Multi-disciplinary Care at Northwest Hospital

If you are facing a breast cancer diagnosis, you want confidence that your treatment plan is the best one possible. To ensure that each breast cancer patient of the Herman & Walter Samuelson Breast Care Center does, in fact, receive the best care, Northwest Hospital hosts monthly multi-disciplinary conferences that are connected to Sinai Hospital via teleconference.

These conferences are called “multi-disciplinary” because they consist of a meeting of doctors from different cancer specialties, including medical oncologists, radiation oncologists, surgeons, pathologists and endocrinologists. A genetic counselor, who can give insight into the chances a patient’s breast cancer will return after treatment, also attends.

Dawn Leonard, M.D., breast surgeon and medical director of the Samuelson Breast Care Center, leads the conferences. After she presents the details of a patient’s case, center radiologist Liba Goldblum, M.D., explains images of the patient’s tumors taken from mammography and breast MRI. Next, a pathologist goes over slides that show the molecular structure of the patient’s biopsied tumor. Finally, the specialists are invited to apply their specific areas of expertise to the case, and a dialogue about treatment ensues.

As each patient’s cancer diagnosis is as unique as that person is, the format is an effective way to make sure that no angle of a patient’s medical condition is left unexplored. Essentially, the monthly conferences give patients the benefit of “being seen” by a dozen or more physicians at the same time.

Through it all, patient privacy is protected. Only pertinent details are shared, such as age, ethnic background, medical history (especially history of breast cancer risk factors) and family history of breast or ovarian cancer. These are all factors that play into a patient’s breast cancer risk.

For patients who have a high chance of breast cancer returning after treatment, doctors may advise them to undergo a mastectomy – even if their breast cancer is at stage 0, the earliest it can be detected – to protect them from a future breast cancer diagnosis. The group of physicians will also make recommendations as to whether a patient should receive chemotherapy, drug therapy or radiation – and in what order. Finally, if a patient needs one or both breasts removed, the doctors will also discuss when and how breast reconstruction should be approached. Reconstruction is always viewed as part of the treatment for breast cancer so that, if she so desires, a woman can have back her original image as much as possible.

Finally, some of the cases handled at the conferences are particularly difficult, such as when the group considers a patient who has a stage 4, triple negative cancer diagnosis, which has a low survival rate. Given that some cancer treatments can be hard on some patients, how aggressively should such a cancer be treated? Is the treatment worse than the disease?

Sometimes the answers are best determined through a conversation between doctor and patient. However, the overall consensus of the cancer doctors is that the patient must always be given hope. Optimism is a powerful force in impacting a patient’s outcome, and, given hope, even some of the sickest patients move onto the road to recovery.
-Holly Hosler

Join the Army of Women

By Deb Kirkland, RN, BSN, MPH
Nurse Navigator, Herman & Walter Samuelson Breast Center at Northwest Hospital

October marked the 25th anniversary of National Breast Cancer Awareness Month (NBCAM), when First Lady Betty Ford courageously spoke openly about her breast cancer. Before this time, there was no awareness or pink ribbon, breast cancer was never spoken of publicly, even as prevalent as it was then. Last month was also the two-year anniversary of another milestone in the history of breast cancer - the anniversary of Dr. Susan Love launching the Army of Women revolution on the TODAY show.

Earlier in the month, I attended a national leadership summit on CER Priorities, Methods and Policy, held by the Center for Medical Technology Policy. Dr. Love was one of the many dynamic speakers at this summit. As a young breast cancer survivor and advocate, it was a delightful and empowering experience to hear Dr. Love speak regarding her breast cancer efforts through the Army of Women. In the above picture are Dr. Love, Sharon Green, the chair of the Northwest Hospital Breast Care Center Patient Advisory Committee, and me.

Since the launch of Army of Women, 343,997 women have joined this force in the fight against breast cancer. This innovative revolution is a collaborative effort with researchers; to date Army of Women has collaborated with scientists in getting women enrolled in 37 studies with 44,000 of those women participating. The majority of these studies complete their enrollment within a week, which is typically unheard of. Army of Women is making history by changing the way research is conducted globally. Today, we have advancements in research for more effective diagnostics and treatments, yet we still have no cure. The Army of Women is moving beyond the cure and looking at prevention research, by focusing on the cause of breast cancer.

