Ovacome Summer 2014
Ovacome Summer 2014
Ovacome Summer 2014
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www.ovacome.org.uk Newsletter summer <strong>2014</strong><br />
SUMMER OF<br />
BAKE OFFS<br />
Unleash your inner<br />
Mary Berry and raise<br />
money for <strong>Ovacome</strong><br />
SEX AFTER SURGERY<br />
Answers to the questions you<br />
didn’t like to ask<br />
BRCA TESTING<br />
Why it might be best to know<br />
SURVIVORS TEACHING STUDENTS<br />
Jenny Agutter helps launch awareness pilot<br />
for GPs, with the Clark family and <strong>Ovacome</strong><br />
it together
comments<br />
contact <strong>Ovacome</strong><br />
Chief executive:<br />
Louise Bayne<br />
Support services nurse:<br />
Ruth Payne<br />
Susan Morgan-Walters<br />
Volunteer and<br />
information manager:<br />
Ruth Grigg<br />
Administrator:<br />
Sonia Vig<br />
Support line: 0845 371 0554<br />
020 7299 6650<br />
Email: support@ovacome.org.uk<br />
Administration line:<br />
020 7299 6654<br />
Email: ovacome@ovacome.org.uk<br />
Address: <strong>Ovacome</strong>,<br />
B5, City Cloisters, 196 Old Street,<br />
London EC1V 9FR<br />
Office hours:<br />
Monday to Friday 10am – 5pm.<br />
Follow <strong>Ovacome</strong><br />
on Twitter and Facebook<br />
for daily news, or visit<br />
www.ovacome.org.uk<br />
Registered Charity Number 1058026<br />
To register as a member of <strong>Ovacome</strong><br />
please send your details to the following<br />
address or call the telephone number<br />
above<br />
© <strong>2014</strong> <strong>Ovacome</strong><br />
B5, City Cloisters, 196 Old Street,<br />
London EC1V 9FR.<br />
OVACOME is a voluntary organisation<br />
and relies on donations<br />
The information gathered in this newsletter<br />
is from many sources and is provided for<br />
guidance only. <strong>Ovacome</strong> has made every<br />
effort to ensure that it is accurate but can<br />
make no undertakings as to its accuracy<br />
or completeness. All medical information<br />
should be used in conjunction with advice<br />
from medical professionals<br />
Front cover: At the launch of<br />
the Survivors Teaching Students<br />
programme: the Clark family with<br />
<strong>Ovacome</strong>’s patron, Jenny Agutter.<br />
Image taken by Skye Brackpool at<br />
Brightontogs.<br />
Designed, produced and printed by<br />
Berforts Information Press Ltd<br />
www.informationpress.com<br />
Welcome to <strong>Ovacome</strong>’s summer newsletter<br />
We are entering a new era for cancer treatment, with a<br />
staggering 50% of people diagnosed with the disease today<br />
likely to be cured.<br />
While ovarian cancer is one of the more tricky areas to treat,<br />
Dr Richard Osborne, a consultant medical oncologist at Dorset<br />
Cancer Centre, told Members’ Day attendees that he wanted to share<br />
his “enthusiasm and optimism about progress in ovarian cancer treatment”.<br />
It’s largely down to the personalised way that women are now being managed with<br />
the introduction of multi-displinary teams working together to come up with tailored<br />
treatment plans, rather than a one approach suits all strategy, he said.<br />
The amount of options available to treat the disease is increasing with newcomers like<br />
Avastin making positive change. And a new armoury of drugs, such as Olaparib (see<br />
pages 6 and 7), are lining up to give the next generation of precision medicine.<br />
So Cancer Research UK’s ambitious plans to see three-quarters of all cancer patients<br />
surviving their disease in the next 20 years could well be within grasp. After all its<br />
recent landmark figures show a massive improvement from the early 1970s, when just<br />
a quarter of people diagnosed with cancer survived 10 years.<br />
It’s true that for many with ovarian cancer their disease is caught too late to be cured.<br />
But reassuringly it has become a disease that can be lived with using maintenance<br />
medicine, such as hormone therapy, and top up chemotherapy or surgery. This allows<br />
women to get on with their lives and to think of ovarian cancer more as a chronic<br />
illness such as diabetes.<br />
Hopefully this newsletter will help you get into this positive mindset. Happy reading.<br />
Juliet Morrison, newsletter editor.<br />
Thoughts from the chair<br />
Hello. I am absolutely delighted to be writing this comment piece<br />
as the new <strong>Ovacome</strong> chair of trustees.<br />
I have been a supporter of the charity since I read Sarah Dickinson’s<br />
article in Good Housekeeping in 1996 and have watched it grow (and<br />
support the women I was working with) into the amazing organisation<br />
that it is today.<br />
I want to thank Noëline Young for all her hard work over the past 10 years as chair and<br />
only hope that I can at least half fill her shoes - for this would be a job well done! I also<br />
want to thank Noëline for her personal support which I hope will continue.<br />
I was pleased to meet so many people at the recent Members’ Day. This was a truly<br />
inspiring event with great speakers and the opportunity to ask questions and share stories<br />
which made the day so much more valuable and enjoyable. There was a real sense of<br />
what has already been achieved for women with ovarian cancer and of the way that<br />
things will be improved in the future.<br />
Thank you again for welcoming me and for giving me the opportunity to use my<br />
experience (and time now the children have grown up!) to help steward the organisation<br />
to continue to do great things.<br />
Cathy Hughes.<br />
<strong>Ovacome</strong> was founded in 1996 by Sarah Dickinson.<br />
Trustees to the charity are: Cathy Hughes (chair), Simon Chantrey (treasurer),<br />
Sean Kehoe (medical adviser), Clare Barsby, Adrian Dickinson and Noëline Young.<br />
2 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 it together
news<br />
Teaching ovarian<br />
cancer away from<br />
the text book<br />
<strong>Ovacome</strong>’s new Survivors Teaching Students<br />
project, which brings the voices of ovarian<br />
cancer survivors to medical and other clinical<br />
students, was successfully launched in<br />
May with a pioneering presentation to our<br />
supporters and funders.<br />
Presenters Jackie Rose, Samixa Shah and Jenny Hayes spoke<br />
movingly about their experiences of diagnosis, treatment and<br />
living with ovarian cancer to drive home crucial information<br />
that will help to improve outcomes for women.<br />
<strong>Ovacome</strong> patron Jenny Agutter hosted the event and told<br />
how learning of the diagnosis of a woman she knew had<br />
convinced her to join the charity and support its innovative<br />
campaigning to raise awareness.<br />
Survivors Teaching Students is supported by the family of<br />
Dr Lisa Jayne Clark, a consultant in emergency medicine<br />
who died of ovarian cancer aged just 40 in October 2012.<br />
She trained at Charing Cross Hospital, which welcomed the<br />
<strong>Ovacome</strong> launch and gave the venue for free. The event<br />
began with a film about her life and her family’s support for<br />
the project in her memory.<br />
Talking it over: <strong>Ovacome</strong> supporters after presentation.<br />
Presenter Samixa Shah says: “It was a great experience,<br />
I thoroughly enjoyed being a presenter and although I was<br />
nervous about speaking I am so pleased to be able to use what<br />
happened to me in a positive way to help other women.”<br />
A powerful voice: Jackie Rose, Jenny Hayes, Samixa Shah<br />
and Jenny Agutter (back row first, left to right).<br />
Now <strong>Ovacome</strong> is receiving enquiries from medical schools,<br />
nursing schools and other education settings from across the<br />
UK and the next STS date is firmly booked. Many <strong>Ovacome</strong><br />
members have volunteered to take part as presenters.<br />
“This is an exciting pioneering programme that <strong>Ovacome</strong><br />
is offering for free as a<br />
practical and positive way<br />
of communicating with the<br />
doctors and nurses of the<br />
future,” says <strong>Ovacome</strong>’s chief<br />
executive, Louise Bayne.<br />
“The programme has been<br />
proved to be an effective way<br />
of giving information that<br />
is retained by putting real<br />
women’s voices and faces<br />
to ovarian cancer. It brings<br />
the story of ovarian cancer<br />
alive for students, rather than<br />
