Download View our 2016 Annual Report

2016 Annual Cancer Report
featuring 2015 statistics
CANCER CARE SERVICES
Affiliated with
Beebe Healthcare’s
Tunnell Cancer Center
Accreditation
CANCER CARE SERVICES
www.nanticoke.org
Affiliated
with
Always Caring. Always
Here.
Beebe Healthcare’s
Tunnell Cancer Center
Chairman’s Message
This year, the Nanticoke Cancer Care Center has seen continued growth including significant
enhancements to the care provided for the Sussex County community. We have added several
new nurses to the cancer center team, both in infusion and the medical oncology office. The
exceptional nurses who comprise Nanticoke’s Cancer Care Center staff blend compassion and
empathy with oncology nursing knowledge - a combination that is second to none.
Nanticoke Memorial Hospital (NMH) welcomed Cheri Beando, Pharm.D., MPA. Cheri
relocated from Worchester, Massachusetts to join the cancer center as an oncology-certified
pharmacist. She has been an outstanding addition to the team because of her enthusiasm and
charm as well as her expertise in oncology pharmaceuticals.
Our Radiation Oncology Department received a new Computed Tomography (CT) machine
this year. The new machine has a wide bore and enhanced technology to ensure that nearly
every patient can receive their simulation and treatment at Nanticoke’s Cancer Care Center.
The most significant enhancement is in the way we document and communicate our care. After
nine months of collaboration with Cerner Corporation to build an oncology-specific medical
record, the Nanticoke Cancer Care Center transitioned from paper charting to Electronic
Medical Records. Oncology care is very complex and it takes an excellent, dedicated team to
build an electronic medical record that can meet the complex needs of cancer care. The team
from Cerner, NMH, and the Nanticoke Cancer Care Center worked tirelessly on each detail to
ensure that the final product was the best for our specific needs. This transition increases the
integration between the Nanticoke Cancer Care Center and NMH.
We are fortunate to have continued support from our community. The Seaford Ladies 9 Hole
Golf Association again generously contributed to our center with funds raised from their annual
golf tournament. This year they added a luau with a silent auction to their tournament which
was a big success! NMH and the Nanticoke Cancer Cancer Center are also grateful for the
community’s support of Nanticoke’s annual dinner auction which supported our center. We
also have wonderful volunteers, both adults and students, who give their time to help in many
ways at the Cancer Care Center. Lastly, the patients of the Cancer
Care Center are very appreciative of the handmade lap blankets,
hats, and shawls that were donated to us from the community.
Words cannot express our gratitude for the thoughtfulness of our
Sussex County community.
Thank you for your continued support of the cancer care program at
Nanticoke Health Services.
Aakanksha Asija, MD
TABLE OF CONTENTS | 2016 CANCER ANNUAL REPORT
TABLE OF CONTENTS
Oncology Services ..................................................................
Case Conferences ....................................................................
Cancer Survivor Story ...........................................................
Clinical Trials ........................................................................
Cancer Registry Program Report ...........................................
Community Outreach ..........................................................
The Cancer Care Team ..........................................................
Cancer Spotlight: Non-Small Cell Lung Cancer ...................
Technology ............................................................................
Community Support ..............................................................
Celebrating Survivorship .....................................................
Patient Resources & Referral Information .............................
Community Information .....................................................
Classes & Support Groups .........................................................
Cancer Committee Membership ...............................................
p3
p5
p6
p7
p7
p9
p12
p15
p19
p21
p25
p26
p27
p28
p29
The team at Nanticoke Cancer Care Services is dedicated to providing all of
our patients the highest quality care possible in a warm, caring environment.
Cancer services found at Nanticoke include:
•
•
•
•
•
•
•
•
•
Medical oncology & hematology
Radiation oncology
Nutritional & physical rehabilitation services
Support services and screenings
Latest cancer care technology
Clinical trials
Patient education classes & support groups
Cancer Care Coordinator & Nurse Navigator
Resource library available to patients
1
2016 CANCER ANNUAL REPORT | MESSAGE FROM THE PRESIDENT & CEO
Nanticoke Memorial Hospital’s medical staff, nurses, clinicians and employees are committed to providing the
best care to our cancer patients with utmost compassion, sensitivity and dignity. The care delivered to cancer
patients is very complex and involves many physicians and staff across the continuum of care including medical
oncology, radiation oncology, radiology, laboratory, pharmacy, inpatient nursing, surgery, rehabilitation and
palliative care.
The Nanticoke Cancer Care Center is fortunate to have several talented professionals led by Julie Abel,
Oncology Director. Terri Clifton is our Cancer Care Coordinator. With her social work background, Terri
works tirelessly to help cancer patients overcome many of the obstacles and barriers they encounter during the
course of their treatment and recovery. Fredeline Menard is a master’s-prepared nurse and our Cancer Nurse
Navigator. She is an exceptional educator and participates in community health outreach events promoting
the importance of cancer screening and healthy lifestyles. Cheri Beando, PharmD, MPA is our Oncology
Pharmacist who ensures the accuracy of the chemotherapeutic agents.
The State of Delaware statistics reflect many different types of cancers. Delaware, along with our Cancer Center,
has implemented several initiatives to improve cancer screenings and decrease the incidence and mortality
associated with those cancers. The great news is it’s working! Delaware’s cancer mortality rate has decreased
14% including a significant 21% decline among African American Delawareans. We still have a long way to
go, but Nanticoke Memorial Hospital and the Nanticoke Cancer Care Center are
dedicated to the diagnosis, treatment and support of cancer patients and their families
throughout all of Western Sussex County. The physicians and staff at the Nanticoke
Cancer Care Center urge everyone to follow their doctor’s recommendations and
stay current with their cancer screenings. Screenings save lives!
Steven A. Rose, RN, MN
President & CEO, Nanticoke Health Services
For more information, call 302-628-6344 or visit www.nanticoke.org/cancercare
2
ONCOLOGY SERVICES | 2016 CANCER ANNUAL REPORT
ONCOLOGY SERVICES
OUTPATIENT INFUSION
302-628-6344
The Nanticoke Cancer Care Center’s infusion center is the place where patients receive chemotherapy
as a treatment for cancer. It is staffed by nurses who have specialized education in the administration of
chemotherapy. Additionally, the pharmacist at Nanticoke’s Cancer Care Center has oncology-specific
education in order to provide a high level of care for the patients of Nanticoke Cancer Care Services.
In addition to chemotherapy, the Nanticoke Cancer Care infusion department provides:
•
•
•
•
•
Blood transfusions
Antibiotic therapy
Iron supplements
Electrolyte replacement
Therapeutic phlebotomy
Outpatient infusion services are conveniently located within the Medical Oncology area of the
Nanticoke Cancer Care Center. Patients receiving their infusion services are provided a comfortable
area with beautiful views of the Nanticoke River and the abundant wildlife, all while being in close
proximity to their oncology physician team.
