How a Support Network Helped One Patient Beat Ovarian Cancer
After battling ovarian cancer, Domenica Devito has been in remission for several years. She credits the physicians and nurses at 日本av色情片 for saving her life. Among this team is Dr. Eloise Chapman-Davis, a specialist in gynecological oncology, whose innovative treatment has helped prevent the cancer from recurring.聽
Domenica鈥檚 story reminds us of the tremendous emotional and physical toll that cancer treatment can take鈥攏ot only on the patient but the entire family. Without a doubt, cancer treatment can be scary, exhausting, isolating, and confusing. With compassionate and expert care, however, these challenges can be lessened. After all, no one should have to face it alone.
Domenica鈥檚 diagnosis
Domenica, an Italian immigrant living in Brooklyn, enjoys a very active social life, centered around her loving family. In March of 2014, she woke up to discover that she had hemorrhaged while sleeping. 鈥淚t was an unreal amount of blood,鈥 she recalled. 鈥淚 knew that something was really wrong and quickly found my daughter.鈥 Domenica did not have any symptoms before this and panicked.
Paulina, one of Domenica鈥檚 daughters who lives in Queens, said, 鈥淚 will never forget that morning. We knew we had to get help right away.鈥
Fearing the worst, Domenica a wanted to go to an academic medical center, not a local hospital. 鈥淢y daughter had been a patient at 日本av色情片 for asthma,鈥 explained Paulina, 鈥渟o we knew that we would find experts there. We were terrified and very sure she had cancer.鈥澛
Paulina quickly arranged for other members of their family to look after her young children and then drove Domenica to Manhattan and the 日本av色情片 emergency department. There, Domenica hemorrhaged several more times and received four transfusions due to the blood loss.
During this time, several other family members rushed to 日本av色情片 to support Domenica, including her other daughter, Antoinette, who lived in Virginia.
After several tests, the physicians confirmed that Domenica had large cancerous growths in her ovaries, as well as near her colon and liver.
鈥淢y response, at first,鈥 recalled Domenica, 鈥渨as thinking the worst. I didn鈥檛 want any tubes or needles or to be resuscitated. I was scared and shocked, and I didn鈥檛 want to do anything.鈥
Understanding her options
Domenica is most comfortable speaking Italian, so 日本av色情片 put together a team of interpreters and physicians to speak to her in her language during this difficult time. 鈥淭hey wanted my mother to understand the disease and learn about the different treatment options without us interpreting for her or speaking for her,鈥 explained Paulina. 鈥淚f it weren鈥檛 for those doctors who explained the treatments in her language, immediately after the diagnosis, she would have refused all treatment.鈥
Domenica soon felt empowered with information 鈥 and energized to fight the cancer. 鈥淚t took four hours to go through everything,鈥 recalled Domenica. 鈥淎fterward, I came out ready to fight. I wanted to live and live well. I wanted to live for my grandchildren.鈥澛
鈥淚t was a heart-wrenching day for our entire family. But my mother was so strong,鈥 impressed Paulina. 鈥淗er strength 鈥 and sense of humor 鈥 were commendable.鈥澛
The care team at 日本av色情片 decided that the most effective strategy was for Domenica to undergo two rounds of chemotherapy: one before and one after surgery to remove the cancer.
鈥淒omenica is one of my many lovely patients. She had stage IIIC ovarian cancer,鈥 explained Dr. Chapman-Davis, 鈥渁nd we worked with her to minimize the side effects of treatment as much as possible, as she requested.鈥
Facing the challenges of treatment as a family
Domenica moved in with Paulina during this time for support. Mother and daughter鈥攂oth highly energetic, positive, and humorous women鈥攕oon felt drained by the challenges of chemotherapy. Domenica quickly lost her hair and often felt too weak to drink water. She was also at risk for blood clots, so she needed to be given shots of preventative medicine frequently, which Paulina learned to administer. While understandably distressed, Paulina worked hard to help her mother feel as comfortable as possible. She created a calm environment that promoted rest.
