C
A Lot At Risk
arrollton resident Stacey Morin didn’t meet many of the risk factors for breast cancer – she had children, she was young, and had no history of breast cancer in her immediate family. When she received her diagnosis, her husband, Charles, and children Audrey and Nathan pulled together to support her.
Michelle Lewis, with her daughters Althea and Angela, believes God was behind connecting her with the treatment team at Tanner Cancer Care that helped her beat her cancer.
Learning to see the signs during a journey through cancer treatment Michelle Lewis, 56, believes that God gives us “nudges and whispers” to get our attention. “But we don’t always listen,” she said. Looking back on last February, she now believes He was literally tapping her on the back when she felt a strange twinge on her left shoulder that wouldn’t go away. “I thought I had just pulled a muscle or something,” she said. “So I ignored it.” She continued dismissing the subtle signs when she found a small knot in her left breast. “If my mother had told me that she had found something like that, I would have taken her to the doctor right away,” she said. “But I told myself that my lump would probably disappear.” Instead, it grew rapidly over the next month into a mass a little larger than a golf ball. “I was shocked at how fast it got bigger,” Lewis said. “But I still didn’t think it was cancer.” After consulting a homeopathic physician, Lewis was sent to Tanner Medical Center/Villa Rica where she received a mammogram and was told that the lump was suspicious. “At that point, I needed to find a breast surgeon to do a biopsy,” she recalled. Soon after, she believes she received another sign from God. While grocery shopping, she met an acquaintance who had been going through breast cancer treatment with Raul Zunzunegui, MD, a board-certified and Susan G. Komen Fellowship-trained surgeon with Comprehensive Breast Care Center, part of Tanner Medical Group. Lewis had never met “Dr. Z.,” as he is known to his patients,
See MICHELLE, Page 7
Stacey Morin, of Carrollton, with her husband Charles and children, Audrey and Nathan.
Family, their support have been ‘absolutely amazing’ BY TONY MONTCALM
Stage 2. And it had spread to her lymph nodes. Raul Zunzunegui, MD, a board-certified Stacey Morin didn’t meet the risk factors for breast cancer. She was young, healthy, and Susan G. Komen Fellowship-trained surgeon with Comprehensive Breast Care had children and had no history of breast Center, part of Tanner Medical Group, cancer in her immediate family. called her with the diagnosis. When Stacey Morin found the lump in “When I first saw him, I had almost no her breast during a routine self exam, she expectation that it’d be breast cancer,” said had no reason to suspect it would be breast Morin, who lives in Carrollton and works cancer. There was no immediate history of breast cancer in her family, and at 35, she as a lecturer of English at the University of West Georgia. “I, like most women in knew she was at an age when there was my family, had fibrocystic breast tissue, relatively little risk of her developing the so I thought the lump was probably just a disease. benign cyst. I actually had the biopsy the So, she waited. week we were leaving for Disney World “It wasn’t time for my annual gynecologist appointment,” she said. “I was a little and left for the trip without worrying further about the biopsy. When Dr. Z called worried that my insurance wouldn’t cover with the results, he first asked if we were me seeing the gynecologist twice in one back from our trip. He was so thoughtyear. So, I waited until it was time.” About six months later when it was time ful that he wanted to make sure the news for her visit, her gynecologist, Christopher wouldn’t ruin our family vacation.” Since the cancer had already progressed Jewell, MD, with Carrollton OB-GYN and to stage 2, Morin’s options for treatment a member of the medical staff at Tanner had grown more limited. Still, Morin asked Health System, urged her to go ahead her team at Tanner Cancer Care to throw and get a mammogram at Tanner Breast everything they had at the cancer. Health in Carrollton. “I had two small children,” she said. “My A mammogram, ultrasound and biopsy later, the diagnosis was confirmed: it was See STACY, Page 7 breast cancer. It was in her right breast. FOR THE TIMES-GEORGIAN
Inside This Special Section
As a calculus teacher, Janene Browning, 38, starts every year by introducing the concept of mathematical limits. But last year, she gave her students an object lesson in moving beyond one’s perceived limitations. PAGE 3
West Georgians have felt the harsh impact of our soft economy. Many families have had to tighten their budgets. One family had adjusted to the challenging economy when they received unexpected news: a cancer diagnosis. PAGE 5
Pink for a reason We know what many of you are thinking: what is up with the pink paper? Well, that is just what we wanted to you to say ... October is recognized as National Breast Cancer Awareness Month — the event each year touching the lives of millions of individuals around the world. And over they years the color pink quickly became a powerful theme for this hugely successful effort to raise awareness. From professional football players to children involved in a local fundraiser, the color pink has moved to the forefront as the banner color for helping people better appreciate and understand the impact of this movement. This year the TimesGeorgian and Tanner Health System decided to do something special to raise awareness — as you can see in your hands today. Together we joined to purchase a very special run of pink newsprint created just for this year’s drive. Inside you’ll find heartwarming stories as well as articles to help educate our community of opportunities and solutions to dealing should an event touch them or loved ones. Additionally, you’ll find the generous support from local businesses who wanted to help make this special publication a reality. Raising awareness is only one step. Carroll County is blessed with wonderful resources to address such challenges. Beyond the many caring people who work behind the scenes, there are countless volunteers who are there at every turn. This is a unique community to say the least. On behalf of the Times-Georgian and Tanner Health System, we hope you’ll find this very special edition a welcome addition to our community.
A group of women gather at Tanner Breast Health in Carrollton to enjoy each other’s company, share news about their families, discuss what they’re doing at work and learn something new. And, oh yes, to talk about their experiences with breast cancer. PAGE 9
2 - THE TIMES-GEORGIAN, OCTOBER 2013
At Tanner Health System
New breast cancer testing options available One of the most important parts in successfully battling cancer is early detection. Detecting cancer in its earliest stages, even before symptoms develop, is critical. Early detection can mean less aggressive treatments, shorter recovery times and higher survival rates. Being aware of the risk factors for breast cancer and following recommended guidelines for testing can help women stay healthy and even save their lives. “Finding breast cancer early is a huge benefit for patients,” said J. Richie Bland, MD, a board-certified radiation oncologist with Tanner Radiation Oncology and medical operations leader for Tanner Cancer Care. “The effectiveness of treatment and the range of options available are substantially better when the cancer is found early, before it can grow or spread to other parts of the body.” Risk factors While no one can predict or even prevent whether or not he or she will develop cancer, there are some risk factors—both avoidable and out of one’s control—that can increase the likelihood of developing the disease. Risk factors that can be avoided are related to lifestyle. Not having children, using birth control pills, undergoing hormone therapy, drinking alcohol, being overweight or obese, and not being physically active can result in an increased risk of developing the disease. Other risk factors are outside women’s control. Gender, age and genetic risk factors (especially a family history of breast cancer and mutations in the genes BRCA1 and BRCA2) also can translate into higher risk of developing the disease. Digital mammography: First line of defense For decades, the most
nic groups (Ashkenazi Jewish groups, for instance, have shown high rates of BRCA mutations). Aside from one’s risk for developing breast cancer, additional factors to consider are the cost and amount of testing covered by health insurance, if any, and the need for genetic counseling before and after testing to help assess risks and benefits of testing, among other things. Women should take into account all these factors and consult with their physician to decide if BRCA testing is a good option for them. Guidelines for Mammograms
The first step in diagnosing breast cancer is mammography. Tanner makes state-of-theart digital mammography more convenient and accessible with the “Mammography on the Move” mobile mammography unit. Dates, times and locations that the unit will be offering mammograms throughout the region are available at www.TannerBreastHealth. org. powerful tool in detecting breast cancer has been screening mammography. The process exposes the breast tissue to a low dose of X-rays, capturing an image of the breast tissue and helping to identify potentially cancerous areas. Traditional mammography uses film, which must be processed like the film from a traditional camera. Also—as with traditional cameras—the technologist conducting the mammogram cannot be sure that a clear image has been taken until the film is developed. Tanner Health System has been on the forefront of bringing the latest in digital mammography to west Georgia, first at Tanner Breast Health in Carrollton and now at Tanner Breast Health in Villa Rica and the diagnostic imaging department at Higgins General Hospital in Bremen. With digital mammography, the tech-
nologist conducting the mammogram can see immediately if a clear image has been taken. The highly detailed image also can be reviewed more thoroughly by the radiologist, who can enhance and “zoom in” on the image to more thoroughly search for signs of cancer. Without the time required for processing film and with the digital images sent immediately to radiologists for review, the identification of potential problems also is much faster.
mography unit is available to serve at a wide variety of events and locations, making access to digital mammography and bone density screenings more convenient for area women than ever before. The unit uses the same advanced diagnostic imaging systems available at Tanner’s other digital mammography centers, but makes mammograms far more convenient. Mammography on the Move is regularly in communities throughout the area, from Woodland and Wedowee Keeping mammography in east Alabama to close to home Whitesburg, Bowdon, Franklin and elsewhere. Digital mammogA complete list of raphy has been availupcoming appearances able through Tanner’s and scheduling informafacilities in Carrollton, tion for Mammography Villa Rica and Bremen for some time, but now on the Move is available online at www. women throughout TannerBreastHealth. the region have even org. more access to this powerful diagnostic BRCA Testing procedure with the new A family history of “Mammography on the Move” mobile mammog- breast cancer can’t be raphy unit from Tanner. helped, but identifying The new mobile mam- whether or not one has
“You”
We Put the Like every woman, you are unique—with your own unique personality, experiences and genetics.
