIND OF USED
TO THEM, BUT THEY
CERTAINLY... I THINK BECAUSE
OF WHAT I DO, THEY'RE VERY,
VERY MUCH IN MY LIFE.
I MEAN, I DON'T DO A YOEG GA
POSE WITHOUT FEELING SOME
KIND OF SCAR TISSUE
SOMEWHERE.
IT'S VERY IMMEDIATE AND VERY
MUCH AN ONGOING ISSUE.

As she speaks sitting in her home, a clip shows Esther practising Sun Salutation and other Yoga poses.

Esther continues I WAS DRIVING UP NORTH.
I WAS FEELING OKAY LIKE, YOU
KNOW, I CAN DO.
THIS SOMEBODY LET ME IN
AHEAD OF THEM.
I WENT TO DO THIS TO SAY
THANK YOU AND SOMETHING WENT...
I THINK THAT AGAIN, THIS IS
A RESOURCE OR SKILL.
THIS IS HOW YOU CAN GO ABOUT
REESTABLISHING MOVEMENT.

She stands on the floor on her knees and hands.

She says AFTER THE SURGERY, THERE'S
SCAR TISSUE ACROSS THE CHEST
OR IN THE BREAST ITSELF
WHICH IS GOING TO CREATE
RESTRICTION ON THE FRONT OF
THE BODY, BUT VERY, VERY
OFTEN, USUALLY THERE'S A LOT
OF TENSION IN BACK.
THERE'S BASIC CAT MOVEMENT
STARTS TO EASE INTO BOTH OF
THOSE AND GRADUALLY INCREASE
THE RANGE OF MOVEMENT.
THE OTHER IMPORTANT PIECE IS
THAT THE LYMPH NODE
DISSECTION IN THE ARMPIT
CREATES RESTRICTION THROUGH
THE ARM, SHOULDER AND SIDE.
I GET OCCASIONALLY SWELLING.
AS I START TO VARY THE
STRETCH AND PLAY WITH IT AND
IMPROVISE, I CAN MOVE INTO
SOME OF THESE TIGHTER AREAS
AND WORK WITH THE SCAR
TISSUE I'M FINDING, YOU KNOW,
THAT I HAVE ON THE SIDE OF
MY BODY AS WELL AS ON THE
FRONT I THINK YOGA FOR
BREAST CANCER SURVIVORS ISED
A... ADDRESSING A NUMBER
ISSUES.
ONE IS STRESS MANAGEMENT AND
THE PHYSICAL RECOVERY, RANGE
OF MOVEMENT AND, I THINK, A
THIRD PIECE IS POSTURE.
I THINK THERE'S A NATURAL
TENDENCY, PARTLY BECAUSE OF
THE PHYSICAL EFFECTS OF THE
SURGERY, AND PARTLY BECAUSE
OF THE JUST ANY KIND OF
FEELINGS OF SELF-CONSCIOUS A
TENDENCY TO PROTECT AN AREA
THAT'S IN EFFECT, INJURED
AND VULNERABLE.
AFTER I HAD THE SURGERY, MY
SISTER SAID, YOU KNOW, ONE
DAY YOU'LL STAND TALL AGAIN
NO I DIDN'T BELIEVE HER WHEN
SHE SAID IT.
WHEN YOU STAND TALL, I MEAN,
IT'S... THERE'S A SENSE OF
CONFIDENCE, ENERGY, THE
FEELING OF WELL-BEING, THE
TOOLS TO DEAL WITH THE
EMOTIONAL STRESSES AS WELL
AS THE PHYSICAL ONES, I
THINK, ARE REALLY ALL
AVAILABLE, YOU KNOW, THROUGH
A YOGA PRACTISE.
I MEAN, IT'S A MAGNIFICENT
PRACTISE.

The clip ends.

(music plays)

The blue slate changes to "Number of mastectomies performed in Canada in 1997/98: 14,426. Number performed on men: 455. Source: Canadian Institute for Health Information."

At the studio, Maureen says UNTIL THE 1980s, DOCTORS
GAVE LITTLE THOUGHT TO THE
DISFIGURING AND EMOTIONALLY
DEVASTATING EFFECTS OF A
MAST EVENING TESTIMONY
TOMMY.
IT'S AN... MASTECTOMY.
THE BREAST AND LYMPH NODES
ARE REMOVED LEAVING A
HALLOWED PACE AND A SCAR.

The TV screen next to her shows a male doctor next to a woman with her chest bandaged.

Maureen continues OVER THE LAST 20 YEARS,
DOCTORS HAVE DEVELOPED WAYS
TO RECONSTRUCT A BREAST
EITHER WITH A SALINE IMPLANT
OR WITH LIVING TISSUE FROM
THE PATIENT.
2 AND A HALF YEARS AFTER HER
MASTECTOMY, KAREN ANDERSON
DECIDED TO UNDERGO AN
INTRICATE PROCEDURE CALLED A
TRANFLAP.
WE FOLLOWED HER BEFORE,
DURING AND AFTER HER
SURGERY.
A WARNING, SOME OF THESE
PICTURES ARE VERY GRAPHIC.

(guitar music plays)

A clip plays.

Dave plays a guitar sitting on a sofa next to Karen and their four daughters. Karen holds a dog.

They all sing HERE'S A SONG FOR MY
LITTLE ONES
BECAUSE DADDY LEFT THE
HOUSE TODAY AND IS GONE .

Maureen says CAREN ANDERSON WAS ONLY
38 WITH FOUR YOUNG GIRLS
WHEN SHE WAS DIAGNOSED WITH
BREAST CANCER.
HEALTHY, WITH NO MATERNAL
HISTORY OF THE DISEASE, SHE
HAD DIFFICULTY CONVINCING
HER DOCTOR TO EVEN GIVE HER
A MAMMOGRAM.
BUT THE RESULTS LOOKED
SUSPICIOUS, AND A BIOPSY
SHOWED SHE HAD BREAST
CANCER.