MEDICAL ONCOLOGY
302-628-6344
Medical Oncology services at Nanticoke include:
• Treatment of cancers and treatment of blood disorders
• Clinical trials in partnership with the Tunnell Cancer Center and Christiana Hospital
• Medical Oncologists who are Board-Certified in Oncology and Hematology
• Certified oncology nurses and patient service representatives who understand patient needs
and provide patients with expert and compassionate care
• Affiliation with the Tunnell Cancer Center.
3
2016 CANCER ANNUAL REPORT | ONCOLOGY SERVICES
RADIATION ONCOLOGY
302-628-6344
Radiation Oncology services are available at the Nanticoke Cancer Care Center through the medical
expertise of Delmarva Radiation Oncology Services, PA. Advanced technology in radiation therapy
includes a state of the art linear accelerator. Radiation oncology uses a completely electronic medical
record, enabling other practitioners to fully understand a patient’s history and treatment plan to better
coordinate patient care.
Nanticoke provides specialized treatments in the area of Intensity-Modulated Radiation Therapy
(IMRT) delivery, On-Board Imaging (OBI) and RapidArc® radiotherapy technology. Board certified
radiation oncologists, radiation therapists, a registered nurse certified in oncology nursing, dosimetrists,
and physicists work together, utilizing advanced technology and the best clinical practices. Each patient
receives an individualized plan of care based on the type and location of the cancer.
Stereotactic radiation therapy is also available to our patients. This therapy involves delivery of a single
high dose radiation treatment or a few fractionated radiation treatments. It is primarily used for brain
and lung cancers.
4
CASE CONFERENCES | 2016 CANCER ANNUAL REPORT
CASE CONFERENCES
Cancer case conferences are held twice a month to discuss individual cancer cases. A team approach is
used to evaluate the many facets of the treatment plan.
In attendance are medical oncologists, radiation oncologists, surgeons, radiologists, pathologists and
other members of the medical staff. In addition to the physicians, other members of the treatment team
are present including our Oncology Nurse Practitioner, Tumor Registrar, Cancer Care Coordinator,
nurses, and radiation therapists.
Each patient’s disease history, diagnosis and plan of care is discussed in detail and radiologic images
and pathology reports are reviewed. The team discusses the type and stage of each patient’s cancer,
important factors in planning for treatment, psychosocial concerns and National Comprehensive
Cancer Network (NCCN) treatment guidelines. Recent articles and data about the treatment for the
specific type of cancer are presented and discussed for consideration. Chemotherapy and radiation
options are discussed along with other issues about the patient’s health, which may be important in
providing the best possible patient care.
Patients benefit from this team approach through comprehensive planning of available treatment
options. Issues such as transportation, nutrition, and psychosocial concerns are also part of the care
planning process. By the time the patient is ready to start treatment, everyone on the cancer care team
can be prepared to participate in the treatment plan for the patient.
Nanticoke is proud that our physicians regularly engage in these conversations, allowing for the best
treatment options for our patients. Patients receive an individualized care plan developed by not one,
but a team of experts.
5
2016 CANCER ANNUAL REPORT | CANCER SURVIVOR STORY
Cancer Survivor:
William Hockins
My story began April 2014, after having several weeks of a chronic cough. I went to a walk in clinic and
they ordered an X-ray of my chest for pneumonia. I did not have pneumonia, but they did find cancer.
I then went to my family doctor who referred me to a very good pulmonologist who confirmed I had
cancer. After 40 years of smoking, I was not surprised in the least. The pulmonologist told me she knew
a good surgeon and he could probably operate and remove the cancer. When I left her office, I had an
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will take care of her.
6
CLINICAL TRIALS / CANCER REGISTRY PROGRAM REPORT | 2016 CANCER ANNUAL REPORT
CLINICAL TRIALS
Nanticoke Cancer Care Services remains committed to providing oncology patients access to clinical
trials. Through our affiliation with Tunnell Cancer Center and in coordination with Christiana Hospital,
patients have access to National Cancer Institute (NCI) research studies as well as pharmaceutical
studies.
Physicians at Nanticoke advise eligible patients about the availability of clinical trials appropriate for
their disease. Research nurses from Tunnell Cancer Center also assist in this process. Studies include
those for prostate, lung, breast, and colon cancers. There are also trials for leukemia, melanoma and
other cancers. Many trials are done right here in Seaford. Patients are encouraged to talk to their
oncologist to see if there are available trials for their type of cancer.
For more information, please talk to your healthcare provider.
CANCER REGISTRY
PROGRAM REPORT
The Cancer Registry Program at Nanticoke is an American College of Surgeons approved Community
Cancer Program. The Cancer Registry submits all new cancer cases to the State of Delaware Central
Registry. The Cancer Registry also submits to the National Cancer Data Base for incidence and
measurement as required.
In 2015, a total of 264 newly-diagnosed cases of cancer were accessioned into the Cancer Registry. The
Cancer Registry has accessioned more than 5004 newly-diagnosed cancer cases since 1992. During the
calendar year of 2015, the five major sites were Breast at 57 (21.6%), Lung at 51 (19.3%), Prostate at 33
(12.5%), Colon at 16 (6.1%), and Lymphoma at 12 (4.5%).
