New Women’s Mobile Health Screening Van Unveiled

The new Women’s Mobile Health Screening (WMHS) Van was unveiled on Tuesday, June 21 at Legislative Hall in Dover. The program included tours of the medical unit, remarks from program facilitators and elected officials, and a toast to the success of the program. Guests included Governor Jack Markell, Delaware Health and Social Services (DHSS) Secretary Rita Landgraf, Division of Public Health (DPH) Director Dr. Karyl Rattay, staff from the Delaware Breast Cancer Coalition (DBCC) and Women’s Mobile Health Screening (WMHS) program, DPH staff, and members of the Delaware General Assembly, including Senator Patricia Blevins, Senator Hall-Long, and former Senator Liane Sorenson.

 

The van is a collaborative effort between the State of Delaware and Women’s Mobile Health Screening (WMHS), a subsidiary of DBCC. The van is owned by DPH and the Delaware Breast Cancer Coalition holds the operating contract. In March, the WMHS program received a new, state-of-the-art van that combines digital imaging equipment and health professionals from Beebe Medical Center.  The Delaware General Assembly allocated funding for the van in June 2015.

 

“When we catch cancers early, we protect Delawareans from early death, disfigurements, complex health problems – and devastated families,” said Governor Jack Markell.  “The work the coalition has done over 25 years has saved lives and preserved families.”

 

“Screening is saving lives in Delaware,” Secretary Landgraf said.  “Because of organizations like the Delaware Breast Cancer and Screening for Life within the Department of Health and Social Services, it is highly likely that improving the early detection of breast cancer contributed to Delaware’s progress in breast cancer mortality.”

 

Delaware’s all-site cancer mortality rate has dropped, from second-highest in the country in the early 1990s to 14th for the period of 2007-2011.  Delaware’s breast cancer mortality rate currently ranks 17th-highest in the country.

 

Starting in July, in addition to mammography screenings, the van will offer cervical cancer screenings and blood pressure screenings, as well healthy lifestyle education.  A prescription from a medical professional is no longer necessary to be screened.

 

“We will also talk to women on the van about risk factors for cancer (and other chronic diseases),” Dr. Rattay said.  “Women will receive glucose screening (for diabetes), tobacco cessation referrals, Body Mass Index screening, and physical activity and nutrition education.”

 

“I am pleased to finally see the new and improved women’s mobile health screening van on the road and bringing lifesaving mammography screenings to some of our most vulnerable populations,” says Senator Patricia Blevins. “The van serves nearly 800 women a year who might not otherwise have access to mammography screenings and with the new addition of a room for examinations, it will bring even more value to the women in Delaware who need it most.”

 

Through the WMHS program, more than 8,500 women were screened since July of 2004. Of those, more than 4,200 were through the Screening for Life (SFL) program.  Over the past 15 years, SFL provided 25,000 uninsured or under-insured women in Delaware with more than 48,000 breast cancer screenings.

 

Women who qualify for the SFL program may receive free mammography services as well as cervical, screenings. WMHS also accepts Medicaid, Medicare, most health insurance, and self-pay clients. Patients should check with insurance providers to find out if they are covered. WMHS staff helps women apply for SFL or find another program that can help cover the cost of screening. Patients also can arrange for transportation or an interpreter through WMHS.

 

“By having a background in both healthcare and nursing and co-chairing the Delaware Cancer Consortium, I have seen firsthand the effects that cancer can have on all of those who are touched by this disease,” says Senator Bethany Hall-Long. “Early detection can be lifesaving when it comes to screenings for breast cancer which is why having access to the mobile mammography van can help reduce mortality and morbidity in our population.”

 

The van primarily targets those who are uninsured and/or low income; however, all women can be screened on the van. The van regularly visits community centers, senior centers, health care facilities, and employers throughout the state. Most women screened on the van are age 40 or older. For more information on the Women’s Mobile Health Screening Van, call 888-672-9647.

 

Event Photos by CM Baker. Captions below (from left to right).

