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Princeton Baptist Offering $99 Mammograms This Month

BIRMINGHAM TIMES — During October, everyone is used to seeing pink ribbons, pink hats, pink cars along with the many activities and events surrounding breast cancer awareness month. But there is a side that may not be so pretty in pink for those who cannot afford mammograms—and Princeton Baptist Medical Center aims to change that by providing $99 mammograms this month.

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Katisha Vance, M.D.

By Ameera Steward

During October, everyone is used to seeing pink ribbons, pink hats, pink cars along with the many activities and events surrounding breast cancer awareness month. But there is a side that may not be so pretty in pink for those who cannot afford mammograms—and Princeton Baptist Medical Center aims to change that by providing $99 mammograms this month.

Oncologist Katisha Vance, M.D., said the $99 will cover screening for patients who don’t have insurance.

“Unfortunately, we have lots of women who need to be screened but don’t have health [coverage],” she said. “This [$99 fee] allows a woman who needs a mammogram to walk in off the street, get the study done, and have radiologist read it and let her know if she has anything to be worried about.”

Mammograms are the gold standard test for detecting breast cancer, Vance explained, adding that the process is fairly easy. Patients are told to place each breast on a flat platform, where the breast is pressed from above as well as from the sides for “a sophisticated X-ray,” she said.

Also, it is important to note that if a woman is diagnosed with breast or cervical cancer in Alabama, she qualifies for Medicaid if she does not have insurance.

“I have, unfortunately, taken care of too many women over the past 12 years who have found masses in their breasts and … thought, ‘I don’t have any health insurance. I don’t know what to do about this,’” Vance said. “If [a woman] comes in through the emergency department, we can get the process going. … If [a patient gets] medical attention for what is obviously a breast cancer, then in this state we can get Medicaid for them, and that will cover their treatment.

“That means we are able to find breast cancers earlier, when they have a better prognosis—and that’s why it’s so important to do this screening in women.”

Click to view slideshow.

Age Limit

Over the years, questions have been raised about the age at which women should start getting mammograms. Many organizations recommend that women start screening at the age of 40; this is for an average-risk patient, someone who does not have a strong family history of breast cancer and hasn’t had radiation to the chest or another problem. Other organizations say women should begin getting mammograms on a regular basis at age 50 because most breast cancers—approximately 80 percent, Vance said—occur in women who are 50 and older.

For women with a family history of breast cancer, however, the guidelines are a bit different. If the patient has the genetic mutation BRCA1 or BCRA2, an abbreviation for BReast CAncer gene, doctors talk to those women about getting clinical exams in their 20s, Vance said. Additionally, those women should consider getting mammograms and MRI screenings of the breasts in their 20s.

“Those guidelines probably don’t get followed a great deal because I don’t think we screen enough women for BRCA1 and BRCA2,” Vance said. “You have entire families that know that they have those mutations, and those people probably do get screened, but we probably miss out on those who do not have a strong history of with the mutation. High-risk women should get screened earlier.”

Even those who are not BRCA1- or BRCA2-positive but are considered high-risk should start earlier. For example, if a woman’s mother was diagnosed with breast cancer at age 45, Vance suggests that she start her screenings 10 years earlier than when her mother was diagnosed.

Self-Exams

In addition to getting mammograms regularly, women should do breast self-exams regularly for early detection. Vance suggests that women do a self-exam once a month to check for changes in or problems with their breasts. According to breastcancer.org, “The more you examine your breasts, the more you will learn about them and the easier it will become for you to tell if something has changed. … Examine yourself several days after your period ends, when your breasts are least likely to be swollen and tender. If you are no longer having periods, choose a day that’s easy to remember, such as the first or last day of the month.” Vance adds that it’s best to check breasts in the shower or bathtub with soapy hands, so the hand can move easier around the breast.

Self-exams are important even if a woman has annual clinical breast exams done by a doctor or nurse practitioner because things can change in between those exams, so Vance encourages women to “do that [self-exam] once a month. … That’s fine. That’s all we need you to do.”

