By David Ballerstein - Marshfield Now!

The Marshfield Utilities Commission met on Monday afternoon to review operational updates, ongoing infrastructure projects, and long-term financial forecasts for the electric, water, and communications utilities. Commissioners received detailed reports from staff and heard a comprehensive presentation on four proposed behind-the-meter solar installations planned on utility-owned land.


Lead Service Replacements Near Completion
Staff reported the final planned lead service removal of the year was completed last Friday. While the utility set a goal of 200 replacements in 2024, crews successfully removed 194 public-side lead services along with 50 private-side lines. Only 53 private services remain, and fewer than 470 total lead services are left systemwide. If current progress continues, Marshfield is just over two years away from completing full lead service removal.


LED Streetlight Conversion Continues
The utility has now replaced 1,383 streetlight fixtures since the LED conversion project began in 2023. Only 555 overhead-style fixtures remain, along with 211 decorative black fixtures along Central Avenue, which are more costly to replace. Staff noted that newly installed LED lighting has already improved visibility and safety along Veterans Parkway and Central Avenue.

Solar Developer Outlines Four Utility-Scale Projects
Stanley Minnick of One Energy Renewables delivered a detailed presentation on four proposed solar projects planned in partnership with Great Lakes Utilities. All four projects would be built on land already owned by Marshfield Utilities. The projects are designed to lower long-term energy costs, diversify the local power supply, and provide environmental benefits.

Project highlights include:

• Marshfield 1 (near the substation): 2.5 MW, producing an estimated 5 million kWh annually—enough to power about 620 homes.
• McMillan & Galvin Site: 5 MW, roughly 10 million kWh annually, equivalent to 1,250 homes.
• Quarry-Area Site: 4 MW, about 1,000 homes’ energy use.
• Townline Road (T & Y): 5 MW, producing more than 10 million kWh annually, serving approximately 1,300 homes.
  
  

Minnick addressed questions on environmental protection, fencing, pollinator habitat planning, potential sheep grazing, and wetland and wellhead-protection requirements. All project sites are located outside the city limits, within either Wood or Marathon County.


Operations & Maintenance Budget Reviewed
Finance staff presented the second review of the 2026 operations and maintenance budget. Several expenses were reallocated to the communications utility following an internal review, with allocations typically ranging between 1% and 5% depending on cost type. The commission approved the O&M budget with no objections.


Capital Budget Approved
The Commission also approved the 2026 capital budget. The only change from the prior month involved adjusting the cost of network switch equipment. Significant focus remains on water system upgrades—including ongoing lead service removals—and electric substation projects that occur on multi-decade cycles.


Audit Work Statement Adopted
Commissioners unanimously approved the annual statement of work for audit services, clearing the way for auditors to begin their 2024 review. Only minor revisions from last year’s agreement were included.


Discussion on Dark Fiber Governance Policy
​The meeting concluded with discussion of a draft governance policy for the utility’s dark fiber network. The policy outlines cost-recovery, rate-setting, lease agreements, and annual rate review procedures. Commissioners asked questions about rate-of-return targets, customer equity, and long-term replacement planning. Further analysis and cost-of-service studies are expected before the policy returns for approval.

By David Ballerstein - Marshfield Now!
​
As Wisconsin’s nine-day gun deer hunt approaches, hunters across the state are preparing for one of the busiest outdoor weekends of the year. With hundreds of thousands expected to take to the woods and fields, state officials are emphasizing safety, community support, and awareness of new deer management changes.

This week’s edition of Field to Fence Line explored these topics in depth, featuring an in-studio discussion and an extended interview with Jeff Pritzl, the Wisconsin DNR’s Deer Program Specialist.

Encouraging Deer Donations to Support Families in Need
The Wisconsin Department of Natural Resources is urging hunters—especially those in farmland zones with multiple harvest authorizations—to consider donating an extra deer to the state's Deer Donation Program.

Field-dressed deer can be dropped off at cooperating processors, and hunters are encouraged to check processor availability before harvesting an additional animal. Meat from donated deer helps feed Wisconsin families facing food insecurity.

