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    November 1, 2019
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WIFE AND MOM STAYS DETERMINED TO BEAT BREAST CANCER WE ARE CARE FOR THE WHOLE PERSON THE PLACE FOR EXPERT Avera cares for the BREAST whole person -body, mind and spirit with support services to provide physical, CANCER CARE By Donna Farris Upon hearing a dagnosis of breast cancer, Rachel Hamburger didn't foel shocked, scared, angry or sad "was annoyed sid the Gettysburg, S.D, mother of six daycare operator and wite of the counny sherift "Our lives ane so busy-1 didn't have me to be sia emotional and mental guidance. This includes help dealing with Pachel felt a ump that smed to get larger She was diagnosed wih riple negarive breast cancer-a more agressive form of he disease She remembered looking a her hubend. Curt, and thinaing. "Of course f would have at kind it could't be ey the after-effects of cancer treatment. She also fet her natural trait of stubbornness rise to the surtace, "1new it would be a tremendous setback for all of my boys if something happened to me Im too stubborn to let that happen At Avera, we ensure you receive the highest level of care, ecause of that stubborn streak, Rachel aays she can be a "aioult patient But when it came so her treatment plan outined by Sreekanth Donepud, MD, Avers Medical Group oncologist in Plem, she wanted to follow it to the letter st my doctor. He's super sma he's got the training and he sees cancer patients every day Rachel wanted to have as muh of her care s close o home as possible eDonepud called upon muiple members of the Avera medical team to enure she had the best possible care plan SUPPORT GROUPS He presented her case at the Avera Cancer nstitue in Sious Fabs breast conference. She underwent genomic sesting through the Avera Cancer Instiute in Sioux fals which indicated that immunotherapy, tailored to Rache's tumor type, was a promising option no matter SPIRITUAL CARE your location. WE ARE your team Avera's team includes So alongaide her chemo, immunotherapy was adminiatered before rgery-an emenging treatment for breast cancer, loved that my doctor was willing to go outside of the box she said oncologists, surgeons, COUNSELING pathologists, radiologists of more than 40 physicians across five states connecting you to the breast cancer services you need. and a research team This treatment was so successtul that the tumor shrank down to nothing Her breast sungeon in Piere, Eldon Becker, MD called her so tell her this miraulous news The hope was that it would shrink in sie-bu wa completely gone Rachel elaed that specializes in CANCER FITNESS PROGRAMS breast cancer treatment Avera's team of She was able to undergo lumpectomy-removal of the lump area-instead of mastectomy emoval of her entine breast. A multidisciplinary team that includes surgeons to create a breast reconstruction plan based on your needs and lifestyle over 40 experts Becker used oncoplastic tedhniques that improve the look ef the breast at the same time as removing the tssue affected by cancer. This included a smal inmplant to help T ensure her breast would appear as nomal as possible, with no indentation where the tissue had been removed. t also serves as a marker for ongoing followe-up collaborates through LYMPHEDEMA THERAPIES ACHELPCTUREO ABOVE WHERUSBAND tAND LDW PLAYING MN OOLF WiTHE usAND AND SONS ROM LEFT BOe AND SEN breast conferences to discuss the best Breast conserving surgery Whe Rachel feels good and is backo her career in day care, shes ouick to say tha ancer eatment is not easy "Twouldn' wish it on anyone Ater surgery, Rachel travaled to Abendeen for daily radiation treatments for six wesks under the care of Kaheen Schneekloth, MD. This therapy is alimed toward preventing any eoumence at the original cancer ste. Her radiation took place before the Helmley Center in Peme was complete had happened only monthes ae, she could have had this form of care in Pleme as well treatment options WIG PROGRAM Radiation options that allow for reduced radiation time and ensure a consistent approach-no matter where you receive Alongide the victeries. she remembers moments of weakness and discouragement Genomic and genetic testing to pinpoint which treatments may work best for you INTEGRATIVE MEDICINE SERVICES it ws a dily drive. but the care she received was worth it Al my care awesome-and it saved my ite Avera was your care. During one of those moments of weakness Rachel elt lke giving up That's when her son Jeremy sepped in Jermy joined their tamily at age 15 aher spending tme in the foster care systam "He sold me, 1naly have an Avera Patient navigation services that support you during your cancer journey wwesome mom, and now Fm atraid m Cancer Institute going to lose you"That changed everything A call center open 24/7 and staffed with nurses to answer questions and provide support Rachel credits her family for being there with the encouragement she needed, as well as a grovo of good triends In adotion to her husband, she had ndswho went with her WE ARE your team. WE ARE Avera. Second opinion consultations Meet your team at Avera.org/breastcare or call our 24/7 Navigation Center at 888-422-1410 so every chemo intusion and radiation appointment Latest in imaging technologies My trands had a Tahit printed for me th says Friends don't let friends fight alone A robust research team searching for breast