Wellstar Orthopedics & Sports Medicine

Tameka Pearson experienced the best and the worst of women’s health in a decade. When she overcame her first health challenges, a new breast cancer diagnosis tested her again. As Tameka conquered cancer with the support of her family and her Wellstar cancer care team, she only grew fiercer in her dedication to self care.

Overcoming health challenges

Look back a decade and you’ll see Tameka, a mom of three, teaching middle school students. She started out as a special education teacher, then became an English and language arts teacher. She said, “I truly loved trying to figure out how to help the students learn the curriculum in a different way and to help them cope with their disabilities.”

She was also coping with her own issues at the same time—fibroids, heavy bleeding and pain. After five years, she had a hysterectomy and went through menopause at 36 years old. It took a year to recover, and she gained 60 pounds, high blood pressure, anxiety and depression.

“The heaviest I could lift was my clothes basket,” she remembered. “When I got clearance to exercise, I changed my eating habits, my mindset and my life for the better.”

A new focus on building strength shaped her into a new woman—inside and out. She rose at 4 AM daily, lifted weights, taught students and returned home for time with her family.

A second diagnosis

In peak physical condition at 43 years, Tameka scheduled her routine annual mammogram. She got called back for a second mammogram due to dense breast tissue.

“Getting a call back after a screening mammogram means that the doctor wants to look at something more closely,” said Diane Harris, RN, a certified oncology nurse navigator at Wellstar Douglas Medical Center. “It does not mean you have cancer, but if you do, finding it earlier could save your life.”

But for Tameka, further imaging led to more tests and finally, a needle-guided biopsy. Two days later, she got a call confirming she had triple negative breast cancer. She said, “I felt like this little bump can pretty much dictate the rest of my life. When I heard the term ‘breast cancer,’ my world stopped. I cried for about two weeks straight.”

Over the years, advice about breast self-exams and breast cancer screenings has changed. So what exactly should you be doing to make sure you’re staying your healthiest? We brought together a panel of women’s health experts to discuss the best strategies to keep tabs on your breast health—and who to talk to if you’re diagnosed with breast cancer.

I do breast self-checks every month. Why do I need a mammogram too?

Dr. Paula Greaves, MD, OBGYN, Wellstar chief Women's Health officer: Unfortunately, 1 in 8 women will develop breast cancer in their lifetime, so early detection is key. We have shown over the years that the sooner we detect breast cancer, the more successfully it can be treated. Survival has increased significantly since we started finding breast cancer earlier—before there are symptoms, such as feeling a lump during a self-exam.

Mammograms are essential for early detection. It’s recommended that women start getting mammograms at age 40. However, if you have a family history of breast cancer or other risk factors, your gynecologist or primary care provider may recommend starting earlier and will help you create a personalized screening plan. There are some risk factors that women cannot change, such as genetics, but there are some ways women can lower their risk, like quitting smoking, eating a healthy diet and exercising regularly. Wellstar offers 16 mammography locations, and our patients have state-of-the-art technology on their side. We offer high-resolution breast screening, including 3D mammograms.

Women should continue not only getting annual mammograms, but also seeing their gynecologist or primary care provider for regular breast exams. Women should also be aware of physical changes within their bodies, including breast changes. Changes in the texture of the skin or a lump or pain in the breast should always be checked out by their healthcare provider.

Margie Apacible-Mancao, MSN, RN, CBCN, nurse navigator: I am so passionate about breast cancer screening—every opportunity I have I tell patients to get a screening mammogram when they’re of age. Tell someone in your circle that you’re going, then they’ll tell someone in their circle and the circle gets wider so more people will get screened.

Does it mean I have cancer if the doctor recommends a biopsy?

Dr. Sujatha Hariharan, MD, medical oncologist: When a mammogram detects an abnormality, a biopsy might be indicated. Many breast biopsies will be non-cancerous such as fibroadenomas.  

If cancer is found on a breast biopsy, there are several parts of the pathology result that the care team will utilize to make a treatment plan. For example, the presence of estrogen and progesterone receptor positivity allows the potential for hormone therapy as part of the treatment plan. The HER-2 gene is also tested for and if that is present and positive, it allows for medication directed at the HER-2 gene to be given along with chemotherapy.  

Sequencing of the various treatments for breast cancer—surgery, chemotherapy, radiation and hormone therapy—will be determined as a collaborative effort between the breast surgeon and medical oncologist.

If I’m diagnosed, who should I talk to next?

