Danny Bell Cancer Treatment Center Page 1 POPLAR BLUFF REGIONAL MEDICAL CENTER Mission Statement Wearecommittedtomeetingourcommunity’shealthcareneedsby providingcompassionate,qualityfocusedpatientcare. Vision Statement TobethehealthcareproviderofchoiceinSoutheastMissouri. Providesafe,highqualitypatientcare. Beaccountableandcommittedtoourwork. Respectallourcustomers. Manageourresources. Communicateandcollaboratewithourcustomersandeachother. DANNY BELL CANCER TREATMENT CENTER Vision Statement Provideprivacyandeducationwithtechnologicallycurrentequipmentfor radiationoncologyinordertoprovidethehigheststandardsoftreatmentand qualityofserviceforourcancerpatients. Danny Bell Cancer Treatment Center Page 2 CHAIRMAN’S REPORT byKeanD.Griffith,MD,FACS NEED PHOTO OF DR. GRIFFITH Iwouldliketopresentthe2012AnnualReport ofTheCancerCommitteeofPoplarBluffRegional MedicalCenter. Aspresented,PBRMCoffersaveryactivemultidisciplinarycancertreatmentprogram.Ourcommunityoutreachprogramsandtumorregistryhave neverbeenmoreactive. Virtually all of the new cancer cases in our Tumor Registry are evaluated prospectively at our Cancer Treatment Conference which is held bi-weekly. We make a very concerted effort to stageourpatient’sdiseaseusingtheprotocolsrecommended by the Commission on Cancer of the AmericanCollegeofSurgeons.Wealsoroutinely consult the recommended treatment guidelines of multiple national organizations, including the NationalComprehensiveCancerNetwork. We have a very active relationship with The AmericanCancerSociety,whoseregionalrepresentative,MarciLawson,providesinvaluableresourcestoourpatientsandwhoisaregularparticipantin ourCancerCommittee.Ourpatient’salsobenefit greatly from a local cancer support organization, The United CancerAssistance Network (UCAN). Wearegreatlyappreciativebothoftheseorganizations. IwouldliketothankDr.SubbashGujarati,the pastChairmanoftheCancerCommittee,whohas served the program and our patients in an exemplaryfashion. Ourfuturelooksbright.Thenextyearwillsee movementofoursurgicalservicestoanewhospital,aswellascreationofanewcancercenter,combining radiation oncology and medical oncology. We hope to have new providers in both of these areas. We also anticipate the addition of a Nurse NavigatorandCancerCareCoordinator,aswellas expandedgeneticandpsychosocialcounselingresources. Finally,IwouldliketowelcomeDonnaMansard,MBAastheAdministratorofOncologyServicestooverseeourexpandingprogram. Danny Bell Cancer Treatment Center Page 3 2011 REGISTRY REPORT The Cancer Registry at Danny Bell Cancer Treatment Center is responsible for the accurate and timely collection, management, and analysis of data on patients diagnosed with malignant diseases or other specified benign tumors. Our data is submitted to the Missouri Central Cancer Registry and to the National Cancer Data Base, allowing comparative analysis with other hospitals of similar size. This information aids in research and in development of cancer treatment modalities. The Poplar Bluff Regional Medical Center Cancer Committee meets a minimum of four times a year as required by the American College of Surgeons Commission on Cancer. These meetings are held at 12:00 noon in the Administrative Boardroom at Poplar Bluff Regional Medical Center. Poplar Bluff Regional Medical Center Cancer Committee chose to review colon cancer and breast cancer for the 2011 patient care evaluation studies. The Cancer Committee also reviewed 12% of the analytic cases for quality control in 2011 to met compliance for Standard 2.10 as required by the American College of Surgeons Commission on Cancer. Tumor Board met 24 times