Noteworthy talks.<br />
relying on a dry text book.”<br />
Survivors Teaching Students: Saving Women’s Lives is<br />
owned and trademarked by the Ovarian Cancer National<br />
Alliance in the US.<br />
Would you like to be involved? To find out more email<br />
Ruth Grigg at r.grigg@ovacome.org.uk<br />
it together<br />
Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 3
Photography: Daily Echo, Bournemouth<br />
news<br />
Singing to recovery<br />
Gareth Malone, the preppy choirmaster credited with reigniting our interest in<br />
choral singing through his BBC Two series The Choir, would be proud. For word<br />
is getting around about how uplifting being part of a singing group can be and the<br />
benefits are numerous when dealing with illness.<br />
Rising Voices - a community choir for people affected by<br />
cancer in Dorset, Hampshire and Wiltshire - has found in<br />
a study that members have benefited from being part of a<br />
mutually empathetic community, in which they were not<br />
treated as victims.<br />
Altogether Rising Voices: Noëline Young (fourth from left, front row).<br />
As well as getting enjoyment from singing as a group,<br />
members liked the social interaction at weekly rehearsals and<br />
the travel to events, which could be anywhere from a local<br />
shopping centre or Women’s Institute meeting to a twinned<br />
event in Cherbourg.<br />
Concentrated chemo<br />
A<br />
decision on whether to<br />
progress with a new method of<br />
chemotherapy for treating ovarian cancer<br />
could be made soon.<br />
PETROC is a study of the use of<br />
chemotherapy that is given into the<br />
peritoneal space (IP) for ovarian cancer,<br />
rather than into a vein (IV). This<br />
increases the concentration of the drug<br />
around the cancer and can increase its<br />
effectiveness. The study is for patients<br />
who need to complete their treatment<br />
after primary chemotherapy for three<br />
cycles and a successful interval operation.<br />
This technique was new to the UK<br />
while it had been tested previously in<br />
the USA. The early studies had a lot of<br />
problems with toxicity which delayed<br />
acceptance in the UK. However,<br />
medical staff have learnt how to give<br />
the treatment much more safely, and<br />
UK centres have been trained so that<br />
after the first 150 patients there was<br />
no difference in toxicity between the<br />
Carboplatin and Paclitaxel given in the<br />
IP arm or the control IV arm.<br />
There was a third arm in the study using<br />
IP Cisplatin instead of the Carboplatin,<br />
however the independent data<br />
monitoring committee recommended<br />
that this be stopped as it was no more<br />
effective and more toxic.<br />
Member and <strong>Ovacome</strong> trustee Noëline Young says that the<br />
established associations between music and health, both<br />
physical and spiritual, have been well documented and<br />
highlighted in a report by Cardiff University.*<br />
“Participation in music making has been shown to improve<br />
well being and music has the power to communicate with<br />
individuals at times of difficulty. This formed the background<br />
to the establishment of our survivors’ choir, Rising Voices,”<br />
says Noëline, an ovarian cancer survivor herself.<br />
“The intention was to encourage participation in singing<br />
to boost confidence and social interaction and promote<br />
wellbeing, as an aid to recovery from cancer.”<br />
The choir has been supported by a start-up grant from<br />
Macmillan Cancer Support and Dorset Cancer Network, but<br />
longer term it plans to be self-sufficient, supported through<br />
voluntary donations by members, friends, donations and<br />
money raised from public performances.<br />
If you are interested in joining Rising Voices, it rehearses<br />
weekly at St John’s Church in Parkstone, Poole.<br />
e-mail admin@risingvoices.org.uk or phone 07500 676083.<br />
*Gale NS, Enright S, Reagon C, Lewis I, van Deursen R.<br />
A pilot investigation of quality of life and lung function following<br />
choral singing in cancer survivors and their carers. Cancer,<br />
2012; 6:261<br />
The study has now been resubmitted to<br />
Cancer Research UK with the planned<br />
interim analysis to allow the number<br />
of centres giving IP treatment in the<br />
UK to increase from nine to 28 and<br />
to include a further 630 patients in<br />
the trial, to prove whether it increases<br />
survival.<br />
Dr Sean Kehoe, a gynae surgeon.<br />
has reviewed the medical stories on<br />
page 4 and 5<br />
4 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 it together
Around the<br />
world support<br />
Cancer charities from across the globe united this<br />
summer in a powerful effort to raise awareness<br />
of the symptoms of the disease in the second World<br />
Ovarian Cancer Day.<br />
In a global movement, which took place on May 8, women<br />
pledged to tell at least five others about the most serious<br />
gynaecological cancer.<br />
<strong>Ovacome</strong> was delighted to take part in the UK, helping to<br />
build a sense of solidarity in the fight against the disease,<br />
says its chief executive, Louise Bayne: “We’re very proud<br />
to take part in World Ovarian Cancer Day in which all the<br />
ovarian cancer charities come together in a joint effort to<br />
raise awareness and to give women living with the disease a<br />
feeling of solidarity.”<br />
In the UK, the Department of Health has been investing<br />
in an awareness programme for ovarian cancer. It has<br />
undertaken a regional pilot for ovarian cancer symptoms<br />
Overcoming it together<br />
Improving survival rates, earlier<br />
diagnosis and access to appropriate<br />
treatments recommended by clinicians<br />
for ovarian cancer were among the key<br />
issues which <strong>Ovacome</strong> members have<br />
called for in a report which the charity<br />
presents to MPs this month.<br />
The charity has been polling its<br />
members to come up with priorities for<br />
improving ovarian cancer care, to give<br />
a series of recommendations to help<br />
news<br />
awareness<br />
in the<br />
North West and Borders as part of its<br />
Be Clear On Cancer campaign.<br />
Centred on the main message that if you<br />
feel bloated for three weeks or more you should see your GP,<br />
a television advert was included in the campaign.<br />
<strong>Ovacome</strong> awaits the pilot results to see what impact<br />
it has had in the regions. If the initiative has been<br />
successful, the charity will again call for ovarian cancer<br />
to be one of the cancers included in a national level<br />
campaign in 2015. To see the advert online visit:<br />
http://www.nhs.uk/be-clear-on-cancer/ovarian-cancer/home<br />
GSK withdraws Votrient application<br />
Initial hopes that the drug Votrient<br />
could be used in treating late stage<br />
ovarian cancer have been dashed, with<br />
GlaxoSmithKline withdrawing its<br />
application to the European Medicines<br />
Agency.<br />
It was found that the drug, also<br />
known as Pazopanib and licensed for<br />
kidney cancer and some types of soft<br />
cell sarcomas, did not give a positive<br />
the Government and the NHS achieve<br />
these goals.<br />
For despite positive steps to improve<br />
the quality of care and treatment, the<br />
survival of ovarian cancer patients<br />
living in the UK is still poorer than in<br />
comparable countries.<br />
The launch of the ‘Overcoming it<br />
together’ report at the parliamentary drop<br />
in event on 16 July, will give <strong>Ovacome</strong><br />
members attending the ear of MPs. They<br />
benefit-risk scenario after further<br />
analysis of data from the late-stage trial.<br />
GSK said it was disappointed by the<br />
findings, which came after it found the drug<br />
caused an improvement in progression-free<br />
survival in its Phase III study.<br />
GSK’s director of patient relations,<br />
Geraint Thomas, says while the company<br />
is disappointed by the latest results, it will<br />
progress additional analyses which may<br />
will be able to talk about their personal<br />
experiences and give input on what<br />
would have made their journey easier.<br />
They will also hear from Fiona<br />
Mactaggart, MP (Slough), who<br />
will give a talk on how <strong>Ovacome</strong><br />
members might engage effectively with<br />
politicians to raise areas of concern on<br />
