Connecting with the Community on Cancer Care
BAYHEALTH ONCOLOGY SERVICES 2018 ANNUAL REPORT
Pictured here is a rendering of the location of the new Bayhealth Cancer Center, Sussex Campus.
TABLE OF CONTENTS 4 CANCER REGISTRY: TOP CANCER SITES 5 CONNECTING WITH CANCER PATIENTS 6 AWARDS AND RECOGNITIONS 7 SPOTLIGHT ON THE NEW BAYHEALTH CANCER CENTER 8 A WHOLE NEW LIFE 10 PROVIDING HOPE TO CANCER PATIENTS
12 1 3TH ANNUAL GO PINK! CAMPAIGN IS A SUCCESS 14 LUNG AND COLORECTAL NURSE NAVIGATOR POSITION ADDED 16 POISED TO BATTLE PROSTATE CANCER 18 O NCOLOGY NURSES ATTEND CONFERENCE THANKS TO GENEROUS GIFT 19 KEY PARTNERS
DEAR COMMUNITY MEMBERS AND COLLEAGUES: We are pleased to present the Bayhealth Oncology 2018 Annual Report to the communities we serve. Bayhealth has achieved significant results in program growth and clinical quality. We recognize the hard work of the physicians and staff who have dedicated their time and effort to coordinate cancer care across the system. Much of their efforts have been directed at personalized medicine and multidisciplinary care. Bayhealth Cancer Center programs were surveyed this past year by the American College of Surgeons, Commission on Cancer accreditation program. Both of our cancer programs were reaccredited and noted to have achieved several commendations of performance. We are grateful for the hard work and dedication by members of the Bayhealth Cancer Committee to support our accreditation. In addition, we want to recognize our partners in the laboratory for their significant achievement this year of full accreditation by the College of American Pathologists (CAP). CAP accredited laboratory services are considered the gold standard for laboratories. Our community ambassadors and partners continue to exceed expectations each year. Our signature event, Runway of Hope, raised more than $87,000 for our Survivorship Program and our Go Pink! event raised more than $30,000 for our cancer screening assistance program. This does not include the additional grants exceeding $100,000 or the volunteer time that support Bayhealth’s cancer programs. We continue to appreciate the leadership and dedication of Bayhealth’s Cancer Committee towards defeating cancer and setting the direction for our cancer program.
Iftekhar Khan, MD Cancer Committee Co-Chair Bayhealth Cancer Center, Milford Memorial
John Lahaniatis, MD Cancer Committee Co-Chair Bayhealth Cancer Center, Kent Campus
Cancer Registry: Top Cancer Sites The Bayhealth Cancer Registry is responsible for reporting accurate and timely data to the National Cancer Database and the State of Delaware Cancer Registry. These efforts support a better understanding of cancer incidence and mortality to direct and support programmatic development of services for cancer patients.
Below are the top cancer sites at Bayhealth Cancer Center, Kent Campus and Bayhealth Cancer Center, Milford Memorial in 2017.
BAYHEALTH HOSPITAL, KENT CAMPUS 2017
BAYHEALTH MILFORD MEMORIAL 2017
21%
BREAST
19%
LUNG
11%
PROSTATE COLORECTAL BLADDER OTHER
4
BREAST
16%
COLORECTAL
16% 13%
LUNG
8%
PROSTATE PANCREAS
5% 36%
OTHER
7% 5% 43%
Connecting with Cancer Patients The Bayhealth Foundation, Bayhealth’s Oncology Service Line, and Bayhealth Cancer Institute co-hosted an evening reception at Dover Downs Hotel & Casino for Bayhealth cancer patients and their families. The event featured a presentation about Bayhealth’s vision for providing exceptional cancer care to the local community. Attendees and their guests also had the unique opportunity to pose any questions they had about Bayhealth’s cancer program to Bayhealth participants and presenters, including the medical leadership team from the program: Iftekhar Khan, MD, chief of oncology services and medical director of medical oncology; John Lahaniatis, MD, medical director of radiation oncology; and Rishi Sawhney, MD, medical director of the Bayhealth Cancer Institute. In addition to the medical leadership, John D. Shevock, FACHE, FACMPE, senior director of operations, oncology service line, and executive
director of the Bayhealth Cancer Institute, participated in the question-and-answer session and engaged in conversation with patients and their family members. “The event, which had an excellent turnout, was the first time we interfaced with one of our medical service lines to provide patients and their families the unique opportunity to not only interact with Bayhealth Foundation members but medical staff as well,” said Bayhealth Foundation President Lindsay Rhodenbaugh. It also allowed the patients to learn more about Bayhealth’s cancer care and services beyond those that they were already familiar with or had used. “We have premiere cancer care and treatment capabilities that not everyone in the community may be aware of,” Rhodenbaugh said. “It’s also nice when folks with a lot in common are given the chance to gather together, share their experiences and learn from one another.” “It was a pleasure to host our patients for an evening,” said Dr. Sawhney. “The event provided a great opportunity to reconnect with our patients and their families outside of the cancer center and hear their perspective as cancer survivors.”
