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DavidCare: Prostate Cancer Survival & Support

Published on September 22, 2021

Last updated 12:22 PM September 22, 2021

David smiling and the word DavidCare.

There’s no question that David Moffett is a tough guy.

Having served as a Marine and law enforcement officer, he’s been a pillar of strength, both for his family and within the greater community. But after conquering prostate cancer with the help of Wellstar, David has found a new calling: supporting other men going through the same difficult diagnosis.

Since his recovery, David’s been on a mission to break barriers in men’s health. He has started a prostate cancer support group to teach a new meaning of “strength” and help men feel empowered to take charge of their health.

“Being a husband, father and grandfather, people have always looked to me as a leader. I am used to being the protector and being strong,” David said.

“Through my experience with prostate cancer, I’ve learned a man’s greatest strength is vulnerability. You don’t have to be Superman — being yourself and becoming your best advocate are enough,” he said.

With expert care and support from Wellstar, David redefined his role as a protector and learned to prioritize his own well-being too. Now, he’s spreading the message for other men to do the same.

Early detection is key

Unlike a lot of men, David never misses his annual wellness exam. Working as an Operations Coordinator at Wellstar, he knows the important role preventative care plays in overall wellness.

During his routine check-up with Wellstar Family Medicine Physician Dr. Thomas Gearhard in 2019, David’s prostate-specific antigen (PSA) level was taken.

With just a simple blood draw, a PSA test can reveal the presence of prostate cancer or other health conditions, such as an enlarged prostate. When David’s test results revealed an elevated PSA level, Dr. Gearhard referred him to a urologist right away.

There, a nodule was discovered in David’s prostate. Following a biopsy, he was diagnosed with Stage II prostate cancer.

“Finding out that I had prostate cancer was devastating,” he said.

But David didn’t have to go through the battle alone. It wasn’t long before he found a trusted health partner in Wellstar Urologist Dr. Paymon Nourparvar. The pair formed a lasting bond as they both worked together to fight prostate cancer.

“Dr. Nourparvar was a blessing. He became like family to me,” David shared. “There was no question he wouldn’t answer, and no question we couldn’t ask. He made me feel like I could open up and talk about the journey I was on.”

Having an open dialogue with patients is a key part of Dr. Nourparvar’s care philosophy. Because he knows not one person is exactly alike, he always takes a personalized approach with every patient.

“There are a wide variety of treatments for people with prostate cancer, and there’s not a one-size-fits-all approach to it,” Dr. Nourparvar explained. “I treat all my patients how I would like my family to be treated. I tailor all of my recommendations and treatments through that lens.”

Based on David’s age, physical health and lifestyle, Dr. Nourparvar felt surgery was the right path forward to treat prostate cancer. However, Dr. Nourparvar wanted to arm him with a breadth of knowledge to make the right choice for his body.

That’s why Dr. Nourparvar encouraged him to get a second opinion with a radiation oncologist — so David could know all the facts before committing to a care plan.

After hearing both treatment plans, David felt empowered to make an informed decision to treat the prostate cancer.

“Dr. Nourparvar was very transparent and made sure he had all the information to choose the right treatment path for me,” David shared. “Then, when my wife and I made the decision that surgery was our best option, I felt like I could make the right choice for my situation.”

It’s time [for men] to have real conversations. Go to the doctor, get your physical and be open about your family history. It’s important.

- David Moffett

Wellstar Prostate Cancer Survivor

Listen to David's Story

Support from all sides

Moving from preventative care to diagnosis to treatment was simple and seamless. When patients like David need specialized care, Wellstar ensures patients have access to cutting-edge treatments and expert physicians within the same network.

“Wellstar Health System allows a patient to be screened for prostate cancer from a young age by their primary care physician,” Dr. Nourparvar said. “Then, if there are any concerns in the screening, they can be seen by a urologist fairly quickly, and go on to get a diagnosis and treatment all within the system.”

David received a robotic prostatectomy, a high-tech treatment where the prostate is removed robotically by a surgeon. Because only a few small incisions are made with this surgical approach, the state-of-the-art procedure helps reduce scarring and pain, has the potential to preserve nerves as well as speeding up recovery time.

In fact, nearly all patients who receive a robotic prostatectomy are able to go home in less than 24 hours. Before being discharged, Dr. Nourparvar and his whole care team made sure David was on the road to recovery and still checked in often.