a local and national level. Materials<br />
giving practical advice on this are<br />
available from <strong>Ovacome</strong>’s head office.<br />
add to the body of scientific evidence in<br />
this disease setting.<br />
“GSK remains committed to<br />
understanding the utility of pazopanib<br />
in relapsed ovarian cancer as more<br />
data become available through other<br />
studies,” he says.<br />
<strong>Ovacome</strong>’s chief executive Louise<br />
Bayne, says: “We are naturally<br />
disappointed.”<br />
it together<br />
Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 5
ask the doctor<br />
Better to know<br />
A<br />
new drug called Olaparib is proving successful in stopping cancer<br />
cells thriving by repairing damaged DNA, and is particularly effective<br />
on patients found to have faulty BRCA genes. It has just hit a regulatory<br />
setback in the US, but Dr James Mackay (left), consultant genetic oncologist<br />
at University College London, explains why he hopes it gets approval here.<br />
What is BRCA and why<br />
is it a problem?<br />
JM: BRCA1 and BRCA2 are genes that produce proteins that<br />
suppress tumours. These proteins are vital in helping repair<br />
damaged DNA. However, if BRCA genes are mutated, this<br />
damage repair may not take place, meaning that cells may be<br />
more likely to develop alterations in their genetic make-up that<br />
can lead to cancer.<br />
Why and how do we test<br />
for the BRCA mutation?<br />
JM: Up until a couple of years ago, the NHS tended to carry<br />
out BRCA testing based on family history. A blood sample<br />
was taken to see if a woman carried the mutation. If they did,<br />
doctors would offer the test to female family members who could<br />
decide whether to have preventative ovarian or breast surgery,<br />
as they could be at higher risk of developing these cancers.<br />
Now an increasing number of UK cancer centres – including<br />
the Royal Marsden in London as well as Cambridge and<br />
Glasgow – are offering women diagnosed with ovarian cancer<br />
BRCA blood testing as routine. The advantage is that targeted<br />
drugs can be used to treat women with the BRCA mutation<br />
which can be more effective than standard chemotherapy.<br />
This has meant that there has been a big change over the past<br />
year from believing that women should be tested based chiefly<br />
on their family background.<br />
The change in thinking has been fuelled by the arrival of<br />
Olaparib, which has been found to be effective as a treatment<br />
for women who test positive for BRCA.<br />
Some 14% of patients with serous ovarian cancer have the<br />
BRCA mutation. However, we don’t think it is necessary to<br />
screen the wider population because the chances of having a<br />
faulty BRCA gene is just one in 400, so the risk is low even for<br />
women who don’t know their family history.<br />
What are the tests<br />
designed to find out?<br />
JM: There are three possible results. The test can be normal,<br />
it can detect a fault indicating increased risk of cancer, or<br />
it can find a change in the DNA sequence. Previously this<br />
variance used to be dismissed, but now it is recognised that<br />
it could mean that the woman is at higher risk. Under a<br />
method that many specialists use, including myself, called<br />
the Myriad Genetics test, these inconclusive variances come<br />
up in about one in 100 tests. Standard NHS testing gives one<br />
in 10 people an inconclusive result.<br />
What is Olaparib?<br />
Olaparib is a PARP-1 inhibitor. A cancer cell has damaged<br />
DNA and relies on an enzyme called PARP – or Poly ADPribose<br />
polymerase – to repair it. Olaparib can stop the PARP<br />
from repairing DNA damage.<br />
Olaparib is the first of many PARP inhibitors in development<br />
at the moment to reach clinical use. It is in phase III clinical<br />
studies in platinum sensitive relapse (SOLO2) and first line<br />
maintenance (SOLO1).<br />
However, although it represents a significant step, it is<br />
important not to get carried away about its success in<br />
treating late stage ovarian cancer. One interesting question is<br />
whether the drug can be effective used at an earlier stage of<br />
treatment.<br />
Who will Olaparib be available to?<br />
People with relapsed ovarian cancer or those sensitive to<br />
platinum or platinum type drugs.<br />
AstraZeneca submitted Olaparib for its European licence in<br />
September 2013, based on the availability of tissue as well as<br />
blood BRCA testing.<br />
It will be available initially through the Cancer Drugs Fund<br />
and private sector, but as early as the end of this year, NICE<br />
could clear the drug to be used on the NHS by 2016.<br />
Olaparib was dealt a setback this June when the US Food<br />
and Drug Adminstration’s Oncologic Drugs Advisory<br />
Committee (ODAC) voted 11-2 against the accelerated<br />
approval of the drug as a maintenance therapy for women<br />
with platinum-sensitive relapsed ovarian cancer with<br />
germline BRCA mutations.<br />
It said until there was further data to judge by, there were<br />
too many troubling questions about potential side effects<br />
of the drug as well as uncertainties about the efficacy data<br />
demonstrating an improvement on progression-free survival.<br />
6 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 it together
ask the doctor<br />
It’s not over yet, though. AstraZeneca continues with<br />
its confirmatory Phase III study of the PARP inhibitor,<br />
SOLO-2. And the R&D group will need to report clear<br />
signs of a benefit to get this drug to the U.S. market.<br />
In Europe, AstraZeneca is hoping for a smoother journey.<br />
It goes without saying that we want to get Olaparib<br />
available in clinical practice as soon as possible.<br />
Do you think that all women<br />
with ovarian cancer should be<br />
BRCA tested now and ask for<br />
the test at their hospital?<br />
It looks like Olaparib could make a significant impact on<br />
the treatment of late stage ovarian cancer. That’s why<br />
we are hoping that everyone will be offered testing at<br />
diagnosis: as a first step with blood and eventually with<br />
tissue. We want this so that we can see which women will<br />
benefit from Olaparib.<br />
I think BRCA should be more widely available to other<br />
women too who might not necessarily have a strong case<br />
with regard to their family history, but could well benefit.<br />
I’m thinking of, for instance, a woman in her early 30s<br />
who has triple negative breast cancer. Even if she doesn’t<br />
have a strong family history, there is still a reasonably<br />
high risk of her having the BRCA1 or BRCA2 fault and<br />
so she will be at high risk of developing ovarian cancer. It<br />
would be a nightmare to get through breast cancer only to<br />
develop ovarian cancer in her early 40s when this could<br />
be avoided.<br />
Should a positive BRCA test<br />
always lead to a recommendation<br />
for preventative treatment?<br />
JM: If, say, a patient is found to be BRCA positive and she<br />
has an 18–year-old daughter, would we recommend having her<br />
daughter tested? I would question that as she might have 22 years<br />
ahead of her before she decided to have her ovaries removed<br />
Photography by Tony Larkin/Rex Features.<br />
Hollywood actress Angelina Jolie has already shone the spotlight on the<br />
importance of high-risk women knowing their BRCA status.<br />
in her early 40s after having a family. This might be different,<br />
of course, if the daughter had breast cancer. A lot depends too<br />
on the clinical context and such matters should always be the<br />
patient’s decision rather than having rules about it.<br />
This piece has been reviewed by<br />
Chris Jacobs, consultant genetic<br />
counsellor and joint lead for cancer<br />
genetics clinical genetics department at<br />
Guy’s Hospital, London.<br />
She says: The article mentions that standard<br />
NHS BRCA1 and BRCA2 genetic testing<br />
gives one in 10 people an inconclusive result,<br />
whereas private testing via the company<br />
Myriad Genetics gives inconclusive results<br />
to around one in 100 tests. This difference<br />
is likely to be due to the greater number of<br />
tests undertaken by Myriad genetics than<br />
the NHS laboratories which enables them to<br />
classify more inconclusive resuts as cancer<br />