Tree Stand Safety Remains a Top Priority
According to the DNR, roughly one-quarter of hunters have experienced a fall or near-fall from elevated tree stands. With the excitement of early morning climbs and post-harvest movement, it can be easy to forget core safety steps. Officials again remind hunters to:

• Choose trees carefully
• Always use a fall-arrest system
• Unload firearms before climbing
• Use a haul line for gear and weapons

The DNR hopes to match or exceed last year’s strong safety record, which included only one non-fatal firearm-related injury.

CWD Testing and Carcass Disposal Efforts Continue
Hunters are reminded that chronic wasting disease (CWD) testing plays a key role in tracking and managing the spread of the disease. Although no confirmed human infections have been identified, health officials recommend avoiding meat from animals that appear sick or test positive.

A statewide network of CWD testing kiosks and carcass disposal dumpsters remains available. These dumpsters help prevent potentially infected carcasses from contaminating the landscape and spreading the disease further.

Early Season Harvest Mirrors Last Year’s Numbers
Pritzl shared that early archery harvest totals closely mirror last year’s data. Youth hunters harvested nearly 8,500 deer during the October youth firearm season—one of the highest totals recorded. Updated figures show that overall statewide harvest numbers are slightly ahead of last year at this time.

Trail cameras have been buzzing with activity, too. Mild winters have helped deer enter spring in excellent condition, contributing to strong antler development heading into the season.

A Push for Antlerless Harvest in Farmland Units
Pritzl emphasized that in farmland deer management units—where deer populations are consistently high—hunters are encouraged to take an additional antlerless deer if they have the opportunity.

He noted that many hunters feel less motivated to harvest a second deer once they have one for the freezer. But this year, he says, is an especially important time for hunters to demonstrate how they contribute to the wider community through responsible herd management and food donations.

“This is a great year to really consider taking an additional deer,” Pritzl said, highlighting benefits to food pantries, road safety, and long-term herd balance.

Major Boundary Changes in Northern and Central Forest Units
Significant deer management changes are also in effect this season:
Northern Forest Units

• After extensive public engagement, the DNR shifted back toward habitat-based deer management units.
• These new units use a three-digit numbering system.
• This approach allows antlerless permits to better reflect variations in habitat and deer density across the region.

Central Forest Units

• Boundary changes occurred on the eastern and southeastern sides of the zone.
• Adams County shifted entirely to a farmland designation.
• Wood, Monroe, and Juneau counties also saw adjustments to more accurately reflect deer populations.
• Central forest units were renamed using numbers in the 200 series to reduce confusion with nearby farmland units.

Digital maps and interactive tools—including the Public Access Lands System—have already been updated to reflect these changes, and many popular mapping apps have incorporated the new unit boundaries.

Clarifying Feeding and Baiting Restrictions
The long-standing debate over baiting and feeding returned during the interview. Pritzl reiterated that these restrictions exist nationwide in states facing CWD, not just in Wisconsin.

The difference between a bait pile and a food plot, he explained, comes down to replenishment. A continuously refreshed bait site concentrates deer behavior and increases the potential for disease spread. Food plots and natural food sources disperse deer activity over larger areas.

He also stressed that baiting and feeding laws exist in state statute, not DNR administrative code—meaning only lawmakers can change them.

Balancing Diverse Opinions Among 600,000 Hunters
With about 600,000 deer hunters in Wisconsin, Pritzl acknowledged the challenges in balancing such a wide range of expectations and experiences. Public engagement can be dominated by those who are unhappy, he explained, which means the department must rely on a combination of public input, harvest data, and license-purchasing patterns to guide decisions.

A Local Perspective
Pritzl also shared his personal story. A Marshfield native, he grew up hunting public lands across Central Wisconsin, from Mead and McMillan wildlife areas to Jackson County in its 1980s prime. His own hunting journey has included multiple shifts in location as deer populations and habitat conditions have changed.
He hopes hunters will approach the season with appreciation—not frustration—recognizing that deer populations and hunting conditions are always evolving.

