Article Category: PeopleCare

PhylissCare

Published on October 14, 2020

Last updated 11:02 AM August 28, 2023

From the very beginning, Phyliss had a fighting spirit. She was determined to beat breast cancer and be there for her family for years to come.

As the matriarch of her family, Phyliss Davis has always taken care of everyone before herself. Between a busy schedule and devoting time to her granddaughter Wynter, Phyliss made a habit of putting her own health on the back-burner.

Hoping to check another job off her to-do list, she finally squeezed a routine wellness appointment onto her calendar. But when Phyliss’ medical chart showed no recent mammogram, her primary care physician grew concerned.

"When my doctor asked how long it had been since my last mammogram, I didn’t want to admit that I hadn’t had one in years," Phyliss said, remembering how the medical professional urged her to get a breast exam as soon as possible. "Because I didn’t have a family history of breast cancer, I thought I didn’t have to worry."

Luckily, Phyliss came in at just the right time. Her mammogram caught a concerning lump that couldn’t be seen with the naked eye. Following a biopsy, she was diagnosed with breast cancer.

Throughout her cancer journey, the grandmother would learn the importance of taking care of her own health and body. And soon, she would truly understand the words her mother told her as a child: "An ounce of prevention is worth a pound of cure."

For each patient, I present the information in an easy-to-understand way. I make sure to discuss treatment options without overwhelming them. I always allow ample time for people to ask questions to allay their anxiety.

- Dr. Sheree Brown

Wellstar Radiation Oncology

Listen to Phyliss' story

Wellstar offered support to Phyliss every step of her breast cancer journey.

Passing the baton

From the very beginning, Phyliss had a fighting spirit. She was determined to beat breast cancer and be there for her family for years to come. There was also no question about who would be on her healthcare team.

"As soon as I was diagnosed, I knew to go to Wellstar. There was a team of people supporting me there, and it was so close to home," Phyliss shared. "Wellstar made me feel like I wasn’t on this journey alone."

Wellstar quickly formed Phyliss’ care team of health experts and advocates, referring her to breast cancer specialists within the robust cancer network.

The health system’s digital patient portal, MyChart, also helped her appointments run smoothly so Phyliss could focus on her care without any added stress. In her MyChart account, all of her medical records were already together in one digital space.

"It was like passing the baton," Phyliss explained the seamless specialty care process. "With MyChart, all my health information was organized and easily accessible. I didn’t have to worry about gathering information or having a copy of my medical chart with me. It was all ready to go as soon as I came to the next appointment."

Between her devoted care team and expert treatment, Phyliss felt as though she was part of a close-knit healthcare family.

"The doctors took the time to answer my questions and told me to call if I thought of anything else when I got home. They said, ‘I don’t want you to be worried about something if I could answer your questions and ease your fears.'"

Wellstar Radiation Oncologist Dr. Sheree Brown became a key player in Phyliss’ cancer treatment. The specialist shared how Wellstar cares for each and every patient throughout the diagnosis and treatment process.

"For each patient, I present the information in an easy-to-understand way. I make sure to discuss treatment options without overwhelming them," Dr. Brown said of her approach to care. "I always allow ample time for people to ask questions to allay their anxiety."

Wellstar’s compassionate care made all the difference. Phyliss left her cancer treatment consultation with peace of mind and a concrete treatment plan in place.

Beating breast cancer

Phyliss’ cancer was caught at an early stage. But even so, her care team didn’t waste any time and sprang into action so Phyliss would have the best possible outcome. The medical experts quickly created a customized cancer treatment plan, which included surgery to remove the tumor and radiation to prevent the disease from returning.

Following Phyliss’ successful lumpectomy, she received daily rounds of radiation at Wellstar Kennestone Regional Medical Center. Dr. Brown led the treatment, using her knowledge and expertise to treat Phyliss’ cancer effectively.

"In Phyliss’ case, external beam radiation was delivered using the prone technique. That meant she received treatment lying face down instead of sitting up," Dr. Brown explained. "This particular process allows the breasts to hang away from the body, minimizing radiation exposure to the lungs."

Using this specialized method, Dr. Brown could target the cancer without endangering healthy tissues. For cancer patients, access to innovative treatments and technology is critical to improving their outcomes.

"Wellstar has state-of-the-art equipment available, which allows us to offer many cutting-edge cancer treatments," Dr. Brown said. "We also have multidisciplinary tumor boards to help provide comprehensive treatment plans for our patients."

The radiation sessions were a success. Now after finishing treatment and becoming a breast cancer survivor, Phyliss can focus on being there for her entire family.

Phyliss encourages women who may be putting off preventative health screenings to take the ultimate step towards practicing self-care.

"Women are the heart of the family. We make sure our loved ones are taken care of, but we need to see ourselves as important too," she said. "Don’t neglect your health. Take the time to go for your yearly physical and mammogram. It’s the cornerstone of your health."

Have you had a mammogram?

Screening for breast cancer at regular intervals can help catch breast cancer earlier — before symptoms appear — for better outcomes. Learn more about mammograms and find a location near you. Or call (678) 581-5900 to schedule your mammogram now.

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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Highlights

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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