2016 - Baptist Health · therapists, physicians and breast cancer patients, which includes the risk factors, prevention and signs/symptoms of lymphedema. • Development and implementation

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Baptist Health Paducah Cancer Services l BaptistHealthPaducah.com/cancer

REGIONAL CANCER CARE CENTERCOMING SUMMER 2017

Inside: Baptist Health Rehab making a difference in lymphedema treatment

2 2016 Oncology Annual Report l Baptist Health Paducah

14124.01 09/17 /2015CANCER CENTER

BAPTIST HEALTH PADUCAH

Friends,

When you have cancer, you want the best care, close to home, with as little

interruption to your life as possible. We want that for you, too. That’s why Baptist

Health Paducah has provided quality cancer care since 1967.

Now, as we approach our 50th anniversary of cancer care, we embark on a new

chapter to take our programs and services to the next level.

We are building an $18.3 million Regional Cancer Care Center to pull all of our services together in the most

convenient and comfortable new environment for our patients and their families.

The two-story 44,000-square-foot center will open in mid-2017. It will feature a serene healing atmosphere with

private chemotherapy rooms and family space, lab and physician offices. The existing 12,000-square-foot H. Earl

Feezor Regional Radiation Therapy Center, adjacent to the new construction, also will be renovated.

Since 2001, Baptist Health has been the Paducah area’s only nationally-accredited multi-disciplinary cancer center,

treating nearly 1,200 patients a year, including approximately 110 outpatients daily for radiation and chemo therapy.

Each year, we are pleased to provide you an update on cancer care. In the 2016 Oncology Report, you will learn

about our staff, technology and services. In every number and statistic, we are committed to bringing hope and

healing to every one we are privileged to serve.

Sincerely,

William A. Brown, FACHEPresident, Baptist Health Paducah

BaptistHealthPaducah.com/cancer 3

The Regional Cancer Care Center is just one more way we can serve our community.

Next to the new center, Baptist recently invested

$3.1 million in new technology that can shorten

radiation treatments from weeks to days. Stereotactic

radiosurgery (SRS) and stereotactic body radiation

therapy (SBRT) are available through the new Varian

Trubeam linear accelerator, which replaced one of two

linear accelerators. (Stereotactic means imaging markers

are used to guide the beam of radiation to the precise

spot needing treatment.)

With medical and radiation oncologists and a variety of

surgical specialists, including brain and spine surgeons,

advanced expertise is available locally, along with the

advanced equipment.

The hospital’s cancer program has a history of

outstanding achievement, including more than 25 years

of Tumor Conferences, weekly meetings between

physicians and other healthcare team members to

discuss individual cases with the goal of healing. In

addition, Baptist Health Paducah is one of only three

Kentucky hospitals with national accreditation for

radiation oncology; and it has the area’s only Breast

Imaging Center of Excellence, a designation awarded

by the American College of Radiology for accredited

mammography, stereotactic breast biopsy, breast

ultrasound and ultrasound-guided breast biopsy.

Since it first installed cobalt radiation in 1967, the hospital

has a tradition of offering the latest treatment and

diagnostic equipment, ranging from da Vinci robotic

surgery in 2009 to 3-D mammography in 2014. Most

recently, Baptist Health announced expanded availability

of clinical trials through the National Cancer Institute

(NCI).

About the Cancer Program AT BAPTIST HEALTH PADUCAH

Peter Locken, MDRadiation Oncologist l Chairman, Cancer Committee


Baptist Health therapists passionate about

helping lymphedema patientsCertified lymphedema therapists Holly Rodgers and Angie Lamb stay busy day in and day out with just one type of pa-tient – those suffering from lymphedema.

Rodgers and Lamb are the only certified lymphedema thera-pists in Paducah, and they are providing help and hope to people who once felt hopeless.

“I first got interested in lymphedema in physical therapy school,” Rodgers said. “I did my master’s research project on lymphedema. It’s one of those conditions that didn’t have that many people doing anything about it. Now it’s taken over my world.”

Lymphedema is a chronic disease that results in a buildup of lymph fluid or swelling that occurs when the lymphatic system is either faulty or damaged. The most common cause is cancer treatments that remove or damage lymph nodes or vessels. There is no cure, but it can be treated.

Rodgers and Lamb primarily see breast cancer patients who have been affected. They want to educate patients about treatment options before they develop Stage 2 lymphedema.

“Stage 2 is irreversible,” Lamb said. “To not even be told this is a possibility, they can feel blindsided. Therapy can make a big difference – the earlier, the better.”

Continued on page 5

Therapist Angie Lamb helps educate cancer patient Patricia Carter about lymphedema.


Study aims to reduce number of lymphedema patients

A team has formed to study ways to help lymphedema

patients in our area. The study title is “Decreasing the

Percentage of Patients with Stage 2 Lymphedema at

Initial Visit with Lymphedema Specialist: A Quality

Improvement Study.”