Looking Ahead
As Wisconsin prepares for the opening weekend of the nine-day season, Pritzl wishes all hunters a safe outing and good luck. The show will follow up after the season to recap results, trends, and lessons learned.

MARSHFIELD — The Marshfield Common Council convened for its regular meeting on November 11, 2025, opening with roll call and the Pledge of Allegiance. The meeting covered citizen comments, utility discussions, ordinance updates, and a detailed review of the 2025 Central Wisconsin State Fair.



Public Comment: Questions Raised on Proposed Peaking Power Plant
During the public comment period, Garrett Martin of Eau Claire, representing IBEW Local 153, addressed the council regarding the proposed $288.2 million peaking power plant listed under Agenda Item Q. Marshfield Utilities is expected to contribute $86.4 million of the total cost.

Martin questioned:

• The basis of Marshfield Utilities’ 30% ownership share, noting Marshfield represents 18.5% of Great Lakes Utilities’ total customer base.
• Whether Marshfield would also absorb part of Great Lakes Utilities’ remaining 70%.
• The need for a 150-megawatt plant given flat population growth from 2010–2020.
• Whether the project benefits Marshfield or Great Lakes Utilities more.
• A levelized cost estimate showing $0.87 per kilowatt-hour, compared with $0.26 on-peak energy from WPS.
• Oversight concerns due to shared administrative leadership between Marshfield Utilities and Great Lakes Utilities.   

Visit Marshfield Highlights Tourism Activity
Matt McLean of Visit Marshfield gave an update on recent tourism developments:

• Four new multi-day conventions have been secured, including Sports Wisconsin (December) and Destinations Wisconsin (May).
• Marshfield will again host the Dairyland Balloon Jubilee in 2026, maintaining the city’s role as home to Wisconsin’s largest hot-air balloon festival.
• Coordination is underway to support Farm Tech Days this July, with efforts to direct vendor spending locally.
• Past data estimated a $2 million economic impact during the 2018 show.
• With multiple large July events, attendees were encouraged to book hotel rooms early.

Mayor’s Report: Veterans Day Proclamation and Clerk Recognition
Because the meeting occurred on Veterans Day, Mayor Lois TeStrake read the official Veterans Day 2025 Proclamation during the session, honoring the service and sacrifice of U.S. military veterans from the Civil War to today.

The mayor also congratulated Ashley Draeger, who earned the designation of Wisconsin Certified Municipal Clerk, calling it a major professional milestone.
Other announcements included:

• Nominations for the Crystal Apple Award (due November 14).
• Opportunities to nominate businesses for Small Business of the Year and Firm of the Year.
• The Holiday Parade scheduled for Thursday, Nov. 20, beginning at 6:30 p.m. with tree lighting afterward in Wenzel Plaza.

Administrator’s Report: Project Updates and Budget Hearing Notice
City Administrator Steve Barg provided updates on several ongoing projects:

• Recent submissions and reports related to the Central Wisconsin State Fair.
• Progress on the police department relocation to the Wildwood Plaza building.
• A review of park equipment retirements and replacement needs.
• Continued planning for training use of the airport terminal building, though mold issues will limit activities.
• Pursuit of grant opportunities, including the Non-State Grant and Wisconsin Innovation Grant.
• Upcoming discussion of community development director job duties in December.
• A reminder that the 2026 budget public hearing will be held November 25 at 6 p.m.

​State Fair Reports Successful 2025 Season
​Dale Christensen, Executive Director of the Central Wisconsin State Fair, delivered a detailed end-of-year report.
Highlights included:

• 62,000 attendees at the 2025 fair.
• Ticket sales to visitors from 26 states.
• A new food drive collected over 2,000 items for Wood County food pantries.
• 1,096 junior fair exhibitors showing 3,825 exhibits, with more than $10,000 in premiums awarded.
• Total fair cost: $830,000.
• Entertainment and grandstand acts cost: $374,000.
• Vendor revenue totaled $58,000 from 24 food vendors and 60 craft vendors.
• Total fair revenue: $975,000, with carnival revenue down $2,000 from last year.

Looking ahead, Christensen announced:

• A Nov. 29 Christmas show fundraiser.
• A statewide Allis Chalmers tractor club event scheduled for January.