“After surgery, Dr. Nourparvar was the first person to stop and see me. It meant a lot to me,” David said, recalling the special moment. “The relationship I have formed with Dr. Nourparvar and the clinical team is very important to me.”

Fighting prostate cancer is a team effort, and no one knows that better than David’s wife, Marjane´. Along with the medical team’s support, Marjane´ was there by his side through it all.

“She is my backbone and has helped me through everything,” David said. “It’s not just the men going through this journey. It’s their spouses, their children, their support system — it’s a team effort.”

As a part of Wellstar’s Surgical Services team, Marjane´ is well versed in providing PeopleCare to patients every day. She was proud David could receive the same level of world-class level of care when he needed it most.

“As a team member in the health system, I’ve seen firsthand how care is provided at Wellstar,” Marjane´ said. “I believe Wellstar offers world-class healthcare to everyone we serve, whether it’s a team member or the patients we see on a daily basis.”

She supported her husband through treatment and recovery, never losing hope that everything would be okay in the end. The strong faith David and Marjane´ share even led them to turn their health experience into a way to support others.


Hope for other men

David’s personal journey with prostate cancer marked the start of a new one: helping other men fight back against prostate cancer.

“After my recovery, I felt like I had to do something to help others,” he said.

Since defeating prostate cancer, he has started a support group to encourage men with the same diagnosis. He strives to be the voice that men of all ages need to hear.

While David was growing up, several male figures in his life dealt with prostate cancer — but he only found out about their diagnoses after his own.

“My family members felt like they couldn’t talk about their prostate cancer experiences, so I never knew I had a history in my chart,” David said. “Now, I’m making sure to have those conversations with my son, grandson, nephews and loved ones.”

But David’s not only breaking the silence about prostate cancer with his family. He’s started a support group that helps men face prostate cancer with confidence.

“As men, we often internalize things and feel like we can’t talk about our issues, including health concerns. The more we open up and talk about our real issues, the more it helps the next person,” he explained.

At his prostate cancer support group held monthly at the Wellstar Development Center, David tackles difficult subjects about the disease, including how it may affect intimacy and personal relationships, so there is less stigma.

“I am having an open dialogue about the issues affecting men, so other people know they’re not alone. I want to be an advocate not just for myself, but for others as well,” David said.

For one group meeting, he even set up a date night event — complete with candles and soft music — to encourage couples to share their experiences in a safe, comfortable setting.

His efforts have had a major impact on men in the community who are dealing with the challenges of prostate cancer. The regular meetings and supportive atmosphere have allowed other people to open up and start conversations about the disease.

However, David still believes the most important discussions men should have are with their medical providers.

“Men always talk about sports and their stories from the past, but it’s time to have real conversations,” David said. “Go to the doctor, get your physical and be open about your family history. It’s important.”

Marjane´ echoed the same sentiment. “If you don’t go, you don’t know. Cancer and other diseases can be caught early. It’s up to you to schedule an appointment with your physician to get checked.”

As a prostate cancer survivor, David’s work has inspired dozens of men to get real about their health. But he’ll never forget the support he got from Wellstar along the way.

“I’m cancer-free, and I’m blessed.”

For more information about David's prostate cancer support group, email [email protected].

Tags

Thomas Edward Gearhard Paymon Nourparvar PeopleCare
Cancer Care Mens Health
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Healthcare provider listens to his patient's lungs using a stethoscope

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What Happens After an Abnormal Lung Screening

The Weekly Check-up Atlanta


Annual lung cancer screenings are recommended preventive screenings—much like mammograms and colonoscopies. Yet in Georgia, fewer than 14% of patients who are eligible for lung cancer screenings get them.

Why the hesitation?

According to Dr. Daniel Fortes, a board-certified thoracic surgeon at Wellstar, the reasons for hesitation may include:

  • Guilt: “I smoked. If there’s a problem, I caused it.”
  • A lack of awareness about screening and insurance coverage
  • Fear that screening will find something abnormal

It's important for current and former smokers age 50 and older to champion their health and stay up to date on lung screenings. When caught early, lung cancer is more treatable and likely curable.

“Wellstar puts our patients at the center of their care,” Dr. Fortes said. “We do everything to minimize patient anxiety and maximize the speed at which they travel through the system, so that we can get them to their treatment as quickly as possible.”

What is lung cancer screening?

Lung cancer is the leading cause of cancer deaths among men and women. For many years, most cases were not detected until the disease was already advanced.

