FULL SWING - Cookeville Regional Medical Center

Transcription

Worry Free, Thanks to
Robotic Prostatectomy
CRMC Expands Nurse
Navigator Program
Current Clinical Trials
at Cookeville Regional
The CANCER PROGRAM at
COOKEVILLE REGIONAL
MEDICAL CENTER
2015
staying in
FULL SWING
The Cancer Program uses
tomotherapy to treat cancer patients
like HERSCHEL JUDD
right here at CRMC.
CONTENTS
making
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Making Strides
STRIDES
OUR YEAR IN REVIEW
THE CANCER PROGRAM AT
COOKEVILLE REGIONAL MEDICAL
CENTER is pleased to share our year in review
with you. We have made many strides toward
improving and growing our oncology care in a
way that is meaningful to the most important
person we serve, our patient.
“Be kind, for everyone
you meet is fighting a
hard battle.”
Plato
The American College of Surgeons cancer
program accreditation renewal occurred this
year, and we earned commendation in many
areas, showing the team’s commitment to not
only meet these requirements, but exceed them.
Throughout this process, I was reminded how
multifaceted the care of the oncology patient is
and the commitment and collaboration it takes
from many diverse functions across the medical
community to be successful in this endeavor.
Our physicians and staff never disappoint –
they stand ready to do what it takes to ensure
oncology care at Cookeville Regional is second
to none.
technology was added this year as a way to
increase diagnostic accuracy in breast imaging
and adds another weapon in the arsenal of breast
cancer detection.
The lung cancer screening initiative has grown
this year, and a lung cancer navigator was hired
this summer. Both of these important aspects
of lung cancer care will be vital as we seek ways
to detect lung cancers at earlier stages when
treatment can be most effective and to ensure
patients diagnosed with this disease receive
expedient care.
In our quest to provide the best care to our
patients, our clinical trials program continues to
grow and provide answers on how best to treat
and employ targeted treatments in ways specific
to each patient’s tumor, with novel agents to
eventually outsmart cancer. Research is a vital
component of the future of cancer care as we
look for ways to improve cancer treatments.
Breast tomosynthesis (3D mammography)
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Lisa Bagci,
CRMC Cancer
Center Director
The Cancer Program is fortunate to have strong
community support. Our volunteers spend
countless hours in The Cancer Center and
across the medical center, giving their time and
talents in many ways. The Cookeville Regional
Charitable Foundation events, like the Summer
Splash 5K, CRMC and Anne Cameron Golf
Tournaments, Sip-Taste-Mingle and Pink Ribbon
of Hope Gala, in concert with grants from
Susan G. Komen, raise much-needed funds to
provide assistance to our patients through the
Cancer Care Fund and provide free screening
mammograms for patients without insurance or
with high deductibles. These unique aspects of
our program set us apart as we seek to truly be
there for patients walking the cancer journey and
to assist in any way we can.
Our vision of “Exceptional Care to Every
Patient, Every Day” remains our focus, and
we look forward to providing comprehensive,
compassionate oncology care close to home for
the residents of the Upper Cumberland in the
year ahead.
LISA BAGCI, BS, RHIA, CTR
DIRECTOR, CANCER CENTER
COOKEVILLE REGIONAL MEDICAL CENTER
The Cancer Program at Cookeville Regional Medical Center • 2015
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ACoS Accreditation
3D Mammography
Members of the CRMC
Cancer Committee
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Filling a Vital Need
5
Cancer Care Fund
6
Defeating Prostate Cancer
7
8
Know Your Prostate
A Common Bond
2016 Prostate
Screening Dates
9
Doing What She Can
10
Nurse Navigator Program
11
Lung Cancer Screenings
Workplace Smoking
Cessation Program
12
In the Community
13
In the News
14
Current Clinical Trials
15
CRMC Cancer Cases
Cancer Committee
Outreach Program
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Resources and Contacts
Supportive Services
Mitzi Dunham, patient, and Ellen Casey, RN.
ACoS Accreditation
COOKEVILLE REGIONAL
MEDICAL CENTER has once again
earned accreditation by the American
College of Surgeons’ Commission on
Cancer for its comprehensive cancer
program. The approval was granted
after a physician surveyor for the
Commission on Cancer completed an
on-site evaluation based on 34 standards
of excellence. Cookeville Regional
has voluntarily participated in the
Commission on Cancer’s accreditation
process for 12 years to demonstrate its
commitment to meet rigorous standards
and improve the quality of care for
patients with cancer.
3D Mammography
THE WOMEN’S CENTER AT
COOKEVILLE REGIONAL now
offers 3D mammography — the latest
in imaging technology for breast cancer
screening. 3D mammography produces
a three-dimensional view of breast tissue
that allows radiologists to identify and
characterize individual breast structures
by reducing the effect of overlapping
tissues in the breast. All women who
would undergo a standard mammogram
are candidates for 3D mammograms.
Members of the CRMC Cancer Committee are, from left, in front, Cancer Committee Chairman
Jonas Sidrys, M.D.; Lisa Bagci; Venumadhav Kotla, M.D.; Hemamalini Karpurapu, M.D.; Paul
Jacquin, M.D.; Algis Sidrys, M.D.; second row, Edith Knapp; Rhonda Crouch; Joy Curt; Beth
Slatten; Stephanie Miller; Buffy Key; Jennifer Bertram; third row, Kandy McGuire; Amanda
Brannon; Debe West; Wanda Richardson; and in back, Amy Ellis; Melahn Finley; Linda Moore;
and Shona Davis-Smith. (Not pictured are Josue Montanez, M.D.; Jason Nolan, M.D.; Grant
Rohman, M.D.; Syd Byrd; Pat Mullinax; Rita Phillips; Kim Burge; and Kelly Stockton.)