The caption changes to "Karen Anderson." Karen is in her mid-forties with short blond hair. She wears a blue shirt under denim dungarees.

Karen says WHEN I FIRST HEARD,
DISBELIEF WAS COMPLETELY
BECAUSE I WAS ALMOST 100 percent
CERTAIN THAT THE DIAGNOSIS
WAS GOING TO COME BACK
NEGATIVE AND I WAS FINALLY
GOING TO HAVE THE 100 percent SURE
ANSWER THAT I HAD NOTHING.
SO I... IT WAS COMPLETE AND
UTTER SHOCK.
I WAS THINKING ABOUT THE
CHILDREN, DAVE.
INITIALLY, THE ONLY THING I
WAS THINKING ABOUT WAS
GETTING RID OF THE CANCER
THAT.
WAS THE MOST IMPORTANT
THING.
WHATEVER THE STEPS WERE
NECESSARY TO TAKE, LET'S
JUST GET RID OF THIS THING.
THE IMPACT OF IT BEING GONE
AND HOW I WAS GOING TO FEEL
ABOUT THAT WASN'T EVEN AN
ISSUE AT THE TIME.
IT WAS JUST, YOU KNOW, LET'S
GET RID OF IT.
I WAS CERTAINLY CONCERNED OF
BODY IMAGE AND THINGS LIKE
THAT, BUT MY LIFE WAS... WAS
THE IMPORTANT PART AT THAT
TIME.

The caption changes to "Dramatization."

A clip shows woman with her chest bandaged touching one of her breasts.

Maureen says WITH CANCER PEPPERED
THROUGHOUT HER BREAST, KAREN
HAD NO CHOICE.
SHE NEEDED A COMPLETE
MASTECTOMY.

Karen says IT HAD TO GO.
THERE WERE NO CHOICES.
THE SOONER THE BETTER.
COMING OUT WAS ANOTHER
THING.
NOW THERE'S SOMETHING TO
LOOK AT THAT'S... THAT'S
DIFFERENT.
WHEN THE BANDAGES CAME OFF,
IT WAS SHOCKING.
I CRIED.
I CRIED A LOT.
I CRIED PROBABLY FOR A
COUPLE OF DAYS EVERY TIME I
LOOKED AT IT.
IT WAS JUST KIND OF A...
LOOKING AT IT WAS THE
REALITY, IT WAS AWE HUGE
REALITY.
MY SURGEON GAVE ME A FEW
SCENARIOS.

Karen and Dave walk into a hospital.

Karen continues ONE OF THEM BEING THAT IT IS
AN OPTION TO HAVE
RECONSTRUCTION AT THE SAME
TIME AS THE MASTECTOMY, BUT
THAT HE DIDN'T NECESSARILY
RECOMMEND THAT AS A GOOD
OPTION.
WHAT HE HAD FOUND WITH
PREVIOUS PATIENTS IS THAT
THE WAITING PERIOD MAKES YOU
HAPPIER WITH THE RESULT IN
THE LONG RUN, AND THAT
OFTENTIMES SOME PEOPLE FIND
THAT THEY'RE ACTUALLY QUITE
HAPPY LIVING WITHOUT IT.

Maureen says THE MOST RECENT
STATISTICS TELL US THAT
ALMOST 14,000 CANADIAN WOMEN
UNDERGO MASTECTOMY EACH
YEAR.
OF THOSE, ONLY 10 percent CHOOSE
RECONSTRUCTIVE BREAST
SURGERY.
KAREN HAS WAITED 2 AND A HALF YEARS
TO HAVE THIS SURGERY.

A female doctor takes Karen’s temperature and blood pressure.

Karen says I HAVE A COMPLETELY CLEAR
PICTURE OF WHAT'S IMPORTANT
ON THE BRD PICTURE.
MY... MY FAMILY IS JUST...
YOU KNOW, AND FRIENDS AND
SURROUNDING PEOPLE AND MY...
MY LIFE HERE AND... AND
THAT.
IT'S NOT MY BODY.
MY BODY IS NOT WHAT'S MAKING
ALL OF THAT HAPPEN.
ON A MORE INTIMATE LEVEL AND
ON A MORE PERSONAL LEVEL, I
WASN'T SURE HOW I WOULD FEEL,
BUT I HAVE FOUND THAT IT'S
ACTUALLY BEEN A BUILDUP TO
THE POINT WHERE I'M REALLY
NOT COMFORTABLE WITH MY BODY
AND I'VE ALWAYS BEEN A VERY
COMFORTABLE PERSON WITH MY
BODY.

The caption changes to "File photo."

A black and white picture shows a woman with one breast removed and lines drawn on her chest.

Karen continues IT'S A MUTILATION.
YOU ARE MUTILATED AS THOUGH
YOU'VE... YOU'VE LOST A PART
OF YOUR BODY.
YOU'VE HAD AN ARM CUT OFF.
SOMETHING THAT MAKES A
PERSON WHAT SOCIETY, IF YOU
WANT TO PUT IT THAT WAY,
THINKS OF WHAT A PERSON IS
AND HOW THEY'RE FORMED.
IT'S GONE.

Maureen says Dr. JOHN SEMPLE IS A
PLASTIC SURGEON AT
SUNNYBROOK HOSPITAL AND A
SPECIALIST IN BREAST
RECONSTRUCTIVE SURGERY.
HE WILL BE KAREN'S SURGEON.

John Semple washes his arms and hands.

Now, he sits in his office. He is in his mid-forties, clean-shaven with short gray hair. He wears a white doctor apron.

John says BREAST RECONSTRUCTION IS
AN OPTION FOR SOME WOMEN WHO
FEEL THEY WOULD LIKE TO
REPLACE THE BREAST WITH A
FACSIMILE, AS IT WERE, TO
HELP THE REHABILITATION,
THERE ARE TWO BASIC CHOICES.

The caption changes to "Doctor John Semple. Sunnybrook and Women’s College."

