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A Better Way To Treat Cancer: St. Mary Regional Cancer Center and St. Mary Breast Center The cover photo and this background photo depict the tranquil beauty of the pond in our main Cloister Healing Garden, one of several gardens on the hospital campus made possible through the generosity of the Community League. 2 | A Better Way To Treat Cancer Take a deep breath. Relax. And read. This brochure, provided by the Regional Cancer Center and the What’s more, we know that diagnosing and fighting cancer Breast Center at St. Mary Medical Center, is a vital resource for take more than sophisticated technology and medicine. It also cancer patients and their families. All of us at St. Mary want to requires compassion, which is at the core of St. Mary’s values. help you make health decisions with knowledge and confidence. We provide support every step of the way – whether it be in a moment of setback or in a moment of victory – to help each St. Mary Medical Center offers the most advanced diagnostic patient maintain the faith and courage to keep fighting. and therapeutic cancer treatments close to home. We are a comprehensive center, supporting you and your family on every So please read on. Should you have any questions, please call level – physical, emotional, and spiritual. the St. Mary Regional Cancer Center at 215.710.5300 or the St. Mary Breast Center at 215.710.5393. Here, you’ll find state-of-the-art medical technology and cutting-edge clinical trials, paired with a dedicated and highly We hope you see that our strongest wish is to bring you skilled team of doctors, nurses, and support staff. You’ll be comfort and make you well. cared for as the unique person you are, with a team of specialists designing your own integrated treatment plan. St. Mary In the Top 25% of Cancer Centers The Regional Cancer Center at St. Mary is approved with commendation by the American College of Surgeons (ACoS) Commission on Cancer – a distinction bestowed upon the best cancer programs in the United States. Only 25 percent of cancer programs nationwide receive ACoS certification approval. This approval recognizes St. Mary for having established performance measures for high-quality, multidisciplinary cancer care. The St. Mary Breast Center is designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR) and recognized for achieving high practice standards in image quality, personnel qualifications, equipment, quality control procedures, and quality assurance programs. A Better Way To Treat Cancer | 1 More Precise Ways to Detect Cancer Early St. Mary doctors use state-of-the-art imaging technology and biopsies to detect and pinpoint cancers. Your doctor will be happy to help you further understand each of the following technologies and procedures. But don’t let these innovations be a mystery to you – even basic knowledge of how they work and how they fight cancer can help relieve any anxiety you might have. CT Scans — Collecting A Fast, Virtual View A vital diagnostic tool in the detection of cancer, CT (computed tomography or “CAT”) scans use a computer to combine a series of X-rays to produce a three-dimensional image of the internal organs and structures within the body. St. Mary uses state-of-the art, “multi-slice” helical CT scanners, which are extremely fast, accurate, and comfortable. Helical scanning is eight to ten times faster than conventional CT scans; often, an accurate scan can occur within a single breath hold. Helical scans considerably reduce exam time as well as radiation exposure. In addition, the helical CT scanner produces a set of data for the entire scanned region, which is superior to data created in standard CT studies. The helical CT scanner’s more detailed, refined image enables doctors to more accurately detect minute abnormalities for better diagnosis. The wide-bore CT scanner provides doctors with the flexibility to optimally position patients during the scan and to readily account for any motion caused by breathing or organ movement in preparation for radiation therapy. The wide-bore CT also makes patient visits more convenient by combining what were previously two tests into one that can be done at the Cancer Center. 2 | A Better Way To Treat Cancer PET/CT — Giving Doctors a Better Picture Through Combined Technology The Positron Emission Tomography (PET) and Computed Tomography (CT) scanner system integrates these two advanced imaging technologies to help doctors determine what stage cancer is in and monitor the progress of patients’ treatment. In many cases, the information gained through this technology has changed the treatment course, either resulting in a more aggressive pursuit of cancer or helping the patient avoid more invasive procedures. Magnetic Resonance Imaging (MRI) — Catching Subtle Tissue Differences Magnetic Resonance Imaging (MRI) uses a large magnet and radio waves to create visible images on a computer that can detect subtle abnormalities otherwise left unnoticed, especially in soft tissue and primary organs. During this procedure, the patient lies comfortably on an exam table that slides into a doughnut-shaped machine. The procedure is painless, and the scan does not involve X-ray radiation or radioactive material. New designs in MRI technology have