in 2011 with two hundred nine cases being presented. One hundred eighty seven of those cases were prospective cases. Fifty one percent of cases presented were assigned a stage with 49% needing further staging workup. Tumor Board meets every two week at noon on Tuesday in the Administrative Boardroom at Poplar Bluff Regional Medical Center. Physicians receive one hour of continuing medical education (CME) for each case review/tumor board they attend. Poplar Bluff Regional Medical Center diagnosed and/or treated 331 patients in 2011. Of those 310 were analytic cases. A total of none thousand seventy seven primaries have been accessioned into the registry since January 1985. American College of Surgeons Commission on Cancer requires an 80 percent follow-up rate for all analytical patients from the cancer registry reference date (January 1985). Our rate is 96%. A 90 percent follow-up rate is required for all analytic patients diagnosed within the last five years. Our rate is 96%. This ensures medical surveillance, survival rates and treatment effectiveness over a continuum of care and time. National Cancer Data Base (NCDB) call for data was completed on time and sent without error, meeting Standard 3.7 from the American College of Surgeons Commission on Cancer. Education in cancer care and data management is essential for today’s registrar. In October 2011 I attended the Missouri State Tumor Registrar’s (MoSTRA) annual meeting in Overland Park, Kansas and was inducted as President I am also a member of the National Cancer Registrars Association (NCRA). Debbie Reagan, CTR, Cancer Program Coordinator Danny Bell Cancer Treatment Center Page 4 COUNTY AT DIAGNOSIS C o u n ty A t D iag n o sis R eynolds C arter 2% 6% O ther 5% A rkansas 3% B utler 34% S toddard 8% D unklin 12% W ayne 14% R ipley 17% Danny Bell Cancer Treatment Center Page 5 2011 TOP FIVE 20 11 SITES To p F iv e SBY ite s BEST B y B es t SSTAGE tag e S tage 0 S tage I Bl Pr C Br Lu S tage II S tage III e S ite s B y B es t S tag e S tage IV U nknow n 0 5 10 15 B ladder P rostate C olon/R ectum B reast Lung 20 25 30 Danny Bell Cancer Treatment Center Page 6 MOST COMMON SITES ESTIMATED NEW CANCER CASES IN 2011 Nationally Missouri PBRMC 1,596,670 32,740 319 Male 822,300 Nationally Lung 221,130 (14%) Colon/Rectum 141,210 (9%) Prostate 240,890 (15%) Breast 230,480 (14%) Bladder 69,250 (4%) Female 774,370 Missouri 5,470 (17%) 3,150 (10%) 4,230 (13%) 4,100 (13%) 1,370 (4%) PBRMC 81 (26%) 37 (12%) 31 (10%) 47 (15%) 17 (5%) 2011 NEW CANCER CASES Site Male Female Total Lung 41 40 81 Colon/Rectum 17 20 37 Prostate 31 0 31 Breast 0 47 47 Bladder 14 3 17 Lymphoma 6 4 10 Cervix 0 5 5 Endometrium 0 13 13 Larynx 5 0 5 Esophagus 4 1 5 Pancreas 2 1 3 Stomach 5 4 9 Thyroid 2 3 5 Leukemia 1 2 3 Other Sites 21 18 39 _______________________________________________________________________ Total 149 161 310 Danny Bell Cancer Treatment Center Page 7 BREAST CANCER Dr. Subhash Gujarati Breast cancer is one of the leading causes of death in women, second only to lung cancer. In 2012, 229,060 new cases of breast cancer diagnosis are estimated, by American Cancer Society. While majority of new breast cancer diagnosis were in women, small numbers of breast cancer are also diagnosed in men. In 2012, estimated new breast cancer diagnosed in men are 2,190, that is less than 1% of the total number of new cancers diagnosed in men. On the other hand breast cancer accounts for 29% of the total number of new cancer cases in women. Although most breast cancers are diagnosed at an early stage, about 20% of breast cancers are diagnosed