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TH A GUIDE TO CANCER PREVENTION, EARLY DETECTION, TREATMENT & S U R V I V O R S H I P SPRING 2015 From the Director Teddy Aribisala, BSRT, MS, MBA PAGE 2 Beyond the Acronyms: Your Guide to the Latest Technology at Middlesex Hospital Finding Healthy Food – There’s an App for That! Create a nutritious and balanced eating plan PAGE 3 Survivor Spotlight Doing Wicked Good at Wicked Z! PAGE 4 Survivorship: A Separate and Integral Part of Cancer Care PAGE 5 Health and Wellness Information on Health & Wellness classes and sessions, Cancer Center support groups, and upcoming events PAGE 10 I n a medical world that is filled with acronyms and abbreviations – TOMO, MBI, MRI, CT, HDR, PT, SLT (the list goes on!) – it can be a challenge to find the answer to some very key questions: what do all of these letters mean for me? Which people, and which technologies, do they refer to? Which ones do I really need to pay attention to? Recently, Middlesex Hospital has acquired multiple, cutting-edge technologies that are changing what it means to undergo testing, treatment, and therapy. And most of these contain, in their names, some type of acronym or abbreviation. But this article is coming to your rescue – read on to learn exactly what you need to know! continued on page 6 “Middlesex Hospital has acquired multiple, cutting-edge technologies that are changing what it means to undergo testing, treatment, and therapy.” THE FROM OUR DIRECTOR Dear Friends, It is with great pleasure that we bring you our Spring 2015 issue of The Beacon. In it, you will find an array of information about innovation in the world of cancer care and how the Middlesex Hospital Cancer Center is bringing these cuttingedge technologies and therapies straight to you. Teddy Aribisala, BSRT, MS, MBA The latest technologies added to our arsenal for cancer diagnosis and treatment include UroNav, Tomosynthesis, Molecular Breast Imaging, and Stereotactic Radiotherapy. Ultimately, we are continuing our efforts to bring big-city care and technology to this community for the convenience of our patients and their physicians. Happy reading, and happy spring! Insurance Coverage for Lung Cancer Screening Tests! The History Lung cancer remains the leading cause of cancer death among men and women in the United States. This is due, in large part, to the fact that it is often diagnosed at later stages, when treatments are less effective. In recent years, there has been more and more evidence that a low-dose screening CT scan can accurately detect lung cancer in its earliest stages, when it is most treatable. Until this year, patients have been paying out-of-pocket for this test, even if they qualified as “high risk.” But after the results of the National Lung Screening Trial were published, the United States Preventive Services Task Force recommended that this test be covered by insurance so it would be more accessible to all Americans. What Does It Mean? Insurance companies will now provide coverage for low-dose screening CT scans for patients at high risk for lung cancer. To be considered “high risk” you must: 2 news FLASH • be between the ages of 55 and 77 • be a current or former smoker with at least a 30 pack-year smoking history who has quit smoking within the past 15 years. A person has smoked for one “pack year” if he or she smoked one pack of cigarettes a day for one year. Therefore, 30 pack years could mean that a person smoked one pack a day for 30 years or two packs a day for 15 years, for example. Other risk factors for lung cancer include exposure to radon and asbestos. If you think you might qualify for a low-dose screening CT scan, you can contact your doctor or Lung Nurse Navigator Megin Iaccarino at (860) 358-2066. BEACON BITES Finding Healthy Food – There’s an App for That! Shopping for healthy food in the grocery store or market can be overwhelming. Even knowing that fruits, vegetables, and whole grains are the healthiest choices, shoppers are still faced with so many questions. Which brand is best? Is the fat-free version healthier than the original? What