reduced the “enclosed” feeling some patients experience while undergoing this testing procedure. St. Mary has multiple MRI scanners available and recently added a new MRI system highly specialized for more accurate imaging of the breast and prostate areas. Digital Mammography — Providing a Better, Second Set of Eyes Women can take comfort in knowing that breast screening at St. Mary is done with the latest digital imaging technology available and is linked to state-of-the-art computer-aided detection (CAD) capability. This combination of high-resolution imaging and comprehensive analysis provides St. Mary radiologists with diagnostic tools that are generations beyond the technology of only a few years ago. Digital computer-aided detection takes diagnoses to a higher level than results achieved with traditional film-based mammography alone. With this automatic second opinion, the most precise early detection is possible. The latest technology means the best chance that nothing will be missed. For women, the test experience is much the same as traditional mammography. The difference really happens behind the scenes. Rather than physically printing the X-ray images onto a piece of film, the new sophisticated full-field digital mammography system transfers images to a high-powered computer where, depending on the radiologists’ needs, they can be viewed as-is or electronically manipulated. If an area on the image raises suspicions, doctors can manually zoom in, magnify, brighten, and optimize certain parts of the image to enhance readability and interpretation. Because the digital images are available immediately for review on a computer monitor, waiting time and the need for retakes are reduced. Board-Certified Radiologists – The Best of the Best St. Mary radiologists are dedicated to providing patients with the utmost in careful, accurate imaging studies. They also know that technology is meant to be of service to people and that reassuring patients is as important as evaluating them. St. Mary is accredited by the American College of Radiology for CT, MRI, mammography, and ultrasound, and certified by the U.S. Food and Drug Administration in mammography. A Better Way To Treat Cancer | 3 Laboratory, which performs more than 1 million tests per year with very high accuracy rates, was awarded reaccreditation from the College of American Pathologists, a prestigious distinction demonstrating our commitment to quality and safety. Minimally Invasive Breast Biopsy Biopsies — Testing for the Presence and Type of Cancer Sometimes it’s not possible to determine from imaging studies alone whether a growth is benign. In these cases, a tissue sample must be obtained for laboratory examination. Depending on individual factors such as tumor size and the area of the body affected, the tissue removed may be part or all of an organ or body system (resection), the entire suspicious mass (excisional biopsy), a small sample of tissue (incisional or core biopsy), or an even smaller sample of tissue or fluid (needle aspiration biopsy). St. Mary’s Department of Pathology and Laboratory Medicine examines biopsies, resections, and other cultures to identify cancer. The department offers access to the latest diagnostic modalities, including molecular pathology, which analyzes potentially cancerous cells at the DNA level. Our Clinical 4 | A Better Way To Treat Cancer Because 75% of breast biopsies prove benign (non-cancerous), it’s best that the technique be as minimally invasive as possible to ensure less scarring. A stereotactic needle biopsy provides such a means. With this kind of biopsy, a hollow needle guided by a computerized X-ray instrument is inserted into the suspect lesion at precisely the right point to extract a small tissue sample. Lab tests are then performed on the sample to arrive at an accurate diagnosis. Minimally Invasive Brain Biopsy St. Mary continues to advance our established stereotactic surgery program, enabling neurosurgeons to perform minimally invasive brain biopsies. With this technology, a neurosurgeon uses a slender biopsy needle to safely reach the desired location within one-millimeter accuracy. As a result, suspicious tissue can be extracted with the least amount of trauma to the brain. More Techniques to Treat Cancer St. Mary celebrates the complexity and uniqueness of each of our patients, so our approach to your particular cancer is a carefully integrated, multidisciplinary combination of more than 70 dedicated cancer specialists, technologists, therapists, and nutritional and spiritual support counselors. We treat the whole person, so that body, mind, and spirit are strong, resilient, and well-prepared to overcome cancer. Which of the following treatments will be relevant to you depends on your type of cancer, where it is located, and other prognostic factors. Once again, a familiarity with the different techniques – through these descriptions and through discussions with your doctor – should give you more confidence in your course of treatment. IMRT Radiation — Targeting Tumors Precisely with a Focused Beam IMRT (Intensity Modulated Radiation Therapy) conforms the radiation treatment beam to the exact size and shape of the cancerous tumor and modifies the intensity of the radiation beam to deliver the greatest dose