causing (pathogenic) or non-cancer causing<br />
(non pathogenic). If all laboratories, including<br />
private genetic testing companies, were to share<br />
this type of data, it would enable all BRCA1/2<br />
genetic testing to improve.<br />
The article mentions that genetic testing<br />
should be more widely available and gives an<br />
example of a woman in her early 30s with<br />
triple negative breast cancer and no cancer<br />
family history. The NICE guidelines for<br />
familial breast cancer, which were published<br />
in June 2013, recommended that BRCA1<br />
and BRCA2 genetic testing is offered to any<br />
woman in England and Wales with at least a<br />
10% chance of a fault in one of these genes.<br />
This would include women with ovarian cancer<br />
and women with triple negative breast cancer<br />
who are diagnosed at a young age and have no<br />
family history of the disease. Women in this<br />
situation can be referred to their local regional<br />
genetics service to discuss genetic testing.<br />
it together<br />
Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 7
fundraising<br />
Tea with <strong>Ovacome</strong> <strong>2014</strong><br />
Tea with <strong>Ovacome</strong> has become the social event of the year in the ovarian cancer calendar:<br />
smashing records in <strong>2014</strong> with 200 attendees and £8,228 raised for the charity.<br />
The T.W.O. team, led by <strong>Ovacome</strong><br />
member Adele Sewell, is thrilled and<br />
has set itself<br />
the ambitious<br />
goal of<br />
£10,000 for<br />
the next<br />
fundraiser to<br />
be held in<br />
March 2015.<br />
This was the<br />
fifth Tea with<br />
<strong>Ovacome</strong><br />
and as usual<br />
planning<br />
started early.<br />
Tickets went<br />
on sale in Where it all started: Adele Sewell,<br />
early October at event, with her daughter Zindzi.<br />
and were sold<br />
out six weeks later. Also, Adele secured<br />
some top drawer supporters for the<br />
entertainment on the day.<br />
Key note speaker was Helen Fawkes,<br />
the BBC journalist who writes a regular<br />
column for <strong>Ovacome</strong>’s newsletter<br />
about her journey with ovarian cancer.<br />
“Helen told us her story of living<br />
with ovarian cancer with her natural<br />
humour and professionalism; at once<br />
making us laugh and then the next<br />
minute bringing tears to our eyes,”<br />
says Adele.<br />
Apricot store displays.<br />
Then there was the singer Ayanna Blair-<br />
Ford. “At a private family event last year,<br />
I found myself in the same room<br />
as the incredible voice that is<br />
Ayanna Blair-Ford. Only 17, doing<br />
A-Levels and hoping to pursue a<br />
career in architecture. We were<br />
delighted when Ayana agreed to<br />
be our featured entertainer at this<br />
year’s event,” says Adele.<br />
But the models - all ovarian cancer<br />
patients at some time - were the<br />
stars of the show, says Adele.<br />
“They brought their energy and<br />
enthusiasm to the room.”<br />
They were<br />
dressed top<br />
to toe in<br />
clothing<br />
from Apricot,<br />
generously<br />
donated by the<br />
fashion retailer<br />
for the second<br />
year running.<br />
They strutted<br />
their stuff on<br />
three catwalks,<br />
each with a<br />
different theme.<br />
The final one was all teal and included<br />
the beautiful Apricot dress which was<br />
designed exclusively for <strong>Ovacome</strong>,<br />
Retail therapy<br />
with all proceeds from it going to the<br />
charity.<br />
A special thanks should also be given<br />
to Barry M, which provided two<br />
manicurists for the day to paint visitors’<br />
nails teal, as well as teal varnish for the<br />
goody bags. This was part of the Teal<br />
Tips campaign which ran throughout<br />
Ovarian Cancer Awareness Month in<br />
March, raising hundreds of pounds and<br />
awareness for the charity.<br />
Thanks also to <strong>Ovacome</strong> supporter,<br />
the milliner Philip Treacy who kindly<br />
donated another hat to be auctioned<br />
on the day, raising £500.<br />
All together: <strong>Ovacome</strong> members empowered in teal.<br />
• If you would like to take part in Tea<br />
with <strong>Ovacome</strong> 2015, please email<br />
TEAwithOVACOME@yahoo.co.uk.<br />
The beautiful teal dress and the <strong>Ovacome</strong> branded canvas tote bag that fashion retailer Apricot<br />
designed especially for us this awareness month have raised a staggering £17,000 for the charity.<br />
During March Apricot stores had special displays for the items and staff were dressed in teal. The<br />
outlets sold <strong>Ovacome</strong> pin badges, with collection tins and information on ovarian cancer at tills.<br />
This is all thanks to <strong>Ovacome</strong> member Adele Sewell. She persuaded Apricot to produce the dress<br />
and bag after a chance meeting at a friend’s daughter’s 21st birthday party with Karen McGhie, who<br />
drove the project forward.<br />
The <strong>Ovacome</strong> dress, above, is still available in sizes 8, 12 and 16 at the reduced price of £25.<br />
www.apricotonline.co.uk<br />
8 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 it together
A day of empowerment<br />
Some 40 members gathered for <strong>Ovacome</strong>’s annual Members’ Day in what was an<br />
uplifting and informative occasion on the latest treatments, how to deal with sex<br />
after surgery and to be confident in dealing with cancer specialists.<br />
Topping the bill for the day was Dr Richard Osborne, a<br />
medical oncologist at the Dorset Cancer Centre in Poole. He<br />
set the tone by telling members that he wanted to “transfer<br />
my personal enthusiasm about the progress in treatment for<br />
ovarian cancer”, which he said was making steady year-onyear<br />
and discernible decade-on-decade improvements.<br />
He assured members<br />
that we are entering<br />
a time of change with<br />
the “chemotherapyalone<br />
era” coming to<br />
an end. Personalised<br />
treatment plans, he<br />
said, are replacing a<br />
one-shot approach<br />
for all and multiple<br />
options are available to fight the late stage disease which<br />
three out of four ovarian cancer patients are diagnosed with.<br />
With this being the case, many women will face a life of<br />
treating the ovarian cancer as a chronic disease, he said.<br />
“We want to cure ovarian<br />
cancer, but have to accept<br />
that in the majority of<br />
cases it will be about<br />
disease modification: To<br />
make the cancer inactive<br />
and give women a longer<br />
life. Actually, doctors very<br />
rarely cure anything, but<br />
modify it as we see with<br />
high blood pressure and<br />
diabetes.”<br />
A fond farewell<br />
Noëline Young (pictured above<br />
receiving flowers of thanks from<br />
<strong>Ovacome</strong>’s chief executive Louise<br />
Bayne) stepped down as chair at<br />
Members’ Day after 10 years.<br />
Members’ feedback:<br />
‘As always, a great day. My only complaint is<br />
that there is never enough time to talk with as<br />
many people as one might wish’<br />
‘It was worth coming for Dr Richard Osborne’s<br />
presentation alone- very informative and useful.<br />
All speakers very good and well organised day.’<br />
The introduction of<br />
avastin, as a maintenance<br />
drug to treat late stage<br />
disease, fits with this.<br />
But while it gives cause<br />
for optimism we should<br />
not be cracking open the<br />
champagne yet, said Dr<br />
Osborne. “Avastin is not a magic wand. It has its place, but<br />
we should not get too worked up about it. There’s uncertainty<br />
about who to treat with it. Those higher-risk women with<br />
residual disease after treatment seem to do better.”<br />
Other new and exciting strategies<br />
are emerging, he said, including<br />
personalised therapy based<br />
on molecular profiling and<br />
immunotherapy, in which the immune<br />
system is reactivated to fight the<br />
cancer. Then there is<br />
supra-radical surgery<br />
involving lasers and<br />
around 12 hours on<br />
the operating table<br />
and anti-androgen<br />
therapy, to ‘switch off’ male hormones in<br />
women (Coral trial).<br />
Meanwhile, hot topics being debated in<br />
the medical community include giving<br />
oophorectomy surgery for BRCA mutation carriers; surgery<br />
or chemotherapy first (CHORUS trial); giving dosedense<br />
