{"id":4668,"date":"2016-08-04T00:00:00","date_gmt":"2016-08-04T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/08\/04\/saved-by-the-screen\/"},"modified":"2022-11-15T14:58:47","modified_gmt":"2022-11-15T21:58:47","slug":"saved-by-the-screen","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/saved-by-the-screen\/","title":{"rendered":"Saved by the screen"},"content":{"rendered":"
<\/div>
\"Donna
Donna Vogelsong thought a CT scan of her lung was no big deal. As it turned out, it was.<\/figcaption><\/figure>\n

Last fall, Donna Vogelsong was diagnosed with lung cancer. She couldn\u2019t be more grateful.<\/p>\n

Vogelsong, 63, of Aurora, knows all too well the price of the disease. Advanced lung cancer claimed her older brother\u2019s life, just before the surgery that has extended hers. She has the chance her brother will never have in large part because a CT screen caught her cancer early.<\/p>\n

\u201cEarly screening saved my life,\u201d Vogelsong said.<\/p>\n

She received the screening through the Lung Cancer Screening Clinic at University of Colorado Hospital, which launched in November 2014<\/a> after the Centers for Medicare and Medicaid Services approved low-dose CT scans for patients who meet specific criteria (see link at the end of this story)<\/em>. The screen revealed small spots in the lower lobes of each of Vogelsong\u2019s lungs.<\/p>\n

In April, University of Colorado Hospital cardiothoracic surgeon Michael Weyant, MD<\/a>, removed the lower lobe of Vogelsong\u2019s left lung, where a roughly 2-centimeter adenocarcinoma had nestled. She\u2019ll get regular scans to monitor the nodule that remains in the right lung, said Derek Linderman, MD, co-director of the Nodule Clinic<\/a> at UCH.<\/p>\n

She urged others who qualify to get the scan. \u201cLives are at stake. Lung cancer is a silent killer.\u201d<\/p>\n

Screen savers<\/strong><\/p>\n

Vogelsong is one of about 300 patients screened since the program began, said Stephen Malkoski, MD, PhD, who co-directs the Nodule Clinic with Linderman. The original U.S. Preventive Services Task Force study<\/a> that supported the effectiveness of lung cancer screenings showed that it took about 300 CT scans to save the life of one lung cancer patient. The program at UCH is doing far better: Vogelsong is one of four diagnosed with lung cancer; a fifth had metastatic renal cancer, Malkoski said.<\/p>\n

\"Stephen
Stephen Malkoski, MD, PhD, says about 300 low-dose CT scans at the Lung Cancer Screening Clinic have detected five cancers.<\/figcaption><\/figure>\n

One reason for the success rate is that Linderman and Malkoski assess the lung cancer risk of patients who meet the criteria for a screening. Instead of screening everyone who qualifies, they calculate the six-year risk of lung cancer, based on smoking history, family history, body mass index, and other factors.<\/p>\n

\u201cWe\u2019re trying to capture those at highest risk for the screenings,\u201d Linderman said.<\/p>\n

Vogelsong\u2019s experience shows that very often good medical care is the product of collective effort rather than individual heroism. The tiny spots on her lungs could easily have escaped detection. She had received a scan in 2012 after complaining of shortness of breath, Linderman said, but it wasn\u2019t clear what the small hazy smudge in the left lung was. The image remained in her medical record, however, and was ultimately to prove vital to her diagnosis.<\/p>\n

In 2015, Vogelsong had a colonoscopy as part of her routine preventive care. She followed up with her primary care provider, Kandace Shepherd, PA<\/a>, who saw that Vogelsong\u2019s smoking history \u2013 she smoked for more than 30 years before quitting in 2002 \u2013 and other factors triggered a \u201cbest practice advisory<\/a>\u201d in UCHealth\u2019s Epic electronic health record recommending that she get the CT screen.<\/p>\n

\u201cI said, \u2018Sure, no big deal,\u2019\u201d Vogelsong recalled.<\/p>\n

Detective work<\/strong><\/p>\n

\"Derek
Derek Linderman, MD, who co-directs UCH\u2019s Nodule Clinic with Malkoski, performed a bronchoscopic lung biopsy on Donna Vogelsong.<\/figcaption><\/figure>\n

