2016 Calendar Annual Report · Mary Jesse, Rehabilitation Sebastien Kairouz, MD, Medical Oncologist Kris Knox, Rehabilitation Caitlin M. Kownacki MS, RDN, LDN, Clinical Dietitian

DMH Cancer Care Institute2016 Calendar Annual Report

The DMH Cancer Care Institute, a dedicatedComprehensive Community Cancer Programlocated in the Cancer Care Center of Decatur,provides a unique patient-centered environ-ment from diagnosis and treatment to recov-ery and survivorship.

Every step along their cancer journey,our patients and families can access an arrayof services and the latest technology. TheCancer Care Center of Decatur was designedprincipally to enhance patient convenience.It is home to the DMH Cancer Care Instituteand Cancer Care Specialists of Illinois. Thebuilding includes Radiation Oncology, MedicalOncology, Urologic Oncology, MedicalImaging, Cancer Research, Cancer Registry,Complementary Medicine, and Administrativeservices.

Our experienced and dedicated team ofphysicians, nurses, and staff work closelywith Cancer Care Specialists of Illinois offer-

ing the largest interdisciplinary cancer-focused physician group in Central andSouthern Illinois. We are dedicated to offering the best inCancer Care. Decatur Memorial HospitalCancer Care Institute Cancer Program hasbeen recognized by the Commission onCancer of the American College of Surgeonsas offering the very best in cancer care. It isrecognition of the quality of ourcomprehensive, multidisciplinary patient care.We’re proud to have brought the very best intoday’s cancer treatment closer to home.

Caring for patients with cancer takes ateam working together to help our patientsand their caregivers navigate the through thecomplex world of cancer care.

As part of our accredited cancer pro-gram, we have a multidisciplinary team ofcancer committee members that communi-cates, evaluates, and directs the continuum

of care of cancer while focusing on qualitythrough adherence to the performance met-rics and improvements activities. It is ourcommitment to provide the patients and fam-ilies we serve with the highest standard oftreatment with personalized compassionatecare.

It is with great pleasure we present the2016 Cancer Program Annual report calendar. It is our tradition to select a theme for eachyear. This year we focused on cancer preven-tion and screening information. DMH caresabout your health and promoting healthylifestyles. We care and are committed to mak-ing a healthy community and saving lives.

Get the Best in Cancer Care 2015 DMH Cancer Care InstituteCancer Committee Members

Required members

Thomas Tarter, MD, Urologic Oncologist, Cancer Committee Chairman

Howard Wiarda, MD, Interventional Radiologist, Cancer Liaison Physician

Patty Barding, RN, Oncology Nurse

Andrea Bauerle, BS, Cancer Registry

Karen Cheek, RN, BS, CCRP, Clinical Research Director

Jamie Clark, BS, CTR, Cancer Registry

Benjamin Esparaz, MD, FACP, Medical Oncologist

Atiq Rehman, MD, Pain Management

Leslie Roberts, MSW, Social Services

Maurice Schuetz, MD, Pathologist

Ranjodh Singh, MD, Oncology Surgeon

Kim Wolpert, RT(R)(T), CMD, BS, Radiation Oncology Director

Michelle Whitehead, BA, Community Outreach Coordinator

Harold Yoon, MD, Radiation Oncologist

Non-Required members

Samitha Chandraratne, MD, SIU Resident

Nikki Damery, CTR, Project Manager

Mary Anne dePaz, MD, Radiation Oncologist

Mira Dvivedi, MD, SIU Resident

Delores Estrada-Garcia, MD FACP, Medical Oncologist

Lauren Fore, MD, SIU Resident

Perry Guaglianone, MD, FACP, Medical Oncologist

Courtney Heiser, American Cancer Society Representative

Robert Henderson, Pastoral Services

Mary Jesse, Rehabilitation

Sebastien Kairouz, MD, Medical Oncologist

Kris Knox, Rehabilitation

Caitlin M. Kownacki MS, RDN, LDN, Clinical Dietitian

Heather Ludwig, RN, BSN (alternate), Women’s Health and Breast Center

Pam McMillen, RN, BSN, Women’s Health and Breast Center

Roshan Patel, MD, SIU Resident

John Ridley, Vice President, Administration

Heidi Sexton, ACNP, Nurse Practitioner, Urologic Oncology

Josh Starr, MD, SIU resident

Jennifer Tate, BS, CTR, Cancer Registry

Mario Velasco, MD, FACP, Medical Oncologist

James Wade, MD, FACP, (alternate) Medical Oncologist

Peggy Wisher, RN (alternate), Clinical Research

Cancer Conferences provide a multidiscipli-nary approach to planning/evaluating patientcare. Physicians and other healthcare profes-sionals review and discuss treatment plans.