Team members are: Betty Kuiper, Tracy Phillips, and

Allison Lowe – Nursing Research; Holly Rodgers and

Angie Lamb – Outpatient Physical Therapy, Baptist

Health Rehabilitation; Freda Thompson – Education;

Amy Byassee – Intensive Care Unit; Chrystal Moore

– Medical Surgical Unit; Priscilla Phillips – Outpatient

Surgery; Teresa Pritchett and Terri Walters – Outpatient

Oncology.

This study explores the concern that 30 percent of the

lymphedema patients being treated at Baptist Health

Rehab are presenting with Stage 2 lymphedema at

the initial evaluation, and have a knowledge deficit in

regards to risk factors, prevention and signs/symptoms

of lymphedema.

Actions taken by team:

• Development and implementation of a formal

education process for Baptist nurses, physical

therapists, physicians and breast cancer patients,

which includes the risk factors, prevention and

signs/symptoms of lymphedema.

• Development and implementation of a formal

screening process for pre-operative arm

measurements to establish a baseline for Baptist

breast cancer surgery patients.

Rosemary Langston had breast cancer surgery in 1990, but she wasn’t educated about lymphedema. Her right arm is permanently swollen, and she wears a compression garment all the time.

Breast nurse navigator Terri Walters, RN, told Langston about the therapy offered at Baptist Rehab. Even though she has Stage 2, she still saw reduced swelling after her treatments with Rodgers and Lamb. They also taught her how to do exer-cises at home to help the condition.

“I think if I had the same surgery today, things would be differ-ent,” she said.

That’s the goal of Rodgers and Lamb. They are part of a new team at Baptist Health Paducah studying how to help educate patients about lymphedema before surgery. Arm measure-ments are now taken on all breast cancer patients before sur-gery, so swelling is recognized when the arms are measured again after surgery.

Patricia Carter is currently undergoing treatment for breast cancer, but she has already begun therapy for lymphedema. “My arm felt tingly and maybe it shouldn’t have been,” she said. “They’ve taught me how to do exercises and massage. It’s helped my attitude for one thing. There is help.”

Physical therapist Holly Rodgers assesses the swelling in Rosemary Langston’s right arm.


Genetic counseling NOW AVAILABLE AT BAPTIST HEALTH

Every October women are reminded that

they have a 1 in 8 chance of developing

breast cancer, simply by virtue of their

gender. But some women are at even

greater risk by virtue of their genes.

For example, someone with an inherited mutation in the BRCA 1 or 2 gene could have as high as a 7 in 8 chance of developing breast cancer, as well as increased risk of ovarian, skin, pancre-atic and prostate cancers, too.

Local counselingUntil recently, however, western Kentuckians had to travel to Lexington, Louisville or Nashville, Tenn., to speak with a genetic counselor. Now they can speak with Baptist Health Lexington’s

Meet Our Breast Nurse Navigator

Terri Walters Breast nurse navigator Terri Walters, RN, has worked at Baptist Health Paducah for nearly 35 years. She worked in the radiation therapy department for 18 years, before becoming a nurse navigator in 2012. She has been an oncology certified nurse for 20 years.

As nurse navigator, Walters assists with CancerPort, a breast cancer support group, serves as captain of the hospital’s Relay for Life team, and helped develop the genetic counseling program for Baptist Health Paducah, in collaboration with the genetic counselor at Baptist Health Lexington. But most of her time is devoted to breast cancer patients navigating through the healthcare system after they receive a diagnosis. That process includes:

• Assist in scheduling breast biopsies• Educate patients of the biopsy process• Assist the technicians with ultrasound guided and

stereotactic guided biopsies• Assist with radiation therapy breast cancer patients• Assist with outpatient chemotherapy breast cancer patients • Educate the breast cancer patients• Assist with referrals for breast cancer patients for

lymphedema evaluations

“Receiving a breast cancer diagnosis is scary,” she said. “Patients are often confused about procedures and treatments. As a nurse navigator, I can hold their hand and be a support every step of the way.”


senior genetic counselor, Sara Campbell, without leaving Pa-ducah. Baptist Health Paducah offers counseling with Campbell via a secure video conference system as a free service to those seriously considering genetic testing or to those who have been tested and need help exploring their options.

“Genetic counseling is an important component of genetic test-ing for a couple of reasons,” Campbell said. “You want some-one pursuing genetic testing to give informed consent, and part of that process is understanding all the implications of the possible results – from personal implications such as cancer risk management to what it could mean for family members who might carry the same gene.”

Only five or so years ago, BRCA1 and 2 were among the only genes doctors were testing regularly. Now an individual can be tested for mutations in as many as 32 different genes, simulta-neously. Genetic counseling has become even more necessary as genetic testing has become more complex, Campbell said.

Only about 5 to 10 percent of cancers are hereditary; most are sporadic. Of those who find themselves in that 10 percent with genetically increased risk, Campbell said she sees about half opt for preventive surgeries like actress Angelina Jolie so famously did in 2013. Increased screening and monitoring is also an option.

