|
|
|
|
 Preshow Return to index of stories... |
Next on New Hampshire Outlook tonight. a huge chunk of forest land goes up for sale sending shockwaves through the north country. Plus, imagine what it's like waiting for biopsy results.to hope for the words benign.to hear the word Breast cancer. a"Journey Toward Healing" next. |
| Headlines Return to index of stories... |
Good Evening. I'm Allison McNair. Welcome to New Hampshire Outlook. |
| Forest For Sale Return to index of stories... |
171 thousand acres of forest land in Northern New Hampshire is up for sale. The owner - International Paper says it wants to sell the land which stretches from Pittsburg to West Stewartstown. For many, the land defines the character and the culture of the North Country. |
| Intro Theresa Return to index of stories... |
And there is concern that a sale could change the character of the region forever. Outlook Correspondent Theresa Kennett is in the North Country and today followed Governor Jeanne Shaheen on a tour. She joined me by phone a little earlier. |
| Berlin Mill Return to index of stories... |
Workers from the North Country's largest employer met with Governor Shaheen today. Pulp and Paper of America is having money problems and owes several communities back taxes. The Governor met privately with the workers. She also met with city officials. As we've been reporting there is concern over the fiscal health of the company which owes three million dollars in back taxes. We'll have an update on the story tomorrow right here on NH Outlook. |
| Corning Cuts Return to index of stories... |
Corning Incorporated's budget cuts are bad news for the city of Nashua and the Granite state. The company has halted plans to open a new 225 million dollar facility in Nashua. The factory was expected to bring in hundreds of new jobs to southern New Hampshire. Mayor Bernie Streeter says Corning officials have yet to tell him what will become of the new 400-thousand-square-foot facility. Joining me to talk about what this latest news means in the overall picture of New Hampshire's economy, Ross Gittell, Associate professor with the Whittemore School of Business and Economics. |
| Wall Street Stocks Return to index of stories... |
On Wall Street today. The Dow closed down over 123 points. The Nasdaq composite ended the day down almost 64 points. And the S-and-P-500 lost over 17 points today. |
| NH Stocks Return to index of stories... |
Here's a look at stocks of interest to New Hampshire investors. Compaq comuter was down less than fifty cents. Just after closing the company announced 4000 layoffs, bringing the year's total to 8500. Shares of Fleet Boston lost a dollar 39. Oracle was off a dollar 32 cents. PC Connection ended the day up 26 cents. Verizon Communications ended the day up a dollar twenty cents a share. |
| Intro healing pt 2 Return to index of stories... |
The census predicts 100 women will die in NH this year from breast cancer. A key to survival is early detection and that word seems to be getting out. NH ranks number one in the country in the percentage of women over the age of 65 who had a mammogram this year. Every woman who has had a mammogram knows the stress of waiting for the test results. But what about the anxiety of waiting for biopsy results? Many will hear the word benign - but some will hear the words they fear the most - breast cancer. |
| Journey toward healing 2 Return to index of stories... |
I bought into it hook line and sinker that I was one of those 90% of the women that it was nothing 5:13:02 when I got in there and dr coppola had to tell me that news. I think he was as shocked as I was to get that news because he really didn't expect that result 5:13:40+++And y'know my life passed before my eyes on that trip. Coppola 2:18:16+++ cover coppola 5 5:20:21 or robin 1 9:18:31 you feel responsible a little bit like maybe you betrayed them a little. But I didn't do this to them but I developed this relationship - now they are friends and patients and now I have to tell them this news. VOICE OVER surgery cover - cu For Dover surgeon David Coppola, sharing that news is the hardest part of his job. Coppola 2:20:22 Nothing prepares you for it. You train a lot of years but you don't get training to do this. They don't train you how to tell someone they have cancer. it was you kinda wondered why you, why did god do this to you. Coppola 2:20:22 ++ Let them vent. Let there be some silence in the room for awhile and then sort of know about when to fill the room with conversation he really had a tough time telling me that. And you're numb., you're just absolutely numb when they give you that news. and you think - I must have heard it wrong. he started to give me information and realized that I couldn't process it all at this time. So he purposely stopped and said I want you to come back with your husband tomorrow and we'll sit down and talk. You name the time and we'll do that if it takes and hour or two hours or whatever. And he did. He was very very helpful. It's hard to do and you have to separate yourself from it a little. But at the same time it is very important for them to not think that I am distant. For them to think that I am there for them because I am. If I get emotional with a patient that's okay. It is a long visit and it's a taxing visit. . 