Cancer Registry collects, manages and ana-lyzes data. The data is strictly confidential andis used for education, research and outcomemeasurement.

Community Outreach activities are conductedthroughout the year in a variety of venuesbased on community need. Prevention, earlydetection and screening programs are offeredcontinuously.

Complementary Medicine using art as therapy is available and supported by MillikinUniversity at the Cancer Center. Art therapyhelps patients and families manage physicaland emotional issues by accessing activitiessuch as clay, watercolor, acrylics, collage,weave and more.

Diagnostic/Interventional Radiology profes-sionals bring an unparalleled level of expertiseby using the latest, most advanced diagnostic

technology. Interventional Radiology special-izes in minimally invasive, targeted treatmentsusing imaging guidance.

Hospice provides end-of-life care. A team ofprofessionals and volunteers provide physical,emotional and spiritual support to patientsand family in the comfort of their home.

Inpatient Oncology provides care for cancerpatients by oncology certified nurses.

Medical Oncology/Hematology is provided by Cancer Care Specialists of Illinois, S.C. Their comprehensive care includes radiationoncology and urologic oncology services at the Cancer Care Center of Decatur, as well asseveral outreach clinics. CCSI provides achemotherapy infusion area complete with an array of comfortable seating and privacysuites.

The Millennium Pain Center helps manageacute, chronic and cancer-related pain.Physician referral required.

Nutritional Services are provided by a registered dietitian. Patients can choose toattend a free nutrition class or schedule a private consultation.

Palliative Care provides pain and symptommanagement for patients receiving treatment,who have a skilled need and find it difficult toleave their home.

Pastoral Services provides supportive listening,help with spiritual issues and encouragement.

Radiation Oncology offers the latest treat-ment technology including Image-guidedRapid Arc, Stereotactic Radiosurgery, prostateseed implants and more. Radiation can beused alone or in combination with surgeryand/or chemotherapy.

Rehabilitation Services provide multiple levels of care including new HOPE (HelpigOncology Patietns Excel) program, pelvic painand incontinence, lymphedema, speech therapy, would care, hyperbaric oxygen therapy, bridge program. For more information,call 217-876-2600.

Research staff coordinates enrollment andparticipation in national clinical trials givingour patients access to the most innovativetreatments available.

Support Groups for patients/families providean opportunity to share feelings, thoughts andinformation. A variety of groups meet monthly.See listing in the back of this directory.

Surgical Services is often the first treatmentoption and can be performed by general sur-geons or surgeons who specialize in cancerrelated surgeries or other techniques.

Survivorship program facilitates a positivetransition from the end of active cancer care to optimal wellness after treatment.

Women’s Health and Breast Center providescomprehensive breast care and educationresource library as well as new and/or gentlyused mastectomy bras and prosthesis. Fundsfor screening mammograms are available formedically underserved women who qualify.

When treating cancer, a comprehensive,patient-centered multidisciplinary teamapproach across the entire spectrum ofcare is very important to ensure allpatients receive the highest quality of care possible.

DMH Cares about

A cancer diagnosis is a life-changing event,

but in many instances, cancer is more treat-

able than ever before. For decades, Decatur

Memorial Hospital has been at the forefront

of the global quest to eradicate cancer and to

eliminate the burden of cancer for the lives

that are touched by this disease.

Since its inception, the DMH Cancer Care

Institute has been a regional leader in cancer

diagnoses, treatment, and research, with a

focus on integrated cancer treatment and

patient-centered care.

The DMH Cancer Program is designated as

a Community Hospital Comprehensive Cancer

Program, accredited by the American College

of Surgeons Commission on Cancer and the

American College of Radiology. It’s our com-

mitment to providing excellent cancer care

while maintaining the highest standard of

care with compassion. Accreditation ensures

that key elements of quality cancer care are

available to patients, giving them access to

services they need through the continuum of

care.

We strive to be a source of information to

help educate the people in our community

about the importance of early detection and

cancer screening. In an effort to help raise

awareness, this year’s annual report features

cancer prevention and screening information.

It’s our commitment as a health care provider

to build a healthy community – working

together to save lives.

Cancer prevention is action taken to

lower the chance of getting cancer:� Our goal of primary prevention is to keep

cancer from developing. This includes

maintaining a healthy lifestyle and avoid-

ing exposure to known cancer –causing

substances. � Our goal of secondary cancer prevention is

to detect and treat precancerous (condi-

tions that may become cancer) or early,

asymptomatic cancer.