John continues ONE IS THEY CAN USE THEIR
OWN TISSUE FOR THE
RECONSTRUCTION AND ONE THEY
CAN USE THE... OTHER IS THEY
CAN USE SALINE-FILLED
IMPLANT OR SALT-WATER
IMPLANT.

Maureen says KAREN HAS CHOSEN A
TRANFLAP.
THE OPERATION TAKES THREE TO
FIVE HOURS.
KAREN WILL BE CUT OPEN FROM
HIP TO HIP.

John says WE TAKE THE TISSUE FROM
THE LOWER ABDOMEN WHICH IS
NORMALLY DISCARDED AFTER A
TUMMY TUCK.

The caption changes to "Head of Plastic Surgery."

He continues WE LEAVE THAT SKIN AND FAP,
THAT TISSUE ATTACHED TO ONE
OF THE... OR PART OF THE
MUSCLE IN THE ABDOMEN AND WE
CREATE A TUNNEL AND WE BRING
THAT THROUGH... TUNNEL INTO
THE MASTECTOMY SITE AND WE
WHERE I THE TISSUE UP THERE
THERE AND CREATE A BREAST...
OR WE SHAPE THE SKIN AND THE
FAT FROM THE LOWER ABDOMEN
INTO A BREAST SHAPE.

Maureen says A WARNING.
THE PICTURES YOU'RE ABOUT TO
SEE ARE VERY GRAPHIC.
DURING THE FIRST STAGE OF
THE SURGERY, THE DOCTORS
DETACH KAREN'S SKIN AND FAT
FROM HER MUSCLES AND INNER
ORGANS.
THEN Dr. SEMPLE CUTS OVER
THE SCAR FROM KAREN'S
MASTECTOMY.
HE'LL BRING SKIN AND FAT
FROM HER BELLY THROUGH THE
INCISION TO BUILD A NEW
BREAST.
AFTER AN HOUR AND A HALF IN
SURGERY, KAREN'S BODY LIES
CUT OPEN, READY TO BE
REBUILT.
THE DOCTOR SHOWS HOW THE
STOMACH WILL BE PUSHED
UPWARD TO FORM A NEW BREAST.

John and medical staff operate Karen.

Holding a piece of Karen’s belly, John says WHAT WE HAVE IS THE FLAP,
WHICH IS DESIGNED... WE'VE
TRIMMED OUT THE OUTER PART
OF IT, SO WE ONLY HAVE HALF
THE FLAP.
THAT'S ALL WE NEED IN THIS
PARTICULAR CASE.
UNDERNEATH, IT'S ATTACHED TO
THE... ONLY PART OF THE
RECTUS MUSCLE HERE.
THIS CAN GO ANYWHERE WE WANT
IT TO.
IN THIS CASE, WE'RE GOING TO
PASS IT THROUGH THE TUNNEL
WEAVE MADE AND THIS IS THE
MAGICAL PART OF THIS
PARTICULAR FLAP.
CAN I HAVE A SPONGE, PLEASE.
WE ALWAYS FEEL THIS IS THE
OWSTETRICAL PART OF THE
PROCEDURE.
WE ENCOURAGE IT THROUGH BY
SHIFTING IT BACK AND FORTH.
REMEMBER, THIS IS ONLY JUST
UNDER THE SKIN.
AS THE FLAP COMES OUT HERE,
THERE'S OUR BREAST.
THIS TUCKS UP UNDERNEATH
LIKE THAT.
WE JUST START TO SHAPE IT IN
LIKE THIS.

Maureen says HE STAPLES THE FLAP INTO
POSITION BEFORE SEWING HER
BACK TOGETHER.
AS WITH ANY SURGERY, THERE'S
THE RISK OF COMPLICATIONS.

John says COMPLICATIONS ARE RARE,
BUT INFECTIONS, SMALL AREAS
OF SLOW HEALING ALONG THE
INCISIONS, COLLECTIONS OF
FLUID UNDER THE AREAS WE'RE
WORKING ON VERY RARELY WE
CAN HAVE PROBLEMS WITH THE
BLOOD SUPPLY TO FLAP.
HUGELY NOW, WE'RE PRETTY
GOOD AT SORTING THAT OUT.

Maureen says IN THREE MONTHS, KAREN
CAN RETURN FOR THE FINAL
STAGE.
DOCTORS TATTOO AN NIPPLE.

John says OVER THE PAST 12 YEARS,
WE'VE DONE OVER 400
RECONSTRUCTIONS.

The caption changes to "File photo."

The picture of the woman with the removed breast appears. Then, another one shows the breast reconstructed.

John continues THE LEVEL OF SATISFACTION
WHEN WE SENT OUT A SURVEY,
WE HAD AN 80 percent... 0 percent OF THE
PATIENTS SENT THEIR SURVEYS
BACK AND A 90 percent SATISFACTION
RATE WHICH IS PRETTY HIGH.

After the surgery, nurses push a stretcher where Karen lies.

John says BYE, NOW.

(music plays)

Karen gets dressed in front of a mirror.

Karen says IT WAS SO WORTH IT.
I GOT EXACTLY WHAT I HOPED
FOR.
IN A SENSE, I HAVE BEEN
GIVEN A GIFT THROUGH THIS.
IT... IT GIVES YOU A CHANCE
TO REALLY DIG DEEP AND...
AND GET A SECOND LOOK AT
YOUR LIFE AND, REALLY, HOW
MUCH YOU HAVE.
AND YOU RETHINK THE FUTURE
US AND I'M PROBABLY MORE
GRATEFUL FOR LITTLE THINGS.
I DON'T THINK I EVER DIDN'T
APPRECIATE MY CHILDREN OR MY
HUSBAND OR MY FAMILY AND
FRIENDS,
She clears a tears and says BUT IT GIVES YOU A
DEEPER APPRECIATION.

The clip ends.

(music plays)

The blue slate changes to "Breast reconstruction is covered by every provincial health plan across Canada. Source: Provincial Ministries of Health."

