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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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Illustration of a lung scan

Highlights

Wellstar Experts Collaborate to Help People Fight Lung Cancer

From catching cancer to following through with expert care, Wellstar ensures patients never have to fight lung cancer alone.

We are dedicated to early intervention in lung cancer, which improves outcomes for patients. After detection of an abnormality on a CT scan, patients are immediately surrounded by an interdisciplinary support team devoted to their well-being.

Identifying lung cancer early

If you are at increased risk for developing lung cancer, talk to your care team about screenings. With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. These screenings are offered at several Wellstar imaging centers.

The United States Preventive Services Task Force has revised lung screening guidelines. Patients may qualify for screening if they are 50 to 80 years old and smoked for 20 years. If they are a former smoker, they may qualify if they quit less than 15 years ago.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in one of the nation's largest lung screening programs and an incidental nodule program. When people come into a hospital seeking care for something else—whether that be a health condition like appendicitis or a traumatic event like a motorcycle accident—they might get a scan of the abdomen or chest that also shows portions of the lungs.

Using artificial intelligence, reports of those scans are fed to report coordinators, categorized based on their risk level and if a patient is higher-risk, forwarded to nurse navigators for review. Nurse navigators consult with physicians about the findings, and Wellstar can then initiate care if cancer is suspected.

The program, which started in fall 2020, has identified a total of 203 lung cancers and 22 other types of cancer, as of November 2025.

Expert care and support at every step

From the very beginning, people with lung cancer at Wellstar are surrounded by a team of experts. Rather than go through the time-consuming process of driving to multiple appointments with different specialists, patients meet with all these physicians in one place.

The Wellstar Lung Cancer STAT Clinic—at Wellstar Cobb, Wellstar Douglas, Wellstar Kennestone, Wellstar North Fulton, Wellstar Paulding and Wellstar West Georgia Medical Centers, as well as Wellstar Cherokee Health Park and the Thoracic NOW Clinic at Wellstar MCG Health Medical Center—give patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

"We plan patients’ appointments ahead of time, ordering multiple tests that will be necessary for the treatment decision-making. These can include PET scans, CT scans, MRIs and/or a pulmonary function test," Dr. Fortes said. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

Getting multiple expert opinions from the start not only gives patients peace of mind, it speeds up treatment, too. In the United States, the average time between an abnormal scan and the beginning of treatment is 60 to 90 days. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in patients with lung cancer.

"We have data to show that if we delay treatment, even in early-stage cancers, we decrease the chance of a cure," Dr. Fortes said. "The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

High-tech surgery options

For many patients, surgery is a crucial part of lung cancer treatment. Wellstar offers several minimally invasive options, reducing recovery time for patients.

More than 90% of lung cancer surgeries at Wellstar are performed using either the Da Vinci Surgical System or Video Assisted Thoracic Surgery techniques (VATS).

Minimally invasive surgeries reduce pain, scarring, blood loss and infection, as well as time to recover—getting patients back to work and other routines quicker.

The Da Vinci system is equipped with 3D cameras and instruments that can make very intricate, precise movements, allowing for shorter incisions and more accurate surgery. Some patients can leave the hospital as early as the next day.

For biopsies, Wellstar has completed 500 procedures using the Ion system, a robotic-assisted platform.

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process, significantly improving diagnostic yield compared to other modalities.

"The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung," said Dr. Fortes.

To reduce your risk of lung cancer and keep your lungs healthy, talk to your primary care team and follow a few tips, such as exercising and avoiding smoking. Learn more about treatments on our lung cancer care page.

Keep reading
Patient getting CT scan

Highlights

Monitoring Your Lung Health with Cancer Screenings

Lung cancer screening can detect cancer earlier—even before symptoms show up. Earlier-stage cancers are more easily treatable. If you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Our team has built one of the country’s largest and most comprehensive screening programs. Wellstar has been designated as a Screening Center of Excellence and Care Continuum Center of Excellence by the GO2 Foundation, an organization that supports lung cancer patients and educates about screenings and care. We’re also a designated Lung Cancer Screening Center by the American College of Radiology.

Evaluating your lung cancer risk

The United States Preventive Services Task Force has revised lung screening guidelines. You may qualify for screening if you are 50 to 80 years old and smoked for 20 years. If you are a former smoker, you may qualify if you quit less than 15 years ago.