directly to the tumor, while sparing surrounding healthy tissue. Radiation therapy stops cancer cells from dividing and growing, and can slow the growth of tumors. St. Mary’s linear accelerator with IMRT capability offers many patients new promise in fighting cancer. With IMRT, the radiation treatment beam is precisely tailored to the patient’s tumor. The shape and intensity changes as radiation is delivered from different angles, so that the tumor always is targeted and healthy tissue is protected. Frameless Stereotactic Radiosurgery — Eliminating Brain Tumors Painlessly Without Surgery St. Mary offers patients a remarkable cancer treatment alternative to traditional surgery by pinpointing brain tumors so larger doses of radiation can be safely delivered. Frameless stereotactic radiosurgery painlessly treats even inoperable tumors with powerful precision. In addition, this technology can detect slight patient movement, so focused high-energy radiation can target cancerous cells without harming healthy tissue just a millimeter away. This less invasive way to fight cancer allows for more radiation in a single dose with fewer treatments than traditional techniques. Brachytherapy – Internalizing Radiation for Better Results A minimally invasive treatment option for some prostate cancer patients is brachytherapy (also referred to as radioactive seed therapy). With brachytherapy, small radioactive pellets about the size of a grain of rice are implanted into the prostate. These seeds give off radiation over the course of weeks or months, yet cause little discomfort because they are so small. Patients who undergo this outpatient procedure experience minimal discomfort, have fewer side effects, and return to normal routines in a few days. For certain kinds of cancer, such as breast and gynecological cancers, High-Dose Rate (HDR) Brachytherapy also can be performed, which ensures that the maximum radiation dose is delivered where the patient needs it most, sparing nearby healthy tissue. The dose only needs to be applied for typically three to ten minutes. Women with breast cancer can be treated during the course of one week with this type of technology. A Better Way To Treat Cancer | 5 The Team that Knows What You Need “I’m Vicki Farrell, and I have been an oncology nurse at St. Mary Medical Center for more than 20 years. Working as a team, our doctors, nurses, and therapists focus on the needs of each patient. We are involved not only with the treatment of the disease, but also with the patient’s psychological and social well-being. We also are dedicated to helping the patient’s family through the process. This team approach affords the patients – and their families – the support they need to guide them through their journey.” HI-ART TomoTherapy — Using CT Imaging to Guide IMRT for Superb Accuracy In our commitment to better serve the healthcare needs of our community, the St. Mary Regional Cancer Center is proud to be one of the first in southeastern Pennsylvania to offer Highly Integrated Adaptive Radiotherapy (HI-ART) TomoTherapy. This leading-edge technology combines the most advanced form of IMRT with real-time CT scanning, allowing doctors to plan and deliver radiation therapy as precisely as possible. This technology permits radiation oncologists at St. Mary to offer new advances in treating cancers of the brain, spine, and other previously difficult-to-treat areas. Chemotherapy — Cleansing the Body of Cancer The St. Mary Regional Cancer Center provides chemotherapy procedures for patients referred by a St. Mary physician. Treatments are done in the infusion room inside the Cancer Center. The infusion room also is equipped to provide blood transfusions, which often are needed for patients undergoing chemotherapy. The Outpatient Chemotherapy Department is staffed by registered nurses (RNs) who are chemotherapy-certified and members of the Intravenous (IV) Team. For inpatients, chemotherapy is provided directly in the Oncology Unit at St. Mary. Experience Cloaked with Compassion “I am Dr. Benjamin Chack, and I have been a physician at St. Mary Medical Center for more than two decades, treating many patients with cancers of the head and neck. The staff at the Cancer Center are the most caring and compassionate people with whom I have ever worked. Most importantly, however, I can be confident in their professional know-how and ability to assist me in providing my patients with the most up-to-date treatments.” 6 | St. A Better Mary Way Regional To Treat Cancer Cancer Center Surgery — Removing Tumors and Providing New Hope • Prostatectomy – surgery to remove the prostate and affected tissue Patients who need surgery for their cancer can count on the expertise and care of the St. Mary surgical oncology staff. Surgery for cancer is local treatment to remove the tumor. Tissues around the tumor and nearby lymph nodes also may be removed during the operation. After surgery, radiation or chemotherapy may be used depending on whether the cancer has spread to other areas (metastasis) or as a preventive measure to block its recurrence. Extensive postoperative care and monitoring are coordinated by the entire team, including surgeons, oncology nurses, therapists, nutritionists, and counselors. Some of the more common surgical procedures for treating