Helen Moody, CTR
Manager, Cancer Program
7
2016 CANCER ANNUAL REPORT | CANCER REGISTRY PROGRAM REPORT
Use this for the Annual Report
NANTICOKE MEMORIAL HOSPITAL 2015 Case Distribution - All Sites - Analytic Cases Only
PRIMARY SITE
Analytic
Case
AJCC Stage
DATE
Cases
Mix %
Male Female
0
I
II
III
IV
BREAST
57
21.6%
1
56
9
27
14
4
1
RESPIRATORY
57
21.6%
32
25
0
12
6
11
28
Larynx
6
2.3%
5
1
0
2
3
0
1
Lung
51
19.3%
27
24
0
10
3
11
27
DIGESTIVE
44
16.7%
25
19
0
11
8
9
10
Esophagus
8
3.0%
7
1
0
3
1
2
1
Stomach
4
1.5%
1
3
0
0
1
0
2
Small Intestine
1
0.4%
0
1
0
0
0
0
0
Other Biliary
1
0.4%
0
1
0
0
1
0
0
Colon
16
6.1%
7
9
0
3
4
5
4
Rectum/Rectosigmoid
3
1.1%
2
1
0
1
0
1
0
Anus/Anal Canal
3
1.1%
3
0
0
1
1
0
1
Liver/Gallbladder
4
1.5%
2
2
0
1
0
0
2
Pancreas
4
1.5%
3
1
0
2
0
1
0
Retroperitoneum
0
0.0%
0
0
0
0
0
0
0
MALE ORGANS
33
12.5%
33
0
0
7
20
1
3
Prostate
33
12.5%
33
0
0
7
20
1
3
Testis
0
0.0%
0
0
0
0
0
0
0
FEMALE ORGANS
16
6.1%
0
16
1
5
1
4
1
Cervix Uteri
2
0.8%
0
2
0
0
0
1
1
Corpus Uteri
11
4.2%
0
11
1
4
0
3
0
Ovary
2
0.8%
0
2
0
1
1
0
0
Other Female (vagina)
1
0.4%
0
1
0
0
0
0
0
URINARY
11
4.2%
7
4
4
4
1
1
1
Bladder
9
3.4%
5
4
4
2
1
1
1
Kidney/Renal Pelvis
2
0.8%
2
0
0
2
0
0
0
LYMPHOMA
12
4.5%
6
6
0
2
1
1
4
Hodgkin's
1
0.4%
1
0
0
1
0
0
0
Non-Hodgkin
11
4.2%
5
6
0
1
1
1
4
MULTIPLE MYELOMA
7
2.7%
4
3
0
0
0
0
0
MELANOMA
7
2.7%
5
2
1
4
2
0
0
HEAD & NECK
5
1.9%
3
2
0
0
1
2
2
Tongue
2
0.8%
1
1
0
0
1
1
0
Oropharynx
1
0.4%
1
0
0
0
0
0
1
Tonsil
1
0.4%
0
1
0
0
0
0
1
Parotid/Major Salivary Gland
1
0.4%
1
0
0
0
0
1
0
LEUKEMIA
3
1.1%
2
1
0
0
0
0
0
THYROID
0
0.0%
0
0
0
0
0
0
0
BONE & CON. TISSUE
0
0.0%
0
0
0
0
0
0
0
Connective Tissue
0
0.0%
0
0
0
0
0
0
0
BRAIN/CNS
1
0.4%
1
0
0
0
0
0
0
Other Skin Cancer
0
0.0%
0
0
0
0
0
0
0
All Other/Undefined/Unkn
11
4.2%
6
5
0
0
0
0
0
Total Analytic Cases
264
100%
125
139
15
72
54
33
50
Total Non-Analytic
TOTAL CASES ABSTRACTED
Note: N/A represents no staging scheme; X represents DX only
8
N/A
2
0
0
0
6
1
1
1
0
0
1
0
1
1
0
2
2
0
4
0
3
0
1
0
0
0
4
0
4
7
0
0
0
0
0
0
3
0
0
0
1
0
11
40
X
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMUNITY OUTREACH | 2016 CANCER ANNUAL REPORT
CANCER CARE CENTER
COMMUNITY OUTREACH
Community outreach is a major focus for Nanticoke Cancer Care Services. The Cancer Screening Nurse
Navigator (CSNN) attends targeted events in order to educate the Western Sussex County, Delaware
population about cancer screenings and offer assistance with navigation for cancer screenings. Several
events target racial and ethnic minorities as well as uninsured and underinsured individuals in order
to eliminate disparities in cancer screenings. The Screening for Life (SFL) program is a cooperative
effort of the Delaware Division of Public Health (DPH) and the U.S. Center for Disease Control and
Prevention. This program pays for cancer screenings for persons without health insurance that meet a
250% poverty level.
The CSNN program is focused on cancer screening recruitment in order to encourage the public to
receive cancer screenings that detect cancer at an earlier, more treatable stage. If cancer is detected,
the Cancer Screening Nurse Navigator reports the findings to Terri Clifton, MS, the Cancer Care
Coordinator (CCC). Terri reviews the patient’s needs and eliminates barriers to care, which is extremely
valuable to patients receiving the distressing diagnosis of cancer.
9
2016 CANCER ANNUAL REPORT | COMMUNITY OUTREACH
Participation in community events has brought a high level of visibility for the Cancer Care Center
and the cancer screening and treatment programs available to the community we serve. Nanticoke
Cancer Care Services continues to educate the community about prevention and early screenings.
When cancer is found, individuals are offered professional treatment with tailored care provided by a
team of experienced professionals.
Nanticoke Cancer Care Services participated in the following events in 2016:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
10
ACE Peer Resource Center (Seaford, DE)
ACS Relay For Life (Seaford, DE)
Apple Scrapple Festival (Bridgeville, DE)
Breast Cancer Survivor Tea (Seaford Library & Cultural Center; Seaford, DE)
Delaware Electric Cooperative Employee Health Fair (Heritage Shores; Bridgeville, DE)
Delaware Gospel Assembly Church (Georgetown, DE)
Eastern Shore AFRAM Festival (Seaford Sports Complex; Seaford, DE)
Heritage Shores Resident Health Fair (Heritage Shores; Bridgeville, DE)
Live for Chocolate (Seaford, DE)
M&T Bank Health Fair (Millsboro, DE)
National Cancer Survivor Day (Moose Lodge; Seaford, DE)
NHS Health Tent at Nanticoke Riverfest (Seaford, DE)
Pink Ribbon Breast Cancer Awareness Walk (Gateway Park; Seaford, DE)
Shine a Light on Lung Cancer (Nanticoke Cancer Care Center; Seaford, DE)
Sussex County Employee Health Fair (Georgetown Circle; Georgetown, DE)
Trinity Logistics’ Big Pink Volleyball Tournament (Georgetown, DE)
Western Sussex Boys and Girls Club (Seaford, DE)
COMMUNITY OUTREACH | 2016 CANCER ANNUAL REPORT
Reduction of Gaps in Cancer Screening:
Nanticoke Cancer Care Services understands the need for regular preventive care and cancer screenings.
In an effort to increase patient adherence to appropriate cancer screenings, our Cancer Screening
Nurse Navigator (CSNN) teamed with the Nanticoke Physician Network to contact patients who had
not had a cervical cancer screening in the recommended time frame.
For this project, a list of women who had not had a pap smear in two years was given to the CSNN. The
CSNN called each woman on the list. If she was able to speak to the woman, the CSNN educated her
on the importance of having regular cervical screenings and assisted them in making an appointment.
If she was unable to reach the women after two attempts, she sent a letter to them, explaining the
importance of regular screenings, and she tried a third time.
