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Article Category: Highlights

Partner with Your Provider to Help Prevent Gynecological Cancer

Published on September 23, 2021

Last updated 11:23 AM September 08, 2023

Women talking

The more you know about your health, the more empowered you are to take control of it. There’s no greater example of the power you have to protect your future when it comes to preventative health visits and cervical cancer. While cervical cancer is one of the most common gynecological cancers, it doesn’t have to be.

With the guidance of their physician, physician assistant or nurse practitioner, women and teens can learn important information and take action that could potentially save their lives. That’s because most types of cervical cancer are now completely preventable.

It’s not too late to vaccinate

Cervical cancer typically affects women between 30 and 50 years of age. Younger women are also at risk.

Of course, prevention works best when it starts early. The human papillomavirus (HPV) vaccine prevents cervical cancer. It is recommended to give the vaccine to children around 11 or 12 but can be given as early as 9 years of age. 

If not previously vaccinated, the HPV vaccine is recommended for everyone through the age of 26 and can be administered by a primary care provider or gynecologist. Even some adults in their 30s and 40s who were previously unvaccinated benefit from getting an HPV vaccination.

A pediatrician, primary care provider, gynecologist or many pharmacists and healthcare providers in public health departments can administer the vaccine. 

How well does it work?

The HPV vaccine has been found to provide close to 100 percent protection against infections and pre-cancers caused by HPV.

According to the Centers for Disease Control and Prevention, HPV infections and cervical precancers (abnormal cells on the cervix that can lead to cancer) have dropped significantly since the vaccine has been in use in the United States. Among teen girls, infections with HPV types that cause most HPV cancers and genital warts have dropped 86 percent. There has been a 71 percent decrease for young adult women.

Identify cervical cancer earlier for better outcomes

Women can also be screened for cervical cancer at regular intervals. There are two tests that can help:

  • The more traditional is a Pap smear, which looks for precancers, or cell changes on the cervix.
  • The newer HPV test identifies the human papillomavirus, a virus that can cause the cells to become cancerous.

Most health plans cover preventative care services—like vaccines and screening tests—at no additional cost. For people without insurance, Wellstar practices have low-cost annual exams that include evaluation for cervical cancer and a Pap test if it is medically appropriate.

To find a primary care provider, gynecologist or pediatrician, call (770) 956-STAR (7827) or schedule online by clicking the “Book Now” button at the top of any page.

Take control of your health and read how to lower your risk and recognize the signs of gynecological cancer.

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Womens Health Cancer Care Primary Care
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Think PINK: Raise Your Breast Cancer IQ

According to the American Cancer Society, more than 316,000 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S. this year. Breast cancer is the most common cancer among women, apart from skin cancer, and second only to lung cancer as a leading cause of cancer death in women.

It’s important for women to know the symptoms and schedule regular screenings to detect breast cancer early. Remember PINK—Prevention, Information, Next steps and Knowledge—to guide your awareness.

P: Prevention

The best way to detect breast cancer early is by staying connected with your healthcare provider and keeping up with regular visits and screenings, including mammograms.

Who should get screened, and when?

Annual mammograms are recommended starting at age 40. Women with additional risk factors or a family history should speak with their provider about starting screenings earlier.

I: Information

Research and learn as much as you can about breast cancer. Knowing the signs and symptoms could save your life.

What are the symptoms of breast cancer?

Some symptoms may be spotted early. Knowing what to look and feel for can help catch breast cancer before it progresses:

  • Lump in the breast or underarm
  • Breast swelling or thickening
  • Redness or flaking skin on the breast
  • Nipple discharge other than breast milk
  • Change in breast size or shape
  • Pain in any area of the breast

N: Next steps

When a mammogram result is flagged for follow-up care, it can feel scary. At Wellstar, you don’t have to face the process alone. Our Comprehensive Breast Health Program offers complimentary concierge services, automatically enrolling patients with abnormal mammogram results. Dedicated nurse navigators guide you through each step of the diagnostic process—helping with scheduling, answering questions and supporting your physical and emotional well-being.

If you are diagnosed with breast cancer, it’s important to partner with your care team to plan your treatment.

What happens after a breast cancer diagnosis?

