Welcome to Clearview Cancer Institute We want you to know that you are coming to a cancer institute with a successful history. We are a leader in cancer treatment, offering excellence in patient care, research and education. At Clearview Cancer Institute, you will find a health care team dedicated to providing you with the best possible care. On your team are specialists related to the diagnosis and treatment of cancer. These experts will combine their knowledge and skills to develop a treatment plan specifically for you. You and your family are also important members of the health care team. Everyone’s understanding and cooperation are vital ingredients in your care. We hope you and your caregivers will read this handbook. Please keep it for future reference. Our patients always come first. Thank you for putting your trust in us. - The Physicians & Staff of Clearview Cancer Institute Sammy F. Becdach, M.D. F. Joseph Kelly, M.D. Marshall T. Schreeder, M.D. S. Paul Dang, M.D. Naveen T. Lobo, M.D. Heather R. Shah, M.D. Manh C. Dang, M.D. Jeremy K. Hon, M.D. C. Daniel Kingsley, M.D. Brian N. Mathews, M.D. Philip J. McGee, M.D. Purvi K. Shah, M.D. John M. Waples, M.D. Our Services » Clearview Cancer Institute is dedicated to providing excellent cancer treatment for our patients. We offer the following services: » Medical Oncology (page 5) » Gynecologic Oncology (page 13) » Radiation Oncology (page 17) » Research and Clinical Trials (page 11) » Stem Cell Transplant (autologous) (page 11) » Imaging Services (page 9) » Full Laboratory Services (page 7) » Collection and Infusion of Blood Products (page 24) » Cancer Resources (page 21) » Genetic Counseling (page 11) » Pharmacy on site (Russel Hill location) (page 11) This handbook is a guide to services offered. You may obtain more detailed services information from your oncologist. For Frequently Asked Questions - page 25 No Smoking Policy Clearview Cancer Institute is a smoke-free institution. Smoking is NOT permitted within the cancer facilities or on the property surrounding the buildings. Firearms Policy No firearms or weapons are permitted on the Clearview premises. Wheelchair Requirement For our patients’ safety, we may require the use of a wheelchair when deemed necessary by our staff. For the Latest Cancer News and Information: www.clearviewcancer.com 2 Table of Contents » Our Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 » General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 » Clearview Office Locations and Phone Numbers . 4 » Medical Oncology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Your Visit and Treatment . . . . . . . . . . . . . . . . . . 7 » Your Medical Symptoms or Concerns. . . . . . . . . . 8 » Our Imaging Services . . . . . . . . . . . . . . . . . . . . . 9 » Our Other Cancer Care Services . . . . . . . . . . . . 11 » » Gynecologic Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Our Gynecologic Oncology Services . . . . . . . . . . 15 » Things to Know . . . . . . . . . . . . . . . . . . . . . . . . 15 » General Information . . . . . . . . . . . . . . . . . . . . 16 » Calling Our Office. . . . . . . . . . . . . . . . . . . . . . 16 » » Radiation Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Our Radiation Oncology Services . . . . . . . . . . . 19 » General Information . . . . . . . . . . . . . . . . . . . . 19 » Prescription Refill Policy . . . . . . . . . . . . . . . . . . 20 » Business Office/Billing Department . . . . . . . . . . 20 » Our Radiation Oncology Locations . . . . . . . . . . 20 » » Cancer Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 » Frequently Asked Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Treatment Considerations. . . . . . . . . . . . . . . . . 27 » Children and Visitors/Infection Control. . . . . . . 27 » Additional Information . . . . . . . . . . . . . . . . . . 28 » » Maps and Directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 3 General Information » Calling Our Offices To schedule or re-schedule an appointment, please call the office location where you regularly visit with your physician or have treatments (as we have several Clearview locations). Our phones are answered 24 hours a day, 7 days a week. Note: Please let our schedulers know if you need to coordinate your chemotherapy appointment with a radiation appointment. We will make every effort to schedule these treatments as closely as possible. Huntsville Office Locations and Phone Numbers Russel Hill Location (Main Office) 3601 CCI Drive Huntsville, Alabama 35805 (256) 705-4224 or Toll Free: 1-888-374-1015 Office Hours: Monday through Friday: 7:00 a.m. - 5:00 p.m. For medical problems: ..................................... (256) 705-4224 or Toll Free: 1-888-374-1015 For prescription refills: ..................................... (256) 705-4216 or Toll Free: 1-888-374-1015 To schedule or reschedule an appointment: ..... (256) 705-4217 or Toll Free: 1-888-374-1015 Crestwood Medical Pavillion One Hospital Drive, Suite 400 • Huntsville, Alabama 35801 To schedule or reschedule an appointment ...... (256) 713-1200 or Toll Free: 1-888-374-1015 Office Hours: Monday through Friday: 8:00 a.m.