4:21:10 You need to pay attention to what your patients needs. To be sensitive to what they are going through and then you learn how to help them through it. 4:17:39 I think it is just as important to deal with these women on that level as it is to give them sound recommendations that are good medical care. But there is much more to that - more to their care than just that. After a time of tears and consolation, physician and patient must begin to plot a course of action. There are basically two options available. 3:04:22++ the first operation would be to remove the entire breast and to sample the lymph nodes under the arm. that is called a MODIFIED RADICAL MASTECTOMY. And it is an awful name because it has the word "radical" in it and so I need to tell them it is just a name. 3:05:36 the other operation would be to save the breast You are removing a portion of the breast that contains the cancer with the goal to remove all of the cancer and to get a healthy surrounding shell of normal breast tissue. 3:05:36+++ that is a LUMPECTOMY. 3:06:32 you'll also need to sample the lymph nodes underneath their breast because those two things together are going to give you the information that you need to stage. surgery cover 3:07:14 a modified radical mastectomy and a lumpectomy with sampling of the lymph nodes if those two are compared the cure rates are not the same. The cure rate in the woman who has the modified radical mastectomy will be better. So it prompted investigators to think how you might improve the cure rate in the woman who might not want to have the breast removed. voice over Dr. Coppola says if radiation therapy is added to the treatment of the woman who chooses lumpectomy, the cure rates become very similar. This allows the woman a choice of options. on cam3:09:38++ A woman might just not want to think about a mastectomy because of the emotion that brings. So if they understand that they can get adequate treatment either way we can allow them to make the decision. It adds control back to this thing I have taken away or has been taken away by this diagnosis. my husband and I had made the decision if it was the best thing to do we would remove the breast if it meant that my survival rate would be better. In the meantime dr coppola had met with a number of other surgeons, the medical oncologist, radiologist and brought my case up and everyone suggested that the best course of action for me was the have the lumpectomy and to remove some of the lymph nodes. So that's what we did based on his recommendations. We were all set to say remove the breast and now we've been able to preserve it. coppola 3 3:10:27 the next thing I need to broach with them is the issue of sentinel lymph node biopsy. Voice over Lymph node biopsy is another area where great strides have been made in recent years. In order to assess the stage of the breast cancer, doctors must determine if the cancer has moved to the lymph nodes under the arm. 3:10:27++++++ If there is a breast cancer in the breast the first place the breast cancer spreads is to the sentinel lymph nodes/ of all the lymph nodes under the arm, the sentinel lymph node should be the first one to see the cancer. 3:12:58++ if you can identify the sentinel lymph node and find out whether or not there is tumor in that lymph nodes it can predict what is going on in the rest of the lymph nodes …. if we can find the sentinel lymph node and prove from the pathologist there is no tumor in that lymph node that may be all we have to do coppola 3 3:14:33 so it can decrease the amount of surgery a patient needs on the lymph nodes part. … . the standard for care for women now is moving toward identifying the sentinel lymph nodes, getting the information that you can get from it and use its predictability to help you determine what else has gone in the axilla. Since the sentinel lymph node looks the same as the others it must first be identified. 