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Awards and Recognitions Some of Bayhealth’s Oncology staff members and its cancer programs were recognized for their commitment to providing quality cancer care.
RADIATION ONCOLOGY MANAGER LAURA RYAN RECEIVES SAFETY EXCELLENCE AWARD Each year, Bayhealth’s commitment to patient safety is recognized during Patient Safety Week and the Annual Safety Excellence Awards. One of the winners of the 9th Annual Safety Excellence Awards was Radiation Oncology Manager Laura Ryan. She was recognized for assessing the reliability of the department’s process to coordinate care for a patient’s transition after daily radiation therapy, daily access to providers and weekly treatment visits. Through a project, Ryan collected data to identify at-risk patients and to guide decision-making. Thanks to this work, Radiation Oncology is better apt to identify high-risk populations and transition points through weekly checks with patients to review care plans and an end-of-treatment visit with a practitioner to assess a patient’s self-care needs and abilities. “Safety is inherent in what we do. It’s similar to breathing, in that it’s needed to live. I’m driven by my patients — our patients — to provide a safe environment,” Ryan said.
HONORS NURSE PRACTITIONER CYNDI MARTIN FOR NURSING EXCELLENCE Nurse Practitioner Cyndi Martin, APRN, ANP-C, MSN, AOCNP, was recognized as a Top Nurse for 2018 in Delaware Today magazine. To Bayhealth cancer patients, Martin is their fairy godmother. On a normal day, she can be seen with her wand in her pocket, ready to make a difference. Even if a patient can’t remember her name, they know to ask for her if they need something because she’ll make it happen. 6
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“It’s such an [THE PATIENTS] honor to care for GIVE ME SO MUCH these MORE THAN I COULD patients. EVER GIVE THEM. They give me so much more CYNDI MARTIN than I could ever give them,” Martin said. “It’s a challenge because we can’t always cure them, but it’s our job to make them as comfortable as we can.”
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BAYHEALTH CANCER PROGRAMS REACCREDITED In 2018, Bayhealth’s Kent and Milford cancer programs were surveyed by the American College of Surgeons (ACoS), Commission on Cancer (CoC) accrediting body. Recognized as the leading accrediting body for cancer programs, the Commission on Cancer reaccredited both Bayhealth cancer programs. “We are grateful for the collaboration with the ACoS-CoC for the rigorous review of our cancer program,” said John D. Shevock, FACHE, FACMPE, senior director of operations, oncology service line and executive director of Bayhealth Cancer Institute. “The accreditation holds our program accountable and sets a very high bar for quality cancer care.” The survey reviewed three years of clinical and program performance at Bayhealth Cancer Center, Kent Campus and Bayhealth Cancer Center, Milford Memorial. “This is a rigorous review of our cancer program,” said Iftekhar Khan, MD, chief of oncology services and cancer liaison physician for the Commission on Cancer accreditation. “The surveyor reviews our policies and procedures, use of evidence based guidelines, charts, and interaction with the community to decrease the burden of cancer.”
