Breast Cancer Feedback Leads to Fewer Worries

When Kelly Ashby went for a routine OB/GYN appointment in March 2022, her mammogram showed an abnormality. There was a mass on her left breast, which worried her. 

“I thought, oh, no,” said Kelly. 

She had previously needed mammograms every six months instead of annually due to her medical history. “The waiting was always the hardest part. I’m so grateful to Genesis for reducing the time,” said Kelly. 

Her doctor told her to go to Genesis Imaging for a follow-up. She was able to get an appointment for the next day. 

An ultrasonographer did an ultrasound to examine the abnormality. Kelly thought that following the ultrasound, she would be released and wait for the doctor to call. However, the technician told her she wasn’t done. 

Immediate explanations 

“Dr. Lafferty came to see me during that appointment,” said Kelly. 

Peter Lafferty, M.D., Board-certified Diagnostic Radiologist with Riverside Radiology and Interventinonal Associates (RRIA) at Genesis said, “Everyone who has a follow-up exam is seen by a radiologist who reads the results for the patient right then.” 

This is one of the ways Genesis continues to make improvements. In 2021, Genesis brought in RRIA, a LucidHealth Company, to provide breast imaging services. This means that radiologists play a key role in patient care and interact with each patient who has a diagnostic mammogram follow-up. This enables patients to talk to their radiologist while still at their appointment and not go home wondering about the results. 

“LucidHealth’s program compresses the time frame for screenings and results,” said Dr. Lafferty. “When we interact with patients directly, we’re able to discuss results, follow-up tests, care plans or guidance.” 

“I left feeling incredible. Usually, when you leave, you wait and worry,” said Kelly. “I received quality, compassionate care at Genesis without needing to travel elsewhere.” 

Screenings make a difference 

Regular screenings are now easier than ever, and are still important. Genesis makes it as easy as possible. The goal is to have a patient in and out of a routine screening in 15 minutes. 

“The American College of Radiology feels that breast screenings have led to a reduction in mortality rates,” said Dr. Lafferty. “On average, there has been a 1% reduction every year for the past three decades. “Screenings can help catch pre-clinical breast cancer, which doesn’t show up in a physical breast exam. Screenings and exams by physicians andpatients are key to catching cancer at the earliest possible stage.”

Learn more at genesishcs.org/cancer

Kelly Ashby

Screenings make a difference.

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Woman Chooses Lumpectomy and Chemotherapy for Stage II Breast Cancer

Mammogram screening detects small lump

When Deanna Martin, 77, and her relatives gather for a family reunion, it’s a big group. A reunion several years ago hosted 500 people. During the celebration, Deanna found herself embraced in hugs and conversations about cancer. Ovarian, esophageal, lung and breast cancer seem to run in the family.

Deanna’s daughter learned she had breast cancer at the age of 40. Her brother also fought breast cancer, and her mother had a grapefruit-sized tumor on her ovary. As a result, Deanna’s loving family encouraged her to get annual mammogram screenings.
“I went in for a mammogram regularly because my daughter kept fussing and several mammograms didn’t have any indications of cancer. And then something showed up,” Deanna remembered. “It first appeared as a small lump. After a biopsy, I was diagnosed with stage 2 breast cancer.”

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Genetic testing helps create treatment plan

Due to her family history, Deanna underwent genetic testing following her diagnosis to determine if she carries a genetic mutation that significantly increase the risk of cancer. Deanna’s test results came back with a surprising conclusion.

“I was actually shocked,” said Shannon Hanley, M.D., breast surgeon, Genesis Breast Care Center. “Given Deanna’s family history, I anticipated a positive result for a genetic mutation, but her results came back as, ‘variant of unknown significance.’ Variant of unknown significance means that the sequence of the gene is not normal but is not a pathogenic mutation either. About 85% of these variants are benign.”

With her family history and genetic results in mind, Dr. Hanley and a team of expert cancer physicians met together at the Genesis Breast Care Center to discuss the best treatment options.