In 2014, approximately 1.6 million people

will be diagnosed with cancer in the United

States. In addition to the physical and emo-

tional distress, the high costs

of care can also be a burden

to patients, families and to

the public. By preventing cancer,

the number of new cases of cancer

is lowered thus reducing the burden

and decreasing the number of deaths

caused by cancer.

Every day in Illinois: � 67 people die from cancer; � 176 people are diagnosed with cancer; � 26 women are diagnosed with breast

cancer; � 21 men are diagnosed with prostate

cancer; � 17 people are diagnosed with colorectal

cancer � 25 people are diagnosed with lung cancer.

Choose a Healthy Lifestyle

Many cancer deaths could be prevented by

making healthy choices like not smoking,

staying at healthy weight, eating right, keep-

ing active, and getting recommended screen-

ings. Cancer is the second leading cause of

death among Americans.

Eat Healthy and Be Active

Get to and stay at a healthy weight through-

out your life. Knowing your body mass (BMI)

can tell you if your weight is right for some-

one your height. Reasonable body mass index

is less than 25. Physical activity can

lower the risk of several types of

cancer. � Adults: Get at

least 2.5 hours of

moderate or 1 hour

of vigorous activity

each week. � Children/teens:

Get at least 1 hour

of moderate or vig-

orous activity each

day, with vigorous

activity at least 3

days a week. Don’t

be a couch potato.

Get moving!

What you can do to eat healthy? � Read food labels. Low- or non-fat does not

always mean low calorie. Don’t supersize

your portions.� Eat smaller portions of high calorie foods.

Include vegetables, whole fruit and low-

calorie foods in your diet instead of high-

calorie foods such as french fries, potato

and chips, ice cream, doughnuts, and other

sweets. � Limit sugar-sweetened beverages, such as

soft drinks, sports drinks, and fruit drinks.� When eating out, take advantage of the

Heart-Smart Nutrition. Many restaurants

cater to suit health-conscious customers.

Stay Away from Tobacco

There are a variety of methods available to

quit-smoking:

Counseling/support, patches, gum, inhalers,

sprays, lozenges, medications. For more

information call the Illinois Tobacco

Quitline at 1-866-QUIT-YES or 1-866-784-

8937. Or visit www.quityes.org.

Cold Hard Facts about Dip:

Dip contains 28 cancer-causing agents.

Dip causes lip, cheek, tongue and other

types of mouth cancer. Dipping is addic-

tive. The nicotine in dip is a drug. To learn

more, visit nidcr.nih.gov/oralhealth/topics/

smokelesstobacco/smokelesstobacco-

aguideforquitting.htm

(continued)

Helpful Quitting Hints: Decide to quit.

List reasons to quit. Pick a quit date.

Get psyched for quitting. Cut back before

you quit.

Be Safe and Smart in the Sun: Staying in

the shade is one of the best ways to limit

your exposure. If you are going to be in the

sun, Slip! Slop! Slap! and Wrap!: Slip on

a shirt | Slop on sunscreen | Slap on a

hat | Wrap on sunglasses for the eyes and

skin around them

What’s the Best Sunscreen? Read the label:

Sunscreens with broad spectrum protection

(against both UVA and UVB rays) and with

sun protection factor (SPF) values of 30 or

higher are recommended.� What is Broad Spectrum Sunscreen? The

sunscreen can protect you from the

suns’ harmful ultraviolet A (UVA) and

ultraviolet B (UVB) rays. It helps to

prevent skin cancer, early skin aging

and sunburn. � What is SPF? SPF is the number that

tells you how much UVB light (the

burning rays) a sunscreen can filter out.

The American Academy of Dermatology

recommends using an SPF 30 or higher

To learn more, visit www.aad.org/spot-

skin-cancer/learn-about-skin-

cancer/prevent-skin-cancer/sunscreen-

labels

Reduce your cancer risk� Stay away from tobacco� Maintain a healthy weight� Keep moving with regular physical activity� Eat healthy with plenty of fruits/vegetables� Limit alcohol (if you drink at all)� Protect your skin� Know yours/family’s health history� Get regular check-ups/cancer screenings

Screening Saves Lives! � Get regular check ups. � Screening tests can

help find cancer at

an early stage,

before symptoms

appear. When

abnormal tissue or

cancer is found early,

it may be easier to

treat or cure. By the

time symptoms

appear, the cancer

may have grown and

spread. This can

make the cancer

harder to treat or

cure. It is important

to remember that

when your doctor

suggests a screening

test, it does not

always mean he or she thinks you have

cancer. Screening tests are done when you

have no cancer symptoms.

