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What To Expect When You’re Not Expecting It

Women go through a lot of changes during their lifetime. Some of them are unexpected and can be scary. In our hospital’s FREE physician lecture this month, Dr. Nichole McDonald will cover everything you wish you knew – but no one told you. Call you mothers, daughters and girlfriends. From puberty to menopause, Dr. McDonald will share a wealth of knowledge for women in all stages of life.

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The Doctor Is In: Women and Heart Disease

From raising children to maintaining busy work schedules and keeping up with household chores, women’s lives are more hectic than ever. Women often put everyone else in their family first, but it’s important that they take time for their own health.

Dr. “Dee” Prastein, heart surgeon at Lexington Cardiovascular Surgery, a Lexington Medical Center physician practice, talks about women and heart disease, encouraging all of us to “Just Say Know.”

Prastein_Labcoat_Standing_ORWhat differences have you noticed between men and women with heart disease?
Women tend to delay things, living with heart disease longer and presenting later. We see women who go about their routine chores while having chest pain or chest discomfort, ignoring or dismissing it. Sometimes they live with symptoms until they become so tired that they physically can’t do anything. It’s only then that they see a doctor.

What do women tell you about why they didn’t see a doctor sooner?
They seem to be focused on everyone except them. They put their families first. We see wives encouraging their husbands to see a doctor, but women often live with symptoms until they can no longer hide them.

How can heart surgery be different for men and women?
Women do really well with heart surgery because they seem to tolerate pain better than men. Also, older patients often tolerate pain better than younger ones.

How does smoking affect our hearts?
Nicotine causes hardening of the blood vessels, making them more stiff and narrow. That hardening of the arteries makes blockages more apparent sooner. You could say nicotine is the opposite of nitroglycerin, which allows blood vessels to become bigger.

What about diabetes?
With diabetes, high levels of sugar in your bloodstream allow the buildup of plaque in every blood vessel in your body, including the arteries in your heart.

What message do you have for women about heart disease?
I want women to know that it’s not normal to have no energy or to have chest discomfort such as pain or burning. If you do, see your doctor. Women who smoke, have a family history of heart disease or have diabetes should be especially careful. Don’t ignore symptoms. We can treat them and prevent a major heart attack.

Breast Cancer With Help From Our Friends

Patti Handel is a four-time cancer survivor.

“’Cancer’ is the scariest word in the English language,” she said. “But it’s only part of us. It doesn’t define us.”

The 61-year-old from Irmo shares words of wisdom at monthly meetings of Woman to Woman, Lexington Medical Center’s support group for breast cancer survivors.

Handel started attending Woman to Woman meetings after she was diagnosed with breast cancer in June 2007, just one month after she and her husband moved to Irmo from Long Island, New York.

Patti Handel and Brenda Osteen at the West Columbia Riverwalk

Patti Handel and Brenda Osteen at the West Columbia Riverwalk

“I didn’t have a South Carolina driver’s license yet and I needed an oncologist, surgeon and other doctors. It was overwhelming.”

So, she found comfort – and new friends in a new town – at the support group, which is designed to offer companionship to women who are recently diagnosed with breast cancer.

At Woman to Woman, cancer survivors share their experiences, learn about the latest treatment options and swap tips including how pickle juice seems to help cure chemotherapy-induced nausea.

That’s where Patti met Brenda Osteen in 2010.

Brenda, age 67, was diagnosed with breast cancer in 2009 after a mammogram. The Lexington resident endured a mastectomy, chemotherapy and reconstruction.

At the meetings, Patti and Brenda hit it off.

“Patti’s been where I’ve been,” Brenda said. “You can’t explain cancer to someone who hasn’t gone through it. It’s like trying to explain a migraine to someone who never had a headache.”

When you see Patti and Brenda together, you can tell they’re close. Both impeccably dressed, they laugh like college friends and share jokes and stories that make you laugh from your belly.

From trading bestsellers they’ve read to talking about their grandchildren while sipping a cocktail at a weekly dinner, they understand each other well.

Brenda and Patti

Brenda and Patti

“When it came back, I was mad as a hornet,” Patti said.

“We need friends to hold hands with, laugh with and cry with,” Patti said.

Patti especially needed Brenda’s support after a cancer recurrence in her leg in 2010, and another in her abdomen and pelvis one year ago.

Patti has had chemotherapy three times and lost her hair twice. She’s monitored every 8 weeks, with scans every three months.

Brenda has inspired Patti to stay positive.

“We get up, put on our makeup, lipstick and earrings – and head out. Life is too precious to waste,” Brenda said.

Kelly Jeffcoat, breast cancer nurse navigator at Lexington Medical Center, runs the Woman to Woman support group at the hospital. As a breast cancer survivor herself, she has a first-hand understanding of the group’s experience.

Kelly Jeffcoat

Kelly Jeffcoat

“This crazy, horrible thing called breast cancer ends up giving you these beautiful relationships,” she said.

Having a cheering section during cancer is important. Studies have shown that women with friends who support them through their cancer journey may experience better outcomes.

Patti and Brenda count Kelly as a big part of the cheering section.

“Kelly is instrumental in the treatment, care and recovery of women going through breast cancer,” Patti said. “Kelly can really say, ‘I know how you feel. I understand.’”

Patti and Brenda will attend Women’s Night Out on October 14, Lexington Medical Center’s annual dinner that recognizes October as breast cancer awareness month and honors cancer survivors and their families. More than 900 people attend each year.

Kate Larsen

Kate Larsen

The event includes a silent auction, physician exhibits, fashion show featuring models who are breast cancer survivors, dinner and a talk with keynote speaker Kate Larsen. A breast cancer survivor, Larsen will talk about the importance of friendship during cancer treatment.

For more information about Women’s Night Out or to purchase tickets, visit LexMed.com or call Lexington Medical Center Community Outreach at (803) 936-8850.

The Woman to Woman support group at Lexington Medical Center meets on the 4th Thursday of each month at 5:00 p.m. inside the Women’s Imaging lobby at 2728 Sunset Boulevard in West Columbia. That’s Lexington Medical Park 1 on the hospital campus. The support group is free and open to any woman who has been diagnosed with breast cancer, regardless of where she has received her treatment.

For more information about Lexington Medical Center’s cancer services, visit LexMed.com.