When it comes to breast cancer, women shouldn’t leave anything to chance. That’s why a growing number are choosing three-dimensional mammograms, which are offered at Mercy Imaging Services – Carthage.
Recent advancements in test methods such as 3-D mammography can help all patients, but especially those with dense breast tissue or a family history of breast cancer. Also known as tomosynthesis, 3-D mammography was approved by the Federal Drug Administration in 2011.
3-D mammography, which was introduced in Carthage in September 2015, entails taking several images of each breast. A radiologist can view the images much like flipping through pages in a book. Any anomalies picked up by the computer or the radiologist are flagged for further review.
“Images from 3-D mammography will show many things that are harder to find in a traditional two-dimensional mammogram, such as cysts and masses that may or may not be cancer and may find them much earlier,” said Janie Breckenridge, a mammography technologist at Mercy Imaging Services – Carthage.
The 3-D procedure is similar to 2-D mammography. The difference is that a 3-D mammogram lasts about 20 seconds longer and takes several pictures of each breast. Roughly 40 pictures are combined to form a 3-D image.
“The women who have the 3-D mammogram find the experience to be no more uncomfortable than a regular mammogram,” Breckenridge said.
A 3-D mammogram is recommended for women with dense breast tissue, which is required by state law to be indicated on mammography results. “For women with dense breasts, it’s like dropping a marble into a jar of cotton balls and trying to find it,” Breckenridge said, “not to mention getting all of the marble’s detail.”
In fact, she believes the procedure can be beneficial for most women. “Things can hide even in tissue that isn’t dense,” she said.
A 3-D mammogram also can give radiologists a clearer view for patients who’ve had surgery on their breasts or previous radiation treatments.
“Once a woman has had breast cancer and has been through surgery, chemotherapy and radiation, every mammogram after that is a scary thing,” she said. “They have a peace of mind that a 3-D mammogram might find something that could be hidden otherwise.”
Jason Young, manager of Mercy Imaging Services – Carthage, indicated that patients shouldn’t be concerned about increased radiation with 3-D mammography.
“The difference in dosage between 2-D and 3-D is virtually the same,” Young said. “3-D images are lower-dose pictures of a breast.”
While a primary care provider referral is recommended, women can self-refer to have a 3-D mammogram. Most insurance providers cover 2-D mammograms, but may not fully cover a 3-D mammogram, which is an additional $55. “It’s very well worth it,” Breckenridge said.
Young emphasized that any woman in need of a mammogram who cannot afford one should ask about financial help. The McCune-Brooks Healthcare Foundation has limited funds available for women in those circumstances.
Mammogram appointments are available every 30 minutes from 8 a.m. to 5 p.m. Mondays, Wednesdays and Fridays and until 3:30 p.m. Tuesdays and Thursdays.
For more information, contact Mercy Imaging Services – Carthage, 3125 Dr. Russell Smith Way, at Mercy Hospital Carthage on the McCune-Brooks Campus at 417-359-1320.
Heart disease remains the leading cause of death for women in the U.S., yet many remain unaware they have it. For the second consecutive year, Mercy Hospital Ardmore, Oklahoma Heart Hospital and the Chickasaw Nation will host Ada’s Wear Red for Women luncheon, an event to raise awareness and prevention of heart disease.
“During last year’s inaugural event, we raised almost $20,000 through ticket sales and a silent auction,” said Trish Long, Mercy Hospital Ardmore director of operations and event co-chair. The money was donated to Good Shepherd Community Clinic, which provides free health, dental and optical care for the uninsured. “We’re meeting a need for education in Ardmore when it comes to heart health in women.”
Studies show more than 44 million women are affected by heart disease in the United States, yet a number of women still don’t consider heart disease a major risk. This year’s event will feature a heart healthy lunch, a designer purse silent auction, guest speakers and a heart healthy cooking demonstration. The event will be from 11:30 a.m. to 1:00 p.m. Thursday, Feb. 23 at the Chickasaw Nation Community Center, 907 Locust St. Tickets are $20 each. For more information or to purchase tickets, go to www.mercy.net/WearRedArdmore.
JOPLIN, Mo. – Mercy Breast Center continues to be on the leading edge of care by offering a new screening option.