  • Schedule a follow-up visit. Meet with your healthcare provider to ask questions about your diagnosis and treatment options.
  • Consult with specialists. At Wellstar, breast surgeons and oncologists work as part of an integrated team to recommend treatment tailored to your condition. Patients also have access to advanced imaging, leading facilities and experts in surgery, radiology, pathology and oncology.
  • Explore STAT Clinic. At the Breast Cancer STAT Clinic at Wellstar North Fulton Medical Center, a full team—including a breast surgeon, medical oncologist, radiation oncologist, genetic counselor and nurse navigator—meets with you in one place on the same day. Together, they create a personalized treatment plan before you leave, helping reduce the time from diagnosis to treatment from months to just two weeks. This patient-centered model brings the specialists to you, ensuring the most seamless, supportive experience possible.

K: Knowledge

Knowing your personal health, family history and risk factors helps your care team determine if you may be at increased risk of developing breast cancer.

For women ages 24 to 39, Wellstar has partnered with Gabbi to offer a personalized, virtual breast cancer risk assessment. The program provides next-day virtual visits with specialists, coordinated imaging at Wellstar and 24/7 concierge support.

What are the risk factors for breast cancer?

  • Age. Risk increases as women get older.
  • Family history. Having a relative with breast cancer—or a male relative with prostate cancer—can increase risk.
  • Previous radiation therapy. Radiation to the chest for other cancers or lymphomas may increase risk.
  • Past diagnosis. A previous breast cancer diagnosis raises the likelihood of recurrence.

Wellstar provides comprehensive breast diagnostic and treatment options, along with support services to help patients and families navigate their journey.

For more information, visit wellstar.org/breastcancer.

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A young woman lifts weights in the gym

Highlights

6 Weight Loss Questions Answered by Our Experts

People who want to lose weight have more options than ever before. However, deciding which one to pursue can be a challenge. Should you go for lifestyle changes alone? Consider weight loss surgery? Or look into injectable weight loss drugs like Ozempic and Wegovy?

We asked two Wellstar physicians to weigh in on this popular topic—and their answers might surprise you. Dr. Lisa Hilton is director of minimally invasive and bariatric surgery at Wellstar MCG Health Medical Center and director of the Center of Obesity and Metabolism at Augusta University. Dr. Mitzi Rubin is a family medicine physician and director of the Wellstar Center for Best Health. Here’s what these two experts have to say about obesity, treatment options and the importance of a comprehensive approach to weight loss.

Let’s cut to the chase: What is the best way to lose weight?

Dr. Rubin: There is no magic fix that works for everyone. Many people have tried every fad diet out there. They’ve tried being more active. Maybe they’ve even had bariatric surgery or used injectable weight loss drugs—but nothing works. If this sounds like you, schedule an appointment at a comprehensive weight loss center. Find one that offers medical and surgical treatment options and personalized recommendations. And make sure they provide ongoing support to help you meet and maintain your weight loss goals.

Dr. Hilton: Both of our centers take this comprehensive approach. We use every tool available to treat obesity. You may be successful with lifestyle changes alone, or perhaps you need to meet with a behavioral therapist or consider surgery, medicine or a combination of therapies. Everyone is unique, and their treatment plan has to be unique too.

What’s your take on weight loss injectables—are you a fan?

Dr. Rubin: I’m excited about drugs like Wegovy and Ozempic, which people sometimes refer to as GLP-1s. They work because they control your appetite and reduce ‘food noise,’ a persistent, unwanted focus on food.

However, not everyone can tolerate the side effects, which include nausea, constipation and diarrhea. If you want to lose more than 20% of your body weight, using one of those drugs alone probably won’t get you there. Another consideration is that many people need to continue taking these drugs for life—even after they reach their weight loss goals.

What are some misconceptions about bariatric surgery?

Dr. Hilton: Two big misconceptions are that bariatric surgery is dangerous and it doesn’t work. Here’s what I’d say: First, bariatric surgery is as safe as a routine procedure like gallbladder removal. Second, bariatric surgery is the most long-lasting and effective treatment for obesity available. Most people who have bariatric surgery maintain their weight loss at the 10-year mark.

With weight loss drugs dominating the headlines, have you noticed a shift away from surgery?

Dr. Hilton: Yes, but I think that’s temporary. The drugs are sparking conversations about obesity and weight loss, which is a good thing. Patients who have never considered bringing up obesity to their primary care provider are asking about the injectables. They’re making appointments at a comprehensive weight loss center, and they are discovering they have a lot of choices. It isn’t ‘medicine or surgery’ or ‘medicine versus surgery.’ Sometimes the best answer is both.

