Eat your veggies (and fruit!)

Last month, clinical dietitian Christina Gross, M.P.H., R.D., L.D., spoke at the OHSU Doernbecher Cancer Survivors Clinic Support Group to discussion nutrition for cancer survivors ages 18-40. Below, she shares some tips for healthy eating that everyone should follow.

Is it really possible to get the recommended 5 to 9 servings of fruit and veggies every day?

First of all: Yes, it is possible and it can be easier than you think if you give it a little planning and forethought! Eating fruits and vegetables is part of a healthy diet; no one can argue with that. There are so many benefits – from cancer prevention and chronic disease prevention to weight control. You can eat them raw, cooked, frozen or canned – they all count!

What does a serving of fruit or vegetables look like?

A serving of fruit is:

  • 1 cup diced/cut or
  • 1 small piece or
  • 2 tablespoons dried fruit.

For example: One cup of berries or melon or one apple or banana or two tablespoons of raisins. Aim for 2-3 servings of fruits a day. Limit your consumption of 100 percent fruit juice – it’s always better to eat the whole fruit! Also, watch your intake of dried fruit, as it’s very high in sugar. Having a fruit as one of your snacks, plus one at breakfast and one at lunch is a great way to meet this requirement.

A serving of a vegetable is:

  • 1 cup raw or cooked or
  • 2 cups of raw, leafy greens.

For example: One cup of carrot sticks, cooked spinach or broccoli, or two cups of raw spinach would be one serving each. Aim to get 3-4 (preferably more) servings of vegetables a day. Having 1-2 vegetable servings with your meals and part of one snack will get you to this recommendation.

What would this look like for a typical day of eating?

To achieve the recommended servings, let’s take a look at our meals and snacks. Three meals a day and two snacks with a fruit or vegetable at each one would give us five servings at a minimum. If you aim to have half of your plate filled with vegetables and fruit then you can actually get up to eight or nine servings quite easily. Here’s what it could look like:

  • Breakfast: 1 or 2 slices of whole grain bread with 1 egg, ½ avocado and ½ cup spinach (1 serving of vegetables), plus 1 apple (1 serving of fruit)
  • Snack: 1 cup yogurt with 1 cup berries (1 serving of fruit)
  • Lunch: 2 cups leafy greens salad with 1 cup chopped veggies, chicken breast and salad dressing (2 servings of vegetables)
  • Snack: 1 cup raw baby carrots (about 12) with hummus (1 serving of vegetables)
  • Dinner: 1 cup cooked broccoli, salmon, brown rice (1 serving of vegetables)
  • Snack (optional): 1 piece of fruit with 1 slice of cheese (1 serving of fruit)

 

Total Servings of Fruits = 3
Total servings of Vegetables = 5

This makes a grand total of EIGHT servings of fruits and vegetables in a day! You did it!

 

Do you have a nutrition question for one of our dietitians? Leave a comment below and we’ll get you an answer!

 

Christina GrossChristina Gross, M.P.H., R.D., L.D.
OHSU Doernbecher Children’s Hospital

Help decide what’s next for OHSU’s free sunscreen program

A new online survey aims to learn more about your sun protection habits and help determine next steps for OHSU’s free sunscreen dispensers. Participants have a chance to win a $50 Amazon gift card.

Sunscreen-dispenser_2017The OHSU Knight Cancer Institute and the Department of Dermatology installed free sunscreen dispensers at the OHSU Farmers Market and the Go by Bike area near the lower Tram terminal this summer.

Now, the organizations are inviting users to share their thoughts about the dispensers and their sun protection habits via a brief online survey. The information collected will be used to help inform the future of the program and to learn more about the community’s sun safety habits. Ultimately, the program aims to help reduce the incidence of skin cancer in the OHSU community.

Oregon has one of the highest rates of skin cancer in the nation. Skin cancer is the most commonly diagnosed cancer in the U.S., yet in many cases can be prevented. Unprotected exposure to ultraviolet (UV) radiation from the sun is the most avoidable risk factor for skin cancer.