Spotlight on the New Bayhealth Cancer Center One of the hallmarks of the Bayhealth Sussex Campus, which is slated to open in February 2019, is a newly designed integrated cancer center. Located on the garden level of the Outpatient Center directly adjacent to the hospital, the new facility was designed to provide the best clinical outcomes and patient experience. The center consolidates all healthcare providers that specialize in cancer services into one place, enabling Bayhealth’s cancer care team of medical and radiation oncologists, surgeons, nurses, social workers, and others to provide care in a convenient location. “Having all members of the cancer care team in one location allows us to carry forward our mission to provide comprehensive multidisciplinary cancer care,” says Rishi Sawhney, MD, medical director of the Bayhealth Cancer Institute. “We look forward to providing our communities with expedited access to cancer treatment as well as valuable supportive care programs.”
“I’ve been at Bayhealth since 2000, and we have continually elevated radiation therapy technology and treatment services,” says John Lahaniatis, MD, medical director of Radiation Oncology. “The Varian VitalBeam™ linear accelerator will offer patients in the southern region state-of-the-art image guidance, stereotactic radiation therapy and IMRT [intensity-modulated radiation therapy].” Along with image-guided radiation therapy (IGRT), stereotactic body radiation therapy (SBRT), and IMRT, other services for treating and supporting cancer patients during their journey will be available at the new Bayhealth Cancer Center, Sussex Campus. They include: • Chemotherapy • Immunotherapy • Multidisciplinary conferences
The new Bayhealth Cancer Center, Sussex Campus also features an abundance of natural light to brighten the rooms and a beautiful garden just outside the windows to bring the outdoors into view, thereby creating the best healing environment. Other design highlights that will enhance patient experience in the new facility include:
• Nurse navigation program
• Sliding glass panels separating the infusion bays, which gives patients the option to converse with fellow cancer patients when opened or to sit privately when closed
John D. Shevock, FACHE, FACMPE, senior director of operations, oncology service line and executive director, Bayhealth Cancer Institute adds, “We’re very excited about this new opportunity in our southern region to offer state-of-the-art cancer services to our communities. We focused on patient access to the full spectrum of cancer services, both diagnostic and treatment, and on advancing our technology capabilities to enhance the patient experience.”
• Additional space for family members to sit while their loved ones receive treatment
• Supportive care program • Clinical research program • Genetic counseling program • Survivorship program
• Twice as many private infusion bays for chemotherapy treatments
Below is a side-by-side comparison of some of the key features of the new cancer center at Bayhealth Sussex Campus (BHSC) compared to the existing Bayhealth Milford Memorial (BHMM) SQUARE FOOTAGE
CHEMOTHERAPY BAYS
EXAM ROOMS
BHSC: 20,000 BHMM: 12,000
BHSC: 14 BHMM: 10
BHSC: 11 BHMM: 5 7
A Whole New Life For the past decade, Vickie Hawkins has been creating greeting cards in the craft room of her Magnolia home. She says the activity allows her to express and share the love and gratitude that naturally fill her soul, enabling her to do something meaningful since the onset of degenerative joint disease in her neck and back many years ago. More recently, her hobby has helped her cope with another daunting medical condition. In early April 2017, Hawkins started to experience persistent stomach pain and sudden-onset vomiting. By early May, she began suffering numbness in her face, terrible aching in her teeth, and headaches. “Over the course of that time, I saw several of my doctors including my neurologist and primary care physician.
Unfortunately, although they had me undergo a colonoscopy, an ultrasound and other tests, nothing could determine what was causing my symptoms,” explained Hawkins. On May 23, when her existing symptoms worsened and just a few days after attending an event with her tea club and not recalling most of it, Hawkins went to Bayhealth Hospital, Kent Campus. This time, she finally got the answers she’d been seeking. An endoscopic evaluation found abnormal cells in her stomach and she was diagnosed with Stage IV Double Hit Lymphoma. Hawkins returned home with a treatment plan that included chemotherapy, and she and her husband Bill hoped and prayed for the best. A few days later, Vickie’s health took a sudden and unexpected turn, and she was readmitted to the hospital. She had a cardiac arrest the following day and had to be resuscitated. Vickie was quickly transferred to the Intensive Care Unit, where she would remain in a mostly sedated state. “We were told the cancer had spread, and if she moved at all, she would die,” recalled Bill. “I was in shock.” Despite the circumstances, Vickie’s hospital stay was better than the Hawkinses could’ve possibly imagined. “The nurses and other staff were unbelievable,” said Vickie. “I felt like they were my little angels.”