Council Approves Job Order for Proposed Power Generation Plant
​Under Item Q, Marshfield Utilities General Manager Nicholas Kumm presented the request to approve Job Order 7506, tied to a proposed dual-fuel 150 MW power plant planned for Yellowstone Industrial Park.
Key points included:

• Ownership split: 30% Marshfield Utilities / 70% Great Lakes Utilities.
• A five-year project timeline.
• Use of natural gas and fuel oil for reliability during peak constraints.
• Need to replace capacity from expiring power supply contracts between 2028 and 2031.
• Expected to generate about $1 million annually in Payment in Lieu of Taxes (PILOT).
• The plant would provide more than 100% of Marshfield’s peak electrical demand.
• Project to be financed through revenue bonds, not general obligation debt.

After extensive discussion and questioning, the council approved the job order.

Update on Redevelopment of the Weinbrenner Building
Administrator Steve Barg reported that the second RFQ process for redeveloping the historic Weinbrenner building at 305 West Third Street closed on November 7.
The city received one proposal.

A review team will meet soon to evaluate the submission, conduct interviews, and present a recommendation—likely in December—to both the Common Council and the Community Development Authority.
Other Council Actions

• The council completed second readings for ordinances involving the joint municipal court, R-6 zoning district, and a new small-scale residential district.
• The council moved into closed session to discuss personnel matters, the tourism agreement with Visit Marshfield, and litigation involving the Mill Creek Youth Foundation.

By David Ballerstein - Marshfield Now!
​
MARSHFIELD, WI – In the latest episode of County Connections, host David Ballerstein sat down with Wood County Sheriff Shawn Becker to discuss a wide range of local topics — from honoring veterans and recognizing local heroes to ongoing public safety efforts, inmate rehabilitation, and new educational partnerships.

Honoring Veterans and Local Service
As the episode was filmed on Veterans Day, Sheriff Becker shared heartfelt reflections after attending an assembly at Auburndale Elementary School.

“It was phenomenal,” he said, noting that the students and staff did a great job recognizing veterans. He added that every day should be considered Veterans Day, emphasizing ongoing gratitude for those who have served.
Becker also spoke about his own family’s military history, including relatives who served in Korea, Vietnam, and Iraq. “Today’s all about all the people that have protected us and served our country because without them, we wouldn’t be here right now,” he said.

The Sheriff also mentioned a new addition to the Wood County Courthouse Veterans Memorial, which now honors those who have served both in the military and with the Sheriff’s Department. “We added several names,” Becker said, encouraging visitors to stop by and reflect on their service.

Tackling Bitcoin and Cryptocurrency Scams
The conversation turned to the ongoing problem of cryptocurrency fraud, especially targeting seniors. Sheriff Becker explained that investigators have been working with lawmakers to regulate Bitcoin ATMs, which have been used in scams.

“We’re not against Bitcoin,” he said, “but we have to protect people.”

The Sheriff’s Office has testified at hearings seeking bipartisan support for regulations that would limit ATM transactions to help curb fraud. He described how scammers manipulate victims into depositing cash at Bitcoin machines and how complex investigations become once funds are converted to digital currency.

Becker said the department has seized several machines as evidence and is awaiting court decisions on how the funds should be handled.

Inmate Rehabilitation and Education Programs
Sheriff Becker also highlighted the continued success of inmate recovery and education programs. Through partnerships with Three Bridges Recovery and Mid-State Technical College, inmates can earn high school diplomas, GEDs, and even participate in culinary training.

“Our first group earned their Serve Safe certificates,” Becker said. “It’s a great partnership that gives people in custody a chance to better themselves and prepare for success when they return to the community.”

School Resource Officer Program
A new school resource officer program at Auburndale High School is also making a positive impact. Deputy Jesse Nell was selected for the role and has already built strong relationships with students and staff.

“It’s well worth it,” said Becker, adding that the position helps guide students who are considering careers in law enforcement.

He praised local educational pathways, noting that Mid-State Technical College and the University of Wisconsin–Stevens Point have a partnership allowing students to earn college credit for attending law enforcement academy training.