The Love/Avon Army of Women has the goal of recruiting one million women, including breast cancer survivors and women of high-risk for breast cancer, and to challenge the scientific community in expanding its current aim to include breast cancer prevention conducted on healthy women. The Dr. Susan Love Research Foundation has the mission of “working to eradicate breast cancer and improve the quality of women’s health through innovative research, education, and advocacy. The Foundation works to identify the barriers to research and to then create new solutions.”

As outlined on the Army of Women site, the following people are eligible to join:
• All women, anywhere in the world, who are over age 18 are welcome to join the Army, whether you have had breast cancer or not.
• Men get breast cancer, too and are also encouraged to join the Army.
• There is no cost to you.
• You are not required to notify your health care providers or insurers. Your insurer does not need to approve your participation, nor will they be given information about findings from the studies in which you participate.
• All researchers who recruit from the Army of Women agree to follow the strict confidentiality guidelines enforced nationwide by the Health Insurance Portability and Accountability Act (HIPAA).

Join the Army of Women today by clicking here. Please share this opportunity with friends, family members, and co-workers so we can all unite together. Remember, “prevention is the best medicine." Help Dr. Love and the Army of Women in learning more to prevent and ultimately eliminate breast cancer. The goal is to recruit 1,000,000 women (and men)!

To learn more about the Herman & Walter Samuelson Breast Care Center at Northwest Hospital, call 410-601-WELL (9355).

Pilates for Pink At LifeBridge Health & Fitness

Pilates exercises can help you improve your range of motion, become more flexible, increase circulation, and strengthen your posture, while decreasing your back, neck and joint pain.

Now there's a way to try out Pilates while giving back to a great cause.

LifeBridge Health & Fitness is excited to be a part of Pilates for Pink. The premiere fitness center will host this Pilates class at 5:30 p.m. on Thursday, October 28 in Studio B. The class is taught by a master STOTT Pilates instructor.

Your $30 donation will not only allow you to take the class, but to receive a special Pilates for Pink bracelet. Proceeds benefit the Herman & Walter Samuelson Breast Care Center at Northwest Hospital and the Breast Cancer Research Foundation. Make checks payable to LifeBridge Health & Fitness.

Sign up at the Service Desk at LifeBridge Health & Fitness, 1836 Greene Tree Road in Pikesville. Space is limited. Call Kimberlee at 410-318-6831 for more information.

LifeBridge Health Receives Three Alfred Knight Awards

LifeBridge Health was honored by the Maryland Society for Health Care Strategy and Market Development this afternoon, taking home a total of three Alfred Knight Awards.

Certificates of Merit were given for LifeBridge Health "Wash Your Hands" campaign (Integrated Marketing Campaign); Northwest Hospital's Herman & Walter Samuelson Breast Care Center Brochure (Service Line Brochure); and the "No Soap" Harris Poll, a component of the hand washing campaign (Media Placement).

The Alfred Knight Awards, named in honor of for MSHMD president Alfred J. Knight, Jr., are given each year in recognition of outstanding work by Maryland/D.C. hospitals and health care marketing departments. Awards honor initiatives that have had a measurable impact on the organizations and people they serve.

Breast Health Question and Answer

(The following is an excerpt from the 2010 MdMD for Life, out this month.)

Breast surgeon Dawn Leonard, M.D., is the medical director of the Herman & Walter Samuelson Breast Care Center at Northwest Hospital. She answered some questions about the center's approach to breast health.

What can a woman expect when she visits a specialized breast center?

Our general philosophy is to provide comprehensive, state-of-the-art, individualized and multidisciplinary care. When there is a problem, our job as physicians and health care providers is to provide an unbiased opinion about options.

Why would a woman need to see a breast surgeon?

Women may be referred by their primary care physician after there is a suspicious finding on a mammogram. When I am with a patient, I discuss the best type of biopsy for the patient, whether it is image-guided or surgical, and we go from there. Even if the biopsy is benign, a good surgeon will discuss risk assessment and whether the patient needs more frequent follow-up exams.

If the biopsy reveals a malignancy, then you begin discussing the surgical options such as lumpectomy or mastectomy. Whenever possible, you want to provide the opportunity for breast preservation.

What are your feelings on prophylactic mastectomies?

That is now an option for patients who are high risk, such as those with genetic mutations of BRCA1 or BRCA2. It’s a very personal decision.

To read more, click here.

