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SandyCare

Fighting breast cancer & forming lasting friendships

Published on October 26, 2021

Last updated 01:21 PM August 22, 2023

Sandy and Kellie sitting on a bench, and text "SandyCare".

The roots Sandy Kaecher has built in Paulding run deep.

When she moved to Dallas, Georgia over a decade ago, Sandy wanted to make a real difference in her adopted hometown. From countless hours of volunteering to serving on the county commission, she has been a pillar in the community from the beginning.

In 2014, she even attended Wellstar Paulding Medical Center’s groundbreaking ceremony, eager for the area to have easy access to world-class healthcare. However, she never expected to battle breast cancer at the same facility years later.

During her fight, Sandy partnered with an entire team of cancer experts, right here in her beloved community. She also found comfort and strength in a new bond with Wellstar Nurse Navigator Kellie Mitchell, who was by Sandy’s side through her toughest moments.

Every step of her cancer journey, Sandy got unending support from Wellstar—and even a true, lasting friendship, too.


Catching cancer early

In 2018, while Sandy was gearing up to run in the local election as the first female Paulding County Commissioner, she wasn’t aware that her body was already fighting a battle of its own.

Sandy noticed dimpling on one of her breasts, and knew something wasn’t right.

The distinctive dimpling that Sandy experienced is one warning sign women can watch for between their annual mammograms. During a breast self-exam, women can use their eyes and hands to inspect their breasts for new or concerning changes.

Abnormalities may include a new lump, swelling or thickening of the tissue, red or flaky skin, pulling in or pain in the nipple area and change in size or shape of the breasts.

Breast self-exams are an important way women can stay in tune with their bodies. However, at-home checks are not a substitute for getting a mammogram done by an imaging expert. These screenings are crucial to catch what the naked eye can’t see and detect health issues, such as breast cancer, in its early stages.

That’s why Sandy brought her concerns to her primary care physician right away.

It wasn’t long before she was connected with the cancer team at Wellstar Paulding. There, she received a follow-up mammogram and ultrasound to discover what was the underlying cause of the dimpling.

The advanced imaging technology flagged abnormal results. Her care team got an even better picture of what was going on inside her body after a biopsy.

The results were clear: Sandy was dealing with a complex case of breast cancer. Based on the high-tech images, the cancer had woven in and out of the breast tissue, making it more complicated to treat.

With her expert Wellstar cancer team ready to battle beside her, Sandy summoned her fiery spirit and prepared for the fight.

Make sure to see your doctor and get screened. And, if you are diagnosed with cancer, keep fighting and keep going.

- Sandy Kaecher

Wellstar Breast Cancer Survivor

Friends join the battle

A breast surgeon, radiation oncologist and medical oncologist all worked together to create a personalized treatment plan. For Sandy, this included a double mastectomy, reconstructive surgery, chemotherapy treatments and radiation therapy.

From the start, Sandy relied on the power of optimism to help her through the ups and downs.

“After being diagnosed with breast cancer, I had to change my outlook very quickly. I shifted my perspective to stay positive,” Sandy said. “Even when I found out I would be losing both of my breasts, I chose to focus on what I would be gaining instead—like getting my health back.”

Still, balancing surgeries and treatments can be overwhelming. At Wellstar, cancer patients have access to a ready resource to help them through the journey: oncology nurse navigators.

Wellstar oncology nurse navigators (ONN) bring highly personalized care, knowledge and support to each cancer patient and their families. Whether it is understanding a difficult diagnosis, working through treatments or just lending a listening ear, ONNs are there every step of the journey.

Sandy found much-needed help and guidance from Wellstar Oncology Nurse Navigator Kellie Mitchell.

For Kellie, being an oncology nurse navigator is more than a job. It’s her calling.

“I am a patient’s touchstone during a whirlwind of medical care,” Kellie explained. “For patients facing a possible breast cancer diagnosis, I am there from the start. I meet them after they have an abnormal mammogram or ultrasound.”

“If their biopsy results are positive for cancer, I provide education on their diagnosis, emotional support, can help obtain financial assistance and coordinate care with other providers,” Kellie said. “I even see the patients at their doctor’s visits to help decrease their anxiety and voice any concerns.”

From diagnosis to treatment and all the way through recovery, Kellie was there for Sandy through it all. Partnering together, the pair formed a friendship to face cancer with confidence.


