Groundbreaking cancer care in Southern Maryland.

Conquering Cancer with Love and Technology Cont.

“Everything kind of escalated from there,” said April, having later endured six rounds of chemotherapy. “The cancer had spread to my lymph nodes, bones, lungs and all the other typical areas.”

Amid this worst-case scenario, Bobby was in no rush to get a routine checkup even though April, and his relatives, insisted that he did. He felt that April’s health was more important than concentrating on his own.

In reality, Bobby feared going to the doctor because he was worried about the unknown.

“I told my husband that one of us is going to have to live long enough to raise our child, and that he needed to start taking better care of himself,” April said. “I’m the proactive one, who gets a mammogram every year, and look what happens!”

The good news is Bobby had a change of heart and said he “realized that doctors are there to help make your life better, and more complete.” So, he scheduled appointments with a local family doctor and urologist.

Unfortunately, Bobby was diagnosed with diabetes, high blood pressure and prostate cancer. After a couple months of pretreatment, he had to receive nearly 40 sessions of radiation before going into remission. “I was a walking death trap,” Bobby said. “At some point, your fear is that I might be sick but don’t want to know. The truth is you want to know as soon as you can.”

April, with whom Bobby shares a teenage son, jokingly credited her breasts for saving his life. “We both have a sense of humor, thank the Lord,” she said.

But it was no laughing matter when April’s breast cancer returned with a vengeance in May 2021. What she mistook for a sinus infection turned out to be multiple lesions in her brain.

Luckily, Bryan Ego-Osuala, MD, an otolaryngologist (ear, nose and throat specialist; also known as an ENT) based in Waldorf who currently serves as the director of MedStar Shah Medical Group’s Otolaryngology—Head & Neck Surgery Division, knew something wasn’t right and took matters into his own hands.

Dr. Ego-Osuala asked questions about April’s medical history and was able to rule out her alleged sinusitis with a CAT scan, which ended up saving her life.

“The brain tumor would have killed her, absolutely, had we not caught it ahead of time. I ordered the CAT scan more so to prove to April that she didn’t have sinusitis,” Dr. Ego-Osuala said. “That’s why it’s so important for any clinician to ask the proper questions because a lot of times, you will get the right answer. I believe that 80 to 85 percent of a diagnosis can be made by simply talking to the patient. Imaging studies are just a bonus for confirmation.”

April was then referred to the MedStar Georgetown Cancer Institute at MedStar Southern Maryland Hospital Center, where her husband’s prostate cancer had been treated with intensity-modulated radiation therapy (IMRT) under the watchful eye of Andrew Satinsky, MD, clinical director of Radiation Oncology. April, on the other hand, would be treated with a modern radiosurgical system called ZAP-X® to remove smaller tumors from her brain following a separate neurosurgery performed at MedStar Georgetown University Hospital.

The goal in April’s case, according to Dr. Satinsky, was not to cure her breast cancer because it was already in stage IV. It was about “getting control over something serious,” he said.

“Radiation can be aimed in a very precise way to one specific part of the brain,” Dr. Satinsky said. “It’s kind of like a surgical strike on the tumors themselves.”

Since having her procedure eight months ago, Dr. Satinksy confirmed that the most recent set of diagnostic imaging tests done on April have shown “everything was stable.”

“A positive attitude goes a long way,” said April, who is still receiving infusion therapy. “With modern medicine, they can fix quite a bit of things now. The ZAP-X® machine is an example of that.”

For Dr. Satinsky, the Parletts’ positive outlook on life is enough to inspire the faint of heart.

“What I’ve found over the many years of doing this is there are a number of different ways one can leave an encounter, feeling hopeful about their treatment plan,” Dr. Satinsky said. “We were excited to be able to offer a treatment where we could remove each individual remaining tumor, as well as the area where the larger tumor had been removed from, without doing damage to surrounding tissue.”

Thanks to MedStar Health’s multidisciplinary approach to care, both April and Bobby are now in remission and have rekindled their love with newfound freedom.

April and Bobby are especially grateful for the outcry of support which has restored their faith in mankind. Family and friends have even stepped-up last summer to help run the Parletts’ swimming pool retail store, organize a fundraiser as well as make daily meal deliveries while they were recovering.

“We want to go on family trips. We want to build memories and all of those things. But without getting a diagnosis and figuring out what you need to do, the likelihood of that happening is diminished dramatically,” Bobby said. “Go out and get a routine checkup annually to make sure all of your checks and balances are in reasonable shape. Now more than ever, we’ve learned to listen to our body which saved our lives.”