3:15:50 ++ we know that if you inject the skin in the region of the breast cancer with a specially designed radioactive substance, that radioactive substance will be taken up into the lymphatic channels of the breast which is what the lymph fluid gets collected in and then it will travel in these little roads to the lymph nodes and it will then get trapped in the lymph node. 4:24 as we probe in the axcilla we are looking to see the counts rise. We are able to use this probe to guide us right to the lymph node. Once the lymph node is identified it is removed and then sent off to the pathologist. Then we will reprobe in the axcilla to see if there are any other areas of increased uptake. - sometimes there are a couple of sentinel lymph nodes. there might be one. There might be two. Rarely more than 3. 6:03 the probe is very sensitive. The radioactive sample is right next to the probe right now however it is not showing any uptake because the sensor is right at the tip of the instrument. - Now with the sample right at the tip the sensor can pick up the radioactivity. as soon as it move away from the tip it goes right back to baseline of zero. This is very important because it allows us to really be accurate in our localization of the sentinel lymph node. For those concerned about radioactivity, the isotope used in the biopsy has less radioactivity than that found in an xray. After staging the patient, a team approach is taken to develop a treatment plan. We have a weekly cancer conference- multi disciplinary- attended by the medical oncologists, radiology oncologists, pathologists, radiologist - whoever wants to come can come. We have an open forum discussion about all our new cancer diagnoses made at this hospital. It's a forum to discuss treatment. So very often before a patient has been referred over to the cancer center to meet the medical and radiation oncologists they have already heard about them from me." Chemotherapy and radiation are two common elements of treatment. The goal of radiation is local control of the disease in the breast and decreased local reoccurrence. In higher stage cancer, the goal of chemotherapy is to improve the survival rate. Both can take their toll on the patient. During much of their cancer treatment, patients must play a waiting game. As difficult and taxing as radiation and chemotherapy can be, many women feel in a way energized. It is a time when they feel they are actually fighting the disease. Williams 2 6:19:21++ it didn't make me as sick as I thought it would but it made you feel on edge - hyperactive but yet tired. It's a weird kind of - where things are racing through your blood yet you cant get up to do anything about it. williams 2 6:20:45+++ I would visualize purples to cobalt blues running through my body searching out and attacking red cancer cells. I found that really helpful, feeling like I was actively doing something. Patients receive radiation treatments daily, Monday through Friday for five to six weeks. Because of this daily interaction, patients and staff members at the cancer center build a strong relationship. 09:03:30 when I was having the radiation everyone there is always so positive. The whole 36 days I was there they had Mardi gras Day, they had a celebration for that. First day of spring. they had Spring Fling Day- they all had their spring outfits on - Hawaiian shirts. One of the guys actually had a grass skirt on. It was crazy. Then when it was Breast cancer awareness week with daffodils, they gave us all a vase with some daffodils. It's a real special place. Here in this room, technology goes to war against the breast cancer. 6:21:47 the radiation piece of the treatment - people talk about the chemo as being brutal but I found the radiation - everyone said it was a piece of cake but I found it almost dehumanizing…. c/u of machine rolling into place Hearing that machine roll around you and the red beams lining up on your chest. you don't have a shirt on. You're left in a room because obviously you can't have the workers in the room with the radiation. I remember one day tears running down your face… and- I kept thinking "how did a nice girl like me get into a place like this?" |
| tag journey Return to index of stories... |
Tomorrow the series concludes with a look at the healing power of the patient/surgeon relationship. |
| Intro Mt. Washington Return to index of stories... |
Turning now to weather. Some areas of the state got hit with some severe weather this afternoon. We checked out the forecast a bit earlier with Todd Hagen at the Mount Washington Observatory. |
| Mt. Washington Return to index of stories... |
CG:WEATHER\Mount Washington Observatory\Today on the Summit\High: 53 degrees\Wind: West \Weather: Mostly cloudy with showers & t-storms\Visibility: 20 miles CG:WEATHER\Tonight\North\Partly cloudy \Chance of showers & t-storms\Lows: 50 to 55 degrees\Winds: Light CG:WEATHER\Tonight\South\Severe thunderstorm watch \Partly cloudy, then patchy fog\Lows: 55 to 65 degrees\Winds: Light CG:WEATHER\Tomorrow\North\Partly sunny\Chance of afternoon t-storms\Highs: mid 70s\Winds: Light from the west CG:WEATHER\Tomorrow\South\Partly sunny\Chance of afternoon t-storms\Highs: 75 to 80 degrees\Winds: west 5 to 10 mph |