-5:00 p.m. Other Office Locations and Phone Numbers Decatur Office 310 8th Avenue NE • Decatur, Alabama 35601 (256) 308-9889 Office Hours: Monday through Friday: 8:00 a.m.-5:00 p.m. Athens-Limestone Hospital 700 West Market Street, 3rd floor • Athens, Alabama 35611 (256) 705-4224 Office Hours: By Appointment Scottsboro 911 South Broad Street • Scottsboro, Alabama 35768 (256) 713-1200 Office Hours: By Appointment For maps and driving directions, see page 30 or www.clearviewcancer.com 4 Medical Oncology is a clinical and scientific specialty dedicated to the care of cancer patients through the use of medicine, primarily chemotherapy. Medical Oncology focuses on the diagnosis, treatment, follow-up after treatment, and prevention of cancer. Our Medical Oncologists coordinate with Radiation Oncologists and/or Gynecologic Oncologists as needed for your cancer care. » Hematology is the branch of internal medicine which is concerned with blood, blood-forming organs, and blood diseases. Our hematologists focus on the causes, diagnosis, treatment and prevention of blood disorders. Medical Oncology » 5 » When You Arrive, Always Check In With Us! » Please make sure you check in at our front desk upon arrival » Co-pays are due upon check-in » If you have any changes in your contact information or insurance, please let us know when you check in » If It’s Your First Appointment When you come to our office for the first time, please remember to: » Bring all completed paperwork you may have received in the mail and please arrive 15-20 minutes prior to your appointment • If you did not receive any paperwork in the mail prior to your first appointment, please arrive 45 minutes early to complete the necessary paperwork » Bring all insurance cards » Bring a list of current medications (always keep a current list with you at all times) » Bring a note pad and pen for taking notes » Bring a friend or family member About Children and Treatment » We request that young children do not visit the facility due to the compromised auto-immune systems of our patients » Children under 13 years of age are not allowed in the treatment areas About Visitors and Treatment » Where family members are permittted in treatment area, a maximum of one visitor per patient is allowed » Due to the limited space at some of our office locations, family members will not be allowed in the treatment area » Please be understanding of our space limitations as our patients’ care and comfort are our first priority About Infections and Illness Many of our patients are especially susceptible to infections and may have difficulty fighting even a mild infection. For this reason, we ask those with even minor symptoms, such as a cold or sore throat, do not accompany our patients to the office. Medical Oncology Your Visit and Treatment Our Lab For most patients, our lab is the first stop for each visit. Please notify our staff if any of the following apply: » You are on blood thinners. » You have a special line and/or a central venous catheter from which blood may be drawn. (These are also called ports, Hickmans, Neostars, Groshongs, PICC lines, and Ash-Splits.) » You are receiving chemotherapy through this line at the time your blood is to be drawn. Your Visit With Th e Doctor After your visit to our lab, you will go to your doctor’s waiting area (at Russel Hill location, look for your physician’s name on the signs above each door entrance). A medical assistant will escort you to the vital signs area (blood pressure, temperature, weight) and to see your doctor. Please present your list of medications to the assistant (always keep a current list of your medications with you). After your doctor visit, you will need to schedule your next appointment with his/her scheduler. You will receive all information you will need for your future visits. If you are having radiation and chemotherapy at the same time, please let our scheduler know. You will then receive further directions if you are scheduled for a treatment. Your Treatment Your treatments are given in the Infusion Area. This area is designed for our patients receiving intravenous hydration, chemotherapy, antibiotics or other medical treatments. Registered nurses will educate you in understanding the effects of your illness and treatment. They have specialized training to include certification in providing your treatment and can answer questions for you or your family members. Family and patient teaching is done by the nurse so that some treatments may be received at home. Our Short Term Infusion Area is designed for patients who will receive treatments or infusions that last less than one hour. 7 Medical Oncology » Your Medical Symptoms or Concerns Calling our Nurse If you experience medical symptoms that need immediate attention and cannot wait to be addressed until your next scheduled appointment, please call our office (see page 4 for phone numbers). You will speak to our operator and a registered nurse will return your phone call. Our nurses are highly experienced in oncology care and will help manage your symptoms directly. They will work closely with your physician to make sure your needs are met. Prescription Refills » Please obtain your refills during physician