cancer are: • Lumpectomy – surgery to remove the tumor and a small amount of normal tissue in the breast • Mastectomy – surgery to remove breast tumor and affected tissue • Resection – surgical removal of part of an organ, most commonly involving a bowel, liver, or lung Areas of cancer surgical specialty at St. Mary include: • Bladder • Breast • Colorectal • Esophagus “My name is Libby Salvati, and my • Gynecological family and I go to St. Mary all the • Head and Neck • Liver • Lung appointments. St. Mary was so • Neurosurgery convenient, and I received • Prostate top-notch care from everyone • Rectal involved in my treatment. The • Skin • Testicular • Thyroid Not Just Another Patient time. When I was diagnosed with breast cancer, I did not want to travel far for my many treatment people there are wonderful. Their compassion made me feel like I wasn’t just another cancer patient ... I felt like they truly cared.” A Better Way To Treat Cancer | 7 Inpatient Oncology Unit – Treating Cancer with Passion and Compassion Though the majority of cancer cases today can be treated on an outpatient basis, your course of treatment may require you to spend some time in the hospital. St. Mary has a dedicated Inpatient Oncology Unit organized to provide the most aggressive cancer therapy possible for patients whose treatment must be carried out during a hospital stay. St. Mary recognizes that it is important for cancer patients and their families to have a maximum degree of privacy if their course of treatment requires a hospital stay. St. Mary created a state-of-the-art 16-bed oncology unit with private, family-friendly rooms, each with a plasma TV and furnished with sofa recliners for family members who wish to stay overnight with patients. The spacious, smartly designed rooms also provide more personal space for belongings. An attractive community room is equipped with a refrigerator and microwave for the convenience of patients and their loved ones. Our Healing Environments volunteers visit patients, bringing handmade afghans and quilts to help personalize their rooms. These amenities help provide a home-like environment in a hospital setting. No-Hassle Parking There is convenient parking for patients of the St. Mary Regional Cancer Center and the St. Mary Breast Center in the parking garage at the back of the hospital campus. The centers are easily accessible from the ground floor entry of the parking garage. For patients receiving treatment in the Regional Cancer Center, there is reserved parking on the garage’s ground floor. All parking is complimentary. 8 | A Better Way To Treat Cancer More Support to Live with Cancer Treating cancer is more than accurate diagnostics and effective therapy. At St. Mary, we are committed to a holistic approach, which recognizes that improving the quality of your life is as important as the goal of eliminating cancer. We have the resources, techniques, and caring staff to support you during your fight so that healing can occur at every level – body, mind, and spirit. Because a cancer diagnosis is a challenge that affects your family as well, St. Mary doctors, nurses, and support staff all work in a concerted effort to help both patients and their loved ones receive the emotional and spiritual resources they need. Wound Healing and Hyperbaric Medicine Center Pain Management Center Our Wound Healing and Hyperbaric Medicine Center offers a comprehensive approach to treat hard-to-heal wounds, allowing patients to resume a normal lifestyle as quickly as possible. Our specialists, all with advanced training in the assessment and treatment of slow-toheal wounds, work with patients and their referring physicians to coordinate care and develop the best course of treatment. The center offers a variety of treatment techniques to help wounds heal, including hyperbaric oxygen therapy for cancer patients experiencing complications following radiation therapy. At St. Mary, we recognize the relief of pain as central to recovery and quality of life. Our Pain Management Center offers a holistic approach to alleviating chronic and acute pain. We use a combination of therapies with the highest clinical standards in anesthesia and medication intervention, in conjunction with psychological, emotional, and spiritual support. We provide a variety of treatments, including injection therapy, nerve blocks, and acupuncture. Not Just Another Hospital “My name is Richard Hart, and when I was first told I had prostate cancer, it was devastating. After investigating my options, it was clear that St. Mary was far and away the best choice I could make. They have a high-caliber, fully developed cancer center; extremely qualified, impressive physicians; and every resource I could need. Through the entire process, their knowledge and willingness to help gave me the confidence and strength I needed. Today, I feel like a million bucks. I would unequivocally and enthusiastically recommend St. Mary to anyone. I placed all my trust in them and they didn’t let me down.” A Better Way to Treat Cancer | 9 Spiritual Care Spiritual strength is at the core of St. Mary’s ministry of healing. We honor the individual beliefs of our patients and seek to open the paths to those beliefs whenever possible. Holistic Services — Compassionate Services Promoting