 

 

 

 

Top Left: Group shot in front of the van

Top Right: Katelynn Mayers, Governor Jack Markell, Bethany Hall-Long

Bottom Left: Vicky Cooke and Liard Stabler

Bottom Right: Rebecca Elzey, Donna Stinson, Vicky Cooke, Christina Richter, Ciro Poppiti, Patti Key, and Linda Powell

 

 

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Advocacy in Action #NBCCsummit

Several staff members from the Delaware Breast Cancer Coalition recently attended the National Breast Cancer Coalition (NBCC) Advocacy Summit in Washington, DC. It was a wonderful summit where staff members were updated on the latest efforts to achieve Deadline 2020: to know how to end breast cancer by January 1, 2020 and advocate to leverage government to help us achieve our goals.  NBCC President, Fran Visco, shared so many stories with us of the triumph and tribulations the organization has faced over the last 25 years. We were inspired to live up to our goals so we can stop losing the ones we love to this horrible disease. #NBCCSummit

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There were updates from panels of experts in science, research, women’s health, and more on the Artemis Project – the search for a preventative breast cancer vaccine, prevention, metastasis, the political climate of breast cancer, and advocacy training.  All of this learning prepared us to march to Capitol Hill to meet with our legislators and effect change in our communities. #NBCConthehill

Our voices were heard as we met with staff members from all our legislative offices. In Congressman Carney’s office we met with staff aid, Gita Miller, who assured us of Congressman Carney’s continued support for the fight against breast cancer. He has already signed on as a Co-Sponsor for H.R. 1197 the bill which will help us Accelerate the End of Breast Cancer.  We urged the Congressman to help put pressure on the leadership in the U.S. House of Representatives to bring the bill to a suspension vote. We hope we can count on Congressman Carney to reach out to Representative Hoyer and Representative McCarthy to bring the bill to a suspension vote, where it will undoubtedly pass! Our Congressman will continue to make cancer a priority in his office.

 

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Quick detour as we stopped at the Supreme Court for a photo-op. #wheninDC

Next, we proceeded to the Senate side where we met with Senator Coons’ aid Kelsey Mellette to discuss the Senators unrelenting support for the efforts of the National Breast Cancer Coalition. Not only is Senator Coons a cosponsor for S. 746 Accelerating the End of Breast Cancer Act, but he has signed onto the FY17 letter to the Defense Appropriations Subcommittee in support of funding for the DOD peer-reviewed Breast Cancer Research Program (BCRP). This program has been so successful in producing innovative and unique, effective research which is both accountable to the public and transparent, and has produced extraordinary results. It has led to revolutionary work including the breast cancer drug, Herceptin. We are grateful to have Senator Coons support in Washington!

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Lastly, we met with Senator Carper’s aid Lynn Sha to discuss Carper’s support. Senator Carper has signed on as a cosponsor for S. 746 Accelerating the End of Breast Cancer Act and we hope we can count on his support of the DOD BCRP in the future.

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The conference was intense but we found some time for fun. Meeting the faculty for a quick chat about his ongoing research and a photo.

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And when it came time for the Breast Cancer Caucus “Convention”, we showed our Delaware pride BIG time! Check out our team pictured with Abe from the Washington Nationals and our University of Delaware Pride!

Overall, we learned a lot and had a great time. We will continue to fight to achieve the deadline and stop ending deaths due to breast cancer. If you would like to learn more about the National Breast Cancer Coalition and becoming an advocate, please contact Beth at bkrallis@debreastcancer.org.

Breast Cancer Update Was Great Success

Just about 300 people attended this year’s 19th Annual Breast Cancer Update held at Dover Downs Hotel and Rollins Conference Center on April 13. This year’s theme, Personalized Medicine: Not Your Grandmother’s Breast Cancer, focused on new methods of breast cancer diagnosis and treatment, and more personalized options.

The morning sessions included informative talks about advances in diagnosis and treatment of breast cancer from Kevin Fox, M.D., Director, Rena Rowan Breast Cancer and Mariann T. and Robert J. MacDonald Professor in Breast Cancer Care Excellence, University of Pennsylvania, a look at what kind of research is being done here in Delaware by Jennifer Sims-Mourtada, Ph.D., Senior Clinical Scientist, Helen F Graham Cancer Center at Christiana Care Health System, and a look at complementary medicine including naturopathic practices by Marie Winters, ND, FABNO, Manager of Naturopathic Medicine, Cancer Treatment Centers of America and spirituality by Drew Angus, DMin, Director of Spiritual Outreach, Cancer Treatment Centers of America.