at Stage III and IV. Progress is being made in the diagnosis and treatment of breast cancer with digital mammography and MRI Scan; some breast cancers which have been missed before have been able to be diagnosed. Sentinel lymph node biopsies, introduced in the mid 1990’s, have shown to determine axillary lymph node status accurately. Newer techniques are being implemented in radiation therapy. Multiple newer chemotherapy agents are being introduced, with improvement of survival of advanced breast cancer. Danny Bell Cancer Treatment Center Page 8 2007 B reast C an cer A g e A t D iag n o sis 2007 BREAST CANCER AGE AT DIAGNOSIS 90-99 6% 80-89 8% 40-49 17% 50-59 19% 70-79 28% 60-69 22% 2011 B reast C an cer A g e A t D iag n o sis 2011 BREAST CANCER AGE AT DIAGNOSIS 80-89 11% 30-39 4% 40-49 15% 70-79 13% 50-59 26% 60-69 32% Danny Bell Cancer Treatment Center Page 9 20 07 B reas t C a n ce r S tag e A t D iag n o sis 2007 BREAST CANCER STAGE AT DIAGNOSIS S tage 0 3% S tage IV 8% S tgae III 14% S tage I 39% S tage II 36% 20 11 B rea st C a n ce r S tag e A t D iag n o s is 2011 BREAST CANCER STAGE AT DIAGNOSIS S tage IV 6% S tage III 11% S tage II 32% S tage 0 13% S tage I 38% Danny Bell Cancer Treatment Center Page 10 20 07 B reas t C a n ce r F irs t C ou rs e O f Trea tm en t 2007 BREAST CANCER FIRST COURSE OF TREATMENT S +R +C +H 17% S urgery 22% C hem otherapy 3% S +R +H 19% S +R 8% S +R +C 17% S +H 6% R +C 3% S +C 6% 20 11 B rea st C an ce r F irs t C o u rs e O f Trea tm e n t 2011 BREAST CANCER FIRST COURSE OF TREATMENT C hem otherapy 4% S +C 4% C +H 4% S +H 2% S +R 4% S urgery 11% S +R +C 19% H orm one 4% S + R +H 30% S + R+ C+ H 17% Danny Bell Cancer Treatment Center Page 11 B reas t C an ce r F ive Y ea r S u rviva l BREAST CANCER FIVE YEAR SURVIVAL 1.2 1 0.8 0.6 F ive Y ea r S u rviva l 0.4 0.2 0 0 1 Year 2 Year 3 Year S tage S tage S tage S tage S tage 0 I II III IV 4 Year 5 Year Danny Bell Cancer Treatment Center Page 12 COLON CANCER Dr. Ray Peters Medical Oncology The incidence, treatment patterns, and survival of colon cancer patients treated at Poplar Bluff Regional Medical Center in 2011 were reviewed. This is a report of those results. An estimated 101,340 cases of colon cancer are expected to occur in 2011. Colon cancer is the third most commonly diagnosed cancer and the third leading cause of cancer death in both men and women, an estimated 49,380 deaths from colon cancer are expected to occur in 2011. Overall colon cancer incidence and mortality rates are about 35% to 40% higher in men than in women. The reasons for this are not completely understood, but likely reflect complex interactions between gender-related differences in exposure to hormones and risk factors. The majority of colon cancers are treated initially with surgery. However, adjuvant therapy may also be used. Adjuvant chemotherapy or radiation therapy for colon cancer is as effective in patients aged 70 and older who are otherwise healthy as in younger patients; toxicity in older patients can be limited if certain drugs are avoided. In 2011 there were 18 new cases of colon cancer seen at Poplar Bluff Regional Medical Center. There was a prevalence of female patients (67%) for Poplar Bluff Regional Medical Center. 