Breast Health Education & Teens!


Parents are a child’s first teachers! We spend countless hours assisting young people in acquiring skills that we hope will enable them to make wise decisions over the course of their lives. Yet many parents find it difficult to have conversations with their children about physical anatomy and human sexuality. Is it discomfort that keeps parents from addressing these topics? Perhaps it is because  many parents are not prepared, while still others simply fear having these vital conversations and believe this information will fuel the flame of curiosity.

Marilyn @ Naam 2012

Marilyn Calbert at a mobile screening event

This month is Breast Cancer Awareness Month, and as a YWCA Wellness Advocate, I have been leading many conversations around breast health and supporting community mammography screening events. At one event in particular, I noticed a teen with her mother staring intently at the prosthetic teaching device as I demonstrated how to perform a breast self exam to the woman. The look on the teen’s face displayed mixed emotions. I could see fear as I talked about breast cancer, and I could see curiosity as she moved in closer to the model and crept her finger to the edge of it as she discretely tried to touch it. I also watched her mother squirm with discomfort as she watched her daughter. The mother shared that she brought her daughter to the event to teach her the importance of having a mammogram.

The mother also told me how her daughter had been asking her about the purpose behind the pink ribbon campaign. She had asked, “Do you get mammograms, Mom?”  The mother had replied yes, had explained the process of a mammogram to her daughter, and had asked if she would like to come with her to the appointment. Having come to the mammography event together, they both looked at me with smiles of relief as I continued sharing information about breast health with both of them!

Since that interaction, I have looked more closely at information on the importance of explaining mammograms and gynecological exams to teens:

Helping teens gain this awareness is giving them a boost up to being healthy adults. Every teenage girl should have had at least one pelvic exam by the time she graduates from high school. This exam should come sooner if she is sexually active. During the visit for the pelvic exam, the doctor will also perform a clinical breast exam, palpitating both breasts and under the arms to check for lumps and other signs (such as dimpling of the skin and unusual discharge from the nipple) of breast cancer.

As Breast Cancer Awareness Month continues and I continue educating women and their families about the importance of mammograms, I am reminded of this teen and her mom. I am also reminded of my very first mammogram at the age of 18. My mom hadn’t talked to me about self breast exams, nor had she taken me to a mammogram appointment with her  – even though she went to them faithfully. And I don’t remember there being such wide-spread media coverage or public information in my community about breast health and breast cancer.

At 18 years old, I discovered a lump! I immediately told my mom and we made an appointment to have things checked out. After having a clinical breast exam by the doctor, I had my very first mammogram. I remember being afraid, crying and praying! Many thoughts went through my mind and I didn’t understand what was going on with my body. For the next few days, I read everything I could on the breast and breast cancer.

At that time – in the 1970s – the recommendation was to have surgery and have the lump removed. These days, doctors often perform an ultrasound or biopsy to learn more about what’s going before talking about surgery. After my surgery, I awoke in recovery and the first thing I did was touch my breast. I cannot began to tell you the relief and joy I felt when it was just a benign cyst! Everything was ok.

From that day till this one, I have always examined my breasts, had mammograms, and encouraged others to do monthly self breast exams on the 7th day after their cycle starts or on the date of their birth if they are no longer having menstrual cycles.

If you don’t have health insurance or are in need of a mammogram, call  206-461-4489 and I can assist you!

Make a Plan. Be Prepared.


NPM_logo_CMYKNo matter where we live, there is always the possibility of a man-made or natural disaster.

September is Disaster Preparedness Month. This is a great time to make a plan and practice it with your family so that if there is a disaster – like an earthquake, wildfire or flood – you’ll be able to be safe and prepared together.

It only takes a few steps to become more prepared.

For example – you can build an emergency supply kit that includes:

  • First aid kit
  • Whistle to signal for help
  • Food, at least a 3-day supply of non-perishable food
  • Water, one gallon of water per person per day, for at least 3 days, for drinking and sanitation
  • Can opener for food
  • Local maps

Some additional items to consider adding to your emergency kit are:

  • Prescription medications and glasses
  • Infant formula and diapers
  • Matches in a waterproof container
  • Feminine supplies and personal hygiene items
  • Sleeping bag or warm blanket for each person

FEMA has a full checklist available that can help you put together a solid emergency supply kit. Go through it with a family member and start setting items aside now.

And if you or a family member is living with a disability or is a senior, learn about how to enhance your plan. For example, consider how to care for any service animals or pets; talk to friends, neighbors or coworkers in case you would be in need of assistance; and include important documents in your emergency kit like copies of your social security card, medical records, and bank account information. Read more about some of these specialized tips at FEMA’s Make a Plan website.