As detailed below, the results of this outreach effort were very positive:
169
38
131
88
67%
11
2016 CANCER ANNUAL REPORT | THE CANCER CARE TEAM
THE CANCER CARE TEAM
MEDICAL ONCOLOGY & HEMATOLOGY
Nanticoke Medical Oncology
• Aakanksha Asija, MD
• Muhammad Siddique, MD
• Isabel Benson, NP-C, AOCNP
701 Middleford Road, Suite 1A
Seaford, DE 19973
Phone: 302-628-6344
RADIATION ONCOLOGY
Delmarva Radiation Oncology Services, PA
• Brian Costleigh, MD
• Jennifer Hung, MD
• Andrejs Strauss, MD
• Owen Thomas, MD
701 Middleford Road
Seaford, DE 19973
Phone: 302-629-6611, ext. 2674
CANCER CARE COORDINATOR
Terri Clifton, MS, NCC, 302-629-6611, ext. 2577
The Cancer Care Coordinator helps patients and their families navigate through the complex healthcare
system. The Cancer Care Coordinator assisted 169 new patients in 2015 and maintained a caseload
over 135 active patients per month. The Care Coordinator had 1,777 interventions that included
either a face-to-face meeting with a patient and their family or contact over the phone.
The Cancer Care Coordinator assists patients with:
• Transportation assistance
• Financial and insurance issues
• Prescription assistance
• Applying for co-pay assistance programs
12
THE CANCER CARE TEAM | 2016 CANCER ANNUAL REPORT
• Appointment coordination
• Home care, palliative care or hospice services
• Helping patients apply for Medicaid, the Delaware Cancer Treatment Program and Social Security
Disability
• Wigs and hats
• Providing information on support groups and programs
• Education, advocacy and emotional support
• Durable medical equipment needs
In 2015, the Cancer Care Coordinator assisted:
• 1143 transportation appointment arrangements
• 1207 appointment coordination encounters
• 525 patients with financial and insurance issues
• 70 patients with home care, palliative care, and hospice services
• 139 patients with emotional support
There is no fee for Cancer Care Coordination assistance.
CANCER SCREENING NURSE NAVIGATOR
Fredeline Menard, MBA, RN, 302-629-6611, ext. 3765
The Cancer Screening Nurse Navigator (CSNN) is provided to the community by Nanticoke Health
Services to advocate for patients and providers by determining and meeting cancer screening needs
including:
•
•
•
•
•
•
•
Identify and enroll individuals at risk for cancer in the screening programs
Provide education to the community about cancer screenings
Serve as a community ambassador for underserved communities
Encourage individuals to be active participants in their own health care
Partner with medical practices to notify patients’ annually of cancer screenings that are due
Enroll qualified patients into the Screening for Life program
Eliminate any barriers to screening such as lack of transportation, fear and misconceptions about
procedures
• Plan community activities that educate and encourage individuals to receive cancer screenings
• Schedule screening appointments and follow patients through the screening process to completion
• Refer screening patients that are diagnosed with cancer to Cancer Care Coordinator, who will
arrange individualized care and treatment
13
2016 CANCER ANNUAL REPORT | THE CANCER CARE TEAM
In 2015, the Cancer Screening Nurse Navigator assisted patients to complete the following cancer
screenings:
•
•
•
•
•
260 new patient referrals
357 colonoscopies
2489 mammograms
457 cervical cancer screenings
133 prostate cancer screenings
The Cancer Screening Nurse Navigator is available to all medical staff to assist with scheduling and
maintaining ongoing cancer screenings for patients via fax referral forms or phone calls.
SFL/HCC COORDINATOR
Melissa Williamson, 302-629-6615, ext. 2508
• Provides Screening for Life (SFL) and Health Care Connection (HCC - formerly Community
Healthcare Access Program or “CHAP”) enrollment to qualified patients
• Offers other community resources as needed and eligibility requirements guide
• Improves recruitment strategies for uninsured, underinsured, and racial and ethnic minorities
Nanticoke’s SFL/HCC Coordinator is provided to all medical staff to assist with enrolling patients in
the SFL/HCC programs.
14
CANCER SPOTLIGHT | 2016 CANCER ANNUAL REPORT
CANCER SPOTLIGHT: LUNG CANCER
Submitted by: Fredeline Menard, MBA, RN
Organs and tissues are composed of individual cells. The cell is the basic unit of life. Cells make up
all living things. Some organisms, such as bacteria, are composed of only one cell. In these organisms
the single cell performs all of the tasks necessary for survival. Other organisms, such as humans are
multicellular (containing over 100 trillion cells). Each cell contains numerous parts (organelles) to carry
out their function. Cells often work with each other to form organs such as the lung.
Functions of Normal Cells
Normal cells grow and divide, work together to form organs, have their own assignments within the
body (e.g. white blood cells fight infections) and die when too old or damaged.
Chromosomes: The “Brain” of a Cell
There are 46 chromosomes in normal human cells which are located in the nucleus of a cell. They are
made up of thousands of smaller unit called “genes,” each of which regulates a particular function.
Genes
Genes are made up of DNA and stay in the nuclei of the cell. Genes send signals (called RNA) from the
nucleus of the cell to the cytoplasm of the cell, where RNA is translated into proteins. These proteins
are what actually do the work.
What Causes Cancer?
Cancer is caused by changes in DNA generally referred to as mutations. Some mutations cause cancer
directly, while some require many mutations acting together to make the cell become cancerous. In
addition, some mutations do no harm at all and may actually make things better, such as making us
smarter. Many of the mutations that cause cancer occur in genes.
What Causes Mutations?
Some mutations occur in egg cells or sperm cells. Known as Germline mutations, these mutations
can be passed down (inherited) from generation to generation. However, most mutations are somatic
mutations that occur in non-reproducing cells, which means they are not passed down.
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2016 CANCER ANNUAL REPORT | CANCER SPOTLIGHT
Lung Cancer Mutations
Lung cancer mutations are not inherited. 85% of mutations are caused by carcinogens in cigarette
smoke. About 15% are NOT due to smoking (occupational exposure and air pollution).
•
•
•
•
Smoking (85%)
ETS (environmental tobacco smoke)
Pre-existing lung diseases
Occupational & environmental exposures
(ie radon, asbestos & cooking fumes)
• Inherited genetic susceptibility
• Hormones
• Oncogenic viruses
Lung Cancer in Non-Smokers
About 10-15% of lung cancer occurs in patients who have never smoked. These patients are usually
younger and more often female. As shown below, the mutations in those who have smoked versus those
who haven’t smoked tend to be very different:
• Smoker Mutations: KRAS
• Non-Smoker Mutations: EGFR, ALK, ROS, RET
Lungs and Lung Cancer
Your lungs are two sponge-like organs located in your chest. The right lung is divided into 3 sections
called lobes. The left lung has two lobes; it is smaller because your heart takes up more room on that
side of the body. When you breathe, air enters the lungs through the trachea. The trachea divides into
tubes (bronchi), which divide into smaller branches (bronchioles) at the end of the bronchioles are tiny
air sacs (alveoli). Blood vessels run through the alveoli, oxygen is absorbed from the inhaled air into
your blood and carbon dioxide from the body is released into the alveoli and expelled when you exhale.