Samuelson Breast Care Center Receives American College of Radiology Accreditation

The mammographic imaging services at the Herman & Walter Samuelson Breast Care Center at Northwest Hospital have been awarded accreditation as the result of a recent survey by the American College of Radiology (ACR). Northwest’s first digital mammography unit received accreditation in December 2007 and its second in January 2009. The new accreditation covers both units until April 15, 2013. The Samuelson Breast Care Center has received accreditation from the ACR ever since the organization started awarding this distinction for mammography (then film-based) in 1992.

The Herman & Walter Samuelson Breast Care Center is part of LifeBridge Health’s Alvin & Lois Lapidus Cancer Institute. Last June, the Samuelson Breast Care Center moved to a new, spa-like environment near Northwest Hospital’s main entrance; and in July, breast surgeon Dawn Leonard, M.D., became the center’s medical director.

All of the center’s mammography technology is digital. And as a certified Softer Mammogram Provider, it is one of only a few breast centers in the Baltimore area offering women a free MammoPad®, an FDA-cleared, warmed, foam cushion that dramatically eases the discomfort many women feel when they get a mammogram.

In addition to housing digital mammography services, the Samuelson Breast Care Center is a comprehensive breast center that offers medical services such as breast ultrasound, bone densitometry, and breast cancer diagnosis and treatment including a multidisciplinary approach. The new ACR accreditation continues the center’s exceptional record of providing quality care with leading-edge technology.

The ACR, headquartered in Reston, Va., awards accreditation to facilities for the achievement of high practice standards after a peer-review evaluation of the practice. Evaluations are conducted by board-certified physicians and medical physicists who are experts in the field. They assess the qualifications of the personnel and the adequacy of facility equipment. The surveyors report their findings to the ACR’s Committee on Accreditation, which subsequently provides the practice with a comprehensive report.

Breast Cancer is a Global Issue

By Deb Kirkland, RN, BSN, MPH
Nurse Navigator, Herman & Walter Samuelson Breast Center at Northwest Hospital

Breast cancer is the most common cancer in women around the globe. In 2002, there were 1.2 million cases globally, and over 400,000 deaths. The number of cases is projected to increase to 1.5 million each year. During the month of October, I had the unique opportunity to participate as a U.S. Delegate with Susan G. Komen for the Cure Global Mission in Cairo, Egypt.

Cairo, which has a population of 20 million people, has a visibly disturbing poverty level. After visiting the city's hospitals, National Cancer Institute, and Breast Cancer Foundations, it was an eye-opening experience to see and hear first hand about how the disease has impacted women there. Our latest cutting-edge tools to treat breast cancer would not translate well into such a setting; rather the goal is to apply methods that are appropriate, effective, and applicable.

But, sadly, problems with breast cancer awareness, early diagnosis, treatment and survivor rates are universal. In addition to those challenges, there are cultural stigmas that create major barriers to overcome. Lighting the pyramids pink at night for breast cancer awareness and holding the first Race for the Cure around the Great Pyramids, with over 10,000 participants and 300 survivors, was an initial effort to make it more acceptable to discuss this disease. To see survivors proudly wear their pink T-shirts in that culture was more impressive than seeing the pyramids themselves. You can see a picture here.

In the U.S., we survivors are proud and wear the pink as a badge of honor in surviving; in other cultures it is still taboo and many myths exist regarding the disease. Overall, it made me proud to be an American, proud to have the access and health care we expect. We have many treatment options and resources available that many countries do not.

Surgeon Responds to Mammogram Controversy

by Holly Hosler

By now, you have likely heard about the U.S. Preventive Services Task Force’s controversial new recommendation on Monday that most women should refrain from getting mammograms in their 40s. Their rationale is that most breast cancer is found in women after age 50, and that mammography spots too many false positives for women in their 40s.

So when should women get their first mammograms? Dawn Leonard, M.D., breast surgeon and medical director of Northwest Hospital’s Herman & Walter Samuelson Breast Care Center, says that current standards as outlined by organizations such as the American Cancer Society and the National Comprehensive Cancer Network should still be followed. Annual mammograms, in conjunction with annual clinical breast examination should begin for women starting at age 40 – and perhaps even earlier if a woman has a strong family history of breast cancer.

“When a woman has a family history of the disease, she should get her first mammogram 5 to 10 years before the earliest age of breast cancer diagnosis among her relatives,” says Dr. Leonard.

