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Lewes, Delaware
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July 11, 1997     Cape Gazette
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July 11, 1997

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CAPE GAZETTE, Friday, July 11 -July 17, 1997-39 Cancer Watch Early detection best dqefense against breast cancer By Kerry Kester Delaware is the leading state in the nation for 'death from breast cancer, said Joy Bartell, Beebe Medical Center oncology manag- er. "It's the second leadirig cancer in women," she said. "One out of every nine women, in their lifetime, will get breast cancer." "The key to beating breast cancer is preven- tion and early detection," said Bartell. The lack of early detection, she ex- plained, could be the'rea- son women in Delaware have such high breast BARTELL cancer exams are as follows: abnormal lumps, dimpling of the skin, dis- coloration, asymmetry of breast or nipple discharge. She says women who practice regular self-exami- nations will know what is normal for them, but any immov- able lumps should be checked by a doctor im- mediately. , All women should have a clinical breast examina- tion by a trained health- care professional every year. Getting regular mammographies is an important part of the pre- vention strategy in cancer. rates. Worden from the poorer, rural areas may not do self-exams or get mammograms. "All women from the age of 18 on should practice breast exams," said Bartell. "They should do it regularly - on a monthly basis." The signs and symptoms women should look for during the There is some discrepan'cy amongst physicians and other can- cer specialists about the time table for the tests,.but Bartell said the following is a fairly good guide- line: Women between the ages of 35 and 40 should have a baseline (first time) mammogram; between 40 and 50, they should have the test once every two years; and women older than 50 should have mammograms annually. Treatment for breast cancer in- cludes surgery, radiation therapy, chemotherapy, or a combination of any of the three. The surgeries include three basic types: lumpec- tomies, quadrectomies, and mas- tectomies. Radiation therapy always fol- lows lumpectomies. Usually, women also have lymph node dis- sections either during one of the surgical procedures or in addition to the surgery. The dissections determine if the cancer has spread or not, and it often helps the doc- tor determine what course of treat- ment should follow the surgery. Survival rates for women vary according to the degree of the can- cer when it is initially diagnosed and treated. For patients whose cancer is caught early,, there is a 97 percent chance of cure. If the cancer is caught in the middle Preparation is key in emergency The Emergency Medical Ser- vices (EMS) community of Sus- sex County recommends people help EMS by preparingdaow for an emergency: 911 is the emergency tele- phone number for Sussex County and the State of Delaware. Busi- nesses should note the street ad- dress of the businesg on or next to their telephones. "- Make sure your children know how to dial 911 and how to de- scribe their location: If you live outside of a town, EMS will need to know your location from the closest intersection to your house. Make sure your business or house numbers are at least three inches tall and are clear and visi- ble from the street. If you need emergency ser- vices at night, turn on your outside lights to help EMS responders find your location. If possible, have someone direct EMS where they,.are needed When you call 911, be pre- pared to give your name, address, phone number, location of the vic- tim (such as upstairs bedroom), and nature of the problem. Be prepared to tell what has happened, where it happened and your telephone number. the victim. An!mals may react dif- When the dispatcher answers the call, answer all of his or her questions as best you can. Stay on the line until the dispatcher in- stcts you to hang up. 911 centers in Delaware have trained Emer- gency Medical Dispatchers that can help you help the victim. Their questions Do NOT delay the dispatch of the ambulance para- medic units. Place dogs or other household animals in a separate room from ferently to the EMS pers9nnel than to the family members they are used to. Answer questions from EMS promptly and clearly. If you know the victim, pro- vide EMS personnel with any per- tinent information, e.g., diabetic, allergies, pacemaker, medica- tions, etc. If you accompany the victim to the emergency room, try to an- swer staff questions completely. Too busy for exercise? Make it a priority Commit just two hours a week. Four 30-minute workouts leave you 166 hours, or 99 percent of the week for everything else. Submitted by the YMCA of Rehoboth Beach For more information, call 227-8018 stages, the rate of long-term sur- vival is 40-50 percent. The long- term survival rate drops signifi- cantly - 10 percent  for women who are not diagnosed until the cancer is in an advanced stage. "Being diagnosed with breast cancer is a real turmoil," said Bartell. "Education is the best support, and it is important that women talk about their feelings - especially with other women who have gone through it." Bartell also said that women should attend cancer support groups. Beebe, she said, sponsors "Bosom Buddies" every third Tuesday at 3 p.m. It also hosts "One Day at a Time", a support group for people with life threat- ening illnesses open to the pa: tients, their families and other in- terested parties. For more information on cancer support groups, call Beebe Med- ical Center's Tunnell Cancer Cen- ter at 645-3700. Dr. Scott D. Olewiler Specialist in infectious disease and travel medicine has moved to the Professional Office Building 400 Savannah Rd., Suite 2 Lewes, DE 19958 Please call" 645-3196 J for an appointment. Beebe Medical Center 424 Savannah Road, Lewes, DE Announces -- Delbert J. Kwan, M.D. has joined the practice for expanded urological services, including: Female Urological Problems Kidney Stones including Lithotripsy Prostate Problems Diagnosis It Treatment of Cancers in the Urinary Tract Male Sexual Dysfunction Children's Urological Problems Urinary Incontinence Male Sterilization Disorders of Male Reproduction including Infertility