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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.