Dr. Jonas Sidrys
Cancer Committee Chairman
Lisa Bagci
Edith Knapp
Dr. Venumadhav Kotla
Dr. Hemamalini Karpurapu
Dr. Paul Jacquin
Dr. Algis Sidrys
Rhonda Crouch
Joy Curt
Beth Slatten
Stephanie Miller
Buffy Key
Jennifer Bertram
Kandy McGuire
Debe West
Wanda Richardson
Amy Ellis
Melahn Finley
Linda Moore
Shona Davis-Smith
Dr. Josue Montanez
Dr. Jason Nolan
Dr. Grant Rohman
Syd Byrd
Pat Mullinax
Rita Phillips
Kim Burge
Kelly Stockton
Amanda Brannon
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filling a
VITAL NEED
From left, Cookeville Regional CEO Paul Korth stops to chat with oncologist Venumadhav Kotla,
M.D.; Rosa Ramon, RN; and Jason Nolan, M.D., Chairman of CRMC Board
CANCER PROGRAM COMMITTED TO OFFERING THE BEST POSSIBLE CARE
TWENTY YEARS AGO, THE
ADMINISTRATION AT COOKEVILLE
REGIONAL sought to determine what our
community and region needed most at that
time in terms of health care. They discovered
that the region was underserved in the area
of cancer care, especially given the fact that
the disease often requires frequent, ongoing
treatments.
“The strain of having to drive 100 miles one
way several times a week is an added burden
when patients need to focus that energy on
getting well instead,” said Paul Korth, CEO
at Cookeville Regional. “To know that there’s
a resource available in your hometown that
can take care of what you need is extremely
important, so we decided we needed to put in
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a comprehensive cancer program.”
Established in 1999, The Cancer Center at
Cookeville Regional quickly grew. In 2009,
it was moved to its current location in the
North Tower, where it tripled in size and
today continues to offer state-of-the-art
technology, treatments and care all in one
convenient, dedicated facility with its own
entrance and parking area.
“We feel that it’s important to offer our
patients high-quality care and to offer our
physicians the types of resources, medications
and equipment they need to provide this level
of care, such as the state-of-the-art da Vinci
robotics and surgery suite, the PET and CT
scanners, clinical trials, the TomoTherapy®
machine — the only one in the state — and
much more, to help with everything from
delivering the appropriate diagnosis to
delivering the appropriate care,” said Korth.
It seems that CRMC made the right choice
when it began the Cancer Program all those
years ago, because the need for cancer care in
the region is increasing.
“With the aging population of more and
more people being over 65, and the fact
that our population in this area is generally
older than the national average, the demand
for cancer care is going to be continually
increasing over the next several years,” said
Dr. Jason Nolan, pathologist/Chairman of
CRMC Board.
“The demand for
cancer care is going
to be continually
increasing over the
next several years.”
Dr. Jason Nolan
Chairman of CRMC Board
DELIVERING SMILES. Therapy dog Button, with CRMC Auxiliary volunteer Mary Dell
Sommers, visits with patient Ami Latine in The Cancer Center’s chemotherapy infusion
area. In addition to administering pet therapy, Auxiliary volunteers distribute snacks,
drinks, pillows, blankets and gift bags to patients at the Cancer Center and help in
countless other ways.
Cancer Care Fund Helps Meet Urgent Needs
To address the growing need, the CRMC
Cancer Program continues to expand the
resources it offers, adding equipment and
staff as needed.
“At some point, I would like to see some
outreach clinics, especially on the medical
oncology side,” said Korth. “We have two
linear accelerators today, and we’ll probably
need to add a third at some point in the
future. We continue to recruit additional
physicians for the program, and we have
recently expanded our nurse navigator
program to include a lung navigator in
addition to the breast health navigator.”
Whatever is needed, CRMC remains
committed to continuing to offer the best
possible care for residents of the Upper
Cumberland now and in the future.
“Unfortunately, cancer is a growing
diagnosis,” said Korth. “More and more
people are diagnosed with the disease each
and every year, and until there’s a cure for
that, we’ll try and do everything we can to
help those individuals fight this terrible
disease.”
CANCER CAN CREATE
PROBLEMS AND CONCERNS
that even the best medicine cannot
remedy and families cannot anticipate,
and a diagnosis of cancer is stressful
enough without the added burden of
financial concerns and unmet needs.
That’s why the Cookeville Regional
Charitable Foundation created the
tax-deductible Cancer Care Fund.
With zero overhead, 100 percent
of each donation goes directly to
patients and their families so patients
can concentrate on healing and not
worry about finding resources for basic
necessities.
Over the years, the Cancer Care Fund
— through generous donations from
patients, employees, members of our
community and businesses, along with
proceeds from the annual CRMC
Golf Classic — has been able to
provide assistance to patients through
gas vouchers, utility bill payments,
lodging, house payments, groceries,
insurance premiums, medicine and
medical supplies.
Patients receiving treatment in
The Cancer Center are screened by
oncology social workers. If patients
have needs that cannot be met by
traditional means, the fund is called
upon to help. You may even designate
that your funds be used to help with
specific needs, such as fuel cards for
cancer patients.
