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Tom Baker Cancer Centre
Holy Cross Centre
Peter Lougheed Centre
Your Guide to theTom Baker Cancer CentreHoly Cross CentrePeter Lougheed Centre
22
Welcome to the Tom Baker Cancer CentreA cancer diagnosis can be a difficult time for everyone involved. We want your first visit at the Cancer Centre to be as stress-free as possible.
This guide will help answer questions like what you need to bring, where to park, what services are available and other useful information.
We, at CancerControl Alberta, want to provide you with the best care possible. We encourage you to ask your healthcare team any questions you may have and take advantage of available supports and classes so we can work together to achieve this goal.
3
My Health Care Team
Medical Oncologist
Radiation Oncologist
Surgical Oncologist
Other Physicians
Primary Nurse
Dietitian
Social Worker
Psychologist
Other
CancerControl Alberta uses a team approach to your healthcare. This means you may be cared for by a number of healthcare professionals after you choose a treatment plan.
4
Phone NumbersTom Baker Cancer Centre and Holy Cross Centre
If you have questions or concerns related to your chemotherapy treatment, call:
• Chemotherapy Symptoms Days 8:00 am - 4:00 pm 403-521-3735 Toll Free 1-866-238-3735
• For Urgent Issues only Evenings, Weekends, Holidays
4:00 pm - 8:00 am Foothills Hospital 403-944-1110 Ask for the cancer doctor on call
Main Switchboard (Operator) ...................403-521-3723 Out of Town Patients (toll-free) ..... 1-844-465-6330
Appointments and Patient RegFistration .....403-521-3722 Out of Town Patients (toll-free) .........1-844-465-6330Blood and Marrow Transplant Program .......403-521-3463Cancer Library (Knowledge Centre) ............403-521-3765Chemotherapy Symptoms ........................... 403-521-3735 Out of Town Patients (toll-free) .........1-866-238-3735Clinical Ethics Service .. 403-943-2821 or 1-855-943-2821Colposcopy (Betty Flagler Clinic, Holy Cross) .......403-698-8031
5
Diagnostic Imaging (Foothills Medical Centre)Radiology/X-ray (SSB) ........................ 403-944-1132Nuclear Medicine and PET Scan ........403-944-1348
MRI ......................................................403-944-2520 Dietitians ......................................................403-521-3719Drug Access Coordinator............................. 403-521-3656Healing Arts (Arts in Medicine) .................... 403-521-3369Laboratory Medicine ...................................403-944-1200Nutrition Services (Dietitians) .......................... see Dietitians
Patient Relations Department...................1-855-550-2555Pharmacy ....................................................403-521-3764Psychosocial Oncology
Psychology ..........................................403-355-3207Social Work .........................................403-355-3207Spiritual Care ......................................403-521-3352
Radiation Therapy .......................................403-521-3771Rehabilitation Oncology...............................403-698-8169
(Occupational Therapy, Physical Therapy, Lymphedema)
Release of Information ................................403-521-3314Security........................................................403-944-3288Volunteer Drivers (Canadian Cancer Society) .1-800-263-6750
Peter Lougheed CentreMain Switchboard (Operator) ......................403-943-4555Outpatient Hematology Specialty Clinic ......403-943-4592After Hours - Urgent Issues Only.................403-943-4555
(If your Hematologist is based at the Peter Lougheed Centre, call
this number for urgent issues only and ask for the Hematologist on
call)
6
Table of Contents Tom Baker Cancer Centre Driving, Public Transportation ....................................6 Parking and map .....................................................7-9 Places to eat in the centre and where to stay ......9-10 Floor Maps .........................................................12-17 What you will find (Departments) ...........................10 Blood and Marrow Transplant Chemotherapy (Medical Daycare) Clinics (Outpatients and Medical Daycare) Clinical Trials Unit ......................................... 11 Diagnostic Imaging (Xrays, CT, etc.) Laboratory Services Pharmacy ....................................................18 Radiation Therapy Reception (Main)