“Not all breast cancers are created equal, so all plans are different,” Dr. Hanley said. “We treat every single patient as an individual. No one is a cookie cutter – not in their personalities or their disease. That’s why the radiation oncologist, medical oncologist and I meet to look at patients’ imaging and test results. Then, considering their health, age and family history, we come up with a personalized plan for each patient.”

Chemotherapy, surgery and radiation close to home

Deanna’s threefold treatment plan all took place close to home, at Genesis, thus saving her valued time and much-needed energy. Deanna’s personalized treatment plan goal was to destroy cancer cells as much as possible before surgery. Deanna started her treatment with several rounds of chemotherapy. Next, Dr. Hanley performed a lumpectomy to remove the cancerous lump and 19 lymph nodes. Following surgery, Deanna underwent 35 radiation treatments – five days a week for seven weeks.

“It was rough for Deanna. The chemotherapy knocked her down a bit, but every time we saw her, she had a positive attitude and a smile on her face,” Dr. Hanley said.

Having a close-at-hand team of experts dedicated to providing collaborative, personalized and compassionate care brought Deanna comfort and encouragement during the difficult days of treatment.

“You could not ask for anyone better,” Deanna raved. “My radiation oncologist, Shalini Gupta, M.D., Genesis Care Center, was great. My oncologist, Phu Tran, M.D., hematologist/oncologist, Genesis Cancer Care Center, made me feel like I was a relative of his. He was always so concerned and compassionate. And I felt like I knew Dr. Hanley all my life.”

From Dr. Hanley’s perspective, it’s the high-quality care made available on a local level, in combination with compassionate and family-like atmosphere that makes the Genesis Breast Care Center exceptional. “I like that we have the same state-of-the-art equipment and all of the treatment locally that you could get at any larger facility, but we offer it in a more intimate and personal setting,” Dr. Hanley said.

Deanna’s treatment wasn’t easy, but she said the Genesis team and her faith, family and friends pulled her through. “The Lord and the people around me helped me through the treatments,” Deanna said. “It was overwhelming to be on the receiving end of that love. I give the highest praise to the doctors and nurses – and even the valet who parked the car at the hospital – and everyone I had contact with through my journey.”

Make an appointment today

Call Genesis Central Scheduling at (740) 454-4242 to schedule a mammogram. To make an appointment with a provider at the Genesis Breast Care Center, call (740) 454-5221.

Deanna Martin Patient Story
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Mother of Two Survives Stage II Breast Cancer

Patient attributes recovery to compassionate surgeons and nurses

Ashley Tamasovich had a nagging, gut feeling that she needed to schedule a routine well-check with her primary care physician, but she had brushed it off. She’s always been a healthy person, and not one to run to the doctor. But one night, as she rolled into a comfortable position in bed, her hand felt something peculiar in her underarm – something round and hard, about the size of a quarter.

“I thought to myself, ‘Well, that’s different. That shouldn’t be there.’ And it gave me the push to finally go in and be seen,” Ashley said. “I knew something wasn’t right, and this wasn’t just a cyst.”

That initial doctor visit led to an ultrasound, which revealed several abnormally large lymph nodes. The next step was a biopsy.

The diagnosis was breast cancer.

Research helps choose the right facility for cancer treatment

Ashley works in the medical field as a physician assistant for a local dermatologist. When it came time to decide where to receive her cancer treatment, Ashley used her medical experience to study her options.

“I did my research,” Ashley said. “I found that cancer centers follow specific guidelines and standards set by national organizations, so I’d receive the same breast cancer treatment at the Genesis Cancer Care Center as in bigger, further-away institutions.

“I did my research on doctors as well, and Genesis has very knowledgeable physicians. I’m glad I chose to have my treatment at Genesis. They know you by name at the cancer center and ask how you’re doing. My chemo nurses and I have conversations and then pick them up right where we left off during the next treatment. It’s all very personalized.”