We are grateful for donations
made to the Cancer Care Fund. If
you would like to donate to this
worthy cause, please send your gift
to Cookeville Regional Medical
Center Cancer Care Fund, 1 Medical
Center Boulevard, Cookeville, TN
38501. Or, you can donate online at
cookevilleregionalcharity.org.
Donations made in honor of or
in memory of someone will have
acknowledgement cards mailed
alerting them of the generous gift in
their name.
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ON THE COVER
defeating
PROSTATE
CANCER
ROUTINE SCREENING
ALERTED PATIENT TO
HIGH PSA
DURING A ROUTINE ANNUAL
SCREENING AT COOKEVILLE
REGIONAL, Herschel Judd of Cookeville
learned that he had a prostate-specific antigen
(PSA) level of 12, a highly elevated reading
that is considered a marker for possible cancer.
After a biopsy confirmed that Judd did, indeed,
have cancer, he was referred to The Cancer
Center where Dr. Jonas Sidrys discussed his
options for radiation therapy — seed implants,
proton therapy and tomotherapy.
Judd opted against the first two options
because he didn’t want an invasive procedure,
he didn’t want to travel, and he wanted to
ensure that the treatment was successful in case
his cancer had spread.
“Dr. Sidrys told me that if you have the other
treatments and they don’t work, you come here
and have tomotherapy after that,” said Judd.
“So I sort of bypassed those other options and
came here first.”
Cookeville Regional is the only facility in the
state to offer tomotherapy. The TomoTherapy®
machine produces approximately 10,000
beams of targeted radiation that can be
delivered at assigned energy levels from any
point along a 360-degree track.
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Herschel Judd and Dr. Jonas Sidrys meet at the TomoTherapy® machine where Judd received his treatments.
“The idea is that we’ve got multiple beams
of different energies all converging towards
the target, and where they intersect, that’s the
area that gets the full dose,” said Dr. Sidrys. “It
allows us to minimize the radiation dose to the
surrounding tissue, but it also allows us to treat
the surrounding tissue if needed. The ability
to treat cancer cells that have traveled outside
of the prostate is an advantage that some other
treatment options don’t offer.”
Most patients receive daily, five-minute
treatments for seven or eight weeks, often
coming in for treatment before work or on
their lunch breaks. After treatment is complete,
patients have follow-up appointments every six
months to check their PSA levels.
“I’ve seen patients’ PSA levels drop for up to
three years after treatment,” said Dr. Sidrys.
“We like to see the levels go down to about 1.”
Judd finished up his eight-week course of
tomotherapy in November. Five weeks into
his treatment, his PSA level was already down
to 1.5.
“To my knowledge, since we started using the
TomoTherapy® machine in 2009, we’ve never
had any local recurrences,” said Dr. Sidrys.
“So, if the cancer is confined to the prostate
“[Getting screenings]
impacted and
probably saved not
only my life, but also
my husband’s.”
Nancy Judd
Six-Year Breast Cancer Survivor
gland, there’s a very high chance of cure with
tomotherapy.”
Now, both Judd and his wife, Nancy — a sixyear breast cancer survivor whose tumor was
also detected during an annual mammogram
— are firm believers in annual screenings.
“My cancer was found on a routine screening,
and his cancer was found on a routine
screening,” said Nancy. “I feel very strongly
about getting screenings because it’s impacted
and probably saved not only my life, but also
my husband’s.”
Ryan Yantz and Dr. Quinton Cancel talk during
a follow-up visit after Yantz’ prostate surgery.
Patient Living Cancer Free
and Worry-Free Thanks to
RYAN YANTZ, THE BUSY OWNER
OF A HEATING AND COOLING
COMPANY in Jamestown, had been avoiding
getting his routine annual blood work done for
at least two years when Dr. Chris Sewell, his
family physician and also a close friend, finally
persuaded him to have it done.
The tests found that Yantz, only 45 at the time,
had a PSA level of 4.8, considered high for
someone in his 40s. He was referred to Upper
Cumberland Urology Associates, where Dr.
Quinton Cancel performed a biopsy. Seven of
the 12 samples taken came back positive for a
low-grade form of cancer.
“Based on what we knew at the time, he had an
83 percent chance of cure and a good chance
that it was contained to his prostate,” said Dr.
Cancel.
Yantz had to make a choice between surgery
and radiation for his treatment.
“At my age, I wasn’t planning to have any
more children, and I didn’t want to give it an
opportunity to spread somewhere else or be
outside of the prostate,” said Yantz.
Dr. Cancel agreed with Yantz’ decision and
scheduled surgery.
“I think the main benefit of surgery is just
knowing the full extent of the cancer with
tissue analysis,” said Dr. Cancel. “And for
people like Mr. Yantz, if the disease is confined
to your prostate at the time of surgery, you’re
cured, and there’s very, very little chance of it
ever coming back.”
Dr. Cancel performed robotic prostatectomy
on Yantz using the da Vinci® surgical robot in
May 2013.
“With the technology we have now, it’s easier
to be more precise in how we take the prostate
out, how we spare the nerves for erection, how
we preserve the bladder neck, how we support
the urethra underneath, allowing us to have
better outcomes than before,” said Dr. Cancel.
Yantz returned to Dr. Cancel for follow-up
visits every three months for two years, and
now he only visits every six months.
“I was told I need to be the poster boy for
being checked early, because at 45, prostate
cancer is not something that you hear of a lot,
but it does happen,” said Yantz.
“I got to my room from surgery about 1:00 or
1:30 in the afternoon, and at 11:30 the next
morning, I was home,” said Yantz. “I never
even had any discomfort to speak of. A week
and a half later, I went back to work full time,
and I haven’t looked back since.”
