Palo Vol. XXXIX, NumbNumberer 29 Q AprilApril 20,20, 20182018 Alto With homes threatened, residents lobby city Page 5 www.PaloAltoOnline.com INSIDE THIS ISSUE Pulse 19 Spectrum 21 Eating Out 25 Movies 28 Home 30 QArts The Who’s Keith Moon lives again — on stage Page 23 QBooks ‘Sophia’ is insider’s guide for women in tech Page 29 QSports Boys’ volleyball a hit at local high schools Page 49 “I am completely taken care of at Stanford by a team, all working together for my overall benefit.” — Jessica said Allison Kurian, MD, who specializes in Breast Cancer Diagnosis Saves More Than One Life identifying patients at higher risk of developing breast and gynecologic cancers. “It’s an When Jessica chose Stanford for her breast cancer treatment opportunity to protect your relatives from and surgery, she didn’t just save her own life. The medical team at something that otherwise could be a problem. Ultimately, it can give tremendous meaning Stanford discovered that her cancer was caused by a genetic to a person’s own diagnosis when they use it mutation and they found the same genetic risk for early cancer to learn something that protects their family.” in Jessica’s brother. Cancer Genetics are a Family Affair “Testing family members who haven’t had cancer For Jessica, getting a breast cancer diagnosis in her counselor also became an integral part of her is the key to saving lives on a large scale,” said thirties came as a shock. Her doctor recommended medical team. Kurian, Director of the Stanford Women’s Clinical a local surgeon, but Jessica chose Stanford. She did Cancer Genetics Program. “Cancer genetics is one Because of her young age and the nature of her extensive research, looking at the background and of the few areas of medicine that really treats the cancer, her medical team suspected she might have education of multiple breast cancer surgeons in entire family, not just the patient.” the Bay Area. an inherited form of the disease. They referred her to the Stanford Cancer Genetics Program for Genetic testing is initially conducted to provide “I initially decided I was going to Stanford because specialized testing and counseling. There, she met valuable information to help guide the treatment of Dr. Frederick Dirbas, a breast cancer surgeon,” with a genetic counselor, who explained which of the patient with cancer and prevent secondary she said. “But I knew that it wasn’t just a surgeon, tests were recommended and what the outcomes cancers in the future. But its untapped potential but a team of doctors.” So she extended her would mean for Jessica and her extended family. lies in its ability to test unaffected family research to all of the doctors in Stanford’s breast members. Patients seen in the Stanford Cancer “Genetic counselors are interpreters of genetic cancer program. “I wanted to make sure that I was Genetics Program benefit from a team of scientists information,” said Kerry Kingham, MS, a licensed in good hands for all of my care.” who home in on risk factors to determine the genetic counselor. “We draw a three-generation presence of a genetic link to cancers. family history, because these things are usually inherited from a parent. That means it’s more than “More and more, we’re able to apply this genetic just your children and siblings and parents who test to personalize and understand the genetic could be at risk. It’s grandparents, aunts, uncles, makeup of an individual’s cancer,” Kurian adds. cousins, and even more-distant relatives.” “Sometimes, that leads to very specific treatments, sometimes treatments we never would have even After Jessica tested positive for the BRCA gene considered for that kind of cancer, but are relevant mutation, which is a known cause for breast for that person.” cancer, Kingham supported her in reaching out to her extended family to be tested. While she “I always felt I was completely taken care of at was most worried about her sisters, and other Stanford by a team, all working together for my Her first appointment at the Stanford Cancer female relatives, her brother was found to carry overall benefit,” said Jessica. “Stanford definitely Center confirmed her choice. “It felt like I was the same mutation. Having this knowledge helped guide me through every single step of home,” she said. “They made it very warm and allowed Jessica’s medical team to develop a plan the way.” welcoming, everyone was very kind. They just go to help prevent him from developing cancer. above and beyond to take care of their patients.” “Knowing has been a blessing, because it’s not A Team of Care just for me, it’s for my family as well,” said Jessica. Like all patients who are seen in the Stanford “It gives everyone a better sense of awareness of Cancer Center, Jessica was treated by a what they need to look out for in their own health. multidisciplinary team of specialists that included It will affect generations to come.” a breast cancer surgeon, an oncologist, a radiation oncologist, a radiologist, and a licensed therapist Her oncologist agrees. “It’s wonderful that Jessica for emotional support. 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You don’t want to anything amiss other than that she leaving, she told officers. commit suicide or anything like had voluntarily left home. Police asim Aghdam had been released by Mountain View police. She wanted to start life over that, right?” an officer asked. had no legal reason to detain her, sleeping in her car in the Peering from under the hood of a again. To be “somewhere new, “No,” Aghdam said. they said.