Holy Cross Centre Parking and map ............................................... 19-21 Places to eat in the centre .....................................20 What you will find Main Building (2210 2nd St SW) ...................21 Pharmacy Rehabilitation Oncology Family Medicine (2202 2nd St SW) ...............22 Psychosocial Oncology
Peter Lougheed Centre Parking and map .....................................................24 What you will find Floor Map ....................................................25 Outpatient Hematology and Treatment ........26 Laboratory Diagnostic Imaging Outpatient Pharmacy
6
19
23
7
Social Work .................................................27 Spiritual Care Inpatient Unit 38
Your First Visit A checklist of what to bring Arriving for your appointment ...................................29
Meeting Your Healthcare Team
Questions about your cancer care
Things to Know About Your Treatment Covering the costs of your cancer care Treatments ...............................................................33 Transportation during your treatment .......................34 What to bring to treatments and follow-up
Clinical and Support Services Available Dietitians Drug Access Coordinator Clinical Ethics Service Library / Knowledge Centre .....................................36 Healing Arts Interpreter Services Pharmacy Services ..................................................37 Psychosocial Oncology Rehabilitation Oncology Speech and Swallowing ..........................................38 Spiritual Care Volunteer Driver Program Volunteer Services ...................................................39
Cancer Education
Your Rights and Responsibilities
28
29
31
32
35
39
41
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Tom Baker Cancer Centre
Address 1331 29 St NW Calgary, AB T2N 4N2Main Number 403-521-3723 or toll-free 1-844-465-6330Appointments and Registration 403-521-3722After Hours You will get a number from your care team
DrivingWe are attached to the Foothills Medical Centre, on the east side. It is on the corner of 16th Avenue and 29 Street NW.
Public TransportationCall 403-262-1000 for information. Calgary Transit routes 20, 40, 91 and 419 will bring you to the centre.
9
ParkingThe main parking lot (Lot 1) is closed for construction. The closest parking is the South lot behind the Tom Baker, with overflow parking in the North and West lots (see map or http://bit.ly/TBCCParking).Come early so you have enough time to park and walk, or get dropped off in Zone C or D. Maps and rates are on theAlberta Health Services website www.albertahealthservices.ca/parking.Weekly and monthly parking passes are available.
Are there patient drop off and pick up areas?There are 2 drop off and pickup areas at Tom Baker:
• The main entrance (north side)
• The back entrance (south side; Radiation Therapy entrance)
Where can I get a parking pass?You can get weekly parking passes from the pay machines. For a monthly pass, you'll need to fill out a Parking Validation form and take it to the Foothills Parking office. Ask your nurse for one of these forms.
Parking OfficeRoom 060, Women’s Health Centre/North TowerFoothills Medical CentreBusiness Hours: 8:00 am–4:00 pmMonday–Friday (closed on holidays)Phone: 403-944-1014Parking rates apply 24 hours a day
10
16th Avenue NW (HWY 1)16th Avenue NW (HWY 1)
29th
Str
eet N
W
Hospital Drive
29th
Str
eet N
W
n
s
ew
University Boulevard
Visiting the Foothills Medical Centre
HSC
WHC
MB
McT
SSB
TBCCST
NT
HRIC
TRW
One way
On
e way
One way
from east
from west
East SiteEntrance
East
Emergency SiteEntrance
West SiteEntrance
Emergency
West
South ParkingUnderground &
Surface Parking300 stalls
East ParkingSurface Parking200 parking spaces
West ParkingUnderground Parking500 parking spaces
North ParkingCovered Parkade& Surface Parking450 parking spaces
A
B
C
D
E
F
G
H
EmergencyDrop-Off Only
Grace Women’s Health Ctr.
