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Article Category: Highlights

A Candid Talk About Your Breasts

And Why You Shouldn’t Avoid Mammograms

Published on October 12, 2023

Last updated 12:32 PM October 18, 2024

A group of female providers chatting

Over the years, advice about breast self-exams and breast cancer screenings has changed. So what exactly should you be doing to make sure you’re staying your healthiest? We brought together a panel of women’s health experts to discuss the best strategies to keep tabs on your breast health—and who to talk to if you’re diagnosed with breast cancer.

Headshots of breast cancer panelists

I do breast self-checks every month. Why do I need a mammogram too?

Dr. Paula Greaves, MD, OBGYN, Wellstar chief Women's Health officer: Unfortunately, 1 in 8 women will develop breast cancer in their lifetime, so early detection is key. We have shown over the years that the sooner we detect breast cancer, the more successfully it can be treated. Survival has increased significantly since we started finding breast cancer earlier—before there are symptoms, such as feeling a lump during a self-exam.

Mammograms are essential for early detection. It’s recommended that women start getting mammograms at age 40. However, if you have a family history of breast cancer or other risk factors, your gynecologist or primary care provider may recommend starting earlier and will help you create a personalized screening plan. There are some risk factors that women cannot change, such as genetics, but there are some ways women can lower their risk, like quitting smoking, eating a healthy diet and exercising regularly. Wellstar offers 16 mammography locations, and our patients have state-of-the-art technology on their side. We offer high-resolution breast screening, including 3D mammograms.

Women should continue not only getting annual mammograms, but also seeing their gynecologist or primary care provider for regular breast exams. Women should also be aware of physical changes within their bodies, including breast changes. Changes in the texture of the skin or a lump or pain in the breast should always be checked out by their healthcare provider.

Margie Apacible-Mancao, MSN, RN, CBCN, nurse navigator: I am so passionate about breast cancer screening—every opportunity I have I tell patients to get a screening mammogram when they’re of age. Tell someone in your circle that you’re going, then they’ll tell someone in their circle and the circle gets wider so more people will get screened.

Does it mean I have cancer if the doctor recommends a biopsy?

Dr. Sujatha Hariharan, MD, medical oncologist: When a mammogram detects an abnormality, a biopsy might be indicated. Many breast biopsies will be non-cancerous such as fibroadenomas.  

If cancer is found on a breast biopsy, there are several parts of the pathology result that the care team will utilize to make a treatment plan. For example, the presence of estrogen and progesterone receptor positivity allows the potential for hormone therapy as part of the treatment plan. The HER-2 gene is also tested for and if that is present and positive, it allows for medication directed at the HER-2 gene to be given along with chemotherapy.  

Sequencing of the various treatments for breast cancer—surgery, chemotherapy, radiation and hormone therapy—will be determined as a collaborative effort between the breast surgeon and medical oncologist.

If I’m diagnosed, who should I talk to next?

Margie: The anxiety of not knowing their diagnosis or what’s next is one of the hardest parts. At Wellstar, patients have access to a nurse navigator on the day they are recommended to have a biopsy. We make an appointment with the specialists as quickly as possible because just knowing that someone is helping them get to the next step and get that appointment fast dials down their stress level. 

Dr. Karen Xu, MD, radiation oncologist:
If you are diagnosed with breast cancer, you will need to see a breast surgeon first to discuss your surgery options—lumpectomy or mastectomy; a radiation oncologist to discuss the duration of radiation treatment and whether lymph nodes should be included in the target; and a medical oncologist about whether endocrine therapy or chemotherapy is indicated and the timing of systemic therapy. Patients who desire reconstruction after mastectomy will discuss with a plastic surgeon the type and timing of reconstruction they want.


Schedule a mammogram

Find a breast imaging location near you online or call (678) 581-5900.

Tags

Sujatha Hariharan Paula Cecilia Greaves Karen Mann Xu
Breast Cancer Womens Health Cancer Care
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Person holding baby sitting and speaking with another person

Highlights

Let’s Talk About Mom’s Mental Health

Being a mom* is hard. From the moment your baby is born, everything changes. New moms often feel tired, worried and overwhelmed. But sometimes, the feelings go beyond just being tired. Some moms experience serious mental health concerns—and we need to talk about it.

Maternal mental health means how a mother feels in her mind and heart during pregnancy and after giving birth. Many moms go through things like depression, anxiety or even scary thoughts. This is more common than people think. 1 in 5 moms experience perinatal depression. Mental health disorders—including substance overdose and suicide—are now the No. 1 cause of maternal death in the United States, according to the Centers for Disease Control and Prevention.