Taking actionFor mother Donna Galloway, of Graves County, and daughter Brittany Farr, of Murray, genetic testing pushed them to make some difficult decisions, but they’re thankful for it.

Farr, 38, has had breast cancer on her radar since her mid-20s, when her mother was diagnosed with it in 2002 at the age of 49. Farr started getting yearly mammograms at 27, just to be safe. When her mother found a cancerous lump in her other breast in 2007, and a melanoma in 2008, Farr started to worry that yearly mammograms might not be enough. She started asking her doc-tor about genetic testing, and after weighing her options with the help of a genetic counselor, she decided that if she tested positive, she’d have a preventive bilateral mastectomy.

When she tested positive for the BRCA2 gene, she kept her word. At the age of 33, Farr had both of her breasts removed, slashing her risk of breast cancer from greater than 80 percent to less than 10.

“I had always said that if mine came back positive that I was going to go ahead and have the mastectomy,” she said. “When you’re told you’re kind of like a ticking time bomb, you’re ready

to do something about it. I just knew I would constantly worry about it if I didn’t.”

After Galloway’s daughter tested positive for BRCA2 in 2011, and Galloway found yet another lump under her skin this year — breast cancer, for the third time — she decided to get tested too and find out, definitively, what she’s dealing with. Galloway was tested for a full panel of nearly 30 possible genetic muta-tions, testing positive only for BRCA2, just like her daughter.

Through counseling with Campbell, she’s developed a plan for herself to monitor her specific cancer risks closely and do everything she can to thwart her body’s genetic predisposition to developing cancer.

Because of her and her daughter’s results, her brother and sister got tested. Luckily, neither came back positive.

For Farr, her genetic battle isn’t over. She still faces an abnor-mally high risk of developing ovarian cancer. Her doctors have suggested she have a complete hysterectomy at 40, which would once again reduce her risk of cancer. However, it also would send her into early menopause. She has a few more years to think on it, but she’s once again leaning toward taking action. She has no regrets about opting for the mastectomy, she said.

Risk factorsAccording to the National Comprehensive Cancer Network, if your personal or family health history includes any of the following, you should strongly consider genetic counseling and testing:

l Breast cancer by age 40l Breast cancer by 50 AND a close relative with breast or

ovarian cancer by 50l Male breast cancer in familyl Breast cancer at any age AND two or more relatives with

breast cancer at any agel Cancer in both breastsl Ovarian, primary peritoneal or fallopian cancer at any agel A close relative with a BRCA mutationl Triple negative breast cancer

Credit: The Paducah Sun

Think you might be a candidate for genetic counseling and testing?

Speak with your doctor or contact Terri Walters at Baptist Health Paducah at 270-415-7631 or [email protected].


Baptist Health Paducah hosts Topping Out ceremony for

Regional Cancer Care Center Members of the community made their mark – literally – on the Regional

Cancer Care Center under construction at Baptist Health Paducah.

The hospital hosted a Topping Out ceremony in late summer at the construction site near Broadway and 24th street to celebrate the final steel beam being lifted into place. The pub-lic was invited to sign the beam prior to the ceremony.

Traditionally, in construction, topping out is a builders’ rite held when the last beam is placed atop a structure before interior finishing work and installation of mechanical, electri-

cal and plumbing systems. The beam is often signed by those involved in the building project and adorned with the American flag and a small evergreen tree, symbolizing hope and “the birth of life.”

“This tradition fits perfectly with the mission of the Regional Cancer Care Center,” said William A. Brown, hospital president. “The center will be focused on healing and providing the same quality cancer care Baptist Health Paducah has offered since 1967. It has been designed to pull all of our services together in the most convenient and comfortable new environment for our patients and their families.”

Construction is expected to be completed in 2017 on the two-story 44,000-square-foot center. It will feature a serene healing atmosphere with private chemotherapy rooms and family space, lab and physician offices. The existing 12,000-square-foot Earl Feezor Regional Radiation Therapy Center, adjacent to the new construction, will also be renovated.

Since 2001, Baptist Health has been the area’s only nationally-accredited multi-disciplinary cancer center, treating about 1,200 patients a year, including approximately 110 outpatients daily for radiation and chemotherapy.


Most Common Cancers at Baptist Health Paducah

2011 2012 2013 2014 2015

Lung Lung Lung Lung Lung

Breast Breast Breast Breast Breast

Prostate Prostate Prostate Prostate Prostate

Colon Melanoma Colon Colon Colon

Melanoma Colon Kidney and Bladder Kidney Melanoma

883

941 932967

990

2011 2012 2013 2014 2015

All Cancers at Baptist Health PaducahNumber of New Cases

Nicholas Lopez, MDCardiothoracic Surgeon Physician Liaison, Cancer Committee

“Most folks think about pancreatic cancer, breast cancer, colon cancer, but actually lung cancer is the cancer that kills more folks than all those combined. There are two major preventative strategies in treating the potential of lung cancer. The first thing is to try and do everything you can to quit smoking. That’s going to reduce your risk. The next most important thing is screening. So, it’s a matter of having a conversation with your physician. Express concern that you want to have a screening and come to the hospital. Get a cat scan. It is a matter of a few minutes, and then you talk over the results with the physician. Early detection is key to overall survival and also for the most amount of options for treatment.”

