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Goldsboro News Argus Cancer Edition

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Cancer Registry. "The most prevalent forms of cancer in Wayne County are lung cancer and in a distant second is colon/rectal cancer," said Davin Madden,Wayne County health director. "Our lung cancer rates in Wayne County,all though they've gone down over the past 10 years,are still signifi- cantly higher than the state average.Matter of fact,it's almost double that. Smoking remains more prevalent in the southeastern part of the state,which results in a higher number of lung cancer cases in Wayne County and other rural areas,Madden said. The health department fre- quently provides smokers with the QuitlineNC number,at 1- 800-Quit-Now,and is in the process of restarting its smok- ing cessation classes,said Celi- ta Graham,health education program manager with the Wayne County Health Depart- ment. "Lung cancer is the most preventable form of cancer because you simply quit smok- ing,"Madden said. Colon and rectal cancers make up a smaller amount — 9 percent — of all cancers in Wayne County,according to 2013 figures. While lung cancer is the most preventable,colon cancer is the most treatable,Graham said. Colonoscopies,typically per- formed on people when they reach age 50,help with the detection of cancer or pre-can- cerous cells. "The earliest you can actual- ly detect a polyp in a colonoscopy,they can usually remove the polyp,"Graham said."If they remove it early enough,then you don't have to go through the chemo or radiation that you would in other cancers.It's the most treatable." The early detection of cancers,through rou- tine screening tests and by visiting a doctor regularly,can go a long way in reducing adverse outcomes. "Early detection is really the key,"Madden said."Most cancers,when they get to certain stages are less treatable.Typically,the later stage you are and the more severity of the cancer,(there are) fewer number of options and the less chance of success in treatment. "Making routine appointments with your provider are critical.Early detection is the best form to prevent and try to mitigate the damage of cancer." Cancer remains the leading cause of death in Wayne County and North Carolina,since 2009,according to the Centers for Disease Control and Prevention. While some cancers can be tied more to genetics,such as breast cancer,there are basic steps anyone can take to improve over- all health.Recommendations include eating healthy foods,losing weight,increasing exer- cise,limiting alcohol and quitting smoking. "That diet is tied into — eat fresher,less processed and eat simpler foods as part of your normal routine,"Madden said. "There have been multiple studies out there that have been from reputable universities that show that a consistent level of activity of 30 minutes or more a day that elevates your heart rate has shown to release different hor- mones and endorphins in your body that work against cancer,work against free radi- cals in your body." "You can't do anything to avoid genetic dis- position,but that's why we talk about limit- ing and reducing your risk.That's what health is about,risk reduction." Sunday, October 8, 2017 Goldsboro News-Argus — 19A NOW OFFERING STATE-OF-THE-ART 3D MAMMOGRAPHY WAYNE RADIOLOGISTS, P.A. 2700 Medical Office Place • Goldsboro, NC 27534 Vance H. Edwards, MD; Paul A. Willman, DO; Brian E. Munro, MD Kevin M. Cregan, MD; Lance L. Arnder MD 919.734.1866 Call us to schedule your mammogram today! Wayne Radiologists has provided imaging services to Wayne County for over 50 years. Our Doctors and staff are committed to providing fast and friendly care to our patients. • ULTRASOUND • NUCLEAR MEDICINE • DIAGNOSTIC IMAGING • BONE DENSITY • 2D & 3D MAMMOGRAPHY • COMPUTED TOMOGRAPHY (CT Scans) • CT COLONOGRAPHY • FLUOROSCOPY (Upper GI's, Barium Enemas, Myelograms) 71DCT1016S© Ovarian cancer is the second most common gynecologic cancer behind uterine cancer. Approximately 22,000 women are diagnosed with ovarian cancer each year,with over 15,000 deaths due to the disease annually. Most women are diagnosed in the later stages of the disease,which often prevents a cure. If detected early enough,ovarian cancer can be cured; however,there are currently no proven screening tests that allow for early detec- tion of ovarian cancer. Therefore,it is important to recognize risk factors for development of the disease as well as potential warning signs and symptoms. The likelihood of developing ovarian can- cer increases with age. The average age at diagnosis is 63. Family history of ovarian or breast cancer is a strong risk factor for developing the disease. There are several reproductive factors that contribute to increased risk. Women who start menstrual cycles early (before 12) or have late menopause (after 52) have increased risk. Also,women who have never had children or who are infertile are at increased risk. A histo- ry of multiple pregnancies or last pregnancy after age 35 is protective against ovarian cancer. Ciga- rette smoking increases risk of certain types of ovarian cancer. Having the genetic mutation in BRCA 1 or 2 carries a significant risk of ovarian and breast cancer. Knowing that this mutation has been found in a family member should prompt testing in all close relatives. Also,any patient that has been diagnosed with ovarian cancer should be tested for the BRAC 1 and 2 mutations. Detecting any cancer early is essential in it successful treatment,so knowing some of the early signs is important. Most women with ovari- an cancer develop abdominal pain,urinary urgency,abdominal swelling and bloating. As compared to patients with non-cancer causes of abdominal symptoms,patients with cancer usu- ally have these symptoms more frequently. This frequency is usually 20 to 30 times a month as compared to 2 to 3 times a month in patients without symptoms from other reasons. Symp- toms usually also occur together,with patients commonly complaining of multiple symptoms at the same time. If you have a strong family history of cancer in your family,especially ovary or breast cancer, you should talk with your doctor about the poten- tial for genetic testing. Also be aware of some of the early signs and symptoms that may be a clue that additional evaluation is needed. If warranted,your doctor may decide to do additional studies that might include ultrasound or other imaging and blood tests. From the doctor Dr.Jason Boyd Southeastern Medical Oncology Center nosis was set.The Mitchells took stock of their options,and by January of 2012,Jerry was receiving chemothera- py and radiation at Duke Hospital. When Jerry's condition worsened and radiation was no longer an option,the couple moved back home and contacted the Southern Medical Oncology Center for help. During that time,Diane's