An unbreakable bond

Sandy and her Oncology Nurse Navigator, Kellie, built a strong camaraderie as they teamed up to battle breast cancer.

“Kellie never left my side,” Sandy said, recalling her nurse’s unyielding support.

Wellstar understands how critical nurse navigation can be to a patient’s cancer journey, and it made all the difference for Sandy.

“Wellstar Health System provides optimal care in our community,” Kellie said, sharing the importance of her role. “With nurse navigators also in place, it helps smooth transitions, decrease patient worry and improve patient satisfaction.”

Because ONNs specialize and only focus on cancer, Kellie provides the highest level of care possible and is always looking for opportunities to increase her knowledge.

“I go to many seminars and educational opportunities to stay up-to-date with the most current and best practices in oncological care,” Kellie said.

Her dedication to being up-to-date with the latest education and information about cancer care helps her efficiently and effectively guide patients like Sandy throughout the process.

Kellie accompanied Sandy to many of her appointments, including when she was receiving radiation treatment. All the nurses who cared for Sandy left an impression, and always went above and beyond to support her.

“All of my Wellstar nurses were full of joy and energy,” Sandy shared. “If you weren’t happy when you walked in the room, they would make you feel happy by the time you left.”

All the while, Sandy stayed strong and true to her positive nature. Even as she battled breast cancer, she never gave up her dream to help her community.

While being treated, Sandy wanted to remain a contender in the election for the Paulding County Board of Commissioners, and got the OK from her physicians to stay on the ballot.

After the votes came in, Sandy was declared the winner. And, with her Wellstar team by her side, she won her health battle against breast cancer too.

Currently in remission with no signs of the disease returning, Sandy is stepping up and raising awareness about breast cancer.

“Now as a survivor, Sandy has made it her mission to pay it forward,” Kellie said about her friend’s work. “I will always love and admire her for her personal strength.”

“I give back everywhere I can,” Sandy said. “I want to do what I can to help others in the community.”

Her positivity and faith have carried her through tough times throughout her diagnosis. Sandy encouraged others who may be facing a similar situation to always have hope no matter what.

“Make sure to see your doctor and get screened,” Sandy said, urging other women to protect their health. “And, if you are diagnosed with cancer, keep fighting and keep going.”

Moving forward, Sandy will never forget the care and friendship she found at Wellstar.

“Even though I went through one of the hardest situations, I had the best care team in the world alongside me.”

Tags

Paulding Medical Center Paul - Cancer Care PeopleCare
Cancer Care
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Eric Janeau, a former All-American offensive tackle who once played football at Kansas State University and Western Illinois University and trained with the Detroit Lions, faced a host of serious health conditions—a rare form of bile duct cancer, obesity, heart failure, kidney disease and diabetes. With the support of his tight-knit network of doctors and the Wellstar Center for Best Health, Eric is overcoming these obstacles and inspiring others through his remarkable weight loss journey.

Life change kickoff: A rare cancer diagnosis 

In 2021, Eric was diagnosed with a rare and aggressive bile duct cancer.

“I was in disbelief,” Eric remembered. “I didn’t eat all weekend.”

The only cure was surgery, but at 11 centimeters, the tumor was too large to be removed. Under the care of Medical Oncologist Dr. Carmen Klass, Eric began chemotherapy. At the time, he didn’t realize just how dismal his chances were for survival. At stage 4, the survival rate for this cancer type is 1%, with only four to six months to live if treatment isn’t successful.

Eric began chemotherapy accompanied by additional hydration to help with his heart failure and steroid shots that caused him to gain weight during treatment. After 12 rounds and six cycles of chemo, his body responded excellently—the mass shrunk by 40%. Surgical Oncologist Dr. Sahir Shroff re-evaluated him and cleared him for surgery to remove the tumor in early 2022.

Today, Eric is cancer free.

One team, one goal: Eric’s health comeback 

Eric’s journey didn’t end with cancer treatment. He also faced severe obesity, putting him at risk for life-threatening conditions like heart disease and stroke. Dr. Klass was concerned and took the time to address Eric’s other health concerns.

“Dr. Klass and Dr. Shroff keep up with my health and they keep each other informed of what’s going on,” Eric said. “They're totally invested in my well-being.”

After chemotherapy and surgery to remove the tumor, Dr. Klass referred Eric to Dr. Mitzi Rubin at Wellstar Center for Best Health. It was time to lose weight and get his diabetes and high blood pressure in check.