Relaxation and Healing, Peace, and Comfort The St. Mary Holistic Center is the area’s first hospital-based program dedicated to promoting the understanding that healing is a journey not only of the body, but also of the mind and spirit. Treating the whole person creates an opportunity for more complete and meaningful healing and can help not only with a challenging diagnosis or chronic condition, but also with the demands of a busy lifestyle. To support this balanced approach, the Holistic Center offers various services, learning tools, and classes designed to add another dimension to your care – helping you to cope more effectively, heal more completely, and feel more rejuvenated: Bodywork Therapies Mind-Body Therapies Lifestyle Enrichment Classes • Therapeutic Massage • Essential Breathing Techniques • Yoga • Deep Tissue Massage • Therapeutic Touch • Reflexology • Craniosacral Therapy • Myofascial Release Therapy • Shiatsu • Guided Imagery • Clinical Hypnotherapy • “Prepare for Surgery, Heal Faster” – Personalized Session • “Prepare for Chemotherapy or Radiation” – Personalized Session 10 | A Better Way To Treat Cancer • Tai Chi • Gentle Movement The Spiritual Care team is available to lend emotional or spiritual support to patients and their families – for those receiving care in the Inpatient Oncology Unit and for our outpatients being treated in the Regional Cancer Center and Breast Center. The Spiritual Care department is staffed by certified chaplains and ordained clergy. There is a chaplain present in the hospital 24 hours a day, seven days a week. St. Mary also has more than 100 volunteers who serve as Friendly Pastoral Visitors and Communion Ministers. In addition, so that the needs of all faith groups are addressed, we contact local clergy and religious congregations at a patient’s request. Palliative Care Our Palliative Care team is a resource for patients who are diagnosed with chronic and life-limiting illnesses, and for loved ones who are involved in their care. The goals of the program are to prevent and relieve suffering, as well as to support the best quality of life for patients and their families. The Palliative Care team provides compassion and comfort, and supports the patient and family in the decision-making process. A Place for Peace – The Healing Gardens of St. Mary Patients at St. Mary have a unique resource that revives their souls, their spirits, and their senses: the Healing Gardens. The serene atmosphere of these gardens is the perfect place to pray for direction, gather thoughts, and nurture hope. Lymphedema Therapy St. Mary offers special support to patients who are experiencing lymphedema, or the swelling of tissues caused by the buildup of lymph fluid. Some cancer patients face this chronic condition after surgery, radiation therapy, or chemotherapy. Lymphedema most often occurs in the arms and legs. The surgical removal of lymph nodes (as in the armpits of breast cancer patients), radiation therapy for cancer, and traumatic injury or infection are the most frequent causes of lymphedema. A Certified Lymphedema Therapist (CLT) performs massage-like manual lymph drainage (MLD) that stimulates the pulsation of the lymph vessel walls to assist drainage of the lymph fluid into lymph vessels that are still functioning. In addition to the MLD massage, wrappings with gradient compression bandages, lymphedema-specific exercises, and skin care to prevent infection and inflammation are among the other Complete Decongestive Therapy components used to treat lymphedema. St. Mary Medical Center has multiple Certified Lymphedema Specialists who are specially trained in Complete Decongestive Therapy to treat lymphedema. The Healing Gardens are inspired by 12th-century monasteries and nunneries, which served as the first “hospitals.” Our centrally located Cloister Garden has six distinct areas: the lawn, a woodland amble, a cherry grove, the pond, a Japanese Walk, and a dining terrace. A second Healing Garden is dedicated to the families and patients of the St. Mary Regional Cancer Center and the St. Mary Breast Center. St. Mary also is graced with a rooftop garden and a calming garden and terrace adjoining the reception area of the Emergency Department. The Pennsylvania/Delaware Chapter of the American Society of Landscape Architects has bestowed an Honor Award upon the Healing Gardens at St. Mary. Thanks to the fund-raising and volunteer support of the Community League of St. Mary Medical Center, the gardens are continually maintained and expanded. A Better Way To Treat Cancer | 11 Nutritional Counseling Because the right nutrition is important in the prevention and treatment of cancer, a registered dietitian provides patients at St. Mary Medical Center with a nutritional plan that best meets their needs. The oncology dietitian is involved in the care of both inpatients and outpatients. Each patient has the opportunity to request the services of the dietitian during the course of chemotherapy and radiation therapy. If a patient is not going to initiate treatments immediately due to testing or other factors, the dietitian still will contact the patient and/or family member by phone to discuss nutritional status as requested by the physician or the patient. All patients who are at nutritional risk are given the