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Breast Cancer Awareness

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by

Rebecca Weiner

on 1 July 2014

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Transcript of Breast Cancer Awareness

Marilyn L. Gordon, MD, FACP, CPE
Clinical Director of Internal Medicine

Rebecca Weiner and Erin McKenrick, Patient Navigators
CAMcare's Breast Cancer Prevention Goal:
Screening Mammograms:
CAMcare wants 50% or our female patients aged 40 and older to complete their yearly
screening mammogram
.



Breast Cancer Facts:
Most common cancer among US women
Lifetime risk is 1/8 or 12.5%
Risk of dying is 1/35 or 2.9%
In 2009: 40,170 deaths
In 2010: estimated 39,620 deaths
Rate of death drops the earlier cancer is detected
Risk Factors:
Gender
Age
Family History
Personal History
Race
Early Radiation
Early menses
Late Menopause
Thinks You Cannot Change
Things You Can Change
No Children or 1st Child after 30
Hormones after Menopause
Not breastfeeding
Alcohol: drinking more than 2 drinks a day
Unhealthy weight
Not exercising
What is a screening mammogram?
Breast cancer "screening" means checking a woman's breast for cancer
before
there are symptoms of the disease
A mammogram is an X-ray of the breast
Mammograms are the best way to find breast cancer early. When cancer is not big enough to feel or cause symptoms, it will be easier to treat
Having regular mammograms will dicrease the risk of dying from breast cancer
When should I get a screening mammogram?
Breast Exam Schedule
Exam
Self Breast Exam (SBE)

Clinical Breast Exam (CBE)

Mammogram
Age
20 and over


20-39
40 and over

40 and over
Frequency
monthly


every 3 years
yearly

yearly
How do I do my
Monthly Self-Breast Exam?
Video: http://www.uhc.tv/uhc_video/how-to-do-a-breast-self-examination
ALERT YOUR DOCTOR IF:
Lump, hard knot or thickening inside the breast or underarm area
Swelling, warmth, redness or darkening of the breast
Change in the size or shape of the breast
Dimpling or puckering of the skin
Itchy, scaly sore or rash on the nipple
Pulling in of your nipple or other parts of the breast
Nipple discharge that starts suddenly
New pain in one spot that doesn't go away


Women should know what their breasts normal look and feel like so they can report changes to their doctor.
Breast Cancer Awareness
C
AMcare
B
reast
E
ducation
What's covered under the ACA?
Many preventative services are covered without you needing to pay a copay or deductible at all (!!) including:
How does "Obamacare"
or the Affordable Care Act affect you?
1) If you are 65 years or older and receive Medicare, screening mammograms performed at a Medicare-approved facility are covered every year.
What happened before the ACA?
1) Many of ACA women's health services were not covered in the past or only offered via co-pays or deductibles

2) Insurance companies could charge women more than men simply based on gender.

3) Insurance companies could consider pregnancy a "preexisting condition" and deny women coverage
annual well-woman visits, gestational diabetes screening, HPV testing, counseling on STD's/STI's, counseling and screening for HIV, some contraceptives and counseling on reproductive issues, breast feeding support (supplies and counseling), screening and counseling for domestic violence, and... MAMMOGRAMS!
When you are due for your annual mammogram, you have several options!

Get your Mammogram at CAMcare:
At CAMcare East, we do a basic screening mammogram on the 1st and 3rd Wednesday of every month. Ask your doctor if you qualify, or call Erin and I.
Get your Mammogram through a NJ-funded program
NJ funds several types of cancer screening tests through the NJCEED program. In Camden, there is an office at 3 Cooper Plaza. The Cooper office is called the
Cancer Screening Project

Some statistics about breast cancer:
3) NJ law requires that private health insurance/health maintenance organizations cover the cost of screening mammography, based on
the American Cancer Society’s screening guidelines
.
2) If you receive Medicaid, screening mammography based on
the American Cancer Society screening guidelines
is covered.
How often can you get a mammogram?
CAMcare financial navigators that can screen you for Medicaid.

If you don't qualify, you can continue to come to CAMcare on a sliding-fee scale.
What if you don't have insurance?
http://www.cancer.org/healthy/findcancerearly/cancerscreeningguidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer

But First, a survival story or 2 (if your interested):
Dr. Worta McCaskill-Stevens
National Cancer Institute

"Although white women are more likely to be diagnosed with breast cancer, african american women are more likely to die from the disease."
http://www.cdc.gov/cancer/breast/statistics/race.htm
Female Breast Cancer
Incidence
Rates* by Race and Ethnicity, U.S., 1999–2010
Female Breast Cancer
Death
Rates* by Race and Ethnicity, U.S., 1999–2010
Full transcript