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Bill added, “I couldn’t believe how the doctors, nurses and other staff worked together. They had daily meetings that we could attend, and they always explained what was happening in layman’s terms so we could understand. Also, Vickie’s parents live in New York and were initially unhappy I didn’t have her transferred to a hospital in the city; they believed she would get the best care there. But they quickly realized she was right where she needed to be.” “I have the most wonderful husband,” said Vickie. “When I came home, I still couldn’t walk or care for myself whatsoever. Bill helped me do everything. I’m very independent, so this was a very difficult part of my journey.” Vickie’s cancer treatments continued after she was discharged from the hospital in mid-July, and her last day of chemotherapy was Sept. 21. She had a PET scan on Dec. 13, and it showed she was cancer-free — something the Hawkinses described as “simply miraculous.” Vickie says the only real bothersome symptom that remained was neuropathy in her fingers and toes, a side effect of the chemotherapy. “In addition to what the doctors, nurses, and others in the hospital did to save my life, I never would’ve survived if it hadn’t been for Bill, the rest of my family and friends, and the outpouring of love and prayers from my community,” says Vickie. “It’s been a whole new life — a sort of rebirth. I don’t even look the same. I used to have lots of blonde hair and lost a lot of weight. I went into the hospital weighing 165 pounds and left weighing a mere 117. But it’s okay, because I’m embracing the new me and just thankful I’m still here.”
❝ WE FEEL THAT WE GAINED MANY NEW FRIENDS AND FAMILY.
❞ BILL HAWKINS
AN EXTRA-SPECIAL BIRTHDAY CELEBRATION A couple of days before Vickie’s 61st birthday at the end of October 2017, the Hawkinses hosted a breakfast at the hospital to thank all the physicians and staff (too numerous to name) who helped save her life. They say the entire Hawkins family is forever grateful to the amazing team of professionals at Bayhealth, Kent Campus. “We feel that we have gained many new friends and family,” said Bill.
Vickie and Bill, who are originally from New Jersey, have been together for 31 years. They have four daughters and six grandchildren. The couple also expressed their gratitude for being able to say this experience has brought them closer together, and added that celebrating Vickie’s 61st birthday in October was a milestone like no other since she was starting a new year of life and was more alive than ever.
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Providing Hope to Cancer Patients Many of the services and programs provided to Bayhealth cancer patients are made possible because of generous gifts and contributions from individuals, businesses and organizations in our local communities. Runway of Hope — a fundraiser featuring a silent auction, luncheon and fashion show that supports the Bayhealth Cancer Institute’s Survivorship Program — is one way the community makes a positive impact on the lives of cancer patients. Bayhealth hosted its eighth annual Runway of Hope fundraiser on Friday, Aug. 3, 2018, and the event raised $87,494 for the Survivorship Program. Bayhealth Cancer Nurse Navigator Renee Hall, RN, and breast cancer survivor and Bayhealth Cardiology Manager Cathy Mundorf, BS, RRT, attended this year’s event as participants in the Survivorship Program. “It’s always nice to see the committee, staff from the Cancer Institute and Bayhealth Foundation, and members of our local community come together to support what we do as cancer nurse navigators for our Survivorship Program,” said Hall. As part of the Survivorship Program, the nurse navigators present patients who have finished treatment with a document containing their treatment summary — from the time they’re diagnosed through the completion of
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surgery, chemotherapy, and/or radiation. “We review the summary with the patient, and then we talk about the importance of follow-up care and living a healthy lifestyle, which includes things such as diet, exercise, etc., to help prevent recurrence or second cancers. We also discuss and validate the challenges of adjusting to life after receiving a cancer diagnosis and treatment,” explained Hall. “We address any fears the survivor may have such as the cancer coming back or possible body image concerns,” she continued. “We also offer referrals for on-going counseling and any other resources or support they need. Essentially, we want to ensure survivors understand our relationship doesn’t end just because they have completed their treatment.” Mundorf said she appreciates how Runway of Hope supports and focuses on the importance of the Survivorship Program. “It was a lovely event and nice to see how members of the community and other Bayhealth staff come together to acknowledge how difficult it is being a cancer survivor and that you need much more support than just medical treatment,” she said. “Life is never the same. As a cancer survivor, it’s not uncommon to have moments of panic and anxiety. I have peace of mind knowing Renee is only a phone call away for emotional support and even to help me with practical needs such as completion of FMLA paperwork.”