Complete the survey by Oct. 27 and be
entered for a chance to win a $50 Amazon gift card

Last year, a dispenser was installed at the bike valet as part of a two-week pilot program in response to requests from members of the OHSU community to provide free sunscreen on campus. It sparked conversation, and with nearly 400 survey responses, the team learned that people will use free sunscreen if it’s available in public places. In many cases, respondents said they forget to use sunscreen or use other sun protection measures such as long-sleeved clothing. This feedback led to continuing the program this summer, extending its duration, and adding a second location.

Sancy Leachman, M.D., Ph.D., director of the Melanoma Research Program at the OHSU Knight Cancer Institute and chair of the OHSU Department of Dermatology

Sancy Leachman, M.D., Ph.D., director of the Melanoma Research Program at the OHSU Knight Cancer Institute and chair of the OHSU Department of Dermatology

The dispensers contain an SPF-30 broad spectrum sunscreen offering UVA and UVB protection and include a complete list of ingredients. Sancy Leachman, M.D., Ph.D, chair of the OHSU Department of Dermatology and director of the Knight Cancer Institute’s Melanoma Program, suggests the following tips when using sunscreen:

  • Ingredients matter. Look for a sunscreen ideally with titanium dioxide and/or zinc oxide as its only active ingredients and with at least SPF 30. If you meet those two criteria, you’ve got a great sunscreen. Some sunscreens can cause skin irritation. Avoid oxybenzone as many can develop a reaction to it.
  • Apply more than once. Apply sunscreen like you would paint a room. Start with a base coat when you leave the house and apply a second coat when you get to your destination. Oftentimes, people miss spots and/or don’t apply enough.
  • Protect your skin every day. Sunscreen isn’t just for sunny days. Damaging UV rays are present on cloudy days too. Limiting your lifetime exposure to UV rays is one of the best ways to help reduce your risk for skin cancer.

The cities of Boston and Miami Beach were among the first to install free sunscreen dispensers in public areas. Now, dispensers can be found in cities across the country. This year, New York City installed dispensers at all public pools and beaches as part of a two-year pilot project.

Visit the OHSU Dermatology website to learn more about sunscreen and sun protection.>Apply more than once. Apply sunscreen like you would paint a room. Start with a base coat when you leave the house and apply a second coat when you get to your destination. Oftentimes, people miss spots and/or don’t apply enough.

  • Protect your skin every day. Sunscreen isn’t just for sunny days. Damaging UV rays are present on cloudy days too. Limiting your lifetime exposure to UV rays is one of the best ways to help reduce your risk for skin cancer.

The cities of Boston and Miami Beach were among the first to install free sunscreen dispensers in public areas. Now, dispensers can be found in cities across the country. This year, New York City installed dispensers at all public pools and beaches as part of a two-year pilot project.

Visit the OHSU Dermatology website to learn more about sunscreen and sun protection.

Get Your Rear In Gear with #TeamOHSU

Dan Hawkins_GYRIG_073117_525

At 29, Dan Hawkins wasn’t thinking about cancer. He was busy working, traveling, following his favorite sports teams and playing poker. But his diagnosis inspired him to organize Portland’s “Get Your Rear in Gear” 5K walk and run, an event to boost awareness about colon cancer and raise funds for local cancer screening programs.

Read more…

Knight Cancer Institute researcher fights cancer with world-class athletes

OHSU Knight Cancer Institute researcher Amy Moran, Ph.D., is working with USA Track & Field athletes and the American Cancer Society to raise money for the fight against cancer.

The “Together: Nothing Is Impossible” campaign features Moran in a public service announcement with two-time Olympic gold medalist Christian Taylor and 2014 USA Track & Field indoor champion Gabe Grunewald, a cancer survivor. The campaign encourages Americans to pledge money for each medal U.S. athletes win at the world championships this August in London. The American Cancer Society will receive 75 percent of the proceeds for cancer research, and 25 percent will be directed to support USA Track & Field athlete development programs.