An ultrasound also can be used with a mammogram to screen women, especially if they’re young; it will reveal if the mammogram is showing a cystic (fluid-filled) or solid mass. An MRI can help, as well, but it should not be used in average-risk women because it is very sensitive and picks up everything, some of which “you don’t need to know about because they’re never going to cause a problem,” Vance said.

“Because breast cancer is talked about so much, it makes every woman a little bit worried if she feels something that is just a little off,” she added. “I still say get it checked by your doctor just to be sure. The majority of the time it may be nothing, but if something feels different, get it checked out.”

Reducing Risk

One way to reduce the risk of developing breast cancer or making it worse is by keeping your weight down, Vance said, explaining that estrogen is made not only in the ovaries but also in fat cells. According to the Susan G. Komen website, komen.org, “Estrogens are natural hormones that are important in sexual development and other body functions. Higher amounts of estrogen in the blood are linked to an increased risk of breast cancer in women after menopause. Researchers are studying a possible link to breast cancer before menopause.”

“So, if you are overweight with increased fat cells, … then your estrogen levels are going to be higher, and that’ll increase [your risk] for getting breast cancer,” Vance said. “One of the easiest things a woman can do is maintain a healthy weight.”

Additionally, breast cancer risk can be reduced by getting two and a half to five hours (150 to 300 minutes) of exercise a week, as well as not smoking.

“I can’t think of a single cancer [diagnosis] in which someone said, ‘Your smoking didn’t play into this,’” Vance said. “Never smoking is the best option. If you’re already a smoker, stopping will help.

“It’s very much about good self-care. I also think it’s important to emphasize that a whole lot of breast cancer is about genetics and environment. … I’m always very cautious about not placing blame on women when they develop breast cancer or when breast cancer comes back.”

Vance said Princeton Baptist wants to make sure as many women as possible get mammograms.

“It bothers me that so many women go to work every single day and have jobs that cover the bills, but their jobs don’t offer health insurance and because of that they can’t get the necessary preventive care they need,” said Vance.

Princeton Baptist Medical Center is offering $99 mammograms throughout the month of October—Mondays through Thursdays from 7:30 a.m. to 4:15 p.m. and Fridays from 7:30 a.m. to noon. To schedule an appointment, call 205-783-7100 or visit www.brookwoodbaptisthealth.com.

This article originally appeared in The Birmingham Times.

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COMMENTARY: The National Protest Must Be Accompanied with Our Votes

Just as Trump is gathering election data like having the FBI take all the election data in Georgia from the 2020 election, so must we organize in preparation for the coming primary season to have the right people on ballots in each Republican district, so that we can regain control of the House of Representatives and by doing so, restore the separation of powers and balance that our democracy is being deprived of.

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Dr. John E. Warren Publisher, San Diego Voice & Viewpoint
Dr. John E. Warren, Publisher San Diego Voice & Viewpoint Newspaper. File photo..

By  Dr. John E. Warren, Publisher San Diego Voice & Viewpoint Newspaper

As thousands of Americans march every week in cities across this great nation, it must be remembered that the protest without the vote is of no concern to Donald Trump and his administration.

In every city, there is a personal connection to the U.S. Congress. In too many cases, the member of Congress representing the people of that city and the congressional district in which it sits, is a Republican. It is the Republicans who are giving silent support to the destructive actions of those persons like the U.S. Attorney General, the Director of Homeland Security, and the National Intelligence Director, who are carrying out the revenge campaign of the President rather than upholding the oath of office each of them took “to Defend The Constitution of the United States.”

Just as Trump is gathering election data like having the FBI take all the election data in Georgia from the 2020 election, so must we organize in preparation for the coming primary season to have the right people on ballots in each Republican district, so that we can regain control of the House of Representatives and by doing so, restore the separation of powers and balance that our democracy is being deprived of.

In California, the primary comes in June 2026. The congressional races must be a priority just as much as the local election of people has been so important in keeping ICE from acquiring facilities to build more prisons around the country.

“We the People” are winning this battle, even though it might not look like it. Each of us must get involved now, right where we are.

In this Black History month, it is important to remember that all we have accomplished in this nation has been “in spite of” and not “because of.” Frederick Douglas said, “Power concedes nothing without a struggle.”

