Actress pushes women's mental, physical health

Angelina Jolie promoting care for breast cancer patients, especially through loved ones, docs, research

More and more, Academy Award-winning actress Angelina Jolie is becoming known for her work outside Tinseltown.

Such as promoting caregiving for breast cancer patients — not only in regard to the care of loved ones but other aspects pertaining to "mental and emotional health, and physical safety."

Angelina Jolie

In a piece she wrote for a recent edition of Time magazine, Jolie, who's gained even more fame as a special envoy of the U.N. High Commissioner for Refugees, explains that "care is not just about medical treatments. It's also about the safety, dignity and support afforded to women, whether they're battling cancer or trying to manage other stressful situations."

Far too often, her column indicates, "they're not given nearly enough."

Jolie had a prophylactic double mastectomy in 2013 — plus surgery two years afterward to remove her ovaries and fallopian tubes — because she'd learned through a genetic test that she carried a mutation of the BRCA1 gene, which sharply increased her chances of developing breast and ovarian cancer.

The surgeries reduced but didn't eliminate those chances. With the operations, she writes, she had an estimated risk of 87 percent of getting breast cancer, 50 percent of ovarian.

Without the mutation, women typically have a 13 percent risk of breast cancer.

But Jolie, a contributing editor of Time, insists that without proper care, a female patient can fall apart not only because of risks of disease like cancer but "because of other pressures in her life that receive no attention at all…her family situation, her safety and whether she is carrying stress that is undermining her health and making her days much more difficult."

It should not take "someone getting sick to realize that faring for them and not harming them is necessary," she insists.

The now 44-year-old Jolie, who'd lost both mother and grandmother to breast cancer before their late 50s, adds that although there's been rapid progress in technology and science since her surgeries that can help "more people survive in the future and [be] able to live better lives during their illness," there's still "no reliable screening test for ovarian or prostate cancer…and no effective treatment for the most aggressive forms of breast cancer, known as triple negative cancers."

The actress, daughter of actor Jon Voight, while maintaining that care and support of loved ones is the most important factor in women's ability to cope with cancer and to face even the possibility of the disease, cites other related problems that plague modern females — post-traumatic stress disorder, for example, "anxiety, psychological distress, sexual violence and domestic violence."

And then, she writes, there's "poor mental health" stemming from "discrimination, overwork, poverty, malnutrition, low social status and unremitting responsibility for the care of others."

Care for patients is an integral part of "Rollercoaster: How a man can survive his partner's breast cancer," a VitalityPress book that I, Woody Weingarten, aimed at male caregivers.

BRCA1 tests increase but results are questioned

Did Angelina Jolie op-ed in N.Y. Times help women find breast cancer gene mutations?

Angelina Jolie

Although celebrities can spur women to gather information about breast cancer, the question remains how valuable resultant data will turn out to be.

Angelina Jolie is a case in point.

According to a story by Carolyn Y. Johnson this week in The Washington Post, a new study published in the British Medical Journal has indicated that additional thousands of women in the United States were tested for breast cancer gene mutations right after the actress went public about her decision to get a double mastectomy.

Her choice was based on the fact that she had BRCA1, one of the mutations that increases chances of developing breast and ovarian cancers.

The Post piece noted that "testing rates increased 64 percent in the three weeks after Jolie's [op-ed in The New York Times went viral in 2013].

But that stat, based on research at Harvard Medical School, also showed it cost about $13.5 million to do the additional 4,500 genetic tests.

Unfortunately, researchers concluded, "mastectomy rates among women who had a genetic test actually declined after the [New York Times] piece was published, suggesting the women who got the tests done weren't as likely to have the mutation."

More information about the BRCA1 and BRCA2 genes can be found in "Rollercoaster: How a man can survive his partner's breast cancer," a VitalityPress book I, Woody Weingarten, aimed at male caregivers.

Brad Pitt comforts his wife 'throughout ordeal'

Angelina Jolie fighting early menopause after prophylactic surgeries to prevent cancer

Angelina Jolie and Brad Pitt

Actress Angelina Jolie, who recently had surgeries to ward off breast and ovarian cancer, is fighting early menopause as a result.

According to the Daily Dish, the 40-year-old told broadcaster Tom Brokaw that her 51-year-old husband, actor Brad Pitt, has comforted her "throughout the ordeal" and had made it clear "the surgeries wouldn't take anything away from the woman he fell in love with."

Jolie said he'd also indicated "that what he loved, and what was a woman to him, was somebody who was smart, and capable, and cared about her family. It's not about the physical body."