New this year was a look at breast reconstruction and nipple recreation. Erik Hoy, M.D., Plastic Surgeon, Premier Dermatology and Cosmetic Surgery and Mandy Sauler, CPCP, Micropigmentation Specialist, Owner, CosMed Tattoo, LLC, both spoke about reconstruction after surgery and nipple recreation via tattooing. If you liked Mandy’s talk, you might enjoy this short video from Penn Medicine as well.IMG_9535

The day ended with a survivor panel with three local survivors sharing their stories, Barbie Andrews, Cheris Reed, and Holly Thatcher. This is always one of the most touching parts of the day and a favorite of many attendees!

Our expert panel of moderators included Owen Thomas, M.D., Radiation Oncology, Delmarva Radiation Services, Tunnell Cancer Center; Sara Gavenonis, M.D., Diagnostic Radiologist, Christiana Care Health System; Clara Higgins, D.O., FACOS, Trauma Medical Director, Beebe Healthcare; and Wendy Newell, M.D. FACS, General Surgeon, Wolf Creek Surgeons.

DBCC would like to thank the planning committee, chaired by board members Nanci Mayer-Mihalski and Wilma Yu, along with board members Tynetta Brown, Sue Bowlby, Patti Key, Beth Selsor, Linda Powell, Mary McLaughlin, Rena Howard, Donna Stinson, Ciro Poppiti, Amy Norgate, Dr. Clara Higgins, Dr. Wendy Newell  and all the sponsors, staff, volunteers, vendors, and all those who attended!

See you next year for the 20th Annual Breast Cancer Update – Wednesday, April 26, 2017!

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Breast Health Outreach & Education in Your Neighborhood

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The Delaware Breast Cancer Coalition, Delaware’s MOST trusted breast cancer resource has a few upcoming outreach and education programs coming to your neighborhood. Please mark your calendars to join us …..

 

 

VIDA Living a Healthy Lifestyle Bilingual Health and Screening Fair

Saturday, April 2, 2016

11:30 am to 2:30 pm

Multicultural Church and Community Center, 105 NE Front Street, Milford, DE 19963

Join us for a day of breast health education, free screenings, and information on how to live a healthy lifestyle on Saturday, April 2, 2016 from 11:30am to 2:30pm at the Multi-Cultural Church & Community Center in Milford. The day will include: Clinical Breast Exams provided on site, Mammogram appointments available on the van (call 1-888-672-9647 to register), Health screening and insurance information from many vendors, and Glucose, Cholesterol, BMI, DEXA screenings provided by the Bayhealth Education Department. Food and snacks will be provided plus Families are welcome and Free Clothing Giveaways will be offered. Hope you can join us!

For more information visit our webpage, here.

 

Total Woman’s Conference: Empowering the Wise and Well Woman

Saturday, April 9, 2016

10:00 am to 1:00 pm

Milford Library, 11 SE Front Street, Milford, DE

Join the Delaware Breast Cancer Coalition and Women of Wellness, LLC for the Total Woman’s Conference: Empowering the Wise and Well Woman on Saturday, April 9 from 10am to 1pm at the Milford Library. You can expect informative workshops, free screenings, and lunch. Admission is free but  registration is required. Visit tinyurl.com/wiseandwell to register.

For more information visit our webpage, here.

 

VIDA Living a Healthy Lifestyle Bilingual Health and Screening Fair

Saturday, April 23, 2016

8:30 am to 1:30 pm

Western Sussex Boys and Girls Club, 310 Virginia Avenue, Seaford, DE 19973

Join us for a day of breast health education, free screenings, and information on how to live a healthy lifestyle on Saturday, April 23, 2016 from 8:30am to 1:30pm at the Western Sussex Boys and Girls Club in Seaford. The day will include: Clinical Breast Exams provided on site, Health screening and insurance information from many vendors, and Glucose, Cholesterol, BMI, DEXA screenings provided by the Beebe Community Health. Food and snacks will be provided plus Families are welcome and Free Clothing Giveaways will be offered. Hope you can join us!

For more information visit our webpage, here.