in Unique
That’s why—should you ever be faced with an abnormal mammogram or a diagnosis of breast cancer—you’ll appreciate the personalized, comprehensive and integrated approach to treating breast disease that the compassionate patient care team at Comprehensive Breast Care Center delivers to every unique patient. The patient care team led by Raul Zunzunegui, MD, FACS, a Susan G. Komen Fellowship-trained breast surgeon, works seamlessly with Tanner Cancer Care specialists—including board-certified medical and radiation oncologists, pathologists and radiologists—to develop a complete approach to help you overcome breast cancer. The entire Tanner Cancer Care team practices “under one roof” in Carrollton, providing a single destination for diagnosis and treatment that’s close to home. Tanner Comprehensive Breast Care Center provides: Evaluation and treatment of benign Ultrasound-guided and malignant breast disease Mammotome® biopsy Sentinel lymph node biopsy Stereotactic breast biopsy Breast conservation surgery MammoSite® RTS placement for (lumpectomy) radiation therapy And more For more information or to schedule an appointment call, 770.812.5886. 157 Clinic Avenue, Suite 302-A Carrollton, GA 30117 www.CompBreastCare.org 770.812.5886
a genetic predisposition to develop breast cancer can help ensure that women keep an eye out for the disease or allow women to be more proactive with prevention. Researchers have identified the BRCA1 and BRCA2 (BReast CAncer 1 and BReast CAncer 2) genes that produce proteins to repair damaged deoxyribonucleic acid (DNA), which is the carrier of genetic information. If these genes are mutated, the DNA repair process is affected, and this leads to an increased risk of certain cancers, including breast cancer. With the advances in testing options, these genetic mutations can be detected by examining DNA from blood or saliva samples. The mutations in the BRCA genes can be inherited from one’s parents, so family history is an important consideration when trying to decide if BRCA testing is necessary. BRCA mutations are very rare outside of certain eth-
With all the continued research and the development of new testing methods, recommendations for mammograms remain generally the same. “The American Cancer Society and Tanner Cancer Care recommend yearly mammograms for women starting at age 40 and continuing for as long as they are healthy,” said Raul Zunzunegui, MD, a board-certified surgeon with the Comprehensive Breast Care Center, part of Tanner Medical Group. “Women at higher risk for breast cancer should consult their physician regarding the optimal age to start getting yearly mammograms. Depending on their specific risk factors and family history, they might need to get yearly mammograms starting between age 30 or 35. In addition, some of them might benefit from annual breast MRI testing in addition to yearly mammograms.” To schedule a mammogram at any of Tanner’s regional mammography centers, call 770.836.9721 today. More information on mammography in west Georgia is available online at www. TannerBreastHealth. org.
3A - The Times-Georgian - DAYXXX, DATEXXX, YEAR
THE TIMES-GEORGIAN, OCTOBER 2013 - 3
South Paulding High School math teacher Janene Browning found a swell of support among her students, colleagues and family, including her daughter, Toree Wofford.
School supports teacher through cancer treatment
As a calculus teacher at South Paulding High School, Janene Browning, 38, starts every year by introducing the concept of mathematical limits. But last year, she gave her students an object lesson in moving beyond one’s perceived limitations. Her students were among the first people she told when she was diagnosed with breast cancer in May 2012. They already knew something was wrong when she started missing school. On the day of the biopsy that definitively diagnosed the Stage 1 cancer in her left breast, 50 concerned students were already crowded into her classroom when she came in late, demanding to know what was up. First, Browning shared her diagnosis with her family. Then, she told her students. “Telling them what I was going through was a great relief,” she said. “Fighting breast cancer isn’t something you can tackle on your own, and telling my students and fellow teachers about it gave me added strength.” The entire school rallied around Browning as she went through chemotherapy, a double mastectomy and radiation. Students designed a T-shirt in her honor. The slogan read, fittingly, “My Limits Do Not Exist.” On the back, each shirt said “Browning 21.” Nearly 400 shirts were sold to raise money for breast cancer research and a gas card for Browning. Her fellow teachers also pitched in, cooking meals and helping to care for her 8-year-old daughter. When she came back to school after her surgery, students volunteered to do everything from cleaning her dry erase board to carrying her supplies. “I always tell my students that there’s a problem-solving technique for everything,” Browning said. “And they became wonderful problem-solvers on my behalf.” Her other key problem solvers were her physicians at Tanner Health System, Raul Zunzunegui, MD, her surgeon, and Randall Pierce, MD, her medical oncologist. “It was so important to find doctors who developed a relationship with me, answered all my questions and had time to talk with me,” she said. “I even discovered that Dr. Pierce shared my love of mathematics.” Dr. Zunzunegui is a board-certified and Susan G. Komen Fellowship trained surgeon with Comprehensive Breast
Care Center, part of Tanner Medical Group. Dr. Pierce is a board-certified medical oncologist with Northwest Georgia Oncology Centers and a member of the medical staff for Tanner Cancer Care. “The team approach we’re able to offer through Tanner very definitely has a positive impact for patients like Ms. Browning,” said Dr. Pierce. “We’re able to come together to discuss cases one by one. Dr. Zunzunegui and I are in the same building, we’re a phone call away, and we’re working alongside other cancer specialists who can help determine the best way to beat a given cancer. That’s a very powerful advantage.” Her support network inspired and enabled Browning to keep working and stay busy. While
going through treatment, she missed only 17 days of school, and she even played in the World Series of Softball tournament in Orlando days before her last chemotherapy session. She’s now in the very last phase of treatment and will soon undergo a second reconstructive surgery. “Throughout this process, I felt that I had the opportunity to teach my students a life lesson about how breast cancer can happen to anyone,” she said. “They know me as a young teacher, an athlete and someone who is in shape and takes care of herself—and I got breast cancer. I wanted to show them that you can’t always control what happens to you, but you can control your attitude.”
No one is ever prepared for a diagnosis of cancer. But when your treatment options include surgery,
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OUR PHYSICIANS Brian E. Barden, MD, FACS David W. Griffin, MD, FACS Barry F. Harris, MD, FACS James C. Pope, MD, FACS Thomas E. Reeve III, MD, FACS Jon Stanford, MD, FACS
4 - THE TIMES-GEORGIAN, OCTOBER 2013
CharterBank customers champion local cancer patients By Mary Saravia Busby as other cancer care For the Times-Georgian
CharterBank customers are helping local cancer patients in need with a gift from The Charter Foundation. Each year, CharterBank customers vote for three eligible nonprofit organizations to receive a $5,000 grant from The Charter Foundation. This year, one of the organizations that customers voted to support is the Choirs for Cancer Fund at Tanner Medical Foundation. The grants are intended to help nonprofit organizations in CharterBank’s markets carry out unique, innovative projects in the areas of community and economic development, human and social needs, environmental protection, conservation and enjoyment and cultural and artistic projects. Last year, The Charter Foundation made grants totaling more than $361,000. “Every day, there are people in our community battling for their life with extraordinary courage and grace,” said Chuck Thompson, regional president for CharterBank in Carrollton. “We are proud to play a small role in helping them by supporting Choirs for Cancer, which helps to ease the financial strain families face during this battle. We thank our customers, and everyone who supports The Charter Foundation for helping us to make a big difference for local cancer patients.” For people in our community facing cancer without a job, insurance or other resources, resources available through Tanner Medical Foundation’s Choirs for Cancer fund, as well
and prevention related funds, provide desperately needed assistance. CharterBank is one of many organizations that champion local cancer patients by supporting these funds. For example: West Georgia Ambulance holds an annual Ruby S. Green Yard Sale For Breast Cancer the first Saturday of each November. Proceeds support the Ruby S. Green Indigent Mammogram Fund at Tanner Medical Foundation, established in memory of a West Georgia Ambulance employee who lost her battle with breast cancer. The fund makes mammograms possible for area women who could not otherwise afford this life-saving screening. West Georgia Technical College supports Tanner’s Mammogram Assistance Fund with its Hoops for Hope basketball tournament. This year, the tournament will be held on Saturday, Oct. 19, at Oak Mountain Academy. The Curves & Chrome Weekend Rally for a Cure, held each July by Bikers Battling Breast Cancer Inc. supports advanced testing for Tanner breast cancer patients. Tests such as stereotactic breast biopsies, breast ultrasounds, CT scans, PET scans, MRI scans and BRCA genetic testing can help physicians determine the extent, or stage, of a patient’s breast cancer and help guide informed decisions about treatment options. Funds are raised at the “Steps To Help Breast Cancer Awareness Walk” at Ranburne High School
Chuck Thompson, regional president for CharterBank in Carrollton (left) and Casey Pierce, CharterBank regional branch coordinator/AVP (right) present a $5,000 check to Kathy Mathis, director of Tanner Medical Foundation to support local cancer patients through the Choirs for Cancer fund. to help local breast cancer patients purchase cancer care items such as headscarves and mastectomy bras through the Tanner Breast Health Patient Care Products Fund. Like The Charter Foundation, the Carrollton Civic Woman’s Club supports local cancer patients through a gift to Choirs for Cancer. Proceeds from their annual “Fall Salad Luncheon” are dedicated to this fund. Each November, Choirs for Cancer raises funds to assist local cancer patients through the sponsorship and ticket sales of the Choirs for Cancer concert. This year, the concert will take place on Thursday, Nov. 21, at the Joshua R. Mabry Center for the Arts at Carrollton High
School. This thrilling night of celebration and song will feature Grammy and Dove Award winner Babbie Mason, the celebrated Georgia Spiritual Ensemble performing profoundly moving spirituals, humorist Ken Kington and more exciting performers. Tickets will be available in early October online at www.ChoirsForCancer. org, by calling 770-812GIFT (4438) or at the door the night of the event. “We are truly grateful to the customers of CharterBank and The Charter Foundation,” said Kathy Mathis, director of Tanner Medical Foundation. “Their generosity will literally provide a lifeline to patients who could not otherwise
afford their medication, treatment and other expenses related to their cancer care. The positive impact this gift will have on families in our community cannot be overstated.” Those wishing to support local cancer patients with a donation may send a their gift to Tanner Medical Foundation at P.O. Box 695, Carrollton, GA 30112; make a gift online at www.tannerMedicalFoundation.org; or by calling 770-812GIFT (4438.) The Charter Foundation, a nonprofit charitable foundation, was established in December 1994 by the Members of CharterBank (formerly Charter Federal Savings and Loan Association based
in West Point and LaGrange, Ga., and Valley, Ala.). The Foundation provides funds to eligible nonprofit organizations in its original markets to help them carry out unique, innovative projects in specific fields of interest to enhance the quality of life in those communities. Tanner Medical Foundation is a nonprofit organization that supports the services of Tanner Health System through the philanthropic efforts of the community. Tanner Health System serves the healthcare needs of west Georgia and east Alabama. To learn more about Tanner Health System or Tanner Medical Foundation, visit www.tanner.org.