She knew throughout the surgeries, she elaborated, "that he was on my side and this wasn't something where I was gong to feel less of a woman — because my husband wasn't gonna let that happen."  

Jolie had her ovaries and Fallopian tubes removed in March, as a preventative measure, after doctors had found what might be early signs of ovarian cancer.

In 2013, the superstar had a prophylactic double mastectomy and reconstruction surgery after learning she carried the BRCA1 gene mutation that heightened her risk of developing breast cancer to about 87 percent. 

Her mom, Marcia Lynne "Marcheline" Bertrand, wife of actor Jon Voight, had died of ovarian cancer in 2007, at age 56, after an eight-year battle.

Rose Barlow, executive director of Zero Breast Cancer, a Marin County nonprofit dedicated "to prevention and finding the causes of breast cancer," has commented that "removing Fallopian tubes and ovaries not only significantly reduces the risk of those organs becoming diseased but also substantially reduces BRCA carriers' breast cancer rates."

Dish reported that Jolie told Brokaw in the joint interview on the "Today" show that "I knew the breast would be a bigger surgery and physically changing. The ovaries is more [about] your hormones changing and your emotions changing, but it's different — you feel different."

Pitt, praising his wife's lack of vanity, noted that the surgeries and aftermath together became "another one of those things in life that makes you tighter."

He added that "she was doing it for the kids, and she was doing it for her family, so [that] trumped everything and anything."

What's involved in being a male caregiver? "Rollercoaster: How a man can survive his partner's breast cancer" provides a detailed study of the role's ups and downs.

Celebrity backs testing for breast cancer gene

Kelly Osbourne lauds Angelina Jolie for airing her surgeries, promoting tests for mutation 

Kelly (left) and mom Sharon Osbourne

Reality TV star Kelly Osbourne apparently has the same gene mutation that superstar Angelina Jolie has.

So did Kelly's mom, Sharon.

But, unlike her mother, who had a double mastectomy in 2012, and Jolie, who opted to have both breasts removed two years ago and her ovaries and fallopian tubes just recently, Kelly's putting off any prophylactic surgery.

She did, however, praise Jolie (while being a guest on "The Talk") for going public about it all, according to the Daily Dish column on the SFgate.com website.

"I applaud Angelina," the site quoted her as saying, "because she's bringing attention to this and now people are going out and getting tested for it."

The BRCA1 gene, which all three have, puts them at a higher risk for breast and ovarian cancers.

In my new VitalityPress book, "Rollercoaster: How a man can survive his partner's breast cancer," I, Woody Weingarten, deal with many of the pros and cons regarding the gene and its risks — as well as the ups and downs of being a male caregiver.

If you click here, you can read the entire Daily Dish piece.

Superstar's surgeries blocking cancers

Angelina Jolie follows double mastectomy by removing her ovaries and fallopian tubes 

Angelina Jolie

Hollywood superstar Angelina Jolie's 2013 decision to have a prophylactic double mastectomy and reconstructive surgery is cited in my VitalityPress book, "Rollercoaster: How a man can survive his partner's breast cancer."

The reason, she'd explained at the time in an opinion piece in The New York Times, was that she'd inherited the BRCA1 gene.

That's a mutation that placed her at high risk of developing breast cancer.

Several paragraphs in my memoir/guide to research and meds detailed her choice — and the homage she paid to her then partner, now husband, Brad Pitt, whom she described as "so loving and supportive."

I also quoted her conclusion: "So to anyone who has a wife or girlfriend going through this, know that you are a very important part."

Which, in effect, is why I, Woody Weingarten, wrote "Rollercoaster" in the first place — to make sure men realize the crucial role they play — and to help them cope with the ups and downs they're likely to experience.

But now — in another op-ed piece in The New York Times in which she underscored that she wrote the first article because she "wanted other women at risk to know about the options" — Jolie has revealed that she's also had her ovaries and fallopian tubes removed.

The point?

To block her from contracting ovarian cancer.

She acknowledges the new operation was "less complex surgery than the mastectomy" but put her "into forced menopause."

In the new column, titled "Diary of a Surgery," she also noted that Pitt flew from France "within hours" to be by her side. "The beautiful things about such moments in life," she wrote, "is that there is so much clarity. You know what you live for and what matters. It is polarizing, and it is peaceful."

Her op-ed ended with this notion, which I wholeheartedly endorse: "It is not easy to make these decisions. But it is possible to take control and tackle head-on any health issue. You can seek advice, learn about the options and make choices that are right for you. Knowledge is power."