Forgiveness and Health

Provided by Drew Angus, DMin
Director of Spiritual Outreach, Cancer Treatment Centers of America

 

Maryanne’s aging parents are still independent but they need more support than ever. Her Dad has a complicated health history including diabetes and a recent recurrence of cancer. Maryanne has three siblings who all live within an hour drive to their parents, however, Maryanne is the child who seems to always take her parents to the doctor and is in daily contact with them. Maryanne’s husband maintains her parent’s lawn and frequently does their home maintenance. Maryanne cooks three meals a week for her folks and stops by to check on them almost every day, all while managing her own household and working full time. In addition, Maryanne has recently gained added responsibilities with her daughter’s upcoming high school graduation. Recently, she asked her siblings if they could take over some of the duties of supporting their parents during the coming month. None of her siblings stepped up to the plate and each had excuses that did not seem valid. Once again, Maryanne was stretched thin with responsibilities and work that left her exhausted and angry. “I am disgusted with my siblings. Why do they have to be so selfish? I just need them to pull their weight and help Mom and Dad especially when I have so much on my plate already!”

During the course of any given day many of us get angry at least once. Something or more likely someone becomes a source of anger or frustration. There are a number of reasons why we get angry with people, but let me suggest a few of the m­ost common:

  • Injustice. We all have a sense of right and wrong and of what constitutes fair treatment. We know when wrong has been committed against us or someone we love, when people don’t do what they say they are going to do, when they don’t pull their weight, etc.
  • Hurt. The heart gets wounded. Most of us know what it feels like to be left out; overlooked, undervalued, put-down.
  • Fear. When there is a perceived threat to something that gives us a sense of identity or security.
  • Frustration. Everyone has a God-given need for significance and to leave a positive mark on the world. We want to see our work make a difference. Sometimes, roadblocks to moving toward our goals are people.

Sometimes we have a hard time letting things go.  We have the capacity to stew on offenses and sometimes develop deep pockets of resentment or lack of forgiveness that research shows actually hurts our health over time.

According to Seawell et al. in Pyschology and Health, “As a negative response to interpersonal offense that commonly involves grudge, resentment and revenge, lack of forgiveness has been consistently related to poorer health in published research.”

We know that those who do not forgive show an increase in sympathetic nervous system responses and release more stress hormones over a longer period that will in time affect their health and well-being. In other words, if I don’t forgive someone who has hurt me, the one who will suffer the most is me. So it is important for our friend Maryanne’s own health and well-being to be able to find forgiveness toward her siblings who have let her down.

So if it is so beneficial to forgive, why might Maryanne resist something that is good for her? Harboring an offense can actually feel good! History shows that one of the shadow sides of human nature is self-righteousness. If we are really honest sometimes we really enjoy feeling BETTER than someone else. If Maryanne forgives her siblings, she may sacrifice her sense of being `right’. When we hold onto a grudge it feels like we are in control although, in the long run, we end up being the ones controlled by the very offense that has hurt us to begin with. Another reason Maryanne might resist forgiving her siblings is the false notion that it means that she is letting them off the hook. It is difficult to accept that forgiveness does not perpetuate the hurt and injustices being done.

“Importantly, forgiveness is not condoning, excusing, denying, minimizing, or forgetting the wrong. It can occur without reconciliation, which requires the participation of both parties, if the person who caused the hurt is absent, deceased, or remains unsafe.” (Toussaint et al. Forgive to Live)

“Lack of forgiveness is like drinking poison and expecting the other person to die.” –Nelson Mandela

“Forgiveness can be defined as a freely made choice to give up revenge, resentment, or harsh judgements toward a person who caused a hurt, and to strive to respond with generosity, compassion, and kindness toward that person. It is a process that involves reducing negative responses and increasing positive responses toward the person who cause the hurt, across the realms of affect, cognition and behavior.” Loren Toussaint et al. (Toussaint et al. Forgive to Live)

Family therapist, Ruthanne Batstone, describes forgiveness as, “a willingness to absorb or pay the emotional debt for the offense and not seek revenge or payment in return. The offended person absorbs the price of emotional pain without seeking revenge.”

So if Maryanne forgives her siblings it is not a denial of the pain of their offense to her, rather it is an acknowledgement of the offense and a willingness to absorb the debt without repayment.

How do we find the power to forgive? “Forgive us our trespasses as we forgive those who trespass against us.” This beautiful quote is familiar to many and is taken from Jesus prayer from the Sermon on the Mount. One way to forgive is to remember our own humanity and frailty which will help us develop compassion towards others, even those who have hurt us. All of us who are loved well are also known well and that means we are not loved because we are perfect, but rather loved `warts and all’. If we meditate long enough on being loved by God with others even with our imperfections, it will create the space in our hearts to do likewise and to ‘forgive those who have trespassed against us.”