2018 “Survivorship begins at diagnosis,” said Rishi Sawhney, MD, medical director of the Bayhealth Cancer Institute. “Our goal is to equip each patient with a comprehensive plan during and after treatment, beginning at the initial conversation with their nurse navigator.” Dr. Sawhney said the support from Runway of Hope and the community helps offset the costs of the Survivorship Program. “The generosity of our community enables our patients to have access to first class survivorship care throughout their cancer journey,” he said.
OTHER DONATIONS FROM THE COMMUNITY
For the second year in a row, Dover High School student Meghana Lodhavia made a substantial contribution to the Bayhealth Cancer Institute’s Helping Hands Fund, which provides financial assistance for cancer patients facing difficulty making ends meet while they’re undergoing treatment. She also helped second grade students at St. Anne’s Episcopal School make get well cards for Bayhealth’s cancer patients.
Here are a few other examples of how the community supported Bayhealth cancer patients in 2018. The Safeway Foundation granted $4,000 to the Bayhealth Foundation to be used by the Bayhealth Cancer Institute to fund free biopsies for women in need in central and southern Delaware. C.F. Schwartz Toyota in Dover gave a generous gift in the amount of $10,000 to support Oncology Services at Bayhealth’s Kent Campus.
Cathy Mundorf (center) celebrated her last day of chemotherapy at Bayhealth’s Cancer Center with her mom and husband by her side.
RUNWAY OF HOPE COMMITTEE MEMBERS Syreeta Adams-Harris Patti Andrew Caroline Andrews Diane Andrews
Lauren Brittingham Co-Chair
Connie Fisher Pam Marecki
Shalini Sawhney Co-Chair
Susan Chinnici Co-Chair
Jeanne Mazzatenta
Maggie Scarborough
Barbara Rutt
Donna Stinson
Susan Ebaugh
Clarke Wright 11
13th Annual Go Pink! Campaign is a Success For more than a decade, Bayhealth has been raising money for screenings, education and overall breast cancer awareness through its annual Go Pink! campaign. Funds raised during the campaign are used to provide breast screenings and education programs offered through Bayhealth and community partner the Delaware Breast Cancer Coalition (DBCC). The majority of the funds are generated via the sale of Go Pink! T-shirts. In 2018, Go Pink! T-shirt sales raised more than $30,000 and approximately 4,800 shirts were sold.
The annual Go Pink! campaign concludes with a free health fair. The 13th Annual Go Pink! Health Fair was held on Oct. 5, 2018 in the parking lot of the Bayhealth Women’s Center, Dover. The community event featured information on cancer treatment and survivorship programs as well as free clinical breast exams and screening mammograms for uninsured and underinsured women. Approximately 200 people attended the fair and nearly 30 women were screened on-site for breast cancer. Many Bayhealth employees also participated in this year’s campaign by purchasing and wearing the Go Pink! T-shirts on Fridays in October.