(continued)

FACTS about CancerIn the United States in 2015, an estimat-ed 1,658,370 new cases of cancer will bediagnosed and 589,430 people will diefrom the disease.In 2014, over 900 new cases of cancers were diagnosed and/or treated at DMH.Cancer is the second most common cause of death in the US, exceeded only byheart disease; cancer accounts for nearly1 of every 4 deaths.The number of people living beyond a cancer diagnosis reached nearly 14.5 million in 2014 and is expected to rise to almost 19 million by 2024National expenditures for cancer care in the United States totaled nearly $125 billion in 2010 and could reach $156 billion in 2020Screening tests can help find cancer at anearly stage, before symptoms appear andmay help decrease the chance of dyingfrom those cancers

Breast Cancer

FACTS� In 2015, an estimated 292,130

new cases of breast cancer werediagnosed and approximately 40,290women are expected to die from breastcancer in the U.S.

� In 2015, an estimated 2,350 new cases

of men will be diagnosed with breastcancer

�Risk factors for breast cancers include

increasing age, family history of breastcancer or other forms of cancer, densebreasts, prolonged oral contraceptiveuse, a poor diet, inactive lifestyle andobesity.

�Women at higher risk of breast cancer

include a BRAC1 or BRAC2 genemutation (or a first-degree relative withBRAC mutations), a strong family historyof breast cancer, such as a motherand/or sister diagnosed at age 45 oryounger, a personal history of invasivebreast cancer or ductal carcinoma in situ(DCIS or lobular carcinoma in situ (LCISor atypical hyperplasia)

SIGNS and SYMPTOMS

� Swelling of all or part of a breast (even if no distinct lump is felt)

� Skin irritation or dimpling

�Breast or nipple pain

�Nipple retraction (turning inward)

�Redness, scaliness or thickening of the nipple or breast skin

�Nipple discharge (other than breast milk)

SCREENING GUIDELINESThe American Cancer Society issued newguidelines for breast cancer screening:The ACS notes that the guidelines are forwomen at average risk for breast cancer.Women at high risk, because of familyhistory, a breast condition, or anotherreason, must begin screening earlier and/ormore often. Talk to your medical provider tobe sure.

�Age 40 Talk with your doctor about when

to begin screening. Women should havethe opportunity to begin screening ifthey choose.

�Age 45 Begin yearly mammograms

�Age 55 Transition to mammograms every

other year at age 55 or continue withannual mammography, depending onyour preferences

�Age 55+ continue to have regular

mammograms for as long as you’re ingood health.

DMH Cancer Incidence

Colon Cancer

FACTS�Colorectal cancers is the third

leading cause of cancer death in menand women in the U.S.

�Colon cancer often starts with

no symptoms

�1 in 3 adults between 50 and 75 years

old, 23 million people, are not gettingtested as recommended

�Only 62.5% of eligible people in Illinois

get regular colorectal cancer screenings

� If found and treated early, the 5-year

survival rate is 90%

SIGNS and SYMPTOMS

�A change in bowel habits (diarrhea,

constipation, or narrowing of the stoolfor more than a few days)

�A constant urgency of needing to have

a bowel movement

�Bleeding from the rectum or blood in

the stool (the stool often looks normal)

�Cramping or steady stomach pain

�Weakness and fatigue or anemia

�Unexplained weight loss

DMH Cancer Incidence

TYPES OF SCREENINGS: The best time to get screened is before youhave any symptoms.

� If you’re at average risk for colorectal

cancer, start getting screened at age 50.

� If you’re at higher risk, you may need

to start regular screening at an earlierage and be screened more often.

Tests that find pre-cancer and cancer:

�Colonoscopy (The Gold Standard),

every 10 years

�Virtual colonoscopy, every 5 years*

� Flexible sigmoidoscopy, every 5 years

�Double-contrast barium enema,

every 5 years

Tests that mainly find cancer

� Stool occult blood test (FOBT) (guaiac),

perform yearly

� Stool immunochemical test (FIT),

perform yearly

� Stool DNA test (sDNA) – Ask your health

care professional because technology isevolving.

*An abnormal result of a virtual colonoscopy or a double-contrast barium enema, or a positive FOBT, FITor sDNA test, should be followed up with a colonoscopy.