paclitaxel (ICON 8 trial) and PARP inhibitors as<br />
maintenance therapy to BRCA carriers (see pages 6 and 7).<br />
This is all shows that the chemotherapy alone era is ending,<br />
said Dr Osborne. “New strategies are emerging of targeting<br />
therapy, turning switches off, using the patient’s personalised<br />
genetic make up and harmonising the immune system. But at<br />
the same time earlier diagnosis remains a very high priority.”<br />
• Talks were also given by Dr Helen Fairhurst on sex after<br />
surgery (see pages 10 and 11) and there was a confidence<br />
building workshop from trainer Deb Puleston (see<br />
<strong>Ovacome</strong>’s autumn/winter <strong>2014</strong> newsletter).<br />
Senior help<br />
members’ day<br />
Dr Richard Osborne: end of<br />
chemo-only era.<br />
Senior research associate, Lindsay Fraser, appealed<br />
for members to help her with a new area of research<br />
‘exploring the journey of women diagnosed with ovarian<br />
cancer’ in the Gynaecological Cancer Research Centre<br />
at UCL’s Institute for Women’s Health. The research will<br />
explore the journey of women diagnosed with ovarian cancer,<br />
from the patient perspective by talking to women and their<br />
families, rather than examining medical records. Seven<br />
women came forward, but Lindsay sill needs women aged<br />
70-plus, along with their partners, adult children and friends<br />
to help with the scope of the first interview study. Contact<br />
l.fraser@ucl.ac.uk or phone Lindsay on 020 3447 2114.<br />
it together<br />
Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 9
feature<br />
The big taboo<br />
Sex may be the last thing on your mind when recovering from an ovarian cancer<br />
diagnosis. But there is plenty help available to get your mind and body in the<br />
right place after treatment, says Dr Helen Fairhurst from the Winton Psychosexual<br />
Medicine Clinic.<br />
For many, returning to a normal sex life after treatment<br />
for ovarian cancer can be difficult. But it is even more of a<br />
problem if the subject remains taboo for patients, partners<br />
and the medical profession. A study in the British Journal of<br />
Cancer in 2003 * found that while a majority of healthcare<br />
professionals thought most women<br />
with ovarian cancer would experience<br />
difficulties, only one in four doctors<br />
and one in five nurses brought the<br />
subject up with patients.<br />
Things may have moved on since the<br />
2003 study and some cancer centres<br />
– such as Dorset, where I work<br />
offer exceptional support to women<br />
through their gynaecological nurses.<br />
However, clinicians – and patients<br />
themselves – often need to do more.<br />
Dr Helen Fairhurst<br />
For instance, there is a network of<br />
pyschosexual clinics on hand throughout the UK, run by<br />
members of The Institute of Psychosexual Medicine. Women<br />
can access these clinics by self-referral or referral by their GP or<br />
other health professionals.<br />
And women themselves need to feel empowered to ask<br />
questions. Your focus may be on getting over the cancer. But<br />
don’t be afraid to bring up the subject of sexuality and how<br />
it may be affected by the type of treatment you are having<br />
as soon as you feel ready to discuss it. The sooner the better.<br />
We know quality of life and general wellbeing can be greatly<br />
enhanced if problems with sexuality are addressed early on.<br />
Sexual problems are not always just down to physical reasons.<br />
Emotional factors, not always experienced at a conscious<br />
level, interfere with sexual pleasure. The underlying causes<br />
of a problem may be physical or psychological in varying<br />
proportions, but are rarely limited to one or the other.<br />
There are several ways cancer and its treatments can undermine<br />
a person’s sexuality. The impact of surgery, chemotherapy and<br />
radiotherapy will be direct and physical. But there may be other<br />
obstacles when it comes to intimacy, such as feeling disfigured,<br />
too tired to bother, changes in sensory perception and difficulty<br />
reaching orgasm. Also women can feel that their body, which<br />
has been prodded and probed by the health professionals, is no<br />
longer really part of them.<br />
But remember, however, that the ‘core’ of your being inside<br />
you is maintained, regardless of the treatment you have had.<br />
Lack of libido<br />
Low sexual desire or libido is a common problem. Many<br />
different emotional and physical factors can affect sexual<br />
desire and may be present in women living with cancer.<br />
Tiredness, stress, relationship problems, menopause<br />
symptoms, worries about children, elderly relatives, finances<br />
and work, or difficulties accepting the changes in body image<br />
that come after surgery are just some examples. And of<br />
course, in some cases sex may be a low priority after facing a<br />
cancer diagnosis and treatment.<br />
Coping with illness symptoms and the effects of treatment<br />
can be challenging enough. Women may feel too unwell to<br />
summon up the energy for the exertions of sex, but still long<br />
for physical closeness. Others find it difficult to enjoy sex<br />
without thinking of their cancer.<br />
At the same time, partners may have difficulty relating to<br />
the anxieties and fears that come with a cancer diagnosis.<br />
They might not understand why their partner feels less<br />
sexy, especially once treatment is complete, and they<br />
can see an outward return to normality. This can lead to<br />
communication misfirings and a downward spiral becomes<br />
established, just at the time when some love and support is<br />
vital. If a woman is harbouring anger and resentment towards<br />
her partner, it can be difficult to get in the right frame of<br />
mind to enjoy sex.<br />
Solutions will vary from person to person, but discussion with<br />
partners, friends and health professionals is often beneficial.<br />
Patients often ask about using hormones to improve their<br />
libido. While it is true that both oestrogen and testosterone<br />
are needed for good sexual function, and are reduced by the<br />
removal of both ovaries, many other factors can influence<br />
sexual desire. This means that hormone replacement may<br />
not be the solution. Also, there is uncertainty about whether<br />
taking these hormones to deal with a sudden surgical<br />
menopause could increase cancer recurrence risk.<br />
A recent study showed that women given Hormone<br />
Replacement Therapy (HRT) after a surgically induced<br />
menopause following treatment for epithelial ovarian<br />
cancer ** had improved longevity as well as a good control of<br />
10 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554<br />
it together
feature<br />
symptoms such as hot flushes. However, it is still difficult to<br />
be confident that HRT is not a risk factor for recurrence.<br />
Change in sensation<br />
Altered sexual pleasure is another common problem found in<br />
women who have had surgery for gynaecological cancer.<br />
For some women, orgasms have always been generated by<br />
the muscle contraction of their uterus at the time of climax.<br />
Following hysterectomy, they are no longer able to feel this<br />
sensation and may find it difficult to orgasm through clitoral<br />
stimulation instead.<br />
They may even be scared to try clitoral stimulation fearing<br />
it might harm the healing process or possibly even lead to a<br />
recurrence of their cancer. While logic tells them that this is<br />
not correct, they find it difficult to get rid of this fear.<br />
Physical examination by a doctor trained in psychosexual<br />
medicine, although not always welcomed by women<br />
after treatment, can then be useful helping correct<br />
misunderstandings about effects of surgery, improve body<br />
image and sexual confidence and to face feelings of loss in a<br />
caring environment.<br />
Painful sex<br />
Painful sex, or dyspareunia can also start after a surgical<br />
menopause. The lower level of oestrogen caused by this can<br />
lead to the vagina becoming dry, thin and losing its former<br />
elasticity.<br />
Local creams and pessaries containing oestrogen hormones<br />
can help. Examples include Vagifem pessaries (which contain<br />
oestrogen hormones), Sylk natural lubricants and Replens<br />