Recognizing Local Hero Mike Weber
Sheriff Becker recognized longtime volunteer Mike Weber, who oversees the county’s rescue unit and was recently honored by local legislators for decades of service.

“He’s been volunteering for more than three decades,” Becker said. “When you talk about what a volunteer is — that’s Mike.”

Closing a Cold Case: The Deidre Harms Investigation
Becker provided closure on the long-standing case of Deidre Harms, who went missing from Wisconsin Rapids years ago. He credited District Attorney Jonathan Barnett for officially concluding that Chris Reback would have been charged with her murder if he were still alive.

“It’s rewarding to know we were right,” Becker said. “It doesn’t bring her back, but it brings closure.”
Wood County Featured on “Cops”Sheriff Becker also shared that Wood County was recently featured on the TV show “Cops.” Filming concluded this week, and episodes are expected to air next year.

“It’s an honor that they chose to film here,” Becker said, adding that the show gives viewers a look at the professionalism and challenges faced by corrections officers.

Safety Reminders for Hunting Season
With hunting season underway, Becker reminded residents to stay safe, know their boundaries, and maintain good relationships with neighbors.

“Be safe. Know where you’re hunting,” he said. “If you’re in city limits, check the local ordinances online.”

County Connections airs on Marshfield Now! , featuring conversations with local leaders and updates on community safety, partnerships, and public service.

By David Ballerstein - Marshfield Now!
​
The Boys & Girls Club of Marshfield is preparing for its first-ever Festival Foods Turkey Trot since the club’s opening earlier this year. The Thanksgiving morning event is part of a statewide tradition that raises funds to support local Boys & Girls Clubs and YMCAs.

A New Chapter for Marshfield Youth
Kaitlyn Konrardy, Director of Community Outreach and a Marshfield native, shared that the local club officially began programming in summer 2025, serving 91 children at Grant Elementary in partnership with the School District of Marshfield’s summer program. Now operating out of Lincoln Elementary, the club serves about 88 students—roughly 30% of the school’s population—with after-school programming that includes homework help, meals, and enrichment activities.

Konrardy said, “We’re engaging kids through STEM projects, healthy lifestyle classes, and community leadership programs. We’re really helping them grow into the best versions of themselves.”

The Goal: A Standalone Club Facility
While the partnership with the school district has been vital, Konrardy noted that the current setup limits access to students outside Lincoln Elementary. “Without a standalone center, we’re not able to serve the entire population,” she said. “Eventually, we want to expand to grades one through twelve and even offer programs for teens focused on workforce readiness and life skills.”

Turkey Trot: Fun, Fitness, and Fundraising
The annual Festival Foods Turkey Trot takes place Thanksgiving morning at 8 a.m. at Marshfield High School. Participants can register online at FestivalFoodsTurkeyTrot.com by selecting the Marshfield location. Options include a five-mile timed run, a two-mile fun run or walk, and a “dog jog” for furry friends. Each participant receives a t-shirt, pie, and coupons from Festival Foods.

“All proceeds stay local and benefit the Boys & Girls Club and YMCA of Marshfield,” Konrardy explained. “It’s a fun, family-friendly way to support our youth.”

Beyond the Race: Supporting the Mission Year-Round
The funds raised go toward the club’s annual campaign, helping to cover staffing, programming, and supplies. Membership costs just $100 per child—and $10 for those qualifying for free or reduced lunch—making community donations essential.

Konrardy added that the club always welcomes involvement through volunteering, financial support, or in-kind donations. Items like art supplies, STEM kits, and healthy snack ingredients are high on the wish list, with an Amazon wishlist available at MarshfieldBGC.org.

Building a Stronger Future Together
Local businesses can also support the Boys & Girls Club through sponsorships of programs like “Youth of the Month” or future fundraising events. “We’re building something that’s going to make a lasting impact for Marshfield,” Konrardy said. “It’s an exciting time for our community.”
Residents can stay updated through the club’s Facebook page and by subscribing to their newsletter at MarshfieldBGC.org.

