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Article Category: PeopleCare

JudyCare

After beating breast cancer three times, caretaker continues serving seniors

Published on October 19, 2022

Last updated 10:22 AM October 19, 2022

Photo of Judy Robinson and family member. Text reads "JudyCare"

Judy Robinson finished her fifth tour as a civilian assisting the military in January of 2018. She prioritized visiting her mother, her three adult daughters and five grandchildren when she returned to Douglasville. Second on the list was scheduling her routine health checks, as required every year by the military, including having a mammogram.

Mammograms can catch cancer early and lead to better outcomes

A mammogram is a routine X-ray that takes a picture of the breast to identify early signs of breast cancer. Mammograms can catch cancer before it can be felt, sometimes up to three years earlier. When breast cancer is detected earlier, the outcomes can be better for patients.  

At Wellstar Douglas Medical Center, Judy’s mammogram identified a lump in the breast. A biopsy confirmed it was cancer. This was the third time Robinson was diagnosed with breast cancer in 20 years. 

Overcoming breast cancer, time after time 

“The most aggressive breast cancer I had was the very first time,” she said, explaining that when her breast cancer was treated in 1998, she had a lumpectomy (a breast-preserving procedure that only removes the abnormal tissue from the breast), radiation and chemotherapy.

Her daughters were school-aged children at the time, and Robinson’s mother helped with their care as Robinson underwent aggressive treatment. 

“I went to work one day, and I thought to myself, ‘I can’t do this. This is too much,’” she remembered. “I saw their picture on my desk, and I thought, ‘You know what, Lord, I’ve got to hang in here for them.’ My whole attitude changed. It wasn’t about me or how I was feeling. It was about providing for them.”

She fought breast cancer and won, eating healthily, exercising and loving her family for nearly 10 years before it returned. 

“I was on Tamoxifen (a hormonal therapy used to treat hormone-receptor-positive breast cancer), and it was so strong it threw me into menopause,” she said. “I was having hot flashes so bad, so I stopped taking it. If I would have stayed on it, it may not have come back.”

When cancer returned to her left breast, Robinson chose to have a mastectomy — complete breast removal and reconstructive surgery. 

“My attitude for treatment was better the second time,” she said, smiling. “I would skip in there and bring that positive sunshine personality to rub off on everybody else!”

In 2018, she was diagnosed for the third time — this time, the breast cancer was in her right breast. She had a mastectomy at Wellstar Cobb Medical Center and breast reconstruction surgery in September 2020.

“Breasts don’t make or break us,” Judy said. “We are who we are as humans. It’s all about what’s in the heart. I’ve learned that. And, reconstructive surgery has its perks!”

Her oncologist recommended a long-term oral medication to help decrease the chance of the cancer returning. Throughout her treatment, Robinson found comfort by participating in a breast cancer support group at Wellstar Douglas Medical Center. 

“I didn’t have any hair — I was wearing a wig,” she remembered. “I met a lady who had ovarian cancer, and it was amazing. I always find comfort in talking to others there.”

Robinson’s purpose

Robinson has had her share of health challenges, including living with multiple sclerosis, diagnosed around the same time as her third breast cancer diagnosis. But she has an incredibly positive outlook.

Robinson owns two service-oriented businesses and runs them with her sister and two of her daughters.

Nell's Place is a transitional home serving civilians and veterans with disabilities such as bipolar disorder and schizophrenia. Robinson goes above and beyond the call of duty, often playing the role of a family member in addition to that of a daily caregiver. She often takes groups of residents out to dinner to celebrate a resident’s birthday when their family is not involved. 

Judy and her family also operate In Loving Hands Adult Day & Health, caring for seniors with Alzheimer’s Disease and dementia and children and adults with developmental disabilities.

“I look at my purpose for still being here as God’s purpose,” she said. “I don’t take anything for granted. He’s allowing me to be a good steward — to see about others, even in my condition. I’m still able to give, and I’m still able to love.”

Have you had a mammogram?

Screening can help catch breast cancer early and may improve outcomes after treatment. Learn more about mammograms and schedule one at a location near you. 

Photo of Judy Robinson with family members

IN THE PHOTO: 

Judy Robinson overcame breast cancer three times to run service-oriented businesses with her sister, Wendy Favors (not pictured), and her daughters. Pictured from left to right: Tamara Robinson, Somer Robinson, Judy Robinson and Brittia Childs.

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Cobb Medical Center Douglas Medical Center PeopleCare
Breast Cancer
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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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Walk Through a 7-Foot Colon Model and Learn About Screenings at Wellstar Events

Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a 91% survival rate.

For someone at average risk, screenings should begin at age 45. Those with a higher risk or a family history of colorectal cancer may need to start screening sooner. Talk to your care team to create a personalized screening plan.

To raise awareness of the importance of colon cancer screenings, Wellstar’s surgery, gastroenterology, cancer care and community health teams will host informational events throughout March. Visitors can walk through a large inflatable colon model, learn about the importance of screening and early detection, and at some events, nurses will be available to help patients schedule a colonoscopy.

  • March 6, 8 AM - 4 PM, Wellstar MCG Health Medical Center B Entrance 
  • March 6, 11 AM - 1 PM, Wellstar Kennestone Cancer Center
  • March 11, 10 AM - 2 PM, Wellstar Sylvan Grove Medical Center
  • March 12, 8 AM - 4 PM, Wellstar Spalding Medical Center
  • March 16, 8 AM - 4 PM, Wellstar Douglas Medical Center Main Lobby
  • March 17, 8 AM - 4 PM, Wellstar Paulding Medical Center Main Lobby (upstairs)
  • March 18, 10 AM - 2 PM, Wellstar Windy Hill Main Lobby
  • March 20, 8 AM - 4 PM, Wellstar West Georgia Medical Center Main Lobby
  • March 23, 8 AM - 4 PM, Wellstar East Cobb Health Park
  • March 24, 8 AM - 4 PM, Wellstar Avalon Health Park Lower Level Lobby
  • March 25, 8 AM - 4 PM, Wellstar Vinings Health Park
  • March 26, 8 AM - 4 PM, Wellstar Acworth Health Park
  • March 27, 8 AM - 4 PM, Wellstar Cherokee Health Park
  • March 31, 8 AM - 4 PM, Wellstar Cobb Medical Center

Call our colorectal cancer screening hotline at (470) 793-4032.

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Thanks to a team of heart failure doctors and the Optimizer Heart Mini, Pat's back to dancing the Carolina shag again.

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PatCare

Pat Gelisse has been dancing for 30 years. She even taught the Carolina shag for a while. It’s a partner dance, sometimes compared to Swing dancing to beach music.

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With a team of Wellstar heart specialists working together for her, Pat found hope and new life on the dance floor.

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Blood work and an EKG got Pat a ticket straight to the hospital and a quadruple bypass. 

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She was in acute heart failure, a life-threatening condition where the heart doesn’t pump well enough to deliver the necessary amount of oxygen to her body. Pat’s ejection fraction (EF)—the percentage measurement of the blood that leaves the heart each time it pumps—was only 10%. The normal range is 50 to 70%.

It was a scary time, and with a family history of heart problems, Pat was worried. She’d lost both parents to heart failure, as well as other family members.

“I just knew for sure I was going to be next,” said Pat.

Doctors from various academic institutions discussed serious treatments ranging from LVAD to transplant, but because the pumping performance of her heart improved, she was no longer a candidate for those procedures. Instead, Pat spent close to nine years managing her heart failure with a pacemaker and various medications—treatments that failed to get her back on the dance floor.

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