opportunity to see the dietitian and receive guidance to help them improve their nutritional status. Family members are encouraged to be present for these consultations. Man-to-Man® prostate cancer support group, and the Look Good…Feel Better® support group for women. In addition, St. Mary partnered with Gilda’s Club Delaware Valley to offer a supportive place on the hospital campus for our patients and their families to participate in activities, attend workshops, and meet with others experiencing the feelings and issues of living with cancer. to improve his or her lifestyle. That can mean working with a cancer patient to develop an individualized fitness program or helping a senior citizen recover from hip-replacement surgery. Whether you need help getting back to where you once were, or assistance getting to where you want to be, the St. Mary Wellness Center can help you meet your fitness and health goals. Resource Library Outpatient Rehabilitation The Regional Cancer Center offers a Resource Library for patients to easily obtain information related to their diagnosis and treatment. Patients can review books, magazines, DVDs, and other resources in the comfortably furnished room. In addition, patients have access to a computer in the Cancer Center Resource Library. Patients needing physical therapy, occupational therapy, or speech therapy can benefit from the Outpatient Rehabilitation program at St. Mary Medical Center. Our experienced rehabilitation team includes licensed physical therapists, occupational therapists, and speech/language pathologists, as well as board-certified physiatrists (MDs with special training in physical medicine and rehabilitation). Wellness Center Support Groups Patients find solace through St. Mary’s cancer support groups. These include the Breast Cancer Support Group, the 12 | A Better Way To Treat Cancer The St. Mary Wellness Center is a comprehensive facility offering preventive, diagnostic, and rehabilitation services. Our programs are designed for everyone St. Mary offers rehabilitation programs for inpatients seven days a week. Outpatient rehab programs are scheduled Monday through Friday with some services offered on Saturday mornings. Social Services True to St. Mary’s commitment to provide a full continuum of care, an oncology social worker is available to patients on the Inpatient Oncology Unit, as well as outpatients in the Cancer Center and those referred by a physician. Services include education, community resource referral, psychosocial assessment, and crisis intervention. The social worker also can assist patients and family members in understanding insurance coverage and benefits associated with discharge planning needs. The oncology social worker works closely with supportive care, home care, physicians, nurses, and other team members. Home Care Services Even when your hospital stay is over, the staff at St. Mary wants to make sure that you are well cared for. These services include: • Skilled nursing care • Hospice and pre-hospice • Home health aides • Pain management • Physical, speech, and occupational therapy • Medical social services • Spiritual care • Support services • Educational programs A physician referral is required in most cases, and the specifics of your health situation and home environment will determine the extent of home care services you will need. Home Care staff also can assist with arrangements for home medical equipment. St. Mary Home Care offers patients a full range of interdisciplinary skilled care. Whether it’s follow-up care after hospitalization or care to help manage a chronic disease, Home Care provides convenient in-home services to meet your immediate healthcare needs. St. A Mary Better Regional Way ToCancer Treat Cancer Center | 13 More Comprehensive Care Close to Home St. Mary Medical Center is committed to developing and maintaining the best cancer care program in the region, so that if you or someone you love is confronted with cancer, you can take comfort in knowing that the highest standards of care are available close to home. Cancer Diagnostics and Treatment — Investing in the Latest, Best Technology St. Mary has the most advanced cancer-fighting diagnostic and treatment technologies to date, attracting top doctors and oncology specialists to practice at our Regional Cancer Center and Breast Center. St. Mary is among the first in the region to offer treatment with the newest da Vinci Si HD® Surgical System, providing a minimally invasive approach to complex procedures. The robotic-assisted surgery is useful in the removal of fibroids and other tumors, as well as staging for treating cervical, ovarian, and uterine cancers. Minimally invasive surgery for prostate cancer is among other procedures that are performed with this technology. The da Vinci is designed to offer unparalleled visualization and greater precision. With minimally invasive surgery, patients typically benefit from reduced blood loss, less pain, less scarring, and a lowered risk for infection. Clinical Trials — Researching Better Ways to Treat and Beat Cancer St. Mary Medical Center also is leading the way when it comes to revolutionizing cancer treatment. St. Mary has enhanced access to various cancer clinical trials, collaborates 14 | A Better Way To Treat Cancer with prominent