Scott Wegner, M.D., a founding medical oncologist of the Genesis Cancer Care Center, says that receiving quality, personalized cancer care is both purposeful and powerful.

“The medical process for cancer treatment is extremely standardized. We follow the exact pathways and guidelines and administer the same drugs and treatment schedules. So really, it’s not about that – it’s about the care you receive from the people giving the treatment. The care at Genesis is extremely passionate, genuine and patient-focused. There’s no better team,” Dr. Wegner said.

With cutting-edge equipment and technology, three medical oncologists, two radiation therapists, two board-certified palliative medicine physicians, four nurse navigators and a team of specialized nurses and staff members, the Cancer Care Center offers first-class cancer care close to home.

“It’s all about the patients, not us, so if there’s something we need help from an academic institution, we’ll do that every time. But for breast cancer specifically, there is nothing we can’t do here, in the comfort of our center,” Dr. Wegner said.

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Fighting aggressive breast cancer

Approximately 20 percent of breast cancer diagnoses fall into the high-risk category. Ashley received a diagnosis of stage two, HER2-positive breast cancer – a high-risk and aggressive form of the disease.

“HER2 has one of the highest risks of relapse and death without treatment, so surgery alone is very unlikely to cure the disease, but we do have effective chemotherapies for it,” explained Dr. Wegner.

A specialized nurse navigator at the Cancer Care Center, Wendy Long, BSN, RN, OCN, CBHN, coordinated Ashley’s treatment schedule so her treatments could begin right away. She also became Ashley’s go-to contact and got things moving quickly.

“We always want to start therapy for cancer in a timely manner, but when patients are young like Ashley, who is 36 years old and have a fairly aggressive cancer, we get them started on their journey even quicker,” explained Long. “As a nurse navigator, I get to be there for patients, answering questions, aligning appointments and guiding them through their entire experience – from abnormal imaging, through diagnosis, treatment and survivorship. It’s our job to make things go as smoothly as possible, so patients can focus their energy on healing.”

Being considerate even during cancer treatment

Ashley underwent chemotherapy every three weeks for six treatment sessions. She experienced fatigue, nausea, loss of appetite, muscle aches and hair loss. But she still managed to think of others.

After her husband shaved her head, Ashley donated her 12 inches of beautiful blonde hair to Wigs for Kids, an organization dedicated to helping children look like themselves again after traumatic medical issues.

“I just wanted to help someone else out,” Ashley humbly said.

Dr. Wegner wasn’t surprised about Ashley’s generosity.

“A cancer diagnosis can bring out the best in people,” Dr. Wegner said. “The humanity, the kindness, grace, forgiveness – I’ve seen it over and over again. Ashley is kind, stoic, logical and has been an amazingly strong person through this whole thing.”

Breast reconstruction at Genesis after chemotherapy

Ashley finished her six treatment sessions that contained a mix of four chemotherapy drugs. Now, she’ll continue one of those four chemo drugs as a “maintenance” routine for one year. She underwent a bilateral, nipple-sparing mastectomy by Shannon Hanley, M.D., Genesis breast surgeon, with immediate reconstruction by a plastic surgeon at Genesis. This is a new option for breast cancer patients who fit the medical qualifications – they no longer need to travel to Columbus and have a second surgery for reconstruction. It’s all done at Genesis Hospital.

Following recovery from surgery, Ashley plans to undergo radiation treatment at Genesis Cancer Center. Regardless of where she is in her cancer journey, her family and her Genesis family, will be supporting and cheering her on.

Make an appointment today

Call Genesis Central Scheduling at (740) 454-4242 to schedule a mammogram. To make an appointment with a provider at the Genesis Breast Care Center, call (740) 454-5221.

Ashley Tamasovich Patient Story

Patient attributes survival and recovery of Stage II breast cancer to the compassionate surgeons and nurses at Genesis.

