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900 Hospital Drive l Madisonville, KY l 270.825.5800
BaptistHealthMadisonville.com
We’ve found that the best approach to
cancer care is a team approach.
We’re united in patient care.
Ali Kanbar, MD
Hematologist/Oncologist
Satish Shah, MD
Radiation Oncologist
Tracy Hagan, MSN, RN, ACONP
Oncology Nurse Practitioner
270.825.5800
800.295.6247
900 Hospital Drive
l
Madisonville, KY
BaptistHealthMadisonville.com
A diagnosis of cancer can release a flood of emotions, concerns
and questions. In fact, a person does not have to have cancer to
be affected by it. Offering support and answering questions for
patients and family members can sometimes be just as important
as treating the disease.
Cancer care at the Merle M. Mahr Cancer Center means meeting
those needs as well as staying at the forefront of cancer research
and education. Since 1985, the Merle M. Mahr Cancer Center
has provided state-of-the-art cancer care in a compassionate
environment. Now a part of the Baptist Health Cancer Network,
our cancer center joins a system that cares for the largest
number of new cancer cases treated at any facility in Kentucky.
Providing total cancer care for patients at the Merle M. Mahr
Cancer Center takes a team approach from physicians, oncology
nurses, nutritional therapists, radiation therapists, physical and
occupational therapists, social workers, chaplains and many other
highly trained professionals to answer patients’ questions and
concerns. Having the latest information available not only helps
physicians diagnose and treat cancer more effectively, it helps
patients and families understand what they are about to face
together.
At the Merle M. Mahr Cancer Center, patients can receive all
their outpatient care in one setting, including physician practice,
Chemotherapy and Infusion Services, Radiation Therapy, lab
work, and imaging services all under one roof.
Our cancer program is deeply committed to not only treating
cancer, but also preventing cancer by educating the public about
the disease. This includes improving access to medical care,
creating education and screening programs, and establishing
partnerships with communities.
Merle M. Mahr Cancer Center
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Cancer Care Center Accreditation
The Commission on Cancer of the American
College of Surgeons has granted Three-Year
Approval with Commendation to the Cancer
Program at Baptist Health Madisonville.
The Cancer Program at Baptist Health Madisonville is the longest
continuous approval for a Community Hospital ACoS program in the
state of KY with its first approval in 1976.
Receiving care at a CoC-approved cancer program ensures that a
patient will have access to:
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omprehensive care, including a range of state-of-the art services
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and equipment
multispecialty, team approach to coordinate the best treatment
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options
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Information about ongoing clinical trials and new treatment options
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Access to cancer-related information, education, and support
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cancer registry that collects data on type and stage of cancers and
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treatment results and offers lifelong patient follow-up
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Ongoing monitoring and improvement of care
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And, most important, quality care close to home
For more information about the Commission on Cancer, visit
www.facs.org/cancer/index.html.
4BaptistHealthMadisonville.com
Clinical Services
Imaging: State-of-the art Imaging Services are available adjacent to
the Merle M. Mahr Cancer Center, which creates convenience for our
patients.
Services include:
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et/CT
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MRI/Breast MRI
Digital Mammography
Stereotactic Breast Biopsy
Ultrasound Biopsy
Radiation Therapy: The Merle M. Mahr Cancer Center includes
an experienced and dedicated team trained in providing radiation
treatment to cancer patients with compassionate care. Before a
patient’s first treatment, the Radiation Oncologist meets with the
patient to determine what kind of radiation will be most effective.
Radiation therapy treatments are delivered in our facility using the
latest equipment.
Radiation Services include:
Linear Accelerators — The Merle M. Mahr Cancer Center has two linear
accelerators - a Siemens Oncor and a Varian 21EX. Linear accelerators
are used to deliver high intensity X-Ray treatments or high energy
electron treatments to the tumor. This treatment utilizes a set of sliding
strips of metal called a Multileaf Collimator to protect healthy, noncancerous tissue while maximizing the radiation dose delivered.
edicated CT Simulator — A dedicated CT scanner allows the physician
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to accurately direct the radiation treatments. Simulation helps the
Radiation Oncologist determine the patient’s treatment portal -- the
exact place on the body through which the treatments will be aimed.
During the simulation process, patients are asked to lie very still on
a table while the dosimetrist uses a special X-ray machine called a
treatment simulator. Simulation can take anywhere from half an hour to
two hours to complete.
Merle M. Mahr Cancer Center
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Intensity Modulated Radiation Therapy — This noninvasive procedure
allows for pinpoint delivery of radiation therapy, resulting in better
tumor control and spares the healthy tissue from the radiation dose.