At the studio, Maureen says WHEN IT COMES TO
PROVIDING WOMEN WITH CLEAR,
CURRENT INFORMATION ON
BREASTS AND BREAST CANCER,
FEW CAN TOP THE WORK OF
Dr. SUSAN LOVE.
Dr. LOVE IS A PRACTISING
BREAST SURGEON IN CALIFORNIA
AND AUTHOR OF THE BIBLE FOR
WOMEN WITH BREAST CANCER.

A white and blue book sits on a table. The cover reads "Doctor Susan Love’s breast book."

Maureen continues ON ONE OF HER RARE VISITS TO
TORONTO, Dr. LOVE AND I SAT
DOWN TO TALK ABOUT BREAST
CANCER SCREENING, DIAGNOSIS
AND PREVENTION.

A clip plays.

Maureen and Susan sit in a room. A library sits behind them.

Maureen says WELCOME TO "YOUR HEALTH,"
Dr. LOVE.

Susan Love is in her forties with short curly dark brown hair. She wears glasses, a pink blouse and black blazer.

Susan says THANK YOU, GREAT TO BE
HERE.

Maureen says YOU TALK IN YOUR BOOK
ABOUT THE MYTH OF EARLY
DETECTION FOR BREAST CANCER.
WHAT DO YOU MEAN BY THAT?

The caption changes to "Doctor Susan Love. Breast Surgeon."

Susan says WELL, I THINK WE GIVE
PEOPLE THE IMPRESSION THAT
IF YOU JUST DO EVERYTHING
RIGHT, DO YOUR BREAST
SELF-EXAM AND YOUR CLINICAL
EXAMS AND MAMMOGRAMS, YOU'LL
FIND YOUR CANCER EARLY,
YOU'LL BE CURED AND LIFE
WILL BE GROOVEY.
I WISH IT WERE THAT SIMPLE.
BY THE TIME YOU CAN FEEL A
LUMP AND SEE IT ON A
MAMMOGRAM, IT'S BEEN THERE
EIGHT TO TEN YEARS.
WHAT WE'RE CALLING EARLY
DETENTION TEKZ IS ONLY
SLIGHTLY EARLIER DETECTION
BUT NOT EARLY DETECTION
EARLY IN PROCESS.
IT'S WELL POSSIBLE FOR YOU
TO HAVE A CANCER AND HAVE
CANCER CELLS SPREAD OUTSIDE
THE BREAST BEFORE YOU CAN
SEE IT ON A MAMMOGRAM OR
FEEL IT.

Maureen says BUT IT'S A GIVEN THAT THE
EARLIER WE FIND IT, THE
BETTER THE WOMAN'S CHANCE OF
SURVIVE, IS THAT TRUE?

Susan says WELL, SORT OF.
WE'VE NEVER TOTALLY PROVEN
THAT.
I ALWAYS WORRY A LITTLE BIT
BECAUSE WITH EARLY WE... WE
GIVE A CONNOTATION OF TIME.
CANCERS DON'T GROW IN A NICE
RATE WHERE IT'S CONSTANT.
THEY SPURT AND THEN THEY
REST FOR A WHILE AND THEN
THEY SPURT AND THEN THEY
REST.
SO IT MAY BE THAT YOU HAVE A
LONG PERIOD OF TIME WHEN YOU
CAN FIND IT AND IT WILL BE
OKAY, BUT THEN THERE MAY BE
ANOTHER MONTH WHERE THAT'S
THE SPURT MONTH WHERE YOU
MAY, YOU KNOW, IT MAY NOT BE
EARLY ENOUGH.
IT'S NOT QUITE SO SIMPLE
THAT IF WE COULD JUST GET IT
A FEW MONTHS EARLIER WE'D BE
OKAY.

Maureen says MA'AM IF I, WHAT ARE THE
LIMITS AS A SCREENING TOOL
FOR BREAST CANCER?

Susan says WELL, IT'S LOOKING FOR
CANCERS THAT ARE ALREADYER
THERE.
ALREADY YOU'VE GOT THAT
LIMIT.
YOU'RE ALREADY THAT FAR
ALONG IN THE PROCESS.
IT'S NOT VERY GOOD IN YOUNG
WOMEN.
THE REASON IS, NOT THAT THEY
DON'T GET CANCER, BUT THAT
YOUNG WOMEN'S BREASTS ARE
DENSE AND CANCER IS DENSE.
YOU CAN'T SEE A CONTRAST.
IT'S LIKE LOOKING FOR A
POLAR BEAR IN SNOW.
IT DOESN'T SHOW UP ON A
YOUNG WOMAN'S MAMMOGRAM.
WHEREAS, ONCE YOU REACH 50
AND GO THROUGH MENOPAUSE,
THE DENSITY GETS LESS AND
YOU CAN SEE CANCERS VERY
WELL.
IT'S A BETTER TOOL FOR OLDER
WOMEN THAN YOUNGER WOMEN.
OBVIOUSLY, IT HAS RADIATION,
OBVIOUSLY, THAT'S A
DOWNSIDE.
IF YOU COULD DO WITHOUT IT,
THAT WOULD BE BETTER.
IT'S NOT PERFECT.
IT MISSED A GOOD THIRD OF
BREAST CANCERS.
IT FINDS A LOT OF THINGS
THAT AREN'T ACTUALLY CANCER
THAT YOU END UP HAVING TO
BIOPSY TO FIGURE OUT.
HAVING SAID ALL THAT, IT'S
THE BEST TOOL WE HAVE AT THE
MOMENT FOR SCREENING, AND IN
RANDOMIZED, CONTROLLED
STUDIES, IF YOU DO A
MAMMOGRAM VERSUS NOT, YOU
CAN REDUCE BREAST CANCER BY
A THIRD.

Maureen says AT WHAT AGE SHOULD WOMEN
START TO HAVE A REGULAR
MAMMOGRAM?