chemicals are hidden behind hard-to-pronounce ingredients? Just last fall, the Environmental Working Group (EWG), an organization that promotes green, healthy living and provides tools for consumers to identify safe products, introduced Food Scores, an innovative tool to help answer all of these questions. Food Scores is simple – it allows users to easily search for a product by typing in its name or scanning its barcode. EWG then provides a 1-10 rating for the product, and the lower the score, the healthier the product. EWG has built a database of more than 80,000 products, 5,000 ingredients, and 1,500 brands. All of these items have been scored based on three criteria: 1.nutrition 2.ingredients 3.processing Nutrition scores were calculated based on factors such as caloric value, protein content, and sodium levels. Ingredient concerns evaluated included food additives and the presence of antibiotics. Processing refers to the production of a food and whether or not there are whole ingredients present. Food Scores is available online at www.ewg.org/foodscores, but it can also be downloaded as an app to smartphones and tablets. Once on a mobile device, it is available while dining in restaurants or during shopping trips for ingredients in recipes like this Bean Kale Soup. Give Kale a Chance! Kale is rich in beta carotene, vitamin K, vitamin C, and calcium. It contains chemicals with anti-cancer properties. Try cooking it different ways in different recipes . . . like this lower fat, higher fiber, lower-sodium kale soup. Ingredients 1 tablespoon olive oil or canola oil 8 large garlic cloves, crushed or minced 1 medium yellow onion, chopped 4 cups chopped, raw kale 4 cups low-fat, low-sodium chicken or veggie broth 2 (15 ounce) cans white beans, such as cannellini or navy, undrained 4 plum tomatoes, chopped 2 teaspoons dried Italian herb seasoning Salt and pepper to taste 1 cup chopped parsley Directions In a large pot, heat olive oil. Add garlic and onion; sauté until soft. Add kale and sauté, stirring, until wilted. Add 3 cups of broth, 2 cups of beans, and all of the tomato, herbs, salt, and pepper. Simmer 5 minutes. In a blender or food processor, mix the remaining beans and broth until smooth. Stir into soup to thicken. Simmer 15 minutes. Ladle into bowls; sprinkle with chopped parsley. Nutrition Information Servings: 8 Calories: 182 Total Fat: 2.5 g Cholesterol: 0 mg Total Carbs: 31 g Sodium: 220 mg Dietary Fiber: 7.3 g Protein: 11 g Recipe from © 2014 Martha Stewart Living Omnimedia. All rights reserved. 3 THE SURVIVOR SPOTLIGHT Doing Wicked Good at Wicked Z In August of 2012, Michelle Lombardo was ready for a celebration. She had just finished her treatment for breast cancer, and October – Breast Cancer Awareness Month – was fast approaching. And so, with her characteristic energy and passion, Michelle dove into planning Wicked Z’s first Susan G. Komen Party In Pink™ Zumbathon® charity event. The response to her event was overwhelming. More than 200 people turned out, and over $6,000 was raised for Komen’s national initiatives. Said Michelle, “We just did it, and it was amazing. People really want to help, want to support, when someone they know is going through something like breast cancer.” And Michelle understands what it means to go through something like breast cancer more than most. Just months after opening Wicked Z Dance and Fitness Studio – a project she embarked on with wonderful friends and colleagues – she found a lump in her breast and instantly knew something wasn’t right. Early in 2012, she was diagnosed with breast cancer. 