visits. Please prepare a list of the refills you will need prior to your appointment. Then, give your list of refills to your physician during your visit. » We refill prescriptions during office hours only. Please allow a 24 hour turn around for all prescription requests. » If you will be running out of your medication prior to your next scheduled visit, have your pharmacist call in the prescription request to our office. (Refer to page 4 for our phone numbers) » Prescriptions for narcotic medications require a written prescription from your physician and must be picked up at our office. A 24 hour advance notice is required. These prescriptions cannot be called in to your pharmacy. » For your convenience, prescriptions may be purchased at our Clearview Cancer Institute Pharmacy (Russel Hill Location only), Monday - Friday, 8:30 a.m. 5:30 p.m. (closed daily for lunch from 12:30 p.m. - 1:30 p.m.), (256) 327-5900. Helpful Treatment Information For You » When you are receiving chemotherapy treatments, drink at least 8-12 eight- ounce glasses of fluids the day prior to treatment, the day of treatment and the day after treatment, unless instructed otherwise by a physician or nurse. » Dress in layers such as sweaters or jackets which may be removed if you become warm or put on if you become cold. » If you are cold, ask a volunteer for a blanket from our blanket warmer. » Wear front button shirts if you have a central venous catheter (port) which needs to be used for your treatment. » Bring only one family member (13 years of age or older) or friend during your treatment. » Please avoid bringing foods with strong odors into the infusion area. » Please avoid wearing strong smelling perfumes/lotions so as to be considerate to other patients’ sensitivities. » Our patients are offered small snacks and beverages at no charge from our hospitality cart that is staffed by our volunteers. We also have vending and soda machines available for you or your family members in our downstairs break room. Please ask a staff member for directions. 8 Medical Oncology Our Imaging Services (Russel Hill Location Only) Clearview Diagnostic Imaging Our Imaging Center conducts the studies needed to monitor your cancer and its response to treatment. It is important when having imaging studies to wear comfortable clothing and remember to bring a list of all the medications you are currently taking. Please note that your timeliness prevents delay or possible re-scheduling of your tests. Please notify our staff if any of the following apply: » You are diabetic » You are claustrophobic » You have kidney problems or other major medical problems » You are currently under treatment Preparing for your Imaging Services appointment: » Most imaging studies require special patient preparation prior to the study. There are printed instruction sheets available to you. » Please verify your pre-test preparations: (256) 705-4294 » You will be called the day before your appointment to confirm the date and time of your appointment. The day of your Imaging Services appointment: » Upon arrival at Clearview, come directly to the entrance to Clearview Diagnostic Imaging (located on the 1st floor on the right/north end of the building). There is no need to sign in at the front desk in the main lobby. Parking is available near the imaging center entrance for your convenience.(Russel Hill location) » Parking is available near the Imaging Center side entrance for your convenience. Some of the most common tests we do are as follows: X-ray - an X-ray (radiograph) is a painless medical test that helps physicians diagnose and treat medical conditions. Radiography involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. The x-ray process takes approximately 10 minutes, unless it is a skeletal survey which takes 45 minutes. MRI - MR Imaging (MRI) uses a powerful magnetic field, radio waves and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal body structures. MRI does not use ionizing radiation (X-rays). Some types of MRI require the administration of a contrast material, gadolinium. Gadolinium does not contain iodine and is less likely to cause an allergic reaction. The MRI process takes approximately 1 hour. Ultrasound - Ultrasound imaging, also called sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound exams do not use ionizing radiation (X-ray). Because ultrasound images are captured in realtime, they can show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels. The ultrasound process takes approximately 30 minutes. continued... 