That began to change about 20 years ago. Research revealed that screenings with low-dose CT scans were finding cancer earlier, at a stage that is far more treatable. Today, we know that annual low-dose CT screenings for individuals at high risk have been shown to reduce lung cancer deaths by about 20%.

“That was a breakthrough,” Dr. Fortes said. “It was the first time we knew that there was something we could do to decrease the mortality of lung cancer proactively.”

The U.S. Preventive Services Task Force, a government agency, added annual lung cancer screenings to its list of recommended screenings. Medicaid, Medicare and most private insurance plans began covering the costs for patients over 50 whose smoking histories put them at risk.

The screening is painless and fast. Sometimes, the CT scan reveals a lung nodule, or a small, round growth. But not all nodules are cancerous. Old infections, scarring or inflammation can cause benign (non-cancerous) nodules. If the scan is abnormal, the patient will be referred to a Wellstar STAT Clinic for Lung Cancer.

Shorter time from diagnosis and treatment

At Wellstar, STAT Clinics (short for Specialty Teams and Treatments) provide dedicated guidance and help shorten the time from diagnosis to treatment. Within the STAT Clinic for Lung Cancer, the multidisciplinary care team may include a surgeon, pulmonologist, medical oncologist, radiation oncologist and a nurse navigator.

Before a patient visits the STAT Clinic, their team meets to review their scan and develop an initial plan. The patient and their family then meet with the appropriate team members on the same day. Their nurse navigator provides education, support and advocacy from diagnosis through treatment and recovery.

“This takes away a lot of anxiety from patients who are running from one office to another without an answer,” Dr. Fortes said. “They have a defined plan, and we expedite everything. Things happen much faster. Our average is about four to six weeks total from when we first identify a problem to the time a patient receives treatment. That’s compared to four months nationwide—and we’re trying to decrease the time even more.”

Advancements in lung cancer treatment

For patients with early-stage lung cancer, surgery to remove the affected portion of the lung and surrounding lymph nodes is often the center of the treatment plan.

“Many patients with early-stage cancer are candidates for minimally invasive techniques, either by video techniques or robotics,” Dr. Fortes said. “These techniques require small incisions in the chest without much disruption or trauma to the chest wall.”

As a result, patients have less pain after surgery and recover faster. They often leave the hospital after a day or two.

“There have been so many advancements that have changed lung cancer care,” Dr. Fortes said. “When we find lung cancer at the earliest stages and patients have surgery, they have up to an 85% chance of being cured.”

Who should get annual lung cancer screening

If you are 50 or older, currently smoke or smoked in the past, ask your healthcare provider if you should have lung cancer screenings.

The American Lung Association and the U.S. Preventive Services Task Force recommend annual screening for adults 50 to 80 who have a 20 pack-year smoking history. That could mean one pack a day for 20 years or two packs a day for 10 years.

The guidelines apply whether you still smoke or have quit within the past 15 years. You do not need to have symptoms to be screened.

Remember: Finding cancer early, when no symptoms are present, increases your chances of being cured or living longer with lung cancer.

Take the next steps toward screening

  • Learn more about lung cancer screening at Wellstar.
  • Call (470) 793-4AIR to learn more about eligibility, financial assistance or to schedule a screening.
  • Read about a patient whose lung cancer screening results showed cancer in an early stage.
  • Need a doctor? Find a Wellstar provider and book an appointment.
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Clinician looking through microscope

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Genetic Testing: A Critical Tool in Cancer Treatment

It's been over three decades since genetic testing was first introduced as a tool for patients at risk of hereditary cancer syndromes. In its early days, genetic testing was expensive and time-consuming (often taking up to eight weeks for results). Fast forward to today and genetic testing is now a routine part of cancer care. It’s more accessible, comprehensive and, perhaps most importantly, significantly impactful for patients and their families.

Physicians help identify patients who could benefit from genetic testing, especially when someone has a personal or family history of cancer. Genetic testing can improve treatment outcomes, guide preventive care and provide vital information for the patient's family.

Benefits of genetic testing

1. Understanding the cause of cancer

One of the most common questions from patients newly diagnosed with cancer is, "Why did this happen to me?" While many cancers are the result of environmental factors, aging and sporadic mutations, genetic testing can offer a more definitive answer. For patients with hereditary cancer, knowing their cancer is genetically driven can help ease feelings of uncertainty and guilt. 

For many, this knowledge brings a sense of empowerment, as they now have the opportunity to make informed decisions regarding their treatment and potential preventive measures for the future. This hereditary cancer risk was present since birth, and there was very little if anything the patient could have done differently throughout their life to prevent their diagnosis.