A lining called the pleura surrounds the lungs. The pleura protects your lungs and helps them slide
back and forth as they expand and contract during breathing.
Lung Cancer and Lymph Nodes
The lymphatic system is one of the ways in which lung cancers can spread. Lymph nodes are small,
bean-shaped collections of immune system cells that are connected by lymphatic vessels. Lymph nodes
located in the lungs are called pulmonary nodes. Those located near the base of the lung are called hilar
or N1 nodes. Those between the lungs and heart are called mediastinal or N2 nodes.
Histological Types of Lung Cancer
There are two main types of lung cancer: Non-small cell lung cancer and small cell lung cancer. There
are three types of non-small cell lung cancer: Adenocarcinoma, squamous cell and large cell. Small cell
lung cancer tends to be faster growing and more sensitive to chemotherapy or radiation than the other
three types.
16
CANCER SPOTLIGHT | 2016 CANCER ANNUAL REPORT
Principles of Clinical Oncology
TNM Tumor size location
Nodes
Local
Regional
Metastasis
Staging:
Stage I - IV
I - Small tumor
No nodes, No mets
II - Large tumor or local nodes
III - Regional nodes, very large tumor
IV - Metastatic disease
Lung Cancer Screening
For certain people at high risk, screening for lung cancer using low-dose computed tomography (LDCT)
is proven to save lives. Scanning should be offered to patient’s age 55-80 years and who have at least a
30 pack per year smoking history and either continue to smoke or have quit within the past 15 years.
The National Comprehensive Cancer Network (NCCN) guidelines recommend beginning screening
at age 50 and lowering the threshold to at least a 20 pack per year smoking history when a patient has
one additional risk factor other than exposure to secondhand smoke.
In 2017, Nanticoke Health Services will begin offering LDCT screenings for lung cancer. Most major
insurance companies, including Medicare and Medicaid, pay for this valuable cancer screening for atrisk individuals who meet the above screening guidelines.
Those seeking lung cancer screenings should visit HealthyDelaware.org/lung or call 302-401-4212
to speak with a screening nurse navigator. Delaware tobacco users seeking help to quit smoking can
contact the Delaware Quitline, a free tobacco cessation counseling hotline for residents 18 and older,
at 1-866-409-1858 or www.quitsupport.com.
Treatment Options
Your treatment options will be based on your cancer’s particular type and stage, location, molecular
characteristics, and your overall health. The most common treatments for lung cancer are surgery,
radiation therapy and chemotherapy. Some patients may be prescribed targeted therapy that includes
drugs that “target” cancer cells, and immunotherapy.
• Surgery: Surgery, or having an operation, is the physical removal of the cancer tumor and any
nearby lymph nodes that may contain cancerous cells.
• Radiation therapy: Radiation therapy is the use of X-rays or other high-energy beams to damage
cancer cells and stop them from growing or multiplying.
• Chemotherapy: Chemotherapy drugs are used to kill cancer cells. Unlike surgery and radiation,
which are used to treat local disease, chemotherapy is systemic and can affect cancer throughout the
body.
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2016 CANCER ANNUAL REPORT | CANCER SPOTLIGHT
• Targeted Therapy: Researchers have discovered a number of ways that cancer cells are different
from normal cells, and are developing drugs that “target” these differences in cancer cells.
• Immunotherapy: Immunotherapy is one of the most exciting new approaches for treating several
types of cancer, including lung cancer. Immunotherapies work by boosting your body’s own natural
defenses to fight cancer. Several immunotherapies are currently being developed and tested in
clinical trials for a variety of lung cancer types and stages.
• Clinical Trials: When you are diagnosed with lung cancer, you and your doctor should discuss
whether or not a clinical trial is a good treatment option for you. Nanticoke Cancer Center is in
partnership with Tunnel Cancer Center for clinical trials.
Clinical trials are medical research studies that test the safety and effectiveness of promising
approaches to disease prevention, diagnosis, treatment and care. Clinical trials that test lung cancer
treatments might involve the use of drugs, radiation therapy, surgery or other treatment methods.
Treatments are only brought to clinical trials after significant prior research shows they have promise.
These trials are carefully conducted by doctors and trained teams to ensure that patient receive the
best possible treatment and care.
Delaware Lung Cancer Facts, 2008-2012:
•
•
•
•
Most frequently diagnosed cancer
14.4% of new cancer cases diagnosed, 30.0% of all cancer deaths
51.6% of cases in males, 53.5% of deaths are in males
In 2014, the smoking prevalence among people in Delaware was 19.9%
REFERENCES:
1. Delaware Health and Social Services, Division of Public Health Cancer Incidence and Mortality in
Delaware, 2008-2012 (2016). https://www.healthydelaware.org/Individuals/Cancer/Lung
2. American Cancer Society. Cancer Facts & Figures 2016. American Cancer Society. http://www.
cancer.org/acs/groups/content/@research/documents/acspc-047079.pdf
3. World Health Organization, International Agency for Research on Cancer. GLOBOCAN:
Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. International Agency
for Research on Cancer. Available at http://globocan.iarc.fr/Default.aspx
4. SEER Stat Fact Sheet: Lung and Bronchus Cancer. Surveillance, Epidemiology, and End Results
Program. Available at http://seer.cancer.gov/statfacts/html/lungb.html
18
TECHNOLOGY | 2016 CANCER ANNUAL REPORT
TECHNOLOGY
3D DIGITAL MAMMOGRAPHY
3D mammograms, also known as tomosynthesis or“tomo,”
use the same x-ray technology as regular “2D” mammograms.
The procedure is the same from the patient’s point-of-view,
although it will take a few seconds longer. In both 3D and 2D
mammograms, the breast is compressed between two plates. 3D
mammography provides images of the breast in “slices” from
many different angles. Finding abnormalities and determining
which abnormalities may be important will be improved with
3D tests. The radiologist is then able to review reconstruction,
one slide at a time, almost like turning pages in a book. This
makes it easier for doctors to see if there’s anything to be concerned about.
To schedule a mammogram, call 302-628-1507.
For specific mammography questions, call 302-629-6611, ext. 8630.
BREAST MRI
Breast MRIs are done after a routine mammogram or ultrasound suggests further evaluation is
needed. It is important to know the patient’s history of surgeries, metal implants and other possible
contraindications prior to the MRI procedure.
Breast MRIs are always done with contrast using an IV. Labs (creatinine-eGFR) are obtained for patients
who are 60 years or older, have a history of diabetes, or other usual criteria that would result in necessity
of labs prior to a Breast MRI.
Each exam takes about one hour. Patients should arrive 30 minutes before their appointment and
should wear light, metal-free clothing (no jewelry). Premenopausal patients must be scheduled 7 to 12
days after start of their menstrual cycle. If a patient is claustrophobic, medication to alleviate anxiety
can be prescribed to help the patient through the procedure. This should be addressed prior to the day
of the procedure to avoid rescheduling a patient. All of the patient’s reports and any history of breast
related imaging must be sent with the patient to the exam for radiologist interpretation purposes.