4 momentum that began three years ago, Michelle hosted her third annual Zumbathon, this time to support the Middlesex Hospital Cancer Center. While the first two “Parties in Pink” were a smashing success, Michelle and her team felt that it was important for their event to make a local impact. When Michelle learned about the Comprehensive Breast Center and Center for Survivorship and Integrative Medicine at Middlesex Hospital, she knew she had found just the right cause. “As a person who went through it all, I know that the integrative and alternative therapies are so beneficial, and this is something I really wanted to support, since it really ties in with the wellness focus of Wicked Z.” And the public clearly backed Michelle’s feelings – even people who couldn’t make the event made donations based on their personal connections to the studio and the community. The 2014 Zumbathon was truly a chance to make a difference and have fun in the process. Michelle’s initial reaction to her diagnosis was, “I don’t have time for this.” As a full-time wife, mother, professional, and instructor, she knew she had people counting on her. In this moment, more than ever before, Zumba came through for her. More therapeutic than she ever imagined it could be, this form of “exercise in disguise” supported both her mental and physical health throughout treatment. The movement helped her keep up her strength and stamina, and teaching allowed her to “get out of her head” for a few minutes each day. Time and time again, Zumba was a lifeline. And Wicked Z isn’t just there for the community during the month of October. Year round, it is a place where people can come to work out and build relationships. Although the studio doesn’t offer special classes for cancer patients and survivors, Michelle, who also works with cancer patients at the Connecticut Multispecialty Group, always makes herself available to provide support to those who seek it. She knows first-hand that cancer is experienced differently by each person, and she understands the importance of having connections and places to go that aren’t just about illness, but about positive energy and celebration of life. Today, several years out from the end of her treatment, Michelle is still committed to her studio’s original purpose – to provide a safe, welcoming space for women to experience modes of exercise like Zumba. And last fall, riding the wave of Wicked Z is located in Rocky Hill, CT and offers a wide range of classes, including Zumba, TurboKick, PiYo, yoga, and more. All are taught by certified instructors. To learn more – and check out photos from past Zumbathons – visit www.wickedzfitness.com. BEACONS OF WISDOM Survivorship: A Separate and Integral Part of Cancer Care Today, there are nearly 14 million cancer survivors living in the United States, and due to ever-improving prevention, diagnosis, and treatment, this number will inevitably be on the upswing. However, transitioning from active treatment back to life beyond cancer can be extremely challenging. To support our patients during this phase, the Center for Survivorship and Integrative Medicine has officially launched its Survivorship Program. Elements of Survivorship To understand the Survivorship Program, it is first important to understand survivorship care, which has four fundamental goals: • prevention of new and recurrent cancers, • surveillance for recurrent or secondary cancers, as well as any medical or psychological late effects from treatment, • intervention for any ongoing physical, psychological, or spiritual symptoms, and • coordination between specialty and primary care providers. An integral component of meeting these objectives is the development of a treatment summary and subsequent plan of care. The treatment summary is a comprehensive document that details all of a patient’s procedures, from diagnosis through the active phase of care. The quality-of-life assessment is also conducted at the Survivorship visit. Based on patient responses, referrals are made to various other programs, such as Oncology Nutrition, Physical Rehabilitation, or Integrative Medicine. These resources support patients in restoring balance in their specific area of unmet need. Acceptance and Understanding Patient feedback about the Survivorship visit has been very positive. One patient shared: “It’s a wonderful program. When I was first diagnosed, I was so focused on dealing with the diagnosis that I couldn’t absorb any more than that . . . [this survivorship program] gave me the opportunity to fully understand what I had been through. It’s a nice place to come for guidance and information on how to move