Baptist Health Paducah Receives the 2016 Women’s Choice Award® as one of America’s Best Hospitals for Cancer Care For the second consecutive year, Baptist Health Paducah received the 2016 Women’s Choice Award® as one of America’s Best Hospitals for Cancer Care.

The evidence-based designation is the only cancer care award that identifies the country’s best health-care institutions based on robust criteria that consid-ers female patient satisfaction, clinical excellence and what women say they want from a hospital.

The list of 366 award winners represents hospitals accredited by the American College of Surgeons’ Commission on Cancer. Baptist Health Paducah has earned this accreditation consecutively since 2001, signifying its commitment to meet the highest stan-dards in cancer care.

“Baptist Health Paducah is honored to be recognized nationally for our commitment to cancer care,” said president William A. Brown, “because, since 1967, we have been devoted to providing a place of healing and hope for people dealing with cancer.”

Over five decades, Brown said the hospital has invested in the latest technology and assembled an expert and compassionate team for the diagnosis and treatment of cancer. Now, an $18.3 million Re-gional Cancer Care Center is under construction on the northeast end of its campus.

In addition to national accreditation, the Women’s Choice Award hospitals also are scored based on their patient recommendation rating from the Cen-ters for Medicare and Medicaid Services’ (CMS) Hos-pital Consumer Assessment for Healthcare Providers and Systems (HCAHPS) survey.

Additional criteria included on-site chemotherapy, radiation or hospice, and cancer research activities. Hospitals were penalized for having high infection rates.


Oncology Resource RoomOPENS IN 2016

Cancer patients and their families have a new asset at their disposal for understanding, handling and overcoming their diagnoses: the Baptist Health Paducah Oncology Resource Room.

The space, which opened to patients in January, was designed to offer cancer patients a safe space to gather, learn about their disease, and have immediate access to things like wigs and educational materials.

The room was funded in large part by the Your Fight Fund, cre-ated by Baptist Health’s oncology staff to help their patients through treatment.

The room hosts support groups, meetings of Paducah’s Breast Cancer Support Group and the Look Good Feel Better program, as well as scores of individuals who have stopped in for wig fittings and private research. It’s equipped with comfy couches and chairs, a conference table, two computers and a printer, plus shelves and cabinets stocked to the max with wigs, hats, books and pamphlets free for the taking.

The room also houses a teleconferencing system for con-necting securely to Baptist Health Lexington for counseling sessions.

“We have three or four new chemo patients every day,” said Natalie Quint, oncology social worker at Baptist. “Being able to bring patients down here and get them a wig fitted, I just think they feel like someone’s taking care of them. It helps them feel better. That’s been amazing.”

“It’s like when kids are little, and they want to walk out with their new shoes and put their old ones in a bag,” added Terri Walters, oncology nurse navigator. “They walk out with their wigs, and they’re just beaming.”

The Resource Room is rich with tangible items — makeup kits, books, wigs packaged in pink Victoria’s Secret boxes — but its biggest resource can’t be held, worn or taken home. It’s the room itself.

“It’s so roomy and comfortable, and more like a home than a hospital,” said Gladys Hickman, an eight-year breast cancer survivor and member of the Breast CancerSupport Group. “It’s like a little safe haven for us.”

CREDIT: The Paducah Sun

Natalie Quint serves as oncology social workerNatalie Quint, LSW, has been an oncology social worker at Baptist Health Paducah for the past year. She has experience in addiction counseling, private practice, community mental health and school social work.

Quint has a bachelor’s degree from the University of Tennessee and master’s from Southern Illinois University in Carbondale. She is a licensed clinical social worker in Illinois and Kentucky. While working in Illinois, she received the Les Easterday, Lois Lane and Helping Hands award for work in starting MCDAC, an anti-drug awareness coalition in 2011.

Photo Credit: Genevieve Postlethwait


National consortium partnership brings

LEADING-EDGE CANCER RESEARCH

to Baptist Health communities, launches first study

A national consortium of healthcare

organizations – including Baptist Health

– that uses sophisticated data collection

to match cancer patients with the

appropriate clinical trials has launched

its first research study.

Baptist Health entered into a partnership in 2015 with the Guardian Research Network, to gather and share critical information on hundreds of thousands of cancer patients. In addition to dramatically reducing the time it takes to find an appropriate clinical trial, the advantage to patients is that they can receive these cutting-edge treatments in their own communities.

Patient information is analyzed to rapidly match the person with advanced clinical research trials specifically targeted to his or her individual tumor type and genetic makeup.