Dr. Cancel recommends that all men get a
baseline PSA reading at age 40 to determine
what is normal for them and then to have
annual screenings beginning at age 45.
However, men in high-risk categories —
African Americans and those with a firstdegree relative who has had prostate cancer
— should begin having annual screenings at
age 40.
And, thanks to the precision the da Vinci
robot allows a surgeon to achieve, Yantz
regained all of his functions following surgery.
“I’m a firm believer in catching things early,”
said Dr. Cancel, “because then you stand the
greatest chance of cure.”
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QUIZ QUESTIONS
QUIZ ANSWERS
Know Your Prostate
1 TRUE. Prostate cancer can be found in
men younger than 40, but it’s very rare in
this age group. The risk of prostate cancer
rises rapidly after age 50 – about six in 10
cases of prostate cancer are found in men
over the age of 65.
4 FALSE. Most men are diagnosed with
prostate cancer when it’s still at an early
stage. There are many factors to take into
account before deciding on a treatment,
such as your age, your health and the
possible side effects of treatment.
2 FALSE. Early prostate cancer usually
doesn’t cause symptoms, but as it grows,
the cancer can cause things like problems
passing urine or having to go a lot,
especially at night; blood in the urine;
erection problems; or weakness and bone
pain. It’s important to see a doctor if you
have any of these problems so that the
cause can be found and treated, if needed.
5 FALSE. The American Cancer Society
DON’T BE FOOLED by rumors and
misinformation about prostate cancer.
Get the facts. Test your knowledge of six
common beliefs about prostate cancer.
1 MEN OF ANY AGE CAN GET PROSTATE CANCER.
TrueFalse
2 PROSTATE PROBLEMS OFTEN CAUSE MEN TO HAVE
TROUBLE PASSING URINE.
TrueFalse
3 PROSTATE CANCER IS VERY COMMON IN THE U.S.
TrueFalse
4 MEN WITH PROSTATE CANCER NEED TO GET
TREATMENT RIGHT AWAY.
TrueFalse
5 ALL MEN SHOULD BE TESTED FOR PROSTATE
CANCER.
TrueFalse
6 THERE’S NOTHING THAT CAN BE DONE TO LOWER
THE CHANCES OF GETTING PROSTATE CANCER.
TrueFalse
SOURCE: The American Cancer Society, www.cancer.org
3 TRUE. Other than skin cancer, prostate
cancer is the most common cancer in US
men. Each year, more than 230,000 men
are diagnosed with prostate cancer in the
U.S., and it’s the second leading cause of
cancer death in U.S. men, behind only
lung cancer.
recommends that men have a chance to
make an informed decision with their
health care provider about whether to be
checked for prostate cancer based on their
age and risk factors.
6 FALSE. We don’t know the cause of
most cases of prostate cancer, so we don’t
know how to prevent it. But there are
things you can do to help decrease your
chances of getting prostate cancer and
many other types of cancer. Check out
the American Cancer Society’s Guidelines
on Nutrition and Physical Activity for
Cancer Prevention (at www.cancer.org) to
learn more.
2016 Prostate Screening Dates
Cookeville Regional Community Fitness Fairs
February 13 and August 27, 7-10 a.m. CRMC Education Center.
Fairfield Glade Community Health Fair
March 9, 7-10 a.m. Fairfield Glade Conference Center
For information, call (931) 783-2743 or visit www.crmchealth.org/healthfair.
A Common Bond
THE CANCER CENTER AT
COOKEVILLE REGIONAL is
proud to offer a support group for
men who have experienced prostate
cancer.
Members of the Prostate Cancer Support Group, from left, are Peter
Bratjan, Steve Officer, John Howard, Stuart Mills and facilitator
David Graham.
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Started in 2013, the Prostate
Cancer Support Group offers these
men a place to be encouraged and
refreshed in the prostate battle
through hearing the experiences of
others and realizing they are not
alone in the journey. The group also
regularly hosts guest speakers from
the hospital who share information
on different prostate-related topics.
The Prostate Cancer Support
Group meets from 10-11 a.m.
the second Wednesday of each
month in The CRMC Cancer
Center conference room. For more
information or to sign up, call
(931) 783-2026.
(Left) Brenda Floeter with a photo of herself and her mother, who died of breast cancer in 2005. (Top right) Floeter shows the candles, vases and flowers she uses
for the Pink Gala table decorations. (Bottom right) Presenting Floeter, third from left, with the Cookeville Regional Charitable Foundation Volunteer of the Year
Award are, from left, Paul Korth, CRMC CEO; John Bell, executive director of the Cookeville Regional Charitable Foundation; and at far right, Jim Hughes,
Foundation board member.
Doing What She Can to
Fight Breast Cancer
FOR BRENDA FLOETER, raising funds to
fight breast cancer is personal. First, she went
through the breast cancer journey with her
mother, who ultimately lost her battle to the
disease in 2005.
Then, in the midst of her mother’s ordeal,
Floeter discovered a lump in her own breast.
She immediately scheduled a mammogram,
which located and confirmed the lump.
She was scheduled for a lumpectomy, and,
fortunately, a biopsy proved it was benign.
“I am absolutely certain that early detection in
finding my lump was the reason I had such a
positive outcome and perhaps saved my life,”
said Floeter.
Because of these experiences and those of
many of her and her daughters’ friends, Floeter
became determined to find a way to help.