Susan says THERE'S CONTROVERSY ABOUT
THAT.
THERE'S NO QUESTION THAT
STARTING AT AGE 50...
EVERYBODY AGREES THAT WOMEN
SHOULD HAVE MAMMOGRAMS FROM
AGE 50 ON.
WHERE THE CONTROVERSY COMES
IS BETWEEN 40 AND 50.
THE DATA REALLY HAS NOT
DEMONSTRATED THAT YOU CAN
CHANGE THE DEATH RATE OF
BREAST CANCER BY HAVING
MAMMOGRAMS IN THAT EARLIER
AGE-GROUP.
EACH WOMAN HAS TO LOOK AT
HER RISK, HER SITUATION AND
MAKE A DECISION FOR HERSELF.

Maureen says THERE WAS A STUDY THAT
SAID A PHYSICAL BREAST
CHRISTMAS BY A TRAINED
PROFESSIONAL WAS AS GOOD AS
A MAMMOGRAM.
THAT WAS, WHAT, IN WOMEN 50
TO 69.

Susan says THAT'S RIGHT.
THE GOOD THING IS... THE KEY
TO THAT IS A TRAINED
PROFESSIONAL.
MOST DOCTORS, CERTAINLY IN
THE UNITED STATES, AND I
WOULD BET HERE AS WELL, ARE
NOT TRAINED TO DO BREAST
EXAMS AND NOT VERY GOOD AT
IT.
IF YOU'RE REALLY TRAINED AT
IT, I THINK IN THAT STUDY
60 percent WERE NURSES DOING THEM,
PROBABLY BETTER AT IT ANYWAY,
THEY SPEND MORE TIME.
THEY WEREN'T DOING IT AS A
WHOLE PHYSICAL.
THAT A GOOD... GOOD PHYSICAL
EXAM MAKES SENSE WOULD BE AS
GOOD AS A GOOD MA'AM GRA.
MOST OF US DON'T HAVE ACCESS
TO A GOOD PHYSICAL EXAM.

Maureen says MOST OF US LET OUR FAMILY
PHYSICIAN OR A
GYNECOLOGIST... CERTAINLY, A
LOT OF GYNECOLOGISTS WOULD
FEEL A LOT OF BREASTS.

Susan says THEY'RE NOT ACTUALLY
TRAINED IN BREAST CANCER.
OIRONICALLY, THE SURGEONS
GET THE TRAINING.
SURGEONS ARE THE BEST MOSTLY
BECAUSE WE TRAIN OUR
FINGERS.
YOU FEEL SOMETHING AND YOU
OPERATE ON IT.
THE NEXT TIME YOU FEEL IT,
YOU'VE GOT A SENSE OF WHAT
IT IS YOU'RE FEELING.
GYNECOLOGISTS DON'T GET
THAT.

Maureen says THIS BRINGS US TO BREAST
SELF-EXAMINATION.
IN YOUR BOOK YOU'RE NOT THAT
KEEN ON IT.

Susan says DOWNYOU KNOW, THERE HAVE
BEEN SEVERAL LARGE STUDIES
SHOWING NO BENEFIT IN TERMS
OF MORTALITY FROM BREAST
CANCER, WHETHER YOU LIVE OR
INDICTMENT.
IT'S PROBABLY BECAUSE BY THE
TIME WE CAN FEEL A CANCER,
IT'S BEEN THERE SO LONG THAT
WHETHER YOU FIND IT THIS
MONTH OR NEXT MONTH IS NOT
THE CRITICAL FACTOR.

Maureen says THERE WOULD BE WOMEN
WATCHING, NO, I FOUND, OR MY
HUSBAND FOUND MY LUMP.
I GUESS THEY WEREN'T
ACTUALLY DOING BSE.

Susan says 80 percent OF WOMEN FIND THEIR
OWN CANCERS, BUT NOT DOING
THE WHOLE SOCK AND DANCE.
IT'S ROLLING OVER IN BED,
IT'S IN THE SHOWER, A LOVER
FINDS IT OR SOMETHING HURTS
AND YOU POKE AROUND AND,
INDEED, YOU FIND SOMETHING
THERE.
IT'S NOT TO SAY... I'M NOT
SAYING YOU SHOULD NEVER
TOUCH YOUR BREASTS AGAIN AT
ALL.
I THINK YOU SHOULD.
FORMAL BREAST SELF-EXAM
DOESN'T SEEM TO MAKE A
DIFFERENCE.
THE RISK OF FOCUSING ON IT
TOO MUCH IS THAT WE THINK WE
HAVE ANSWERS WE DON'T HAVE.

Maureen says WE SHOULD GET TO THE
QUESTION ABOUT A PAP SMEAR
FOR BREAST CANCER.
YOU SAY WE'RE CLOSE TO
HAVING THIS.

Susan says WE'RE HERE.
YOU KNOW, I'VE BEEN WORK ON
THIS FOR A LONG TIME.
IT WAS BECAUSE BY THE TIME
WE FIND BREAST CANCERS, AS
WE SAID, IT'S TOO LATE.
ALL BREAST CANCER STARTS IN
THE LINING OF THE MILK
DUCTS.
IF WE COULD GET TO THERE, WE
COULD FIND CANCERS... NOT
CANCERS, ACTUALLY, BUT CELLS
THAT ARE THINKING ABOUT
BEING CANCER SOME DAY AND
HEAD THEM OFF AT THE PASS SO
YOU NEVER GET CANCER, MUCH
AS WE DO WITH PAP SMEARS.
WOMEN WITH REGULAR PAP
SMEARS NEVER GET CANCERS,
THEY GET DIAGNOSED WITH
FUNNY CELLS.
THEY NEVER GET TO CANCER.
THAT'S WHAT WE NEED TO DO
WITH THE BREASTFUL WE WORKED
ON A LITTLE CATHETER, HALF A
CENTIMETRE.
YOU PUT... LONG AND VERY
FINNY AND FLEXIBLE.
YOU THREAD IT INTO THE MOUTH
OF THE MILK DUCT FOR A
LITTLE DISTANCE AND SQUIRT
IN SALTWATER, SUCK IT OUT
AND YOU CAN LOOK AT CELLS
AND ACTUALLY FIND ATYPICAL
CELLS THAT ARE TWO STEPS
BEFORE EVER GETTING TO
CANCER.