The partnership has launched its first research study – called GRAIL -- to see if a new blood test can be used to detect cancer earlier than standard screening tests. Study participants must never have had cancer OR been recently diagnosed with cancer but not started treatment.

Besides Baptist Health, three other healthcare systems are part of the Guardian Research Network: Bon Secours Health System (based in Maryland), Mercy (Missouri) and Spartanburg Regional Healthcare System (South Carolina). These healthcare systems bring 76 hospitals in nine states to the network.

Betty Kuiper, APRN Research Coordinator

“The clinical trial is where we offer patients the

opportunity to participate in treatment trials for

cancer. They can be drug treatment trials. They

can be observational studies or they can be

biospecimen studies.”

“The reason I would want to encourage people

to participate in clinical trials is there is a cure

out there. We just haven’t found it yet. By

them participating in the trial, they’re giving us

information, their blood and tumor tissue, they’re

giving hope to people in the future, where we can

map their genomics and their genetics and things

like that to give patients hope and, you know,

possibly even cure their cancer.”


Health FairsBaptist Health Paducah provides educational displays, materi-als and screenings at community events. The Kentucky Cancer Program offers the Dermascan™ Unit to show how sun damage can lead to future skin cancers.

Kentucky Cancer Program ShowA new program airs monthly on Paducah 2, a station hosted by West Kentucky Community & Technical College. Baptist Health Paducah doctors and employees are interviewed about various cancer topics. The programs are archived at http://tv.westkentucky.kctcs.edu/videoclips/ky_cancer/

Smoking CessationThe Kentucky Cancer Program offers Plan to Be Tobacco Free classes to help people become non-tobacco users. The one-time hourly class is offered at Baptist Health Paducah and includes free resources to help a person quit, medications and how to appropriately use them, and individualized assistance with a quit plan. For more information or to pre-register for a class, phone 270.442.1310.

Social MediaThrough social media, you can receive cancer education and learn about future cancer screenings. Like our FACEBOOK page at facebook.com/BaptistHealthPaducah.

Stomping Toward a Cure raises more than $30,000 for Your Fight FundRyan and Joelle Long of Texas Roadhouse presented a $32,000 donation to Baptist Health Foundation Paducah and the Your Fight Fund, represented by Tonya Rittenberry and Jason Heilig of Radiation Therapy. They raised the money from donations through the Stomping Toward a Cure event in November.

Treatment and Emotional Support

American Cancer Society Information Center Trained specialists assist cancer patients, their families and the public 24/7 at the American Cancer Society’s toll-free num-ber: 1.800.227.2345. Specialists provide current information on housing, financial assistance, support groups, American Cancer Society programs and other local resources. Cancer information also is available online at cancer.org.

National Cancer Institutes (NCI) Cancer Information CenterNCI’s central Web site, cancer.gov, has extensive information on cancer prevention, diagnosis, treatments, statistics, research, clinical trials and news, as well as links to other NCI Web sites. Trained cancer control specialists are available at the toll-free hotline (1.800.4.CANCER) to answer questions and provide cancer education materials.

COMMUNITY OUTREACHCancerport, a breast cancer support group, started using the oncology resource room for their meetings in 2016.


Local Cancer Resource GuideThe Kentucky Cancer Program provides the PATHFINDER, an easy-to-use online tool that links cancer patients and their fami-lies to a variety of cancer resources in their area, as well as state and national resources. The guide is available at www.kycancer-program.org by clicking on the Pathfinder link located on the homepage. For more information, phone the Kentucky Cancer Program at 270.442.1310. The American Cancer Society Personal Health Manager (PHM) is an organizational portfolio for newly diagnosed patients with information relevant to their type of cancer. The tool helps them make educated health decisions and connects them to local resources and services. The kit is a file folder that provides space for patients and caregivers to record physician contact information, appointment times, test results, medicines and insurance information.

Cancerport The third Tuesday of every month, Cancerport, a breast cancer support group, meets at Baptist Health Paducah radiation thera-py department at 5:30 p.m. with dinner provided. The Kentucky Cancer Program and Baptist Health Paducah have partnered to offer this support group to the community. Cancerport has been a long standing breast cancer support group that offers differ-ent topics each month and peer support along with professional support. To be added to the monthly mailing list, please phone Kentucky Cancer Program at 270.442.1310.

Look Good…Feel Better The American Cancer Society’s Look Good…Feel Better is a beauty program for women who are going through or recently completed treatment offered monthly at Baptist Health Paducah. ACS-trained volunteer cosmetologists teach makeup techniques, skincare and options related to hair loss, such as wigs, turbans and scarves. The American Cancer Society provides wigs, bras and other prosthetic items, and each participant receives a free cosmetics kit. To register, phone 1.800.227.2345.