While serving on the CRMC Foundation
board, she became aware of the Pink Gala
and volunteered to serve on the planning
committee. Soon she was placed in charge of
the decorations for the event, a task she has
gladly performed for the past six years.
“I marvel when I think over the years of the
thousands of pink roses, generously donated
to help defray the cost by Abel Gardens and
Gunnels Florist, and the hundreds of pink
tapered candles, not to mention an influx of pink
and white feathers, which went into the theme of
the evening for each Pink Gala,” said Floeter.
She loves the fact that all of the funds raised at
the Pink Gala stay in the Upper Cumberland
area and that every dime is used to fund
mammograms for uninsured women.
“Many women in our community do not have
the funds available for the initial testing,” said
Floeter. “Because of these efforts, breast cancer
has been caught early and lives have been saved.”
“I would like to
see breast cancer
eradicated in my
lifetime.”
Brenda Floeter
Volunteer of the Year Award Winner
Floeter’s dedication to the cause was recently
recognized when she was presented with the
Cookeville Regional Charitable Foundation’s
Volunteer of the Year Award. And she has
no plans to rest in her efforts toward helping
defeat breast cancer anytime soon.
“I would like to see breast cancer eradicated
in my lifetime,” said Floeter. “If I can do
something toward stopping this from taking
someone’s life, I’m going to do it.”
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CRMC expands
NURSE NAVIGATOR
PROGRAM
Lung Nurse Navigator
Beth Slatten, RN, works
with a lung cancer patient.
CRMC PATIENTS WITH LUNG CANCER NOW HAVE ADDITIONAL SUPPORT
LUNG CANCER IS THE NO. 1
CANCER KILLER for both men and
women in the United States, and the Upper
Cumberland is no exception. To help patients
diagnosed with lung cancer, Cookeville
Regional Medical Center now provides the
services of a nurse navigator who will be a
personal resource for both the patient and the
family.
With eight years’ experience working
with oncology patients, Beth Slatten, RN,
is Cookeville Regional’s new lung nurse
navigator. She graduated with her nursing
degree in 1997 and came to Cookeville
Regional in 2001 to work in the intensive care
unit. She then transitioned to The Cardiac and
Pulmonary Rehabilitation Center, where she
spent four years before going to work in The
Cancer Center for the past eight years.
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“A diagnosis of lung cancer can be
overwhelming,” said Slatten. “In my new role,
I’m available to help patients who have been
recently diagnosed, are already living with lung
cancer or have had a recurrence of the disease.
I want to help make their journey as easy as
possible.”
A lung nurse navigator helps patients cope
with the anxiety associated with lung cancer,
decreases barriers to services, helps to expedite
access to care and provides information and
resources to help the patient and his or her
family.
Cookeville Regional began its nurse navigator
program eight years ago with breast cancer
patients.
“The nurse navigator program has been so
successful with our breast cancer patients,”
stated Lisa Bagci, director of the Cancer
Center at Cookeville Regional. “It was a
natural progression for us to expand the
program to our lung cancer patients. Lung
cancer is a complex disease with so many
treatment options available and is often
confusing for our patients. It just makes sense
to have a navigator to help them and their
families through the process.”
The Cancer Center at Cookeville Regional
is accredited by the American College of
Surgeons’ Commission on Cancer and has
brought an advanced level of cancer care
to patients in the region. The center offers
medical and radiation oncology services as well
as clinical trials research and various supportive
services for cancer patients and their families –
all in one convenient location at CRMC.
Randy Todd leads the smoking
cessation group twice weekly
at CRMC.
From left are Phillip Jones, G&L Manufacturing CEO; Wanda Richardson, CRMC community wellness
manager; Teresa Maynard, G&L shipping and receiving supervisor; and David Hunter, receiving coordinator.
CRMC Offers Workplace
Smoking Cessation Program
“They keep up with all of their cigarettes, they
have three weeks to get ready to quit, and that
fourth week is their quit date,” said Richardson.
WHEN IT COMES TO SOMETHING AS
DIFFICULT AS QUITTING SMOKING,
the more support you have, the better. That’s
why Cookeville Regional has created a
workplace smoking cessation program that is
now available to companies throughout the
Upper Cumberland.
Cookeville Regional’s first workplace program
began in July 2015 at G&L Manufacturing in
Cookeville.
Led by certified American Lung Association
(ALA) facilitator Wanda Richardson, community
wellness manager at CRMC, the seven-week
program uses the ALA’s Freedom From Smoking®
curriculum and materials, considered the gold
standard in smoking cessation for the past 25 years.
During the weekly, two-hour sessions,
participants learn about and discuss the reasons
for, and consequences of, their habit as they
prepare to quit.
CRMC Offers Lung
Cancer Screenings
IN AN EFFORT TO PROVIDE
access to screening for people at high risk for
developing lung cancer, CRMC offers lowdose CT (or CAT) scan lung screenings.
“Without screening, lung cancer is usually
“We all have some bad habits, so we need a little
push in the back sometimes,” said G&L CEO
Phillip Jones. “Anything that we can do to help
our employees is smart for them and smart for us.”
With the help and support of the program,
three of the four participants in that first class
quit smoking. Jones was so happy with the
results that he scheduled a program to begin in
January 2016 and said that he encourages other
companies to use the program as well.
For more information about Cookeville
Regional’s workplace smoking cessation program,
call Wanda Richardson at (931) 783-2743 or
email her at wrichardson@crmchealth.org.
not found until a person develops symptoms,”
said Beth Slatten, RN, lung nurse navigator at
Cookeville Regional. “At that time, the cancer
is much harder to treat.”