9 Medical Oncology CTScan - Computed Tomography is an imaging method that uses x-rays to create crosssectional pictures of the body. During the test you will lie on a table that is hooked to the CT scanner. The scan lasts less than a second and takes a picture of a thin slice of the organ or area being scanned. An iodine dye is often used to make structures and organs easier to see. You may be asked to drink an oral contrast if we are scanning your abdomen or pelvis. The CT scan process takes approximately 20 minutes. PETScan - Positron Emission Tomography is a nuclear medicine imaging technique which produces a three dimensional image allowing a doctor to look at a body organ from every angle and detect potential problems. A short-lived radioactive tracer isotope is injected into a vein. There is a waiting period while the metabolically active molecule becomes concentrated in tissues of interest. The entire process takes approximately 2 to 2-1/2 hours. NuclearM edicine - uses imaging tests to produce pictures of both the body’s anatomy and functions. Sophisticated instruments detect energy given off by very small amounts of radioactive material given to the patient intravenously or by mouth. Nuclear medicine differs from most other imaging in that the tests primarily show the physiological function of the system being investigated as opposed to the anatomy. The most common tests include bone scans, MUGA scans, and liver/spleen scans. NOTE: All times listed for imaging scans are approximate. Actual duration of scan is dependant on the body system being imaged. Receiving Results You will receive the results of your imaging studies at your next scheduled appointment. During that appointment our physicians will explain to you in detail the results of your studies and answer any questions that you may have regarding the studies. 10 Medical Oncology Our Other Cancer Care Services Research/Clinical Trials Clinical trials, conducted in phases, are research studies (involving patents) which determine if a new treatment is as effective as the standard treatment. We offer the latest clinical research trials for patients deemed appropriate by their physician. We have a fully-staffed research department monitoring the trials to ensure patient safety and privacy. Patients participating in clinical trials will receive the standard of care treatment, with possible additional treatments. Each trial has certain criteria requirements that must be met prior to patient participation. Patients will be informed of process, sign a consent form, and only remain on trial if the treatment is effective and beneficial. Clearview participates in all phases of clinical trials; however, Phase 1 research trials are only offered to cancer treatment centers with proven success, experience and credibility. Phase 1 research trials require more oversight/monitoring than other trials and are conducted in a newly-opened clinical area specifically designed for Phase 1 (second floor, Russel Hill location). For patients that qualify, these trials offer access to the latest treatments to enter the drug approval and research process. If you would like additional information about research at Clearview Cancer Institute, please see our website, www.clearviewcancer.com or call (256) 705-4224 and ask for the Research Department. Genetic Counseling If you have several family members or multiple generations of relatives who have been diagnosed with cancer, you may benefit from genetic counseling. Genetic counseling may be available to our patients and their families, as well as anyone in our community with significant family histories of cancer. For further information or questions, speak with your physician. Stem Cell Transplant Services Clearview Cancer Institute works with Huntsville Hospital to provide this community service. During this treatment, the patient donates his/her own cells (called stem cells) which grow important parts of the bone marrow and blood. When enough of these cells have been collected and stored in a special freezer, the patient receives very high doses of chemotherapy to kill all the cancer cells. This treatment improves survival for some patients with Multiple Myeloma, Non-Hodgkin’s lymphoma, Hodgkin’s Lymphoma, and certain leukemias. Your oncologist will recommend this treatment if he or she feels it will benefit you. Clearview Cancer Institute Pharmacy (Russel Hill location only) Clearview Cancer Institute’s Pharmacy at the Russel Hill location is a full-service pharmacy located on the first floor near the elevators. Our pharmacy is available to anyone in the community for prescription purchases. The pharmacy is open Monday - Friday, 8:30 a.m. - 5:30 p.m. (closed daily for lunch from 12:30 p.m. - 1:30 p.m.). Our phone number is (256) 327-5900. 11 » Gynecologic Oncology focuses on the cancers of the female reproductive tract including ovarian, endometrial/uterine, cervical, vulvar and vaginal cancers. Gynecologic Oncologists are cancer specialists who have received additional years of intensive medical training in the study and treatment of malignancies in the female reproductive tract. They provide comprehensive medical and surgical care from diagnosis to completion of treatment, including surgery, chemotherapy, radiation therapy, biologic therapy and supportive care. Gynecologic Oncology 13 Gynecologic Oncology Our Gynecologic Oncology Services » Gynecologic Oncologists are cancer specialists who have received additional years of intensive medical training in the study and treatment of malignancies in the female reproductive tract. Gynecologic Oncologists deliver state-of-the-art care by individualized treatment plans to ensure the best outcome for each patient. Surgical options may include minimally invasive surgery and radical pelvic surgery. Specialized treatment may include: » Intraperitoneal chemotherapy » Intravenous chemotherapy » Individualized molecular guided chemotherapy » Immunologic/biologic therapy Gynecologic Oncologists also participate in pathology assessment, genetic counseling, radiation therapy planning, and chemotherapy treatment. Things to Know » Gynecologic Oncology patients are accepted by physician referral only » Many patients referred to our practice will receive surgery » Surgical patients will continue regular visits as necessary in our office » Patients who do not receive surgery will come for follow-up appointments as necessary or return to their referring physician If additional treatments are needed, such as chemotherapy or radiation therapy, you will make your appointment in those departments. These offices are located on the first floor of Clearview Cancer Institute (Russel Hill location). 15 Gynecologic Oncology General Information Calling Our Office Appointments When you come to our office for the first time, please remember to: » Complete any paperwork you received prior to your appointment » Bring the following: » All insurance cards » A list of all current medications (keep a current one with you) » A friend or family member » A note pad and pen for taking notes If you are experiencing medical problems or have questions, please use the following guidelines for contacting our office at any time. When You Arrive If you are: » A new patient » A patient scheduled for surgery » A surgical patient who is not undergoing chemotherapy treatment » A follow-up patient (after surgery or have completed all chemotherapy) -ThenGo directly to the Gynecologic Oncologist’s offices (Tennessee Valley Gynecologic Oncology) on the 2nd floor of the Russel Hill location (CCI Drive). -OrIf you are a patient currently being treated with chemotherapy, please follow these directions: » Always sign in at the front desk » Have blood drawn IF ordered by the physician » Wait in waiting room until called to exam room or treatment area » See scheduler after physician visit to make future appointments If you are: » A new patient » A patient scheduled for surgery » A surgical patient who is not undergoing chemotherapy treatment » A follow-up patient (after surgery or have completed all chemotherapy) Please call: (256) 533-6233 If you are a patient currently being treated with chemotherapy and are experiencing medical problems, please call: Local: (256) 705-4224 Toll free: 1-888-374-1015 Remember to give the following information when you contact the office: » Your name (and/or the name of the patient) » The patient’s physician » The reason for the call » A working phone number where you may be contacted Holiday Schedule Our offices are closed on: New Year’s Day, Memorial Day, Independence Day (July 4th), Labor Day, Thanksgiving Day, Christmas Eve and Christmas Day Our Gynecologic Oncology Office: 2nd floor (Russel Hill Location) 3601 CCI Drive Huntsville, AL 35805 (256) 533-6233 Hours of Operation: Monday - Friday 8:30 a.m. - 5:00 p.m. (Closed 12:00 p.m. - 1:00 p.m.) 16 » Radiation Oncology is a clinical and scientific specialty dedicated to the management of patients with cancer (and occasionally a few non-malignant conditions) through radiation, or in combination with surgery and/or chemotherapy. There are two main types of radiation therapy: external beam radiation therapy and internal radiation therapy. External beam radiation is also known as X-Ray therapy and intensity modulated radiation therapy (IMRT). This type of radiation is administered using a treatment machine called a linear accelerator. Treatments are typically given in small daily doses, for several weeks, depending on the total and final dose of radiation that is planned/prescribed by the Radiation Oncologist. Internal radiation therapy (also called brachytherapy) is achieved by implanting “sources or seeds” (small pieces of the radioactive substance) or by using an implanted device called a “reservoir”, into which a liquid radioactive substance is injected. This delivers very intense radiation to a small area of the body, thus limiting the exposure to the normal tissue. Radiation Oncology 17 Radiation Oncology Our Radiation Oncology Services » Radiation Oncologists specialize in the treatment and management of cancer patients undergoing radiation therapy. The physician will develop treatment plans, monitor the patient’s progress, adjust the treatment dosage when appropriate, and treat side effects caused by the radiation therapy. IGRT is image-guided radiation therapy, a technique which enables the Radiation Oncologist to locate the tumor before each dose of radiation therapy is delivered. IMRT is image-guided radiation therapy which allows the Radiation Oncologist to pinpoint the radiation on the tumor. This technique spares more normal tissue exposed to radiation during treatment. MammoSite is designed for the treatment of early-stage breast cancer patients who meet certain criteria. This specialized treatment consists of 10 treatments within 5 days. MammoSite will deliver a high dose of radiation to the area most at risk for recurrence. In addition, it limits the radiation dose to the surrounding normal breast and adjacent