I Can Cope The American Cancer Society’s I Can Cope program is an online educational program for people facing cancer – either personally, or as a friend or family caregiver. It provides information about cancer diagnosis and treatment and offers practical help in cop-ing with emotional issues. The I Can Cope program highlights issues, including pain control, nutrition and finance management for cancer patients. To register for the program, visit cancer.org/icancope.

SPECIAL PROJECTS‘Shine a Light on Lung Cancer’ Baptist Health Paducah hosted a lung cancer vigil on Nov. 17 as part of a national campaign sponsored by the Lung Cancer Alliance to bring hope and support to the lung cancer community. Lung cancer is the most common cancer treated at Baptist, as well as the most common cancer in the U.S. Speakers were cardiothoracic surgeon Nicholas Lopez, MD; lung cancer patient BA Hamilton, and Joel Jackson, chaplain. Music was provided by Veretta Price and Kristen Ellenberger of outpatient chemotherapy.

Colon CancerMore than 200 people walked through the Incredible Colon in March during Colorectal Cancer Awareness Month and received education about polyps. Only 14 people qualified for the free screening made available to people who have a risk of colon cancer and never had a colonscopy. Of those 14 people, two people sent their tests to the lab. They both had negative results. The Kentucky Cancer Program provides this free exhibit. Most people walking by are going to the doctor, so they are more pro-active about their health than the general population and more likely to have had a colonoscopy. Because of these factors, they do not qualify for the screening. The Cancer Committee feels this screening is valuable for education alone, but we may consider another location to reach a population at greater risk.

Relay for Life of McCracken County Baptist Health Paducah employees raised more than $13,000 in 2016 for American Cancer Society research.


SCREENING AND EDUCATION Baptist Health Paducah offers regular educational events and screening opportunities for the community.

Skin CancerIn cooperation with the Kentucky Cancer Program, dermatologists and their physician assistants screened 147 people for skin cancer on July 16. In all, 76 were referred to a physician, as noted below. Participating physicians and physician assistants were Hal Ford, MD, Evelyn Jones, MD, Lacy Boyd, PA, Mindy Garrett, PA, Christy Hart, PA, and Lisa Boget, PA. The skin cancer screening fills up quickly. The cancer committee feels this screening is valuable because people reached during follow-up calls appreciate the screening, and many say they have already had a biopsy or a suspicious spot removed.

Screening Results

Lung CancerLung cancer screening with low-dose computed tomography scans, and appropriate follow-up care, significantly reduces lung cancer deaths.

Medicare and insurance now cover low-dose CT lung screenings with a doctor’s order. The screening is available to those who meet these criteria:• 55 to 88 years old (55 to 77 for Medicare)• 30 pack-year smoker or former smoker who has quit within the past 15 years• Asymptomatic

Approximately 223 Low Dose CT lung cancer screenings have been completed in 2016 at Baptist Health Paducah, including the screenings that are part of the Workers Health Protection Program through Queens College.

Bone Marrow DriveBaptist Health Paducah partnered with Be the Match, operated by the National Marrow Donor Program®, to host its second annual bone marrow drive in April 2016. Oncology nurse April Baker, RN, organized the drive in 2015 in memory of former patient Heather Sell, who lost her battle with leukemia in December 2014.

Age Group Participants Total % ReferredParticipants Referred % Non-Referred

Participants Non-Referred %

90-100 3 2% 0 0% 3 2%

80-89 16 11% 10 7% 6 4%

70-79 44 30% 23 16% 21 14%

60-69 30 20% 16 11% 14 10%

50-59 23 16% 15 10% 8 5%

40-49 12 8% 4 3% 8 5%

30-39 14 10% 7 5% 7 5%

20-29 1 1% 1 1% 0 0%

10-19 3 2% 0 0% 3 2%

0-9 1 1% 0 0% 1 1%

Unknown 0 0% 0 0% 0 0%

TOTALS 147 100% 76 52% 71 48%

ProblemsReferred

ActinicKeratosis

AtypicalNevus

Rule outMelanoma

Basal-cellCarcinoma

Squamous-Cell

CarcinomaOther Total

# referred 21 26 1 21 2 5 76

% of total participants 14% 18% 1% 14% 1% 3% 52%


Paducah Regional Ostomy Support GroupThe support group meets the first Monday of each month in the atrium classroom in Medical Park 2 at 7 p.m., facilitated by Bonita Cloyd, RN. To be added to the mailing list, please phone the Kentucky Cancer Program at 270.442.1310.

Reach to Recovery The American Cancer Society volunteer visitation program matches breast cancer survivors with those concerned about breast cancer. Whether the person has been diagnosed with breast cancer, had surgery or found a suspicious lump, a Reach volunteer lends an ear, shares resources and offers emotional support. To schedule a visit, phone 1.800.227.2345.

Road to Recovery Through this program, the American Cancer Society provides cancer patients with transportation to and from medical facilities for treatment. Volunteer drivers help keep them on their regular treatment schedule. To schedule a ride, phone 1-800-227-2345.