As Konrardy concluded, “It’s about time Marshfield has a Boys & Girls Club—and it’s already making a difference.”
Watch the full interview now on Marshfield Now! Channel 990, streaming on Roku, Apple TV, Fire TV, and online through Marshfield Broadcasting platforms.

Marshfield, WI — A recent episode of Coffee with the Mayor featured special guest David Ballerstein, Community Media Coordinator for the City of Marshfield’s Communications Department. The conversation offered a detailed look at the purpose, challenges, and growing importance of community television in connecting local residents.

Ballerstein oversees Marshfield Broadcasting’s three channels: the Producers Channel, the Marshfield Now Channel, and the Government Channel. He described the work as both a civic responsibility and a community service, noting that the station provides live coverage of city meetings and broadcasts major events such as Dairy Fest and the Main Street Christmas Parade. He also trains volunteers in camera operation, lighting, and production, emphasizing that the channels belong to the public.

“Community television is for everybody,” Ballerstein said, noting that any resident can create their own show by reaching out. He highlighted the value of even small-scale engagement: if a message helps one person, it has made a difference.
The mayor praised the department’s increasing collaboration with local organizations.

One example discussed was the ongoing partnership with Marshfield Clinic to produce the health-focused series Your Health Matters. Ballerstein explained that the goal is to help viewers feel informed enough to take the next step in seeking medical support if needed.

The conversation also highlighted sponsorships as a key support model. Because the department is not funded by tax dollars, community television relies on cable franchise fees and partnerships. However, as more households transition to internet streaming, those funding sources have declined.

Ballerstein expressed concern that community media stations across Wisconsin have been forced to shut down due to limited resources. He stressed that Marshfield’s station continues to grow but will require stronger public involvement and sponsorship to remain sustainable.

One project the mayor praised was the weekly printed community broadcasting guide, distributed to assisted living centers, the Community Center, and local stores. Ballerstein explained that this allows residents without internet access to stay informed, though producing the booklet is time-intensive and costly.

Beyond his professional role, Ballerstein shared a personal milestone: he recently married, with a larger celebration planned next year. He also discussed hobbies such as ham radio and community service through local radio clubs.

As the episode drew to a close, Ballerstein encouraged residents to get involved in storytelling, recording, and documenting the life of the city. “It’s an archive of the culture here,” he noted, explaining that local productions preserve memories and community identity for years to come.

Both the mayor and Ballerstein emphasized that community media thrives when residents see themselves as partners and contributors.

Anyone interested in volunteering, producing a show, or learning more about Marshfield community media is encouraged to reach out to the Communications Department.

By David Ballerstein Marshfield Now!
Marshfield, WI
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​New Episode on The Producers Channel! from NOWi (Network of Wisconsin Impact)

Shirley’s House of Hope, a Christian-based domestic abuse and drug addiction recovery center, continues its mission of helping women rebuild their lives after trauma. The organization, which has served the Marshfield area for 15 years, was founded to address a significant local need for support services for women escaping abuse and addiction.

The idea began in 2007 when Julie, a women’s ministry leader at the time, learned that approximately 300 women per year in the Marshfield area were seeking services related to domestic violence. In response, she and other local women began collecting personal care bags to support survivors who often fled with few belongings of their own. Interest and community support quickly grew, leading to the formation of Shirley’s House of Hope in 2008.

A Mission Rooted in Restoration
The organization's mission is “equipping women through the love of Christ to rebuild, renew, and restore their lives from domestic abuse and addiction.” Staff members address not only physical needs but also emotional, spiritual, and mental health challenges that often accompany abuse. Many residents arrive without recognizing they have experienced abuse because it has always felt “normal.”

The program includes case management, counseling, daily devotions, Bible study, and a nine-month class program, with some women staying up to a year and accessing transitional housing support for up to two years. Research shows that breaking cycles of abuse and addiction can take up to three years—support the center is committed to providing.

Community Support Makes the Difference
Shirley’s House of Hope operates largely through grassroots support from local individuals, churches, families, and businesses. While the organization has received grants over the years, Julie emphasized that small, consistent donations have been the heart of the center’s sustainability.