34% of cases were diagnosed in the age group 50-59. The tumors were distributed fairly evenly throughout the colon except for the ascending colon at 40%. Surgery was the main modality of initial treatment at 72%. Our survival results compare favorably to the state and nation overall as well as the most recent data from the National Cancer Data Base of the Commission on Cancer. Danny Bell Cancer Treatment Center Page 13 C o lo n C an cer A g e at D iag n o sis COLON CANCER AGE AT DIAGNOSIS 80-89 22% 50-59 33% 70-79 22% 60-69 22% C o lo n C an cer B y G en d er COLON CANCER BY GENER M ale 33% F em ale 67% Danny Bell Cancer Treatment Center Page 14 C olo n C an ce r S tag e at D iag n o sis COLON CANCER STAGE AT DIAGNOSIS S tage IV 6% S tage 0 19% S tage III 31% S tage I 19% S tage II 25% C o lo n C a n ce r F irst C o u rs e o f T re atm e n t COLON CANCER FIRST COURSE OF TREATMENT B iopsy 6% S urgery & C hem o 22% S urgery 72% Danny Bell Cancer Treatment Center Page 15 C o lo n C an cer B y S u b site colon cancer by subsite C ecum 6% S igm oid 24% A ppendix 6% D escending 6% S plenic F lexure 6% A scending 41% Transverse 12% Danny Bell Cancer Treatment Center Page 16 lo n C an ce r F ive Y e ar S u rv iv al B y B est S tag e COLON CANCERC oFIVE YEAR SURVIVAL BY BEST STAGE 1.2 1 0.8 0.6 r S u rv iv al B y B est S tag e 0.4 0.2 0 0 1 Year 2 Year 3 Year S tage S tage S tage S tage S tage 0 I II III IV 4 Year 5 Year Danny Bell Cancer Treatment Center Page 17 QUALITY IMPROVEMENT MEASURES AS DEFINED by the Commission on Cancer CP3R (Cancer Program Practice Profile or administered within 4 months (120 days) of Reports) provides feedback to our program diagnosis for patients under the age of 80 with to improve the quality of data across several AJCC Stage III (lymph node positive) colon disease sites. We are required to review the cancer.” quality of patient care using the report to Our performance rate is 100% for this evaluate care within and across disciplines, to measure in 2/2 eligible cases. discuss successful processes and to evaluate For comparison, the State of Missouri’s how processes can be improved to promote performance rate is 92.8%; Heartland Divievidenced bases practice. The data evaluasion of American Cancer Society at 91.6%; tion falls to our Cancer Liaison Physician, Dr. Midwest Census Region: 93.9%; CoC ProKean Griffith. gram Type (Community Hospital Cancer p F ivise for S ites F icancer v e Y ear Tren dProgram); 89.7% and all CoC Approved One such To measure colon cases: “Adjuvant chemotherapy is considered Programs at 90.7%. QUALITY IMPROVEMENT MEASURES AS DEFINED To p F iv e S ites F iv e Y ear Tren d 120 100 80 Lung Lung B reast B reast C olon/R ectum C ol P rostat e on/R ectum B ladder P rostate 60 B ladder 40 20 0 2007 2008 2009 2010 2011 Danny Bell Cancer Treatment Center Page 18 CANCER COMMITTEE MEMBERS 2011 Kean Griffith, M. D., General Surgery Cancer Committee Chairman/American College of Surgeons Liaison Ray Peters, D. O., Medical Oncology Subhash Gujarati, M. D., Radiation Oncology Emily Militzer, M. D., Radiation Oncology Stephen Bush, M. D., General Surgery David Mauterer, M. D., General Surgery Dean Rigby, M.D., Radiology Jimmy Costin, M. D., Pathology Donald Jones, M. D., OB/GYN Lance Yeoman, M. D., Dermatology S. H. Safdar, M. D., Medical Oncology Lavah Lowe, COO Rondal Culp, Director CTC Adrienne Jones, Social Services Clauda Presley, Quality Assurance Tracy Clanahan, Nursing Dee Murphy, Director Pain and Ambulatory Infusion Melinda Bowman, Director HIM Kelli Pierce, Director Rehab Lois Bevill, UCAN Volunteer Coordinator Marcie Lawson, American Cancer Society Debbie Reagan, Cancer Program Coordinator Danny Bell Cancer Treatment Center Page 19 COMMUNITY PROGRAMS Survivor’s Picnic The Danny Bell Cancer Treatment Center along with Poplar Bluff Regional Medical Center sponsored the 23rd Annual Cancer Survivors Picnic in September of 2011. Survivors are asked to bring a covered dish to