An animation shows the process explained.

Maureen says BUT TO WHAT END?
WHAT, THEN, WOULD YOU DO FOR
THOSE WOMEN?

Susan says IT WOULD DEPEND ON THEIR
CIRCUMSTANCES.
YOU WERE DEBATING ABOUT
TAKES TAMOXIFEN.
IT'S AN ESTROGEN BLOCKER.
IT'S GOT SIDE EFFECTS.
IF YOU HAD ATYPICAL CELLS,
THAT MIGHT PUSH YOU OVER.
WOMEN HAD AN 8 percent REDUCTION IN
BREAST CANCER RISK IF THEY
TOOK TAMOXIFEN.
IT WOULD SELECT OUT THE
PEOPLE WHO COULD REALLY
BENEFIT.
IF YOU HAD THE GENE FOR
BREAST CANCER AND DEBATING
ABOUT HAVING YOUR BREAST
REMOVED PREVENTIVELY, THAT'S
DRASTIC, YOU MIGHT BE
AGONIZING ABOUT IT.
THIS COULD GIVE YOU MORE
INFORMATION.
ONE DOCTOR SAID SHE HAD A
24-YEAR-OLD WHO HAD THE GENE
FOR BREAST CANCER.
THE DOCTOR JUST COULDN'T
BRING HERSELF TO CUT OFF A
24-YEAR-OLD'S BREAST, YOU
KNOW, WHEN SHE'S JUST
GETTING USED TO HAVING THEM.
SHE FELT BY DOING THIS TEST,
SHE COULD MONITOR HER.
AS SOON AS SHE STARTS
GETTING ABNORMAL CELLS, THEN
DO SOMETHING ABOUT IT.

Maureen says LET'S SAY YOUR DAUGHTER
WASN'T ALREADY 12 AND SHE
WAS A ROBOT AND YOU COULD
PROGRAMME HER, DIET,
LIFESTYLE, WHEN SHE'S GOING
TO HAVE HER FIRST CHILD.

Susan laughs.

Maureen asks HOW WOULD YOU PROGRAMME HER?

Susan replies ONE IS YOU'D WANT HER TO
BE INVOLVED IN ATHLETICS AS
MUCH AS POSSIBLE, BECAUSE...
FOR TWO REASONS: SHOWN TO
DECREASE BREAST CANCER AND
MAKES HER START HER PERIOD
LATER.
THE LATER YOU ARE WITH YOUR
FIRST PERIOD, THE LOWER THE
RISK OF BREAST CANCER.
I'D WANT HER ON A DIET
THAT'S HEALTHY, GOOD, HIGH
IN FRUITS AND VEGETABLES.

Maureen says LOW IN FAT?

Susan says YEAH.
IS IT POSSIBLE, NO.

They laugh.

Maureen says HAS THAT BEEN PROVEN,
THOUGH, TO CAUSE CANCER?

Susan says THAT HAS NOT BEEN PROVEN
TO CAUSE CANCER, HOWEVER, IT
HAS BEEN PROVEN TO HAVE,
AGAIN, HAVE YOU GET YOUR
PERIOD YOUNGER.
FROM A BREAST STANDPOINT,
SHE SHOULD GET PREGNANT AT
15 OR 1.
NOW, OBVIOUSLY, I DON'T
REALLY WANT HER TO DO THAT.
HOPEFULLY WE'LL BE ABLE TO
FIGURE OUT OTHER WAYS TO
MATURE THE BREAST TISSUE SO
IT WILL BE MORE RESISTANT TO
BREAST CANCER.

Maureen says HOW CLOSE ARE WE TO
LICKING THIS DISEASE?

Susan says I REALLY THINK THAT THIS
INTRODUCTION APPROACH,
GETTING ACCESS TO THE SOURCE
OF THE BREAST CANCER THE
BEGINNING OF THE END.
I THINK IT'S GOING TO BE THE
TOOL THAT WILL ALLOW US TO
REALLY ERADICATE THIS
DISEASE ALTOGETHER.

Maureen says Dr. LOVE, THANK YOU.

Susan says THANK YOU.

The clip ends.

(music plays)

The blue slate changes to "Number of women who will be diagnosed with breast cancer this year: 19,200. Number of deaths: 5,500. Source: Canadian Cancer Society."

At the studio, Maureen says TO SEE YOUR CHILDREN GROW
UP, TO SEE YOUR
GRANDCHILDREN BORN.
THESE ARE THINGS MOST WOMEN
TAKE FOR GRANTED.

The TV screen next to her shows the picture of Sue Wright.

Maureen continues BUT WHEN A WOMAN IS
DIAGNOSED WITH BREAST CANCER,
SHE HEZ TALTS TO TRUST IN
THE... SHE HESITATES TO
TRUST IN THE FUTURE.

A clip plays.

Sue walks down the street. She has short blond hair and wears a black sleeveless shirt and gray trousers.

Sue says I'M SUE WRIGHT.
I'M 47.
I'M A BREAST CANCER VETERAN
OF SIX YEARS.
I'M THE COMMUNICATION AND
OUTREACH COORDINATOR AT
WILLOW BREAST CANCER SUPPORT
AND RESOURCE SERVICES.

Now, Sue sits at a desk.