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Mom of Two Wins Hard-fought Battle Over Breast Cancer

Therapist learns valuable lessons through her own diagnosis

Megan Rollins, 36, works with cancer patients at Genesis as their physical therapist assistant. She’s encouraged and strengthened them for 11 years. So when she discovered her own lump while getting dressed for her husband’s Christmas party, she surprised even herself by not feeling too concerned.

“I told myself it was probably benign, and I’d get it checked out later. My husband was the one who actually pressured me to see the doctor sooner,” Megan recalled.

On Christmas Eve, while her then 8- and 5-year-old children daydreamed about Christmas, Megan underwent a mammogram and ultrasound. A few days later she had a biopsy. The screening and testing process moved rapidly – and that’s a good thing.

“Megan had clinical, Stage 2, triple negative breast cancer – it’s very high risk,” explained Scott Wegner, M.D., Megan’s medical hematologist/oncologist and medical director of Genesis Cancer Services. “This cancer is more likely to spread and cause death due to malignancy. With aggressive cancer, it’s important to act swiftly.

Different opinions not needed

Megan chose to receive treatment at the Genesis Cancer Care Center. Although she had never worked directly with Dr. Wegner during her professional time at Genesis, she says the thought of going somewhere else or seeking different opinions never crossed her mind. Instead, she said she trusted herself to the strangers at Genesis, who quickly became family.

“I walked in with a life-threatening disease saying, ‘I’m here. Help me!’ It’s one of the most vulnerable places a person could ever be in,” said Megan. “But these people changed quickly from a group of strangers into a group of family who were helping me fight this.”

It didn’t take long to develop relationships or to begin her 16 chemotherapy treatments rounds.

“I was diagnosed on Tuesday, my appointment with Dr. Wegner was Wednesday, and my first chemotherapy was Monday. That’s just five days after my appointment with him. I think those numbers are pretty impressive,” Megan said.

As a breast cancer navigator at the Genesis Cancer Care Center, Wendy Long, B.S.N., R.N., OCN, CBHN, guides patients from diagnosis through treatment and then throughout survivorship. Having a specialized, assigned cancer navigator helps patients focus on healing.

“There’s so much to absorb with a new diagnosis, so I answer questions and make sure everything’s scheduled and moving in a timely manner,” Long said. “Patients often feel like the waiting and not knowing what to expect before starting treatment is the worst, so I do what I can to get everything aligned and help things flow easier for them.”

Long immediately helped Megan organize her treatment regimen. “During my first meeting with Dr. Wegner, Wendy gave me a planner and wrote in my appointments and cycles for chemotherapy, then she numbered them – and I needed that, said Megan. “It was so much to take in.”

Caring for Megan … and her family

Megan says chemotherapy was “rough,” and she experienced too many side effects to count. She spent days in bed, lost her hair and eyebrows, and weakness and nausea raged. Her family supported her through treatments, and her family received extra support in unexpected ways too.

Sister Bernadette Selinsky, Genesis Spiritual Care, talked with Megan every time she received chemo. “She’d not only ask how I was, but she’d ask about my kids. She knew they were having a hard time too, and she was praying for them too. That was a big deal for me,” Megan recalls.

In addition, Megan noticed that her husband Jesse also received support and attention from the Genesis family.

“Not only did I receive superb care, but they did the exact same thing for my husband. Every warm blanket, food or kindness they gave me, they gave him, too. They took care of him because he was there to take care of me. Knowing they were taking care of him was huge for me,” Megan said.

As Dr. Wegner met with Megan frequently, he noticed her positive support team and Megan’s personal strength and determination.

“Megan has a fabulous, young family, she works part-time, and she determined nothing would stop her,” Dr. Wegner said. “I don’t think about cancer as a battle. People are dealt this disease, and it’s not whether they’re a fighter or not. Patients experience it the way their bodies and cancer allow them to. That said, Megan has been incredibly strong through her experience.”