The screening is quick and easy and results
in a minimal amount of radiation exposure.
The exam takes less than 10 seconds; no
medications are given and no needles are used.
Don’t Quit?
Just Come.
PUTNAM COUNTY
QUIT4LIFE offers one-hour,
weekly Quit 4 Life smoking
cessation support group designed
to equip individuals with
tobacco dependency to quit and
sustain their cessation of tobacco
products for life.
Led by Randy Todd, who kicked
his 20-year smoking habit in
1989, the class uses the American
Lung Association’s Freedom
From Smoking curriculum.
In addition to facilitating
the class, Todd also provides
phone and text support for the
weak moments quitters might
experience between meetings.
Todd leads youth classes from
5-6 p.m. on Thursdays and
adult classes from 6-7 p.m. on
Thursdays in the CRMC cafeteria
conference room. For more
information, call Todd at (931)
261-4305 or visit quit4lifepc.com.
The cost is $99.
To see if you qualify for a lung screening at
Cookeville Regional, visit crmchealth.org/
lungscreening. If you think you meet the
criteria, call the CRMC lung navigator office
at (931) 783-4996 for more information or to
schedule a screening.
11
IN THE COMMUNITY
GOLF CLASSIC
CRMC, its staff and community partners sponsor and help support
many events each year to fund research and benefit cancer patients.
PINK GALA
The 2015 Golf Classic benefits patient assistance funds through the Cookeville Regional
Charitable Foundation.
SUMMER SPLASH
The 2015 Pink Gala benefits the CRMC
Pink Ribbon of Hope Project.
KOMEN RACE FOR THE CURE
Held July 25, 2015, at the Dogwood Park Pavilion, the Summer
Splash (Sarah Alice Bagci Memorial) 5K raises funds for the
Cookeville Regional Charitable Foundation Cancer Care Fund.
Hospital staff and family show their support at Susan G. Komen
Upper Cumberland’s Race for the Cure.
Visit crmchealth.org/news-releases for more photos, stories and videos about CRMC.
12
IN THE NEWS
The CRMC Cancer Program’s dedication to the most advanced treatment, our level of patient care
and the recognition our program receives are of great interest to the communities we serve.
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Herald-Citizen
Herald-Citizen
Livingston Enterprise
Livingston Enterprise
Herald-Citizen
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Herald-Citizen
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Herald-Citizen
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Herald-Citizen
9. Herald-Citizen
10. Herald-Citizen
13
CURRENT CLINICAL TRIALS AT CRMC
Breast
TRIAL CATEGORY
PROTOCOL/PI
ELIGIBILITY
SCHEMA
Registry
Treatment
Treatment/Adjuvant
Treatment/Adjuvant
PROMIS
SPI-GCF-301
S1207
ACRIN A011104
Women with Oncotype DX
Intermediate RS(18-31)
Randomized Trial of SPI-2012
Versus Pegfilgrastim in the
Management of Chemotherapy
Induced Neutropenia in Breast
Cancer Patients Receiving
Docetaxel and Cyclophosphamide
(TC)
Completion of adjuvant
chemotherapy and pathologically
negative lymph nodes, and a
tumor measuring 2 cm in greatest
diameter, and an Oncotype DX®
Recurrence Score > 25 (completed
as standard of care) Completion
of adjuvant chemotherapy, and
pathologically 1-3 positive lymph
nodes, and an Oncotype DX®
Recurrence Score > 25 (screened
via S1007 or otherwise).
Female only, pathologically
confirmed dx of breast cancerneedle biopsy only no surgical
excisions, clinical Stage I-II, Triple
negative or Hormone Receptor
negative with HER2 positive. No
previous invasive or DCIS, no
bilateral BC, no known BRCA
positive pts
Symphony breast cancer genomic
profile (includes mammaprint,
blueprint, targetprint, theraprint)
Physician survey to determine if
treatment recommendation changes
with Mammaprint
Patients are randomized in a
1:1 ratio to 2 treatment arms:
Treatment Arm 1-SPI-2012/
Treatment Arm 2-Neulasta
Phase III - randomized, placebocontrolled, adjuvant endocrine
therapy +/- one year of everolimus
in high-risk, hormone receptorpositive and HER2/neu negative
Effects of pre-operative breast MRI
on surgical outcomes, costs, and
QOL of women with breast cancer.
Stage I-II breast cancer eligible for
Breast Conserving Therapy
Lung
TRIAL CATEGORY
PROTOCOL/PI
ELIGIBILITY
Treatment
EMR 100070-005
S1400 Lung Map
Stage III, open-label, multicenter
trial of avelumab (MSB0010718C)
versus paltinum-based doublet as a
first-line treatment or Stage IV PDL1+non-small cell lung cancer
Must have pathologically proven
squamous cell NSCLC confirmed.
Stage IIIB or IV NSCLC, must
have received one front line
platinum containing metastatic
chemo regimen and evidence of
disease progression.
Multiple Myeloma
TRIAL CATEGORY
PROTOCOL/PI
ELIGIBILITY
SCHEMA
14
Brandi Dietz, RN, works in the clinical trials lab.
Head and Neck
Prostate
Treatment
Treatment
Observational
Millennium C16014
SCMP-8811-202
Astellas ONC-MA-1004
Newly diagnosed, ineligible for stem cell
transplant, *pre-screening consent prior to
bone marrow bx* measureable disease, ECOG
PS 0-2, able to take prophylactic aspirin
Newly diagnosed, histologically-documented,
non-metastatic squamous cell carcinoma
of the oral cavity and/or oropharynx
amendable to radiotherapy with concurrent
chemotherapy as the treatment modality.