Sue continues BEFORE I GOT BREAST
CANCER, BEFORE I WAS
DIAGNOSED, I SPENT A LOT OF
TIME WORKING ABOUT WHETHER
OR NOT I WOULD HAVE BREAST
CANCER.
THE REASON WAS SPECIFICALLY,
MY MOTHER DIED OF BREAST
CANCER.
WHILE THAT DOESN'T MEAN
YOU'RE GOING TO GET BREAST
CANCER BECAUSE YOUR MOTHER
DID, IT WORRIED ME
PERSONALLY.
I WASTED A LOT OF TIME
WORRYING ABOUT WHAT WOULD
HAPPEN IF I HAD BREAST
CANCER.
I FOUND THE MALIGNANT LUMP
MYSELF THROUGH A BREAST
SELF-EXAMINATION.
I HAD A LUMPECTOMY.
VISUALLY, I PRESENT AS
SOMEONE WHO PEOPLE... THEY
SAY, YOU DON'T LOOK LIKE
YOU'VE HAD BREAST CANCER.
WELL, WHAT DOES THAT LOOK
LIKE?
INSIDE, THE DAMAGE WAS QUITE
GREAT.
IT CONTINUES TO BE DIFFICULT
TO LIVE WITH.
IT'S GETTING BETTER AS I
PROGRESS.
THE LONGER YOU SURVIVE, THE
MORE CONFIDENCE YOU HAVE
THAT IT WILL COME.
CERTAINLY, IN THE EARLY DAYS,
WHEN PEOPLE WERE GETTING TO
KNOW I HAD BEEN DIAGNOSED
WITH BREAST CANCER, I WAS
UNCOMFORTABLE WHEN PEOPLE
WOULD SAY TO ME, YOU'RE SO
BRAVE, BECAUSE I DIDN'T FEEL
BRAVE AT ALL.
INSIDE I FELT VERY UNBRAVE.
I WAS PROJECTING, I SUPPOSE,
A BRAVE FRONT.
MAYBE THEY WANTED ME TO BE
BRAVE.
THERE'S ALSO THAT PART OF
IT.
I FELT THAT THAT WAS
UNWORTHY TO BE CALLED BRAVE.
ALSO, IT... IT DOESN'T
ACTUALLY GIVE THE PERSON
THAT'S GOING THROUGH THE
DISEASE THE OPPORTUNITY TO
SAY, BUT I DON'T FEEL BRAVE.
I'M SCARED.

A boy and a little girl play with a rugby ball outdoors.

Sue continues MY CHILDREN WERE THREE AND
SIX WHEN I WAS DIAGNOSED.
AND IN SOME RESPECTS, THAT
WAS THE MOST HORRIFYING PART,
AND IN OTHER RESPECTS, IT
WAS THE MOST SUPPORTIVE PAR.
MY FIRST THOUGHT WHEN I WAS
TOLD I HAD BREAST CANCER WAS,
I'M GOING TO DIE AND WHO
WILL BRING UP MY CHILDREN?
YOU KNOW, WAS MY HUSBAND
COMPLETELY SUPPORTIVE?
I KEPT SEEING THESE CHILDREN
WITHOUT A MOTHER.
IS THIS MY LAST CHRISTMAS?
IS THIS MY LAST, YOU KNOW,
HALLOWEEN WITH THE KIDS?
THIS KIND OF THING IS
PRESENT FOR A LONG TIME.
SERVICES LIKE WILLOW, WHERE
YOU HAVE A TELEPHONE LINK,
HAD THAT EXISTED WHEN I WAS
DIAGNOSED, WHICH IT WASN'T
THERE, I COULD HAVE PHONED
AND SAID TO SOMEBODY THEY
DIDN'T KNOW, BUT WHO KNEW
WHAT IT WAS LIKE TO BE
DIAGNOSED WITH THE DISEASE,
I'M SCARED AND THE RESPONSE
WOULD HAVE BEEN, I
UNDERSTAND.
IT'S A VERY SCARY DISEASE OR
SOME SUCH RESPONSE THAT
WOULD ALLOW ME TO HEAVE A
SIGH OF RELIEF AND SAY, WHEW,
NOW I'VE GOT THAT OFF MY
CHEST.
I CAN DEAL WITH IT.
YOU KNOW, WHERELY GO WITH
THAT FEAR?
THAT'S A RELIEF.
YOU REALLY, ACTUALLY, DON'T
FEEL PROPERLY COMFORTABLE
MAKING THOSE STATEMENTS
UNLESS IT'S TO SOMEONE WHO
HAS BEEN IN THAT POSITION
BECAUSE THEY'RE NOT GOING TO
FREAK.
THEY'RE NOT GOING TO GO, OH,
YOU'RE SCARED.
WHAT DO I DO ABOUT THAT?

A phone rings.

Sue answers and says WILLOW.
THIS IS SUE WRIGHT.
HOW I CAN HELP YOU?

Sue says WILLOW WAS SET UP IN
ORDER TO PROVIDE PEER
SUPPORT THAT,
SURVIVOR-TO-SURVIVOR,
VETERAN-TO-VES RAN SUPPORT
ON A VERY HIGHLY ACCESSIBLE
BASIS.
THE WAY THAT WAS DETERMINED
WAS THAT A TELEPHONE CRISIS
LINE WOULD REALLY TOUGH AS
MANY PEOPLE AS POSSIBLE.
THE VALUE OF THAT SUPPORT IS
AMAZING.

The caption changes to "Sue Wright."

Sue continues WHAT A PERSON CAN DO,
WHETHER THEY LIVE IN TORONTO
OR WAWA OR NANAIMO OR
ANYWHERE IS PICK UP THE
PHONE DURING OUR SERVICE
HOURS AND HAVE ACCESS TO
SOMEONE WHO HAS BEEN IN A
PLACE LIKE THEIRS, NOT
NECESSARILY THE SAME PLACE,
BECAUSE, OBVIOUSLY, EACH
EXPERIENCE IS SO INDIVIDUAL,
AT THE SAME TIME, THEY CAN
ACCESS JUST ABOUT EVERY
PIECE OF INFORMATION THEY'RE
LIKELY TO NEED TO TAKE THIS
JOURNEY THROUGH BREAST
CANCER.
SOMEBODY MAY CALL US AND SAY
THEY'D LIKE TO HAVE
INFORMATION ABOUT THE SIDE
EFFECTS OF TAMOXIFEN, FOR
EXAMPLE,.
THE CALL WILL BE TREATED IN
THAT WAY.