0

5

10

15

20

25

30

35

40

20 29 30 39 40 49 50 59 60 69 70 79 80 89 90 99

2014 Breast Age Distribution

0

5

10

15

20

25

30

40 49 50 59 60 69 70 79 80 89 90 99

#of

cases

2014 Age DistributionColon & Rectum

Mammograms can detect abnormalitiesor lumps that should be further analyzedfor diagnosis. Screenings can be scheduled at your convenience at theDMH Women’s Health and Breast Centerlocated at West Hay Medical Center,South Shores Imaging Center and ForsythImaging Center. Call 217-876-1111 toschedule your mammogram.

A doctor’s order is required to get ascreening colonoscopy. Call 217-876-6030for a list of doctors who perform colono-scopies at Decatur Memorial Hospital.

Prostate Cancer

FACTS�Prostate cancer is the most

common cancer among men.

�One out of 7 men will be diagnosed

with prostate cancer during his lifetime.

�Approximately 220,800 new cases

of prostate cancer are diagnosed in the US each year.

�About 27,540 deaths are from

prostate cancer

SIGNS and SYMPTOMSEarly prostate cancer usually causes nosymptoms. But more advanced prostatecancers can sometimes cause symptomssuch as—

�Problems urinating, including a slow

or weak urinary stream or the need tourinate more often, especially at night

�Blood in the urine

� Trouble getting an erection

(erectile dysfunction)

�Pain in the hips, back, ribs,

or may spread to the bones

�Weakness or numbness in the legs

or feet, or loss of bladder or bowel

Talk to your doctor about getting screened.The decision should be made after gettinginformation about uncertainties, risks, andpotential benefits of prostate screening.

SCREENING GUIDELINESBegin screening—

�At age 50 for men who are at average

risk of prostate cancer and are expectedto live at least 10 years

�At age 45 for men at high risk of

developing prostate cancer. This includesAfrican Americans and men who have afirst-degree relative (father, brother, orson) diagnosed with prostate cancer atan early age (younger than age 65)

�At age 40 for men at even higher risk

(those with more than one first-degreerelative who had prostate cancer at anearly age)

After the discussion with your physician,those men who want to be tested should betested with—� Prostate-specific antigen(PSA) blood test� Digital rectal exam (DRE)

DMH Cancer incidence

Lung Cancer

FACTS� In 2015, an estimated 221,200

new cases of lung cancers werediagnosed in the U.S.

� Lung cancer is the number one cause

of cancer deaths in the U.S.

�At least 80% of lung cancer deaths

are thought to result from smoking.

SIGNS and SYMPTOMSMost lung cancers do not cause anysymptoms until they have spread too far butsymptoms do occur in some people withearly stage. If you have any of these signs orsymptoms please inform your physician.

�Hoarseness or loss of voice

�Weight loss and loss of appetite

� Shortness of breath

� Feeling tired or weak

�New onset of wheezing, infections such

as bronchitis and pneumonia that do notgo away or keep coming back

TYPES OF SCREENING TEST:Low-dose CT Scan of chest

SCREENING GUIDELINESYou have an increased risk of lung cancer if you—

�Currently smoke

�Have quit smoking within the past

15 years

�Are 55 to 74 years old and in fairly good

health and have smoked at least a packof cigarettes for 30 years or more, or twopack per day for 15 years

DMH 2014 Cancer Incidence

0

10

20

30

40

50

60

70

30 39 40 49 50 59 60 69 70 79 80 89 90 99

2014 Lung Age Distribution

0

5

10

15

20

25

30

40 49 50 59 60 69 70 79 80 89 90 99

2014 Prostate Age Distribution

PSA blood screenings are available for $25. Call 217-876-2191 to schedule an appointment with DMH PrimeTime.Call 217-876-4377 for information aboutscreenings at Forsyth Imaging Center,DMH Family Medicine, South ShoresImaging Center and DMH Express CareEast.

A $49 Lung Cancer Screening can detects lung cancer earlier for smokersand former smokers. Call 217-876-1111 to schedulce or your convenience.Forsyth Imaging Center, 389 W. WeaverRd., Forsyth; South Shores ImagingCenter, 1689 S. Franklin Street Rd.,Decatur.

