\j\/ILB QUARTO HQ 75 .0971 ..-ms; BY JENN BAUDREAU esbians often hear that we are at a higher risk or breast cancer than all women. The problem isn’t T being a lesbian; it’s the actual and perceivedediscrimination by hospitals, doctors, and other health care agencies. According to The Mautner Project, a national lesbian health organization based in Washington, DC, “Lesbians are likely to receive substandard care, or remain silent about important health issues they fear may lead to stigmatiza— tion.” Early detection increases the chance of surviving breast cancer, but the Mautner Project cites that 50 percent of lesbians studied did notreceive a clini- ‘V°a1‘*b*'east Wm imhe preVit°’"‘si " i2‘ r 6:: is... is E 3 Ft 5 ‘Fa E K 5a 21 a i cARoL ALroa E,LLi: ,‘i‘I’m not sure that heterosexual women , year, Vlheféias the fiaflfififil average that includes hetero- sexual women is 25 percent. There are other risk factors, . but they apply as much to all women as to lesbians: increas- ing age, family history of breast cancer, previous abnor- mal biopsies, radiation expo- sure, early menstruation/late ' menopause, hormone replace- ment therapy for more than 5 years, not having biological children, or having the first child after age 30, lack of physical activity, being over- weight, diet low in fruits and vegetables and high in saturat- ed fats, and high alcohol con- sumption. The factors are listed in the brochure “Busting Out: ' Breast Health for Lesbian & Bisexual Women,” published by the Sherboume Health Center in Toronto, Canada. So how do lesbians with breast cancer in Vermont fit into these realities? Of course, ,, .. ,_..-W _,__ . _ :';i—.ea tzstzi ;§ we:2.¢2—t.f3E’ ».i.‘9§t that same Wile of suPP0fl A A A from their husbands.” every woman’s experience with-cancer is vastly different, but this article examines the cancer experiences of three Vermont lesbians to learn how cancer changed their lives, and how being a lesbian _affected ' their experience. community support: Roz In 1994 Roz Grossman was washing herself when she dis- covered a lump in her right breast. Her family had no his- tory of breast cancer and she «s'zasv11wr_;sx-= didn’t have any other risk fac- tors. She was treated with a lumpectomy, radiation, and a drug called tamoxifen. Then, three years ago, she discovered she had lymphoma. She was out of work for six months get- I" ting chemotherapy, and is now getting a new type of therapy called rituxin, which she describes as “state of the Over the course of these treatments and extensive hospi- tal and doctor visits, Grossman and her partner Diana , Carminatti were fortunate to have a mostly positive experi- ence as a lesbian couple within the health care system. “Except for the very first doctor way back when I was first diagnosed with breast can- cer who didn’t treat me very. well,” Grossman says, “I’ve , never had any problems or dis- crimination being a lesbian. All subsequent doctors have been Very open and good about talk- > ing to both of us and including Diana.” When asked how being a lesbian affected her cancer experience, Grossman’s first ; reaction was to say that it didn’t have much of an effect at all. She spoke instead of the profound ways that cancer affected her as a woman that were not lesbian—specif1c. “It made me wake up and , ask deep questions,” she says, “What do I believe in? What do I want to do with my life? Where do I want to live? And then I made some changes.” Then she thought of another important way that being a les- bian had a profound impact on her experience. “At first I thought that being. a lesbian hasn’t affected me, but then I thought that’s not necessarily true, because the support network I have is a les- ‘ bian community. That doesn’t mean that people at work and j my family haven’t been extremely supportive — they . have ’—-;but thecore community who has stood by me has been a lesbian community.” Outrageous Doctors: Patricia Patricia Fontaine feels differ- ently about the medical profes- _ sionals she dealt with. Fontaine has had a lot of can- cerexperience over the years, first": diagnosed with breast cancer'in her left breast in - 1995, with several recurrences in her lymph nodes, salivary ' glands, and then her right breast. At first she tried to avoid toxic treatments and she had a mastectomy of her left breast. When the cancer returned in her lymph nodes three years later, she “made peace” with treatment and underwent six months of chemotherapy and then six cont’d on p. 9 m.».-,t— z