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Wellstar PeopleCare | David's Prostate Cancer Recovery Journey

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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Q&A: Breast Cancer Specialist Answers Mammograms and Self Breast Exams Questions

According to the American Cancer Society, 1 in 8 women will get breast cancer in their lifetime. Breast cancer is the second leading cause of cancer death for women. However, when found in its earliest stages, breast cancer can be stopped from spreading, is more treatable and nearly 100% curable. Screening is the best way to find breast cancer early. Let’s talk about mammograms as well as the right way to perform a self breast exam.

Mammograms

When should I start getting mammograms?

Unless you have a new breast problem or need to start screenings earlier because of risk, most guidelines recommend starting screening mammography at age 40.
How often should I get a mammogram?

Guidelines differ somewhat but are consistent that if you are of average risk, you should have them at least every other year.  If you are at increased risk, including having dense breast tissue or a family history of breast cancer,  it is recommended that you get an annual mammography screening and possibly enhanced screenings with MRI, ultrasound or contrast enhanced mammography.

Is getting a mammogram dangerous to my health?

While there is a small radiation exposure with every mammogram, the benefit of early detection of small, curable cancers almost always outweighs that risk of exposure.

Does it hurt to get a mammogram?

Some women do find mammograms uncomfortable.  This is more common when having imaging just before your menstrual period when breast tissue can be swollen and more sensitive.  If you do have extra sensitivity, scheduling the exam after your cycle starts or taking an over-the-counter NSAID pain reliever* a few hours before the exam may minimize the discomfort.  Because positioning of the breast and taking each mammogram image is typically less than 30 seconds, the extent of discomfort during the exam is short-lived.

*NSAIDs are nonsteroidal anti-inflammatory drugs, like ibuprofen (Advil, Motrin), naproxen sodium (Aleve) and aspirin.

Breast self-exam options

What is the correct technique for a breast self-exam?

Any pattern for feeling all of your breast tissue is acceptable. The goal is to make sure you are feeling with varying pressure from your collar bone to cleavage, to the bottom of the breast out to past where your breast meets your chest wall, including your armpit.

How often should I do a breast self-exam?

Self-exams should not be done too often because it can make it difficult to tell if a lump is evolving over time. Think of how hard it is to tell if your appearance changes gradually as you get older because you see yourself every day, compared to more easily seeing changes in someone’s appearance after not seeing them for a long time. Typically, once a month is enough.

Is there a best time to do a breast self-exam?

 It is important to do your breast self-exam in approximately the same time in your cycle rather than a specific interval—especially since not all menstrual cycles are exactly 28 days apart.  Doing the exam at the same place in your cycle will give you consistency in how the tissue should feel in terms of lumpiness, texture and density. 
I encourage my patients to do their exam the day after their cycle starts as a consistent point in their hormonal cycle fluctuations.

What am I actually looking for during a breast self-exam?

Your breast self-exam should be a tool to familiarize yourself with the general “normal texture” of the tissue in each of your breasts so if you detect something that is different, you will be able to identify it as new or changed. 

Can a breast self-exam replace a mammogram?

Self-breast exams cannot replace mammograms because mammograms can detect subtle changes like densities or calcifications that are too small to feel. The goal with screening mammograms is to detect breast cancer before you can feel it because early detection leads to better overall outcomes.
Learn more about breast cancer screening and treatment at Wellstar. 

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From survival to summit

After David did the hard work of fighting cancer twice and feeling like recovery was truly sailing along, he set a new goal. David and one of his daughters, Madeline Hawkins, completed a hiking and camping trip that included summiting Blood Mountain in North Georgia. They covered 14 miles, camping overnight and making friends along the trail.

Fully loaded with walking sticks, packs on their backs and huge smiles, David and his daughter head out for a multiple day hiking excursion.

The hike wasn't easy.

“I forgot you have to be half mountain goat!” he quipped.

David moved at his own pace and pushed through lingering fatigue. Reaching the summit’s stunning vista at Preacher’s Rock was a reminder of how far he had come since his cancer diagnosis.

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David Butler’s cancer journey began when he underwent treatment for an aggressive head and neck cancer. Supported by his family, faith and a team of head and neck cancer specialists, he had part of his jaw removed and went through radiation therapy and intense rehabilitation.

A major setback

The same year of his jaw surgery and initial radiation course, David’s recovery was beginning to feel like “smooth sailing.” Just as life started to feel manageable again, he faced an unexpected challenge.

David and his wife, Jill, got devastating news: routine follow-up imaging revealed three new tumors on the other side of his neck and tongue. Dr. Fiyin Sokoya, David’s cancer surgeon, removed lymph nodes from David’s neck, had them biopsied and confirmed that it was an aggressive cancer.

At first, David felt so discouraged that he didn’t want to move forward with treatment.

However, seeing that a group of experts were working together to give him the best, evidence-based treatment path for his unique circumstance gave him confidence to renew his fight against cancer.

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