resource organizations supported by the National Cancer Institute (NCI), and operates under the highest standards. The clinical studies provide the opportunity for patients to enroll in leading-edge clinical trials in a nearby community setting. More Cancer Specialists At St. Mary, we know that cancer is best treated through a multidisciplinary approach that uses the insights provided by a wide range of cancer specialists. Each of these specialists is an expert in his or her own field of cancer care and is knowledgeable about the latest cancer research. Some of the most talented doctors in their fields have joined the St. Mary cancer team. Recent additions at St. Mary include a board-certified breast cancer surgeon and radiation oncologists with training from top medical schools such as Johns Hopkins, Harvard, and the University of Pennsylvania. These doctors have chosen to practice at St. Mary because the cancer detection and treatment technology we possess is cutting-edge and because they know that they are among colleagues who place the highest value on patient-centered care. Our doctors are measured not only by their expertise and success in treating cancer, but also by the hope and confidence they inspire in their patients. Multidisciplinary Treatment of Breast Cancer “I am Dr. Catherine Plzak, Medical Director of the St. Mary Breast Center. Caring for individuals with breast concerns requires an organized approach by a team of medical professionals in multiple specialties. Our goal is to promptly provide the highest quality care with compassion. I look forward to working in our community to guide and help patients become knowledgeable, active participants in their journey through this complex health challenge.” A Better Way To Treat Cancer | 15 Who’s Who In St. Mary Cancer Care Breast Care Coordinator – A registered nurse who helps Breast Center patients navigate through all aspects of their cancer care and support, including coordinating care with physicians, scheduling appointments, answering questions about treatment options, and ensuring that patients receive continuity of care in a timely fashion Expert Care “I’m Dr. Robert Cardinale, Medical Director of the St. Mary Radiation Oncology Department. Because of its investment in cancer treatment technologies and commitment to excellence for the region, St. Mary is able to attract top-notch cancer specialists. Personalized care is delivered in a compassionate environment, where physicians, nurses, technologists, clergy, support staff, patients, and their families genuinely care for and support one another.” 16 | A Better Way To Treat Cancer Genetics Counselor – A board-certified genetics expert who identifies geneticrelated cancer risk and recommends genetic testing options for families who may have cancers commonly passed down from one generation to the next Medical Oncologists – Specialists who coordinate cancer patient care, interacting with other specialists from several disciplines such as radiology, pathology, therapy (chemotherapy, radiation, and surgery), palliative care, and counseling Pathologists – Board-certified physicians who study and analyze tissues obtained from biopsies to determine whether cancer is present Protocol Coordinator – A person who coordinates clinical trials Radiation Oncologists – Boardcertified physicians whose education and experience are directed toward the evaluation, care, and medical management of a patient requiring radiation therapy Radiation Physicist/Dosimetrist – A specialist trained in the measurement and application of the radiation beam for medical treatment. The physicist/ dosimetrist computes the dosage of radiation needed for each individual patient and plans the treatments Radiation Therapists – Licensed certified professionals who apply the radiation treatment and assist patients as they come in for treatment Radiation Therapy Nurses – Registered nurses certified in oncology with special training in both patient counseling and managing conditions related to radiation therapy Radiologic Technologists – Technologists trained to administer imaging technologies such as ultrasound, CT scan, and MRI Radiologists – Board-certified specialists who interpret the data gained through imaging technologies More Ways to Prevent Cancer At the St. Mary Regional Cancer Center and the St. Mary Breast Center, our philosophy is that we should do all we can to ensure the debilitating effects of cancer are never experienced in the first place. Therefore, helping members of the community find and implement ways to prevent and detect cancer early is an essential part of our mission. Since your best protection against cancer is prevention and awareness, St. Mary offers several programs, from family cancer risk evaluation to free community screenings to classes to help people quit smoking. Basically, we want to help our neighbors stay cancer-free. Family Risk Evaluation Program If you have a family history of cancer, you may benefit from a risk assessment with our staff through the Family Risk Evaluation Program. Having a family history of cancer can increase a person’s risk of developing cancer. Five to 10 percent of cancer diagnoses are due to genetic factors that are inherited. The experts affiliated with the Family Risk Evaluation Program