| Community Giving Return to index of stories... |
Finally tonight, a lesson in giving back. A Manchester man is trying to provide people who live in housing projects a chance to achieve their goals. David Laughton, a Teamsters member, grew up in the Mineral Parks public housing development in Dover. Laughton donated six-thousand dollars this year and five thousand last year to the Dover Housing Authority to create the Laughton Trust Scholarship for residents of public housing in the city. The two recipients of the scholarships - a Dover High School student who plans to pursue a college education. And a single mother of four who is going to school for a nursing degree. |
| website Return to index of stories... |
For information on tonight's program, and links to our guests and interviews, visit our web site at nhptv.org. You can see and hear streaming video of our broadcasts and participate in our daily poll. If you've got a story idea or comment on our program you can call us at 800-639-2721. |
| Tomorrow Return to index of stories... |
Tomorrow on New Hampshire Outlook - While fighting breast cancer is a very personal battle, women do not fight that battle alone. In the conclusion of our series we look at the special bond between patient and surgeon and how it promotes healing. |
| Goodnight Return to index of stories... |
That's it for this edition of New Hampshire Outlook. Thanks for joining us. Stay tuned for Keeping Up Appearances. We'll be back tomorrow at 7:30. Good night. |
| founders Return to index of stories... |
Thanks to our founding sponsors who have provided major funding for the production of New Hampshire Outlook: New Hampshire Charitable Foundadtion Public Service of New Hampshire Alice J. Reen Charitable Trust Putnam Foundation Stratford Foundation |
| Tonight 7:30 Return to index of stories... |
While fighting breast cancer is a very personal battle, women do not fight that battle alone. We conclude our Journey Toward Healing with a look at the special bond between patient and surgeon. Join us tonight at 7:30 only on New Hampshire Outlook. |
| Tonight 11:30 Return to index of stories... |
Tonight on New Hampshire Outlook. While fighting breast cancer is a very personal battle, women do not fight that battle alone. We conclude our Journey Toward Healing with a look at the special bond between patient and surgeon. Here at 11:30 only on New Hampshire Outlook. |
| key: economy Return to index of stories... |
DATE:7/10/01 TOPIC: 171 thousand acres of forest land in Northern New Hampshire is up for sale. The owner - International Paper says it wants to sell the land which stretches from Pittsburg to West Stewartstown. For many, the land defines the character and the culture of the North Country. And there is concern that a sale could change the character of the region forever. Outlook Correspondent Theresa Kennett is in the North Country and today followed Governor Jeanne Shaheen on a tour. She joined me by phone a little earlier. SEGMENT LENGTH:3:49 NAME OF PARTICIPANTS: Theresa Kennett Outlook Correspondent |
| key: economy Return to index of stories... |
DATE: 7/10/01 TOPIC:Corning Incorporated's budget cuts are bad news for the city of Nashua and the Granite state. The company has halted plans to open a new 225 million dollar facility in Nashua. The factory was expected to bring in hundreds of new jobs to southern New Hampshire. Mayor Bernie Streeter says Corning officials have yet to tell him what will become of the new 400-thousand-square-foot facility. Joining me to talk about what this latest news means in the overall picture of New Hampshire's economy, Ross Gittell, Associate professor with the Whittemore School of Business and Economics. SEGMENT LENGTH: 5:30 NAME OF PARTICIPANTS: Ross Gittell\UNH Whittemore School of Business & Econ. |
| key: women Return to index of stories... |
DATE:7/10/01 TOPIC: The census predicts 100 women will die in NH this year from breast cancer. A key to survival is early detection and that word seems to be getting out. NH ranks number one in the country in the percentage of women over the age of 65 who had a mammogram this year. Every woman who has had a mammogram knows the stress of waiting for the test results. But what about the anxiety of waiting for biopsy results? Many will hear the word benign - but some will hear the words they fear the most - breast cancer. SEGMENT LENGTH: 10:14 NAME OF PARTICIPANTS: Linda Williams\Patient Dr. David Coppola, MD\Surgeon Robin Drown\Patient |