forward, with the quality of life that one wishes to have . . . and that is different for each person.” If you are interested in learning more about the Survivorship Program, please call Pat O’Brien, APRN, NP-C, Coordinator of the Center for Survivorship and Integrative Medicine, at (860) 358-2045. She is pleased to offer assistance to survivors as they transition to life after treatment. Another key tool for meeting these goals is a quality-of-life assessment, which helps patients to identify their physical, emotional, social, and functional needs. The Survivorship Visit All of this comes together at the Survivorship visit, which is offered to all Middlesex Hospital Cancer Center patients. At this visit, the treatment summary is discussed in detail, and a copy is given to the survivor for his or her personal records. The document is also mailed to the patient’s primary care provider, oncologist, and other health care professionals, along with a consultation that includes the Survivorship Coordinator’s recommendations and the patient’s plan of care. 5 THE COVER STORY The Abbreviation: TOMO The Full Name: Tomosynthesis (3D Tomography) The Translation: Tomosynthesis, or three-dimensional (3D) mammography, is a new tool that increases the detection of invasive breast cancer by up to 40%. It also reduces the number of false positive findings and unnecessary follow-up tests. In fact, studies have shown that 3D mammography reduces recall rates by approximately 15%. Tomosynthesis is done using the same machine as a traditional, or two-dimensional (2D), mammogram. However, the 3D mammogram involves taking many more pictures at multiple angles. These pictures are then constructed to form a three-dimensional picture of the breast, which gives the radiologist a clearer view of the tissue. It is important to note that tomosynthesis does not take the place of traditional mammography. A 2D mammogram, which has been used for more than 30 years, is still an excellent test for the detection of breast cancer and is necessary for finding certain types of cancers. It is still considered the standard of care and should be used as the routine exam for screening. Therefore, 3D mammography is a valuable supplement – it is most beneficial for women with dense breasts, women with a personal history of breast cancer, and those receiving a baseline mammogram. The Acronym: MBI MBI is used alongside mammography, ultrasound, and MRI as an additional tool for radiologists to use when a mammogram is inconclusive and questions remain about whether or not an area of the breast is truly normal. It is also utilized for women with dense breasts or a personal history of breast cancer. TOMO “TOMO reduces the number of false positive findings and unnecessary follow-up tests.” MOLECULAR BREAST IMAGING The Full Name: Molecular Breast Imaging The Translation: Middlesex Hospital is the first health care institution in Connecticut to offer dual-head Molecular Breast Imaging (MBI). This is an extremely accurate test for the detection of breast cancer – it finds three times more cancers than traditional mammography in women with dense breast tissue. MBI works differently than a traditional mammogram. Even though it takes longer (about 45 minutes, compared to about 15 minutes for a mammogram), it does not require compression of the breasts. Instead, gentle pressure is used to hold the breast steady between two detectors. Before the exam, the patient receives a small intravenous (IV) dose of Sestimibi, the same contrast substance used for a cardiac stress test, in the arm. According to Dr. Julie Lee, one of Middlesex Hospital’s radiologists, this allows for cancers to show up as “hot spots,” because their makeup is different than that of normal breast tissue. 