There are some factors that can make it more likely for a mom to struggle with her mental health, including:

  • History of depression or anxiety
  • Difficult pregnancy or birth
  • Not having support from family or friends
  • Money problems or job stress
  • Feeling alone or not having time to rest
  • Race as a social construct (1 in 3 Black women may experience a mood disorder during or after pregnancy)

Even though many moms need help, it can be hard for them to access it. There are barriers to care, or things that can get in the way. Some moms are afraid to speak up because they worry people will think they are a bad parent. Others may not know where to go for help. Some moms don’t have health insurance or live far from a doctor. These problems can make it harder to get better. In addition, not all obstetrics clinicians have had sufficient training on the diagnosis and treatment of perinatal mood and anxiety disorders (PMADs) and management of mental health medications during pregnancy and/or lactation. 

The good news: Help is out there. Mental health challenges after having a baby are treatable. And there are options that really work. Talking to a therapist—virtually or in person—can help moms feel heard and understood. Sometimes medicine can help too. Support groups, where moms can talk to each other, are also helpful. Getting rest, eating healthy and having help with the baby can make a big difference.

It’s very important that moms—and the people around them—know the signs of a mental health concern. Some signs to look for include:

  • Feeling very sad, angry or empty for days
  • Not wanting to eat or sleep
  • Feeling like you can’t bond with your baby
  • Having scary thoughts or feeling like you might hurt yourself or others

If you notice these signs in yourself or someone you love, speak up. It’s not a sign of weakness. It’s a sign of strength to ask for help. Every mom deserves to feel well and cared for.

Let’s be honest: Moms are superheroes. But even superheroes need support. We need to make sure that every mom knows she’s not alone. We must make it easier to talk about mental health. We must listen without judgment. And we must make sure help is easy to find.Healthy moms mean healthy families. When we take care of mothers, we take care of our whole community.

If you’re a mom who’s struggling, please know this: You are not alone. You are not to blame. And you can get better. Speak up, reach out and know that there are people who care and want to help. Ask your obstetrics care team and see these resources for moms and families.

Resources for patients and families

1. Postpartum Support International (PSI)

PSI offers education, training and resources for professionals working with families during the perinatal period. They also provide a clinician directory, helpline and certification programs.

Helpline: (800) 944-4773 (Text “HELLO” to (800) 944-4773)

2. Shades of Blue Project

This project focuses on maternal mental health support for Black and brown birthing people. They offer culturally competent resources, education and support groups and provide training opportunities for clinicians looking to improve care for underserved populations.

3. MotherToBaby

This organization provides expert, evidence-based information about medications and other exposures during pregnancy and breastfeeding. Their team also offers live chat and phone consultations.

Helpline: Call or text (866) 626-6847

Resources for clinicians

1. PEACE for Moms

This is a free psychiatric consultation service for Georgia clinicians caring for pregnant and postpartum patients. They offer provider-to-provider support on screening, diagnosis and treatment of perinatal mental health conditions.

2. Postpartum Support International Professional Resources

This group provides clinician training, consultation and certification in perinatal mental health. They also offer a perinatal psychiatric consultation service.

3. LactMed (Drugs and Lactation Database)

This is a National Institute of Health resource for up-to-date, evidence-based information on medications and their compatibility with breastfeeding.

Find a Wellstar behavioral health specialist near you or find a Wellstar OB/GYN.

*Mom and mothers are used throughout this article. However, I recognize and respect that not all birthing parents identify as female. At Wellstar, we believe in honoring every voice.

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Person speaking with doctor

Highlights

Out of Sight, Still a Threat

Five years ago, you probably had hand sanitizer in your car, a thermometer in your bag and a mental checklist for every sniffle. That was life during COVID. But these days? It’s easy to forget what once felt urgent.

The same thing happens with men’s health—especially prostate cancer. For a brief moment, maybe after a friend was diagnosed or during a Movember campaign, it’s top-of-mind. But if nothing seems wrong, it quickly slips to the back burner.

That’s a problem—because prostate cancer doesn’t wait until you’re ready.

At Wellstar, we see too many men surprised by late diagnoses. Why? Because they felt fine. Because they had no symptoms. Because they believed some version of the same three myths:

“Prostate cancer doesn’t kill men.”

Actually, it’s the second leading cause of cancer death in men. When caught early, it’s highly treatable. But when ignored, it’s dangerous.