PRIMARY SITE

# % MALE FEMALE 0 I II III IV UNK* 88**

84 9% 47 37 HEAD & NECK 5 32 11 11 21 0 4

32 17 15 Lip, Oral Cavity, Pharynx 2 7 5 5 11 0 2

23 21 2 Larynx 3 5 3 3 7 0 2

29 9 20 Thyroid 0 20 3 3 3 0 0

140 16% 84 56 DIGESTIVE SYSTEM 5 19 34 37 31 3 11

52 26 26 Colon, Rectosigmoid Junction 4 9 18 10 10 1 0

28 18 10 Rectum 1 4 9 11 1 2 0

6 4 2 Esophagus 0 0 1 4 1 0 0

10 9 1 Stomach 0 1 0 5 4 0 0

12 4 8 Pancreas 0 2 1 0 7 2 0

32 23 9 Other digestive 0 3 5 7 8 6 3

189 21% 101 88 LUNG/BRONCHUS 0 55 15 39 69 11 0

41 5% 18 23 SKIN (EXCLUDING BASAL & SQUAMOUS) 13 20 1 1 1 5 0

35 16 19 Melanoma -- Skin 13 18 1 1 1 1 0

6 2 4 Other Nonepithelial Skin 0 2 0 0 0 4 0

123 14% 4 119 BREAST 35 41 26 9 11 1 0

32 4% 0 32 FEMALE GENITAL SYSTEM 0 18 2 4 6 2 0

6 0 6 Cervix Uteri 0 3 1 1 1 0 0

17 0 17 Corpus & Uterus, NOS 0 12 0 1 2 2 0

4 0 4 Ovary 0 2 0 0 2 0 0

5 0 5 Other Female Genital Organs 0 1 1 2 1 0 0

84 9% 84 0 MALE GENITAL SYSTEM 0 26 42 7 6 3 0

79 79 0 Prostate 0 21 42 7 6 3 0

4 4 0 Testis 0 4 0 0 0 0 0

1 1 0 Other 0 1 0 0 0 0 0

81 9% 53 28 URINARY SYSTEM 14 27 12 8 11 9 0

32 26 6 Urinary Bladder 12 5 6 4 1 4 0

44 24 20 Kidney & Renal Pelvis 2 22 3 4 9 4 0

5 3 2 Other urinary organs 0 0 3 0 1 1 0

53 6% 16 37 BRAIN & CNS 0 0 0 0 0 7 46

2 2 0 Brain (Benign) 0 0 0 0 0 0 2

11 3 8 Brain (Malignant) 0 0 0 0 0 0 11

40 11 29 Other Nervous System 0 0 0 0 0 7 33

31 3% 23 8 LYMPHOMAS 0 5 5 9 11 1 0

1 1 0 Hodgkin Lymphoma 0 0 1 0 0 0 0

30 22 8 Non-Hodgkin Lymphoma 0 5 4 9 11 1 0

21 2% 18 3 HEMATOPOETIC SYSTEM 0 1 0 0 0 1 19

10 8 2 Leukemia 0 1 0 0 0 1 8

11 10 1 Multiple Myeloma 0 0 0 0 0 0 11

15 2% 9 6 OTHER / ILL-DEFINED 0 2 1 2 2 2 6

6 1% 3 3 UNKNOWN PRIMARY 0 0 0 0 0 1 5

900 460 440 TOTALS 72 246 149 127 169 58 79

51% 49% 8% 27% 17% 14% 19% 6% 9%

*UNK:

**88:

Number of non-analytic cases in 2014 (not included above): 112

AJCC STAGE AT DIAGNOSIS

AJCC STAGING SCHEME IS NOT AVAILABLE FOR THIS PRIMARY SITE OR THE MORPHOLOGY OF A CASE

INFORMATION AVAILABLE IS NOT SUFFICIENT TO ASSIGN STAGE

EXCLUDES IT FROM THE AJCC STAGING FOR THAT PARTICULAT PRIMARY SITE

2014 Analytical CasesDistribution by Primary Site and AJCC Stage at Diagnosis

2014 Cancer Incidence at DMHTop Sites—Male vs Female | DMH vs USA

Men

DMH – 460

USA – 855,220

Women

DMH – 440

USA – 810,320

Site DMH USA

Bronchus & Lung 22% 14%

Prostate Gland 17% 27%

Colorectal 10% 8%

Urinary Bladder 6% 7%

Kidney 5% 5%

Lymph Nodes 5% 5%

Larynx 5% 1%

Skin 4% 5%

Blood & Bone Marrow 4% 4%

Liver & Bile Ducts 3% 3%

USA DMH Site

29% 27% Breast

13% 20% Bronchus & Lung

8% 8% Colorectal

4% 5% Skin

6% 5% Thyroid Gland

3% 4% Kidney

6% 3% Corpus Uteri

5% 2% Lymph Nodes

1% 2% Brain

3% 2% Pancreas

“Life is either a daring adventure or nothing.”