THE TIMES-GEORGIAN, OCTOBER 2013 - 5
Lifting a financial burden for cancer patients BY MARY SARAVIA BUSBY
For the Times-Georgian
Like many people throughout the country, west Georgians have felt the harsh impact of our soft economy. The rising cost of basic necessities, combined with record unemployment in the region, has forced many families to tighten their budgets. One Haralson County family had adjusted to the challenging economy when they received unexpected news: a cancer diagnosis. “I was diagnosed on Jan. 24 with stage one mucinous carcinoma of the breast,” said Patty Harrell. “They said that it was rare.” According to the American Association for Cancer Research, mucinous carcinoma accounts for just 2 percent of all breast cancers. It begins when a tumor forms in the milk duct and spreads into nearby healthy tissue. The good news was that it typically responds well to treatment. The bad news was that even with health insurance, a cancer diagnosis strains many budgets and places a heavy burden on families. Many patients are unable to work while receiving cancer treatments because of the impact of both the disease and the treatment. Families already balancing the normal day-to-day expenses are now faced with costs for medication, treatment and other expenses related to their cancer care. “First I had a lumpectomy, then the chemo was next,” said Harrell. “I took four treatments
of chemo three weeks apart. And then they gave me a little time off before I started radiation.” With quiet determination and the support of her family, friends and “church family” at Highland Baptist Church in Tallapoosa, Harrell endured radiation treatments for 24 consecutive days, with just one exception: the Fourth of July. Following her radiation treatment, she was prescribed a breast cancer medication that was not covered by her insurance. “It was about $300 for a 30-day supply,” said Harrell. “I told Dr. Shepherd and my nurse navigator, Jane Baker, that I would not be able to afford that medication.” She soon received the news that the Choirs for Cancer Fund at Tanner Medical Foundation would be able to provide assistance with the cost of her cancer medication. “I just felt like a load had been lifted,” said Harrell. “I felt so thankful that there are still people with means that can help people like me. I didn’t even know about the fund until Jane (Baker) told me it could help. Everyone was so good to me at Tanner.” Community support of the Choirs for Cancer Fund makes it possible to help lift some of the financial burden of cancer care. Since 2010, more than $170,000 has been raised to assist local cancer patients. There are many ways to support the fund. Community members can create a “Personal Page”, an
Patty Harrell of Tallapoosa received assistance with her breast cancer medication from the Choirs for Cancer Fund at Tanner Medical Foundation. She and her husband Emmett say they have been blessed by the community support that makes the fund possible. easy-to-build fund raising Web page at www. ChoirsForCancer.org. Sponsorship and ticket sales for the annual Choirs for Cancer concert are another source of support, along with tax-deductible donations to Tanner Medical Foundation. There is a powerful and lasting impact of the Choirs for Cancer fund. Harrell’s husband, Emmet Harrell, became emotional describing what it meant to him. “For us it has really been a blessing. It really has,” he said. “You know, if someone has never been in a life threatening situa-
Cancer concert at 7 p.m. on Thursday, Nov. 21, at the Joshua R. Mabry Center for the Arts at Carrollton High School. This thrilling night of celebration and song will feature Grammy and Dove award winner Babbie Mason, the celebrated Georgia Spiritual Ensemble performing profoundly moving spirituals, humorist Ken Kington and more excittion, it’s kind of hard to ten the treatment that ing performers. understand what it feels she needed when she Tickets are $20 like to go through it or needed it,” continued each and can be purwatch your loved one go Mr. Harrell. “It helps through it. And believe to know there’s a friend chased online in early October at www. me it’s not easy. It’s out there even if they ChoirsForCancer.org, by really not.” don’t know us.” calling Tanner Medical “Had it not been for Tanner Medical the help we received, Foundation will host the Foundation at 770-812we could not have gotfourth annual Choirs for GIFT (4438).
‘I just felt like a load had been lifted. A felt so thankful that there are still people with means that can help people like me. I didn’t even know about the fund until Jane (Baker) told me it could help. Everyone was so good to me at Tanner.’ •PATTY HARRELL
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6 - THE TIMES-GEORGIAN, OCTOBER 2013
Lady Trojans help cancer patients ‘fight like a girl’ BY MARY SARAVIA BUSBY For the Times-Georgian
It was a good day to fight like a girl. On Sept. 10, both Carrollton High School’s (CHS) Lady Trojans and Alexander softball teams were not only trying to strike out each other, but also help strike out cancer. Though Alexander won the eight-inning contest, the game was about much more than wins and losses on the softball diamond. “It’s more about winning in life as opposed to winning a softball game,” said Lisa Phillips, CHS head varsity softball coach. “This game was an opportunity for our girls to support those who are in the fight now, give admiration to those who have survived, and honor those who have been taken by breast cancer.” For the last four years, the second week of September has marked the “Fight Like a Girl” softball game for the Lady Trojans. The Georgia High School Association has designated this week of the softball season as Breast Cancer Awareness week. “We had a great turnout,” said Phillips. “This is becoming one of those events that that the Trojan nation really looks forward to.” Eleven breast cancer survivors were honored and escorted onto the field by the Lady Trojans to take part in a ‘Diamond Dash’ from second base to home plate. “We wanted them to steal second base from cancer and score their run at home,” said Phillips. “We thought it
The Carrollton High School Lady Trojans honored breast cancer survivors at their “Fight Like a Girl” day and raised $500 to help women receive mammograms through Tanner Medical Foundation’s Mammogram Assistance Fund. was fitting.” Survivors Rose Hollie, Becky Ragsdale and Irene Kendrick were escorted by Savannah Nalley, Jackie Cain and Bailey Anderson. Two seniors escorted special cancer survivors onto the field – their grandmothers. Amelia Cooper escorted her grandmother, Marilyn Cooper Todd, a 16-year survivor and 12-year cancer survivor, Larrue Hubbard, was joined by her granddaughter, Alli Hubbard. Several survivors from within the school system were also honored. Kim Hungerford is an eighth grade Georgia Studies teacher at Carrollton Junior High School and 1-year survivor. Carrollton
native, Shanon Melson, is a teacher at Carrollton Middle School and a 12-year survivor; and Anne Potts is a bus driver for Carrollton City Schools and a 4-year survivor. They were brought onto the field for the ‘Diamond Dash’ by senior Montana Miles, Jaclyn Eaves and assistant coach Terry Jay Phillips. Venita Steed attended the game both as program director for Tanner Breast Health and also as a breast cancer survivor. She was escorted onto the field by junior Katie Jones. “What Coach Phillips is accomplishing is amazing,” said Steed. “She is teaching our
students the philosophy and values of being part of a team. In a larger sense, she is also teaching them how to be part of the community and to give back. She is an outstanding role model for our young women to look up to.” Faye Phillips, mother and mother-in-law of coaches Terry Jay and Lisa Phillips, continued the game tradition by throwing the first pitch. She was escorted to the pitcher’s mound by her grandson and assistant coach Eric Jay Phillips. In the weeks leading up to the game, the team sold almost 200 pink “Fight Like a Girl” T-shirts and donated $500 to Tanner Medical Foundation’s Mammogram Assistance
Fund. The fund ensures women who could not otherwise afford a mammogram receive this essential screening that is considered the first line of defense in the detection and treatment of breast cancer. The game also created an opportunity for the coaches to offer the team a valuable insight about not taking their own health for granted. “We discussed the importance of maintaining a healthy lifestyle and making sure you have regular checkups,” said Phillips. “One of the ladies we honored is in her early 30s. You just never know when cancer could happen.” The Lady Trojans softball team feels good about what they accom-
plished with the game, though they are looking forward to their next opportunity to challenge Alexander. “Obviously, we are there to win ball games,” said Phillips. “But at the same time I think the intrinsic value that the team receives from the “Fight Like a Girl” event - that is priceless.” The opportunity for these young women to learn a life lesson from the breast cancer survivors they honor. “The fight they are fighting is so much more than a softball game,” said Phillips. “Not that I like to lose but it teaches our kids that you can’t give up just because you have adversity in your life. You have to continue to fight.”
Stephen H. Kahler, M.D.
West Georgia’s Only Board Certified Plastic & Reconstructive Surgeon
Breast Reconstruction Awareness Day BRA Day October 16, 2013 The Federal Women’s Health and Cancer Rights Act of 1998 Signed into Law on October 21, 1998 Required coverage for women who elect to undergo Breast Reconstruction in connection with a mastectomy: • All stages of Breast Reconstruction on which the mastectomy has been performed. • • Surgery and Reconstruction of the other Breast to produce a symmetrical appearance. • • Prosthesis and physical complications of mastectomy including lymphedemas.
Breast Reconstruction Facts: • Breast Reconstruction procedures rose from roughly 13% in 2000 to 36% in 2009 <Insurance Law Tied to More Breast Reconstruction. Medscape. May 03, 2013>
• Less than 23% of women know the wide range of Breast Reconstruction options available <bradayusa.org>
• Fewer than 1 in 4 women with insurance have Breast Reconstruction immediately after having a mastectomy to treat their Breast Cancer. <Charlene Laino, WebMD HealthNews>
150 Henry Burson Drive, Suite 200 Carrollton, GA 30117
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Michelle Lewis had her final radiation treatment on Sept. 5.