tissues, potentially minimizing side effects. Prostate Brachytherapy is a treatment for early-stage prostate cancer. This procedure is an ultrasound-guided implantation of radioiodine seeds into the prostate. It is a one-time procedure and is performed on an outpatient basis and takes approximately 2 hours. General Information Calling the Office If you need to schedule an appointment, speak to the Business Office, or are experiencing medical problems, please call: Local: (256) 880-4464 Toll Free: 1-800-863-0325 Please let our scheduler know if you need to coordinate your radiation appointment with your chemotherapy appointment. Please remember to provide the following information: » The patient’s name (as well as the name of the person calling if other than the patient) » The patient’s Radiation Oncology physician » A brief description regarding the reason for your call All routine calls received during our normal business hours will be returned before 6:00 p.m. on the same day. Emergency or urgent calls will be returned immediately. Non-emergency or non-urgent calls will be returned the next business day. 19 Radiation Oncology Prescription Refill Policy Our Radiation Oncology Locations Our office policy does not allow us to refill prescriptions after office hours or on weekends. Due to medical and legal considerations, we can refill prescriptions during office hours only. This strict policy allows us to maintain accurate records and avoid inappropriate refills. If you will be running out of your medication prior to your next scheduled visit, have your pharmacist call in the prescription refill request to our office. Please allow at least a 24 hour turnaround. Prescriptions for any type of narcotic will require a written prescription from the physician and must be picked up at our office. Narcotic prescriptions cannot be called in. Russel Hill location 3601 CCI Drive Huntsville, AL 35805 (256) 327-5800 In the event that you need to call our office and request a prescription refill, please provide the receptionist with complete and accurate information, such as: » Patient’s full legal name » Patient’s date of birth » The name of the patient’s Radiation Oncologist » Location at which you are receiving treatment » Name of drug and dosage needed » Pharmacy name and phone number » A phone number where you may be reached Business Office/Billing Department Our billing department will file your insurance for you. If you have a cancer policy, please provide this information to the receptionist. In the event that your insurance changes, please provide this information along with a copy of your new card to the receptionist. Office visit co-pays are due at the time of each visit. 20 Hours of Operation: Monday - Friday 8:00 a.m. - 5:00 p.m. Treatment Hours: Monday - Friday 7:00 a.m. - 4:00 p.m. Blackwell Medical Tower 201 Sivley Road, Ground Floor Huntsville, AL 35801 (256) 265-6590 Crestwood Medical Complex One Hospital Drive, First Floor Huntsville, AL 35801 (256) 880-4464 » Clearview Cancer Institute wants you to be well informed with the most recent news and information about cancer care. For the latest Cancer News Headlines visit: www.clearviewcancer.com Cancer Resources 21 Cancer Resources Social Workers Our staff includes licensed, certified social workers who provide short-term counseling. They address such issues as emotional support, financial resource planning, and prescription assistance. In addition, they provide guidance with advance directives, medical power of attorney, living wills, and community resources. Support Groups We encourage you to attend one of the many support groups available to you. A brochure listing all available support groups, location and meeting times, may be found in the pocket of this handbook. Education Resources Clearview Cancer Institute’s website, www.clearviewcancer.com, offers patient information and education. Recent cancer news, upcoming cancer education events and registration information are also available on our website. The American Cancer Society » www.cancer.org, 1-800-ACS-2345 (1-800-227-2345) » Offers a variety of services to patients and their families. It also supports research, provides printed materials, and conducts educational programs. CancerCare » www.cancercare.org, 1-800-813-HOPE (1-800-813-4673) » Offers free support, information, financial assistance, and practical help to people with cancer and their loved ones. fertileHOPE » www.fertilehope.org, 1-888-994-HOPE (1-888-994-4673) » Dedicated to helping people with cancer faced with infertility. National Oral Health Information Clearinghouse » www.nidcr.nih.gov, (301) 402-7364 » A service of the National Institute of Dental and Craniofacial Research that provides oral health information for special care patients. The National Cancer Institute (NCI) » www.cancer.gov, 1-800-4-Cancer (1-800-422-6237) » Answers questions about cancer, clinical trials, and cancer-related services and helps users find information on the NCI website. The National Family Caregivers Association (NFCA) » www.nfcacares.org, 1-800-896-3650 » Provides information, education, support, public awareness and advocacy for caregivers. The Wellness Community » www.thewellnesscommunity.org, 1-888-793-WELL (1-888-793-9355) » Provides free psychological and emotional support to people with cancer and their families. 