In 2014, Moran received a grant from the American Cancer Society to investigate a major player in immunotherapies, the killer T-cell, a type of white blood cell that targets cells compromised by infection or cancer. Tumors, however, often evolve ways to evade targeting by killer T-cells. Moran’s research used genetically engineered mice to explore T-cell interactions with tumors and better understand how to engage the immune system to target cancer.

At the time, Moran was a postdoc working at Providence Portland Medical Center and was uncertain about whether she would stay in academia or not.

“Getting the call from ACS that I was funded was a turning point for me,” said Moran. “I decided that if they were going to take a chance on me, I’d take a chance on an academic research career. I’m so glad I did.”

Moran joined OHSU in April as an assistant professor in the Department of Cell, Developmental and Cancer Biology with a joint appointment in the Department of Medicine’s Division of Hematology and Medical Oncology. Today her research focuses on the immunological underpinnings of prostate cancer. She’s currently collaborating with Julie Graff, M.D., and the Knight Cancer Institute’s prostate cancer team.


“It was an honor to work with these outstanding athletes,” said Moran.
“I’m proud to be part of the incredible team here at OHSU
and this national effort to raise funds for cancer research.”


The campaign will debut during NBC coverage of the USA Track & Field Outdoor Championships this weekend (June 23-25) and run through August 14. Learn more at nothingisimpossible.com and join the conversation on social media using the hashtag #nothingisimpossible.


Photo: Amy Moran, Ph.D., photographed with USATF two-time Olympic gold medalist Christian Taylor and 2014 USATF indoor champion Gabe Grunewald, a cancer survivor, in Eugene, OR in May at the Prefontaine Classic. Photo provided by Amy Moran.

Celebrating survivorship at OHSU

In honor of National Cancer Survivors Day (June 4), we’re kicking off a new series highlighting OHSU employees who have personally experienced cancer – and how this unique and deeply personal perspective influences their work here. Thank you Matt, Kara, Christi and everyone who has already shared.

Matt McCallum

Matt_189Matt was in the best shape of his life and training for a half marathon when it started: the exhaustion, headaches and body pains. Soon after he was diagnosed with acute myeloid leukemia, or AML, a fast-growing form of cancer of the blood and bone marrow. Today, Matt coordinates clinical trials for the prostate cancer research team at the OHSU Knight Cancer Institute and says it’s a dream come true.

“The data we gather on these trials helps us better understand the disease and paves the way for future therapies and treatments,” says Matt. “I can’t think of a better reason to get out of bed in the morning.” Read more

Kara Skaflestad Dolce

 Kara_189“After being diagnosed with Stage 3 breast cancer at the age of 26, I was quickly faced with a woman in the mirror who I didn’t recognize. A woman with scars, no hair, no eyelashes and someone who looked a lot like me, but now with a wig, some pink lipstick and a bright scarf. Trying to look good helped me feel good.”

When she isn’t in the office, Knight Cancer Institute marketing manager Kara volunteers her time running a non-profit she launched soon after her diagnosis to help women battling cancer feel strong and beautiful. To date, “Fighting Pretty” has sent 4,000 Pretty Packages to 49 U.S. states and 7 countries. Today, Kara is nine years cancer free and says she tries to “start each day with a deep breath and gratitude for whatever comes.”

Christi Richardson-Zboralski

 Christi_189During a routine exam, Christi’s gynecologist noticed a node in the thyroid bed area on her neck. Soon after, she was diagnosed with papillary thyroid cancer that had metastasized to some of her lymph nodes. It’s been eight years since she had her thyroid and 42 lymph nodes removed at OHSU. She says she found strength through writing and connecting with others who have experienced cancer.

“Seek support even if you don’t think you need it,” Christi advises. “It is an extremely emotional experience even if you get a highly treatable type of cancer.” Today, Christi is part of the communications team at the OHSU School of Nursing.

Do you have a survivorship story you’d like to share with us? Please email KnightCancerCom@ohsu.edu.

 

Collaboration gives distant patients access to specialized cancer treatment

gynecologic oncologist

Melissa Moffitt, M.D., cares for one of her patients.