enhance the barbecue and music. Free Screenings In May 2011 a skin cancer screening was provided with the help of Dr. Subhash Gujarati and Dr. Emily Militzer. In October 2011 a prostate cancer screening was provided with the help of Dr. Subhash Gujarati and Dr. S. D. Madduri. Relay for Life Danny Bell Cancer Treatment Center and Poplar Bluff Regional Medical Center are proud to be Corporate Sponsor for the American Cancer Society’s Annual Butler County Relay for Life since it began in Butler County in 1995 Relay for Life was founded in 1985 by Gordan Klatt of Tacoma, WA, a surgeon and local American Cancer Society volunteer, ran and walked solo around a track for 24 hours, traveling 81 miles. He raised $27,000 to fight cancer. Now the American Cancer Society’s signature event, Relay for Life annually raises more than $200 million in 2,800 communities nationwide. Danny Bell Cancer Treatment Center Page 20 Look Good….Feel Better The Danny Bell Cancer Treatment Center provided three Look Good…Feel Better programs in 2011. Look Good…Feel Better is an American Cancer Society program that is community-based, free, national service that teaches female cancer patients beauty techniques to help restore their appearance and self-image during treatment. An instructor and her students from a local cosmetology program help the patients with practical, hands-on experience. Women learn about makeup techniques, skincare, nail care and options related to hair loss such as wigs, turbans and scarves. Each participant receives a free kit of cosmetics for use during and after the workshop. Health Fair The Danny Bell Cancer Treatment Center provided a Health Fair at Home Depot in October 2011. Danny Bell Cancer Treatment Center Page 21 ACTIVE MEDICAL STAFF Joseph Acton, MD - Internal Medicine Alan Chen, MD - Family Medicine Jeffrey Gremmels, MD - Radiology, Diagnostic Candice Adams, ARNP - Internal Medicine Richard Childs, MD - Psychiatry Kean Griffith, MD - Surgery Omobolanle Adeyekun, MD - Internal Medicine Shahid Choudhary, MD - Neurology Subhash Gujarati, MD - Radiation Oncology Jagan Ailinani, MD - Radiology, Diagnostic Oge Chukwu, MD - Family Medicine Rajinder Gulati, MD - Radiology, Diagnostic Tirso Aldana, MD - Emergency Medicine Sara Cole, PA - Internal Medicine Talia Haiderzad, MD - Psychiatry George Aldridge, MD - Urology Vegas Coleman, MD - Psychiatry Linda Hammonds, ARNP, RN - Psychiatry Leon Alexander, MD - Radiology, Diagnostic David Condie, MD - Radiology, Diagnostic Frederick Harris, MD - Radiology, Diagnostic James Alexander, MD - Surgery, Vascular Surgery Jimmy Costin, MD - Pathology, Anatomic Birtha Hartness, ARNP - Emergency Medicine Madad Ali, MD - Gastroenterology Richard Crayton, CRNA - Anesthesiology Teddy Hatfield, MD - Family Medicine Felix Alvarez, MD - Internal Medicine David Croyle, MD - Radiology, Diagnostic Gerald Haynes, PA - Emergency Medicine Jeffrey Baller, DPM - Podiatry Dennis Daniels, MD - Pulmonary Disease Edith Hickey, MD - Family Medicine Virginia Baltz, CRNA - Anesthesiology Gary Dausmann, MD - Family Medicine Timothy Hipskind, MD - Internal Medicine Michael Barnum, MD - Emergency Medicine Jeremy Daves, CRNA - Anesthesiology Justin Hodge, MD - Radiology, Diagnostic James Bashaw, CRNA - Anesthesiology Lynn Davidson-Stroh, MD - Psychiatry J. Hoja, MD - Obstetrics & Gynecology Bijan Bastaninejad, MD - Pediatrics Darwin Davis, MD - Family Medicine Charles Hollis, CRNA - Anesthesiology Montie Baylor, CRNA - Anesthesiology Derry Dye, MD - Pediatrics John Hunt, MD - Family Medicine Girish Bhatt, MD - Cardiology, Cardiovascular Disease