Mastectomy versus lumpectomy – making the tough choice

After much thought, conversation and prayer, Megan chose to have a lumpectomy after chemotherapy. She said deciding whether to have a mastectomy or lumpectomy was the hardest decision she’s ever made in her life, but that she’s at peace that this was the right choice for her.

The surgery left Megan with arm pain from agitated nerves and scar tissue. She couldn’t hold her arm out to put away dishes, let alone lift another person, which she needed strength for to return to work. With her physical therapy background, Megan knew to visit Genesis Rehabilitation Services for outpatient physical therapy. She received a treatment that broke up scar tissue in her arm and helped her regain mobility.

“If people didn’t know about the abilities of physical therapy, they might suffer through things like that. Now I’m fully functioning and getting better daily,” Megan said.

She’s been changed … in a good way

With treatment and surgery complete and successful, Megan’s latest results show no evidence of breast cancer. Instead, Megan continues finding evidence of healing. She recently returned to her work at Genesis and helps other patients during their cancer journey.

“I am a completely different person and a completely different therapist,” Megan said. “I’ve seen so much good come out of this. I’m more empathetic and can feel what patients feel. I can also read how a person is doing so much more accurately now. It’s carried over into my family too. Little problems don’t matter now. All that matters is that we are happy and healthy. So really, this has changed me for the better. There are blessings in hard things.”

Megan Rollins Patient Story

Genesis therapist learns valuable lessons through her own diagnosis and made a tough decision between lumpectomy versus mastectomy.

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Avid Traveler Receives Treatment for Two Cancers in Same Breast

DIEP flap reconstruction after surgery and chemotherapy

“I never thought, ‘Will I get cancer?’ I thought, ‘When will I get cancer?’” said Vanessa Brosie, a 61-year-old Zanesville resident. Vanessa’s intuition stems from a family history peppered with a variety of cancer diagnoses including her father, who died of colorectal cancer, and her brother, who died of melanoma. So when she felt a solid, marble-sized lump on her breast, she took quick action.

“I used MyChart and sent a message to my family doctor that Sunday,” Vanessa said. “On Monday he told me I had appointments scheduled for a 3D mammogram, an ultrasound and to meet Dr. Hanley at the Genesis Breast Care Center. I was happy and appreciative about that! There was no delay.”

Shannon Hanley, M.D., breast surgeon, Genesis Breast Care Center, saw Vanessa’s abnormal mammogram and biopsied her lump – but felt a need to gather even more information.

“What I felt in the physical exam just didn’t match up on the imaging, so I ordered an MRI – and that’s how we found another area in her breast that looked suspicious. That second area turned out to be a completely different type of cancer,” Dr. Hanley said.
Two types of breast cancer in one breast is uncommon – but it does happen.

“Everyone is really different,” Dr. Hanley said. “There’s not a cookie-cutter response to each patient. We individualize care based on pathology and the patient’s wishes. Vanessa had two separate cancers in one breast, and we had to treat each differently.”

Types of breast cancer cells

Several types of breast cancer exist, and different types respond to different treatments. Physicians determine which treatments to recommend by testing breast cells for certain receptors that attach to hormones.

• ER Positive: Breast cancers that contain estrogen receptors
• PR Positive: Breast cancers that contain progesterone receptors
• HER2 Positive: Breast cancers that contain higher than normal levels of a growth-promoting protein
• HER2 Triple Positive: Breast cancers that contain higher than normal levels of a growth-promoting protein, and contain estrogen and progesterone receptors
• HER2 Negative: Breast cancers that don’t have higher than normal levels of the HER2 growth-promoting protein.
• HER2 Triple Negative: Breast cancers that don’t have receptors for estrogen or progesterone, and don’t have higher than normal levels of the HER2 growth-promoting protein.