moisturisers. But, as with libido, this might not be the<br />
complete solution and looking at emotional factors can be<br />
very important too.<br />
Vaginismus, the involuntary spasm of the muscles at<br />
the entrance of the vagina often due to subconscious<br />
unacknowledged emotions, is another painful complaint.<br />
One woman I have met with this problem coped very well<br />
during her hospital admission for surgical treatment, but<br />
the true impact of her cancer diagnosis came later when she<br />
started to experience anxiety about her health and also anger.<br />
Her previously active and fulfilling sex life had become<br />
virtually non-existent and painful. Her self-confidence<br />
suffered: she felt ugly and unattractive. Her husband seemed<br />
to take the brunt of her anger not least because he was<br />
apparently unable to empathise with her anxiety about<br />
cancer recurrence. He just didn’t understand that she needed<br />
compliments, to be understood, to be listened to.<br />
Physical examination revealed dryness of the vagina wall,<br />
as well as some vaginismus: both likely to be contributing<br />
to the painful sex. She was not at all keen to use hormone<br />
replacement, even in the form of locally applied oestrogens,<br />
despite reassurance from her cancer specialist that it would<br />
not increase her likelihood of cancer recurrence.<br />
She used a vibrator to help open up her vaginal tissue – this<br />
was her choice as she hated the idea suggested by her surgeon<br />
to use graded vaginal dilators instead. Most importantly, we<br />
were able to make the link between her vaginismus and her<br />
emotional difficulties, resulting in her angry wretched vagina<br />
barring entry to her ‘annoying’ husband.<br />
She also gained some valuable support from friends,<br />
including holding a virtual funeral for her womb and also<br />
from other women at the local cancer support group.<br />
• Dr Helen Fairhurst gave a talk on sexuality after treatment<br />
for gynaecological cancer at <strong>Ovacome</strong>’s recent Members’<br />
Day.<br />
The two studies cited in this piece are: Lack of communication<br />
between healthcare professionals and women with ovarian cancer<br />
about sexual issues * British Journal of Cancer 2003, Stead,<br />
Brown, Fallowfield and Selby and ** Eeles RA et al, Adjuvant<br />
Hormone Therapy Improves Survival in Epithelial Ovarian<br />
Cancer: Results of the AHT randomised trial, submitted to the<br />
British Medical Journal June <strong>2014</strong>.<br />
Helpful resources<br />
<strong>Ovacome</strong> has some useful fact sheets in this area -<br />
‘Ovarian cancer and sexuality’ and ‘Treatment-induced<br />
menopause’ - www.ovacome.org.uk<br />
http://www.macmillan.org.uk/Cancerinformation/<br />
Livingwithandaftercancer/Relationshipscommunication/<br />
Sexuality/Sexuality.aspx<br />
Institute of Pyschosexual Medicine for a list of therapist<br />
locations - www.ipm.org.uk<br />
College of Sexual and Relationship Therapists -<br />
www.cosrt.org.uk<br />
The Menopause Exchange -<br />
www.menopause-exchange.co.uk<br />
Dana-Farber Cancer Institute in Boston: Dr Sharon<br />
Bober’s Sexual Health Program and videos -<br />
www.dana-farber.org/Health-Library/How-cancertreatment-affects-sexuality-in-women.aspx.<br />
This piece has been reviewed by Dr Richard Osborne,<br />
a consultant medical oncologist at the Dorset Cancer<br />
Centre in Poole.<br />
it together<br />
Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 11
Our magnificent<br />
marathon team<br />
Ovarian cancer survivor Jackie Rose was among the<br />
runners who competed in April’s London Marathon<br />
for <strong>Ovacome</strong>, with the group raising an enormous<br />
£28,220.62 for the charity.<br />
Jackie Rose: fulfils personal ambition running London Marathon.<br />
Jackie, from Hackney in North<br />
London, was diagnosed with stage 1C<br />
clear cell carcinoma ovarian cancer six<br />
years ago. She has always wanted to run<br />
the London Marathon and on the day<br />
she completed it in just over six hours,<br />
raising £981.12.<br />
Julie Caudle,<br />
from Cowes,<br />
the Isle of<br />
Wight, has<br />
raised £3,647.<br />
She took up<br />
running after<br />
her mother<br />
died of<br />
ovarian cancer<br />
aged 67 in<br />
2009, which<br />
drove Julie<br />
Julie Caudle: now a<br />
“runaholic”.<br />
on to becoming a self-confessed<br />
“runaholic”. She says the only running<br />
she did before her mother’s death was<br />
for the bus. Training for the marathon<br />
was “very hard work” says Julie,<br />
“but nothing<br />
compared with<br />
what people who<br />
have the disease<br />
are suffering”.<br />
Other London<br />
marathon runners<br />
<strong>Ovacome</strong> would<br />
like to thank are:<br />
Gareth Rosser,<br />
who raised<br />
£2,593.16;<br />
Richard Stock<br />
(£4,507.50);<br />
Eleanor Bancroft (£1,599.38); Claire<br />
Zahra (£3,168.31); Michael Lawlor<br />
(£1,453.16); Zare de Haldevang<br />
(£8,601.99); Lizzy Pollot (£910) and<br />
Preethi Sundaram (£759).<br />
fundraising<br />
A funny walk…<br />
for a very serious cause<br />
Comedian Nick Banks and his<br />
entourage of fellow funnymen<br />
from the north-east raised £4,048.94<br />
for <strong>Ovacome</strong> with their Hadrian’s Wall<br />
Walk <strong>2014</strong>.<br />
The group walked 84 miles<br />
along the famous landmark,<br />
taking in venues along the<br />
way with a week’s worth of<br />
gigs. Among the group was<br />
TV comic Patrick Monahan<br />
and well-known performers<br />
Seymour Mace and Silky.<br />
Nick, who runs the event for<br />
a different charity every year,<br />
Kevin Stephens<br />
smashes £10K<br />
of £100K target<br />
Kevin Stephens’ pledge to raise<br />
£100,000 for <strong>Ovacome</strong> may have<br />
seemed wildly ambitious when he made<br />
it back in autumn 2012.<br />
But, Kevin has smashed £10,000 so far<br />
by being on fundraising duty 24/7. He<br />
never misses an opportunity to boost<br />
the charity’s coffers; whether that is<br />
by getting local businesses to display<br />
collection tins, friends to take part in<br />
sponsored runs or new acquaintances to<br />
dispose of loose change.<br />
But Kevin’s ambition is twofold. He has<br />
also worked tirelessly to raise awareness<br />
about the symptoms of the disease,<br />
which took his wife Loraine nearly two<br />
years ago. He has immersed himself in<br />
finding out the latest developments<br />
about the disease, becoming part of the<br />
ovarian cancer community as a regular<br />
and very welcome face at <strong>Ovacome</strong>’s<br />
Members’ Day and the fundraising<br />
event Tea With <strong>Ovacome</strong>.<br />
To support Kevin visit<br />
www.justgiving.com/Loraine-Stephens<br />
says the journey is becoming harder<br />
each time. “It was great fun, but we<br />
were a year older than last time and<br />
I damaged my achilles heel and Jim<br />
Bayes, his knee,” he laughs.<br />
Funnymen don their walking boots for <strong>Ovacome</strong>.<br />
12 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 it together
postbag<br />
A safe place<br />
Meet <strong>Ovacome</strong>’s new wellbeing columnist, Samixa Shah, who will be answering<br />
questions from fellow members in the winter newsletter onwards.<br />
Samixa, who has been treated for ovarian cancer herself, worked as a pharmacist for almost 25 years before deciding “to<br />
help people understand how to take responsibility of their own health, rather than just rely on medicines”.<br />
She did a course in neuro-linguistic programming (NLP) in 2005 and completed a life coaching diploma in 2009. She<br />
then completed a Diploma in Wellness Coaching Skills in 2013.<br />
Samixa has been working as a wellbeing coach at an NHS health centre in London since January 2012 and is still<br />
registered as a pharmacist, which she says helps her “immensely” as a wellbeing coach, “since I understand a number of<br />
health conditions and their treatments and can therefore coach anybody who is having difficulty in their life either due to<br />
their health condition or their lifestyle”.<br />
She says: “I also feel that my interest in alternative therapies helps me coach people who may have difficulties managing<br />
their health with prescribed medicines and feel that they want to use alternative therapies.”<br />
“I strongly believe that the mind-body<br />