The Invenia ABUS (Automated Breast Ultrasound System) is approved by the Food and Drug Administration (FDA) for breast cancer screening that supplements mammography for women with dense breast tissue and no prior treatments.
“We are excited to add the Automated Breast Ultrasound system from GE Healthcare to our comprehensive breast cancer screening program,” said Dr. Sonu Suri with Mercy Breast Center in Joplin. “By offering ABUS in addition to mammography for our patients with dense breast tissue, we are improving detection for small cancers that cannot be seen on a mammogram alone in these women. We believe ABUS will become an integral part of our program for the detection of breast cancer.”
Dense breast tissue not only increases the risk of breast cancer up to four to six times, but also makes cancer more difficult to detect using mammography, according to multiple large studies. One study, published in the New England Journal of Medicine, showed mammography sensitivity is reduced up to 38 percent in women with dense breasts.
As a result, 38 states, including Missouri, have passed laws mandating that women be notified if their breasts are dense and if they may benefit from supplemental imaging as appropriate.
“Mammography is an effective tool for the detection of breast cancer; however, it doesn’t work equally well in all women, particularly those with dense breast tissue,” Dr. Suri said. “Designed and built specifically for screening dense breast tissue, research shows that ABUS technology has the potential to find additional cancers that would not have been found with mammography alone.”
ABUS is not a replacement for screening mammography, but is a supplemental screening for women with dense or very dense breast tissue. Dr. Suri recommends that women get regular mammograms as suggested by their doctor. If they have been informed that they have dense breast tissue, they should talk to their doctor about their specific risk and additional screening tests that might be appropriate.
Expectant mothers now have expanded prenatal care, labor and delivery options at Mercy with the opening of a new midwife clinic. The clinic is led by Leanna Harkess and Dorothy Cleveland Pointer, both advanced practitioners and certified nurse midwives who have a combined experience of more than two decades in midwifery and hundreds of births under their belt.
“The word midwife means ‘with woman,’” said Pointer. “We want to form a partnership with each and every woman to help achieve her pregnancy and healthcare goals.”
Pointer first began her career as a midwife in 2008, when she became part of a small but growing minority of certified nurse midwives. In the last 20 years, the US National Library of Medicine shows that midwife-attended births have more than tripled. Pointer has provided midwifery care in both Oklahoma and Maryland, and is an active member of the Oklahoma Birth Alliance.
Harkess has worn a number of hats in the medical field; first as a critical care nurse, then as a family nurse practitioner. She said she found her true calling more than 15 years ago, when she became a certified nurse midwife.
“For me, midwifery is both a blessing and a ministry,” Harkess said. “We strive to provide women a more natural birthing experience in a hospital setting.”
Both Harkess and Pointer perform births in Mercy’s labor and delivery suites. In addition, they offer pre-and-postnatal care as well as gynecological care and family planning.
Mercy Clinic Midwifery is located on the campus on Mercy Hospital Oklahoma City, in the Plaza building, at 4140 W. Memorial Road Suite 408. For more information, call 405-486-8670.
By Mercy's Courtney Landsberger
It is a goal Debbie Pender, chief nursing officer for Mercy Hospital in Ardmore, has worked toward for years. She was recently named a Fellow of the American College of Healthcare Executives (FACHE), the nation’s leading society for health care professionals.
“The ability to interact with a network of high caliber leaders is vital to our local hospital and to our community,” said Pender, who has worked as a nurse at Mercy Hospital in Ardmore for a decade. “The distinction shows patients that we are committed to meeting their health care needs both clinically in terms of their actual treatment and professionally.”
In order to be named a Fellow, Pender completed interviews, educational courses and was required to pass an exam – a process that took her more than three years. She is now one of only a few thousand health care executives nationwide with the distinction, and joins two other health care leaders at Mercy Hospital Ardmore with the honor.
“The health care management field plays a vital role in providing high-quality care to the people in our communities, which makes having a standard of excellence promoted by a professional organization critically important,” said Deborah J. Bowen, president and CEO of ACHE. “By becoming an ACHE Fellow and earning the distinction of board certification from ACHE, health care leaders demonstrate a commitment to excellence in serving their patients and the community.”
Pender is the first Mercy chief nursing officer (CNO) in Oklahoma, and the second CNO across Mercy’s four-state service area to earn the distinction of a Fellow.