—Helen Keller

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

10a Brain Tumor Support Group

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

6p Pink Link Breast CancerSupport Group1:30p Facing Cancer Together

6p Renewal 4:30p Us TOO Prostate

January

“Challenges are what make life interesting and overcoming them is what makes life meaningful.”—Joshua J. Marine

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands6p Renewal

1:30p Facing Cancer Together

10a Growing Through Grief




Sunday Monday Tuesday Wednesday Thursday Friday SaturdayFebruary6p Pink Link Breast Cancer Support Group

4:30p Us TOO Prostate

“Life is a journey,not a destination, so enjoy the ride.”—Matt Jones



3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands6p Renewal



6p Pink Link Breast Cancer Support Group

Sunday Monday Tuesday Wednesday Thursday Friday SaturdayMarch


“Anyone who thinks that sunshine is pure happiness, has neverdanced in the rain.”—unknown

6p Renewal 4:30p Us TOO Prostate

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

1:30p Facing Cancer Together 10a Brain Tumor Support Group6p Pink Link Breast Cancer Support Group


April

“Happiness is like abutterfly. The moreyou chase it, themore it eludes you. But if you turn yourattention to otherthings, it comes and sits softly onyour shoulder.”—Shing Xiong

6p Renewal

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands


1:30p Facing Cancer Together6p Pink Link Breast Cancer Support Group

Sunday Monday Tuesday Wednesday Thursday Friday SaturdayMay


“Happiness is appreciatingthe little things in life.”—unknown

1:30p Facing Cancer Together6p Growing Through Grief

6p Growing Through Grief




6p Pink Link Breast CancerSupport Group

6p Renewal



June

“Freedom has its life in the hearts,the actions, the spirit of men and

so it must be daily earned and refreshed—else like a flower cut from its life-givingroots, it will wither and die.”

—Dwight D. Eisenhower




6p Renewal


Sunday Monday Tuesday Wednesday Thursday Friday SaturdayJuly


“You can never cross the ocean until youhave the courage to lose sight of the shore.”—Christopher Columbus

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands






August

6p Renewal

“And in the end, it’s not the years

in your life that count. It’s the life

in your years.”—Abraham Lincoln


3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

1:30p Facing Cancer Together6p Look Good Feel Better

6p Renewal


Sunday Monday Tuesday Wednesday Thursday Friday SaturdaySeptember


“Every adversity, every heartache, and every failure carries with it a seed of an equivalent or greater benefit.”—Napoleon Hill

Early Detection Connectionbreast cancer awareness



6p Renewal





3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

10a Brain Tumor Support Group6p Pink Link Breast CancerSupport Group

Sunday Monday Tuesday Wednesday Thursday Friday SaturdayOctober

“There is a calmness to a lifelived in gratitude, a quiet joy.Sometimes you just need a break in a beautiful placealone to figureeverything out.”—unknown


6p Renewal


3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands10a Growing Through Grief


Sunday Monday Tuesday Wednesday Thursday Friday SaturdayNovember

“May you have the gladness ofChristmas, which ishope; the spirit ofChristmas, which ispeace; and the heartof Christmas, which islove.”—unknown

6p Renewal

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

3:30p Helping Hands

Sunday Monday Tuesday Wednesday Thursday Friday SaturdayDecember

Support Group Description Meeting times, informationBrain Tumor For patients, family members diagnosed with benign or malignant brain tumors Third Saturday, 10—11:30 am, January—October

Pink Link Breast Cancer Support Group For breast cancer patients; a time to share emotions and personal experiences Second Thursday, 6—7:30 pm

Facing Cancer Together For all cancer patients and their families Second Wednesday, 1:30—2:30 pm

Renewal Monthly bereavement support group (for those who have completed Growing Through Grief) Fourth Monday, 6—7:30 pm

Us TOO Prostate Cancer For prostate cancer patients and spouses; a time to share emotions and personal experiences; Fourth Tuesday, 4:30—5:30 pma variety of topics are presented

Additional Support ServicesArts As Therapy For patients, families. Offers clay, paint, acrylic, water color, collage, weave and more Monday—Friday, 8 am—4 pm

Growing Through Grief Five-week bereavement education series for family members who have lost a loved one February/March, June/July, October/November

Helping Hands A grief support group for children, ages 5—15 Every Thursday, 3:30—4:30 pm

HER (Helping Each Other Recover) Provides information and one-on-one assistance for newly diagnosed breast cancer patients As needed

HIM (Helping Inquiring Men) Provides information and one-on-one assistance for newly diagnosed prostate cancer patients As needed