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BREAST CANCER QUALITY MEASURES: 2015 Radiation therapy is administered within 1 year of diagnosis for women under age 70 receiving breast conserving surgery for breast cancer
90% 97% 91% 89% 94%
Radiation therapy is recommended or administered following any mastectomy within 1 year (365 days) of diagnosis of breast cancer _ 4 positive for women with > regional lymph nodes
● BENCHMARK
90% 100% 100%
Tamoxifen or third generation aromatase inhibitor is recommended or administered within 1 year (365 days) of diagnosis for women with AJCC T1c or Stage IB –III hormone receptor positive breast cancer
90% 91% 100% 85% 94%
Image or palpationguided needle biopsy to the primary site is performed to establish diagnosis of breast cancer
80% 94% 100%
NO DATA
87% 90%
● BAYHEALTH HOSPITAL, KENT CAMPUS
92% ● BAYHEALTH MILFORD MEMORIAL
● STATE
● ALL COC PROGRAMS
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Lung and Colorectal Nurse Navigator Position Added The Bayhealth Cancer Institute added a nurse navigator specific to lung and colorectal cancers in 2018. This new position was created in partnership with the state of Delaware and in response to evidence showing these two patient populations would benefit from a dedicated resource focused on improving screening rates and educating our local communities. According to incidence and mortality rates in Delaware, there is much work to be done with lung cancer and colorectal cancer. “Increasing awareness, early detection, and screening rates, and decreasing late stage incidence will provide a tremendous opportunity for those in our community to change the way they think about and view their health,” said Bayhealth Cancer Institute Manager Stephanie McClellan, MSN, RN, CMSRN. “We are excited to have Trina Turner, MSN, RN-BC, LNC, join our staff as a dedicated lung and colorectal
❝ HAVING A DEDICATED NURSE NAVIGATOR FOR SPECIFIC CANCERS IS A SIGNIFICANT ACHIEVEMENT FOR A COMMUNITY BASED CANCER PROGRAM.
Pictured left to right: Bayhealth General Surgery, Dover Nurse Practitioner Adrianne Fisher, MSN, FNP-BC; Bayhealth Colorectal and General Surgeon Assar Rather, MD, FACS, FASCRS; Bayhealth Lung and Colorectal Nurse Navigator Trina Turner, MSN, RN-BC, LNC; and Bayhealth Cancer Institute Medical Director Rishi Sawhney, MD.
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❞ RISHI SAWHNEY, MD
nurse navigator working with our patients, the community, and our physician partners to educate patients and remove these barriers.”
monitoring to track care processes, treatment, and compliance with national guidelines.” “Having a dedicated nurse navigator for specific cancers is a significant achievement for a community based cancer program,” said Rishi Sawhney, MD, medical director of the Bayhealth Cancer Institute. “We have elevated our navigation, multidisciplinary, and survivorship programs with a dedicated resource specifically for lung and colorectal cancer patients.”
Bayhealth Colorectal and General Surgeon Assar Rather, MD, FACS, FASCRS, said, “In addition to facilitating access to timely screening, diagnosis, and treatment, and increasing community awareness and outreach, as a nurse navigator, Trina will support the processes and protocols for multidisciplinary rectal cancer care. She will also handle data collection and
LUNG CANCER QUALITY MEASURES: 2015 Systemic chemotherapy is administered within 4 months to day preoperatively or day of surgery to 6 months postoperatively, or it is NO DATA recommended for surgically resected cases with pathologic NO DATA lymph node –positive (pN1) and (pN2) NSCLC ● BENCHMARK
85% 100%
Surgery is not the first course of treatment for cN2, M0 lung cases
85% 100% 100% 97%
93%
● BAYHEALTH HOSPITAL, KENT CAMPUS
93%
● BAYHEALTH MILFORD MEMORIAL
● STATE
● ALL COC PROGRAMS
COLORECTAL CANCER QUALITY MEASURES: 2015 At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer
85% 91% 89% 94% 92%
● BENCHMARK
● BAYHEALTH HOSPITAL, KENT CAMPUS
Preoperative chemo and radiation are administered for clinical AJCC T3N0, T4N0, or Stage III; or Postoperative chemo and radiation are administered within 180 days of diagnosis for clinical AJCC T1–2N0 with pathologic AJCC T3N0, T4N0, or Stage III; or treatment is recommended; for patients under the age of 80 receiving resection for rectal cancer
● BAYHEALTH MILFORD MEMORIAL
● STATE
85% 100% 100% 92% 90%
● ALL COC PROGRAMS
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Poised to Battle Prostate Cancer When it comes to cancer treatment at Bayhealth, we take a multidisciplinary approach — meaning our medical oncologists, radiation oncologists, surgeons, and other specialists work together to customize a treatment plan for each patient that addresses his or her individual needs. We also partner with Penn Medicine’s Abramson Cancer Center Telegenetics Program to provide genetic testing and counseling as appropriate, which further guides the development of the patient’s personalized treatment plan. Bayhealth’s Genitourinary Tumor Conference offers six primary options as part of this interdisciplinary approach to prostate cancer treatment. Urologist and Conference co-chair Gregory Spana, MD, (pictured below) explains them:
ACTIVE SURVEILLANCE This treatment approach is for patients with low-risk prostate cancer. It entails regularly checking the patient’s prostate-specific antigen (PSA) levels to monitor changes. If there are changes, this may require modifying the patient’s prostate cancer treatment plan.