6 MBI MBI The Abbreviation: UroNav and Prostate MRI The Full Name: UroNav Fusion Biopsy System and Prostate Magnetic Resonance Imaging The Translation: UroNav is a new system that “fuses” MRI and ultrasound images to guide precision biopsies of the prostate. It is an extremely valuable tool for urologists because aggressive cancers appear more clearly on MRI than on ultrasound alone. Additionally, a 2013 study published in the Journal of the American Medical Association1 found that UroNav identifies 30% more high-risk cancers and 15% more low-risk cancers when compared to a standard biopsy. URONAV AND PROSTATE MRI Biopsies done using UroNav guidance are a two-step process for patients. An MRI of the prostate, using Middlesex Hospital’s powerful new 3-Tesla machine is done first, and the images are uploaded to the UroNav workstation. The doctor then performs an ultrasound, which is merged with the MRI picture. This combined image allows the doctor to obtain a highly accurate biopsy. According to Dr. Edward Myer, of Middlesex Urology Group, “By fusing the MRI images with ultrasound guidance at the time of biopsy, we are able to find small volumes of aggressive cancers, which may have gone undetected. We are very enthusiastic about this new technology.” The Abbreviation: Visi-Pitch The Full Name: Visi-Pitch IV M odel 3950 The Translation: Advanced technology doesn’t just exist for the early detection of cancer – it is also available to help patients recover from treatment. Visi-Pitch is a tool used by the Department of Speech-Language Pathology (SLP) to assess and treat the long-term side effects of radiation therapy for head and neck cancers, such as decreased vocal loudness, reduced speaking pitch, diminished breath support for voicing, altered voice quality, and even slurred speech. While Visi-Pitch can be used to evaluate these concerns and track patient progress, it can also provide visual and auditory feedback to help patients reach their speech goals in an easier and more timely manner. For example, the system can provide assessment that helps reduce or eliminate speech behaviors, such as tension of the larynx, that affect voice production. Visi-Pitch’s Motor Speech Profile can be used for patients with slurred speech, or dysarthria, as well. To learn more about any of these therapies and others, visit our website at www.middlesexhospital.org. VISI-PITCH IV MODEL 3950 VISI-PITCH 1 Geoffrey A. Sonn, Shyam Natarajan, Daniel J.A. Margolis, Malu MacAiran, Patricia Lieu, Jiaoti Huang, Frederick J. Dorey, Leonard S. Marks. Targeted Biopsy in the Detection of Prostate Cancer Using an Office Based Magnetic Resonance Ultrasound Fusion Device. The Journal of Urology, Volume 189, Issue 1, January 2013, Pages 86-92. 7 THE BEACONS OF SUPPORT Sandy Peszynski Breast Cancer Foundation and Paul’s & Sandy’s, Too In 2014, the Middlesex Hospital Comprehensive Breast Center (CBC) received a generous donation of $32,500 from the Sandy Peszynski Breast Cancer Foundation, which was created in 2009 to support the organizations that helped Sandy to cope with her breast cancer. The Foundation raises its funds through special events, such as the Pumpkintown Prom, and to date, has gifted a total of $143,910 to the Comprehensive Breast Center. goPINK Project 2014 The goPINK Project has become a tradition in Middlesex County. Area salons sell pink hair streaks and t-shirts to raise funds for the Middlesex Hospital Cancer Center’s Center for Survivorship & Integrative Medicine (CSIM), while other businesses hold special events or offer discounts to raise funds. In 2014, goPINK earned $30,000 for the CSIM, bringing its total donation since 2010 to $102,387. 8 Tanger Outlets Westbrook Elks Club Tanger Outlets in Westbrook recently made a donation of $9,279.93 to the Middlesex Hospital Cancer Center. The funds were raised during Tanger’s annual PinkStyle coupon program, which, since 2008, has brought in $89,713 to support breast cancer patients. The 4th Annual Beach Jam for Breast Cancer, hosted by the Westbrook Elks Lodge #1784, raised $19,150 to support breast cancer services. Proceeds, which now exceed a total of $34,150 to date, are donated to the Middlesex Hospital Cancer Center and to Yale’s Smilow Cancer Hospital. Middletown South Fire District In the fall of 2014, members of the Middletown South Fire District Firefighters Local 3918 IAFF donated $500 to the Middlesex Hospital Comprehensive Breast Center. The money was raised during their annual