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In recent years, healing and meditation has become an important part of Janea Escobedo’s life.“It’s just very relaxing to be under the trees to watch the leaves, and hike around to see the wildlife. It’s, it’s very healing,” she says. Escobedo was diagnosed with inflammatory breast cancer.“In February of 2017, I was happy-go-lucky turned into a cancer patient with a very aggressive rare disease that I didn’t know what to do with,” she recalls. Dr. Radhika Acharya, the medical director of the UCHealth Cancer Center in Highlands Ranch, Colorado, has been assisting Escobedo in her cancer journey.“[Inflammatory breast cancer] makes up just about 0.2 to 0.5 percent of all breast cancers, so it’s very rare, and it involves the skin that overlies the breast,” Dr. Acharya says.She says inflammatory breast cancer is so rare, it’s a challenging cancer to diagnose. “I think what’s difficult is sometimes it gets underdiagnosed or not diagnosed correctly because it looks like mastitis, which is swelling of the breast from an infection, or cellulitis, which is swelling of the skin or infection of the skin," she explains. "And a lot of women can experience that after pregnancy or when they’re breastfeeding or just with trauma."As uncommon as it may be, Escobedo knew the symptoms from a news segment she had seen years prior. “Honestly didn’t feel sick, didn’t think anything was going on, but I had that itch,” Escobedo says.She thought that itch was simply dry skin. However, after a couple weeks, it was still itchy so Escobedo decided to visit the doctor. An MRI showed nothing, but a biopsy proved it was inflammatory breast cancer. “With inflammatory breast cancer, 9 times out of 10 there will be no lump,” Escobedo says.The potential for a lump is just one symptom out of many for the disease. Other possible symptoms include itchiness, swelling of the breast, dimpling or thickening of the skin (like the skin of an orange), a discolored or inverted nipple, or the breast can get warm. Considering it’s so difficult to discover, the cancer is often very advanced by the time it’s diagnosed. Escobedo says she had to go through super intense chemo, surgery and radiation. However, genetic testing helped guide doctors and Escobedo to make the right decisions for her body.“Genetic testing more and more is becoming part of the data points in considering a patients’ diagnosis and optimal treatment,” UCHealth Genetic counselor Kristina Markey says.Oncologists say if you think you could be experiencing any of these symptoms, you should see your doctor right away. “Be persistent, and don’t just sort of say ‘it will get better’. If it doesn’t get better, go see your doctor again,” Dr. Acharya says.Escobedo will have to undergo chemo every three weeks for the rest of her life. Some days, she says she can barely drag herself down the stairs, but in the end, she chooses to stay positive and keep going.“When I wake up in the morning and I’m alive, then I just need to live the day," Escobedo says. "And I have a strong faith in God, I have a very strong family bond, and I will be on chemo forever, but the good part is that forever may be much longer.”If you’d like to reach out to the journalist for this story, please email elizabeth.ruiz@scripps.com 3281

It's a reality on health care that so many of us are living. A new survey released by West Health and Gallup finds 65 million adults had a health issue in the past year, but they didn't get treatment for it because of the cost. One of the biggest issues of health care costs is the surprise medical bills. The issue has become such a problem, Congress held its first-ever congressional hearing on surprise medical bills Tuesday. “If your kid gets hurt playing soccer and you go to an [emergency doctor], there's a really good chance you're gonna get a surprise medical bill,” says Frederick Isasi. Isasi is the executive director for Families USA, an advocacy group for health care consumers. “More people are scared of hospital bills and health care bills than getting sick,” Isasi says. “That's where we are as a nation. There's more harm happening in this country, in some ways psychologically, around the cost of health care than actually being scared about their health.” Isasi and others testified about the need for federal laws to protect patients, including making hospitals and doctors provide billing costs upfront and putting a cap on costs. A new survey found in the past year, Americans borrowed billion to pay for health care, because they couldn't afford it. “Almost half of Americans, they have less than 0 in saving, so a surprise medical bill for ,000 means, ‘I'm gonna have to miss my car payment, miss my mortgage payment. I'm gonna have to take out of my retirement account,’” Isasi says. But at Tuesday’s hearing, lawmakers openly admitted finding a real solution will be a challenge. “The problem is this whole process of health care is so complex,” Rep. Rick Allen (R-Georgia) relayed at the hearing. Rep. Susan Wild (D-Pennsylvania) agreed, stating “the solutions I’m hearing don't really sound very workable in the context of our present medical system, and that's where I really struggle to understand how we're gonna fix this.” Some states have passed legislation to try and protect patients from surprise bills, but about 60 percent of employer-based plans are governed by federal law, not state law. 2153

Just a week after a congressional hearing on the significant rise of measles cases in the United States, lawmakers are meeting again to discuss outbreaks of preventable diseases that seems to be sweeping the nation.The US Senate Committee on Health, Education, Labor and Pensions is holding a hearing Tuesday morning called " 337

Lawyers for the Department of Justice plan to tell a federal judge in Maryland Friday afternoon that the Trump administration will continue to explore options of adding a citizenship question to the 2020 census, according to an administration official familiar with the plans.The official stressed that as of now the census will be printed without the citizenship question.Earlier Friday, President Donald Trump said he is considering his options which include a potential executive order, or an addendum to the questionnaire that would allow the question to be added at a later date. Such a move could require the administration to provide a new justification for the addition of the question, following a Supreme Court ruling requiring a new rationale.The move by the Justice Department would mean that the administration will face daunting legal challenges and a tenuous timeline. Judge George Hazel in Maryland had told the Justice Department that if the administration refused to definitively say it will not add a citizenship question to the census, he would establish a schedule to hear new evidence over the next 45 days. A parallel proceeding will continue in New York as well.Growing frustrated at his administration's handling of 1253

LAS VEGAS — Las Vegas police have released the shocking video of a woman pushing an elderly man off a bus. The incident occurred March 21. The elderly man initially refused medical treatment but went to the hospital later that day. On May 3, police were notified that the man had died from his injuries.Homicide detectives took over the investigation and determined a woman had been arguing with people on the bus. When the bus stopped, the victim and woman began arguing and she then pushed him out of the bus.Currently, the Regional Transportation Commission of Southern Nevada invests more than million each year in contracted security services, accounting for 177 security officers.The transit authority said it allocates resources to areas of concern as situations arise. This situation remains under investigation and homicide detectives are looking for witnesses to the incident.Cadesha Bishop, 25, was identified as the suspect and was arrested. She is facing an open murder charge.The victim was identified as 74-year-old Serge Fournier. Anyone with any information was urged to contact the homicide section of the Las Vegas Metropolitan Police Department by phone at 702-828-3521, or Crime Stoppers at 702-385-5555. 1240

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