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SURGERY Radical prostatectomy is a procedure in which the prostate is laparoscopically removed with the assistance of a surgical robot. It involves minimal, small incisions, and the surgery takes an hour and a half to three hours to complete. Patients typically stay in the hospital overnight and go home the next day, and most return back to normal activity within two to three weeks.
RADIATION THERAPY Radiation therapy is a non-invasive treatment for prostate cancer. A specific type of radiation therapy is Intensity Modulated Radiation Therapy or IMRT. This form of radiation therapy is delivered externally and precisely using image guidance to the prostate (typically taking less than 15 minutes), daily for approximately eight weeks.
CRYOTHERAPY This prostate cancer treatment is done at the hospital as an outpatient procedure. It involves placing needles through the skin into the prostate to freeze the cancer. The procedure typically takes about an hour and a half.
HORMONE THERAPY This treatment is for patients who have cancer that has spread outside of the prostate. It is administered as an intramuscular shot that slows the progression of the cancer. It is often followed by chemotherapy.
CHEMOTHERAPY This involves certified and trained chemotherapy nurses (RNs) delivering intravenous drug therapy through infusion in a series of treatments.
BAYHEALTH’S GENITOURINARY TUMOR CONFERENCE OFFERS SIX PRIMARY OPTIONS AS PART OF ITS INTERDISCIPLINARY APPROACH TO PROSTATE CANCER TREATMENT.
PEDALING FOR PROSTATE CANCER AWARENESS Increasing prostate cancer awareness was the primary focus of the 10th Annual Pedal Away Prostate Cancer Bike Race and Health Fair held on Saturday, Sept. 15, 2018 at Eden Hill Medical Center in Dover. The annual event is sponsored by the Delaware Prostate Cancer Coalition (DPCC) and Bayhealth, and raises funds that support free community prostate screening programs and educational outreach. Rafael Zaragoza, MD, formerly of Urology Associates of Dover, was instrumental in starting the DPCC in 2011 with like-minded community members, including his son and urologist Michael Zaragoza, MD. The Pedal Away Prostate Cancer Bike Race is open to cyclists of all abilities. A picnic lunch is included in the registration fee. Top finishers receive trophies presented by local prostate cancer survivors. The health fair, which is also open to non-race participants, features vouchers for free prostate cancer screenings and information on local healthcare services. There were 150 racers who participated in the race this year, some who traveled just to be a part of the event.
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Oncology Nurses Attend Conference Thanks to Generous Gift Bayhealth Cancer Center staff regularly participate in education and training opportunities to help ensure they’re providing the best cancer care. Some of these opportunities are made possible through donations from the local community. One such donor is Dover philanthropist and retired U.S. Air Force Col. George Chabbott, who made a generous gift in honor and memory of his late wife Marilyn, to support nursing education in Bayhealth’s cancer program. “Marilyn was a patient at Bayhealth,” explained Chabbott. “They treated her so well in the six weeks she was there before she lost her battle with cancer. I know quite a few people who work in hospital administration. Someone told me that the nurses need ongoing education and training. This is something I knew I wanted to support, so I made a donation, which is set up to continue over a period of time.” Those among the first to benefit from Chabbott’s donation were two nurses who attended a training conference on improving cancer care and patientcentered communication. Audrey Aldrich, RN, BSN,
and Shea Evans, RN, BSN, OCN, say they were very grateful for this opportunity. “I really enjoyed being in a room full of nurses, who are in the trenches doing the same work as me,” said Evans, who has been working in Oncology for the past seven years. “I came back very inspired.” Aldrich, who has been working in the Cancer Center for two years, says it was great to learn about the topic of comfort communication that also happens to be a new nationwide healthcare initiative. “It’s about how to best have the crucial conversations with patients and their families so they can be involved in their care and make informed decisions,” she said. “The generous donation by Col. Chabbott is an investment in the professional growth and development of our nurses; we are very grateful for the community support of our cancer program,” said John D. Shevock, FACHE, FACMPE, senior director of operations, oncology service line and executive director of the Bayhealth Cancer Institute.