Confirmed diagnosis of CRPC(defined by a
minimum of 2 rising PSA levels/7 days apart)
or with new evidence of metastatic disease by
investigating physician
Double blind, randomized, placebo
controlled, lenalidomid/dexamethasone +/MLN9078
A multi-center, randomized, placebocontrolled, double-blinded study of the
efficacy, safety, and pharmacokinetics of
Cobiprostone for the prevention of severe
oral mucositis in subjects with Head and
Neck Cancer receiving concurrent radiation
and chemotherapy.
A Prospective Observational Cohort Study
of Patients with Castration-Resistant Prostate
Cancer (CRPC)
2014 CRMC CANCER CASES
Primary Site
Total
Sex
◆
◆
M/F
0
I
Stage of Cancer at Diagnosis
II
III
IV
UNK
N/A
ALL SITES
840
419/421
41
176
165
135
175
24
124
Oral Cavity
22
18/4
0
1
3
5
13
0
0
Lip
0
0/0
0
0
0
0
0
0
0
0
Tongue
9
8/1
0
0
3
4
2
0
Oropharynx
2
2/0
0
0
0
0
2
0
0
Hypopharynx
2
1/1
0
0
0
0
2
0
0
Other
9
7/2
0
1
0
1
7
0
0
Digestive System
129
69/60
1
18
35
29
27
11
8
Esophagus
10
7/3
0
0
1
3
3
3
0
Stomach
9
6/3
0
1
2
0
5
1
0
Colon
54
23/31
1
12
13
19
6
3
0
Rectum
27
15/12
0
2
9
5
8
3
0
Anus/Anal Canal
5
3/2
0
1
3
0
1
0
0
Liver
9
7/2
0
1
1
1
2
0
4
Pancreas
7
4/3
0
0
5
0
2
0
0
Other
8
4/4
0
1
1
1
0
1
4
Respiratory System
197
129/68
1
34
20
50
89
3
0
Nasal/Sinus
3
1/2
1
0
0
0
2
0
0
Larynx
9
8/1
0
5
1
1
2
0
0
Lung/Bronchus
183
118/65
0
29
19
49
83
3
0
Other
2
2/0
0
0
0
0
2
0
0
Blood & Bone Marrow
55
33/22
0
1
1
0
0
0
53
28
Leukemia
30
19/11
0
1
1
0
0
0
Multiple Myeloma
9
4/5
0
0
0
0
0
0
9
Other
16
10/6
0
0
0
0
0
0
16
Bone
0
0/0
0
0
0
0
0
0
0
Connect/Soft Tissue
3
1/2
0
1
1
0
0
1
0
Skin
17
12/5
0
4
4
1
4
3
1
Melanoma
10
8/2
0
1
2
1
4
2
0
Other
7
4/3
0
3
2
0
0
1
1
Breast
145
1/144
23
57
34
18
10
2
1
Female Genital
36
0/36
0
14
6
4
7
3
2
Cervix Uteri
8
0/8
0
3
4
1
0
0
0
Corpus Uteri
14
0/14
0
8
1
0
2
3
0
Ovary
8
0/8
0
0
1
3
4
0
0
Vulva
4
0/4
0
3
0
0
0
0
1
Other
2
0/2
0
0
0
0
1
0
1
Male Genital
60
60/0
0
10
38
8
3
1
0
Prostate
56
56/0
0
9
37
7
3
0
0
Testis
4
4/0
0
1
1
1
0
1
0
Other
0
0/0
0
0
0
0
0
0
0
Urinary System
60
44/16
16
21
11
5
7
0
0
Bladder
38
28/10
16
11
8
2
1
0
0
Kidney/Renal
21
15/6
0
10
2
3
6
0
0
Other
1
1/0
0
0
1
0
0
0
0
Brain & CNS
37
10/27
0
0
0
0
0
0
37
Brain (Benign)
0
0/0
0
0
0
0
0
0
0
Brain (Malignant)
11
4/7
0
0
0
0
0
0
11
Other
26
6/20
0
0
0
0
0
0
26
Endocrine
22
10/12
0
6
3
2
3
0
8
Thyroid
14
4/10
0
6
3
2
3
0
0
Other
8
6/2
0
0
0
0
0
0
8
Lymphatic System
42
25/17
0
9
9
12
12
0
0
Hodgkin's Disease
5
5/0
0
0
3
1
1
0
0
Non-Hodgkin's
37
20/17
0
9
6
11
11
0
0
Unknown Primary
13
6/7
0
0
0
0
0
0
13
Other/Ill-Defined
2
1/1
0
0
0
1
0
0
1
CANCER COMMITTEE
OUTREACH PROGRAM
FOR THE CALENDAR YEAR 2014, Cookeville
Regional Medical Center hosted a number of programs
for business, industry and the community. Prevention,
screening and education were the methods used to reach
the public.
Based on the 2013 cancer cases at CRMC, emphasis was
placed on the following:
Respiratory System
One hundred ninety-seven cases were reported, with 183 of those being
lung /bronchus. Seventy-two percent (132) were not detected until
stage 3 or 4. Respiratory Services attended several of the outreach events,
which offered information on lung cancer and education on signs and
symptoms. At a few of the events, they also provided a visual of diseased
pig lungs to demonstrate the harm of tobacco use. All participants in
the health fairs also received a booklet with information on smoking
cessation and where to get help. CRMC implemented low-dose CT
lung cancer screenings in 2013 and is striving to detect lung cancer in
its earliest stage. In 2014, CRMC started offering the lung screening
as an option for Corporate Wellness partners. Program information,
patient eligibility and ordering instructions were sent to all primary care
physicians to order for the general population. Our Cancer Program also
added a lung navigator to our services in August 2015.