Breast MRIs are scheduled from 11:00 am to 2:30 pm. To schedule a breast MRI, call 302-628-1507.
For specific breast MRI questions, call 302-629-6611, ext. 3551.
19
2016 CANCER ANNUAL REPORT | TECHNOLOGY / LYMPHEDEMA CENTER
MRI
Nanticoke’s Signa HDx1.5 T MRI system provides enhanced clinical productivity advantages while
creating a platform for new technologies and applications. Nanticoke offers patients renal and vascular
studies without the use of a contrast agent, which is important to patients that have sensitivity to
Gadolinium products.
To schedule a MRI call, 302-628-1507.
For specific MRI questions, call 302-629-6611, ext. 3551.
PET/CT
Nanticoke currently offers PET/CT scans through a semi-permanent mobile unit located at the Mears
Health Campus at 100 Rawlins Drive in Seaford. These exams are offered on Tuesdays and Fridays.
PET/CT scans can significantly improve patient care by providing answers to whether a chosen
technique is effective.
To schedule a PET/CT scan call, 302-628-1507.
For specific PET/CT questions, call 302-629-6611, ext. 2388.
LYMPHEDEMA CENTER
Located at the Mears Health Campus at 100 Rawlins Drive in Seaford, the Lymphedema Center treats
patients with lymphedema - an accumulation of lymphatic fluid causing swelling in the arms, legs and
occasionally other body parts. The swelling develops from abnormal lymphatic flow as a result of cancer
surgery, radiation therapy, infection, trauma, vein problems, obesity and heredity.
Nanticoke’s Lymphedema Center is one of only two treatment centers in Sussex County. The clinic
has grown to accommodate increased caseload, now staffed by four certified lymphedema therapists.
For more information, call 302-629-6224, ext. 8613.
20
SUPPORTING THE CANCER CARE CENTER | 2016 CANCER ANNUAL REPORT
SUPPORTING THE CANCER CARE CENTER
Trinity Foundation Donates to Nanticoke Cancer Care Center
Trinity Logistics, in conjunction with the Trinity Foundation,
held its 3rd annual Big Pink Volleyball Tournament on Saturday,
March 12 at Delmarva Christian High School in Georgetown,
Delaware. Twenty teams, four from Nanticoke, competed in
this event with participants showing their support by dressing
in pink or themed costumes to help raise funds for Nanticoke
Cancer Care Center. This year’s tournament raised $4,300 to
help individuals and families in the community on their cancer
journey.
“Supporting our local Cancer Care Center and their programs that help right here in our community
is something we’re passionate about,” said Amy Proctor, Director of the Trinity Foundation.
Nanticoke’s Bling the Bra Contest Raises Over $1100 to
Support Mammograms for Sussex County Women
During the month of October, Nanticoke hosted
several activities to promote breast cancer awareness
including their 3rd annual Bling the Bra contest.
Throughout the month, 13 “blinged-out” bra entries
were displayed in the hallway next to the ER in the
hospital where visitors voted for their favorite entries
with monetary donations.
First place was presented to “Fight like a Supergirl” by
Lia Workman, RN, OR in honor of Jill Cummings;
second place was presented to “’Emoji’ a World without Breast Cancer” by ED Registration/
Switchboard; third place was presented to “Poké Bra: Gotta Catch a Cure!” by Medical Records; and a
honorable mention was presented to “Breast is Best” by OB Girls.
Together, the contest raised a record-breaking total of $1123 to benefit Nanticoke’s Women’s Health
Fund to help pay for mammography screenings for women in Western Sussex County who are
uninsured, underinsured, or unable to meet co-payment requirements.
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2016 CANCER ANNUAL REPORT | SUPPORTING THE CANCER CARE CENTER
Local Quilt Guild Gives Gift of Warmth to Nanticoke’s Patients
Nanticoke would like to send a warm thank you to the Delmarvalous
Quilt Guild of Georgetown, Delaware. At the end of October, the
Guild presented 10 comfort quilts and 40 receiving blankets for the
patients of Nanticoke Health Services.
The donated quilts will be used for patients at both Nanticoke’s
Cancer Care Center and Emergency Department while the soft,
flannel receiving blankets will be used for younger patients in the
nursery, pediatric units, and Emergency Department. The Guild has
a passion for making comfort quilts and has made over 700 comfort
quilts in the past two years for various organizations in the community.
Sussex Tech Volleyball Host Fight On & Spike Awareness Event
The Sussex Tech JV and Varsity Volleyball
teams promoted breast health education in the
community and raised funds for breast cancer
awareness at their home game against Polytech
on Thursday, October 12, 2016. The event gave
spectators the opportunity to become involved
by making donations to the cause and wearing pink to show their support.
Throughout the event, activities included education tables provided by Nanticoke Cancer Care Services
and the Delaware Breast Cancer Coalition, a bake sale, silent and Chinese auctions, and special event
t-shirts that were available for purchase. Part of the proceeds from the event will benefit the Nanticoke
Cancer Care Center.
Heritage Shores Ladies Golf Association Gives Back to Community
On Wednesday, November 2, the Heritage Shores Ladies Golf
Association presented a check totaling $1,000 at their closing
luncheon to support women’s health programs at Nanticoke
Health Services. The funds were raised through the group’s
annual Member-Guest Tournament held in May.
22
SUPPORTING THE CANCER CARE CENTER | 2016 CANCER ANNUAL REPORT
Pizza King Gives Back to Community in October
During the month of October, Pizza King in Seaford wanted to help
the people in their community. As a part of Breast Cancer Awareness
Month, Pizza King donated a percent of all restaurant sales earned
every Tuesday in October to Nanticoke Cancer Care Services. They
also sold specially-designed HOPE t-shirts throughout the month to
also benefit the Cancer Care Center. The t-shirts were such a big hit
that Pizza King recently placed another order which are available for
purchase once again at the Seaford Pizza King.
On Monday, December 5th, the staff at Pizza King presented a
check to Steven Rose, Nanticoke Health Services, President/CEO,
and Renee’ Morris, Foundation Executive Director, in the amount
of $3610.16 to support Nanticoke’s patients undergoing radiation
or medical oncology services.
Seaford Ladies Nine Hole Golf Association Donates Over
$18,000 to Nanticoke Cancer Care Services
The Seaford Ladies 9 Hole Golf Association recently
held their annual Pretty in Pink member-guest
golf tournament in June. The theme for this year’s
tournament was “Tee’ke Time - Hawaiian Luau”.