Better control results in less damage to healthy tissues and organs
surrounding the tumor, increasing a patient’s chance of a better quality
of life. IMRT focuses ionizing radiation on a malignant tumor in a way
that spares surrounding healthy tissue. Because of the longer treatment
time and involved planning procedures, this treatment is not for
everyone. For those who are good candidates for IMRT treatment, it can
decrease side effects and increase the amount of dose delivered safely.
Low Dose Brachytherapy — Radioactive sources are inserted in or
around the cancerous tissues. This treatment option is used to treat
gynecological cancers as well as some lung cancers. The sources are left
in place for the amount of time determined by the Radiation Oncologist
and Physicist to be most effective. This invasive procedure allows for
treating the tumor from the inside-out as opposed to the external
radiation produced by linear accelerator treatments.
Medical Oncology: The Merle M. Mahr Cancer Center Medical
Oncology department provides physician services and chemotherapy
infusion. Patients receive their needed lab and X-rays, see their
physician and receive their chemotherapy treatments, sometimes even
on the same day.
Patients are our
focus, and we strive
to meet each patient’s
individual needs.
Chemotherapy: Our Registered Nurses are specially trained in
the most current chemotherapy agents and regimens. They act as
patient advocates by providing information regarding the disease and
educating on the chemo process. Certified RNs, most with the National
Certification by the Oncology Nursing Society, provide treatment
follow-up to assess the patient’s chemo process. These nurses also act
as patient advocates and liaisons to the providers.
Infusion Services: Infusion Services are available for a wide array of
needs including, but not limited to:
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hemotherapy
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Biotherapy
Blood Transfusion
IV Antibiotics
The Outpatient Infusion Center at the Merle M. Mahr Cancer Center
also is dedicated to meeting the needs of non cancer patients from a
variety of medical settings who require infusion services including:
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I njections
IV fluid administration
IV antibiotic administration
Blood and blood product transfusions
Blood draws from implanted venous access devices and PICC lines.
IV Medications for Crohns Disease, Rheumatoid Arthritis,
Osteoporosis, and many other indications
Nurses are available Monday through Friday starting at 8 a.m., to help
patients. We extend our infusion services to the 4th floor of the hospital
for those who may not be able to get their treatment in the Merle M.
Mahr Cancer Center, including treatments needed after hours and on
weekends.
Clinical Trials: The Merle M. Mahr Cancer Center currently follows
approximately 60 patients who are enrolled in clinical trials through the
Eastern Cooperative Oncology Group, or Radiation Therapy Oncology
Group. A dedicated research associate follows all patients entered on
clinical trials to ensure that all requirements are met.
Merle M. Mahr Cancer Center
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Cancer Registry: The Cancer Registry is a computerized
database that is connected to the Kentucky Cancer Registry system,
a statewide system for collection of cancer data. All cancer cases
diagnosed at Baptist Health are entered into the database. The team
of physicians, nurses and other cancer care providers regularly meet in
Multidisciplinary Cancer Conferences to discuss best treatment options
for their patients.
Supportive Care: A diagnosis of cancer can be devastating for both
the patient and his or her family. Family roles may suddenly change.
Underlying problems may come to the forefront. Supportive care can
offer an outlet for these worries and can help aid in treatment.
Patient Navigation — A cancer diagnosis can be overwhelming and,
for many, having comprehensive information and answers to questions
is the first step in moving beyond diagnosis to treatment. Often, just
knowing what to expect during hospitalization and throughout home
recovery can make the journey a little easier. The Nurse Navigator
coordinates care with a Patient Navigator Liaison, Social Worker, and
others to assist in getting care started quickly; and adds a personal
touch to the process, helping guide patients on a one-on-one basis
through the journey from diagnosis to treatment. The Nurse Navigator
is a specially trained nurse who helps coordinate various tests and
appointments with physicians, and serves as a resource for education
and support throughout the diagnostic and treatment process. The
idea is to extend a helping hand to patients who may be feeling
overwhelmed. The goal is to successfully guide them through the
system, be a resource to patients, let them know what to expect during
hospitalization and treatment, and guide them to survivorship.
Psychosocial Care — Baptist Health employs a full-time chaplain who
oversees the spiritual care of our patients. The Merle M. Mahr Cancer
Center also is fortunate to have dedicated volunteer chaplains and
spiritual counselors who provide services to our patients exclusively.
