As time flies by, more and more progress is made in the fight against cancer. Over the years, new and better screening methods have emerged, cutting-edge technologies have surfaced, successful treatments have saved lives that may have otherwise been lost, and awareness has been raised about all sorts of cancer-related issues. It's amazing really, because in so many areas, we are not making progress.

According to research published in the March/April 2007 issue of WebMD: the Magazine, the per capita consumption of corn sweeteners in 2004 was 78.1 pounds in the United States -- up from 35.3 pounds in 1980. In 2005, the per capita consumption of candy by Americans was 25.7 pounds. We are pumping our bodies full of junk -- our rates of obesity in this country prove it.

When I think about our trend of over-eating and over-indulging, I gain a better appreciation of how far we've come medically. Not only have researchers, scientists, and medical experts made strides in the prevention and treatment of disease, they've done it against the odds. Just think how much more progress we'd make if we all did a little better at living healthy lives. Why not start now?

The opinion was overwhelming. I was too young for breast cancer. I heard it time and time again before my diagnosis and while it was mildly comforting to know that women in their early 30s -- like me -- rarely develop breast cancer, a sensation deep in my gut told me I was headed for something that defied statistics.

Two years ago -- on November 18 and 19 -- the clues concerning the lump in my breast were stacking up. At the time, the odds were in my favor -- despite the sinking feeling that sat in the pit of my stomach.

November 2004

I went to my OB/GYN on November 18. My doctor felt the lump but was confident it was nothing to worry about. It moved around easily, there was no discharge from my nipple, I did not feel any pain -- all signs that it was benign. But it's routine to get a mammogram for any mass so I got one the next day.

I was the youngest person waiting to get my mammogram, another sign that this lump was nothing serious because it is not common for young women to have breast cancer. Mammograms are not even recommended for women under the age of 40. I am 34. The mammogram films looked okay and the technician told me the doctor would talk to me but that she was not worried about anything. This was true but she did an ultrasound anyway to look further at the lump.

She determined it was not a cyst, which is fairly common, and nothing serious. It could be a fibroma (a common growth that can be removed or left in place without harm) or it could be cancer. She said she wanted me to have the lump removed. She wanted it out and "in a jar," she said. I asked her if it could be cancer and she said it could be.

My mom's best friend died from pancreatic cancer just three months after her diagnosis with the disease. One of my co-workers lost her mother to the same disease just weeks after diagnosis. Another co-worker's husband lost his battle with pancreatic cancer after a 15-month all-out fight. And a family friend has somehow been surviving this deadly disease for years now. He's the exception, defying the odds rarely in favor of long-term survival.

About 33,730 people will be diagnosed with pancreatic cancer in 2006. Many of them -- 32,300 -- will die from the disease that is rarely caught early. Pancreatic cancer is the fifth leading cause of cancer death in the United States.

Technology has come a long way over the years -- and now the technology behind digital mammography is allowing life-saving screenings for the toughest patients to diagnose with breast cancer.

This is no small technological breakthough. It is a critical component for lowering the breast cancer death rate the American Cancer Society reports has declined 2.3 percent each year between 1990 and 2002. Since breast cancer is a treatable disease if caught early, digital mammography will up the odds of survival for women with this disease.

Digital mammography operates according to a computer-based technique that allows for digital manipulation of a breast X-ray. It exceeds the capability of film mammography -- and is much like the comparison between digital photography versus film photography. Both work. But one works better.

Studies show digital mammograms have a lot to offer. They detect tumors better in young women with dense breast tissue, for example. They allow for ease of storage and retrieval of images. And they can easily become part of a woman's electronic medical record.

There are still benefits of traditional mammography and women are still urged to use this less expensive option. They are also urged to conduct self-breast exams and to report for clinical exams with physicians. It's the whole package that contributes to comprehensive breast health, not just one isolated test. When used in combination with all other screening methods, digital mammography makes for a more accurate overall picture.