Can you share a weight loss success story with us?

Dr. Rubin: We’ve had so many success stories. One of our rock star patients has lost 250 pounds under our care. Now, she’s living her life again. Her diabetes is in remission, and her cholesterol has improved. She’s no longer depressed and isolated. My whole team is so proud of her—she has completely changed her lifestyle, sees our dietitian regularly and attends our support group. Another patient has lost 135 pounds. He and his wife are losing weight together, and it’s fantastic.

Dr. Hilton: We ask our patients at their first visit, ‘What does success look like to you?’ Most have a number in mind, but non-scale victories are important too. Some want to get off their diabetes medicine or shop in a regular store instead of a big and tall store. Others want to take their kids to Disney World or a water park and have fun on the rides—not just watch.

What is the No. 1 key to weight loss success?

Dr. Rubin: The key is to make lasting lifestyle changes. Medication and bariatric surgery can only get you so far. If you are ready to make these changes, consider finding a team who offers personalized, long-term support. Dr. Hilton, myself and others at Wellstar are here to help!

Ready to take your first step? If you’re considering lifestyle changes, medication or surgery for weight loss, it all starts with a conversation. Schedule a visit with your primary care clinician to discuss your goals, health history and next steps.

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Greg Rodgers with his wife ringing the cancer bell

PeopleCare

GregCare

Picture a big swath of land out in West Georgia. It’s a little wild and a little cultivated, but it’s well cared for thanks to the Rodgers.

“My wife and I are blessed to live on this land,” Greg Rodgers said. “God instructs us to be good stewards of the land and we are dedicated to doing just that. We’re always mowing, planting and tending to fallen trees.”

Photo collage of Greg Rodgers on a tractor and his land

Much like their acreage, Greg sees his body as something that deserves to be maintained with care. And he’s an advocate that other men do the same. Seeing a doctor regularly and getting screened can help identify conditions earlier so they’re more treatable. Greg learned that from his personal experience with prostate cancer, and the team at Wellstar West Georgia Medical Center who helped him overcome it.

“It’s not so much my story as the story of the professionals at Wellstar—they’re tremendous people,” he said.

The right tests for an accurate diagnosis

Prostate health is not something to ignore. Greg understands this now after a routine PSA test—a simple blood test—came back abnormal in 2020. When PSA levels are checked regularly and rise over time, they can be a sign of prostate cancer.

Because of his elevated PSA, Greg began monitoring his prostate health and eventually, connected with Wellstar Urologist Dr. Richard Jadick in LaGrange. Dr. Jadick performed a UroNav fusion biopsy to investigate his climbing PSA. During the procedure, an MRI helps accurately target the biopsy location. This biopsy has a low false negative rate, meaning the results are more trustworthy than in the past. Greg’s results came back positive for prostate cancer.

Pursuing personalized, expert care

Because every case of prostate cancer is different, there are a range of options for treating it, from active surveillance (monitoring with imaging) to advanced treatments like robotic surgery and targeted radiation therapy that have fewer side effects than traditional treatments. 

Greg and Dr. Jadick discussed several options, but before Greg made any decisions, Dr. Jadick recommended he see Dr. Robert Taylor, a Wellstar radiation oncologist. 

Greg remembers having reservations about radiation therapy. But once he arrived for the appointment, he felt immediately at ease. “Dr. Taylor is a quiet, confident person with a kind smile,” he said. “He was really good at explaining everything, going through studies and the different procedures. He’s so methodical, so good at answering questions and so patient.”

The option they settled on was a high dose of targeted radiation aimed at the prostate during a shorter treatment course (20 days versus 44). A newer technology called SpaceOAR Hydrogel would separate the rectum from the prostate during treatment, preventing unnecessary radiation exposure—and side effects.

“When it comes to choosing the right treatment, everything is a balance between the risk level and a variety of other personal factors,” Dr. Taylor said. “We want to provide treatment that is the least disruptive and most effective.”

To be sure this was the best plan for Greg, Dr. Taylor requested a second opinion from Mayo Clinic. Wellstar experts have a direct connection to Mayo Clinic specialists through its Mayo Clinic Care Network membership. Wellstar physicians and patients can access eConsults—virtual second opinions—at no additional cost to patients.

Some additional imaging was recommended, which validated Dr. Taylor’s treatment plan. Greg moved forward with his cancer treatment with pure confidence.

Keep reading
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