Take the steps now to protect yourself and your family in the event of a disaster.

Visit www.ready.gov to learn more and access resources – o visita www.ready.gov/es si habla español.

 

How is your child’s dental health?


Our dental health is an essential component of our overall health. Regular brushing, flossing, and dental cleanings can go a long way to keep us healthy.

Did you know that caring for our dental health should start as early as one year old? For those of us who have young children, it’s super important for us to model good dental health and teach our children good habits.

Public Health – Seattle & King County has shared a video with lots of tips and educational information to help us care for our children’s dental health.

Learn more about why dental health is important for young children and what you can do to promote your health!

How does our trauma impact our health?


It’s May! This month not only do we recognize National Women’s Health Week, but we also honor and celebrate mothers.

As I watch news updates on the status of the Nigerian young women being held captive, my thoughts continually go back to their mothers. As a mother and grandmother myself, I can only imagine the agonies these mothers must be experiencing each moment their daughters are being kept away from home.

In the United States alone, approximately 800,000 children are reported missing each year. As a health educator, I understand the negative impact of trauma that a family experiencing an abduction and the community surrounding them has. And with the world watching what happens to these Nigerian young women, we are all invested.

On Monday, Boko Haram released a video of the kidnapped girls. The New York Times reported that the video was “an unwelcome window into [the] children’s forbidding new world was opened to the grieving parents.” The Nigerian government had arranged a first showing of the video in Chibok, Nigeria, to identify the girls, but it had to be halted abruptly when the parents became overcome with grief.

“The families became upset and they started crying ‘this is my child,’ ” a senior state official said. “They started shouting. They had to stop the filming.”

Continuing to watch the newscast Monday night, I began to feel a knot in my stomach as my eyes filled with tears. I thought about everything I have been taught relating to stress and an individual’s living environment and how adversities such as these can negatively affect the blood pressure, heart, and various other parts of our health. Below is information shared from the Office on Women’s Health during this week – National Women’s Health Week.

NWHW_mental_health-infographic

As government officials around the world continue to strategize to bring these young women safely home, let us remember their families and each of us as we endure this ordeal and be ready with physical and mental health services in the aftermath. What can we do to take care of ourselves when faced with high-stress situations? Sometimes we are affected just by hearing the stories of other’s trauma. Sometimes the trauma is ours.

To talk through stressful situations or traumas, feel free to contact the YWCA to schedule an appointment! Call 425.922.6192 or email Mental Health Director Chris Bingham.

How Stress Can Impact Our Bodies


We all deal with a little stress now and then. But some of us have been more exposed to what is called “toxic stress” than others.

The National Scientific Council on the Developing Child has identified three kinds of stress:

  • Positive stress results from adverse experiences that are short-lived. . . . This type of stress causes minor physiological changes including an increase in heart rate and changes in hormone levels. . . . This type of stress is considered normal and coping with it is an important part of the [human] development process.

  • Tolerable stress refers to adverse experiences that are more intense but still relatively short-lived. Examples include the death of a loved one, a natural disaster, a frightening accident, and family disruptions such as separation or divorce. . . . If we lack adequate support, tolerable stress can become toxic and lead to long-term negative health effects.

  • Toxic stress results from intense adverse experiences that may be sustained over a long period of time—weeks, months or even years. An example of toxic stress is child maltreatment, which includes abuse and neglect. Children are unable to effectively manage this type of stress by themselves. As a result, the stress response system gets activated for a prolonged amount of time. This can lead to permanent changes in the development of the brain.

When a child experiences toxic stress, we are finding that there are long-lasting effects on that child’s health. San Francisco’s Nadine Burke Harris, MD, talks about the physiological effects and impact on the immune system that can take place when someone is exposed to toxic stress.

Below Dr. Burke Harris is interviewed on KQED Newsroom, a weekly news magazine on public television in San Francisco. Give it a watch – Dr. Burke Harris does a great job explaining the impact of toxic stress and some of the things we can do to “heal the effects of toxic stress.” And to learn more, visit this KQED blog post on the impact of toxic stress on children and Dr. Burke Harris’ work.

How does racism impact pregnancy outcomes?


Yesterday, the YWCA Health Access Department’s five programs (BABES NetworkCommunity Mental HealthHealth Care AccessHealthy Birth Outcomes, and Women’s Health Outreach) got together for an all-day retreat. We spent some time catching up with the other programs in our department, sharing our appreciation for each other, and learning some new technology tips.