Today, the struggle is to maintain our very institutions and history. Our strength in this struggle rests in our “collectiveness.” Our newspapers and journalists are at the greatest risk. We must not personally add to the attack by ignoring those who have been our very foundation, our Black press.

Are you spending your dollars this Black History Month with those who salute and honor contributions by supporting those who tell our stories? Remember that silence is the same as consent and support for the opposition. Where do you stand and where will your dollars go?

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Why Black Parents Should Consider Montessori

BLACKPRESSUSA NEWSWIRE — I have found that there are some educational approaches that consistently provide a safer, more enriching, and more affirmative environment for Black children. The Montessori method, developed by Italian physician Maria Montessori and introduced to the U.S. in the early 20th century, is one such approach.

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By Laura Turner-Essel, PhD

As a mother of four children, I’ve done A LOT of school shopping. I don’t mean the autumn ritual of purchasing school supplies. I mean shopping for schools – pouring over promotional materials, combing through websites, asking friends and community members for referrals to their favorite schools, attending open houses and orientations, comparing curriculums and educational philosophies, meeting teachers and principals, and students who all claim that their school is the best.

But keep in mind – I’m not just a mom of four children. I’m a mom of four Black children, and I’m also a psychologist who is very interested in protecting my little ones from the traumatic experience that school can too often become.

For Black children in the United States, school can sometimes feel more like a prison than an educational institution. Research shows that Black students experience school as more hostile and demoralizing than other students do, that they are disciplined more frequently and more harshly for typical childhood offenses (such as running in the halls or chewing gum in class), that they are often labeled as deviant or viewed as deficient more quickly than other children, that teachers have lower academic expectations of Black students (which, in turn, lowers those students’ expectations of themselves), and that Black parents feel less respected and less engaged by their children’s teachers and school administrators. Perhaps these are some of the underlying reasons that Black students tend to underperform in most schools across the country.

The truth is that schools are more than academic institutions. They are places where children go to gain a sense of who they are, how they relate to others, and where they fit into the world. The best schools are places that answer these questions positively – ‘you are a valuable human being, you are a person who will grow up to contribute great things to your community, and you belong here, with us, exploring the world and learning how to use your gifts.’ Unfortunately, Black children looking for answers to these universal questions of childhood will often hit a brick wall once they walk into the classroom. If the curriculum does not reflect their cultural experiences, the teachers don’t appear to value them, and they spend most of their time being shamed into compliance rather than guided towards their highest potential, well…what can we really expect? How are they supposed to master basic academic skills if their spirits have been crushed?

Here’s the good news. In my years of school shopping, and in the research of Black education specialists such as Jawanza Kunjufu and Amos Wilson, I have found that there are some educational approaches that consistently provide a safer, more enriching, and more affirmative environment for Black children. The Montessori method, developed by Italian physician Maria Montessori and introduced to the U.S. in the early 20th century, is one such approach.

The key feature of Montessori schooling is that children decide (for the most part) what they want to do each day. Led by their own interests and skill levels, children in a Montessori classroom move around freely and work independently or with others on tasks of their own

choosing. The classroom is intentionally stocked with materials tailored to the developmental needs of children, including the need to learn through different senses (sight, touch/texture, movement, etc.). The teacher in a Montessori classroom is less like a boss and more like a caring guide who works with each child individually, demonstrating various activities and then giving them space to try it on their own. The idea is that over time, students learn to master even the toughest tasks and concepts, and they feel an intense sense of pride and accomplishment because they did it by themselves, without pressure or pushing.

I think that this aspect of the Montessori method is good for all kids. Do you remember the feeling of having your creativity or motivation crushed by being told exactly what to do, when to do it, how to do it, and why? The truth is that when presented with a new challenge and then given space, children actually accomplish a lot! They are born with a natural desire to learn. It is that spirit of curiosity, sense of wonder, and excitement to explore that Montessori helps to keep alive in a child. But that’s not the only reason that I think Black parents need to consider Montessori.