Heartburn has never really been considered a major health concern. It has been considered uncomfortable and annoying and troublesome -- yet still only a harmless nuisance. In recent studies, though -- summed up in the September 2006 Oprah magazine -- heartburn has been linked to a deadly form of esophageal cancer. Apparently, people who experience heartburn one time per week or more have a fivefold or greater risk of adenocarcinoma of the esophagus -- a cancer with incidences jumping as much as 500 percent over the past 40 years. Experts insist, however, that adenocarcinoma is still rare. One doctor states that 40 percent of Americans have heartburn once per month -- yet only 8,000 to 9,000 people develop this specific cancer each year.

For the unfortunate few who do go on to contract cancer, there is hope in a surgical procedure to remove the cancer and part or all of the esophagus and nearby lymph nodes -- which can dramatically increase the odds for survival. For most of us, a bit of heartburn does not signal an eventual cancer diagnosis. It just means we might need to self-treat the symptoms with over-the-counter remedies. And a recent review at Stanford suggests that sleeping with your head elevated can reduce reflux pain.

You should see a doctor if your heartburn results in a consistent burning sensation, difficulty swallowing, or vomiting.

I don't even know where to start with the news I've just heard -- news that just popped up in front of me in the form of an e-mail while I was sitting at my computer, in the midst of a pretty happy day. The title of the e-mail that entered my in-box read I miss you. It was from my friend Amy in Ohio. Amy and I have never met, have only e-mailed and spoken on the phone, and are fortunate to have found each other as a result of a mutual friend -- Ericha -- who connected us because of our similar breast cancer journeys. Amy and I are both in our 30s, both have a husband and two young children, and both were diagnosed with cancer that had not spread to our lymph nodes. We felt lucky. But the news that Amy shared with me today is not so lucky.

Love, Amy

And so that is all I know. And it's really all I need to know. It's enough to know that cancer is unpredictable -- despite the statistics that indicated we both had pretty high odds of surviving. It's enough to shatter my hopeful spirit. It's enough to make me wonder if this will happen to me. It's enough to make me truly sad.

Yet in the midst of this news, I will hang on to one thought -- Miracles happen every day.

Recent research indicates that obesity makes ovarian cancer deadlier and more likely to recur. According to physician and senior author of the study, Dr. Andrew J. Li of the Cedars-Sinai Medical Center, maintaining ideal body weight is important for many reasons. This is just one more reason to reduce obesity -- because obese women suffering from advanced ovarian cancer are more likely to die than women at healthy weights. They also suffer recurrences more quickly. On average, women in the study considered overweight or obese saw an average of 16 months before recurrence while those considered underweight or at a healthy weight saw 25 months.

Perhaps it's the secretion of adipose tissue that makes tumors less sensitive to chemotherapy. Li said there are ideas on the table -- and his team are looking into them. One fact they feel certain about is that obesity does not increase the chances of contracting ovarian cancer. It just shows the odds of survival are diminished once the disease has been contracted.

Sometimes drinking alcohol is healthy. And sometimes drinking alcohol is harmful. Studies show that one drink per day -- compared with no drinking at all -- can reduce a woman's risk for heart disease and stroke by 50 percent. And other research indicates that older women who drink moderately have better cognitive skills. But there are also downsides for women who drink even moderate amounts of alcohol.

Even as little as one-half drink per day increases the risk of breast cancer -- possibly because alcohol raises estrogen blood levels which can promote growth of breast tumors. Women are also more likely than men to become dependent on alcohol and to experience other consequences too -- including damage to the brain and other organs. One in 13 adults in the United States has a serious alcohol problem -- and at least six million of these adults are women. And because the risk for alcohol-related health issues increase with age, older women should be especially careful of their alcohol intake for the purpose of maintaining health and limiting the odds of a breast cancer diagnosis.

In the interest of balancing the healthful and harmful effects of alcohol, The Harvard Women's Health Watch suggests that women over the age of 65 limit themselves to one drink per day. Or less.

Hair colorist Jason Backe hopes hair dye does not cause cancer -- because he is covered in it every day in the Manhattan hair salon where he works. But the topic of hair dye and cancer has been on his mind lately -- because he has been fielding questions from clients about the possible link between the two ever since an American Journal of Epidemiology study was released and caused nationwide panic about hair dye upping the odds that women might contract lymphoma -- a cancer of the lymphatic system. But on Thursday, a New York Times article summed up opinions from both experts and hair stylists, revealing that most everyone believes this panic is not necessary.

