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Article Category: Highlights

What to Expect When You or a Loved One Are Diagnosed with Breast Cancer

Published on October 18, 2023

Last updated 03:01 PM October 18, 2023

Woman providers and breast cancer patient talking

Breasts play an important role when it comes to a woman’s health, yes, but often they’re an important part of a woman’s identity, sexuality and function too. With 1 in 8 American women developing breast cancer in their lifetime, the disease affects many people physically and emotionally.

In this article, a patient and a group of breast experts discuss the best ways to prevent and fight breast cancer, as well as how to support family members, friends, colleagues or neighbors who may be diagnosed.  

 Photos of a breast cancer survivor and physicians for the round table discussion


What do women struggle with the most during treatment, and what helps?

Tameka Pearson, breast cancer survivor: When I was diagnosed, I just went to pieces. I cried for about two weeks straight. There were tears in my eyes when I’d wake up. I didn’t want to eat or go outside. I had to process the information. I was getting phone calls—updates and making appointments. But I was still a mom and a wife and had to go to work. That was a lot. 

When I was a child, my mom would say, ‘Pick yourself up and dust yourself off and get moving.’ I gave myself permission to mourn for two weeks—permission to loathe, to cry, to get it out of my system. Once those two weeks were over, I was done crying—done feeling sorry for me. I picked myself up and persevered. I realized I have a lot to live for! I couldn’t give up.

Before breast cancer, I did everything for my family—cooking cleaning, washing clothes. When I was diagnosed, they immediately took over. They became more independent, especially my children. My husband became more of the provider and caretaker. My children were like, ‘Mom, we need you to sit down; we need you to rest.’

One of my coworkers from the past is also a survivor and started a group called Lean On Me. When I logged onto a Lean On Me Breast Cancer Network Zoom meeting, I loved it. They were uplifting, prayerful and gave me great information if I had questions. 

Margie Apacible-Mancao, MSN, RN, CBCN, nurse navigator: After the initial shock of diagnosis, it’s not uncommon to get depressed or anxious. There can be the stress of transportation, childcare if they have young children at home or financial concerns. Sometimes patients experience anxiety for the first time, sometimes they’ve had it in the past and being diagnosed brings it to the front. We can connect them to counselors, financial counselors and social workers, or they can join a support group. Meeting with other patients and survivors helps them know they are not alone, get through treatment with hope and form great friendships. We live in a society where we’re trained to be independent, but when I meet with patients, I say, ‘Allow yourself to receive help.’

Dr. Karen Xu, MD, radiation oncologist: In general, radiation treatment for breast cancer is very well tolerated and most women go through the treatment without much difficulty. The most common side effects are fatigue and skin irritation appearing as a sunburn-like reaction from radiation treatment. We see patients at least once a week during radiation treatment and we recommend different creams depending on how severe the skin radiation reaction is. Mild physical activity usually helps with fatigue.

Dr. Sujatha Hariharan, MD, medical oncologist: One of the initial concerns patients have when they start chemotherapy is potential hair loss. This can be devastating and disheartening. We are excited to now offer cool caps as a means to reduce hair loss from chemotherapy. Cool caps work by cooling the scalp, leading to constriction of blood vessels in the scalp. This might reduce the amount of chemotherapy that reaches the hair follicles leading to reduced hair loss from the head. The success rate of the cool cap can vary from person to person.

There is a vast cancer support network available through Wellstar. Aside from the doctors, patients have support from social workers, chaplains, dietitians, nurses and nurse navigators. A whole team of people is here to help patients through the process. Patients often meet other patients during treatment where they bond and support one another. This can be such a meaningful and valuable relationship.  

The main thing is you’re not going to be alone. Many people will be here to help you with all aspects of your care.

A whole team of people is here to help patients through the process. Patients often meet other patients during treatment where they bond and support one another. This can be such a meaningful and valuable relationship. The main thing is you’re not going to be alone. Many people will be here to help you with all aspects of your care.

- Dr. Sujatha Hariharan, MD

Medical Oncologist

What are the treatment options?

Dr. Hariharan: When someone is diagnosed with breast cancer, I tell them there are four treatments that are available that include breast surgery, chemotherapy, radiation therapy and hormone therapy. The sequencing of these treatments varies between patients. Decisions on these treatments, including sequencing, will be determined by the treatment team as well as pathology results.