life changed.As a pastor's wife,she had always supported Jerry in his ministry and worked to keep the church func- tioning.Now,that support took on another level. "I became,almost,the nurse,"she said."I made sure that he had all his medications,I watched him to see when he might need his medications increased or decreased,I made sure he got them on time." Jerry continued to work and preach. His work as a pastor was his passion, Diane said,and he worked consistently throughout 2012.The following year was when things took a turn for the worse. Diane watched as her husband's con- dition faded through 2013.He lost weight,struggled to move and eventu- ally lost the ability to drive.Diane served as his chauffeur,driving him around to help him do as much of the work he was accustomed to as possible. She watched as Jerry struggled to keep agency over his life. "Cancer is just one of the worst things that can happen to a person," she said."It takes your independence, it took his body,you watch that person slowly become almost nothing.No fat on his body,his thoughts were not the same.It just takes everything." Diane continued to drive her hus- band around town,helping him inter- act with members of his church and come to their aid when he could.Dur- ing his sickness,Jerry leaned on his family as points of light in a dark time. "When his granddaughters came in, they did not know how bad he felt.He would not let them know that,"Diane said."The youngest one –– she was around 3 when he was diagnosed and around 6 when he died –– she would come in and jump on him and they would kind of wrestle.Her dad would say 'Be careful,he's not feeling well.' Jerry would say 'Leave her alone.She's my spot.She's my bright spot today.'" Jerry preached Easter service at Garris Chapel UMC in 2014. Two weeks later,he died. • In the days after Jerry died,life for Diane was like walking through a fog. With so much business to attend to, things moved quickly,and she never really had a chance to let the full impact of what had happened wash over her.With the help of her family, her friends and her faith,she pushed through the first year without her hus- band faster than she realized. The second year was when reality set in. "Everybody says that the first year, all of the firsts,is the hardest.I didn't get that,"she said."The first year, you're taking care of business,making sure everything is right.Just trying to get a grip on everything." That first year was still hard,but the constant business kept it bearable.The second year,after the business had been settled and family and friends visited less often,was much more diffi- cult. "You kind of have to start your life again.I felt like it was harder,"she said."And,even though it's been three years,I still have days where it's hard." The Mitchells had dated since they were 16 years old,and had been mar- ried 43 years at the time of Jerry's death.The pair had always made their decisions together,Diane said,a com- fort she would have to learn to live without. Now,three years later,Diane said she is in a much better place personal- ly.The lessons she learned during Jerry's sickness have stuck with her, and she advised anyone going through a similar experience to take things one day at a time. "There is joy in every day,no matter what you're going through,there are little things that happen that are spe- cial and fun.Even in the midst of all the bad stuff and how sick he was,he would make a comment or I would make a comment and we'd end up laughing together,"she said. "Don't get so bogged down in the diagnosis that you can't live each day and get the best out of that day that you can get." Coping been determined by the board of directors. Last year,the organization was able to assist more than 400 patients. Funds raised are used to assist patients,there are no paid salaries affiliated with Southeastern Cancer Care. If you have a patient who may qualify for help, have them contact Parrish at 919-587-9056 or at • The Bill Outlaw Foundation has provided $285,072.26 since its start in 2013. It assists financially by helping the family pay utility bills,mortgages and provides gas and food cards. It can assist for two years for a total of $1,200 per year. It holds an annual fundraising golf tournament in October and a 5K run/walk in March. The Outlaw Foundation was founded based on prayer. Bill Outlaw,of Mount Olive,is a cancer sur- vivor. For days and nights after his recovery,Outlaw said he prayed to God over and over begging for an answer as to why God had spared him. "I promised whatever He had for me,I would make Him proud and do it to the fullest of my ability,just give me the answer and I will get started,"Outlaw said. It was sometime later that a family friend was diagnosed with accute myeloid leukemia (AML). She was sent to Chapel Hill for treatment because her cancer was further along than Out- law's had been. Outlaw and his wife,Candace,went to visit her. Outlaw said he tried to steel himself myself before entering the room,thinking he was about to walk into an emotional situation. But when they entered,it was upbeat. She kept referring to Outlaw and what she was about to endure. A doctor came in and started explaining the start of the process and what to expect. After she was done talking the friend asked Outlaw if he had any questions for the doctor. "I was a little shocked,"he said. "Then the doctor looked at me and said,'You are the one.' I said yes it is me." The doctor told Outlaw his friend had referred to him several times since she had arrived in Chapel Hill. "We went home and about 3 a.m. I felt like I had been slapped in the face,"he said. "It was clear at that time and moment what God's pur- pose was for me. I had heard of these things hap- pening to people,but never before had it hap- pened to me. "I would say that this is called a spiritual awakening. I went about the next couple of days pondering what had happen and what direction I was heading. I wanted to start a foundation to help others financially or any other way that we could." His wife said it should be The Outlaw Founda- tion called O3 (Outlaw Outlast Outlive). The goal of the foundation is to help others during these unfortunate difficult times he said. "Many people lose everything they have worked for their entire lives,"Outlaw said. "Our goal is to cut all of the red tape and let nurses and doctors tell us who needs the help. They know best. Then we can come in and make mort- gage payments,electric bill payments,hotel expenses or provide gas cards. "I am in debt to God for healing and blessing me and my family. So I have promised I would do this,and I will see this become reality." For more information,call 800-334-3452 or visit Rallying Numbers Percentage of cancer diagnosis in 2013 Cancer deaths 2009-2013

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