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Patient Choices Vermont Endorses

Residency Requirement Challenge

Patient Choices Vermont (PCV) applauds the work of Dr.

Diana Barnard, in collaboration with the national organization

Compassion & Choices, to challenge the residency requirement

contained in Vermont’s Act 39 in Federal Court.

Act 39, adopted in May 2013, enables terminally ill

Vermonters who are capable of making their own medical

decisions, the option to request and receive medication they

can use to bring about a peaceful death; if and when they so

choose. Act 39, like similar laws in other states across the

country, makes end-of-life choice available only to residents

of Vermont. PCV agrees with the plaintiffs in the lawsuit who

state that this restriction is unconstitutional, and that it

improperly restricts people from crossing state lines to receive

the medical services they seek. Medical aid in dying is the

only medical service that is subject to such a restriction.

A recent lawsuit settlement in Oregon created an important

precedent for deleting the residency requirement in Vermont.

The Oregon settlement requires officials there to 1) issue

directives halting enforcement of the unconstitutional residency

provision, and 2) initiate a legislative request to permanently

remove the residency language from the law.

PCV has worked since 2013 to educate and expand the

network of Vermont’s medical providers who support patients

throughout the Act 39 process. The PCV Helpline and website

resources will be augmented to assist out-of-state residents

once they can legally access medical aid in dying in Vermont.

Family history continued from previous page

STRONG RISK:

Women with strong risks have much higher chances of

developing breast cancer than the general population. Conditions

like having one or more first- or second-degree relatives

with breast cancer diagnosed at age 45 or younger, triple

negative breast cancer, primary cancer of both breasts, and

both breast and ovarian cancer in the same relative are warning

signs of increased risk.

It’s important for women with increased risk for breast

cancer due to family history to discuss options with their

doctors. More frequent mammograms and other screening

tests may be recommended, and screening at younger ages

than the standard age also may be considered. Women who

are at high risk may be urged to undergo genetic counseling

and testing for hereditary breast and ovarian cancer markers.

Breast cancer can be an especially scary prospect for

women with family histories of the disease. By familiarizing

themselves with their risks for breast cancer, women can take

the necessary steps to protect their long-term health.

OCTOBER IS BREAST CANCER AWARENESS MONTH | THE WORLD

Make Yourself Your Top Priority

From the moment a person gets diagnosed with breast cancer, they

are immediately surrounded with a care team.

Oncologists, surgeons, radiologists, nutritionists, oncology

social workers, genetic counselors and mental health professionals

work together to provide care.

However, that team can only do so much. Ultimately, a

cancer patient needs to be committed to self-care throughout

the treatment process and afterward to contribute to a successful

outcome.

TAKE INVENTORY

The University of California San Francisco Medical Center

is in the process of researching whether self-care and lifestyle

changes can improve survival rates and lessen some of the

side-effects experienced during treatment. While they don’t

yet have definitive results, they recommend

• Developing good self-care skills. Take care of yourself the

way you would your best friend, your spouse, your child.

• Eat well. Don’t jump from diet to diet and either deprive

yourself or binge. Find ways to eat that are healthy and make

you feel good about yourself.

• Drink plenty of water.

• Sleep well.

• Avoid cigarettes and excessive alcohol.

• Manage stress. What can you change? What do you need to

adapt to?

• Move your body. Discover what sort of movement feels

good and provides you with pleasure.

• Identify the things that make you feel bad and figure out

how you might eliminate those things or make them less of a

stressor.

• Discover your passions, those things which give your life

meaning and stir your creativity.

Flexibility is also important. They write, “Lifestyle

change is not a written prescription that never changes. It is

a dynamic process that is often in crisis and flux throughout

breast cancer diagnosis and treatment.”

BE A STUDENT

Breast Cancer Now is a British charity devoted to research

and care. They have put together a self-care toolkit of videos,

tips, phone apps to provide daily self-care tips, help lines

and interviews with other survivors. Do your homework and

find the resources that match with your lifestyle and learning

style.

Breast Cancer Now’s toolkit is divided into the following

self-care areas:

• Be kind to yourself.

• Manage diet and exercise.

• Look after your mental health.

• Uplift your body image and identity.

Survivors share several practical ways to do all of the

above. Ann Silberman wrote an article for Healthline where

she recommended doing such things as hiring a cleaning service,

taking care of your hair or letting a stylist do it once a

week, finding somewhere in nature where you can walk or sit

and find peace, learning your limitations and communicating

them to your loved ones, starting new hobbies or spending

time doing ones you already love, and helping others.

Another place that can be your partner in self-care is a spa.

Many massage therapists are trained in oncology massage,

using protocols that can lessen the intensity of side-effects

you experience. Consider finding a spa near you that o fers

oncology massage and set up regular appointments; you may

even be able to purchase a subscription.

Every self-care plan will be unique. Build yours around

your individual needs and the things that most brings you

contentment and joy.

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October 5, 2022 The WORLD page 17

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