connection is of paramount importance<br />
in any healing process as well as in<br />
maintaining a state of wellbeing.<br />
Looking after your mental health during<br />
investigations and after an ovarian<br />
cancer diagnosis is just as important as<br />
the physical side and I have been doing<br />
this in a number of ways myself before<br />
and since being diagnosed with FIGO<br />
stage 4, grade 3 serous carcinoma of the<br />
ovary, primary peritoneum and tubal in<br />
May 2012, aged 49.<br />
Louise L. Hay states in her book – ‘You<br />
Can Heal Your Life’ – “Every cell within<br />
your body responds to every thought you<br />
think and every word you speak.”<br />
This has also been researched in the<br />
book ‘The Hidden Messages in Water’,<br />
by Masaru Emoto.<br />
I informed all my close friends and family<br />
as soon as I was diagnosed. When I was<br />
undergoing treatment and thereafter I<br />
carefully chose to be around friends and<br />
family members who would be positive<br />
and would not bring me down.<br />
I made sure I told everyone what support<br />
I needed from them and was very clear<br />
about when they could come and visit<br />
me and also who could come with me<br />
when I went for my chemotherapy. My<br />
main priority was to be strong both<br />
mentally and physically so that my<br />
husband - who is registered blind - and<br />
my 23-year-old son and other people<br />
around me did not feel helpless. I also<br />
made sure that if someone called I<br />
would only answer the call if it was<br />
someone I wished to speak to. I decided<br />
I had to be in charge since it was<br />
my body and ME going through this<br />
experience!!<br />
I also made sure that during the seven<br />
months I underwent chemotherapy<br />
and surgery, I surrounded myself with<br />
positive books, television programmes,<br />
podcasts and radio shows. I got a lot of<br />
resources from the Macmillan Cancer<br />
Support Centre and did a course in<br />
Mindfulness as well.<br />
My training as a pharmacist and<br />
wellbeing coach came in very<br />
useful since I understood how the<br />
drugs worked and was able to<br />
coach myself to think positively<br />
and make use of my resources to<br />
achieve my health related goals.<br />
I went back to work as a<br />
wellbeing coach in February<br />
2013 and was still undergoing<br />
treatment every three weeks<br />
as I was having Avastin, which<br />
stopped in October 2013.<br />
During this time and even<br />
today I continue with my<br />
mindfulness practice and<br />
make sure that I live for the present<br />
moment and enjoy each day to the<br />
fullest.<br />
I have learnt to appreciate even the<br />
smallest joys of life like watching a<br />
butterfly fly past me or the birds singing<br />
in the garden. I do not worry about the<br />
future since I do not have control over<br />
that. I can only have control over my<br />
thoughts and the present moment.”<br />
Edgware, Middlesex.<br />
- If you would like to send in<br />
a question to Samixa, write to<br />
ovacome@ovacome.org.uk<br />
it together<br />
Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 13
postbag<br />
From the frontline<br />
The other day I was at hospital for a check-up. As I waited I showed the woman<br />
who sat next to me some photographs of cows that I’d taken. It may seem a bit<br />
strange but we were doing something that most ordinary people think nothing<br />
of. We’d got talking because of a shared interest.<br />
She sang in classical<br />
music concerts and she<br />
thought I might be<br />
creative in my spare<br />
time. I told her it was<br />
Helen Fawkes: turns to photography distraction.<br />
funny she should say that as I was a<br />
keen photographer and was having an<br />
exhibition of my pictures of cattle. I<br />
got my mobile out to show her some<br />
of the images.<br />
Coming from the countryside I enjoy<br />
taking snaps of these beautiful, big<br />
beasts. So when I came up with my<br />
bucket list, which I call my List for<br />
Living, number 21 was to have my<br />
very own exhibition.<br />
I’ve taken hundreds of photos of cows<br />
and steers on my dad’s farm. I like it<br />
when they look straight at the camera<br />
and seem to pose for me. Something<br />
Strong sense of purpose<br />
remember thinking that I had pulled<br />
I a muscle and blaming the pain on<br />
dancing in impossibly high heels at a<br />
wedding party. The pain went away,<br />
but a month later I went to another<br />
wedding, same dress, same heels, same<br />
dancing and the pain came back - only<br />
this time it didn’t go away.<br />
I went to work as usual on that fateful<br />
day in October 2012, but I had to leave<br />
mid morning as the pain got substantially<br />
worse. I drove to my surgery. The<br />
receptionist took one look at my teary<br />
face and next minute I was sat with a GP.<br />
The words ‘mass’ and ‘cyst’ floated across<br />
my consciousness, which hospital would<br />
I prefer? Could I drive to the emergency<br />
department?<br />
I didn’t call my husband until quite a bit<br />
later, stupid really but he was busy and I<br />
had only put four hours on the car park<br />
ticket. I remember the lovely registrar<br />
in the emergency department and the<br />
look on the face of the radiologist as<br />
the ultrasound scan passed over my<br />
abdomen, I remember them asking<br />
which consultant<br />
was on call and if the<br />
gynaecological registrar<br />
could come down,<br />
I remember thinking<br />
I’ve got cancer.<br />
It was in fact stage<br />
4 advanced ovarian<br />
cancer, with some lung<br />
mets and a breast lump<br />
thrown in for good<br />
measure. I found out on<br />
Friday and on Sunday<br />
I spent five hours in<br />
surgery. I was home five days later and<br />
five weeks later started my Carboplatin<br />
and Paclitaxel chemo regime.<br />
Amanda Barnes: nobody<br />
knows the future.<br />
Photography, with thanks to<br />
The News, Portsmouth.<br />
Fast forward and I have been back<br />
at work full-time, post chemo, for a<br />
year. I’ve finished my dissertation and<br />
graduated with my masters in advanced<br />
which appears to come easily to them!<br />
These are the ones I selected for the<br />
display at my friend’s tea shop in<br />
Worcestershire.<br />
Seeing my pictures on the walls felt like<br />
such an achievement. Something that<br />
had nothing to do with cancer. When<br />
you live with this disease it’s hard not<br />
to be defined by it. The cheeky cows in<br />
my photos have no idea how they have<br />
helped me with this.<br />
• Keep an eye on Helen’s blog<br />
to see where her photographic<br />
exhibition will be displayed next at<br />
helenfawkes.wordpress.com<br />
clinical practice, travelled to Verona<br />
to watch opera in the open air, seen<br />
La Bohème at the Albert Hall, been<br />
on the Queen Mary to drink<br />
champagne in the sunshine on<br />
my birthday, bought a building<br />
site of a house and am enjoying<br />
choosing paint and bricks! Life<br />
is good - bracketed with three<br />
monthly checks that still make<br />
me worry and more CT scans<br />
than I would like.<br />
I still have my mets, but I also<br />
have a strong sense of purpose<br />
and a fabulous husband who<br />
is my soulmate and my rock.<br />
There is no way that I am ready<br />
for anything less than a fantastic life.<br />
Ovarian cancer hasn’t changed me,<br />
but it has made me acknowledge my<br />
spirituality and embrace my life. None<br />
of us know what tomorrow will bring<br />
and that’s just fine by me.<br />
Amanda Barnes, Havant, Hampshire.<br />
14 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 it together
postbag<br />
The comfort of words<br />
The <strong>Ovacome</strong> newsletter was my first link to other ladies who had been diagnosed<br />
with ovarian cancer, when I myself was diagnosed with stage 3c of the disease in<br />
May 2013.<br />
Reading other people’s stories gave<br />
me hope and made me realise that<br />
for many of us life does go on. So it<br />
was interesting to attend <strong>Ovacome</strong>’s<br />
members’ day this year and meet some<br />
of those people and the team who<br />
compile the newsletter.<br />
We all know the frustrations of being<br />
first diagnosed and learning that the<br />
cancer has been there a while and<br />