“It costs about $130 a day to minister to each woman,” she said, noting recent efforts to strengthen programming and ensure fair wages for staff supporting residents through often difficult healing journeys.

Building Community Through Shared Healing
A key part of the program includes shared community meals. Many women and children entering the shelter have never experienced sitting together at a dinner table. Julie shared a story of a young boy who had only ever eaten in a truck with his family. Over time, daily dinners helped him and his mother rebuild trust and connection. That mother completed the program, later married a supportive partner, and her son went on to graduate high school.

Looking Ahead
Future plans for expansion include establishing a bargain center and increasing emergency service capacity, while continuing to partner with organizations such as the Personal Development Center, Orenda Center, and St. Vincent de Paul.

Upcoming Fundraisers
Two major events support the center annually:

• Iron Chef Competition (held each November)
• Run for Hope (held each April at Wildwood Park)

Both events help raise critical funding to maintain services and staffing.

How to Get Help or Get Involved
Women seeking assistance can review program information at shirleyshouseofhope.org and call 715-486-9000 for intake. Community members may donate funds or needed supplies, or apply to volunteer through the website. 

By David Ballerstein - Marshfield Now!
MARSHFIELD — October is a time for reflection and awareness, and in a recent episode of Your Health Matters, host Laura Kibbel sat down with three Marshfield Clinic physicians to discuss the breast cancer journey — from diagnosis to recovery. Joining her were Dr. Joseph Edmund, hematologist-oncologist; Dr. Anna Seydel, breast surgeon; and Dr. Brad Morrow, plastic surgeon.

“I’m thrilled today to bring to you three esteemed physicians that are going to talk to us about what a breast cancer journey may look like for a patient,” Kibbel said.

Pathways to Care
Dr. Edmund explained that breast cancer begins with abnormal cell growth and can appear as a lump. “Breast cancers are divided into lobular and ductal types,” he said. “Risk factors can be things we can change, like alcohol use and smoking, or things we cannot, like family history or genetic mutations such as BRCA1 and BRCA2.”

He described treatment as a team decision. “The choice of whether chemotherapy or surgery comes first depends on a multidisciplinary approach,” Edmund said. “We meet with the surgeons, radiation oncologists, and medical oncologists together to decide the best plan.”

Patient Choice in Surgery
Dr. Seydel said she focuses on helping each patient make informed choices between lumpectomy and mastectomy.
“For most patients, they do have an option to either preserve their breast or remove their breast — and it’s their choice, because there’s no difference in survival between the two options,” she said.

She emphasized that the type of surgery doesn’t determine the need for chemotherapy. “The decision for what operation we do is independent of whether or not they’re going to receive chemotherapy,” Seydel said. “That depends on the tumor factors and the patient.”

Patients’ fears often influence their choices. “Many say, ‘I’ve had friends or family who’ve had radiation and I don’t want to have radiation,’” Seydel explained. “But mastectomy cannot get your risk of recurrence to zero. Some prioritize keeping their native breast, others prioritize symmetry or risk reduction. It’s my job to tease that out.”

Reconstruction and Recovery
Dr. Morrow said reconstructive surgery can often begin immediately after a mastectomy.
“I generally like to see the patients as soon as we possibly can,” he said. “The nice part about immediate reconstruction is that Dr. Seydel can spare most, if not all, of the skin — so we only need to reconstruct the volume of the breast.”

Patients can choose between implants or using their own tissue. “Autologous means using your own tissue — we borrow tissue from somewhere, like the abdomen or back,” Morrow said. “The other option is implants. Most women are down to Tylenol and ibuprofen a few days after surgery.”

When asked how natural the results look and feel, Morrow said, “Implants can have different textures and firmness. There’s one called a ‘soft touch’ that feels very natural and is popular among patients.”

Ongoing Support
​Follow-up care continues long after surgery. “It’s dependent on the stage and type of the cancer,” Dr. Edmund explained. “For early-stage hormone-receptor-positive breast cancer, we may use hormonal therapy. I see patients every three to six months to monitor how they’re doing