Supporting ServicesOncology RegistryThe Oncology Registry keeps a database of all cancer patients diag-nosed and/or treated at Baptist Health Paducah since 1995.

This information is vital for program improvements, administrative planning and the reporting of patient outcomes. It is a valuable re-source for researchers from the National Cancer Institute and other agencies seeking to determine the most effective treatment methods. Accreditation by the Commission on Cancer of American College of Surgeons requires the registry to perform timely updates on cases. Registry personnel are trained to collect patient treatment informa-tion, provide statistical data as requested, participate in weekly tumor conferences and assist with community early detection programs.

The registry staff works closely with the American Cancer Society and the Kentucky Cancer Program. For more information, phone the registry at 270.575.2823.

Radiation TherapyBaptist Health Paducah Center for Cancer Care incorporates the area’s most innovative technology with an experienced and dedicat-ed team trained to provide radiation treatment with compassion.

A Continuing Quality Improvement Program is in place to meet the high standards of the American College of Radiology and the American College of Surgeons accreditations. Program members coordinate efforts to ensure continuous improvements of patient care and outcomes.

Before a patient’s first treatment, he or she meets with a radiation oncologist to determine what kind of radiation will be most effective. The team includes a nurse practitioner, physicist, dosimetrist, regis-tered radiation therapists and oncology certified nurses.

Radiation treatments cannot begin before simulation – a process by which the radiation treatment fields are defined, imaged and marked on the patient’s skin. Baptist Health Paducah uses the Brilliance CT Big Bore scanner to provide images for personalized treatment.

The goal is to create a pathway directly to the tumor to protect the patient’s healthy tissue, while providing the patient with as much comfort as possible to reproduce the same results every day. The treatment unit parameters are transported to the Eclipse Treatment Planning System to develop the physician-prescribed complex radia-tion therapy.

Often used for diagnostic purposes, CT, MRI and PET (Positron Emission Tomography) scans also are used in radiation treatment planning. These technologies offer a clear picture of the patient’s body which allows precision planning for treatment involving 3D, IMRT or IGRT treatments.

SPECIAL PROJECTS

Breast Cancer Luncheon Baptist Health Paducah and the Kentucky Cancer Program hosted a special luncheon on Friday, Oct. 30. More than 100 breast cancer survivors, caregivers and others interested in learning more about cancer attended. The speaker was Lisa Crites, a breast cancer survivor and award-winning inventor of The SHOWER SHIRT®, the first and only patented water-resistant garment to protect mastectomy/chest surgery patients while showering.

‘Lilly Oncology on Canvas’An art exhibit, sponsored by the Eli Lilly pharmaceutical company, was displayed this fall at Baptist Health Paducah. Lilly Oncology sponsors the annual competition to help patients and their caregivers cope with the emotional effects of cancer. Along with the National Coalition for Cancer Survivorship, Lilly Oncology invites people affected by cancer in the U.S., Puerto Rico and Canada to submit art or narrative expressing life-affirming changes that result from their cancer journeys.

Treatment options include:

Linear Accelerator – The linear accelerator delivers the radiation treatment. It produces ionizing radiation to destroy cancer cells.

Photon/Electron Radiation – Photon radiation is used to reach deep tumors. Electron radiation is used for the outer layers of the skin. The physician decides which form of radiation based on the cancer type and location.

IMRT (Intensity Modulated Radiation Therapy) – This noninvasive procedure allows for pinpoint delivery of radiation therapy, result-ing in better tumor control with less toxicity. Better control results in less damage to the healthy tissues and organs surrounding the tumor, increasing a patient’s chance of a better quality of life.

3D Conformal Radiation – This form of radiation therapy is best for irregularly shaped tumors or tumors close to healthy tissues and organs. The technique sculpts radiation beams to the shape of the tumor and can be viewed in three dimensions, allowing the beams to deliver radiation to the tumor from several directions. Matching the radiation dose to the exact tumor dimensions allows a higher dose to be delivered, while limiting radiation exposure to surrounding healthy tissues.

High Dose Brachytherapy – Tiny radioactive sources, about the size of a grain of rice, are inserted in or around the cancer. The seeds are removed after several minutes. This offers greater accessibility to the site with shorter treatment time, improved patient comfort, more precise treatment capabilities and fewer side effects on normal tissue. It primarily is an outpatient service.

IGRT (Image-guiding Radiation Therapy) – IGRT treats prostate cancer and more by combining imaging and treatment capabilities on a single machine. Because tumors can move, IGRT allows doctors to see and track the tumor at the time of treatment. Very fine adjust-ments can be made to your position to pinpoint radiation therapy treatment protecting healthy tissue. This accuracy results in higher radiation doses to the tumor.

Outpatient Chemotherapy – Oncology-certified nurses provide highly individualized, quality care in a convenient setting. Patients are encouraged to bring personal items from home to make the day more comfortable while watching their favorite TV programs in lounging chairs. Treatment services include chemotherapy protocols (oral and intravenous medication), blood transfusions, intravenous in-fusions, antibiotic therapy, therapeutic phlebotomies and hydration.