Donna's Journey from Diagnosis to Triumph: A Tale of Resilience, Support, and Medical Excellence at MedStar Southern Maryland Hospital Center Cont.

“The initial ultrasound performed assessed the size of the tumor,” Dr. Madan explains. “After a biopsy of the tissue, her cancer was found to be estrogen positive and HER2/neu negative. She was also at a higher risk of cancer recurrence based on a high-risk score on the Oncotype DX test, a genetic test done on breast tissue that determines the risk of distant recurrence, and predicts benefit from chemotherapy. This, combined with her age, indicated to us that additional chemotherapy treatments after surgery would improve her outcomes. She then had a lumpectomy to remove the mass.”

She was scheduled for 4 rounds of chemotherapy, which lasted 3 months, during which she also received supportive care. This was followed by 21 radiation therapy treatments. “Estrogen positive cancer is the most common type of breast cancer,” notes Dr. Madan.

When Donna Moore discovered a lump on her breast in the summer of 2022, she was justifiably concerned. Her older sister had breast cancer.

Donna, a widow, was supported throughout her cancer journey by her twin sister Nancie, who had moved in with her after her husband died. “I cared for Nancie when she had health problems due to atrial fibrillation a few years back,” Donna says. “So, the tables were turned.”

She says she sailed through the treatments, a fact she attributes in large part to the doctors, nurses, and other hospital associates who cared for her. In addition to Dr. Madan and Dr. Wehner, her care team included radiation oncologist Andrew Satinsky, MD.

“I can’t say enough good things about the hospital’s cancer center. From the people at the front desk to the techs in radiology…everybody was wonderful. I even told Dr. Madan to tell his wife there is another woman who loves him too!”

On May 1, Donna had the honor of ringing the bell marking the end of her radiation treatment surrounded by all the caregivers she had gotten to know. “It was an uplifting experience,” she adds. “It meant the world to me to see how much they cared.”

Today, Donna is on endocrine therapy, an estrogen-blocking treatment that helps prevent cancer from coming back and will be for the next 5 years. “Endocrine therapy is one of the reasons women with early stage, estrogen-positive breast cancers have such a good prognosis,” Dr. Madan notes.

In the meantime, Donna remains cancer-free and is doing well. She is grateful to have her twin Nancie by her side and she is grateful for all the caregivers at the MedStar Georgetown Cancer Institute at MedStar Southern Maryland Hospital Center. “If you are going to have cancer, it’s a wonderful place to go…they have so much love.”

A screening mammogram detected her breast cancer Cont.

“When I saw the images, I did see an area in the left breast that was definitely suspicious,” says Suzanne. “When the biopsy came back positive for cancer, I wasn’t really surprised, but I did have a lot of questions about my options.”

An MRI and biopsies of both breasts found invasive lobular carcinoma in the left breast and atypical cells in the right breast. Suzanne knew she needed an experienced, compassionate team to treat her cancer. She asked Dr. Kim-Ahn, who performed her biopsy, who she would choose if she needed breast cancer treatment. Without hesitation, she recommended Patricia B. Wehner, MD, a board-certified breast surgeon.

“One of the most important things when you’re facing cancer is having faith in your treatment team,” says Suzanne. “After meeting with Dr. Wehner and her nurse practitioner Lesa Poinsett and learning about my treatment options, I knew I had the right team. Not only was Dr. Wehner an experienced surgeon, she was also so upbeat and positive, which helped me psychologically. And Lesa was always available to answer any questions I had. She was wonderful!”

Another plus was the fact that Suzanne could receive state-of-the-art breast cancer care close to her home. Her imaging, surgery, and follow-up care were all done at MedStar Georgetown Cancer Institute at MedStar Southern Maryland Hospital Center, a little more than a half hour from Suzanne’s home.

Suzanne underwent a double mastectomy with concurrent breast reconstruction performed by Samer Jabbour, MD, one of MedStar Southern Maryland’s fellowship-trained plastic surgeons. With this approach, patients don’t need a second surgery for breast reconstruction, which was important to Suzanne.

The surgery was successful and the cancer had not spread to the lymph nodes. Suzanne and Dr. Wehner are now discussing hormone therapy to reduce the risk of the cancer coming back.

“I was very fortunate,” adds Suzanne. “Everything fell into place and I was able to receive outstanding care near my home. I have a lot to be thankful for."