Fostering a love of learning is great. But more importantly, I think that Montessori students excel at learning to love. It begins with Montessori’s acknowledgement that all children are precious because childhood is a precious time. In many school systems, Black children are treated like miniature adults (at best) or miniature criminals (at worst), and are subjected to stressful situations that no kids are equipped to handle – expectations to be still and silent for long periods, competitive and high-stakes testing, and punitive classroom discipline. It’s easy to get the sense that rather than being prepared for college or careers, our children are being prepared to fail. Couple this with the aforementioned bias against Black children that seems to run rampant within the U.S. school system, and you end up with children who feel burned out and bitter about school by the time they hit 3rd grade.

In my experience, Montessori does a better job of protecting the space that is childhood – and all the joy of discovery and learning that should come along with that. Without the requirement that students “sit down and shut up,” behavioral issues in Montessori classrooms tend to be non-existent (or at least, the Montessori method doesn’t harp on them; children are gently redirected rather than shamed in front of the class). Montessori students don’t learn for the sake of tests; they demonstrate what they’ve learned by sharing with their teacher or classmates how they solve real-world problems using the skills they’ve gained through reading, math, or science activities. And by allowing children a choice of what to focus on throughout the day, Montessori teachers demonstrate that they honor and trust children’s natural intelligence. The individualized, careful attention they provide indicates to children that they are each seen, heard, and valued for who they are, and who they might become. Now that’s love (and good education).

As a parent, I’ve come to realize that many schools offer high-quality academics. Montessori is no different. Students in Montessori schools gain exposure to advanced concepts and the materials to work with these concepts hands-on. Across the nation, Montessori schools emphasize early literacy development, an especially important indicator of life success for young Black boys and men. Montessori students are provided with the opportunity to be

successful every day, and the chance to develop a sense of competence and self-worth based on completing tasks at their own pace.

But I have also learned that the important questions to ask when school shopping are often not about academics at all. I now ask, ‘Will my children be treated kindly? Will they be listened to? Protected from bias and bullying? Will they feel safe? Will this precious time in their lives be honored as a space for growth, development, awe, and excitement? Will they get to see people like them included in the curriculum? Will they be seen as valuable even if they don’t always ‘measure up’ to other kids on a task? Will they get extra support if they need it? Will the school include me in major decisions? Will the school leaders help to make sure that my children reach their fullest potential? Will the teacher care about my children almost as much as I do?’

Consistently, it’s been the Montessori schools that have answered with a loud, resounding ‘Yes!’ That is why my children ended up in Montessori schools, and I couldn’t be happier with that decision. If you’re a parent like me, shopping for schools with the same questions in mind, I’d urge you to consider Montessori education as a viable option for your precious little ones. Today more than ever, getting it right for our children is priceless.

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LIVE from the NMA Convention Raheem DeVaughn Says The Time Is Now: Let’s End HIV in Our Communities #2

Set against the backdrop of the NMA conference, Executive Officers from the National Medical Association, Grammy Award Winning Artist and Advocate Raheem DeVaughn, and Gilead Sciences experts, are holding today an important conversation on HIV prevention and health equity. Black women continue to be disproportionately impacted by HIV despite advances in prevention options. Today’s event […]

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Set against the backdrop of the NMA conference, Executive Officers from the National Medical Association, Grammy Award Winning Artist and Advocate Raheem DeVaughn, and Gilead Sciences experts, are holding today an important conversation on HIV prevention and health equity.

Black women continue to be disproportionately impacted by HIV despite advances in prevention options. Today’s event is designed to uplift voices, explore barriers to access, and increase awareness and key updates about PrEP, a proven prevention method that remains underutilized among Black women. This timely gathering will feature voices from across health, media, and advocacy as we break stigma and center equity in HIV prevention.

Additional stats and information to know:

Black women continue to be disproportionately affected by HIV, with Black women representing more than 50% of new HIV diagnoses among women in the U.S. in 2022, despite comprising just 13% of women in the U.S.

Women made up only 8% of PrEP users despite representing 19% of all new HIV diagnoses in 2022.

● Gilead Sciences is increasing awareness and addressing stigma by encouraging regular HIV testing and having judgment-free conversations with your healthcare provider about prevention options, including oral PrEP and long-acting injectable PrEP options.

● PrEP is an HIV prevention medication that has been available since 2012.

● Only 1 in 3 people in the U.S. who could benefit from PrEP were prescribed a form of PrEP in 2022.

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