She also points out that even with advances in breast cancer diagnosis and treatment, there are still populations that are more vulnerable with higher breast cancer mortality rates. For example, breast cancer tends to strike African American women at a younger age than is often expected by the medical community, and their mortality rates are higher.

“Practice guidelines that post-pone mammographic screening and eradicate self and clinical examinations will have detrimental impacts on early diagnosis and cancer survival. The medical community and the advocacy community have worked tirelessly since the ’70s to empower women to be more aware of their breast health needs and to make choices that improve breast cancer survival. The recent USPSTF recommendations appear to be a step in the wrong direction,” concludes Dr. Leonard.

The American Cancer Society stands by its guideline that by age 40, all women should be getting an annual mammogram. This group also recommends that each woman get a baseline mammography between the ages of 35 and 40 so that doctors have a record of what is likely “normal” for her. Our bodies are all different, so if you are a woman aged 20 and older, it is important to do a self breast exam on a monthly basis. This way, you know what is normal for your own breasts, and when you feel something out of the ordinary, you can alert your physician. For directions on how to perform a breast self exam, visit the American Cancer Society.

Finally, the task force also made the statement that breast self exams are of no value. However the fact remains that, though at a much lower rate, breast cancer occurs among young women as well. I know of at least two women, without family histories of breast cancer, who were diagnosed with breast cancer before age 40. Had it not been for breast self exams, these women would not be with us today.

Breast Surgeon Talks about Therapies; New Trends

by Holly Hosler

Although breast cancer incidence is declining in the U.S. overall, it is actually increasing among residents of Baltimore city and Baltimore County, says Dawn Leonard, M.D., presenter at last week’s Alvin & Lois Lapidus Cancer Institute oncology grand rounds on “Advances in Breast Cancer: Current Therapy and New Trends.”

Leonard, fellowship-trained breast surgeon and medical director of the Herman & Walter Samuelson Breast Care Center, gave LifeBridge Health clinicians an up-to-date summary of the current standards of care for the detection and treatment of breast cancer. She also mentioned trends and technological advances that will likely shape the future of breast care.

In terms of imaging and cancer detection, mammography is the only modality that’s been shown in clinical studies to improve survival rates, says Leonard. Moreover, digital mammography has been proven 28 percent more effective than traditional mammography in detecting cancer in pre- and peri-menopausal women, women with dense breasts and women under age 50. Leonard gave the group a glimpse into the future of breast imaging with pictures of 3-D mammography/ tomosynthesis and positron electron mammography, modalities that are not yet FDA-approved but appear to be promising.

For biopsies, Leonard says she avoids excisional biopsies, and even incisional biopsies are becoming somewhat passé. Less invasive needle biopsy techniques are now standard, and core needle biopsies are preferable to fine needle aspiration because they give pathologists better cell samples from which to ascertain more information about a tumor.

Leonard stresses the importance of patients’ desires when it comes to breast surgery. There has been an increasing trend lately towards mastectomy, and she understands why many patients would want to take this prophylactic measure. However, most patients are good candidates for lumpectomy.

“Survival rates are not impacted by breast conservation when combined with indicated adjuvant therapies,” says Leonard.

If a patient elects for a lumpectomy, which conserves as much breast tissue as possible, it’s imperative that she receive radiation treatment. Patients who have lumpectomies without radiation follow-up have a 20 to 40 percent chance of breast cancer recurrence in five years. (Therefore, most patients receive full breast irradiation, which makes the lumpectomy nearly as effective as a mastectomy at preventing future cancer development.) Leonard described IMRT, partial breast irradiation (PBI) and MammoSite (a form of PBI), adding that PBI is still relatively new and at this time the body of data is small to accurately gauge its effectiveness over the long term. (The American Society of Clinical Oncology considers it investigational.)

Breast care surgery may one day see a revolution in that surgery will be replaced by ablative therapy. (Ablation uses a probe to heat or freeze tumors, effectively destroying them from the inside out.) A final trend that Leonard mentioned was the focusing of breast care in a single, multi-modal, multidisciplinary care center, such as the Herman & Walter Samuelson Breast Care Center at Northwest Hospital.

To schedule an appointment at the breast care center, call 410-601-WELL (9355).