2. Personalized treatment options

For patients with cancers like breast, ovarian, pancreatic and prostate, identifying genetic mutations (like BRCA mutations) can open the door to personalized therapies. The earlier in the diagnostic process the genetic test is ordered, the quicker the patient can be matched with appropriate treatments.

Knowledge of genetic mutations can also guide surgical decisions. Patients with BRCA-positive breast cancer may be candidates for risk-reducing mastectomy or salpingo-oophorectomy—both of which can lower the risk of future cancers. These decisions are most effective when genetic results are available before surgery.

3. Identification of additional cancer risks

Cancer does not always occur in isolation, especially in patients with hereditary cancer syndromes. For instance, patients with Lynch syndrome, a leading cause of colorectal cancer, are also at increased risk for uterine cancer—up to 60%. If identified before a colon resection, this knowledge could allow a hysterectomy at the same time if necessary, minimizing the risk of a second cancer and optimizing care.

Beyond immediate cancer treatment, genetic testing can also lead to additional screenings that might otherwise be missed. For example, the ATM gene is a known contributor to prostate and breast cancer.  But patients with an ATM gene mutation are also at elevated risk for pancreatic cancer. While general population screening is not typically recommended, high-risk patients should begin annual imaging and/or endoscopic ultrasounds as early as age 50 or 10 years before the earliest known pancreatic cancer in their family.

4. Informed decisions for family members

A cancer diagnosis doesn’t only affect the patient—it impacts their entire family. Once a genetic mutation is identified, relatives can undergo testing to assess their own cancer risk and talk to their care teams about screenings. 

Testing the affected patient first is the most informative strategy for relatives. Patients with negative genetic test results can be reassured that relatives are not at significant risk for the same diagnosis. 

The role of genetic counseling in cancer care

Genetic counselors provide the expertise necessary to interpret complex genetic results, discuss the implications for patients and their families, and offer psychological support throughout the process. Genetic counseling not only helps patients make sense of their genetic test results, but also provides them with the tools to make informed decisions about their health.

Counseling also helps address the emotional and psychological aspects of genetic testing, from potential feelings of anxiety to guilt and even empowerment. Research shows that genetic counseling has a positive impact on patient knowledge, reduces anxiety and can improve overall psychological well-being during a cancer journey.

Learn more about genetic counseling at Wellstar. 

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Celebrating the ribbon-cutting at Wellstar's newest cancer care facility in Cartersville, Georgia

Newsroom

Wellstar Expands Cancer Care in Cartersville

CARTERSVILLE, Ga. — Community members, local officials and healthcare leaders gathered to celebrate the ribbon cutting of Wellstar’s newest cancer care facility, marking a significant milestone in expanding oncology services for Bartow County. The facility began seeing patients Feb. 23, but the event offered the community its first look inside the expanded space and an opportunity to recognize the teams behind the project.

The nearly 15,000-square-foot building doubles local infusion capacity and adds space for chemotherapy, immunotherapy, targeted therapy and other medical oncology ervices. The facility features 15 exam rooms, three triage rooms, 28 infusion chairs, eight blood draw stations, a dedicated laboratory, an on-site compounding pharmacy, and expanded areas for clinical consultations and care coordination.

“This new facility is part of our commitment to expanding access to compassionate, high-quality care across the Southeast,” said Ketul J. Patel, president and CEO of Wellstar Health System. “For the people who call Bartow County home, that commitment means advanced cancer treatment where they live, delivered by a team supporting them every step of the way.”

The new location expands cancer care with Wellstar and partners in care Northwest Georgia Oncology Centers, enabling access to the latest therapies and strengthening collaboration among oncologists, advanced practice providers, pharmacists and support teams. In Cartersville, a dedicated team of two medical oncologists and four advanced practice providers now delivers personalized treatment plans tailored to each patient’s diagnosis. Patients also have access to supportive services, including genetic counseling, financial navigation and education with a clinical pharmacist.

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“This space was designed with our patients’ needs in mind,” said Dr. Michelle Ojemuyiwa, a Wellstar oncologist and hematologist who practices in Cartersville. “With more room, additional infusion chairs and an on-site compounding pharmacy, we can care for more patients efficiently while maintaining the personalized, attentive approach they expect throughout their treatment.”

The new Wellstar cancer care facility is located at 65 Cloverleaf Drive in Cartersville.

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