Michelle Lewis
Cooperative Extension Service in Carroll County and leaned but she’d been hearing about heavily on her husband, Mike, him from other breast cancer who accompanied her to her patients. initial appointment armed “At just that moment, who with lists of questions. Her should come walking down daughters and friends accomthe aisle but Dr. Z. himself,” panied her to the following Lewis said. “I didn’t want appointments to offer support. to introduce myself to him Finally, on Sept. 5, she then—I was too emotional— had her last radiation but that was the moment I treatment at Northwest said, ‘OK, God, I hear you. Georgia Oncology Centers in This is my doctor.’” Carrollton, part of Tanner In January 2013, Dr. Cancer Care. There was only Zunzunegui performed a one more thing left to do. biopsy and found the mass to Lewis had noticed the “Bell be malignant. She also had a of Hope,” which patients ring lymph node involved with can- after their last treatment to cer from her breast. signal their move into the “The bad news, always, survivorship phase, but she’d is that we’ve found cancer,” never paid it much attention. said Dr. Zunzunegui. “That’s “I thought it was a nautical always a terrible thing to thing,” she said. That mornhave to tell a patient. But ing, however, she got everythen, the good news for Ms. Lewis was that we have a lot one’s attention as she pulled of treatment options we could the clapper and the peals sounded throughout the faciloffer her, and we could be ity. confident that the treatment “We love that sound,” said would be effective.” David Shepard, MD, a mediLewis took the diagnosis cal oncologist at Northwest hard, but then found the faith Georgia Oncology Centers and resolve to go forward. and part of the patient care “When I learned that I did have cancer, I remember cry- team at Tanner Cancer Care. ing in my bathroom,” she said. “It’s the sound of a whole new chapter opening in someone’s “But then I just looked at myself in the mirror and said, life.” Lewis is already thinking OK, I’m done crying. It’s time about other ways to celebrate. to move on.” “I always wanted to go Moving on meant a treatparachuting,” she said. “And ment course of chemotherapy, after going through cancer a lumpectomy and lymph treatment, jumping out of node removal, and radiaa plane will be a piece of tion. Throughout the treatcake. In fact, it sounds like ment, Lewis kept working Heaven.” at the University of Georgia Continued from Page 1
THE TIMES-GEORGIAN, OCTOBER 2013 - 7
Stacy Morin: Her risk
Continued from Page 1A
son was only 18 months old, and my daughter was in preschool. My worst fear was that I wouldn’t be here for them. It was devastating to me that this would have a ripple effect on their lives, and my husband’s life.” Morin took advantage of the Tanner Cancer Care Promise: 3 Days From Diagnosis to Treatment Options, and within a week of her diagnosis she was ready to start treatments. Bradley Larson, MD, a board-certified medical oncologist with Northwest Georgia Oncology Centers and a member of the medical staff at Tanner Cancer Care, oversaw Morin’s chemotherapy. Stephen Kahler, a boardcertified plastic surgeon with the West Georgia Center for Plastic Surgery and a member of the medical staff at Tanner Health System, performed Morin’s reconstructive surgery. Her treatment included a double mastectomy—even though the cancer wasn’t detected in Morin’s left breast, she didn’t want to risk it developing—the removal of 14 lymph nodes, chemotherapy and radiation. “Dr. Z (Zunzunegui) was my breast specialist, Dr. Larson was my oncologist and Dr. Kahler was my plastic surgeon, and I don’t think I could’ve received better care anywhere else,” said Morin. “They were fantastic. All of them had my best interest at heart throughout the entire process.” Her family rallied around her. “My family was absolutely amazing,” Morin said. “They became ‘Team Stacey’ and even made Team Stacey T-shirts the entire family wore. My daughter helped shave my head after I lost most of my hair; then, my husband
picked up the clippers and shaved his! I certainly gained a deeper love and appreciation for my family through this experience.” Her husband, Charles, is a chemist with Georgia Power. On his side of the family are two physicians— Denis Morin, MD, a family practitioner with Buchanan Family Healthcare Center, is her father-in-law, and Alexandre Morin, MD, a board-certified radiologist with Georgia West Imaging, is her brother-inlaw. They knew that, along with her young age and the absence of a history of breast cancer in her immediate family, the fact that Morin also had children further reduced her risk of developing breast cancer. “They were shocked,” Morin said. “We all were. But they were so supportive. My father-in-law underwent open heart surgery in his early 40s, so he understood what it was like to have such a life-changing diagnosis at a relatively young age. Alex actually read my breast MRI and prepared me for the possibility the cancer could be in my lymph nodes.” Dr. Denis Morin and his wife, Louise Morin, were so moved by the experience that they established an endowment in her honor. The Stacey C. Morin Breast Cancer Fund benefits underserved women in Haralson County, funding mammograms and offering education on the importance of early detection of breast cancer. The fund is administered by Tanner Medical Foundation. “Our first event is on Oct. 12,” said Morin. “It’s during Breast Cancer Awareness Month. Tanner’s mobile mammography unit will be at Tallapoosa East Baptist Church from 9 a.m. to 3 p.m. It will make mammograms more accessible
to those who don’t have time to schedule a mammogram or are reluctant to do so. We will also offer free mammograms to those in need of financial assistance. So we’re very excited about that.” Morin said that fear of the cost of a mammogram should not be a factor in avoiding them. “It was one of the reasons I waited,” said Morin. “But there are funds available, even in our own community, that will help pay for you to have a mammogram. That shouldn’t be a reason to avoid it.” Another lesson that Morin has learned: risk factors are not guarantees. Breast cancer can strike anyone, at any age, regardless of the risk factors they may have. “Many women think of breast cancer as something to think about when they get older, but I certainly learned that family history and age are not the only factors,” said Morin. “I encourage women in their 30s to do monthly self exams, to consult their OB-GYN immediately if they find a lump and to not hesitate to see their doctor for fear of a lack of insurance or fear of what the mammogram might find. Early detection can mean a totally different treatment plan than what I had to go through.” To schedule a mammogram at Tanner Breast Health in Carrollton, at Tanner Breast Health in Villa Rica, Higgins General Hospital in Bremen or on Tanner’s “Mammography on the Move” mobile mammography unit, call 770.836.9721. To learn more about the mammogram assistance funds available at Tanner, call Tanner Breast Health in Carrollton at 770.836.9280. For more information on breast cancer screenings at Tanner, visit www. TannerBreastHealth.org.
8 - THE TIMES-GEORGIAN, OCTOBER 2013
Four myths — and the facts — about breast cancer Here’s a hard truth about breast cancer: about one in eight women will develop the disease in her lifetime. But breast cancer myths also abound. Do you believe any of them?
Members of the Tanner Activities Committee Regina Shelnutt, Shirley Hamil, Janet Daniels, Courtney Ward, Kim Thomas and Dathan Sorrow display the Cruisin’ To Conquer Cancer T-shirts being sold to raise funds for the Cancer Patient Transportation Fund. The fund will assist Tanner cancer patients with expenses related to travel to and from their medical appointments.
T-shirt sale benefits cancer patient transportation fund By MARY SARAVIA BUSBY
are available in short-sleeved and long-sleeved versions, feature a For the sixth consecutive year, the design that reflects the transportaTanner Activities Committee is sell- tion fund it is supporting. The words “Cruisin’ to Conquer Cancer” suring T-shirts to support local cancer patients. This year, they are raising round a pink mini-bus being driven by colorful ribbons, a recognized funds for the Cancer Transportation symbol for support and awareness of Fund at Tanner Medical Foundation cancer. to help patients “cruise to conquer The design by Warren Tingen, cancer.” graphic designer for Tanner Health It may be difficult to imagine getSystem, also reflects the fun spirit of ting around west Georgia without the Tanner Activities Committee. reliable transportation, yet for those “The committee was chartered to living close to or below the poverty make Tanner a more fun place to line, affordable transportation can work, planning social activities to become a barrier to getting the cancelebrate employee successes,” said cer care that they need. Daniels. “And then we asked ourThe T-shirt campaign is aimed at selves what we could do to make a both raising money for the transpor- difference. We decided to sell T-shirts tation fund and raising awareness during breast cancer awareness about the need, which is often invis- month.” ible to the public. Since 2007, the employee-led “We’re encouraging everyone in committee has raised over $50,000 the community to wear the shirt in to assist local cancer patients, an achievement that placed them in the November to help raise awareness Tanner Medical Foundation “Patrick for the cause,” said Janet Daniels, Society.” The society was named chairman of the Tanner Activities in honor of Elwyn V. Patrick, MD, Committee at Tanner Health a member of the original Tanner System. More than 150 T-shirts were sold on the first day at Tanner Medical staff, and recognizes organizations and individuals who have Medical Center/Carrollton. “Tanner employees are always so supportive,” made cumulative gifts of $50,000 to said Daniels. “You can tell that we’re $99,000. “This is a great example of the proud to be in the business of helping incredible generosity of this commupeople.” nity,” said Daniels. “We have very The unisex green T-shirts, which For the Times-Georgian
blessed lives compared to so many people, and we are fortunate to live in a community that is willing and able to offer this kind of support to local cancer patients.” Caroline Herndon is hoping to bring this message to her fellow students at the University of West Georgia. She works with Daniels as an intern at Tanner Medical Center/ Carrollton and is a member of the Chi Omega sorority at the University of West Georgia. “One of the things about the Greek community is that we always try to help each other make a difference,” said Herndon. “We strive to help other people for the greater good.” Herndon is hoping to enlist the support of the sororities and fraternities to purchase “Cruisin’ to Conquer Cancer” T-shirts. The shirts are available for secure online purchase at www.tanner.org. Short-sleeved T-shirts are $15 each; long-sleeved are $20. The T-shirt sizes are unisex, and range from small to 3X. Online T-shirt orders will be shipped for only $3.50 per shirt around Oct. 17. If you would like to support the Cancer Patient Transportation Fund, contact Tanner Medical Foundation at 770.812.GIFT (4438) or visit online at www. TannerMedicalFoundation.org.
West Georgia Healthcare for Women is proud to be part of the diagnostic and treatment team at Tanner Cancer Care. With a vast range of screening services, we can detect cancer early and work alongside specialists, helping plan your treatment to achieve the best outcome: life after cancer. Because…
TOGETHER.
The Best Outcomes Happen When Everyone Works
West Georgia Healthcare for Women is part of Tanner Medical Group, and is proud to be part of an integrated approach to women’s health that includes: Annual exams and screenings In-office gynecological ultrasound Care for abnormal Pap tests Scheduling for mammograms and bone density screenings Cancer care with Tanner Cancer Care, including Tanner Breast Health and Tanner’s Roy Richards, Sr. Cancer Center Obstetric care and delivery Deliveries at Tanner Medical Center/Carrollton’s W. Steve Worthy Maternity Center Surgical services at Tanner Medical Center/Carrollton For more information or to schedule an appointment, call 770.214.2121.
West Georgia Healthcare for Women 150 Henry Burson Drive, Suite 215 Carrollton, GA 30117 www.WGHFW.org Amy Dodson, DO, FACOG David Helton, MD, FACOG
Myth No. 1: If you find a lump, it’s probably cancer. A lump or a thick spot in your breast or near your armpit is one possible sign of cancer. But most breast lumps are not cancerous. See your doctor if you have a lump or another change to your breast— including discharge from your nipples, variations in size or shape or red, scaly skin—that doesn’t go away. Even then, don’t panic. These signs are most likely caused by something other than cancer.
Myth No. 2: Most women who get breast cancer have a family history of it. Yes, having a mother, sister or daughter with breast cancer is a risk factor for breast cancer. But only about one-fifth to one-third of women with breast cancer have a close relative with the condition. You can’t change your genes, so if you’re concerned about cancer, focus on risk factors you can control. These include being overweight, using hormone therapy and drinking alcohol. Women who have two to five drinks daily have one-and-a-half times the risk for breast cancer as those who stay alcohol-free. Myth No. 3: Exercise prevents heart disease, not cancer. Studies show working out slashes breast cancer risk, no matter how late in life you start. The American Cancer Society recommends you sweat for 45 to 60 minutes at least five days per week. Recent research also suggests exercise benefits breast cancer survivors. For instance, those with swelling in their arms and legs reduced their symptoms and increased their strength by lifting weights. Myth No. 4: Breast cancer rates are on the rise. After increasing for decades, breast cancer rates have begun declining about 2 percent per year. Some experts think this is partly because fewer women take hormones during menopause after a 2002 study showed they increase breast cancer risk. More good news: Women are also increasingly likely to survive breast cancer. Earlier screening, better treatments and increased awareness may be to thank.