A brunette woman opens a file cabinet with a tag that "Spanish breast cancer information."

Sue continues BECAUSE THE PEOPLE WHO
PROVIDE THE SERVICE ARE
ACTIVE LISTENERS, THEY CAN
ALSO PROVIDE A SUPPORT
ELEMENT THAT, PERHAPS, THE
CALLER DIDN'T EVEN FEEL WAS
NECESSARY AT THE TIME.
I THINK IT'S TRUE TO SAY
THAT EVERY TIME A SURVIVOR
TAKES A CALL, SHE REVISITS
HER EXPERIENCE, HER OWN
EXPERIENCE.
IT DOESN'T... USUALLY IT
SHOULDN'T ENTER INTO THE
CONVERSATION WITH THE CALLER,
BUT SHE WOULDN'T BE THERE IF
SHE HADN'T HAD THIS PAIN.
YES, IT'S DIFFICULT TO
HEAR A WOMAN OF 47 WITH TWO
CHILDREN SAYING, YOU KNOW,
SHE'S GOING TO DIE.
THE FACT SHE WAS ABLE TO SAY
THAT TO ME IS REALLY A GIFT.
MANY PEOPLE SAY, WHY WOULD
YOU WORK SOMEWHERE LIKE
THAT?
YOU'VE HAD BREAST CANCER.
DON'T YOU WANT TO PUT THAT
SIDE YOUR LIFE AWAY?
IN FACT, THE SUPPORT AND
CARE I'VE RECEIVED, BOTH
FROM PEOPLE WHO ARE CLIENTS
AND, YOU KNOW, MORE
ONGOINGLY WITH THE PEOPLE I
WORK WITH, IS JUST TOO
DIFFICULT TO WALK AWAY FROM.

A woman in her fifties types in a computer.

Sue continues MY GREATEST FEAR IS THAT THE
CANCER WILL COME BACK AND IT
MY GRATES TO A VITAL ORGAN
AND MY LIFE IS ENDED IN A
NUTSHELL.
WE ALL FEAR DEATH.
THAT'S NO DIFFERENT FROM
ANYBODY ELSE.
BECAUSE I HAD BREAST CANCER
AT 41, I FEAR THAT DEATH
WILL BE PREMATURE, AND
BECAUSE I'M A MOTHER, WHAT
GOES WITH THAT IS THE NOTION
THAT I WON'T BE THERE FOR MY
CHILDREN, THAT I WON'T SEE
THEM GO OFF INTO THE WORLD
AND ENJOY THEMSELVES AS
INDIVIDUALS.
I WON'T SHARE IN THEIR LIVES
IN THE WAY THAT I MOTHER
CANNOT SHARE IN EITHER MY
LIFE AND NEVER MET HER
GRANDCHILDREN.
THAT'S MY BIGGEST FEAR.
THERE'S A LOT OF LAUGHTER
AND TEARS ON THIS JOURNEY.
CERTAINLY, THAT IS ENTIRELY
INDIVIDUAL.

Sue talks to his son.

Sue continues FOR ME, WORKING AT WILLOW,
THEY'RE HEIGHTENED.
MORE LAUGHTER, MORE TEARS,
BECAUSE IT'S NOT JUST ABOUT
ME.
IT'S ABOUT THE WOMEN I WORK
WITH AND THE WOMEN WE SERVE.
EVERYTHING IS HEIGHTENED.
SOME DAYS, IF YOU HAVE A
FRIEND THAT'S JUST DIED OF
BRERS CANCER, IN OUR
COMMUNITY THAT HAPPENS A LOT,
THEN IT ROCKS THE
FOUNDATIONS A LITTLE BIT AND
YOU THINK ABOUT YOUR OWN
MORTALITY, BUT UYOU DON'T
INTERNALIZE IT.
YOU... YOU... YOU WEEP FOR
THE WOMAN, YOU GRIEVE THE
WOMAN, AND THEN THINK ABOUT
YOURSELF AND HOW STRONG YOU
NEED TO WITH TO GO THROUGH
AND MOST WOMEN DO THIS VERY,
VERY WELL.
EXTREMELY WELL.
IT TAKES MY BREATH AWAY
STILL.

(guitar music plays)

Against a black screen, a caption reads "One year later."

A pink and blue slate shows a picture of Karen next to a caption. It reads "Karen Anderson is doing well and is happy with the results of her surgery."

The slate changes to show a picture of Sue. The caption reads "Sue Wright is still counselling women at Willow. She recently tested negative for the breast cancer gene."

The slate changes to show a picture of Esther. The caption reads "Esther Myers recently released a yoga video for breast cancer survivors."

The slate changes to show a picture of Mary Sue. The caption reads "Mary Sue Douglas started another round of chemotherapy this summer. She’s responding well to the treatment. ."

The clip ends.

Back in the studio, Maureen says THAT'S ALL THE TIME WE
HAVE FOR THIS PROGRAMME.
YOU CAN GET MORE INFORMATION
AND LINKS TO BREAST CANCER
ORGANIZATIONS ON OUR WEB
SITE AT:

The caption changes to "www.tvo.org/yourhealth. email: yourhealth@tvo.org."

Maureen continues THAT WRAPS UP OUR SPECIAL
REPORT ON BREAST CANCER.
I'M MAUREEN TAYLOR.
THANKS FOR WATCHING.

(music plays)

A final slate reads "Your Health. Breast Cancer Information: Canadian Cancer Society. 1-888-939-3333. Counselling and Support Groups: Willow 1-888-778-3100."

The end credits roll.

Executive Producer, Patricia Ellingson.

Host and Producer, Maureen Taylor.

Producer, Cathy Perry.

Director, Michael Smith.

Logo: CEP Local 72m.

A production of TVOntario. Copyright 2001, The Ontario Educational Communications Authority.

Watch: Show #27 - Breast Cancer Special