Fire Safety Festival. Jackson Chevrolet For every car they sold in March 2015, Jackson Chevrolet donated $100 to the Middlesex Hospital Cancer Center. The initiative raised $3,800 in total, all of which will support the services delivered by the Cancer Center team. After the Storm, Inc. Continuing its longstanding tradition of support for the Middlesex Hospital Center for Survivorship and Integrative Medicine (CSIM), After the Storm, Inc. raised and donated $27,000 to the program in 2014. The foundation has now contributed a total of $120,000 to our program. EVENT RECAPS Nutrition & Colon Health Event In honor of National Nutrition Month, Oncology Dietitian Mary Mayne and Colorectal Cancer Nurse Navigator Amanda Recchini hosted the annual Nutrition and Colon Health Event at Wesleyan University. Five of our Middlesex Hospital experts – (pictured left to right) Dr. Ryan O’Connor, Amanda Hamblett, CGS, Dr. Michael Parker, Dr. Michael Farrell, and Mary Mayne, RDN, CSO – spoke about the importance of colon cancer prevention through screening and proper nutrition to an engaged group of community members. Old S ay Healt brook Mid dle Sc Canc h & We er pre hool l l n ess D ventio adult n edu s–e a y ach y catio Sch e n isn’ ool h ar, O t osts Safet the C ld Saybroo just for y and a k n M c er id Welln Mana ess D Center at dle ge ay! Th its an event r Camille nua is Ser vo ,t didio year, Clinic l and s eaching a atten work kin ca ded t al sh nc 100 6 he th gra er preven op on sun tion t ders. s a new f e ty om Stu kn of “J owledge w dents sho ore than eopa w ith a rdy” rousin cased the after ir g gam their e class . l Cancer “Say Ahh!” Ora nt ScreeningCEanvceer Center Hope is Power Spin-A-Thon In fine form – and bright colors – four members of the Middlesex Hospital Cancer Center team participated in the Valley Shore YMCA’s annu al spin-a-thon to benefit Hope is Power, a spec ial exercise program for cancer survivors. Nurs e Navigators Megin Iaccarino and Amanda Recc hini (pictured below) were joined by Clinical Mana ger Camille Servodidio and Radiation Therapist Mario Severino for the event. This April, the -ever oral offered its first g event. The in cancer screen ne, by Mar y May effort was led ian, tit ncology Die RDN, CSO, O ings were and the screen ichele Salonia, M performed by nia Dental in screening DMD, of Salo nia provided 9 lo red Sa r. D s A ation and offe Middletown. al health inform or ed id ov 20 pr to lad exams, Mar y and veggie sa healthy quinoa a Christensen of tte es se pl m Su sa flexologist re r te en C r while they guests. Cance to participants gy lo xo fle re provided hand pointments. waited for ap h Event ter Women’s AHpreila25lt, members of the Cancer Cen ented es On Saturday, ter teams repr ve Breast Cen si en Church’s eh on pr Zi om E and C St. AM ss ro C e th at l pita bination health Middlesex Hos ference, a com on C lth ea H ’s own commuannual Women for the Middlet t en ev ir fa ft /cra fair/networking i anda Recchin m A , ow el nity. B pose with and Trish Hatin ot Haney in Channel 3’s Sc n iding educatio between prov , th heal about breast N cancer Y G d an HPV, guests at screening to the event. 9 THE Calendar of Events For more information about any of these events, please visit our website at www.MHCancerCenter.org and click on the Events, Classes & Support Groups link at the top of the page. Health & Wellness Classes and Sessions Sound Healing Tuesdays, 5:30 p.m. - 7 p.m. Cancer Center Wellness Room Instructor: Donna Papetti 4th Friday of each month. 6:30 p.m. - 7:30 p.m. Cancer Center Wellness Room A mind-body class that incorporates yoga/Pilates type movements to promote relaxation, core strength, and balance. $25 for a four-class pass.