23 Cancer Resources Volunteer Services Cancer treatment can be stressful for our patients and their families. Our volunteers provide hospitality, administrative and patient support services. If you would like to volunteer at any of our offices, please contact our Volunteer Director at (256) 327-5602. Our Chapel (Russel Hill Location Only) The Chapel, located on the first floor, near the elevators, offers a place of quiet time for people of all faiths. Open daily, Monday - Friday, you are welcome to use the Chapel for meditation and prayer. Parking Attendant/Wheelchairs An attendant is available at the front door to assist you (Russel Hill and Crestwood locations). Please drive to the front entrance to obtain assistance. At our Russel Hill Office, our attendant is available to pick you up in the parking lot upon request. Wheelchairs are also available at the main entrance of all our locations. Outpatient Medical (2nd Floor, Russel Hill Location) Huntsville Hospital Outpatient Medical Clinic is located on the 2nd floor of the Russel Hill location. Their mission is to support Clearview Cancer Institute by providing a convenient, on-campus location for patients to receive transfusions of blood and blood products, such as platelets, plasma, and immunoglobulins. 24 » This section contains answers to some commonly asked questions about policies, procedures and other aspects of Clearview Cancer Institute. Maps and driving directions to all Clearview Cancer Institute locations are also included in this section. FAQs 25 Frequently Asked Questions » Our Clearview Cancer Institute team recognizes that this is a difficult time for you. The following are some guidelines to assist in your care. Treatment Considerations If I am having chemotherapy and radiation at the same time, can I coordinate both appointment times? » We will make every effort to help you schedule your chemotherapy appointment as close to your radiation appointment as possible. Please let us know if you are having radiation treatment. Are there any special guidelines regarding fluid intake? » When you are receiving chemotherapy treatments, increase fluid intake to at least 8-12 eight-ounce glasses of fluids the day prior to treatment, the day of treatment, and the day after treatment (Unless otherwise instructed by your physician or nurse). What vitamins, medications, etc. am I allowed to take while undergoing chemotherapy treatment? » Please consult your physician as every patient’s care is individualized. How should I dress for my appointment? » Dress in layers such as sweaters or jackets which may be removed if you become warm or put on if you become cold. » Wear front button shirts if you have a central venous catheter (port) which needs to be used for your treatment. Can I wear perfume or cologne to my appointment? » Strong smelling perfumes or lotions are discouraged due to other patients’ sensitivities. Are there any foods I should avoid eating? » Please avoid foods with strong odors. Can I bring my own food into Clearview Cancer Institute? » Yes, but please avoid foods with strong odors. Be sensitive of other patients around you. » Our patients are offered small snacks and beverages at no charge from our hospitality cart that is staffed by our volunteers. There are also vending and soda machines available for you or your family members in our downstairs break room. Please ask a staff member for directions. Children and Visitors/Infection Control Can I bring family and/or friends with me during my appointments or treatments? » Only one family member (13 years of age or older) may be allowed to sit with a patient during treatment. However, in some of our office locations, visitors will not be allowed to sit with patients during treatment due to space limitations. Is there a minimum age requirement for children accompanying a patient? » Due to the compromised auto-immune systems of our patients we request that young children DO NOT visit the facility. » Children under 13 years of age are not allowed in treatment areas. 27 Frequently Asked Questions What should I do if my friend or family member who usually accompanies me to my visit is sick with a cold or mild infection on the day of my appointment? » Since many of our patients are especially susceptible to infections, we ask that those with even mild infections, such as a cold or sore throat, not accompany patients to the office. » Our volunteers are available to visit with you, provide snacks and assorted beverages, movies, magazines or books on tape to make your stay as comfortable as possible. Prescription Refills What do I do if I forgot to ask for a prescription refill during my appointment with my physician? » We ask that you prepare a list of refills you may need ahead of time and give it to your physician during your office visit. » However, if you will be running out of your medication prior to your next scheduled visit, have your pharmacist call in the prescription refill request to our office. Where may I pick-up my prescription refills? » You may pick up handwritten prescriptions at the front desk of each facility. Russel Hill (main) ...... 