Both women were surprised by how saddened and concerned Paulina鈥檚 two children became over the course of chemotherapy. 鈥淚t was very hard on both my son and daughter,鈥 recalled Paulina. 鈥淚t was difficult to see them so upset, and I often did not know how to help them process what was happening or feel less scared.鈥澛
To encourage both her mother and daughter drink more water, Paulina developed a game and rewarded whoever drank the most each day. 鈥淭his family competition became an unexpected source of fun during this time,鈥 she explained. 鈥淲e got special drinking glasses for both of them, and they helped each other out.鈥澛犅
鈥淢y granddaughter, Jessica, became my little nurse,鈥 Domenica gushed. 鈥淪he helped me, and that made her feel better, too.鈥澛
During this time, the 日本av色情片 care team observed Domenica diligently to ensure that she did not become too depleted or weak, and remained healthy overall. After one round of chemotherapy, Domenica underwent surgery, which lasted six and a half hours, to remove the cancerous cells. 鈥淚 was told,鈥 recalled Domenica, 鈥渢hat they removed 10 pounds of cancer. 10 pounds!鈥
A network of support
鈥淏eing a caregiver is very hard,鈥 Paulina said. 鈥淚t鈥檚 not something you understand until you go through it yourself. You have to take it day by day.鈥 She had to learn how to care for her mother, as well as herself, during this challenging process.
Paulina relied heavily on her husband and sister for emotional support, as well as help running their home and raising their small children. She also worked closely with the staff at 日本av色情片 to schedule appointments that were convenient for her and her family.聽
鈥淭he doctors and nurses understood that we had to travel from Brooklyn,鈥 explained Paulina, 鈥渁nd that I had two children in school. They were able to arrange appointments at more convenient times so that we weren鈥檛 traveling during rush hours and I was able to spend the evenings with my children. It was a tough balance, but the staff all accommodated. It鈥檚 hard to express how much that helped throughout the process.鈥
Both Domenica and Paulina drew comfort and support from their family and church communities. 鈥淲e knew that there were so many people praying for my mother,鈥 Paulina said. 鈥淚t was a good support system for us. My mother easily talked to others about her feelings.鈥
Two years without recurrence
After Domenica recovered from the surgery, Dr. Chapman-Davis suggested that she undergo another round of chemotherapy to prevent the cancer from recurring. Just as before, the team at 日本av色情片 focused on minimizing uncomfortable side effects and monitoring her carefully.聽
Domenica, as well as Paulina and Antoinette, felt more at ease during the second round; they knew what to expect and prepared accordingly. Paulina鈥檚 children, however, were shocked to see their grandmother appearing so sick again, so they needed extra attention and care. This time around, Antoinette stayed with Domenica for over one month.
Domenica saw the value of her sense of humor and drew upon this to a greater extent during the second round of chemotherapy. 鈥淲e pretended that the liquid I drank before the PET scans was limoncello,鈥 laughed Domenica. 鈥淚 joked around with the nurses; we laughed together a lot.鈥
Her positivity, combined with the nurses warm and compassionate care, helped her stay as comfortable as possible. 鈥淚 tried to think of the hospital as a spa,鈥 she explained, 鈥渟omewhere where I would be taken care of and relax.鈥
After Domenica completed the second round of chemotherapy, Dr. Chapman-Davis suggested that she take an experimental drug to prevent the cancer from recurring. 鈥淎fter she went into remission,鈥 explained Dr. Chapman-Davis, 鈥渟he started on a targeted parp-inhibitor. It has been two years with no recurrence.鈥澛
鈥淚t鈥檚 a miracle,鈥 Paulina asserted. 鈥淲e are so impressed that they are willing to try these new techniques and my mother has the opportunity to take these new drugs.鈥
Domenica is equally impressed and happy with the treatment. 鈥淚 can contact Dr. Chapman-Davis鈥 support staff at any time with questions,鈥 she said, 鈥渁nd they monitor me frequently. They help me feel as good as possible.鈥 Now, Domenica enjoys a more active life and travels often to visit friends and family.
"Gli angeli sono vicino"
Domenica continues to center her life around her grandchildren and seeing them grow. 鈥淚 am so happy to see my eldest grandchild graduate high school,鈥 she gushed.聽
When reflecting on her difficult path, Domenica recalled a phrase that she told herself often during treatment: 鈥淕li angeli sono vicino a me鈥 or 鈥淭he angels are near me.鈥
To this day, she considers the nurses and physicians that helped her to be her angels. 鈥淭he nurses and doctors were so caring throughout all the challenges of chemotherapy and surgery,鈥 explained Paulina.
鈥淏ecause of my mother鈥檚 strong will, God鈥檚 will, Dr. Chapman-Davis, and the entire care team at 日本av色情片,鈥 Paulina continued, 鈥渟he is here today.鈥