We also spent some time talking about racism and white privilege, particularly in the realm of health and health care. And during this conversation, we watched a clip from Unnatural Causes. In case you aren’t familiar with Unnatural Causes: it is a PBS video series that “uncovers startling new findings that suggest there is much more to our health than bad habits, health care, or unlucky genes. The social circumstances in which we are born, live, and work can actually get under our skin and disrupt our physiology as much as germs and viruses.” The clip that we watched talked about the impact of racism on women’s bodies – the bodies of women of color in particular – and the impact of racism on birth outcomes.

To learn more, watch the video below.

If you’re intrigued and want to learn more about health disparities and the impact of racism on other areas of health and our bodies, I hope you’ll watch the full DVD. See if your local library has a copy!

Personally & Professionally Stand Against Racism!


??????????I am an African American woman with five beautiful granddaughters, one of whom is currently expecting her first child. I am both excited and concerned!

I am also the Lead Advocate in the YWCA’s Healthy Birth Outcomes program, which provides education, case management and services to pregnant women and mothers whose young children are at risk for low-birth weight and prematurity.

The Healthy Birth Outcomes program goals are to help women of child-bearing age to have a healthy birth and experience a supportive transition into motherhood.

We meet mothers where they are to help them address their greatest social stresses and barriers.

We promote health access through linkage and referrals for all mothers and their families, regardless of immigrant status, religion, race and ethnicity.

We advocate, for those unable to speak for themselves for lack of knowledge are disabilities. It’s an ever ending battle to advocate for those judged because of status, race, religion, and ethnicity.

HELP!!

Please take a few moments and share your stories or ideas on how we can together decrease infant mortality due to racism.  And remember together we stand and divided we fall!

Mama Power


Mama Power is the newest gallery in the International Museum of Women’s exhibition, MAMA: Motherhood Around the Globe.

IMW’s exhibit asks us: What kind of power do mothers wield?

Leader, activist…mother? Get to know the amazing women who are making a difference, and learn how mothers are flexing their personal and collective power to change the world.

Racism & Pregnancy


How has racism impacted your life and pregnancy? What can we do about it?

Join YWCA’s Healthy Birth Outcomes, along with facilitators from University of Washington and Open Arms Perinatal Services, for an afternoon of discussion, education and food!

When:     Friday, June 1, 2012

Where:   YWCA’s downtown multi-purpose room, 1118 5th Ave., Seattle

Time:      3-5 p.m.

Food and childcare will be provided, along with gifts for Mom and Baby. The whole family is welcome!

To RSVP or for more information, contact YWCA Healthy Birth Outcomes Outreach Specialist Emelia Udd at 206.436.8668. To share information about this event, take advantage of this flyer.

Breastfeeding in Seattle: “Would you eat your lunch in a public restroom?”


This week, the Seattle City Council unanimously approved legislation that protects breastfeeding mothers in Seattle from discrimination. Also this week, The Stranger published an article on this legislative victory that advocates have been pushing for – for over 9 months.

The new ordinance, which will likely take effect in May, will allow mothers to lodge discrimination complaints with the Seattle Office for Civil Rights, which will then investigate the alleged discriminatory businesses and collect statements from the mothers and witnesses. If the city finds a violation, it could impose fines of $750 or more, consistent with any other city discrimination charge (such as discrimination based on gender, race, or sexual orientation), and require that a business complete sensitivity training. In addition, a mother could seek claims of up to $10,000 in Seattle Municipal Court.

Leticia Brooks, one of the women advocating for this legislation (and quoted in The Stranger‘s article) shared her story at a Seattle City Council’s civil rights committee meeting last week. After having been forced to feed her child in a public restroom in the past, Ms. Brooks asked the committee, “Who wants to feed their child in a bathroom stall? … Would you eat your lunch in a public restroom?” (italics are mine). Local breastfeeding advocates – mothers, nutritionists, and doctors – have promoted the legal protection of women breastfeeding in public because, despite state-wide protection, women in Seattle continue to be discriminated against, stigmatized, and humiliated by employers, in restaurants, and by perfect strangers. These advocates argued their case by sharing that:

…nursing lowers child obesity rates, infection rates, and chronic diseases, while improving a mother’s mental and physical health (lowering breast- and ovarian-cancer risks, for example). They also pointed out that breast-feeding has been linked with reducing infant mortality rates.

Committee chair Bruce Harrell is the sponsor of this legislation. In the words of The Stranger‘s Cienna Madrid, Harrell “dismissed scattered opposition from sexed-up residents who squawked about the salaciousness of seeing a woman’s bare breast, saying simply, ‘This is a civil rights issue.'” To read the law itself, or to contact Seattle’s Office for Civil Rights with questions or to file a complaint, please visit their website.