What is “Brain Fog” and why does it happen?


“Brain Fog” is one of the terms given to an array of neurocognitive deficits which are often reported by cancer patients and survivors following cancer chemotherapy and/or other cancer treatments. Cognitive dysfunction can include the loss of ability to remember certain things, learn new skills, or complete certain tasks.

Cognitive changes are real – not imagined – and can cause problems in everyday life, such as short-term memory loss, difficulty concentrating, losing train of thought mid-sentence, mixing-up metaphors, or making up words. It is important to differentiate “brain fog” from reduced brain function caused by sleep deprivation, fatigue, and worry, which can occur even BEFORE chemotherapy or other treatments for cancer begin.

The causes of cognitive impairment are not entirely clear; many factors combine to produce symptoms. Possible factors or contributors are: 1) the cancer itself, particularly cancers of the brain, 2) cancer treatments, 3) complications of cancer treatment, 4) emotional reactions to cancer diagnoses and treatment (stress is a medical condition which can affect brain  physiology).

Please join us to gain a deeper understanding of this condition and learn how to better manage it – there are many tips and tools available. Seating is limited, so take this opportunity to connect to others who are also facing this syndrome by registering for our free workshop here. 

“By becoming an active participant in your fight for recovery, along with your healthcare team, you’ll have a better quality of life.”                                                                                                     Michael Sieverts (10-year cancer survivor and patient advocate).


Unsafe Disposal of Medications Affects You, Me, and Our Environment


Throughout my oncology career I have felt a bit unsettled knowing the multitude of medications our patients receive. Many of these medications may go unused for a number of reasons – either the medication stopped working or was no longer tolerated or needed, the treatment regimen was changed, or symptoms were abated. Under most circumstances, unused medication cannot be returned to a local pharmacy – a two-fold issue, as we are responsible for keeping them from getting into the wrong hands, and disposing of them in an environmentally sound manner.

Because most individuals are not aware of how to properly dispose of medications, – billions are  flushed down toilets, drains, and dumped into landfills. Improperly disposing of pharmaceuticals is worrisome, because by default they are designed to alter normal biological processes. Epidemiologists, endocrinologists, and other scientists do not yet understand the full effects of the collective exposure of these medications on humans, and to top that, the sheer volume of medications – including over-the-counter herbs, vitamins and minerals – continues to be increasingly consumed and excreted by Americans every day.

It is most concerning that studies are showing evidence of antibiotics in our sewage, which is contributing to the creation of antibiotic-resistant bacteria. Other common medications found in our sewage are anti-depressants, hormone medications, birth control pills, and other endocrine disruptors, which are chemicals that can mimic hormones and interfere with the hormone system in mammals. Some of these can contribute to the growth of cancerous tumors, birth defects, and other developmental disorders. Because it is so costly to upgrade wastewater and sewage treatment techniques to a system that removes these chemicals, many municipalities do not have them. What we can do to minimize the effects of prescription medications is take personal responsibility to follow accepted standards for the disposal of our own unused medications now. Here’s how: 

  1. Talk to your Pharmacist. Research shows that pharmacists are some of the most accessible healthcare professionals. As medication experts, pharmacists are available to guide you on how to properly dispose of your unused medications.
  2. Never flush medications down the drain or toilet. There are several other methods to properly dispose of medications on your own. Please link to the resources below.
  3. Chemotherapy medications must be treated as bio-hazardous waste. Contact the Specialty Pharmacy that dispensed or mailed you the medication for complete instructions regarding proper disposal. You may also call the pharmacist at the clinic or hospital that prescribed the medication.

Take-Back programs are the safest and most environmentally friendly way to dispose of prescription medications, preventing both misuse and abuse.

In Durango, Colorado, we are fortunate to have a year-round local Take-Back program, which is sponsored by the Durango Police Department. The disposal bin is located at 990 E. 2nd Ave., Durango, Colorado, with a detailed list of medications that will be accepted on Monday-Friday, 8 am-4:30 pm. Take-Back programs DO NOT accept any form of chemotherapy medications.

Where do the medications go from there? Currently the most common way of rendering medications and controlled substances as unusable is through incineration, which is a process that ensures the medication does not get into the wrong hands, or end-up in our community water system.

Please remember that most of our municipal wastewater treatment plants are not designed to treat water for the removal of all prescription and over-the-counter medications and cannot remove most of the chemicals and compounds in medications that are being released directly into our waterways. It is imperative that we all do our part to dispose of medications in the recommended ways to ensure that others and our streams, lakes, and rivers stay healthy! 

Safe Storage and Disposal of Medications (Cancer.Net)
AWaRXe Safe Disposal Site Locator
FDA’s Safe Disposal of Medications – or call 888-463-6332




Ease Through Aroma


When you hear the word “aromatherapy”, what comes to mind? For some folks, it might be scented candles or smokey, incense-filled shops. For others, it may be a visit to their massage therapist or a walk in a sweet-smelling pine forest. Still others might be drawing a blank right now. Regardless of what popped into your head, did you know that aromatherapy may offer some relief for those undergoing chemotherapy or radiation treatment? Here are a few areas where essential oils may help. Just a small collection of oils can go a long way.

Nerve pain – Some chemotherapy drugs cause nerve damage (neuropathy), which can result in numbness, tingling or downright pain. To help with discomfort, add the following to 1 ounce of carrier oil (eg. olive, jojoba, almond): 4 drops of Roman Chamomile (Anthemis nobilis), 6 drops of Palmarosa (Cymbopogon martinii), 6 drops of Geranium (Pelargonium graveolens), 4 drops of Frankincense (Boswellia carterii) and 4 drops of Lavender (Lavandula angustifolia, Lavandula vera or Lavandula officinalis). Apply where needed several times a day. One ounce should last about a week or so. Better yet, have a loved one apply for you…for instance a gentle foot or hand massage. For cold fingers or toes, try substituting 4 drops of Ginger in place of Frankincense. Read More