for many of us that it has spread. But<br />
what was heartening to hear was that<br />
the treatment of ovarian cancer has<br />
improved considerably over the past<br />
10 years and scientists and doctors seem<br />
to be on the verge of new treatments.<br />
Fingers crossed we will be enjoying life<br />
despite the cancer for years to come.<br />
What I also learned at the members’<br />
day was that several people were quite<br />
young when diagnosed - and there<br />
was me thinking that it only affected<br />
older women. I was aged 65. It was my<br />
youngest of three boys’ birthdays!<br />
I have been lucky on my journey<br />
with having few side effects from the<br />
chemotherapy - neuropathy in my feet<br />
is uncomfortable, but not painful and<br />
having mouth ulcers and losing my hair<br />
was tolerable. I now have a wonderful<br />
collection of caps and scarves.<br />
I was given four doses of Carboplatin<br />
and Paclitaxel, followed by debulking<br />
surgery - on my second son’s birthday<br />
- and two more rounds of the same<br />
chemotherapy.<br />
From February this year I have been on<br />
caelyx. This seems to be working and<br />
my hair is growing back. I just hope<br />
my immune system doesn’t collapse<br />
again and that I don’t have to have any<br />
more fluid drained from my abdomen or<br />
pleural cavity.<br />
We all have a different wish list<br />
of things we want to do. One<br />
thing I would like to do is see my<br />
grandchildren become adults.<br />
My 16-year-old granddaughter has<br />
set me a challenge to write a book<br />
of poetry - well it is more likely to<br />
be a booklet. My first attempt was<br />
about cancer and was written in the<br />
Living in the moment<br />
Jenny Hayes: ‘I feel<br />
like I’m on parole.’<br />
chemotherapy unit while having my<br />
fourth of six doses of caelyx.<br />
As a semiretired<br />
teacher of<br />
English as<br />
a foreign<br />
language<br />
I love<br />
language<br />
and find<br />
writing poetry<br />
cathartic.<br />
Sometimes<br />
poetry has<br />
a deeper<br />
meaning than<br />
other writing<br />
and it allows you to say things that you<br />
can’t any other way.<br />
Let me throw out a challenge to you<br />
all to have a go and write a poem.<br />
Maybe we can publish some in the<br />
next magazine.<br />
Send me yours to pat_abra@hotmail.com<br />
Pat Abra, Margate, Kent.<br />
was diagnosed in 2007 with breast cancer. My treatment was radiotherapy and tamoxifen with three<br />
I monthly checks with my oncologist. At that time I felt my oncologist was my knight in shining armour.<br />
Every visit to him, with his kind voice and caring personality, gave me another three months, then six<br />
months and eventually a whole year of freedom to live and plan for the future. I took every opportunity to<br />
enjoy life after breast cancer.<br />
Then in 2012 I was<br />
diagnosed with<br />
ovarian cancer,<br />
stage 3c, with the<br />
added bonus of being BRCA 2 positive.<br />
I was given chemotherapy and some<br />
hard to swallow statistics.<br />
As a result, I make carefully chosen<br />
plans for the future. I avoid getting<br />
into a relationship with a partner, and<br />
although I would love to, I won’t get<br />
another dog.<br />
Now I view my oncologist as my prison<br />
parole officer. I see him every three<br />
months and he gives me another three<br />
months to get on with things. Parole,<br />
yippee! Now that does make me live in<br />
the moment.<br />
Pat Abra: writing poetry<br />
can be cathartic.<br />
I’m fortunate that I run a couple of<br />
businesses which affords me to shop till<br />
I drop and if I want cheering up and see<br />
something I want, I will buy it.<br />
I am ‘on parole’ just now with my body<br />
behaving. I’ve just returned from a holiday<br />
to Dubai and I will eat cake today.<br />
Jenny Hayes, Leighton Buzzard,<br />
Bedfordshire.<br />
it together<br />
Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 15
fundraising<br />
A bake off<br />
challenge<br />
for summer<br />
The sun should be shining and<br />
it’s time to put your inner<br />
Mary Berry or Paul Hollywood<br />
talents to good use by holding a<br />
Big <strong>Ovacome</strong> Bake Off.<br />
All you need is a venue, contestants to bring along<br />
their bakes a judge or two and a Big <strong>Ovacome</strong><br />
Bake Off party pack which is available free to help<br />
members hold baking<br />
fundraisers throughout<br />
the summer.<br />
Why not pull out the<br />
gingham table cloths<br />
and host an event for<br />
friends and family in your<br />
own garden to help raise<br />
money for the charity.<br />
The bake off could be<br />
part of your village fête.<br />
Or perhaps you could stage a village verses village<br />
competition, asking local chefs to judge the bakes<br />
and create a bit of a fanfare by inviting along local<br />
dignitories, celebrities and press.<br />
The packs, sponsored by national convenience store<br />
chain Nisa, were originally launched for awareness<br />
month. They have been so successful, however, that<br />
<strong>Ovacome</strong> is making them available on-going.<br />
Each pack - available from <strong>Ovacome</strong>’s office -<br />
contains bunting, guidelines on how to run an event,<br />
recipe ideas, a certificate for the winner and even a<br />
branded tea towel to clean up afterwards.<br />
Further tea towels and also aprons can be purchased<br />
from <strong>Ovacome</strong> to use as prizes for the bake off<br />
perhaps, with respective retails of £5 and £10 a piece.<br />
Other merchandise - such as <strong>Ovacome</strong>-branded<br />
balloons and T-shirts to wear on the day - is also<br />
available to help your event go as smoothly as if<br />
Mary Berry were organising it herself.<br />
• For your free party pack and other <strong>Ovacome</strong><br />
merchandise contact Sonia Vig in <strong>Ovacome</strong>’s<br />
head office on 020 7299 6654.<br />
Ready<br />
baked<br />
Tens of <strong>Ovacome</strong> supporters have been holding bake offs since<br />
spring to help raise thousands of pounds for the charity.<br />
• Top fundraising bake off was an event organised by Kirsti Fox,<br />
who has won tea for two at The Ritz with <strong>Ovacome</strong>’s patron<br />
Jenny Agutter. Together with the<br />
Mildenhall Lions volunteers she<br />
raised £900 for the charity. They<br />
recruited local chefs to judge the<br />
Great Mildenhall Bake Off, which<br />
helped attract the media and also<br />
some 70 contestants.<br />
Contestants paid to enter, the cakes were<br />
sold and there was a raffle. Kirsti decided<br />
to have seven categories: a sponge of up<br />
to eight inches; a tray bake; cup cakes;<br />
a signature bake, scones; 12s and under<br />
and a showstopper.<br />
Most interest came from the children’s Kirsti and Andy Fox and<br />
Ann Taylor-Balls (left to right).<br />
section which had more than<br />
35 entrants. And the crowds were wooed<br />
with a four tier wedding cake and another depicting a beach scene.<br />
“It was fun, and I couldn’t have managed it without the help of the<br />
other Lions Club volunteers,” says Kirsti, who is now planning a<br />
parachute jump to raise further money for <strong>Ovacome</strong> this summer.<br />
• Elizabeth Buckley’s bake off, which<br />
she held at a friend’s restaurant in<br />
Sandbach, raised £555. She charged<br />
£3 on the door, to cover the cost of<br />
refreshments, combined the event<br />
with a raffle and sold the cake after<br />
judging.<br />
A fun day for all.<br />
She needed nerves of steel with just<br />
10 people signing up on Eventbrite the weekend before. In the end<br />
20 people baked, including five children, and it was a “truly fantastic<br />
fun day”, with tens of people attending says Elizabeth.<br />
She would like to give a special thank<br />
you to her friend Suzanne Gee who not<br />
only allowed the bake off to be held at<br />
her restaurant, Gee’s Kitchen, but also<br />
ran the Marbury 10K raising a further<br />
£305 for <strong>Ovacome</strong>. This helped bring<br />
Elizabeth’s final fundraising tally, which<br />
included donations for her posting bald<br />
photos of herself as famous characters<br />
online, to almost £1,600.<br />
Elizabeth Buckley (right)<br />
rewards entrant.<br />
16 Phone <strong>Ovacome</strong>’s nurse led support line on 0845 371 0554 it together