At Cancer Treatment Centers of America®, we see many people who live with cancer and their caregivers who, like Maryanne, carry immense responsibilities. Our desire is to minimize their stress and optimize their health and well-being by offering forgiveness education ­­­as one of many modalities to integrated health and healing.

Scriptural wisdom gives two possible responses to an offense by another. Sometimes you go to the person and talk about the offense, especially if it is needed to keep the relationship free of resentment and for the sake of loving the offender well. Sometimes you overlook the offense if you are able to absorb the debt without resentment and it is a more minor offense. Part of living in any relationship, any community is “patience, bearing with each other in love” (Eph 4:2). So we often need wisdom and discernment to know whether we let an offense go or talk to the person about it. When trying to decide, the guiding principle is LOVE.

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In honor of Black History Month: Meet Natasha Simms

African American women are more likely to die of breast cancer than any other race and the Delaware Breast Cancer Coalition does not like this statistic!!! This February in honor of Black History Month, the Delaware Breast Cancer Coalition is running a special “Planting the S.E.E.D. to Health and History” campaign. Visit our website to download a free Family Health History Tree and learn about your family health history and risk factors that may affect you. As a special part of the campaign, we’d like to introduce you to some local African American Breast Cancer survivors throughout the month to share their stories. Without further ado, meet Natasha Simms. She is a breast cancer survivor and friend of DBCC filled with an inspirational message of hope, courage, wisdom, and survivorship in the excerpt below.

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Natasha Simms was 31 years old when she was diagnosed with breast cancer. Natasha began screening for breast cancer at a young age, because her twin sister Lynette (featured last week on the blog) was diagnosed just a short while before her. She had a clean mammogram in August 2012 and in September, Natasha felt a lump. Her sister, Lynette, urged her to visit the doctor.

Natasha’s doctor did a biopsy and it came back as breast cancer. She also found out she was BRCA1 positive. She had 3 small tumors and the doctor recommended a mastectomy as the first step. The surgery was scheduled for December. Within that time the tumor had grown 10 times its size and spread to her lymph nodes. So the date of her surgery, Natasha was told she needed emergency chemotherapy. After the second chemotherapy treatment her tumor shrunk back down to its original size and after three more treatments she did the surgery. It was a grueling 8 hours – a bilateral mastectomy with reconstruction and 17 lymph nodes removed. Recovery was tough. Besides her eyebrows, she lost all her hair and her palms and fingers were black. She had four more rounds of chemotherapy and had some blood transfusions in between. 28 rounds of radiation later, Natasha was declared cancer free.

Because she was young, Natasha was told her cancer was more aggressive. That is why her tumors grew so quickly. But she was also told the treatment worked very well because she was her body was strong to fight back.

Natasha says watching her sister go through cancer made her stronger on her journey. She wasn’t scared of dying because she saw her sister survive and thrive. She says her biggest concerns were shallow thoughts like, “I’m young, I don’t have any breasts, I don’t have any hair, I don’t have a husband”, and wondering why it happened to her. But after her cancer, Natasha says the beauty inside her came out. She didn’t fall back on her physical looks. She appreciated the parts of her body that were functioning and supporting her, like her legs for helping her walk, and her eyes for helping her see.

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On the day of her diagnosis, Natasha recalls a rainbow in the sky. Her sister Lynette told her that was God’s promise that she wasn’t going to die from the cancer. Natasha gained strength and encouragement like this from her sister throughout her journey. She also found comfort in being able to call someone like Lois at the Delaware Breast Cancer Coalition and talk about what she was going through and all the challenges in her life.

Natasha (and Lynette) are the only ones from a family of 12 to have breast cancer. But Natasha says she had a grandmother that died of ovarian cancer and an uncle who died of prostate cancer. So she has urged her cousins to get their genetic testing. Natasha has 4 children and once they are 18 they will go through genetic testing. Her family and her children are at a higher risk of developing breast cancer due to their family history.

There are still after effects of the cancer that Natasha faces all the time but overall, she feels fortunate that her health is fine. After speaking to her doctor she had a complete hysterectomy to reduce her risk of developing ovarian cancer. And because the genetic make up of her cancer she cannot take any estrogen hormone replacements. So she is reading, learning techniques and managing the best she can. She has started to meditate, write books, and hosts a radio and online web show to talk about issues.