Da Vinci TechnologyBaptist Health Paducah brought the first da Vinci robotic surgery to western Kentucky in 2009 and added a second robot in 2012, adding lung surgery to prostate, kidney and throat cancer procedures. Most patients experience less post-operative pain and a shorter hospital stay.

The system seamlessly translates the surgeon’s hand, wrist and finger movements into precise, real-time movements of surgical instruments inside the patient – reaching areas they could not reach with traditional surgery with minimal incisions.

Patient benefits include reduced trauma to the body, reduced blood loss and need for transfusions, less risk of infection, faster recovery and less scarring.

Medical Oncology UnitThe second-floor medical oncology unit features 25 private rooms and two suites. The unit is staffed by medical oncologists, radiation oncologists and specially trained oncology nurses. Staff belongs to

several hospital committees, including the Radiation Safety Com-mittee, Cancer Committee, Integrated Quality and Practice Coun-cil and Oncology Nurses Society. The center is led by caring and compassionate staff who work to educate patients and families. Also available are social services, case management, chaplain and home care services.

Tumor ConferencesA team of healthcare professionals has been meeting weekly for 25 years in tumor conferences to review individual cases. The team interaction has advanced the skill and proficiency for all involved, including:

Medical and Allied Health Staff – Sharing the common goal of providing the best care possible, these professionals include physi-cians from surgery, medical oncology, radiation oncology, diagnos-tic radiology and pathology to discuss and contribute to complex cancer cases. Ten percent of the members of the cancer care team must attend tumor conferences. Allied health professionals also are encouraged to attend.

Patients – Tumor conferences provide a free consultative service to the patients. The committee of experts shares knowledge and expertise to help and heal patients.

Clinical TrialsMany treatments used today resulted from clinical trials. Clinical trials involving people are the final step in a long process that begins with research in a lab with animal testing. Strict guidelines called proto-cols are followed during clinical trials to offer high-quality cancer care. Clinical trial participation gives individuals the opportunity to volunteer to help others and improve cancer treatment. Participants may be the first to benefit from new treatments.

Clinical trial participation is available through local medical on-cologists or by referral. For more information, contact a medical oncologist or the Baptist Health Paducah Oncology Registry at 270.575.2929.

Lymphedema TherapyLymphedema is a potential side effect of breast cancer surgery and radiation therapy that can appear in some people during the months or even years after treatment ends. Lymph is a thin, clear fluid that circulates throughout the body to remove wastes, bacteria, and other substances from tissues, while edema is the buildup of excess fluid. Lymphedema occurs when too much lymph collects in any area of the body. Physical therapists Holly Rodgers, PT, DPT, and Angie Lamb, PTA, CLT-LANA, are certified to offer lymphedema therapy at Baptist Health Rehabilitation. For more information, phone 270.534.1200.

Palliative CareProviding excellent care at all stages of life is central to our vision at Baptist Health Paducah. Our palliative care program is devoted to providing family-centered care to those with chronic disease or life-limiting illness, whether the goal of therapy is curative, disease-modifying or comfort.

Palliative care differs from hospice care. Unlike hospice, palliative care is intended for patients with life-limiting illnesses, not just those with imminently terminal conditions. The purpose of the palliative care program is to help patients experiencing chronic disease or serious life-limiting illness and their families through the course of their disease.


Baptist Health Paducah2016 Cancer Committee Members

Chairman Peter Locken, MD

ACoS Cancer Liaison Nicholas Lopez, MD

Radiology Oncology Peter Locken, MD

Radiology Vernon Duncan, MD/Eric Shields, MD

Pathology Carolyn Watson, MD

Ancillary MembersAdministration William A. Brown, President

Bonnie Schrock, Chief Operating Officer

Medical/Oncology Unit Mary White, RN, Oncology Director

Social Services Natalie Quint, LSW, Oncology

Palliative Care Sharon Freyer, RN

Marketing Angie Kinsey Timmons, Marketing/PR

Research Betty Kuiper, PhD-C, Coordinator

Cancer Conference Betty Copeland, CTR

Registry Quality Donna Schmidt, CTR, Coordinator

Cancer Program Michael Tutor, Oncology & Imaging Director

Education Maria Hayden, Director

Radiation Therapy Tonya Rittenberry, RT

Laboratory Jena Flood, Director

Pharmacy Staci Anderson, Pharmacist

Pastoral Care Joel Jackson

Kentucky Cancer Program Jamie Smith, Cancer Control Specialist

American Cancer Society Ellen Schroeder, Health Initiatives Rep.

Baptist Health Paducah Center for Cancer Care2501 Kentucky Ave l Paducah, KY 42003

BaptistHealthPaducah.com/cancer

Documents

2016 - Baptist Health · therapists, physicians and breast cancer patients, which includes the risk factors, prevention and signs/symptoms of lymphedema. • Development and implementation