After Claudia Burton’s mother died of ovarian cancer, always on the back of her mind was the possibility she too might have to confront it one day. That didn’t make it easier when the day came.

“I assumed it was a death sentence,” says Burton, who was 73 when she was diagnosed with stage III ovarian cancer. She underwent chemotherapy in Salem, followed by surgery in Portland. Then she had more chemotherapy treatment back in Salem — including intraperitoneal therapy, in which anti-cancer drugs are injected directly into the space between the muscles and organs in a patient’s abdomen.

Now, almost four years after Burton’s last treatment, the cancer remains in remission. Looking back, the former law professor at Willamette University in Salem says it was critically important that she could have her chemotherapy and pre- and post-surgery appointments near her home in Salem, rather than having to travel to Portland. “In fact, I don’t know that I would have done the chemo if the resources had not been available in Salem,” she says.

Read more…

Advice for Billy

Last week, Jimmy Kimmel gave an emotional update to the world that his newborn son, Billy, was born with a congenital heart defect that required surgery to correct. As Mr. Kimmel started his monologue, he assured his audience that this story “has a happy ending.” I’d like to assure the Kimmel family that as with this first chapter’s happy ending, many more wonderful and fulfilling chapters in Billy’s life are possible. I know because I also was born with Tetralogy of Fallot and I’ve done so much in my life. After living and traveling abroad, raising two kids, 37 years of marriage, and with my 65th birthday on the horizon, I can tell you that life is grand, despite the scar on my chest.

When I was born in 1952, surgery for these heart defects was still relatively new. I was born a textbook “blue baby” from a lack of oxygen. I was as fortunate as you are, Billy, to have excellent doctors. My first surgery, and the first to be offered to patients like us, is known as the Blalock-Taussig shunt. Dr. Helen Taussig, who helped develop the thinking behind this procedure that bears her name, was my pediatric cardiologist. In those days, she recommended waiting until the heart had grown to almost adult size, so I had my first surgery three days before my 10th birthday. Before then I saw the world from my father’s shoulders or from a stoop or squat to catch my breath. I had many friends who treated me like any other kid, but also were patient with my stooping and limitations. I have so many happy memories. After the shunt, I felt cured. I could walk without stooping, I could ride my bike, swim the length of the pool, and I even played field hockey! Just before I turned 14, my father announced that I was going to have the second corrective surgery done that summer. I was a bit miffed and as a normal teenager, I informed my father, “NO”. Well, I had more great surgeons and nurses and I did have that surgery, and then I really was “cured”. There was no holding me back! So now I have some advice to share.

Jane as a child

Jane as a child

Take care of your health, as everyone should

I know this seems obvious but it’s important. Some will refer to your condition as congenital heart disease. Personally, I have lived my life believing that I was born with heart defects that were corrected. However, just as I see the dentist every six months for preventative care, I see a cardiologist every year. So find a congenital heart cardiologist you trust and have regular check-ups. It will make you and your parents feel better.

Listen to your doctor, then live life to the fullest

Remember, Billy (and parents), the sky’s the limit. By the time you’re an adult that may include outer space as well! Ride a bike, play sports, hike, ski, run, jump, travel, swim, do whatever work brings you happiness, and play, play, play. If the doctor says it’s okay, then go! I did all these things and more thanks to my family who never sheltered me, gave me good advice, and encouraged me to see the world and love life.

My father always told me, “You had two heart defects and they were fixed. Now you are healthy.” I have had a wonderful life since. I wish all this and more for you, Billy.

Sincerely,

Jane Pallister

Jane Pallister

Ask an expert, see a photo tribute, raise awareness at ‘War on Skin Cancer’ event

The third annual “War on Skin Cancer” event will bring OHSU researchers, patients and community members together to educate and advance the science of skin cancer prevention and treatment on Saturday, May 20.