Recent studies found that those who had ever used hair dye were 1.19 times more likely to get lymphoma than those who had never used it. Those who colored their hair before 1980 -- before then-questionable chemicals were removed from hair dyes -- were 1.39 more times likely to get the disease. Ann Curry on the Today Show said, "These are scary numbers," but Dr. Barnett Kramer, associate director for disease prevention at the National Institute of Health said, "Compared to risk factors for other diseases, those numbers are very small." Smoking makes people 10 to 60 more times likely to get lung cancer. According to Dr. Joseph K. McLaughlin, president of the International Epidemiology institute, if these numbers are true -- and that's a big if -- it would mean that using hair dye may present a remote risk to your health. But it would still be less risky than crossing a street, driving a car, not wearing a seat belt, or drunk driving.

I am not exactly in a panic about this whole issue. But before I heard the news about hair dye and cancer, I did dye my hair -- once. And I don't think I will do it again -- even though the risk may be small -- because I have already had cancer. And any amount of risk associated with any type of cancer is just something I don't want to mess with.

I have read all kinds of material on increasing your odds for survival and how to keep cancer from returning. Odds of returning. Odds of surviving. To me that all sounds like taking bets at a horse track. At one time in the medical profession, the five year mark for being cancer free was the milestone to claim you beat the disease and that you are a true survivor. Five years to me didn't seem too long. I could do that. Five years later seemed like an eternity to me after my bladder cancer returned 22 months after my first diagnoses. Even more so after the third recurrence of bladder cancer and two lumps having to be removed from my breast 16 months later after finishing up my second round of treatments. Coming up on my 36 month anniversary in 10 days for being clean, can I not consider myself a survivor?

I have a friend that went through a double mastectomy for breast cancer while she was in her twenties and she is now in her forties. She is definitely a survivor. I have a friend who just finished treatments a month ago and to me she is just as much a survivor as the first. I also have two dear friends that passed with cancer after a 6 and 8 month battle. But for a duration of time, they were surviving.

Being a victim to this disease is very clear. It is when we are diagnosed and our lives change instantly on our vulnerability, our strength, and our mind set. And sometimes it means death. So when can we claim ourselves to be survivors?

Well in my humble opinion we are all survivors from when we are first diagnosed to whatever stage or time period we are in right now. We are living so we are surviving. We are facing the beast head on and going day to day in the activities of our lives.  Keeping a positive mind set is one of the best ways to deal with everything that gets thrown at you from the first time you hear "You have cancer."

So this is my mind set. I was a survivor one day after being diagnosed in 1998, and I have continued being a survivor although the cancer returned twice. I fight it. I am alive. I am a survivor. And so are you no matter what stage you are in facing this disease. You are alive so you are a survivor. You have the ability to create your own mind set. Whether your attitude is positive or negative, is up to you. So tell yourself that you are a survivor and keep that in your mind so you can over come all the hurdles that life puts in front of you every day you face the sunrise off in the horizon.

When Rachael Williams -- a young woman of 24 with no family history of cancer -- was diagnosed with breast cancer, her doctor told her she had better odds of winning the lottery than she did getting cancer. "I just wish I had bought a ticket," said Williams.

In fact, because she was no where near being in the risk-factor category for cancer, when she found the lump and contacted her universal health care physician, they put her on a 14-week wait list. Her parents were more concerned and insisted she see a private physician. A week later Williams had a lumpectomy and was diagnosed with breast cancer. She went on to have lymph nodes removed, radiation therapy and suffered the usual debilitating and demoralizing side effects of hair loss and weakness from the chemotherapy sessions. She had to deal with early menopause, self esteem, and deciding what to do about the prospects of becoming a mother in the future.

At 24, she felt very alone and isolated from friends her own age. When she talked about cancer, they talked about one of their grandparents with cancer. Breast Cancer Care Lavender Trust connected Williams to support groups and young adults living with cancer. This made all the difference for her morale and cancer survivorship. To read more about Williams, go to the BBC News feature article I had breast cancer aged 24. 

Photo credit: Jane Elliott BBC News