The Mercy Health Foundation Fort Scott was awarded a $3,000 grant by the Fort Scott Area Community Foundation to support the 3D mammography upgrade at Mercy Hospital Fort Scott.
3D mammography is the most advanced method on the market for diagnosing breast cancer. It has been proven to detect cancer cells that might be indistinguishable by 2D mammograms.
As of November 3, patients at Mercy Hospital Fort Scott have the option for 3D mammograms.
3D mammograms produce a higher-quality image, are 28 percent more effective in early invasive breast cancer detection, and reduce the number of false positive recalls. Reducing the number of false positives will not only decrease the number of patients who feel an emotional roller coaster, but will also reduce the number of unnecessary hours and resources spent to obtain the tests, all producing a more positive patient experience.
“Without this technology available in Fort Scott, many patients would need to drive to larger metropolitan areas to obtain the higher-quality screening offered through 3D images,” explained Christi Keating, executive director of patient care services in Fort Scott.
The funds from the Fort Scott Area Community Foundation grant, as well as all other contributions to the 3D Mammography upgrade campaign are paired at 1:1 match by the Mercy Health Foundation Fort Scott. Learn more about the campaign and how to donate here.
By Mercy's Courtney Landsberger
It is estimated that nearly half of women over the age of 40 have dense breasts, which could lead to an increased risk of breast cancer, yet many may be unaware.
This November, Oklahoma will join the ranks of more than two dozen other states requiring health care providers to inform women if they have dense breast tissue. Following a regular mammogram, a woman will receive a report on her breast tissue composition along with mammography results.
Lori Wightman, president of Mercy Hospital Ada, found she had dense breast tissue through a similar mandate in Minnesota.
“My mother is a two-time breast cancer survivor, so I’ve always been diligent about scheduling my yearly mammogram,” said Wightman. “Even though I had probably a dozen mammograms in the past, I didn’t find out that I had dense breasts until just a few years ago.”
While dense breast tissue is not abnormal, it can make it more difficult to spot cancer because of how that tissue appears on a mammogram. Sandy Wingard, a mammography technologist for Mercy Hospital Ada, has performed hundreds of mammograms throughout her 25-year career. By her estimates, one out of every four women she performs mammograms on has dense breasts.
“Unless a woman knows she has a family history of dense breasts, the results usually come as a surprise,” said Wingard, who notes that it is impossible to indicate levels of breast density through self-exam or a doctor’s physical exam. “Some women think that because their breasts are firm, they are dense; however, density levels refer to the tissue inside the breast, rather than how the breast actually feels.”
A woman’s breasts are made up of mostly fat and tissue that is held in place by connective tissue. On mammography reports, this tissue appears black, while cancers and masses appear white. Women with dense breasts have a larger amount of connective tissue compared to fatty tissue which also appears white on a mammogram, making it difficult to spot any abnormalities. Although researches aren’t clear what causes high levels of this dense connective tissue, a woman’s level of density can fluctuate.
“There are a lot of misconceptions about dense breasts and a big one is that once you know your density level, it will stay that way,” said Wightman. “I always stress how important it is for doctor’s to have your previous year’s mammogram to compare to the new one.”
In general, breast density tends to decrease the older a woman gets, making young women most likely to have dense breasts. Premenopausal women are also more likely to have dense breasts, as are those who take combination hormone therapy to relieve signs and symptoms of menopause. Lifestyle and genetics can also play a role.
“A good rule of thumb is that if your mother has dense breasts, you probably do too,” said Wingard. “I think this law will be very beneficial in terms of bringing awareness to what breast density means, and giving women more information when it comes to available options.”
The first state to pass a breast density notification law was Connecticut in 2009. Since then, 27 states including Oklahoma have filed similar legislation. While additional screening in Oklahoma is not required, lawmakers hope including these reports will help raise awareness of breast density and open the conversation between a women and her health care provider about additional options. For Wightman, it will also serve as a good reminder to stay on top of yearly screenings.
“Having dense breasts is something that is out of my control, but what I can control is my ability to get an annual mammogram,” said Wightman. “I hope this law will help more women take control of their health and bring awareness about the importance of regular screenings.”
If your mammogram shows you have dense breast tissue, you may consider talking to your provider about whether or not you’ll need additional screening, which can include 3D mammogram, breast ultrasound, or breast magnetic resonance imaging (MRI). The new law will go into effect on Nov. 1.