Bayhealth Cancer Center nurses Shea Evans (left) and Audrey Aldrich were very grateful to be able to attend a professional training conference on improving patient-centered communication and cancer care.
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Key Partners 2018 BAYHEALTH CANCER INSTITUTE BOARD OF DIRECTORS I.G. Burton, III, Ex Officio
Lindsay Rhodenbaugh, Ex Officio
Susan Chinnici
Barbara Rutt, Secretary
Peter Y. Chiou, MD
Rishi Sawhney, MD, Medical Director
Connie Fisher
Priya Singh, MD
Iftekhar Khan, MD, Chairman
Michael Tretina, Treasurer
Terry Murphy, FACHE, Ex Officio
Michael Twining
Khanh H. Nguyen, MD
Deborah Watson, FACHE, FACMPE, President
Assar Rather, MD, FACS, FASCRS, Vice Chairman
2018 BAYHEALTH CANCER COMMITTEE MEMBERS David Brenner, MD
Jenni Glick, MSN, RN, OCN
Kathrina Chua, MD
Patricia Isherwood, FACHE
G. Chitiki Dhadham, MD
Renee Hall, RN
Freeman Hwang, MD
Bradley Kirkes, MBA, MHA, OTR/L, CHT, FACHE
Iftekhar Khan, MD, Chair, Milford
Theresa Latorre-Tegtmeier, FNP-C
Sophia Kotliar, MD
Cynthia Martin, APRN, ANP-BC, MSN, AOCNP
John Lahaniatis, MD, Chair, Kent
Stephanie McClellan, MSN, RN, CMSRN
Khanh Nguyen, MD
Jennifer Nack, CTR
Antoinette Ptak, MD
Holly Patronik, RD, LDN
Assar Rather, MD, FACS, FASCRS
Carl Popelas, PharmD
Rishi Sawhney, MD
Scott Richards
Priya Singh, MD
Cheryl Rogers, RN, CPHQ
Magesh Sundaram, MD
Laura Ryan, RTT (R) (T)
Peter Wong, MD
Susan Shaw, MSN, RN, OCN
Daniel Wood, MD
John Shevock, FACHE, FACMPE
Miahou Xu, MD
Cindy Stern, RN, MSN, CCRP
Arthur Aduma, PharmD
Meredith Sullivan, MBA, MS, CCC-SLP
Linda Case, CTR
Deborah Watson, FACHE, FACMPE
Melissa Dulin, RN, BSN, OCN
Debbie Watson, MSW
COMMUNITY PARTNERS Terry Brisbane, Delaware Hospice
Jan Shallcross, Cancer Support Community
Allison Gil, American Cancer Society
Lois Wilkinson, Delaware Breast Cancer Coalition
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The mission of the Bayhealth Cancer Institute is to deliver the best cancer care in Delaware by providing state-of-the-art treatment, clinical research, education, and prevention to the people of our region.
BAYHEALTH CANCER CENTERS Bayhealth offers a wide range of cancer care services and programs at its two integrated cancer centers.
Bayhealth Cancer Center, Bayhealth Cancer Center, Kent Campus Milford Memorial 640 S. State Street, Dover, DE 19901 21 W. Clarke Avenue, Milford, DE 19963 Phone: 302-674-4401 Phone: 302-430-5300 Fax: 302-674-4129 Fax: 302-430-5071
BAYHEALTH IS A MEMBER OF THE PENN CANCER NETWORK Bayhealth is affiliated with Penn Medicine’s Abramson Cancer Center, which provides our patients with access to university-level cancer care. As a member of the Penn Cancer Network, Bayhealth is the only cancer program in Delaware affiliated with a National Cancer Institute–designated Comprehensive Cancer Center. Patients and the cancer care team have ongoing access to new technologies, innovative treatments and clinical trials, as well as the expert opinions from physicians at the Abramson Cancer Center.
N#3724 12/2018