8:00 a.m. - 5:00 p.m. Decatur ...........................8:00 a.m. - 4:00 p.m. Crestwood .......................8:00 a.m. - 4:00 p.m. Business Office/Payments for Services How do I pay for my visit? » Co-pays are due at the time of your visit. Our billing department will file your insurance for you. Clearview Cancer Institute accepts the following as payment: cash, check, VISA and MC. (VISA and MC may only be used if you have the 3 digit PIN number on the back of your card.) Who should I notify if I have a cancer policy? » The business office should be notified that you have a cancer policy, (256) 705-4224 or toll free 1-888-374-1015. Medical Records How do I make sure that my primary care doctor is notified of my progress? » Please let your Clearview physician know of any doctors that you wish to be notified of your progress. Our Medical Records Department will need each doctor’s name, address, phone and fax number to receive regular updates of your progress. I need a copy of my medical records. How long does it take to get a copy of them? » Please allow 1-2 days for processing this request. I requested same day laboratory copies. How do I obtain those? » They may be obtained prior to leaving the office. Ask your physician during your appointment. Cell Phone Usage Can I use my cell phone at your facility? » Limited cell phone use is allowed in all areas. Please be considerate of those around you. 28 continued... Frequently Asked Questions How Can I Help? The Russel Hill Cancer Foundation (RHCF) is a local foundation established to support new and innovative cancer research, as well as provide education and outreach programs. Your gift to RHCF will make a difference in the lives of cancer patients now and in the future. For more information, call (256) 698-3770 or visit www.russelhill.org. Your gift to The Robin Lanier Stewart Memorial Fund will help provide financial assistance to local cancer patients who need help paying for medication and transportation costs associated with their treatment. For more information, call (256) 265-8077. What is Clearview’s Holiday Schedule? All Offices Are Closed On: • New Year’s Day • Memorial Day • Independence Day (July 4th) • Labor Day • Thanksgiving Day • Christmas Eve • Christmas Day 29 Maps and Directions Indicates Clearview Cancer Institute Location Russel Hill Location (Huntsville) 3601 CCI Drive • Huntsville, AL 35805 Jordan Lane 565 Governors Drive R 14th St D TU ECA CCI Dr kwy N. Mem P e es Av Holm From Memorial Parkway NORTH West on Governors Drive; right on 14th Street; left on CCI Drive. From I-65 431 231 East on I-565; take exit 17B Governors Drive; left at 14th Street; left on CCI Drive. From Scottsboro Bob Wallace Ave Take 72 West to I-565 West; take Jordan Lane exit; right on Jordan; right on Holmes; right on 14th Street; right on CCI Drive. Crestwood Location (Huntsville) One Hospital Drive, Suite 400 • Huntsville, AL 35801 port Dr One Hospital Dr y Pkw em S. M SW Chateau Dr 231 White s Whitesburg Dr S From Highway 231 (Memorial Pkwy) CRESTWOOD MEDICAL CENTER NORTH Travel East on Airport Road, turn left on One Hospital Drive, enter Crestwood Medical Center parking lot. Clearview Cancer Institute is in right side medical tower (connected to Crestwood Medical Center). Airport Rd SW Decatur Location 310 8th Avenue • Decatur, AL 35601 20 W ils La on fa ye St tte NW St re et Walnut Dr 31 8th Ave 6th Ave Cherry Dr 30 From Huntsville 20 72 31 72 h 8t e Av NORTH Te nn es se eR ive r Ch ur ch St NE (via I-565 West) Take I-565 West toward Decatur, continue under I-65, merge with US 31 South, continue across River Bridge. Just past 2nd light, take left on Lafayette Street, Clearview Cancer Institute office is on left just past Motel 6. From Athens (via US 31 South) Take US 31 South toward Decatur, continue across River Bridge. Just past 2nd light, take left on Lafayette Street, Clearview Cancer Institute office is on left just past Motel 6. In Decatur From 6th Avenue North (US 31) heading toward river, take right on Lafayette Street (just before Church Street), Clearview Cancer Institute office is on left just past Motel 6. Maps and Directions Locations (continued) Indicates Clearview Cancer Institute Location Athens-Limestone Hospital Location 700West Market Street, 3rd Floor • Athens, AL 35601 NORTH ATHENS West Market St. et Stre gton s n ow shin rry . St Br Hine St. South t Wa Wes Fe S. Jefferson St. 45 East Forrest Street 2 72 31 3 Parking Please park on the west side of the hospital in the Emergency Room Parking area. Entering ALH • Please use the doors located between Admitting and the Emergency Department labeled Cardiovasculr Clinic. • Go through the doors located in the Primecare waiting area. • Take the first elevator on the right. • Go to the 3rd floor. You will be facing the Oncology Clinic when you step off the elevator. Go to the glass section window and sign in. Scottsboro Location 911 South Broad Street • Scottsboro, AL 35768 W. Willow St E. Willow St 72 S. B roa dS t Public Library NORTH 31 Appt. Date » Contacts Notes
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