“I don’t have symptoms, so I’m good.”

Most early-stage prostate cancers are completely silent. No pain, no urinary issues, no warning. That’s why screening matters.

“Testing leads to side effects.”

Screening doesn’t mean treatment. A prostate-specific antigen (PSA) blood test is a simple tool that helps guide the next steps. Many men with slow-growing cancers don’t need surgery—just monitoring. For those who do need treatment, options are far more precise and less invasive than they used to be.

Still, fear or discomfort around the prostate keeps many men from checking in until it’s too late. We get it. It’s not the most glamorous part of the body—but it’s vital.

Think of it this way: you’d never ignore a lump on your neck or blood in your stool. Why ignore the most common cancer in men (besides skin cancer) just because it’s not visible?

Our team at Wellstar makes prostate cancer screening simple, discreet and personalized. We’re here to talk through your family history, explain your risks and offer guidance without pressure. Whether it’s time for a PSA test, a digital exam or just a conversation, we meet you where you are.

Remember: ignoring prostate cancer doesn’t make it go away. It just makes it harder to treat. Learn more about prostate cancer care at Wellstar.

Ready to take action?

Find a urologist near you and book your appointment online. What’s out of sight shouldn’t be out of mind.

Keep reading
A healthcare provider consults with her patient

Highlights

Personalized Breast Care Close to Home at Wellstar North Fulton

By Wellstar Breast Surgeon Dr. Laura Pearson

I have never met a woman who enjoyed getting mammograms, including myself. They can be uncomfortable, awkward and anxiety-provoking—especially if you have had scares in the past or are at high risk for getting breast cancer.

There are so many additional resources for risk reduction and surveillance available that go hand-in-hand with mammograms. At Wellstar, reducing your risk and screening for cancer starts with a physical from your primary care doctor.

If you are at average risk of developing breast cancer, you should begin annual screening mammograms at age 40. If you have a family history or other risk factors, your doctor may recommend earlier or more frequent screening. If something is detected on a mammogram, the Wellstar Comprehensive Breast Health Program has nurse navigators who will help arrange diagnostic imaging, biopsy procedures and referrals to breast specialists. If you are diagnosed with cancer, the compassionate and oncology-trained nurse navigators with Wellstar Cancer Care walk patients through diagnosis, evaluation, treatment and beyond.

If you’re diagnosed with breast cancer, your treatment and care will transition from our Comprehensive Breast Health Program to the Wellstar Cancer Care team. In Wellstar STAT Clinics, which stands for Specialty Teams and Treatment, we put you at the center of your care plan. In our STAT Clinic for Breast Cancer, the care team, including breast oncology nurse navigators, surgeons, medical and radiation oncologists, nutritionists and genetic counselors, will meet with you and your support system on the same day to formulate a treatment plan personalized to your specific cancer, as well as your personal and cultural needs. Patients are able to ask questions, make decisions and start treatment sooner, improving outcomes.

Many times, surgical intervention can be done as an outpatient procedure. We can also offer some people intraoperative radiation therapy, or IORT—the option of doing their radiation treatment in the operating room at the same time as their lumpectomy, meaning they are able to avoid four to six weeks of radiation treatments. Any other interventions, such as chemotherapy or radiation, including our CyberKnife for treatments like targeted partial breast radiation therapy, are found in the cancer center on Wellstar North Fulton’s medical campus. We have physical therapists, social workers and palliative care specialists who are there for you if the need arises.

Your Wellstar care team can also help you reduce your risk of developing breast cancer. Being overweight or obese or being a smoker can increase your risk. Patients at Wellstar have access to our Center for Best Health to assist in weight management. We also have smoking cessation programs and dietitians waiting to help you make healthier choices that can positively impact your health.

Wellstar provides more than healthcare, PeopleCare—working relentlessly to exceed national standards and our patients’ expectations while remembering the humanity of every patient. We are here for all the situations and stages of our patients’ lives by offering the tools and resources to be healthy and thrive. Wellstar clinicians live in the communities we serve. We must get physicals, mammograms and biopsies. We need help being our healthiest selves. We get sick and have family members who need compassionate care. PeopleCare means offering our patients world-class healthcare in the communities where they live and work.

Your care team can put your mammogram order in Wellstar MyChart to book online, or you can schedule by calling (678) 581-5900.

Visit wellstar.org/northfultoncancercare to learn more about cancer care at Wellstar North Fulton.

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