Golfers and non-golfers were also invited to attend
the first annual Pretty In Pink pre-tournament Luau
Cocktail Party. Guests enjoyed Hawaiian style hors
d’oeuvres, games, silent and Chinese auctions, which
offered opportunities to bid on many great items. After
a fun filled evening, the ladies teed it up for the cause
two days later.
The Seaford Ladies 9 Hole Golf Association members have a passion and commitment to raise
money for cancer care. On July 27, 2016, the ladies presented Nanticoke with a check in the amount
of $18,643. With the latest donation, the Seaford Ladies 9 Hole Golf Association has a lifetime
giving amount of over $82,343 in just 6 years!
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2016 CANCER ANNUAL REPORT | SUPPORTING THE CANCER CARE CENTER
30th Annual Nanticoke Dinner Auction Raises Over $140,000
to Benefit Nanticoke Cancer Care Services
Nanticoke’s 30th Annual Dinner Auction was an
“Evening of Elegance” on Saturday, April 16. The
sold-out event featured fine food, entertainment,
and silent and live auctions. With Jimmy Hoppa
from WBOC serving as the emcee for the evening,
the “Evening of Elegance” raised over $140,000 to
benefit the Nanticoke Cancer Care Center.
The live auction, led by the entertaining Don
Moore, included a Maui Escape Vacation, a 3-digit PC Delaware license plate, autographed sports
memorabilia, a Chesapeake Bay Experience, and much more.
Nanticoke is fortunate to have such a wonderful and supportive community. This year’s sponsors
included Platinum Sponsors, Cerner Corporation and PNC Bank, and several additional supporters
in the Pearl, Lily, Soiree, Twilight, Rendezvous and Celebration sponsorship categories.
Nanticoke’s Golf Tournament Hits the Green with Record Results
On September 15 and 16, Nanticoke held its 8th
annual Ladies Day Golf Tournament and 30th
annual Open Day Golf Tournament. Over 250
golfers took to the course at Heritage Shores to
enjoy the last few days of summer with sunshine
and fun to help raise money for a good cause.
The Pink LINKS program also returned to this
year’s tournaments. Through the support of
the community, Nanticoke was able to line the
course with over ninety pink golf-ball-shaped
signs in honor, memory or celebration of a loved
one.
This year’s tournaments reached a new milestone that will benefit the community: The total net
proceeds from this year’s tournaments set the all-time recorded amount at $108,000. All proceeds
from the tournament will benefit Nanticoke Cancer Care Services.
24
CELEBRATING SURVIVORSHIP | 2016 CANCER ANNUAL REPORT
CELEBRATING SURVIVORSHIP
Nanticoke Cancer Care Center is committed to offering
survivorship programs for Western Sussex County.
Since 2006, Nanticoke has celebrated National Cancer Survivors Day with an event held each year on
the first Sunday in June. National Cancer Survivors Day is an event to honor local cancer survivors
for their strength and courage. Anyone living with a history of cancer – from the moment of diagnosis
through the remainder of life – is a cancer survivor. The event also recognizes the contributions of
families, friends, and healthcare providers and addresses issues of cancer survivorship. Nanticoke’s
Cancer Survivors Day is a free luncheon which includes entertainment and a guest speaker. In 2015,
over 250 people attended our celebration at the Seaford Moose Lodge. Guests included survivors
and their families. Isabel Benson, a Nurse Practitioner at the Nanticoke Cancer Center, was the guest
speaker. Entertainment was provided by Jerry Jones and his wife Jeannie, who sang inspirational songs.
Mr. Jones is a cancer survivor and a nationally-known country gospel singer. They have performed for
our Cancer Survivor Day in the past and are a fan favorite.
In honor of Breast Cancer Awareness Month, the Nanticoke Cancer Center coordinates two events
in October: the Pink Ribbon Breast Cancer Awareness Walk and the Pink Ribbon Tea to honor local
breast cancer survivors. The 2015 Pink Walk featured speaker Melissa Williamson, a breast cancer
survivor, and Amanda Scott as entertainment. The Pink Ribbon Tea is collaboration by the Nanticoke
Cancer Care Center, the Delaware Breast Cancer Coalition, the Cancer Support Community, and the
American Cancer Society. For the past three years, the Tea has been held at the Seaford Library.
In November 2015, Nanticoke observed Lung Cancer Awareness Month with its inaugural Shine a
Light on Lung Cancer event at the Cancer Center. The event was held in collaboration with the Lung
Cancer Alliance. Betty Lewis, a 5 year lung cancer survivor, was the guest speaker at the event.
In July 2011, the Sussex County Survivorship Coalition was formed to coordinate the efforts of local
organizations that reach out to cancer survivors. This Coalition includes the Tunnell Cancer Center,
Nanticoke Cancer Care Center, Cancer Support Community, Delaware Breast Cancer Coalition,
American Cancer Society, Leukemia-Lymphoma Society, Cancer Care Connection, and the Susan G.
Komen for the Cure-Philadelphia Affiliate. For the last two years, the Sussex County Survivorship
Coalition has hosted an inspirational one-day conference in January for survivors, their caregivers, and
healthcare professionals. The conference focuses on the survivor’s transition from patient to survivor.
In 2015, the Cancer Support Community hosted a 5-month series called “Living Beyond Cancer” at
the Nanticoke Cancer Center for cancer survivors.
25
2016 CANCER ANNUAL REPORT | PATIENT RESOURCES & REFERRAL INFORMATION
PATIENT RESOURCES & REFERRAL INFORMATION
NANTICOKE CANCER CARE CENTER
302-628-6344
• Director – Julia Abel, LPN, CTR, MHA
• Chairman, Cancer Committee –Aakanksha Asija, MD
• Physician Liaison, Commission on Cancer – Christine Hannaway, MD
CLINICAL SUPPORT SERVICES
Physical Therapy & Lymphedema Clinic – 302-629-6224
Pulmonary Rehabilitation – 302-629-6615, ext. 3815
Pastoral Care Services – 302-629-6615, ext. 2460
Registered Dietitian Services – 302-629-6615, ext. 2478
CANCER CARE COORDINATOR
ONCOLOGY RESEARCH PROGRAM
302-629-6615, ext. 2577
Terri Clifton, MS
302-628-6344
• Medical Director – Muhammad Siddique, MD
CANCER REGISTRY PROGRAM
OUTPATIENT INFUSION CENTER
302-629-6611, ext. 2503
Manager – Helen Moody, CTR
302-628-6344
CANCER SUPPORT COMMUNITY
Call for more information:
302-628-6344
302-629-6611 ext. 3115
Kathy James, MSN, APRN, FNP-BC,
Palliative Care Coordinator
LABORATORY & PATHOLOGY SERVICES
PROSTHETIC FITTINGS
302-629-6615, ext. 2498
Peninsula Home Health Care, Inc.