If a person is diagnosed with triple negative breast cancer, there are some newer treatment options. Immune therapy is used in conjunction with chemotherapy. Recent studies have shown that this combination can lead to better outcomes with a higher likelihood of having no residual cancer at the time of surgery. This is called pathologic complete response.

Certain treatments such as chemotherapy and immune therapy are used before surgery to help achieve the goal of no residual cancer at the time of surgery.

Dr. Xu:
In radiation oncology, we offer external beam radiation treatment and SAVI (brachytherapy) for breast cancer. In brachytherapy, we administer radiation from the inside or near the cancer with implanted devices such as wires, balloons, needles or seeds, which can be as small as the size of a grain of rice. For locally advanced breast cancer with lymph node involvement, we offer intensity modulated radiation treatment to reduce radiation dose to the lungs, heart and the other breast. Traditionally, breast radiation treatment will take 5 to 6 weeks, but we have been offering hypofractionation, which only takes three to four weeks for early stage breast cancer, based on more recent trial results. SAVI is only five days, twice a day for a total of 10 treatments.

How can I help my friend, neighbor or family member if they let me know that they have breast cancer? 

Tameka: The first thing you can do is give them time. Sometimes people are so quick to want to help. People would ask, ‘What do you need help with?’ I didn’t know how to answer that question. Give that person time to process what they just heard. It takes a large chunk of your energy. 

If they don’t need you now, it doesn’t mean they don’t love you. Just give them a minute. Be there and be understanding. There were times I didn’t want to talk to anybody. I wasn’t mad at them. I just didn’t feel like talking. 

Once they’ve processed their diagnosis, check in with them. It doesn’t have to be anything monetary or tangible. Visits can be limited because of sickness and white blood cell counts. For me, it was the quick phone calls, the cards, the messages. Those really impacted me more than anything else. 

Margie:
It can be hard for a person with breast cancer to answer if you say, ‘How can I help?’ But if you say, ‘What can I do for you?’ it can empower them to ask for specific things, like getting a child from school, babysitting, walking the dog or bringing them food.

You have to respect where someone is. If they’re not ready to talk, allow them that space. People who are diagnosed need time to grieve and go through acceptance. Just offer to be available even if they don’t want to talk—it can help keep their spirits up knowing someone is there to help them get through this rough patch.

 


Get plugged in

Talk to your nurse navigator about the different types of support available to you. Or find a support group at Wellstar.

If you’re looking for a cancer expert at Wellstar or a second opinion, call 1 (877) 366-6032 or find a cancer specialist near you.

 

Tags

Karen Mann Xu Sujatha Hariharan Cancer Care
Womens Health
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Commemorate Cancer Survivors Day with Wellstar

Wellstar supports people with cancer throughout their journeys, from early screenings to diagnosis to treatment. But our encouragement and dedication to delivering world-class, compassionate care doesn’t end in remission.

Across our system, Wellstar honors the bravery and strength of survivors every day, rejoicing in each milestone. This National Cancer Survivors Day, June 1, 2025, we are proud to pay tribute to the people who have conquered cancer and offer hope to those still fighting. This year’s Cancer Survivors Day theme—Strike Out Cancer—exemplifies our commitment to being a steadfast source of encouragement for cancer survivors and fighters across Georgia.

“On Cancer Survivors Day, we reflect on our patients’ journeys and cherish victories over cancer. We also offer compassion and support for people currently fighting cancer, so they and their loved ones know they’re not alone,” said Wellstar Director of Oncology Professional Practices Melissa Higdon.

Several Wellstar facilities will host events—and you can be a part of the celebration!

 

Northwest Georgia Oncology Centers in Cartersville
June 5, 2025
10 AM to 3 PM
100 Market Place Blvd., Cartersville
Contact Mary Ellen Smither at [email protected] or (678) 858-1146.

Wellstar Cobb Medical Center
May 30, 2025
12 to 2 PM     
4040 Hospital West Drive, Austell
Behind the building in the garden and parking lot area
Contact Ashley Dapremont at [email protected] or (470) 732-4523.