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Highlights

One-Stop Treatment Clinic for Patients with Thoracic Cancer

If you had to guess which cancer took the most lives in America, what would your guess be?

“Lung cancer is the No. 1 cancer killer in the U.S. for both women and men since 1986,” said Dr. Daniel Miller. Dr. Miller is the chief of thoracic surgery and the director of the Wellstar Georgia Cancer Center lung cancer screening program.

About 80% of lung cancer cases are associated with cigarette smoking, including secondhand smoke. Unfortunately, when symptoms begin showing, the cancer has already spread, making treatment very time-sensitive. When a patient is diagnosed, their care team typically includes not just one, but four doctors: a thoracic surgeon, an interventional pulmonologist, a medical oncologist and a radiation oncologist. There are many benefits to having a large care team, but a huge drawback can be the wait time between appointments with each doctor.

“When you have cancer, you want to be seen now and be treated now,” Dr. Miller said.

The speed of treatment time for patients is what inspired the creation of the Thoracic-Oncology NOW (New Oncology Workgroup) Clinic at Wellstar Georgia Cancer Center. The multidisciplinary clinic is staffed by specialized physicians in the treatment of thoracic malignancies. 

The clinic treats not just lung cancer, but also esophageal cancer, metastatic disease to the lungs and malignant pleural effusions.

“You’re cutting back on treatment time, waiting time, travel time and, more importantly, you have a group of doctors, rather than a doctor, who are talking about your care,” said Hematologist and Oncologist Dr. Girinda Raval.

The clinic operates on Wednesdays and acts as a one-stop shop for patients, saving their time and the time of their loved ones who join them for treatments. Patients also have access to Wellstar Georgia Cancer Center’s registered dietitians and social workers, along with a scheduler, financial personnel and medical assistants, creating one large care team ready to help them on their treatment journey.

“There is a degree of reassurance for the patient that there is a team who are all engrossed in caring for that patient,” Dr. Raval said.

To learn more about the Thoracic-Oncology NOW Clinic or make an appointment, call (706) 721-6744 for more information.

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Kathy DeJoseph delights in making and giving away thousands of soft and cheerful hats to Wellstar cancer patients through a nonprofit she founded called Happy Caps. It’s all in the name of bringing a little light and comfort to people during a hard time.

Where did the idea come from? It started with Kathy’s own lung cancer diagnosis.

A commitment to yearly lung cancer screening

A cancer survivor for more than a decade, Kathy said regular lung cancer screenings were the key to her survival. With a long history of smoking and growing up around relatives who smoked, she decided to join an early detection lung cancer study at Wellstar.

Even though she felt fine and had no symptoms, committing to the study meant having an annual low-dose CT scan every year. After several years of clean scans with no signs of lung cancer, Kathy told a nurse that she was going to quit. But the nurse persuaded her to come in for another screening.

“Thank goodness she did,” Kathy said. “I was diagnosed the very next day.”

Quick and efficient treatment at the STAT Clinic

Being a part of the study and getting screened early allowed Kathy to move immediately to Wellstar Lung Cancer STAT Clinic at Wellstar Kennestone Regional Medical Center.

STAT stands for Specialty Teams and Treatment, highlighting the collaboration of multiple cancer experts. Together, they come to a consensus on a treatment plan and meet with the patient on the same day. This puts the patients at the center of their care plan, allowing them and their families to get immediate answers to questions, make decisions and start treatment faster.

“The biggest benefit for me with the way the STAT Clinic works is that I didn’t have to worry about whether the doctors had actually talked to each other,” Kathy said. “They’d come in one after another and tell me what they thought from their expertise.”

Immediate communication and mutual agreement among medical experts mean treatment plans are established and started faster, which is proven to improve long-term survival. On average, it takes 60 to 90 days from the time of diagnosis to treatment in the U.S. With the STAT Clinic at Wellstar, patients go from diagnosis to treatment in 14 to 20 days.

Kathy’s treatment started quickly—she had a lung biopsy the day after her STAT Clinic appointment and started chemotherapy a week later.

“I wasn’t as terrified for as long as most people are because I had answers within a short period of time,” Kathy remembered.

She had surgery once she completed chemotherapy. Throughout the process, she had the support of an entire cancer team, including a medical oncologist, a lung cancer surgeon, a pulmonologist and a nurse navigator.

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