The Debate on Breast Cancer Campaigns

by Deb Kirkland, RN, BSN, MPH

Nurse Navigator, Herman & Walter Samuelson Breast Care Center

“Save Second Base” and “Save the Ta Tas” are common slogans used today in creating breast cancer awareness. Recently, there has been some controversy over the latest public service announcement, “Save the Boobs”* for breast cancer awareness month. One thing everyone would agree on, this video made an impact! If that was the purpose, it was accomplished. Some state it was too provocative and seemed more like a beer commercial. Others agree it served a purpose and created an impact, one that most of us will not forget.

Breast cancer was once considered an older woman’s disease; today we are changing the face of breast cancer, as it is being seen more in younger women. Awareness campaigns have become more creative in attempts of targeting younger audiences. These slogans target younger women, as well as younger men. In breast cancer, due to ineffective diagnostic screening tools in this younger population, breast self awareness (BSA) is the best tool we currently have. In women under 40 diagnosed with breast cancer, 80 percent of these lumps are detected by younger women themselves or by their significant other. While some may find this PSA inappropriate, it can also be taken as creative and targeting young men, making them aware. It is a sensitive topic and if educational statistics are provided in a dry manner, people may not always remember. In a flashy commercial…they do not forget! I personally like “Feel Your Boobies”. The slogans are trendy and catchy, as they are targeting younger women. It may seem more fun wearing one of these slogans, instead of the standard pink ribbon.

If you are participating in the local Komen MD race this Sunday, you can view their local campaign, “Support Your Local Breasts” (where you will see my picture) on their Web site to promote their Race for the Cure.

I think we have come a long way, as traditionally people did not talk about breast cancer. Today it is out of the closet and awareness campaigns are everywhere, from clothes, milk cartons, to golf clubs year round. The key to remember is the message behind all of it.

*Please note the video is only allowed for users 18 and older.

October is National Breast Cancer Awareness Month

LifeBridge Health is proud to be a part of many exciting events celebrating breast cancer awareness in October.

• Wednesday, October 7: A Women's Evening of Breast Health at the Herman & Walter Samuelson Breast Care Center at Northwest Hospital. Join breast surgeon Dawn Leonard, M.D., nurse navigator Deb Kirkland, R.N., and genetic counselor Shannan DeLany Dixon, M.S., C.G.C. at 7 p.m. as they discuss the hot topics in breast health.
  
  
• Saturday, October 17: Pilates for Pink! Join Pilates instructer PJ O'Clair at LifeBridge Health & Fitness at 10:30 a.m. A $30 donation for the Pilates class goes to the Breast Cancer Research Foundation and the Herman & Walter Samuelson Breast Care Center at Northwest Hospital. Call Kimberlee Strome at 410-318-6831 for more information.
  

• Sunday, October 18: Join the LifeBridge Health team for the 2009 Komen Maryland Race for the Cure! This year's race is in Hunt Valley. There is a $35 donation registration fee before race day/$40 on race day.

• Friday, October 23: 9 a.m. braVo! breakfast at Regalo, 1848 Reisterstown Road. Tickets are $25. Reserve early, as seating is limited. Call Tiffany at 410.484.9640 or at regalo (at) regaloframes.com. A portion of the proceeds from items purchased at the event will benefit the braVo! Financial Assistance Fund at LifeBridge Health.

• Saturday, October 24: The Red Devils Swim for Survivors! Register to swim as a team or join a team of four for the event, held at LifeBridge Health & Fitness. Each team will be assigned a lane for their 30-minute swim between 8 and 11 p.m. Prizes will be given to the team and individual raising the most money. A $30 registration includes food and beverages, T-shirt and raffle tickets. Click here to register.
  

braVo! Breakfast Held in October

In honor of National Breast Cancer Awareness Month, LifeBridge Health is pleased to announce another exciting braVo! event. Jay Strongwater and Regalo are holding an intimate breakfast celebrating his 2009 collection at 9 a.m. on Friday, October 23.

This will be Jay's only stop in Maryland on his fall tour. The event will be at Regalo, located between Renaissance Fine Arts and Radcliffe Jewelers at 1848 Reisterstown Road.

A portion of the proceeds from items purchased at the event will benefit the braVo! Financial Assistance Fund at LifeBridge Health. The fund helps patients at the Herman & Walter Samuelson Breast Care Center at Northwest Hospital and the Alvin & Lois Lapidus Cancer Institute at Sinai Hospital obtain supplemental services not covered by insurance, such as breast prosthesis, wigs, massage therapy, certain medications and transportation to and from treatment.