Wendell Elliott, MD - Family Medicine James Jackson, DDS - Dentistry, General John Elliott, DO - Emergency Medicine Daniel Jackson, DO - Family Medicine Asim Elmahboub, MD - Pediatrics Shirley Jautz, CRNA - Anesthesiology Shane Faltys, CRNA - Anesthesiology Donald Jones, MD - Obstetrics & Gynecology Roger Faltys, CRNA - Anesthesiology Henry Kalir, MD - Psychiatry Joseph Fernando, MD - Pediatrics Raymond Ketting, MD - Emergency Medicine Evelyn Broadhurst, CRNA - Anesthesiology Kelly Fields-Wilburn, ARNP - Emergency Medicine Chul Kim, MD - Internal Medicine Mike Brown, MD - Radiology, Diagnostic Donald Foust, CRNA - Anesthesiology Tom Brumitt, DO - Radiology, Diagnostic Twilah Fox, MD - Psychiatry Ulisa Buckingham, MD - Psychiatry Mark Fusco, CCP - Clinical Perfusion Cheryl Burley, ARNP - Internal Medicine Neal Garner, DO - Family Medicine Stephen Bush, MD - Surgery Mark Gates, MD - Radiology, Diagnostic Fred Michael Caldwell, MD - Internal Medicine William Gentry, CCP - Clinical Perfusion Carrie Carda, MD - Obstetrics & Gynecology Blair Gill, MD - Radiology, Diagnostic G. Dean Carlton, CRNA - Anesthesiology Emelinda Gorostiza-Tolod, MD - Psychiatry Terrance Chambers, MD - Radiology, Diagnostic Charles Goshen, CRNA - Anesthesiology Imran Cheema, MD - Internal Medicine Thomas Graber, MD - Orthopaedic Surgery Jaidev Bhoopal, MD - Internal Medicine Lauren Blackwelder, MD - Emergency Medicine James Borders, MD - Radiology, Diagnostic Carl Bosley, DO - Otolaryngology Roger Bost, MD - Pediatrics Janet Kinworthy, ARNP - Emergency Medicine Robert Knowles, MD - Psychiatry Geetha Komatireddy, MD - Rheumatology Venkata Kondisetti, MD - Internal Medicine Timothy Kordick, CRNA - Anesthesiology Patrick Kreulen, ARNP - Emergency Medicine Raghuveer Kura, MD - Nephrology Carla Latourette, PA - Cardiology, Interventional Charles Lawson, MD - Internal Medicine Patrick Lecorps, MD - Orthopaedic Surgery Regina Lewis, ARNP - Family Medicine Danny Bell Cancer Treatment Center Page 22 Kenneth Li, MD - Internal Medicine Ray Peters, DO - Oncology, Medical Valerie Smith, MD - Family Medicine Sherry Limbaugh, ARNP - Family Medicine Mark Pfautsch, DO - Radiology, Diagnostic Benjamin Soeter, MD - Pain Management Herbert Littleton, ARNP - Internal Medicine Donald Piland, MD - Internal Medicine Yuli Soeter, MD - Pain Management Anna Littleton, DO - Internal Medicine Rebecca Pinchoff, MD - Pediatrics Peter Somers, MD - Family Medicine Mary Loos, MD - Internal Medicine Christopher Pinderski, MD - Emergency Medicine Patrick Stangeby, MD - Psychiatry Hershel Machen, CRNA - Anesthesiology George Pjura, MD - Radiology, Diagnostic Michael Stevenson, DO - Family Medicine Sivaprasad Madduri, MD - Urology Charles Potter, MD - Otolaryngology Willeford Stoecker, MD - Radiology, Diagnostic Kochurani Maliekel, MD - Oncology, Medical Claudia Preuschoff, MD - Pediatrics Cedric Strange, MD - Radiology, Diagnostic Namrata Mallik, MD - Internal Medicine Michael Price, DDS - Dentistry, General Paul Strozyk, CCP - Clinical Perfusion Urooj Mansoor, MD - Internal Medicine Debra Price, ARNP - Psychiatry Bradley Stuckenschneider, MD - Ophthalmology Martha Margreiter, MD - Pediatrics Jonathan Privett, MD - Family Medicine Kenneth Studyvin, DO - Emergency Medicine David Mauterer, MD - Surgery Nora Quiason, MD - Psychiatry Rangsan Suvan, MD - Pediatrics Rickey McGath, MD - Family Medicine Paul Rains, DO - Family Medicine Theodore Swartz, MD - Radiology, Diagnostic Barbara McMains, ARNP - Internal Medicine Hanumanth Reddy, MD - Cardiology, Cardiovascular Disease Bennie Till, MD - Family Medicine Farrah McSpadden, MD - Obstetrics & Gynecology Matthew Riffle, MD - Internal Medicine Austin Tinsley, MD - Family Medicine Michael Toney, DO - Family Medicine Emily Militzer, MD - Radiation Oncology Dean Rigby, MD - Radiology, Diagnostic David Mir, MD - Family Medicine Debra Robertson, MD - Pediatrics Rubina Mirza, MD - Cardiology, Interventional Cheryl lRodery, ARNP - Family Medicine Naveed Mirza, MD - Psychiatry Shaun Ross, MD - Pediatrics Christopher Montgomery, MD - Family Medicine Paul Roubian, MD - Radiology, Diagnostic Satheavy Moore, MD - Radiology, Diagnostic Debra Russell, ARNP - Family Medicine Mario Velez, MD - Pathology, Anatomic and Clinical Cheri Morgan, ARNP - Emergency Medicine Christopher Russell, MD - Radiology, Diagnostic Sharon Wallace, MD - Radiology, Diagnostic David Mueller, MD - Radiology, Diagnostic Angizeh Sadeghi, MD - Gastroenterology Stephen Washburn, MD - Psychiatry Kirby Turner, MD - Family Medicine Clint Vanlandingham, DPM - Podiatry Prem Varma, MD - Internal Medicine Martin Vaughn, CRNA - Anesthesiology Christopher Murdock, DO - Radiology, Diagnostic Shabbir Safdar, MD - Oncology, Medical Thomas Weekly, MD - Internal Medicine Joel Murphree, CRNA - Anesthesiology Mowaffaq Said, MD - Nephrology Andrew West, MD - Radiology, Diagnostic Stephen Nagy, MD - Internal Medicine George Samuel, MD - Family Medicine James Whitten, MD - Psychiatry Abdul Naushad, MD - Pain Management Salman Sarwar, MD - Internal Medicine Jeffrey Wichman, MD - Radiology, Diagnostic Huan Nguyen, MD - Radiology, Diagnostic Kimberly Schisler, DO - Family Medicine James Wilkerson, MDI - nternal Medicine Zackwrie Parr, DPM - Podiatry Robert Seelig, MD - Radiology, Diagnostic Craig Williams, MD - Family Medicine Kapil Passi, MD - Internal Medicine Amy Shell, ARNP - Family Medicine John Wood, MD - Radiology, Diagnostic Angela Patterson, MD - Internal Medicine Navid Siddiqui, MD - Internal Medicine Lance Yeoman, PsyD - Psychology John Patty, DO - Obstetrics & Gynecology Sharon Slayton, ARNP - Internal Medicine Jahan Zeb, DO - Dermatology Carl Patty, MD - Obstetrics & Gynecology Robert Smith, NP - Family Medicine Stanley Ziomek, MD - Cardiology, Interventional Panagiotis Paulus, MD - Ophthalmology Gilbert Smith, CRNA - Anesthesiology Mark Zubres, MD - Surgery, Vascular Surgery William Pelton, MD - Radiology, Diagnostic Krista Smith, MD - Family Medicine Amy Pennington, ARNP - Emergency Medicine Stephen Smith, MD - Family Medicine Danny Bell Cancer Treatment Center Page 23 General Information Danny Bell Cancer Treatment Center.................................................. (573) 686-5300 Poplar Bluff Regional Medical Center................................................. (573) 785-7721 Ambulatory Infusion Center................................................................. (573) 686-8160 Healthcare Referral Center Toll-free line....................................................................................... 1-800-582-9533 Radiation Oncology Services Subhash Gujarati, M.D........................................................................ (573) 727-2636 Emily Militzer, M.D............................................................................... (573) 727-2649 Medical Oncology Services Ray Peters, D.O................................................................................... (573) 778-9598 Shabbir Safdar, M.D............................................................................ (573) 778-9136 Kochurani Maliekel, M.D..................................................................... (573) 778-9136 Surgery Services Kean Griffith, M.D................................................................................ (573) 727-9100 David Mauterer, M.D............................................................................ (573) 727-9100 Support Services American Cancer Society..................................................................... 573) 471-2023 Cancer Registry................................................................................... (573) 727-2628 Hospital Admitting............................................................................... (573) 686-5363 Marketing and Community Relations.................................................. (573) 727-2760 Nutrition............................................................................................... (573) 686-5337 Pain Management Center.................................................................... (573) 686-8154 PET/CT Scheduling............................................................................. (573) 727-2600 Radiology............................................................................................ (573) 686-5951 Rehabilitation....................................................................................... (573) 686-8280 Social Services.................................................................................... (573) 727-2647 United Cancer Assistance Network (UCAN........................................ (573) 776-1892 Wound Healing and Hyperbaric Center............................................... (573) 686-8199 Danny Bell Cancer Treatment Center Page 24 SCREENING RECOMMENDATIONS The American Cancer Society recommends these screening guidelines for most adults. Your provider may recommend additional tests based on your family history Breast Cancer • Age 40 yearly mammogram • Clinical breast exam (CBE) about every 3 years for women in their 20s and 30s and every year for women 40 and over • Breast self-exam (BSE) monthly for women starting in their 20s. Colorectal Cancer and Polyps Beginning at age 50, both men and women should follow one of these testing schedules: • Double-contrast barium enema every 5 years* • Or CT colonography (virtual colonoscopy) every 5 years* • Or Flexible sigmoidoscopy every 5 years* • Or Colonoscopy every 10 years * If this test is positive, a colonoscopy should also be done. Cervical Cancer • Yearly Pap test beginning 3 years after first vaginal intercourse, but no later than 21 years old. • Beginning at age 30, women who have had 3 normal Pap test results in a row may get screened every 2 to 3 years. • Women 70 years of age or older who have had 3 or more normal Pap tests in a row and no abnormal Pap test results in the last 10 years may choose to stop having Pap tests. Prostate Cancer Starting at age 50, PSA blood test with or without a rectal exam. How often you are tested will depend on your PSA level. If you are African American or have a father or brother who had prostate cancer before age 65, you should start at age 45. Take control of your health and reduce your cancer risk. • Stay away from tobacco. • Stay at a healthy weight. • Get moving with regular physical activity. • Eat healthy with plenty of fruits and vegetables. • Limit how much alcohol you drink (if you drink at all). • Protect your skin. • Know yourself, your family history, and your risks. • Have regular check-ups and cancer screening tests. • For information on how to reduce your cancer risk and other questions about cancer, please call us anytime, day or night, at 1-800-227-2345 or visit us online at www.cancer.org.
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