Health Sciences Centre
Main Building
McCaig Tower
North Tower
Special Services Building
Tom Baker Cancer Centre
East
East
West
West
East
West
West
East Parking
North Parking
West Parking
West Parking
East Parking
South Parking
South Parking
Primary parking lots
Secondary surface parking
• Any pay station can be used to pay for any lot.• Pay stations are located in all parking areas and most building entrances.• Accessible parking is available in all public parking lots and secondary surface lots.• Parking pay stations accept cash and all major credit cards.
Accessible parking
Drop-off point
Interior route to all buildings
To visit building...Use SiteEntrance
BestParking
Bestdrop-off Parking Payment & Accessibility
WHC
HSC
MB
McT
NT
ST
TBCC
H
G
A
E
H
B
C D
Construction: no access
Under Construction
Tom Baker & Foothills Centre Parking Lot Map
11
Places to eat at the Tom Baker Cancer CentreThe eateries are in the Foothills Medical Centre (FMC).
• The Timberline cafeteria is on the ground floor of the FMC and is open Monday to Friday from 7:00 am–3:00 pm.
• The Garden Deli is on the main floor of the Special Services Building (attached to Tom Baker). It is open 6:30 am–10:00 pm (closes at 8:00 pm on Statutory holidays).
• The Good Earth Cafe is in the Foothills Hospital Atrium between the main lobby and Emergency. It is open 24 hours a day.
• Vending machines are on the ground floor around the corner from the main FMC elevators.
• Volunteers also offer refreshments and cookies throughout the day in the treatment waiting areas at the Cancer Centre.
12
Places to stay near the Cancer CentreIf you live outside of the Calgary area and need a place to stay during your treatments, call the Foothills Medical Centre Patient Hostel at 403-944-1156 or pick up a copy of the booklet “How to Find Accommodation in Calgary” from the pamphlet racks.
What you will find (see maps pages 12–17)
(departments in alphabetical order)
Blood and Marrow Transplant Program 403-521-3463
• Located on the ground floor
• Provides before and after transplant care for patients undergoing blood and marrow transplants
Chemotherapy (Medical Day Care)
• Located on the ground floor
• Provides Intravenous (IV) chemotherapy treatment for patients and provides support to help you with any side effects you may have during treatment
• Appointments and scheduling 403-521-3722 or toll-free for out of town patients 1-844-465-6330
• Chemotherapy Symptoms 403-521-3735 or toll-free for out of town patients 1-866-238-3735
Clinics (Medical Day Care and Outpatients)
• Located on the ground floor
• Appointments and scheduling 403-521-3722 or toll-free for out of town patients 1-844-465-6330
13
• There are 2 clinic areas at the Tom Baker where you will have your visit with the doctor, nurse and care team
Clinical Trials Unit 403-521-3140
• Located on the basement floor
• We do all phases of trials, including trials involving new drugs, vaccines, and treatment
• The clinical trials nurse coordinates the clinical trial and is a member of the multidisciplinary team
• To learn more about clinical trials, pick up the pamphlet “Participating in a Cancer Clinical Trial” or visit: albertacancerclinicaltrials.ca
Diagnostic Imaging (X-ray, CT Scan and Ultrasound)
• X-rays, CT scans and ultrasound appointments are done on the ground floor. Turn left out of the beige Special Services Building elevators.
• MRI appointments are on the basement floor.
Laboratory Services (Lab)
• Located on the ground floor, around the corner from the Outpatient Clinic area (fast access from the beige Special Services Building elevators).
• Blood and specimen tests can be done here. If you can, it's a good idea to visit a lab closer to home. Ask your nurse if this is a good idea for you. If it is, your nurse will give you the forms you need.