Margie: The anxiety of not knowing their diagnosis or what’s next is one of the hardest parts. At Wellstar, patients have access to a nurse navigator on the day they are recommended to have a biopsy. We make an appointment with the specialists as quickly as possible because just knowing that someone is helping them get to the next step and get that appointment fast dials down their stress level. 

Dr. Karen Xu, MD, radiation oncologist: If you are diagnosed with breast cancer, you will need to see a breast surgeon first to discuss your surgery options—lumpectomy or mastectomy; a radiation oncologist to discuss the duration of radiation treatment and whether lymph nodes should be included in the target; and a medical oncologist about whether endocrine therapy or chemotherapy is indicated and the timing of systemic therapy. Patients who desire reconstruction after mastectomy will discuss with a plastic surgeon the type and timing of reconstruction they want.

Schedule a mammogram

Find a breast imaging location near you online or call (678) 581-5900.

AUGUSTA, Ga. (Oct. 13, 2025) – Wellstar Children’s Hospital of Georgia officially cut the ribbon on its updated lobby Monday with a ceremony attended by donors, dignitaries from Wellstar, Wellstar MCG Health Medical Center, Augusta University and the city of Augusta.

There was also a very special guest in attendance, Dr. Charles Howell, who throughout his career has been one of Wellstar Children’s Hospital of Georgia’s biggest advocates. From the stage, he watched, visibly touched, as a giant purple curtain fell, revealing the words “Dr. Charles G. Howell Jr Lobby” stretching across the lobby wall, greeting guests as they enter.

“I’m a little embarrassed,” Dr. Howell said as he took the podium.

He went on to say that many times over the years, patient families told him they didn’t know where to go for care, and now any patient who walks through the door of Wellstar Children’s Hospital of Georgia will find physicians who are board-certified in many specialties.

“You get the best care without saying anything, and for that I am very proud,” he said.

The moment had been kept top-secret, even from many event organizers. Planners knew they were organizing a special recognition, but the identity and exact nature of the surprise was revealed to leaders on a need-to-know basis to avoid spoiling the surprise. Leaders who knew, agreed that this was just as it should be. After all, Wellstar Children’s Hospital of Georgia would not exist without Dr. Howell’s steadfast advocacy.

There’s a well-known story that Dr. Howell offhandedly mentioned the need for a children’s hospital to a patient’s father—a spark that would lead to securing the necessary funding only a few years later. Dr. Howell did not know the comment was made to the chief aide to Rep. Tom Murphy, then Speaker of the Georgia House of Representatives. Ten years later, the children’s hospital was a reality.

Dr. Howell was also instrumental in designing the hospital, involving children and families in the process to ensure their needs were met. Children’s Medical Center, now Wellstar Children’s Hospital of Georgia, opened in 1998 and expanded pediatric inpatient capacity from 32 to 154 beds. Dr. Howell is one of Georgia’s greatest advocates for children’s healthcare.

As part of the celebration, Augusta Mayor Garnett Johnson read a proclamation declaring Oct. 13 “Dr. Charles Howell Day,” and presented him with a plaque.

Wellstar MCG Health President Ralph Turner also thanked Dr. Howell for his dedication and service to Georgia’s children.

“When someone dedicates their lives to taking care of our children and only makes one profound statement that grows into an entire facility—and he dedicates 40 years of his life taking care of children—this, today, just feels right,” Turner said.

As a pediatric surgeon, Dr. Howell has performed more than 16,000 procedures. He graduated from Medical College of Georgia in 1973 and, following a pediatric surgery residency at a children’s hospital in Philadelphia, returned to Augusta to practice.

In addition to operating on nearly 400 children each year, Dr. Howell started a pediatric ECMO program and a pediatric trauma program. He also served as capital campaign co-chair to assist in bringing Ronald McDonald House to its current location—only steps from Wellstar Children's Hospital of Georgia.

In 2018, following his 40-year surgical career, Dr. Howell retired as surgeon-in-chief of the children's hospital and chief of the department of surgery for Wellstar MCG Health. He returned to the health system in 2019 as the head of the hospital’s physician practice group.

The lobby of Wellstar Children’s Hospital of Georgia was the first large renovation project at the children’s hospital since it was built in 1998. The renovation includes new flooring, removal of an old fountain and updated furniture. A donor wall has also been installed to recognize the generous donors who help the hospital fulfill its mission of providing patient- and family-centered care for every family who seeks care at Wellstar Children’s Hospital of Georgia.