For more information on mammograms, download our mammogram guide at: mercy.net/AdaMammo .
Levels of Breast Density
Levels of density are described using results from the Breast Imaging Reporting and Data System (BI-RADs), which are separated into different categories ranging in level from one through four. The levels of density are:
*Source: The Mayo Clinic
Who is Most at Risk?
You may be more likely to have dense breasts if you:
*Source: Susan G. Komen Foundation
Joplin, Mo. – Mercy Clinic is meeting a growing demand for primary health care in the four-state region by opening a 14,000-square-foot, 30-room family care and convenient-care clinic at 202 E. 50th St.
A ribbon cutting and blessing was Tuesday, Oct. 18 at the clinic, next to the main Mercy Joplin campus. Family care hours will be 8 a.m. to 4:30 p.m. weekdays. Convenient care is expected to be offered from 7 a.m. to 7 p.m. daily beginning in December.
“Mercy has a long history of health care in the region and continues to invest in the Joplin community by expanding services,” said Tracy Godfrey, MD, Mercy Clinic Joplin president.
“I’m proud to be part of Mercy Joplin’s newest facility to provide primary care and family medicine adjacent to our new hospital campus,” Dr. Bruce said. “Mercy has the most amazing and outstanding primary care team. Our practice provides patients an atmosphere of hospitality, respect and trust. We provide the best quality of care our patients deserve – from treatment of acute and chronic illnesses to health promotion and disease prevention, as well.
As primary care physicians, Dr. Bruce and the other medical professionals at the new clinic can connect patients with Mercy’s team of doctors, specialists and other medical staff, providing access to highly specialized care. The clinic team is supported by a full range of diagnostic laboratory and imaging services available onsite or conveniently located next door on the hospital campus.
Mercy is investing about $1 million in capital for furnishings, fixtures, equipment and technology in the clinic.
For more information, call 417-556-3400.
The Mercy Health Foundation Fort Scott has received a $5,000 grant from the Pacific Life Foundation to support an upgrade to 3D mammography equipment at Mercy Hospital Fort Scott.
The grant was made possible through a Partner Involvement Program which provides grants to nonprofit agencies where distinguished insurance producers serve on the board or a committee of the agency. Local Edward Jones agent Jamie Armstrong, Mercy Health Foundation Fort Scott Board President, submitted the grant application.
In January 2016, the Mercy Health Foundation Board initiated a $125,000 fundraising campaign where each dollar donated toward the purchase of a 3D mammography devise would be matched 100 percent by the Foundation. Through the solicitation of private and public contributions, the goal is to raise $250,000 toward the 3D mammography equipment upgrade.
Every year, about 3,800 women depend on Mercy Hospital Fort Scott for mammograms. With an upgrade from 2D to 3D technology, patients at Mercy will benefit from a 28 percent increase in early invasive breast cancer detection while seeing a 37 percent reduction on false positive recalls.
To make a donation to the 3D mammography fundraising campaign, please visit www.mercy.net/FortScott3DGift or call the Mercy Health Foundation office at 620-223-8094.
ST. LOUIS - With its second new location in less than a month, Mercy opens a new facility off Butler Hill Road, 4280 Mid America Ln., in South County on Monday, Sept. 12, marking another location making care convenient for patients.
In South County, Mercy’s Butler Hill location is a new nearly 12,000-square-foot building offering Mercy Clinic Family Medicine and OB/GYN practices along with lab services.
Mercy Clinic Family Medicine opens Sept. 12. Dr. Andrew Bryant, family medicine physician, is a graduate of Fox High School returning to South County to care for patients of all ages after earning his medical degree at St. Louis University School of Medicine. He completed his family medicine residency at Mercy Hospital St. Louis.
Mercy Clinic Women’s Health opens Oct. 17, with Dr. Sheila Drnec caring for patients. Dr. Drnec earned her medical degree from Des Moines University in Des Moines, Iowa and completed an OB/GYN residency at Sparrow Hospital in Lansing, Michigan.
“Our commitment to making care convenient for our patients is highlighted once again with the opening of the Butler Hill location,” said Donn Sorensen, president of Mercy’s eastern Missouri region. “It will fill a need in the area where Mercy patients have had to go farther for care as well as provide personalized care from a hometown doctor.”