THE TIMES-GEORGIAN, OCTOBER 2013 — 9
Screening mammography tips from Tanner Breast Health The American Cancer Society recommends that all women should have a baseline screening mammogram between the ages of 35 and 40, and that beginning at the age of 40 women should have an annual screening mammogram. In addition to an annual screening for women 40 and older, women with certain risk factors should discuss an appropriate screening program with their physicians. Digital screening mammograms are available at Tanner Breast Health in Carrollton, Tanner Breast Health in Villa Rica and in the diagnostic imaging department at Higgins General Hospital in Bremen. Mammograms also are available throughout the region with Tanner’s “Mammography on the Move” mobile mammography unit. You can schedule a digital screening mammogram at any Tanner location by calling 770.836.9721. For a schedule of upcoming Mammography on the Move dates and times, visit www. TannerBreastHealth.org.
tender. Generally, breasts tend to be less tender during the week following a period. Reduce your intake of caffeine prior to your appointment.
What to Expect
You will need to undress above the waist for the mammogram. You will be provided with a wrap to wear during the screening. You and a female breast imaging technologist will be the only ones present during the mammogram. The technologist will position each breast, one at a time, on the mammography equipment. The breast will then be compressed, and the X-ray image will be taken. Breast compression may cause some discomfort for a brief time during the exam, but it should not be painful. By flattening the breast so that the maximum amount of tissue can be examined, a lower dose of X-rays can be used. The compression also helps to hold the breast in place to allow for clearer, more detailed images. The entire procedure Preparing for a should take about 20 minMammogram at Tanner utes, including 15 minutes All that is required to of preparation and five minarrange a screening mam- utes for the actual exam. mogram at Tanner is an Receiving Your Results appointment. A physician’s The images from your order is not necessary for a mammogram will be screening mammogram. reviewed by a highly skilled Some tips to prepare: radiologist on Tanner’s If you have had mammo- medical staff. The radiolograms in the past at other gist will send a report to facilities, call those facili- your primary care physities in advance and arrange cian and/or gynecologist, to have your previous mam- who will notify you of the mograms, reports and any results. If you schedule your mamother treatment reports formogram yourself without warded to Tanner. Do not wear deodorant, a primary care physician powder or cream under or gynecologist and your your arms, as it may inter- results are normal, you will fere with the quality of your be notified by mail following your exam. If additionmammogram. Schedule your mammo- al testing is required, the gram after your menstrual radiologist or a nurse from cycle. If you have sensitive Tanner will follow-up with breasts, schedule your mam- you by phone and may refer mogram at a time when you to additional providers your breasts will be less for further evaluation.
Sisterhood of Survivors Supporting the community — and one another
On the last Tuesday of every month at 7 p.m., a group of women gather at Tanner Breast Health in Carrollton to enjoy each other’s company, share news about their families, discuss what they’re doing at work and learn something new. And, oh yes, to talk about their experiences with breast cancer. Some members of the group, like Jan Robinson, 62, are native “Carrolltonians.” Robinson was diagnosed in 2007 and went to her first support group meeting one week before having a mastectomy. “I felt so comfortable from my very first meeting,” she said. “The ladies were so full of compassion and support, and they knew exactly what I was going through. Right away, I wanted to come back.” Other group members have fewer ties to the area, and some even commute from other towns. Brenda Auger, 55, was a newcomer to Carrollton when she came to her first meeting in 2010. “I had just moved to Georgia, and I had no family close by and didn’t know anyone in town,” Auger said. “I had just been diagnosed with breast cancer, and I wanted to meet some people who would help me through it. And as soon as I came to my first meeting, it was like coming home.” Venita Steed, RN, program director of Tanner Breast Health, started the support group about seven years ago, five years after going through breast cancer herself. “I was looking to create a support network that I hadn’t had during my treatment,” she said. Steed creates a loose agenda for each meeting, letting the women know about
Breast cancer survivors Jan Robinson, left, and Brenda Auger find strength and support at monthly meetings at Tanner Breast Health in Carrollton. various events and sometimes inviting guest speakers, such as nutritionists, massage therapists, yoga teachers and various healthcare professionals. Mostly, though, she keeps things pretty freeform. “It doesn’t take much prodding for someone to start a conversation about something or other,” she said. “The problem is wrapping things up at 9 p.m., because everyone is usually having such a good time.” In addition to supporting each other, the group reaches out to the larger breast cancer community. Members were instrumental in developing “Courage Kits,” which are given to every newly diagnosed breast cancer patient at Tanner Health System. The kits include a journal, stress ball and notebook full of practical advice on managing treatments. The women offered their own best tips for the notebook, and they help assemble the kits as needed. The group includes women of all ages, in all different stages of treatment. Robinson and Auger actually completed their treatment years ago but continue to show up. “I don’t think I’ve missed five meetings since I started coming,” Robinson said. “I’m
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in remission, but cancer is an ongoing battle. But I also just want to see my friends.” For Robinson and Auger, the support group has been a springboard into a number of volunteer activities, including serving on the Tanner Oncology Advisory Council, a group of community members who have been impacted by cancer and are looking to give back. The council promotes cancer awareness and education and finds ways to improve the patient experience at Tanner Health System. Past projects have included raising funds for a new “Bell of Hope” at Northwest Georgia Oncology Centers in Carrollton, which patients ring to celebrate the end of their treatment. The group welcomes new participants—as well as their spouses and caregivers—with open arms, but are careful not to overwhelm. “We understand that some people are very private, and they’re welcome to come and just listen and not say a word,” Robinson said. “We’re a sisterhood of survivors, and we strengthen and inspire each other,” added Auger. “But we’re also just a bunch of ladies getting together to have fun.”
10 - THE TIMES-GEORGIAN, OCTOBER 2013
Women can learn more about breast cancer risk through Dad
Tips to manage life with breast cancer
Women often don’t have a full picture of their family history when it comes to breast cancer, according to researchers in an issue of the American Journal of Preventive Medicine. In the report, researchers interviewed nearly 900 women without breast cancer age 40 and older. While 16 percent of the women noted a history of breast cancer on their mother’s side, only 10 percent reported breast cancer in their father’s family. The scientists said these numbers should be nearly equal because women should have about the same number of maternal and paternal relatives affected by breast cancer. What might explain the difference is that women are less aware of breast cancer on their dad’s side. This means they may not have a true picture of their family history — and their own risk for breast cancer. To better understand your family history, interview relatives on both sides. Besides talking with family, look at medical records and death certificates for answers. Try to find out which relatives had breast cancer and the age at which they developed the disease. If you are adopted, you may be able to get medical information on your birth parents from your adoption agency. However, this varies by state. Although you can’t change your genes, you may be able to lower your risk for breast cancer. Once you have a more complete picture of your family history, share it with your doctor. Together, you can discuss lifestyle strategies and screening tests and schedules that best address your specific risk.
The world doesn’t stop when your doctor says, “You have breast cancer.” Research shows that active coping—acknowledging the disease and making a plan to manage it—can help you live well with cancer. Strategies include the following: Learn more. Searching for information on the Internet, calling cancerrelated organizations or visiting the library can help you feel more in control. Tanner Cancer Care and Tanner Breast Health offer resource centers that can help provide reliable information about living with cancer. Seek social support. Friends, family and clergy can help with everyday tasks and provide emotional strength. Tanner Breast Health offers a monthly support group for women with breast cancer, and a dedicated patient navigator who can help connect women to more services and support. Eat right. Food often doesn’t taste as good during treatment, but you need enough calories to keep a healthy weight. Ask a dietitian for tips on preparing meals that appeal to you. Exercise. If you have breast surgery, stretching and strengthening your arms and shoulders lessens its side effects. Walking, swimming or yoga may provide energy and relieve stress.
Exercise can be a good defense Physical activity looks like a potent weapon in the fight against breast cancer. Studies show that exercise may be able to cut the chance of developing this disease by as much as 40 percent. Scientists are still debating exactly how much and what type of exercise is best, but what’s clear is that getting up and moving is important for women’s breast health. More Is Better
Most studies suggest that 30 to 60 minutes a day of moderate-tohigh-intensity exercise can help lower breast cancer risk. It seems, too, that the more frequently and the harder you exercise, the better chance you stand against the disease. One analysis reported a 6 percent decrease in risk for every hour of physical activity per week. Vigorous exercise, like jogging or swimming laps, may be better at warding off breast cancer than activities like walking or playing golf. But moderate exercise can help, too. One study showed that brisk walking just 1 1/4 to 2 1/2 hours a week cut risk by 18 percent. How It May Work
Researchers don’t yet understand exactly how physical activity helps protect women against breast cancer. Exercise may act in several different ways, including: • Reducing hormones like estrogen that promote cancer • Lowering weight and body fat—being obese or overweight are linked to breast cancer • Regulating insulin and other substances the body produces that encourage tumor growth • Improving the immune system
Understanding breast cancer Breast cancer is an uncontrolled growth of breast cells. To better understand breast cancer, it helps to understand how any cancer can develop. Cancer occurs as a result of mutations, or abnormal changes, in the genes responsible for regulating the growth of cells and keeping them healthy. The genes are in each cell’s nucleus, which acts as the “control room” of each cell. Normally, the cells in our bodies replace themselves through an orderly process of cell growth: healthy new cells take over as old ones die out. But over time, mutations can “turn on” certain genes and “turn off” others in a cell. That changed cell gains the ability to keep dividing without control or order, producing more cells just like it and forming a tumor. A tumor can be benign (not dangerous to health) or malignant (has the potential to be dangerous). Benign tumors are not considered cancerous: their cells are close to normal in appearance, they grow slowly, and they do not invade nearby tissues or spread to other parts of the body. Malignant tumors are cancerous. Left unchecked, malignant cells eventually can spread beyond the original tumor to
other parts of the body. The term “breast cancer” refers to a malignant tumor that has developed from cells in the breast. Usually breast cancer either begins in the cells of the lobules, which are the milk-producing glands, or the ducts, the passages that drain milk from the lobules to the nipple. Less commonly, breast cancer can begin in the stromal tissues, which include the fatty and fibrous connective tissues of the breast. Over time, cancer cells can invade nearby healthy breast tissue and make their way into the underarm lymph nodes, small organs that filter out foreign substances in the body. If cancer cells get into the lymph nodes, they then have a pathway into other parts of the body. The breast cancer’s stage refers to how far the cancer cells have spread beyond the original tumor. Breast cancer is always caused by a genetic abnormality (a “mistake” in the genetic material). However, only 5-10 percent of cancers are due to an abnormality inherited from your mother or father. Instead, 85-90 percent of breast cancers are due to genetic abnormalities that happen as a result of the aging process and the “wear and tear” of life in general.