It turned out to be a very big deal after the screening in late September. She met with Linderman, who showed her the CT scan, which revealed nodules in both lungs. He recommended waiting three months, then repeating the scans to determine if there were any changes. A second scan in December showed that the nodule in the left lung had grown.<\/p>\n

But like the still-hazy CT images of her lungs, Vogelsong\u2019s diagnosis was far from sharply etched. She went through two separate biopsies of the left lung, one by an interventional radiologist, another through a bronchoscopy performed by Linderman. Both came back negative. Still, the UCH team recommended surgery to remove the lower lobe and carefully explained why.<\/p>\n

Linderman noted that a comparison of the 2012 and 2015 scans also showed the spot in the left lung had changed. He added that, while it\u2019s very difficult to get a bronchoscopy sample definitively proving malignancy, the evidence pointed to cancer.<\/p>\n

\u201cThey were so confident and understanding and answered every question I had,\u201d Vogelsong said. She had also done her own research, using the Patient Resource Center at UCH to help her make the decision to have the surgery. Because the cancers lay deep in the tissue of the lung, Weyant explained that he would need to remove the entire lower lobe, not a section, of the lung.<\/p>\n

\u201cI felt very confident that I was getting the right treatment,\u201d Vogelsong said.<\/p>\n

Second chance<\/strong><\/p>\n

She scheduled the surgery for April, but any anxiety she felt was overcome by the trauma of her brother\u2019s illness. A heavy smoker \u2013 he smoked about three packs of cigarettes a day for decades – he was diagnosed with lung cancer in January 2016 and given only a couple of months to live unless he received treatment, she said. He went through a round of chemotherapy but died just days before Vogelsong\u2019s scheduled surgery. On the day of his funeral, Weyant removed the lower lobe of her left lung.<\/p>\n

She feels confident her brother would have approved of her decision to go forward with the surgery and take advantage of the second chance given to her by the lung cancer screening and her decision to quit smoking more than a decade ago.<\/p>\n

\"lungs\"
The hazy gray area near the bottom of the right side of this CT image was the cancerous nodule in Donna Vogelsong\u2019s left lung.<\/figcaption><\/figure>\n

\u201cI am now at peace with whatever happens,\u201d she said. \u201cI wanted to have the opportunity to see my grandchildren graduate from school and college. It\u2019s an opportunity my brother missed.\u201d<\/p>\n

Donna Vogelsong wants more people to have that opportunity. She encourages others who qualify to get the screening. \u201cIt doesn\u2019t hurt,\u201d she said. \u201cIt takes five minutes.\u201d<\/p>\n

The time Vogelsong invested in the screening paid for what promised to be many bright days ahead. She\u2019s grateful to her providers at UCH and many others. In mid-July she traveled to Southern California on a 10-day trip that included thanking members of her sister\u2019s church who had prayed for her during her ordeal. She is slowly rebuilding her stamina and plans to steadily increase her walking and exercising.<\/p>\n

\u201cI have a new lease on life,\u201d she said. \u201cI feel complete and happy. When you find out you have cancer, it changes your life forever. I am finding new joy in every part of my life and want to bring joy to other people. I want to be with my grandchildren to see the world. I want to start living again.\u201d<\/p>\n

For more on the Lung Cancer Screening Program click here.
\n<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Last fall, Donna Vogelsong was diagnosed with lung cancer. She couldn\u2019t be more grateful. Vogelsong, 63, of Aurora, knows all too well the price of the disease. Advanced lung cancer claimed her older brother\u2019s life, just before the surgery that has extended hers. She has the chance her brother will never have in large part […]<\/p>\n","protected":false},"author":2143,"featured_media":3077,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[28,4842,1046,3357,6836,1727,170,4843],"class_list":["post-4668","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-cancer-care-oncology","tag-cancer-screening","tag-health-screening","tag-lung-and-respiratory-care-pulmonology","tag-lung-and-thoracic-cancer","tag-lung-cancer","tag-lung-cancer-program","tag-lung-cancer-screening-program-at-uchealth"],"acf":[],"yoast_head":"\nSaved by the screen - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Last fall, Donna Vogelsong was diagnosed with lung cancer. 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