“Those who are current or past smokers of cigarettes are more likely to develop lung cancer,” Dr. Fortes said. “However, while smoking is the leading risk factor for lung cancer, a large number of lung cancer patients have never smoked—1 in 5 women and 1 in 10 men diagnosed with lung cancer were never smokers.”

You may also be at increased risk of developing lung cancer if you have been exposed to radon, asbestos or other agents such as uranium or arsenic, according to the American Cancer Society. Previous radiation therapy in the lung area, such as chest radiation for breast cancer treatment, can also increase risk. Additionally, be sure to discuss your family history with your provider—siblings and children of people who have had lung cancer may have a higher risk of developing it.

Screening for lung cancer is not a one-time test, but a process that involves a periodic evaluation of your lungs over time to look for newly emerging cancer. CT scans can detect nodules that are compared over time for changes in size. 

“For those who are at high risk for lung cancer, it is best to have nodules and lung health evaluated by a team of physicians specializing in lung cancer care so the appropriate decision can be made of continued observation versus the need for early intervention,” Dr. Fortes said. 

Depending on the findings, some patients may have more or fewer exams. If findings are suspicious for lung cancer, your care team will contact you to discuss your screening results.

How do I schedule a screening?

An order from your physician is required to get a screening. Contact your primary care team or a pulmonologist to talk about screening and when it may be right for you. Once an order has been obtained from your physician, call (470) 793-4AIR (4247) to schedule your appointment.

What if my scan shows a lung nodule?

Your care team will support you at every step of the screening process. If you have any questions about your results or your screening plan, contact your provider over the phone or using the secure messaging feature in MyChart. You can also call our cancer care team at (877) 366-6032 to learn about our care options.

All lung screenings are initially interpreted by a radiologist. A team of physicians who specialize in the diagnosis and treatment of lung cancer will review findings that are suspicious for cancer. Once the physicians complete their review of your images, your results are posted within three to five days to your MyChart account. Results will be communicated with you and your physician via MyChart or mail within one week.

If a lung cancer is suspected, our team will call you to answer your questions and arrange next steps. You will then meet with a physician specializing in lung cancer treatment.

Patients whose screening shows a lung nodule may feel concerned. However, you should not be overly concerned if your report indicates you have small lung nodules. Most people who meet eligibility for screening will have some. Nodules are very common—at least 50% of people have them by the time they are 50 years old.

Learn more at wellstar.org/lungcancer.

Keep reading
Illustration of provider inspecting lung

Highlights

Wellstar Offers Saturday Hours for Lung Cancer Screening Day November 8

Lung cancer screening can detect cancer earlier, before symptoms show up. Earlier-stage cancers are more easily treatable and more frequently cured, so if you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health. To expand access to these vital screenings, Wellstar will offer screenings at several imaging locations Saturday, November 8.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Wellstar is partnering with the American Cancer Society National Lung Cancer Roundtable, the American College of Radiology, the Radiology Health Equity Coalition, and GO2 for Lung Cancer to celebrate National Lung Cancer Screening Day Saturday, November 8. While lung scans are always available at Wellstar’s conveniently located imaging centers during regular business hours, offering these Saturday hours will help patients fit screenings into their schedules.

Ask your care team about whether you meet the criteria for screening, or call us to learn more about qualifying and to make an appointment for a scan.Call us at (470) 793-4AIR (4247) to learn more and make an appointment for a scan.

The following Wellstar imaging locations will be open Saturday, November 8:

  • Wellstar Imaging at Wellstar East Cobb Health Park, 3747 Roswell Road, Suite 102 in Marietta
  • Wellstar Imaging Services, 60 Lacy St. in Marietta
  • Wellstar Imaging Services, 1220 West Wheeler Parkway in Augusta
  • Wellstar Imaging Services at Wellstar Cobb Medical Center, 1625 Hospital North Drive in Austell
  • Wellstar Imaging at Wellstar Douglas Medical Center, 8954 Hospital Drive in Douglasville
  • Wellstar Imaging at Wellstar Vinings Health Park, 4441 Atlanta Road SE, Suite 101 in Smyrna
  • Wellstar Imaging at Wellstar Windy Hill, 2540 Windy Hill Rd SE in Marietta
  • Wellstar West Georgia Medical Imaging, 1514 Vernon Road in LaGrange

In addition to these special hours November 8, low-dose CT lung scans are available at several Wellstar imaging locations. 

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