Tickets are $25. Reserve early, as seating is limited. Call Tiffany at 410.484.9640 or at regalo (at) regaloframes.com

Genes and Breast Cancer

By Deb Kirkland, RN, BSN, MPH
Nurse Navigator, Herman & Walter Samuelson Breast Center at Northwest Hospital

Cancer is caused by mutations in our genes. Sometimes our body can repair these changes, but other times it cannot. About 90 percent of cancers result from changes that occur over our lifetime. The other 7-10 percent of breast cancer is actually caused by specific hereditary genes that have been identified as the BRCA1 and BRCA2.

These genes are associated with breast and ovarian cancers. One in 40 Ashkenazi Jewish women express this particular gene mutation. They are dominant genes, meaning they may be passed on from either the paternal or maternal side of the family. Carrying these genes may increase one’s risk of developing breast cancer and ovarian cancer.

With breast cancer there is screening for early detection, and in the event one is diagnosed with breast cancer, we have many treatment options available that increase the likelihood of survival. However, ovarian cancer, which may advance without warning, is often detected later, and treatment options unfortunately tend not to be as effective.

So what does this mean for you? If you have a family history of breast and ovarian cancer, you may want to consider genetic counseling or genetic testing. Discussing your risk with a counselor can help clarify whether genetic testing is right for you. Another helpful resource is the Facing Our Risk of Cancer Empowered (FORCE) Web site.

Please join us at 6:30 p.m. on Thursday, October 15 at Northwest Hospital to hear a presentation on Genetics and Breast Cancer, given by Leslee Gold, RN, our local FORCE representative. In addition, a personal story will be shared by a young breast cancer survivor who carries this gene. Hear first-hand how this gene impacts her life. This talk will be held in the Owings-Reister Room and dinner will be provided. Please RSVP 410-521-8831 if you are interested in joining us.

If you are interested in genetic testing, call 410-601-WELL to set up your appointment.

Breast Care Center Medical Director Begins at Northwest

Breast surgeon Dawn Johnson Leonard, M.D., pictured here with Northwest Hospital President Erik Wexler, is the new medical director of the Herman & Walter Samuelson Breast Care Center at Northwest Hospital. Dr. Leonard is a fellowship-trained breast surgeon and is certified by the American Board of Surgery. Her appointment follows the grand reopening of the center a month ago in a more expansive, spa-like space near the hospital’s main entrance.

Prior to joining the staff at Northwest Hospital, Leonard was founder and chief executive officer of Leonard Surgical Care Associates in Frederick, Maryland. She was the first medical director of the Coordinated Breast Services Program at Frederick Memorial Hospital and was a clinical instructor in the Division of General Surgery at Howard University Hospital in Washington, D.C. Leonard received her medical degree from Howard University. She completed a residency in general surgery there and a breast surgical oncology fellowship at Washington Hospital Center in Washington, D.C. In addition, Leonard trained in plastic surgery.

To facilitate the best approach to treating breast cancer, the new center has a dedicated room for weekly multi-D cancer conferences so oncologists, radiologists and cancer surgeons arrive at an ideal treatment plan for each patient. The center provides a continuum of care through LifeBridge Health’s Alvin and Lois Lapidus Cancer Institute, with chemotherapy offered at Northwest’s Infusion & Cancer Therapy Center and radiation therapy at Sinai Hospital or the Radiation Oncology Center at Owings Mills.

To learn more about the breast care center and Dr. Leonard, click here or call 410-601-WELL (9355).

Northwest Hospital Campaign Concludes; Breast Center Reopens

Northwest Hospital in Randallstown is officially concluding its Renaissance Campaign, a community fundraising effort launched in 2005 that raised over $7 million. These funds, combined with support from LifeBridge Health, have provided for the hospital’s $100 million renovation and expansion to better meet the current and future needs of the surrounding community.

The celebration to mark the end of the campaign will be today from 5:30 to 7: 30 p.m. It will include the official opening of the new, state-of-the-art Herman & Walter Samuelson Breast Care Center and the Sara and David S. Brown outpatient lobby. Event speakers include Warren Green, president and CEO of LifeBridge Health; Walter Amprey, chair of the Northwest Hospital Board; Erik Wexler, president and COO of Northwest Hospital; and Dawn Leonard, M.D., breast surgeon and new medical director of the Samuelson Breast Care Center.