Vanessa’s test results identified one of her cancerous areas as triple negative (not sensitive to estrogen, progesterone or targeted HER2 treatment) and the other as sensitive to estrogen and progesterone (ER and PR positive). Knowing the cancer cells’ sensitivities allowed Vanessa’s collaborative team of breast cancer physicians at Genesis to develop a customized treatment plan.

The treatment: A multistep plan with close-to-home care

First, Vanessa underwent eight rounds of chemotherapy over a 16-week period in order to weaken and destroy the cancerous cells. The chemotherapy came with expected side effects for Vanessa – like hair loss and energy depletion – yet she felt determined to continue working. She said having close-to-home care made all the difference during the physical exhaustion.

“I’m so glad I was in Zanesville to have my treatment,” Vanessa said. “My cancer team knew what side effects I’d likely have, and then scheduled my treatments with timing to help me accomplish my goal of working. My husband could come to every doctor’s appointment and to all my chemo treatments. Being close made it much easier on him, too.”

Choosing the right surgery and breast reconstruction option

Next, Vanessa planned for surgery. Because she had different cancers and locations, Dr. Hanley recommended a mastectomy. During a mastectomy, the surgeon removes the entire breast (versus a lumpectomy, where just the lump and surrounding tissue is removed).
Vanessa chose to have a bilateral mastectomy followed by breast reconstruction. Dr. Hanley and Vanessa discussed two main reconstruction choices: traditional implant reconstruction and DIEP flap reconstruction.

DIEP (Deep Inferior Epigastric Perforators) flap reconstruction involves surgically removing a portion of excess skin, fat and tissue (no muscle) from the lower half the belly, and then moving and forming it into a new breast. To keep the removed tissue alive, highly trained plastic surgeons connect the tiny blood vessels from the removed tissue with the blood vessels in the chest.

“After I perform the mastectomy, plastic surgeons from Midwest Breast & Aesthetic Surgery come in and do the reconstruction – and if the patients are qualifying candidates, they can have the reconstructive surgery on the very same day,” Dr. Hanley said. “There are only a few surgeons within the Columbus area who perform these microvascular surgeries. It’s a tenuous surgery. I think it’s a special, unique thing to be offered here.”

When Vanessa learned that she qualified for the DIEP flap reconstruction option, she immediately felt confident that was the best choice for her.

“I would much rather have my own tissue than a foreign body implant,” Vanessa said. “The surgery itself went smoothly. Now I kid around and say that I went in with breasts and came out with breasts – since they did reconstruction the same day. I am amazed they could do that!”

Her amazement spilled over into other areas of care too – like the quality, compassionate care she received.

“I’m impressed with all the doctors. It’s so important to trust your doctors and to feel comfortable asking all the questions you have, and I could not have asked for a better team with this treatment. Their patience, knowledge and skills – I’m just super happy about everything. I wouldn’t want anyone to have to go through this, but for what it was, it was a pleasant surprise,” Vanessa said.

Life after cancer: Traveling and adventure

Today, Vanessa lives a vibrant, cancer-free life. She says she strives to make the most of her time on Earth by living with faith, humor and purpose. For example, Vanessa and her husband set a goal to visit all 88 counties in Ohio. They’re thoroughly enjoying their travels and adventures together. Vanessa also finds herself talking openly with other women about breast cancer and encouraging routine mammograms and preventative care.

“Preventative care is priceless,” Vanessa said. “Be vigilant. Catch it early – it’s the best thing you can do. The only way to do that is through mammograms and self-exams. You cannot put a price on the few minutes it takes out of the day … and the little bit of discomfort does not compare to what you might have to go through if you didn’t take preventative action.”

Make an appointment today

Call Genesis Central Scheduling at (740) 454-4242 to schedule a mammogram. To make an appointment with a provider at the Genesis Breast Care Center, call (740) 454-5221.

Vanessa Brosie Patient Story

Vanessa’s test results identified one of her cancerous areas as triple negative and the other as sensitive to estrogen and progesterone.

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