14
Main FloorTom Baker
Cancer Centre
SpiritualCare
MainReception
MainEntrance
AlbertaCancer
Foundation
KnowledgeCentre
(Library)
Offices
SilverElevators
VolunteerServices
OfficesOffices
Pathology
FoothillsPharmacy
andGarden Deli
BeigeElevators
Stairs
BoardRoomCC105
ClassRoomCC109
PatientAdvocate
Stairs
CHRClinicalNutrition
CHR Social
Work
Offices
GiftShop
ClassRoomCC121
AuditoriumCC104
Departmentof Oncology
Offices
PersonalWell-Being
Kiosks
DischargeLounge
Stairs
Stairs
Fire ExitOnly
15
Main FloorTom Baker
Cancer Centre
SpiritualCare
MainReception
MainEntrance
AlbertaCancer
Foundation
KnowledgeCentre
(Library)
Offices
SilverElevators
VolunteerServices
OfficesOffices
Pathology
FoothillsPharmacy
andGarden Deli
BeigeElevators
Stairs
BoardRoomCC105
ClassRoomCC109
PatientAdvocate
Stairs
CHRClinicalNutrition
CHR Social
Work
Offices
GiftShop
ClassRoomCC121
AuditoriumCC104
Departmentof Oncology
Offices
PersonalWell-Being
KiosksDischarge
LoungeStairs
Stairs
Fire ExitOnly
Ma
inF
loo
r
16
MedicalDaycare
Unit(Chemotherapy)
Blood and MarrowTransplant Clinic
MedicalDaycare
Reception
TimberlineCafe andFoothills
Pharmacy
Counselling
andSocial W
ork
X-RayCT ScanUltrasound
OutpatientC
linicReception
OutpatientClinic
(Consultations)
Offices
Offices
BloodLabStairs
Stairs
PamphletsPamphlets
SilverElevators
BeigeElevators
Stairs
A
PharmacyReception
Reception
Offices
Stairs
Kitchen
Offices
FireExit
FireExit
B
C
Ground FloorTom Baker
Cancer Centre
17
MedicalDaycare
Unit(Chemotherapy)
Blood and MarrowTransplant Clinic
MedicalDaycare
Reception
TimberlineCafe andFoothills
Pharmacy
Counselling
andSocial W
ork
X-RayCT ScanUltrasound
OutpatientC
linicReception
OutpatientClinic
(Consultations)
Offices
Offices
BloodLabStairs
Stairs
PamphletsPamphlets
SilverElevators
BeigeElevators
Stairs
A
PharmacyReception
Reception
Offices
Stairs
Kitchen
Offices
FireExit
FireExit
B
C
Ground FloorTom Baker
Cancer Centre
Gro
un
d
Flo
or
18
RadiationReception
Exam Room
MedicalPhysics
Patient DayRoom
Nurses'Offices
TreatmentPlanning
OperatingRoom
Pre-Surgery
Offices
Fire ExitOnly
To MRIand Foothills
Stairs
ClassRoomCCB20
Pamphlets
Stairs
SilverElevators
Beige Elevators
ChangeArea
Castand
Mould
RTUnit 5
RTUnit 6
Exam Room
Exam Room
Post-Surgery
Offices
Stai
rs
RTUnit 7
RTUnit 8
RT9
RTUnit 1
RTUnit 2
RT Unit 3Radiosurgery
RTUnit 4
Exit
ChangeArea
SimulatorProcedure
Room
Ortho
RadiosurgeryReception
ExamRoom
Fire ExitOnly
Fire ExitOnly
Exit toAmbulance
Bay
ChangeArea
ChangeA
rea
Simulator Procedure A
rea
Exam Room
To Clinical
Research
To RTUnit 10
Exam
Exam
BasementEntrance
Basement FloorTom Baker
Cancer Centre
Dietitian
19
Ba
sem
en
t F
loo
rRadiationReception
Exam Room
MedicalPhysics
Patient DayRoom
Nurses'Offices
TreatmentPlanning
OperatingRoom
Pre-Surgery
Offices
Fire ExitOnly
To MRIand Foothills
Stairs
ClassRoomCCB20
Pamphlets
Stairs
SilverElevators
Beige Elevators
ChangeArea
Castand
Mould
RTUnit 5
RTUnit 6
Exam Room
Exam Room
Post-Surgery
Offices
Stai
rs
RTUnit 7
RTUnit 8
RT9
RTUnit 1
RTUnit 2
RT Unit 3Radiosurgery
RTUnit 4
Exit
ChangeArea
SimulatorProcedure
Room
Ortho
RadiosurgeryReception
ExamRoom
Fire ExitOnly
Fire ExitOnly
Exit toAmbulance
Bay
ChangeArea
ChangeA
rea
Simulator Procedure A
rea
Exam Room
To Clinical
Research
To RTUnit 10
Exam
Exam
BasementEntrance
Basement FloorTom Baker
Cancer Centre
Dietitian
20
Pharmacy Services 403-521-3764
• Located on the ground floor. Turn left out of the silver Tom Baker elevators.