For someone who might be newly diagnosed and reading Natasha’s story, she has some words of wisdom, “Life is not over when you are diagnosed with breast cancer. This is just a test to show how strong you really are. Pull your strength from this. Be positive. Keep a smile.”

For any African American women reading this during black history month, Natasha has a special message. In general, we don’t like to go to the doctors. Doctors always have bad news. But you need to be familiar with how your body feels and if anything doesn’t feel right – go to the doctor. And most importantly, listen to the doctor. It might just save your life.”

 

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In honor of Black History Month: Meet Lynette Shannon

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African American women are more likely to die of breast cancer than any other race and the Delaware Breast Cancer Coalition does not like this statistic!!! This February in honor of Black History Month, the Delaware Breast Cancer Coalition is running a special “Planting the S.E.E.D. to Health and History” campaign. Visit our website to download a free Family Health History Tree and learn about your family health history and risk factors that may affect you. As a special part of the campaign, we’d like to introduce you to some local African American Breast Cancer survivors throughout the month to share their stories. Without further ado, meet Lynette Shannon. She is a breast cancer survivor and friend of DBCC filled with an inspirational message of hope, courage, wisdom, and survivorship in the Q&A below.

Question: Tell me a little bit about your breast cancer diagnosis and treatment. What was the most difficult for you?

Answer: Well at the age 27 my son had just turned 2 and I had just celebrated my 2 yr wedding anniversary. I could remember one day feeling a lump in my under arm and then feeling pain in my right breast. I visited my family doctor who then told me he would have to send me for a mammogram the same day. I was then scheduled for a specialist the same day. Next came the biopsy. I remember sitting in the doctors office with my husband being told I had breast cancer. It was a huge shock. I had a tumor about 4 cm in dimension. I also had 16 affected lymph nodes in my under arm.  

The most difficult part….. Everything! Not being able to care for my son, loss in appetite, restlessness, having to convince people that I was going to be okay and not die. Not to mention the fact that the very medicine that was supposed to save my life….. I was allergic to it. So before every treatment I had to take a dose of bendryl. I had 6 treatments in total. Broken in half because my tumor shrunk so fast that the doctor needed proof that I actually had a tumor. After the 6 treatments every 2 weeks I had 30 days of radiation. 

Question: How did you get through all the tough issues that come from a diagnosis?

Answer: I honestly got through the tough times with the help of God. For no other reason would I be here today with a testimony of healing.

Question: Did you turn to family for support?

Answer: My husband was my biggest supporter along with my family, church family, friends and co workers.

Question: Did the DBCC help you? Or did you have an outside support system like a church or sorority or friends or coworkers who you counted on?

Answer: The DBCC helped me out a lot. They were always ready to have someone talked to me if I had any questions or just needed someone to talk to. Everyone was always there to cheer me on and encourage me every step of the way. 

Question: Did breast cancer run in your family? I know your sister is also a survivor. Did you guys speak about your risk factors before being diagnosed – or do you do so now – especially for the future generations?

Answer: My breast cancer was genetic. I thank God for my plastic surgeon who suggested that I get genetics testing before getting reconstruction. It is at that point I found out it was genetic. At that point I only knew that my grandmother died of ovarian cancer. I was then able to get my second breast removed and help reduce the chance of it coming back.  From that I was able to tell my sister and all relatives that it was genetic. I begged my sister to get testing, unfortunately  that didn’t happen and before long she was diagnosed. 

Question: What advice would you give to a black woman who has just been diagnosed with breast cancer? Is there anything you wish you knew before that might have helped you along your journey?

Answer: The advice that I would give is don’t give up! Your story does not end with a diagnosis. Have Faith. A doctor once told me that it is really mind over matter. Don’t allow your mind and the things people may say dictate how you heal and survive. You can make it. Go get genetics testing, find out if it runs in your family, there is preventative work that can be done.  The one thing I wish I knew, was to get genetics testing before I had my surgeries.

Question: How are you today?

Answer: I feel amazing and grateful that God would heal me and continue to add years to my life. I’m also grateful for my support group that still encourages me and celebrates my life.  I have so many reminders of what I went through physically that keeps me humble and helps me to remember that I need to share my story and information with others.