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THE TIMES-GEORGIAN, OCTOBER 2013 - 11
Moderate exercise lowers risk of breast cancer How much exercise do you need to lower your breast cancer risk? It could be as simple as taking a walk every day, according to experts. One study of more than 74,000 women ages 50 to 79 found that they didn’t necessarily have to exercise
strenuously to lower their breast cancer risk. In fact, compared with women who did not exercise, those who performed 1.25 to 2.5 hours of moderate exercise—such as brisk walking or bicycling—per week reduced their risk by 18 percent. Exercising moderately for
more than 10 hours weekly was associated with a 22 percent lower risk. Vigorous activities— including jogging, playing tennis and swimming laps—were also linked to a decreased risk. However, the additional risk reduction associated with exer-
cising vigorously was not statistically significant. Experts’ general guidelines say that to lower breast cancer risk, women should aim to squeeze in at least 30 minutes of moderate exercise on most days of the week. But if you’re like many people, you may feel
like you just can’t find the time. Here are some ways to break away from your busy day: Skip the elevator, and take the stairs. Walk or ride your bike to work. Pedal a stationary bike while you’re watching TV.
Mammogram Reality Check
Are you overdue for a mammogram? If so, you’re not alone. According to a study in the Journal of Women’s Health, roughly 30 percent of eligible women don’t get regular breast cancer screening exams. What’s holding you back from making that appointment? Here are common mammogram self-deceptions. Don’t let these excuses sabotage your health.
You Tell Yourself: “I checked my breasts myself. There’s no lump.” Reality Check: It’s a good idea to know how your breasts normally look and feel so you can alert your doctor if anything changes, and to have regular clinical breast exams. But there are limits to these screening techniques. A screening mammogram, which is an X-ray of the breast, can detect cancers that can’t be felt.
You Tell Yourself: “I won’t get breast cancer. It doesn’t run in my family.” Reality Check: Only 5 to 10 percent of breast cancers are thought to be inherited. Besides family history, risk factors that can increase your risk of breast cancer include: Age. Although
Symptoms of breast cancer
Initially, breast cancer may not cause any symptoms. A lump may be too small for you to feel or to cause any unusual changes you can notice on your own. Often, an abnormal area turns up on a screening mammogram (X-ray of the breast), which leads to further testing. In some cases, however, the first sign of breast cancer is a new lump or mass in the breast that you or your doctor can feel. A lump that is painless, hard, and has uneven edges is more likely to be cancer. But sometimes cancers can be tender, soft, and rounded. So it’s important to have anything unusual checked by your doctor. According to the American Cancer Society, any of the following unusual changes in the breast can be a symptom of breast cancer: • swelling of all or part of the breast • skin irritation or dimpling • breast pain • nipple pain or the nipple turning inward • redness, scaliness, or thickening of the nipple or breast skin • a nipple discharge other than breast milk • a lump in the underarm area These changes also can be signs of less serious conditions that are not cancerous, such as an infection or a cyst. It’s important to get any breast changes checked out p romptly by a doctor.
younger women get breast cancer, roughly 65 percent of breast cancer cases occur in women age 55 or older. Race. White women are at greater risk than black women. However, black women who are diagnosed are more likely to die from the disease. Weight gain, especially after menopause. Your menstrual history. You may be at increased risk for breast cancer if you had your first period before age 12 or went through menopause after age 55. Your pregnancy history. Not having children or having your first child after age 30 may increase your risk. Even if you have none of these risk factors, experts recommend all women get regular mammograms starting at age 40, so you should talk with your doctor about getting a mammogram. You Tell Yourself: “I don’t have time.” Reality Check: A mammogram appointment takes just 15 to 20 minutes from start to finish. In west Georgia, Tanner
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The American Cancer Society and Tanner Cancer Care recommend yearly screening mammograms for women starting at age 40 and continuing for as long as they are healthy. Women at higher risk for breast cancer should consult their physician regarding the optimal age to start getting yearly mammograms. Depending on specific risk factors and family history, some women might need to get yearly mammograms starting between age 30 or 35. In addition, some women might benefit from annual breast MRI testing in addition to yearly mammograms.
more information at 770.836.9721. You Tell Yourself: “I’m scared to find out I have cancer.”
Reality Check: Actually, most mammograms are normal. Even if something appears on the mammogram that needs additional screenings, it’s not necessarily cancer. If a screening mammogram shows anyHealth System offers thing that looks suspiYou Tell Yourself: cious, you’ll have more three regional digital “I can’t afford a mam- tests to rule out or mammography cenmogram.” ters—Tanner Breast diagnose cancer. Less Health in Carrollton, than 10 percent of Reality Check: If Tanner Breast Health women who are called you have Medicaid, in Villa Rica and the back for more tests are Medicare and you’re diagnostic imaging found to have breast department at Higgins age 40 or older, or you cancer. have private health General Hospital—as Keep in mind that insurance, a mammo- mammograms can help well as the “Mobile gram is covered under detect breast cancer in on the Move” mobile the Affordable Care mammography unit an earlier stage, when Act with no copayment it’s most treatable. that’s regularly or other out-of-pocket posted throughout While the prospect of costs to you in most west Georgia and being diagnosed with states. Free or loweast Alabama. cancer is scary, not cost mammograms Mammograms at being treated for canmay also be availeach location, includcer early can be even able for uninsured or ing the mobile mammore frightening—and low-income women. mography unit, can possibly fatal. Tanner Medical be scheduled by callFoundation adminising 770.836.9721. A You Tell Yourself: ters several funds that “I’m concerned about schedule of upcoming Mammography on the help provide mammo- exposure to radiation.” Move locations is avail- grams to women who Reality Check: need them. Tanner able online at www. Because it’s an X-ray, Breast Health in TannerBreastHealth. a mammogram Carrollton can offer org. requires a small dose
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of radiation, equivalent to the dose you would get by flying from New York to California on a commercial jet. Moreover, the risk of radiation-induced breast cancer is extremely low, affecting only 0.1 percent of women screened. In comparison, the screening test itself can reduce the risk of dying from breast cancer by nearly 50 percent. You Tell Yourself: “I don’t want to get a mammogram because it hurts.” Reality Check: During a mammogram, a radiology technician will position your breast on a mammogram machine and slowly compress your breast between two plates, which can be tight and uncomfortable for some women. But compression, which helps produce a high-quality image, doesn’t last long—only about 10 seconds. If you’re menstruating, consider rescheduling your mammogram during days seven to 12 of your cycle, when breast tissue tends to be less sensitive.
N
YourLifelong Health Focusing on
A lot of things take priority in your life: your education, your work, your family.
But one thing that must remain a priority is your health. At Villa Rica OB/GYN, our team of board-certified obstetrics and gynecological specialists offers a range of health screenings and support to help you maintain wellness throughout your life—including vital testing that can catch many forms of cancer in its earliest stages, when treatment can be most effective. Among our services are: Gynecological and annual exams Scheduling for mammograms and bone density studies Care for abnormal Pap tests Family planning services Gynecological ultrasound Gynecological surgery, conveniently performed at Tanner Medical Center/Villa Rica
High-risk obstetric care Immunizations that can help protect against diseases known to cause cervical cancer Prenatal care and delivery services Specialized treatment for irregular bleeding, urinary incontinence and pelvic pain And more
Villa Rica OB/GYN: complete care, conveniently located in Villa Rica. Call 770.456.3850 or visit www.VillaRicaOBGYN.org to learn more.
690 Dallas Highway, Suite 301 Villa Rica, GA 30180 www.VillaRicaOBGYN.org
770.456.3850
Sheri Campbell, MD, FACOG Stacey Anderson, MD, FACOG Linda McDaniel, CNM
12A - The Times-Georgian - DAYXXX, DATEXXX, YEAR
LEARN MORE. National Breast Cancer Awareness Month Collaborating Organizations Consider visiting these sites to learn more about breast cancer, breast health, the latest research developments, awareness events, and patient resources. Read the organization’s descriptions and visit any of the websites below for more information. American Cancer SocietyAmerican Cancer Society (ACS) is the nationwide community-based voluntary health organization dedicated to eliminating cancer as a major health problem ... more » www.cancer.org American College of Obstetricians and GynecologistsAmerican College of Obstetricians and Gynecologists (ACOG), founded in 1951, is the nation’s leading group of professionals providing health care for women. ... more » www.acog.org American College of RadiologyAmerican College of Radiology (ACR) is a major national medical specialty association comprised of radiologists, radiation oncologists, and medical physicists. The College has grown from a group of 20 physicians meeting for the first time in 1923 to a 32,000 member service organization. ... more » www.acr.org The American Society of Clinical OncologyThe American Society of Clinical Oncology (ASCO) is the world’s leading professional organization representing physicians who care for people with cancer. With more than 30,000 members, ASCO is committed to improving cancer care through scientific meetings, educational programs and peerreviewed journals. ... more » www.asco.org The American Medical Women’s AssociationThe American Medical Women’s Association (AMWA) is an organization of women physicians, medical students, and other persons dedicated to serving as the unique voice for women’s health and the advancement of women in medicine. ... more » www.amwa-doc.org AstraZeneca HealthCare FoundationAstraZeneca HealthCare Foundation, established in 1993, is a Delaware notfor-profit corporation and a 501(c)(3) entity organized for charitable purposes, including to promote public awareness of health care issues, to promote public education of medical knowledge, and to support or contribute to charitable and qualified exempt organizations consistent with its charitable purpose. ... more » www.astrazeneca-us.com/foundation Cancer CareCancerCare helps individuals and families better cope with and manage the emotional and practical challenges arising from cancer. Our services — for patients, survivors, loved ones, caregivers, and the bereaved — include counseling and support groups, educational publications and workshops, and financial assistance. ... more » www.cancercare.org Men Against Breast CancerMen Against Breast Cancer (MABC), founded in 1999, is the first national non-profit to provide national support services to educate and empower men to be effective care givers, help men cope with the impact of a loved one’s breast cancer diagnosis and treatment, and target and mobilize men to be active participants in the fight to eradicate breast cancer as a life threatening disease. ... more » www.menagainstbreastcancer.org National Medical AssociationNational Medical Association (NMA), established in 1895, is the largest and oldest professional, educational and scientific organization representing the interests of African American physicians and their patients. ... more » www.nmanet.org The Oncology Nursing SocietyThe Oncology Nursing Society (ONS) is a professional organization of more than 35,000 registered nurses and other health care professionals committed to excellence in oncology nursing and to leading the transformation of cancer care by initiating and actively supporting educational, ... more » www.ons.org Prevent Cancer Foundation Prevent Cancer Foundation is a national nonprofit health organization whose mission is the prevention of cancer through scientific research and education. ... more » www.preventcancer.org Susan G. Komen for the Cure®Susan G. Komen for the Cure® is a global leader of the breast cancer movement, having invested more than $1.9 billion since inception in 1982. ... more » www.komen.org Centers for Medicare & Medicaid ServicesCenters for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services. CMS runs the Medicare program, Medicaid program, and State Children’s Health Insurance Program (SCHIP) ... more » www.cms.gov National Cancer InstituteNational Cancer Institute (NCI), based in Bethesda, MD, is part of the National Institutes of Health (NIH) in the Department of Health and Human Services (DHHS) and the Federal government’s lead agency for cancer research and education. ... more » www.cancer.gov
source: www.nbcam.org
901 hay’s mill road . carrollton, ga . 30117 . 770.834.6631
Cancer Honorees
THE TIMES-GEORGIAN, OCTOBER 136 - 13
Ronald D. Cheney
Chuck Hutchins
Alice Mae Elder
Betty Gaskamp-Bean & Glenn Bean We will never forget your He was born after his love and precious smile. four sisters and passed Husband and father. away before them. Mrs. Auxillary with Tanner Hospital, both Cancer Lost his battle to lung Love, Rita Hutchins Curtis, Survivors cancer on March 11, 2012. Eddie Elder, Renae, Portland, Oregon
Your love remains in our Kathy, Wanda and grand- Mrs. Marcia Hutchinis children. hearts forever! Speer, Charleston, S.C.