Breast Cancer
One hundred forty-five cases were reported, with only 28 of those being
stage 3 or 4. CRMC provided free mammogram events throughout
the year for women with no health insurance or with high deductibles.
The Cancer Program also offered mammogram days for a couple of area
businesses, which allowed their employees to come during certain times
without penalty at work and without having to wait. The charges for
these services were covered by the business or the employee and/or their
insurance. At each health fair hosted, information on breast cancer and
the importance of early detection was provided by The Women’s Center.
Follow-up for each mammogram was also provided by The Women’s
Center.
Prostate Cancer
At each of the health fair events, CRMC offered prostate-specific
antigen (PSA) screenings. Individual results were reviewed, and if
significant changes were found over prior PSA levels, the client was
notified of the need to follow up with his physician or urologist. Results
of prior testing were reviewed, if available, and if results were equal
to or greater than .75mg/dl per year detected (even if within normal
parameters), the client was strongly encouraged to see his physician. *
Fifty-six new cases of prostate cancer were treated this year.
Colorectal Cancer
Eighty-one cases were reported, with 47 percent (38) of them not
detected until late stages of 3 or 4.
Melanoma
There were 10 cases reported. One of those was a stage 3 and four were a
stage 4 when detected. Information was provided at several of the Cancer
Program’s health fair events to encourage sunscreen use and to help
participants recognize the symptoms of melanoma.
*Both prostate cancer and melanoma are often diagnosed and treated in
the physician’s office, so the numbers provided here are only cases seen in
the hospital and not a true representation of the total cases diagnosed in
our area.
Number of cases excluded: 0
This report EXCLUDES CA in-situ cervix cases, squamous and basal cell skin cases, and intraepithelial neoplasia cases.
15
RESOURCES
contact information
Cookeville Regional Medical Center
(931) 528-2541 • crmchealth.org
Cookeville Regional Cancer Center
1-866-258-5416 • (931) 783-2497
Breast Health Nurse Navigator
(931) 783-2922
Lung Health Nurse Navigator
(931) 783-4996
SUPPORTIVE
Cancer Support Groups
Oncology Social Work Staff
(931) 783-2026
Clinical Trials
(931) 783-2476
American Cancer Society
Upper Cumberland Office
(931) 520-7757 • cancer.org
National Office
(800) 227-2345 • cancer.org
Susan G. Komen for the Cure
Upper Cumberland Chapter
(931) 303-0096 • komenuppercumberland.org
National Office
(877) 465-6636 • komen.org
National Cancer Institute
(800) 422-6237 • cancer.gov
Cookeville Regional Tumor Registry
(931) 783-2292
services offered
AFTER DIAGNOSIS AND TREATMENT, sometimes a patient needs support from others who are knowledgeable of their needs and can
answer questions and give guidance. CRMC offers a wide range of support groups and employs a full-time breast health nurse navigator, lung
navigator, social workers and a registered dietitian dedicated to patients in The Cancer Center.
Breast Health Nurse Navigator
Lung Health Navigator
Oncology Dietitian
Oncology Social Workers
Pastoral Services
Reference Library
Hospice
Susan G. Komen for the Cure A
nonprofit that provides education
and support for patients diagnosed
with breast cancer.
Women’s Wednesday Programs
offered by the Community
Wellness Department that
discuss cancer and a variety of
topics relevant to the Upper
Cumberland.
Prostate Cancer Support
Group A support group that
helps local prostate cancer
patients and their caregivers.
Breast Cancer Support Group
An emotional and educational
support group for women with
breast cancer.
Multiple Myeloma Support
Group A monthly support
group for patients with multiple
myeloma.
Look Good...Feel Better A
program sponsored by the
American Cancer Society and
other agencies that focuses on
appearance-related changes due
to cancer treatment.
Journey™ to Breast Health A
program to help women navigate
the path to health and healing.
Grief Share Support Group A
group for adults hurting from the
death of a loved one.
Quit 4 Life Free smokingcessation classes that meet weekly
and are highly successful at
helping people quit smoking.
GO PINK A program, offered by
the Putnam County and White
County YMCAs, that provides
exercise, nutrition information and
lymphedema education, as well as
encouragement and support for
breast cancer survivors.
Health Fairs Cancer screening
and prevention programs offered
at several health fairs each year.
Circle of Hope A support group
for patients who are diagnosed
with any type of cancer, and their
families.
Reach to Recovery A program
that helps patients cope with
breast cancer by arranging visits
between survivors and newly
diagnosed patients.
Workplace Wellness Smoking
Cessation Classes Classes
offered through the workplace
to help employees who want to
break the habit.
Let’s Quit Classes for
adolescents that discuss the
importance of not smoking
and the dangers of secondhand
smoke.
1 Me d i ca l C enter Blvd . • Co o ke vi l le, T N 385 0 1 • crm c h e a lth .or g
16
The Cancer Program at Cookeville Regional Medical Center •
myCRMChealth CRMC’s
free online tool that allows you
to have access to your personal
health records – secure and
convenient! Sign up by visiting
myCRMChealth.org.

FULL SWING - Cookeville Regional Medical Center

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