include medical and radiation oncologists, board-certified breast surgeons, fellowship-trained general surgeons, gynecologists, social workers, spiritual care counselors, and genetic counselors. We offer personalized cancer screening and risk-reduction plans. During a comprehensive education session, a cancer risk counselor will obtain a detailed evaluation of your personal and family medical history. The various risk factors for cancer will be explained, as well as the potential benefits and limitations of currently available screening methods. The counselor also will provide up-to-date information on medical screening recommendations for high-risk individuals and available genetic testing options. Learning you have an increased risk for cancer can enable you to take active steps toward reducing your risk by providing you with options for early detection and prevention. Your awareness helps not only you, but also your children and grandchildren, saving generations to come. A Better Way To Treat Cancer | 17 Cancer Screenings St. Mary hosts free cancer screenings, including skin cancer screenings every spring, for members of the community. The skin cancer screenings are performed by board-certified dermatologists to aid in the early detection of melanoma. Breast Health Initiative The St. Mary Breast Health Initiative provides uninsured, financially eligible women ages 40 or older with free screenings and educational awareness programs for the early detection of breast cancer. Supported by a grant from the Philadelphia Affiliate of Susan G. Komen for the Cure®, the Breast Health Initiative was introduced in Fall 2008. Services are provided at the St. Mary Regional Cancer Center, the St. Mary 18 | A Better Way To Treat Cancer Breast Center, and the Bucks County Health Improvement Project (BCHIP) Adult Health Clinic in Bensalem, where women also are given access to primary healthcare services for their families. “Clearing the Air!” SmokingCessation Program St. Mary is proud to be a totally smokefree hospital. Smoking is not permitted anywhere on the St. Mary Medical Center campus, including the parking areas. To help individuals stop an unhealthy habit that contributes to several diseases including lung and throat cancer, St. Mary offers free smoking-cessation classes. Each class consists of five sessions in a careful sequence designed to maximize chances for success. Topics include deciding which nicotine replacement product (if any) is right for you, how to best deal with cravings, and how to avoid weight gain. The costs of the course are defrayed in part by the Bucks County Tobacco Control Project and the Pennsylvania Department of Health. Lung CAD RapidScreen™ All chest X-rays conducted for any reason on patients ages 30 and older at St. Mary are automatically sent through our computer-aided detection (CAD) technology to detect lung cancer in its earliest stages. Because early discovery more than triples survival rates in this common cancer, it’s important that the CAD X-ray system can catch the disease even in patients who are not yet experiencing symptoms. Life After Treatment – A Celebration At the St. Mary Regional Cancer Center and the St. Mary Breast Center, we not only believe that beating cancer is possible, but also that fighting against and overcoming this disease can be one of the most victorious experiences in a person’s life and a cause for celebration. Adversity can be character-strengthening. Cancer survivors often cite their fight as both one of the worst and the best things to have happened in their lives. In many cases, the strength developed through these struggles gives people a newfound zest for life. At St. Mary, our holistic approach to detecting, treating, and coping with cancer and its effects is designed specifically for each individual and his or her physical, emotional, and spiritual needs. Your fight is our fight, and we’d like to be your partner during the journey. A Better Way To Treat Cancer | 19 Important Phone Numbers Appointments Chemotherapy 215.710.5325 Radiation 215.710.5300 Bereavement Support Group 215.710.5902 Breast Care Coordinator 215.710.5341 Breast Center 215.710.5393 Breast Health Initiative 215.710.2738 Cancer Center 215.710.5300 Cancer Registry 215.710.5314 Cancer Support Groups 215.710.5300 Clinical Research/Protocol 215.710.5328 20 | A Better Way To Treat Cancer Community Cancer Screenings 215.710.5888 Family Risk Evaluation Program 215.710.4511 Gilda’s Club at St. Mary 215.710.6828 Health Sciences Library 215.710.2012 Holistic Services 215.710.6948 Home Care/Hospice 267.569.0760 Inpatient Oncology Unit 215.710.7002 Pain Management Center 215.710.7246 Palliative Care 215.710.4616 Radiology/Imaging Services 215.710.2208 Rehabilitative Services Cardiac Rehabilitation 215.710.2191 Physical Medicine & Rehabilitation 215.710.2223 Pulmonary Rehabilitation 215.710.2522 Smoking-Cessation Program 215.710.2264 Social Services Lymphedema Therapy 215.710.2223 215.710.2542 Spiritual Care Mammography (to schedule) 215.710.2208 Nutritional Counseling 215.710.2361 215.710.5902 Wellness Center 215.710.6861 A Better Way To Treat Cancer | 21 St. Mary Regional Cancer Center St. Mary Breast Center 1201 Langhorne-Newtown Road Langhorne, PA 19047 www.StMaryHealthcare.org 22 | A Better Way To Treat Cancer