Sadly missed by his wife, Dottie and children, Sondra and Shawn.
Mrs. Sheila Hutchins Shessel, Atlanta, Ga. Mrs. Andrea Hutchins Stone, Carrollton, Ga.
Nancy Gilbert
Nancy Gilbert
Ray Mote October 27, 1927-June 26, 2012 In loving memory of his faith, courage and attitude. From his family.
Nancy Gilbert, your smile still lights up our lives. We are so thankful that you are our Survivor Miracle. Your Loving Family.
M. C. Wilson
Sandra Powell Nancy Gilbert, loving wife, mother, grandmother and survivor. The Lord be with you. Love strongest person I know. you, Our faith will endure Mother & Family. this. Love, Ward.
Father of Lillian O’Neal.
Beth Williams We would like to pay tribute to a leukemia patient. Her name is Beth Williams from Bowdon. She found out she had this dreaded disease in May 2013. She is now in remission and awaiting a bone marrow transplant on Oct. 11. We want to honor her strength and courage, and Praise the Lord for her healing, and thank the great staff of Northisde Hospital. Her Mama and Daddy — Hanley and Betty Parmer Her Sister — Vickie Rollins
Charlie W. O’Neal Father of Fred O’Neal.
Ray York & Jane York
Kathy Kucsera
Kathy Kucsera - in loving memory - Sept. 9, 1944 We honor our mom, Jane York, cancer survivor, for March 6, 2009. her courage and our dad, Ray York, for his constant We miss you! With love care throughout. from your family. Laura Cleveland and Merrell Stagliano.
Annalee Reynolds Ariel and Aaron proudly escort their grandmother, Annalee Reynolds, a two time Leukemia (AML) survivor, around the track at the annual Relay for Life event.
John Traylor He fought the fight and kept the faith. He’s still here today to celebrate! John Taylor - colon cancer survivor.
James Ronald Crutchfield James Ronald “Ronnie” Crutchfield, June 6, 1943-August 12, 2001. My husband, my soulmate, the love of my life, I still miss you with all my heart.
Mary Elizabeth Allen Mary Elizabeth Allen, born 1965, died 2004. Survivors: husband, Jeffrey Green, cherish mother, Eloise Allen, beloved children, Jacob, Joshua Green.
Sandra Powell Good Luck! Kathleen Smith and family.
14 - THE TIMES-GEORGIAN, OCTOBER 2013
The latest treatments They’re available close to home It starts with a mammogram. Mammography remains the first—and most effective—step in diagnosing breast cancer. Mammography can detect a tumor months before it can be felt with a self breast exam. Researchers have cited increased access to and the use of mammography as one of the main factors in improving the rate of survival for women diagnosed with breast cancer, since the procedure can detect the cancer early when treatment is most effective. In west Georgia, Tanner offers digital mammography services regionally through Tanner Breast Health in Carrollton, Tanner Breast Health in Villa Rica, and in the diagnostic imaging department of Higgins General Hospital in Bremen. Tanner also offers mammography in communities throughout the region with its “Mammography on the Move” mobile mammography unit. “Diagnosis is the first step,” said Venita Steed, RN, program director for Tanner Breast Health in Carrollton. “Once the diagnosis is made, then a world of treatment options opens. And we’re really fortunate in this area to have so many treatment capabilities right here in our own community.” Improved Survival Rates Although breast cancer is expected to be diagnosed in 12 percent of women in the United States during their lifetimes, their chance of making a full recovery is now better than ever. According to the National Cancer Institute, breast cancer mortality rates have been on a steady decline, dropping an average of 1.9 percentage points per year from 1998 to 2010. This encouraging trend can be attributed to various factors, most importantly increased education, broader access to screening among the general population, breakthroughs associated with continued breast cancer research and with the availability of new, more sophisticated methods of testing and treatment. Women in west Georgia and east Alabama now have access to all the necessary resources to fight breast cancer close to home, in a specialized and caring environment. Tanner Cancer Care, part of Tanner Health System, offers many state-of-the art breast cancer treatments—including the MammoSite Radiation Therapy System (RTS) and Varian Trilogy with RapidArcTM radiotherapy, along with specialized surgical services and medical oncology and chemotherapy care—right in Carrollton. Removing Cancer When cancer is found, often the first step is taking the cancerous tumor out of the body. “Historically, that meant an approach that was extremely invasive, like radical mastectomy in which the breast was completely removed,” said Raul Zunzunegui, MD, a board-certified and Susan G. Komen Fellowship-
trained surgeon with Comprehensive Breast Care Center, part of Tanner Medical Group. “Now, we are able to perform breast conservation with a lumpectomy in most patients.” According to Dr. Zunzunegui, deciding what type of surgery a woman should have often depends on the size of the tumor and if there are multiple tumors—as well as the woman’s own personal choice. “We can often do a lumpectomy, removing only the cancerous tumor and some of the surrounding normal tissue, preserving a great deal of the breast,” said Dr. Zunzunegui. “Often, women will elect to undergo a mastectomy, removing one or both breasts entirely, to eliminate the possibility of experiencing breast cancer again in the future. We’re supportive of whichever approach works best for the patient—both clinically and in terms of her personal preference.”
Anna Harris, MD, a board-certified radiation oncologist with Tanner Radiation Oncology, and the Varian Trilogy with RapidArc radiation delivery system at Tanner’s Roy Richards, Sr. Cancer Center. The system is the most proven, advanced radiation delivery system available today. patient is not always a candidate for MammoSite RTS due to the lumpectomy site or size; in those cases, partial breast irradiation (PBI) can be given externally using intensity modulated radiation therapy (IMRT) with the same short, five-day course. “This means better access to care and improved quality of life for our patients,” she said.
tem we have in place at Tanner, we can deliver a stronger, more accurate dose of radiation in just a couple of minutes—and with fewer side effects.” Chemotherapy
Chemotherapy is another sophisticated approach to defeating cancer. Led by the team of medical oncology specialists at Northwest Georgia Oncology Centers, chemotherapy allows Tanner Cancer Varian Trilogy with Care to administer medRapidArc ications that kill cancer cells. Tanner is the first “Chemotherapy is one non-academic comof those areas of breast munity hospital in cancer treatment that MammoSite RTS: Georgia and Alabama also has come a long Treatment in days, to utilize the versatile way,” said Brad Larson, new Varian Trilogy not weeks MD, a board-certified with RapidArc to MammoSite RTS is medical oncologist with deliver 3-D conformal a new, less invasive Northwest Georgia radiation therapy (3D method of treatment Oncology Centers and a CRT), intensity modufor breast cancer that is lated radiation therapy member of the medical provided on an outpastaff at Tanner Health (IMRT), stereotactic tient basis. As a main System. “We have mediradiosurgery (SRS), method of treatment stereotactic body radio- cations now that are it is most effective for vastly more advanced, therapy (SBRT) and small, localized cancer- image-guided radiation and we even underous tumors. stand more about how therapy (IGRT). “After the cancerous “This is an extremely a patient’s genetics can tumor is removed surgi- advanced, precise, and factor into a medicacally, radiation therapy clinically proven way tion’s effectiveness.” is provided with the Chemotherapy can be of destroying cancer,” help of a small balloon administered by mouth said Dr. Harris. “In the inflated to fit the cavity past, external beam or intravenously—either left behind,” said Anna radiation—where we in-office at Northwest Harris, MD, a radiation use a beam of radiation Georgia Oncology oncologist with Tanner from outside the body Centers or at one of Radiation Oncology, Tanner’s regional infuto destroy cancer cells part of Tanner Medical inside the body—was sion centers. Group. “A small radio“The medications are like trying to treat canactive bead that emits vastly improved, and cer with a shotgun. This a higher dose than used is like treating cancer Tanner has been proacin traditional external tive in implementing with a laser with milbeam radiation therapy limeter accuracy.” other therapies that is placed inside the balcompliment treatment, The system’s loon, close to the tissue advanced on-board like registered dietiwhere cancer is most tians who can provide imaging makes it poslikely to recur. This guidance on diets that sible to “see” exactly minimizes exposure of where the tumor is, and fight cancer and behavsurrounding organs to ioral health staff who can target the tumor radiation. In addition, using extremely precise, can help patients and the radiation source even their families cope high-intensity beams is removed from the of radiation that adjust with the stresses and balloon in between other issues surroundautomatically as the treatments, so that the beam circles the tumor, ing cancer,” said Dr. patient is not radioacLarson. “So we’re giving delivering the highest tive. “ patients the best possipossible dose of radiaThe treatment with ble chance at a positive tion with minimal side MammoSite RTS takes effects. outcome.” only five days—one “With other systems, week—compared to a patient might need to Life after cancer five to seven weeks for lie down and be exposed “Breast cancer and conventional radiation to radiation for up to its treatment can be a therapy, Dr. Harris 10 minutes,” said Dr. devastating process,” Harris. “With the syssaid. Sometimes a said Stephen Kahler,
West Georgia Internal Medicine Excellence in Adult Primary Care Lee Stringfellow, M.D.