cancer cures That was so tue in my journey INTERCONNECTED CARE WIFE AND MOM STAYS DETERMINED TO BEAT BREAST CANCER WE ARE CARE FOR THE WHOLE PERSON THE PLACE FOR EXPERT Avera cares for the BREAST whole person -body, mind and spirit with support services to provide physical, CANCER CARE By Donna Farris Upon hearing a dagnosis of breast cancer, Rachel Hamburger didn't foel shocked, scared, angry or sad "was annoyed sid the Gettysburg, S.D, mother of six daycare operator and wite of the counny sherift "Our lives ane so busy-1 didn't have me to be sia emotional and mental guidance. This includes help dealing with Pachel felt a ump that smed to get larger She was diagnosed wih riple negarive breast cancer-a more agressive form of he disease She remembered looking a her hubend. Curt, and thinaing. "Of course f would have at kind it could't be ey the after-effects of cancer treatment. She also fet her natural trait of stubbornness rise to the surtace, "1new it would be a tremendous setback for all of my boys if something happened to me Im too stubborn to let that happen At Avera, we ensure you receive the highest level of care, ecause of that stubborn streak, Rachel aays she can be a "aioult patient But when it came so her treatment plan outined by Sreekanth Donepud, MD, Avers Medical Group oncologist in Plem, she wanted to follow it to the letter st my doctor. He's super sma he's got the training and he sees cancer patients every day Rachel wanted to have as muh of her care s close o home as possible eDonepud called upon muiple members of the Avera medical team to enure she had the best possible care plan SUPPORT GROUPS He presented her case at the Avera Cancer nstitue in Sious Fabs breast conference. She underwent genomic sesting through the Avera Cancer Instiute in Sioux fals which indicated that immunotherapy, tailored to Rache's tumor type, was a promising option no matter SPIRITUAL CARE your location. WE ARE your team Avera's team includes So alongaide her chemo, immunotherapy was adminiatered before rgery-an emenging treatment for breast cancer, loved that my doctor was willing to go outside of the box she said oncologists, surgeons, COUNSELING pathologists, radiologists of more than 40 physicians across five states connecting you to the breast cancer services you need. and a research team This treatment was so successtul that the tumor shrank down to nothing Her breast sungeon in Piere, Eldon Becker, MD called her so tell her this miraulous news The hope was that it would shrink in sie-bu wa completely gone Rachel elaed that specializes in CANCER FITNESS PROGRAMS breast cancer treatment Avera's team of She was able to undergo lumpectomy-removal of the lump area-instead of mastectomy emoval of her entine breast. A multidisciplinary team that includes surgeons to create a breast reconstruction plan based on your needs and lifestyle over 40 experts Becker used oncoplastic tedhniques that improve the look ef the breast at the same time as removing the tssue affected by cancer. This included a smal inmplant to help T ensure her breast would appear as nomal as possible, with no indentation where the tissue had been removed. t also serves as a marker for ongoing followe-up collaborates through LYMPHEDEMA THERAPIES ACHELPCTUREO ABOVE WHERUSBAND tAND LDW PLAYING MN OOLF WiTHE usAND AND SONS ROM LEFT BOe AND SEN breast conferences to discuss the best Breast conserving surgery Whe Rachel feels good and is backo her career in day care, shes ouick to say tha ancer eatment is not easy "Twouldn' wish it on anyone Ater surgery, Rachel travaled to Abendeen for daily radiation treatments for six wesks under the care of Kaheen Schneekloth, MD. This therapy is alimed toward preventing any eoumence at the original cancer ste. Her radiation took place before the Helmley Center in Peme was complete had happened only monthes ae, she could have had this form of care in Pleme as well treatment options WIG PROGRAM Radiation options that allow for reduced radiation time and ensure a consistent approach-no matter where you receive Alongide the victeries. she remembers moments of weakness and discouragement Genomic and genetic testing to pinpoint which treatments may work best for you INTEGRATIVE MEDICINE SERVICES it ws a dily drive. but the care she received was worth it Al my care awesome-and it saved my ite Avera was your care. During one of those moments of weakness Rachel elt lke giving up That's when her son Jeremy sepped in Jermy joined their tamily at age 15 aher spending tme in the foster care systam "He sold me, 1naly have an Avera Patient navigation services that support you during your cancer journey wwesome mom, and now Fm atraid m Cancer Institute going to lose you"That changed everything A call center open 24/7 and staffed with nurses to answer questions and provide support Rachel credits her family for being there with the encouragement she needed, as well as a grovo of good triends In adotion to her husband, she had ndswho went with her WE ARE your team. WE ARE Avera. Second opinion consultations Meet your team at Avera.org/breastcare or call our 24/7 Navigation Center at 888-422-1410 so every chemo intusion and radiation appointment Latest in imaging technologies My trands had a Tahit printed for me th says Friends don't let friends fight alone A robust research team searching for breast cancer cures That was so tue in my journey INTERCONNECTED CARE