* To register, please call (860) 798-6999. Register by calling Joan Emmons at (860) 655-5500. $20 per session, at the door. Healthy Steps: Movement Therapy Thursdays, 3 p.m. - 4 p.m. Cancer Center Wellness Room Tuesdays, 3:45 p.m. - 4:45 p.m. Madison House in Madison, CT. Please call Susan Sandel at (203) 457-1656 to register. FREE. Thursdays, 6 p.m. - 7:15 p.m. Saturdays, 8 a.m. - 9:30 a.m. Cancer Center Wellness Room Instructor: Lydia Martel Saturdays, 10:30 a.m. - 11:30 a.m. Cancer Center Wellness Room Instructor: Risa Brophy New session: June 1st - July 20th Mondays, 6:30 p.m. - 7:30 p.m. Cancer Center Wellness Room Instructor: Kasha Breau $100 for six-week session or $15/class. Arts in the Atrium Tuesdays, Wednesdays, Thursdays, 10 a.m. - 2 p.m. Cancer Center Atrium. FREE. WriteNOW! Free journaling workshop with Stacey Sroka, Mondays, 10 a.m. - 12 p.m. Cancer Center Atrium. FREE. Gentle Yoga Walk-ins welcome or call (860) 358-2065 for more information. $7/class or $50/10 class package (valid 3 mos). THE Qigong A class to teach simple Chinese healing exercises that can be done standing or sitting to calm the mind and energize the body, balancing your Qi (energy) and promoting health. $98 for seven week session or drop in for $15.50/class. ZUMBA Fitness Class Next session starts July 1st Wednesdays, 6 p.m. - 7:15 p.m. Cancer Center Wellness Room $25 for four class pass.* Walk-ins also welcome. *Offered at a 50% discount thanks to the generosity of After the Storm, Inc. EDITOR EDITORIAL COMMITTEE ADDITIONAL CONTRIBUTORS Katharine Conroy Peg Arico Dorothy Carvalho Michelle Mayer Mary Raum Camille Servodidio Teddy Aribisala Mary Mayne Pat O’Brien (Survivorship) Mary Stanwicks DESIGN Cipher Creative Group 10 Tai Chi Chih MinBo Cancer Center Support Groups FREE of charge. To register, please call (860) 358-2053 unless otherwise noted. Please check our website as times, dates, and locations are subject to change. 1st Thursday Leukemia, Lymphoma, Multiple Myeloma Support Group 5:30 p.m. - 7 p.m. Radiation Oncology Department Reception Area 536 Saybrook Road, Middletown 2nd Wednesday Lung & Esophageal Cancer Support Group 5:30 p.m. - 7:00 p.m. Radiation Oncology Department Reception Area 536 Saybrook Road, Middletown 2nd Tuesday Birds of a Feather Café Coffee Club 9:30 a.m. - 11 a.m. Shoreline Medical Center, Westbrook 4th Monday Look Good, Feel Better 11 a.m. - 1 p.m. Cancer Center Conference Room A/B FREE. Call 1-800-227-2345 to register – patients only. Sponsored by the American Cancer Society 4th Wednesday Prostate Cancer Support Group (Patients and Family Members) 6:00 p.m.- 7:00 p.m. Radiation Oncology Conference Room 536 Saybrook Road, Middletown Upcoming Events Appetite for Life Kickoff Wednesday, May 27 4:30 p.m. - 6:30 p.m. Tuscany Grill, Middletown. The annual kick-off party for Appetite for Life, which runs through the month of June. $15/ticket. For more information, please contact the Middlesex Hospital Department of Philanthropy at (860) 358-6200. Survivors Day Sunday, June 7 10 a.m. - 1:30 p.m. Riverhouse at Goodspeed Station, Haddam, CT Free event includes brunch for a survivor and up to two guests. To register, please call (860) 358-2062 by May 29th. Event will feature Doug Dvork, Cancer Survivor, Humorist, and Inspirational Speaker. Appetite for Life Special Event Tuesday, June 16 5 p.m. - 7 p.m. Luigi’s Restaurant, 1295 Boston Post Road, Old Saybrook $15/ticket. For more information, please contact the Middlesex Hospital Department of Philanthropy at (860) 358-6200. Beach Jam for Breast Cancer Saturday, August 8 1 p.m. - 9 p.m. Westbrook Elks Lodge 142 Seaside Ave. Westbrook, CT $20 tickets until 7/25/2015 $25 after and at the door Art Bra (After the Storm, Inc.) Thursday, August 20 6:30 p.m - 10:00 p.m. Toyota Presents Oakdale Theatre, Wallingford, CT For more information or to reserve tickets, please call (860) 685-0698 or go to www.afterthestorminc.org. 11 SAVE THE DATE Free event includes brunch for a survivor and two guests maximum, as seating is limited. To register, please call 860-358-2062 by May 29. Also: Physician speaker, survivor speaker, award presentation Sunday, June 7, 2015 Featuring Doug Dvork, cancer survivor, humorist and inspirational speaker 10 a.m. - 1:30 p.m. The Riverhouse at Goodspeed Station 55 Bridge Road, Haddam 2015 CANCER SURVIVORS DAY CELEBRATION ACCREDITED BY: A Member of the Middlesex Health System www.middlesexhospital.org 536 Saybrook Road Middletown, CT 06457 Non-Profit Org. U.S. Postage PAID Middletown, CT Permit No. 19