Social Workers are available to assist patients and families with social
needs. Case Managers are available to meet the various needs the
patients may have and work closely with the Merle M. Mahr Cancer
Center Patient Navigator Liaison and Nurse Navigator to assist with
needed resources.
8BaptistHealthMadisonville.com
Nutritional Care — Nutrition plays a very important role in the fight
against cancer. For this reason, a registered dietitian is available to all
Merle M. Mahr Cancer Center patients.
The Shelly Coffman Patient Resource Center is a free resource
available to cancer patients. This area of the cancer center was made
possible with donations made in memory of former patient Shelly
Coffman. Mrs. Coffman passed away from lung cancer in 2008. She was
a school teacher in the Hopkins County School System, the Providence
School System, and a sponsor/leader of Olympics of the Mind. The
center provides:
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ccess to the Internet – we have bookmarked Web sites related to
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cancer care and resources to help patients research their disease and
treatment.
ooks and educational brochures – we have multiple copies of books
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and brochures. Patients and family may sit and read them in the
library or feel free to take them home and return them at their next
appointment.
igs – we are pleased to provide easy-to-style wigs for cancer
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patients free of charge. The wigs are supplied to the Merle M. Mahr
Cancer Center from various donors. Students from the local beauty
college volunteer their time to wash and style the wigs. Turbans also
are available.
ras and other prosthetics – prostheses and accessories can be
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expensive. We have many of these items at our center for patients to
borrow as needed.
American Cancer Society — The Baptist Health Cancer Program
collaborates with the American Cancer Society providing patients with
additional access to supportive care. At the time of diagnosis, through
the course of treatment, and even after treatment is done, individuals
diagnosed with cancer and their caregivers have a wide range of
needs. The American Cancer Society understands these needs and
offers information, support, and resource referrals to cancer patients,
survivors, and caregivers during their cancer experience. Help is
available 24 hours a day by calling 1.800.227.2345.
Merle M. Mahr Cancer Center
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Upon referral, the ACS will send a specific packet of information on a
cancer diagnosis, which includes booklets about treatment and answers
to common questions, as well as available resources. ACS provides
patients with vital information for understanding their cancer, managing
their lives through treatment and recovery, and finding the emotional
support they need.
The Look Good Feel Better program is a community-based, free,
national service that teaches female cancer patients beauty techniques
to help restore their appearance and self-image during chemotherapy
and radiation treatments. Volunteer beauty professionals lead small
groups, usually consisting of six to 10 women, through practical, handson experience. Women learn about makeup techniques, skincare, nail
care, and options related to hair loss such as wigs, turbans, and scarves.
Each group program participant receives a free kit of cosmetics for use
during and after the workshop.
Reach to Recovery is a one-on-one support program for breast cancer
patients. Volunteers are at least one-year post treatment and are trained
by the American Cancer Society. These volunteers provide support to
breast cancer patients throughout treatment and are matched to the
patient by age and surgery type. A pillow and kit of information are
provided specific to the patients’ surgery type.
Road to Recovery is an American Cancer Society program that provides
cancer patients with free transportation to and from medical facilities
for treatment. Volunteer drivers help keep them on their regular
treatment schedule.
Clinical Trial Matching Services — The American Cancer Society Clinical
Trials Matching Service helps patients, their families, and health care
workers find cancer clinical trials most appropriate to a patient’s medical
and personal situation. They are also able to identify and help remove
barriers that prevent patients from participating in clinical trials.
Kentucky Cancer Program — The Kentucky Cancer Program partners
with the Merle M. Mahr Cancer Center to provide prevention and
early detection services and support to the community and patients.
Joan Lang serves as the community outreach coordinator to the
cancer committee and participates in studies to better understand the
10BaptistHealthMadisonville.com
nature of cancer in our area. KCP furnishes staffing, public awareness
and educational materials to screenings and produces the Pathfinder
resource for patients.
Support Groups:
The General Cancer Support Group meets the first Wednesday of each
month at 3 p.m., at the First Christian Church in Madisonville.
Grief Camps for Children — Camp Butterfly is an annual grief camp
for children ages 5-13 years who have lost a loved one. It is held each
September at the Baptist Health Hospice house. Camp Butterfly is an
opportunity for these children to see that loss touches people in all
walks of life. The camp is staffed by hospice staff, trained volunteers as
well as social workers and counselors. Throughout the day there are
sessions on feelings associated with loss and fun activities planned. The
day is finished off with a memorial service and a butterfly release.
270.825.5800
800.295.6247
900 Hospital Drive
l
Madisonville, KY
BaptistHealthMadisonville.com