Kevin Webster, M.D.
Simone Berard, M.D.
William Berard, M.D., Pharm.D.
Joanne Gaw, M.D.
• Acute and Preventive Care • On-Site laboratory, cholesterol testing, EKG, and chest x-rays. • On-Site cardiac stress testing • Women’s Health and pap smears • Routine physicals • Management of chronic medical conditions such as diabetes, high blood pressure, asthma, etc. • Inpatient care at Tanner Medical Center/ Carrollton • Minor procedures such as joint injections, skin biopsies, etc. • Spirometry Same day appointments available New patients welcome Most insurance plans accepted
(770)834-6208
Located off Clinic Avenue at 101 Doctors Drive, Carrollton, Ga 30117
www.internalmd.com
MD, a board-certified plastic and reconstructive surgeon at the West Georgia Center for Plastic Surgery in Carrollton. “With reconstructive breast surgery a feeling of wholeness can be restored, giving the cancer survivor a part of their life back.” Breast reconstructive surgery draws on a number of specific techniques individualized for each patient. All options related to breast reconstruction are thoroughly discussed during a private consultation and includes evaluation of the non-affected breast as well. Options available can address partial breast defects such as a lumpectomy deformity or completely reconstruct one or both breasts following mastectomy surgery. Symmetry between the breasts is an important goal and reshaping of the opposite breast (such as augmentation or reduction) may also be discussed in order to
optimize overall breast symmetry. Dr. Kahler, as a member of the medical staff at Tanner Health System, is proud of the close relationships that have been built between the physicians at Tanner. This relationship provides a unique opportunity to provide breast cancer treatment and reconstruction to all patients. “I’m just one part of the cancer care team,” said Dr. Kahler. “All of the physicians on staff at Tanner Health System work together to provide the best possible outcomes for our patients. It’s a beginning-to-end continuum of care that is world class right at home in Carrollton.” For more information on Tanner Cancer Care, visit www. TannerCancerCare. org. To learn more about Tanner Breast Health and the mobile mammography unit, visit www. TannerBreastHealth. org.
The statistics of breast cancer About 1 in 8 U.S. women (just under 12 percent) will develop invasive breast cancer over the course of her lifetime, according to breastcancer.org. In 2013, an estimated 232,340 new cases of invasive breast cancer were expected to be diagnosed in women in the U.S., along with 64,640 new cases of non-invasive (in situ) breast cancer. About 2,240 new cases of invasive breast cancer were expected to be diagnosed in men in 2013. A man’s lifetime risk of breast cancer is about 1 in 1,000. Breast cancer incidence rates in the U.S. began decreasing in the year 2000, after increasing for the previous two decades. They dropped by 7 percent from 2002 to 2003 alone. One theory is that this decrease was partially due to the reduced use of hormone replacement therapy (HRT) by women after the results of a large study called the Women’s Health
Initiative were published in 2002. These results suggested a connection between HRT and increased breast cancer risk. About 39,620 women in the U.S. were expected to die in 2013 from breast cancer, though death rates have been decreasing since 1989 — with larger decreases in women under 50. These decreases are thought to be the result of treatment advances, earlier detection through screening, and increased awareness. For women in the U.S., breast cancer death rates are higher than those for any other cancer, besides lung cancer. Besides skin cancer, breast cancer is the most commonly diagnosed cancer among American women. Just under 30 percent of cancers in women are breast cancers. White women are slightly more likely to develop breast cancer than African-American women.
THE TIMES-GEORGIAN, OCTOBER 2013 - 15
However, in women under 45, breast cancer is more common in African-American women than white women. Overall, AfricanAmerican women are more likely to die of breast cancer. Asian, Hispanic, and Native-American women have a lower risk of developing and dying from breast cancer. In 2013, there were more than 2.8 million women with a history of breast cancer in the U.S. This includes women currently being treated and women who have finished treatment. A woman’s risk of breast cancer approximately doubles if she has a first-degree relative (mother, sister, daughter) who has been diagnosed with breast cancer. About 15 percent of women who get breast cancer have a family member diagnosed with it. About 5-10 percent of breast cancers can be linked to gene mutations (abnormal changes) inher-
ited from one’s mother or father. Mutations of the BRCA1 and BRCA2 genes are the most common. Women with a BRCA1 mutation have a 55-65 percent risk of developing breast cancer before age 70, and often at a younger age that it typically develops. For women with a BRCA2 mutation, this risk is 45 percent. An increased ovarian cancer risk is also associated with these genetic mutations. In men, BRCA2 mutations are associated with a lifetime breast cancer risk of about 6 percent; BRCA1 mutations are a less frequent cause of breast cancer in men. About 85 percent of breast cancers occur in women who have no family history of breast cancer. These occur due to genetic mutations that happen as a result of the aging process and life in general, rather than inherited mutations. The most significant risk factors for breast cancer are gender (being a woman) and age (growing older).
Can food reduce your risk of breast cancer? No food or diet can prevent you from getting breast cancer, according to breastcancer.org. But some foods can make your body the healthiest it can be, boost your immune system, and help keep your risk for breast cancer as low as possible. And no food or diet can cure cancer, though some of them may help control treatment side effects or help your body get well after treatment. Some food choices may help cancer treatment work more effectively or may help keep you healthy. Others can be dangerous and can interfere with treatment and recovery. Healthy weight reduces risk of first-time breast cancer and recurrence. Maintaining a healthy weight may help reduce the risk of breast cancer coming back. In a 2005 study, researchers found that women who gained weight after their breast cancer diagnosis had an increased risk of recurrence. Studies on maintaining a healthy weight and lowering the risk of a first-time breast cancer suggest that overweight women have an increased risk of breast cancer after menopause compared to women at a healthy weight. If you’re not sure what your healthy
weight should be, use some of the tips and tools available on the Assess Your Weight page. A healthy eating plan should include some physical activity. Aim for 3 to 4 hours of walking per week to start. If you’re having treatment right now, you may need to start slowly and work up to this. Low-fat diet may reduce risk of recurrence and first-time breast cancer. Sticking to a low-fat diet may help reduce the risk of breast cancer coming back. One study in which women got only about 25% of their daily calories from fat found a lower risk of recurrence, mostly in women with a prior estrogen-receptor-negative breast cancer. It will take more than this one study to know who is most likely to get the biggest benefit from specific dietary changes. But no matter what kind of cancer you’ve had, you might get significant benefit from lowering the amount of fat in your diet. Plus, other healthy choices are more likely to come with a lowfat diet, such as eating more fruits and vegetables and losing weight. All these changes together may help lower your risk of recurrence. The large Women’s Health Initiative Trial compared the breast cancer risk of postmenopausal women
Dr. M. Dawn Harvey and Staff Proudly Support Breast Cancer Awareness!
M. Dawn Harvey, DMD, PC 105 Dallas Rd. • Villa Rica, GA. 30180 (770)459-5778 www.drharveysmiles.com
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We accept most insurance and Medicaid.
who ate a low-fat diet to those who continued to eat their regular diet. The researchers didn’t find any significant differences in breast cancer risk between the two groups. But the study did suggest that a low-fat diet may reduce the risk of first-time breast cancer for women whose diets are very high in fat to begin with. More research is needed to determine if this relationship becomes stronger over time. And reducing fat and increasing fruits, vegetables, and whole grains in your diet will ensure your body is getting enough nutrients and contribute to your overall health. Also, a low-fat diet will probably help you lose weight, if you are trying to do that. No foods or supplements are linked specifically to breast cancer. There is no strong evidence that any specific foods or supplements will lower the risk of getting breast cancer or reduce the risk of recurrence. Research has shown that getting the nutrients you need from a variety of foods, especially fruits, vegetables, and whole grains, can make you feel your best and give your body the energy it needs. You can get many of the nutrients you need from the food you eat. If you’re considering taking supplements, it’s a good idea to have
a registered dietitian evaluate your diet. You may need a bit more of a specific nutrient like folate or vitamin A. That’s why women both with or without a prior breast cancer often take a multiple vitamin and mineral supplement. Many women also need calcium supplements to meet their daily calcium requirements. Research on diet and breast cancer is ongoing. Here’s what dietitians suggest: Keep your body weight in a healthy range for your height and frame. Body mass index, though not a perfect measurement, can help you estimate your healthy weight. Eat plenty of vegetables and fruit (more than 5 cups a day). Try to limit your fat intake to less than 20 percent of your total calories per day. This is an extremely small amount of fat to eat (an average amount is about 30 to 35 percent of total calories per day). Start by eliminating some foods with the highest fat content (like fried foods and margarine) and gradually lower the amount of fat you eat. Eat foods high in omega-3 fatty acids. Avoid trans fats, red meats, and charred or smoked foods.
16 - THE TIMES-GEORGIAN, OCTOBER 2013
Since the inception of
We have calmed fears. We have dried the tears. We have answered questions. We have given hope where there was none. We have treated more than 300 friends, neighbors and family. When you are told you have cancer, you experience fear, worry, sadness. Someone holds your hand, but reassurance is lost in the rush of emotions that bear down on you in that terrible moment. Then, you catch your breath. You talk to your spouse. You talk to your children. You realize that you have questions, and more than anything you want to know what happens next. You want to know now.
The Tanner Cancer Care Promise: 3 Days From Diagnosis to Treatment Options is our commitment to get you answers fast. From the moment Tanner Cancer Care receives a physicianâ&#x20AC;&#x2122;s referral, cancer specialists are on the case, looking at your options, your test results and preparing your next steps. So you spend less time worrying about what happens next and more time beating cancer.
w w w. Ta n n e r C a n c e r C a r e . o r g 770.214.CARE