Up Close with Dorothy Barbo -
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Published on: 5/30/1999
Last Visited: 9/9/2000
Up Close with Dorothy Barbo, MD -- Finding a Better Way
Up Close with Dorothy Barbo
The Cancer ConnectionThe Cancer Connection
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Dorothy Barbo, MD -- Finding a Better Way
When I started my work in women's health, so many of the cancers we took care of were advanced, and if you were really going to help people, you had to find it early.I kept saying that there had to be a better way..
Early in her career Dorothy Barbo, MD, worked in Punjab, India, teaching in a Christian medical college and providing health care to women.Each year she saw over 400 women with cancer -- mostly advanced cervical cancer that could not be cured.The need for widespread screening and early detection was obvious, but at that time and place there was no way to do it.
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Dorothy Barbo
Many years later when Dr. Barbo came to New Mexico, the time and place was right.She came to join the faculty of the University of New Mexico School of Medicine and to work in the Center for Women's Health where she is now Director.It was 1991, and New Mexico had a high incidence of cervical and advanced breast cancers, especially among the state's low income and rural populations.The New Mexico Breast and Cervical Cancer Detection and Control Program (B&CC) was just getting started and had been established to do precisely the kinds of work Dr. Barbo knew had to be done.
She took on a significant leadership role in the B&CC as chair of the Professional Education Committee.She was particularly active in improving training for the state's medical students, residents and practitioners in the areas of screening and early detection.
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Dr. Barbo worked with the B&CC Program as it broadened its scope from focusing almost totally on screening for low-income women to including funds for surgical diagnostic procedures for those with abnormal screening results.That was an important change ; however, according to Barbo, there are still many women who do not have coverage for treatment when the diagnosis is cancer.If a family has a small farm and they have to sell it to pay for treatment, then they have nothing, says Dr. Barbo, adding, i have known patients that just walked away and said I can not do that to my family.' that be all over the world : that be not unique to New Mexico..
She also points out that this is another reason why it is so important to catch cancer early : It is less expensive to treat -- no matter who pays for it.Counties in New Mexico do have indigent care funds to help in these situations, but, according to Barbo, they run out every year.That is why the golf tournament (Anita Salas Memorial Fund) is so important -- it raises funds for treatment..
Her work with the B&CC has been rewarding.we have seen a shift over the past eight years to preinvasive cancers and early invasive cancers that have a much better prognosis..
Dr. Barbo believes there are a number of reasons for the success, citing strong leadership and cooperation between the Department of Health, the University of New Mexico, the Indian Health Service and other agencies.She credits the New Mexico Tumor Registry's role both in defining the need for the program and then measuring the results.When the program itself is well organized, you have good follow-up and you can track the results, then you really know what be happening with people..
Dr. Barbo began her career working with women who had advanced cancers and little hope for cure.For many years her focus has been on teaching health care providers to diagnose cancers earlier and on improving prevention and screening.that be where you win, she says.This has made Dr. Barbo a winner as she retires this year, leaving her prize of improved care as a gift to the women in New Mexico.
Dorothy Barbo, MD, will be retiring this year after 8 1/2 years at the University of New Mexico.She is Director of the University Center for Women's Health and Professor of Obstetrics and Gynecology at the UNM School of Medicine.
Prior to that, she was at the Medical College of Pennsylvania for 20 years.There she was a professor and the Director of the Center for the Mature Woman's Health.She also taught at the Ludhiana Christian Medical College in Punjab, India, for five years.
Dr. Barbo is a graduate of the University of Wisconsin Medical School and did her residency and a fellowship in gynecologic oncology at the Medical College of Wisconsin in Milwaukee.
After retirement, she plans to return to teaching overseas in Asia, Africa and South America with the Christian Medical and Dental Society.She also hopes to spend more time with her family, work in her rose garden and write a book about one of her passions, collecting antique tea tins.
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