• Only cancer treatment prescriptions will be filled here. Fill youFr prescriptions for side effects and other medicines at your local pharmacy.
Radiation Therapy 403-521-3771
• Located on the basement floor.
• We have 10 treatment units staffed by Radiation Therapists.
• If radiation therapy is part of your treatment options, therapists and nurses will teach you about what to expect and which unit to go to.
Reception (Main) 403-521-3723 or 1-844-465-6330
• Located on the main floor, inside the front doors of the Tom Baker.
• If you are coming for your first doctor visit, you will check in here and pick up your white identification card.
• Once your treatment has started, you do not need to check in here each time. Instead you can check in at the reception desk in the area of your treatment or clinic visit.
21
Holy Cross CentreMany patients will have their first doctor’s visit and follow-up appointments at this centre. There is no treatment (chemotherapy or radiation) at this centre. It is for clinic visits only (doctor/nurse appointments).
See page 20 for address and phone numbers.
ParkingParking for patients and visitors is available in the main lot in between the buildings (wheelchair accessible spaces are located here also). Please see page 21 for the parking map. There is a parking kiosk located outside near the main doors, and inside the lobby as well. Time is purchased with credit cards or coins. A change machine is available inside the lobby should you need to make change. You will need to remember your license plate number to purchase time. If you are in your appointment and need to add on time, call 403-828-7337. Some free street parking is available but usually only for 2 hours at a time.
22
Places to eat at the Holy Cross CentreThe Mission Bistro cafeteria is on the ground floor of the Holy Cross Building and is open Monday to Friday from 8:00 am–3:00 pm.
Holy Cross CentreAddress 2210 2nd St SW Calgary, AB T2S 3C3
Main Number 403-521-3723 or 1-844-465-6330Appointments and Registration 403-521-3722 or toll-free 1-844-465-6330After Hours You will be given a number by your care teamColposcopy (G101) 403-698-8031Parking 403-828-7337Psychosocial Oncology 403-355-3207 Building 2202 2nd Street SW (separate building to the north
of the main centre) Rehabilitation Oncology 403-698-8169
23
What you will find in the Main building 2210 2nd St SW
Oncology Clinics (Ground and 2nd Floors) Two large clinic
areas are available for new patient visits, and follow-up
visits. Most patients with prostate, breast, lung, colorectal,
bladder, kidney and testicular will be first seen at the Holy
Cross Centre.
Pharmacy (Ground Floor)
Fills prescriptions for cancer treatment drugs only.