302-629-5672
MEDICAL ONCOLOGY
302-628-6344
Aakanksha Asija, MD
Muhammad Siddique, MD Isabel Benson, NP-C, AOCNP
NURSE NAVIGATOR
302-629-6615, ext. 3765
Fredeline Menard, MBA, RN
26
PALLIATIVE CARE
RADIATION ONCOLOGY
Delmarva Radiation
302-628-6344
Brian Costleigh, MD Jennifer Hung, MD
Andrejs Strauss, MD Owen Thomas, MD
RADIOLOGY SERVICES
302-629-6611 ext. 2666
COMMUNITY RESOURCES | 2016 CANCER ANNUAL REPORT
COMMUNITY RESOURCES
American Cancer Society
410-749-1624
www.cancer.org
Cancer Care Connection
866-266-7008
www.cancercareconnection.org
Cancer Care, Inc.
800-813-HOPE
www.cancercare.org
Cancer Support Community of DE
302-645-9150
www.cancersupportdelaware.org
Compassionate Care Hospice
302-856-2659
www.cchnet.net
Delaware Breast Cancer Coalition
302-644-6844
www.debreastcancer.org
DHSS Public Health Cancer Registry
& Information
302-744-1020
www.dhss.delaware.gov
Delaware Hospice
302-856-7717
www.delawarehospice.org
Delaware Pain Initiative
302-981-0041
www.delawarepaininitiative.org
National Cancer Institute
800-4-CANCER
www.cancer.gov
National Coalition for Survivorship
877-NCCS-YES
www.canceradvocacy.org
Oncolink
www.oncolink.org
People Living with Cancer, ASCO
www.plwc.org
Resource Library
(Cancer Care Center, 1st Floor)
302-628-6344
Season’s Hospice and Palliative Care
866-443-9856
www.seasons.org
Screening for Life
302-744-1040
www.dhss.delaware.gov/dph/dpc/
sfl.html
Susan G. Komen
877-GO-KOMEN ww5.komen.org
Vitas
800-938-4827
www.vitas.com
Women Supporting Women
410-548-7880
www.womensupportingwomen.org
TO FIND A PHYSICIAN: CALL 1-877-NHS-4DOCS OR VISIT NANTICOKE.ORG/FINDAPHYSICIAN
27
2016 CANCER ANNUAL REPORT | CLASSES & SUPPORT GROUPS
CLASSES & SUPPORT GROUPS
For more information about classes and support groups, please call 302-629-6611, ext. 2577.
All groups meet in the Resource Library at the Nanticoke Cancer Care Center.
MONTHLY GENERAL CANCER SUPPORT GROUP
Sponsored by Nanticoke and in partnership with the Cancer Support Community of Delaware
Held on the 3rd Monday of the month from 3:30 PM to 5 PM.
LOOK GOOD, FEEL BETTER
Sponsored by the American Cancer Society
Held the 4th Monday of the month at 10 AM. ACS volunteers help patients with makeup, hats, wigs,
bras, and other items.
BEGINNING YOUR PINK RIBBON JOURNEY
Sponsored by the Delaware Breast Cancer Coalition in partnership with Nanticoke Cancer Care Center
Held the 3rd Thursday of the month at 3 PM for newly-diagnosed breast cancer patients.
PEER MENTORING SUPPORT PROGRAM
Sponsored by the Delaware Breast Cancer Coalition
One-on-one support for newly-diagnosed breast cancer patients.
THE NEXT STEP
Sponsored by Cancer Support Community & Compassionate Care Hospice
Held the 3rd Tuesday of the month at 10 AM. Focused on issues of loss that continue beyond early
stages of grief.
28
CANCER COMMITTEE MEMBERSHIP | 2016 CANCER ANNUAL REPORT
2016 CANCER COMMITTEE MEMBERSHIP
REQUIRED PHYSICIAN MEMBERS
• Dr. Aakanksha Asija, Medical Oncologist,
Chairman
• Dr. Muhammad Siddique, Medical Oncologist
• Dr. Christine Hannaway, Cancer Liaison
Physician
• Dr. Brian Costleigh, Radiation Oncologist,
Co-Chairman
•
•
•
•
•
•
Dr. Jennifer Hung, Radiation Oncologist
Dr. David Cohen, Surgeon
Dr. Patrick O’Reilly, Pathologist
Dr. Hannah Coulson, Pathologist
Dr. Marvin Neilson, Radiologist
Dr. Andrew Vennos, Radiology
REQUIRED NON-PHYSICIAN MEMBERS
• Julia Abel, LPN, CTR, MHA, Director,
Nanticoke Cancer Care Center
• Terri Clifton, MS, Cancer Care Coordinator
• Fredeline Menard, MBA, RN, Cancer Screening
Nurse Navigator
• Helen Moody, CTR, Cancer Registry
• Marie Michael, CTR, Cancer Registry
• Melissa Long, RN, Oncology Nurse Manager
• Doreen Steeley, RN, Oncology Nurse
• Ray Fulkrod, RN, DNP, MBA, MSN, Assistant
Vice President, Clinical Operations
• Victoria Norris, RN, Quality Representative
• Jean Conn, RN, Quality Representative
• Kathy James, CNP, Palliative Medicine
OTHERS ASSIGNED BY MEDICAL STAFF & INVITED GUESTS
• Mary Brown, RN, Nursing
• Isabel Benson, NP, Nanticoke Cancer Care
Center
• Dr. Odilon Claravall, Internal Medicine
• Rev. Tom Connar, Chaplain
• Tina Craig, Administrative Assistant, Nanticoke
Cancer Care Center
• Starla Bechtel, RN, Nursing
• Robert Donati, PT, CLT, Rehabilitation
• John Rhoat, PT, CLT, Speech Therapy
• Alex Stroup, PT, CLT, Rehabilitation
• Rachel Gardner, RN, Director, MSU
• Barbara Gijanto, RN, CWOCN, LCC
• Kevin Grover, Compassionate Care Hospice
• Connie Holdridge, Delaware Breast Cancer
Coalition
• Luanne Holland, Delaware Hospice
• Wendy Polk, RD, Nutrition Services
• Sherri Ricci, AS, RT, (R), (T), Radiation
Therapist
• Cherri Rich, RN, MS, Executive Director,
Tunnell Cancer Center
• Lucy Schwobel, PharmD, Pharmacy
• Cheri Beando, PharmD, MPA, Pharmacy
• Donna Miskin, RN, Clinical Trials
• Missy Babinski, Director of Radiology
• Zohra Ali-Khan Catts, MS, LCGC, Genetics,
Christiana
29
CANCER CARE SERVICES
Affiliated with
Always Caring.Beebe
Always
Here.
Healthcare’s
Tunnell
CancerDECenter
701 Middleford Road
| Seaford,
19973
302-628-6344 | www.nanticoke.org/cancercare
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