Wellstar Douglas Medical Center
June 7, 2025
11 AM to 2 PM
8954 Hospital Drive, Douglasville
Surgical services lobby
Contact Diane Harris at [email protected] or (470) 644-5411.

Wellstar Kennestone Regional Medical Center
June 7, 2025
11 AM to 2 PM
320 Kennestone Hospital Blvd., Marietta
First floor
Required RSVP, contact Nancy Page at [email protected] or (470) 793-7470.

Wellstar North Fulton Medical Center
June 1, 2025
2 to 4 PM
3000 Hospital Blvd., Roswell
Main lobby in hospital
Contact Sarah Bentley at [email protected] or (770) 751-2556.

Wellstar Paulding Medical Center
June 1, 2025
144 Bill Carruth Parkway, Hiram
Second floor auditorium
Contact Kellie Mitchell at [email protected] or (470) 644-8106.

Wellstar Spalding Medical Center
May 28, 2025
12 to 2 PM
Drive-thru event
608 South 8th St., Griffin
Women’s Center
Contact Sherry Connell at [email protected] or (470) 935-5526.

Wellstar West Georgia Medical Center
June 6, 2025
10 AM to 12 PM
111 Medical Drive, LaGrange
Enoch Callaway Cancer Center
Contact Stephanie Hand at [email protected].

Learn more about cancer care at Wellstar.

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Healthcare leaders and providers breaking ground for the new cancer center being built at Wellstar Spalding Medical Center

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Wellstar Expanding Cancer Care in Spalding County

At Wellstar Spalding Medical Center, we are your dedicated healthcare partner—putting you at the center of your cancer care and helping you navigate with clarity, hope and compassion. That’s why we’re proud to expand our medical oncology and infusion services to better serve our community.

The state-of-the-art cancer care facility promises greater access to advanced cancer treatments and improved convenience for patients in the Spalding community and surrounding areas.

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Wellstar Kennestone Regional Medical Center Renews Accreditation for Rectal Cancer Program

Wellstar Kennestone Regional Medical Center has earned another three-year accreditation from the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons. This accreditation demonstrates our commitment to providing personalized, high-quality cancer care close to home for patients in Georgia.

To achieve voluntary NAPRC accreditation, a rectal center must demonstrate compliance with the NAPRC standards addressing program management, clinical services and quality improvement for patients. Centers are required to establish a multidisciplinary rectal cancer team that includes clinical representatives from surgery, pathology, radiology, radiation oncology and medical oncology.

At Wellstar, rectal cancer patients have a multidisciplinary team on their side through every step of treatment. Each patient works with a nurse navigator to schedule appointments with specialists. Patients meet with a medical oncologist, as well as a surgical oncologist or colorectal surgeon. Imaging and lab tests are reviewed by a multidisciplinary board of rectal cancer physicians, efficiently providing patients with input from several experts in cancer care. During the course of treatment, that multidisciplinary board will continue to follow the patient and discuss the best next steps, tailoring care to fit each patient’s individual needs.

Additionally, the program at Wellstar Kennestone met standards addressing the clinical services that the rectal cancer program provides, including Carcinoembryonic Antigen (CEA testing), Magnetic Resonance Imaging (MRI) and Computerized Tomography (CT) imaging for cancer staging, which allow patients to start treatment within a defined timeframe. Rectal cancer programs accredited by the NAPRC undergo a site visit every three years and are also accredited by the American College of Surgeons Commission on Cancer.  

“Our patients are surrounded by a team of experienced rectal cancer experts who provide the highest level of personalized care,” said Wellstar Surgical Oncologist Dr. Sahir Shroff, who serves as the rectal cancer program chair.  “We are proud to be the first medical center in metro Atlanta to receive this important accreditation. Our pioneering efforts to adhere to the most rigorous standards and combine the latest technologies and techniques help us achieve excellence in rectal cancer care for our patients.”

Accreditation by the NAPRC is granted only to those programs that are committed to providing the best possible care to patients with rectal cancer. The NAPRC provides the structure and resources to develop and operate a high-quality rectal center. Accredited programs follow a model for organizing and managing a rectal center to ensure multidisciplinary, integrated, comprehensive rectal cancer services. Wellstar Kennestone earned its first accreditation in 2022.

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