13235092_1017448831664144_5795627893784997778_oThe free event runs from 9 a.m. to 2 p.m. at the Collaborative Life Sciences Building and will offer attendees the opportunity to participate in skin cancer research, hear directly from experts and local dermatologists, and receive tips for sun safety and cancer prevention. Featured events and activities include:

6th Annual NW Melanoma 5k Walk and Fun Run
AIM at Melanoma and SolSurvivors, local not-for-profits, will host a community walk to raise awareness of skin cancer: NW Melanoma 5k Walk and Fun Run. All net proceeds from the fun run will support the Melanoma Tissue Bank at the OHSU Knight Cancer Institute.

Ask an expert at the Melanoma Scientific Symposium
OHSU Knight Cancer Institute physicians and expert guest speakers, including keynote speaker Jedd Wolchok, M.D., Ph.D., from Memorial Sloan Kettering Cancer Center, will provide an overview of the latest advances in the prevention and treatment of melanoma. There will be a special Q&A session tailored to patients and community members from 11:30 a.m. – 12:30 p.m.

Photo gallery: Melanoma scars and storiesKGBThumbnail_1
OHSU dermatology resident Kelly Griffith-Bauer, M.D., will share moving photography she captured through her SCAR Project. Learn about the people behind the scars, their journey and what they’ve learned about themselves, this disease and their hopes for the future.

Research and information tables
OHSU scientists and physicians will be available to discuss their latest research efforts:

  • Pamela Cassidy, Ph.D., a research associate professor in OHSU’s Department of Dermatology, is studying genetic factors that affect risk for melanoma. Attendees can complete a family tree or “pedigree” to reveal family history and potential risk for melanoma; talk with the study team, receive feedback and potentially provide a saliva sample for future melanoma DNA research.
  • Tracy Petrie, Ph.D., is a computer scientist overseeing the development of the free Mole Mapper iOS phone application, created by cancer biologist Dan Webster, Ph.D., that lets you map, measure, and monitor moles over time. Attendees will be able to test the app’s newest feature.
  • Amanda Lund, Ph.D., a cancer immunologist is examining the environment of primary melanomas that develop in the skin to understand what features might predict response.
  • Research assistant, Naomi Mirza, and Steven Jacques, Ph.D., a professor in the Department of Biomedical Engineering and Dermatology, will use optical fiber spectrometer measurements to quantify melanin and blood content in the skin at the event to inform the design and simulation of future technologies.
  • Robert Duvoisin, Ph.D., and Catherine Morgans, Ph.D., of OHSU’s Physiology and Pharmacology Department are studying MAR, a visual symptom caused by an immune response against a cancer, as a potential screening tool to help save lives. The team is currently recruiting patients to determine how widespread this response is and whether it can be used to test for melanoma recurrence.
  • Stephen Lloyd, Ph.D., professor, and Amanda McCullough, Ph.D., associate professor, in OHSU’s Molecular and Medical Genetics Department are studying a topical product to enhance the body’s natural DNA repair enzymes to help prevent cancer from forming.
  • Melissa Wong, Ph.D., an associate professor in the Department of Dermatology, and her laboratory discovered a novel cell population that is found in the blood of cancer patients. The group is developing these cells as liquid biopsies to gather information about the tumor for early detection of cancer.
  • Prakash Ambady, M.D., an assistant professor of neurology, is leading a pilot study to evaluate the accuracy of identifying brain tumor progression in cancer patients that have received immunotherapy. This study will also investigate the effectiveness of immunotherapy on brain tumors, which will include patients with melanoma that has spread to the brain.
  • Neil Box, Ph.D., associate professor at the University of Colorado Denver, is studying how UV damage accumulates in people with different skin types to better estimate melanoma risk. Find out how your skin has been damaged by UV rays and what you can do to minimize the damage.

This event is a mainstay of the nationwide “War on Melanoma” campaign led by Sancy Leachman, M.D., Ph.D. Leachman is director of the OHSU Knight Cancer Institute’s Melanoma Research Program and chair of the OHSU Department of Dermatology.

Interested in getting involved? Join the Melanoma Community Registry, a volunteer research cohort developed to speed the research process by identifying people affected by this disease and those who are interested in learning or doing more.