Look Good...Feel Better® American Cancer Society program to help women cope with treatment side effects TBA

Medical Equipment Home medical equipment and supplies As needed

Nutrition Care Plan Individual nutrition plan for patients struggling with low appetite, weight loss, taste changes, etc. By appointment; 217-876-4700

Ostomy/Skin Care An enterostomal therapist for patients who need help with ostomy, decubitus and skin care By appointment

Prosthesis/Bra Bank A free limited, gently used prosthesis and bra bank at DMH Women’s Health and Breast Center By appointment

Rehabilitation HOPE (Helping Oncology Patients Excel), programs for mobility, flexibility and more By appointment

Resource Room Books, DVDs, videos, online computer access to cancer information 8 am—4:30 pm, Cancer Care Center Lobby

Specific Performance Enhancement Ctr Fitness programs including yoga, water aerobics, zumba“; nutritional services; and more Monday—Friday, 8 am—4:30 pm

Wig Bank New and used wigs As needed

Free support group meetings are available to all cancer patients and their families. Support groups offer an opportunity for participants to share thoughts,

feelings and information. “Together people with cancer provide a Community of Hope, understanding and support.” Appointments are not necessary.

Meetings are held at the Cancer Care Center of Decatur, 210 W. McKinley Ave., Decatur. Parking available in the back. Enter through the Complementary Medicine/Education entrance.

For more information, call the DMH Cancer Care Institute, 217-876-4750, or visit www.dmhcares.com.

Support Groups

DMH Cancer Care Institute (located at Cancer Care Center of Decatur) . . . . . . .217-876-4750Art As Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4700Cancer Education/Support Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4750Cancer Registry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4741Clinical Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4750Radiation Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4700

Cancer Care Specialists of Central Illinois . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6600Billing Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-877-9442Hematology/Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6600Patient Services Coordinator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6600

On Line ResourcesDecatur Memorial Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .www.dmhcares.comCaring4cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .caring4cancer.comAmerican Cancer Society . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .www.cancer.orgLivestrong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .www.livestrong.orgNational Cancer Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .www.cancer.govNational Comprehensive Cancer Network . . . . . . . . . . . . . . . . . . . . . . . .www.nccn.orgUsTOO International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .www.ustoo.org

Cancer Care Center of Decatur, 210 W. McKinley Ave., DecaturDecatur Memorial Hospital, 2300 N. Edward St., Decatur

Decatur Memorial Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-8121

Business Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-3785

Centralized Scheduling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-1111

Clinical Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4750

Family Lodge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2020

Home Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4600

Hospice/Palliative Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6770

Inpatient Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5100

Interventional Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6730

Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4040

Millennium Pain Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-6640

Nutritional Counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5301

Outpatient Care Center (OCC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5700

Pastoral Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4322

Physicians Plaza Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-5566

Pre-registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2089

Radiation Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4700

Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2300

Rehabilitation Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-2600

Women’s Health and Breast Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4377

Wellness Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217-876-4249

How to contact us

Our Mission: To improve the health of the people of Central Illinois | www.dmhcares.com | 217-876-4750

DMH Cancer Care Institute Philanthropic Funds

provide support for cancer patients, programs and services

� The Cancer Care Institute Fund� Cancer Research Fund� G. Richard Locke MD Fund� Judith Ann Mason Memorial Cancer Fund� DMH Hospice

To make a special contribution to the Decatur Memorial Foundation,

call 217-876-2105.

“On Judith Ann”Life has become—More whisper than shoutMore smiles than gigglesMore strolls than hikesMore biography than mysteryMore refrain than crescendoShorter yet eternalMore Blessed

—Judith Ann Mason

In loving memory of...

14-417

Kelly Elaine CrowdsonApril 7, 1971—April 17, 2015Kelly has asked that her donations beused to help in breast cancer researchwith the hope of someday finding atreatment or cure. This generousdonation will not only aid in ongoingresearch, but also provide financialassistance to those patients who volunteer for research trials whomight not otherwise have the meansto be involved.

Kerby Dean DameryNov. 22, 1965—Feb. 8, 2015

KERBYSTRONG Foundation:Proceeds benefit cancer patients who need immediatefinancial assistance while undergoing current teratment.

Provide support for a cancer navigator to asist patientsin accessing cancer care and navigating the health caresystems.

Documents

2016 Calendar Annual Report · Mary Jesse, Rehabilitation Sebastien Kairouz, MD, Medical Oncologist Kris Knox, Rehabilitation Caitlin M. Kownacki MS, RDN, LDN, Clinical Dietitian