Visit the event website for more information and to view a complete agenda.

OHSU announces NCAA basketball team

March Madness is sweeping OHSU. As a new way to introduce Oregonians, and all Americans, to what OHSU offers, OHSU will once again have a basketball team beginning with the NCAA 2018 season. The team name and mascot will throw back to OHSU’s rich athletics department history, naming themselves after the former School of Dentistry’s team, the Yankers.

photo: OHSU library

OHSU Yankers. Photo: OHSU Historical Collections & Archives

The OHSU Yankers will play in the NCAA Division III Northwest Conference at first, which also includes the Pacific Lutheran Lutes and Lewis and Clark Pios. However, the 20 year vision for the Yankers will include leveling up to Division I status, taking on the likes of the University of Oregon.

The EdComm department has been secretly preparing for this launch and recently won the recreational league championship at the OHSU Student Center.

Sue Pertall, a player on the secret EdComm team, said of the announcement to join the NCAA, “That pizza we won in the Student Center championship was the best. There better be pizza in the NCAA. With pineapples.”

Want to join the Yankers?

Tryouts will be in the Student Center every night for the following week. Anyone over six feet is encouraged to try out. If you can successfully ride on your friend’s shoulders for at least 15 minutes at a time, you are also asked to consider joining the team.

photo: Jordan Sleeth

EdComm basketball team. Photo: Jordan Sleeth

 

April Fools’! Unfortunately, OHSU does not have an NCAA basketball team (yet). There will be no tryouts.

This so-called adult life: Managing ACHD

You are probably tired of hearing it, but you’re an adult now. And your life has probably seen a lot of changes. Maybe you moved out of your house, went to college, started a relationship, or got a job…major changes.  Even with all of that on your plate, there’s one other thing you have to manage: your health.

Being born with a congenital heart defect means you are no stranger to doctors. And you have definitely outgrown the cutesy children’s clinics you attended until teenage years. But now is not the time to ghost on your cardiac care. In fact, it’s more important than ever.464841199

Even though it seems like one more thing to schedule in your increasingly hectic life, your Adult Congenital Heart Disease (ACHD) health care team is your greatest resource when it comes to navigating all these new experiences. Managing stress, drugs and alcohol, all of these things affect the heart.

While your desire not to rely on your parents is reasonable and a movement to independence is actually encouraged, consider them your allies in health. They’ve been on this journey with you. Make sure to talk to them about your health and adult care. Not because they worry (although of course they do) but they are your living medical record, can help recall important events and medications, and can relate to how hard this can be. Really.

The good news is even with ACHD you are likely not that different from your peers. Trying to figure out what you want to do with your life is pretty typical! Plus, everyone will face some kind of health challenges in adulthood.

You can stay ahead of these issues, but you are in the driver’s seat now. So in between those Tinder dates, make time for your cardiologist.

***

In this blog series, we will tackle the tough issues that young adults with congenital heart disease (ACHD) face as they manage a lifelong condition. Sex, drugs and alcohol, tattoos and piercings are considerations for many young adults, but those with ACHD might wonder: is it safe? The ACHD team at the OHSU Knight Cardiovascular Institute works to make sure no question goes unanswered, so if you have questions that go beyond the blog visit our website or submit your own question here.

***

2016_12_CAR_Liedtke_119[1] (1)Adrienne Kovacs, Ph.D., is a psychologist who works with people who have congenital heart disease—a heart problem that has been present since birth. She directs Behavioral Cardiovascular Care at the OHSU Knight Cardiovascular Institute.

Why 96,000 Square Miles?

OHSU Health Fair at Pioneer Square.

President Robertson is fond of saying that OHSU has a 96,000 square mile campus, serving Oregonians “from Enterprise to Coos Bay, from Portland to Klamath Falls.”

This blog aims to highlight that breadth. 96,000 Square Miles (96K for short) will focus on the people of OHSU, the Oregonians we serve and the ripple effect of our work in Oregon and beyond.

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