Rehabilitation Oncology (2nd floor)
This program provides cancer patients with
physiotherapy and occupational therapy outpatient
services for issues related to their cancer or cancer
treatments. The program can also help with managing 25th Avenue SW
Holy
Cro
ss La
ne S
W
22nd Avenue SW
23rd Avenue SW
24th Avenue SW
21st Avenue SW
4st Stre
et SW
2nd Street SW (2 hour free parking on West s
ide)
AmbulatoryOncology Clinics
2210 2nd Street SW
PsychosocialResources and
Cancer Screening2202 2nd Street SW
StaffParking
PublicParking
To Erlton / Stampede
LRT Station
MainEntranceto Clinics
Entrance
LoadingDocks
CancerControl Holy Cross Centre
Parking Map
StaffParking
Elbow
Rive
rN
S
W
E
Psychosocial& Screening
Parking
24
lymphedema (swelling of a body part) that can
sometimes happen after the removal of lymph nodes
or radiation treatment. You need a doctor’s referral to
access these services. If you think this is something
you need, please ask your doctor or nurse at your
clinic visit to make the referral. If you need more
information, please call 403-698-8169.
What you will find in the Family Medicine building (2202 2nd Street SW)
Psychosocial Oncology (see map page 21)
The staff are trained professionals in psychology,
psychiatry and social work and are focused on helping
patients and their families cope with the emotional,
psychological and social stresses that can come from
the experience of cancer and its treatment. They offer
counselling, financial help, classes and support
groups. Please call 403-355-3207 for information.
25
Peter Lougheed Centre
Some patients with blood-related types of cancer are treated at the Peter Lougheed Centre. If your doctor works at this centre, then you may have your first visit in the Outpatient Specialty Clinic and your treatments in the nearby Treatment room.
Address 3500-26 Avenue NE Calgary, AB T1Y 6J4Switchboard/Hospital Operator 403-943-4555Hematology Clinic and Treatment 403-943-4592After Hours Urgent Issues 403-943-4555 and ask for the Hematologist on call
All support services and education classes are available to you at the Tom Baker Cancer, even if you are receiving treatment at the Peter Lougheed.
26
Parking
The visitor parking area is on the west side of the main building. Parking passes are available at the Parkade Kiosk.
Parking Office (Room 0332B)Business Hours: 8:00 am–4:00 pmMonday–Friday (Closed on holidays) Phone 403-943-4067 or 403-943-4744
Parking Kiosk (East entrance, Lot 11 Parkade - P3 on map)Business Hours: 7:00 am–11:00 pm Monday–Friday (Closed on holidays)
27
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28
Public TransportationCall 403-262-1000 for information. The Sunridge C-Train station is a short walk from the hospital. If you park at Sunridge Mall, you may get a parking ticket.
What you will find (see map page 25)
Outpatient Hematology and Treatment Clinic 403-943-4592
• This is the main clinic area at the Peter Lougheed Centre where you meet with your cancer specialists and nurses. If you need treatments, you will receive them down the hallway from the clinic in the Treatment Room. (See map page 27, Clinic 1 - Hematology)
Laboratory 403-943-4637
• Lab hours: Monday–Friday 7:00 am–5:00 pm
• Located on the Main Floor.
Diagnostic Imaging 403-943-4570
• Located on the main floor at the Peter Lougheed Centre
• This area is where you may have tests such as CT scan, MRI, X-Ray or ultrasound.
Outpatient Pharmacy 403-943-4985
• Hours: Monday–Friday 8:00 am–5:00 pm
• Located down the main hallway from the Specialty Clinics area.
29
Social Work 403-943-2514
• Social workers are available to help you cope with cancer and emotional, social or financial concerns.
Spiritual Care Services 403-943-4585
• Spiritual care coordinators are available to offer you support whether or not you have a formal faith tradition.
• The Sacred Space is a space for multi-faith services and quiet reflection. It is open 24 hours a day, 7 days a week and is on the Main Floor of the Peter Lougheed Centre.
Inpatient Unit 38 403-943-6638
• Unit 38 is located on the 3rd floor of the East Tower.
• You may be admitted here if you need inpatient care.
Rehabilitation
Cafeteria
Diagnostic ImagingMRI / CT ScanUltrasound / Nuclear Medicine
ProtectiveServices
Admitting/Business Office
Diabetes/ Hypertension / Cholesterol Clinic
Outpatient Laboratory
SecondCup
WEST ENTRANCE
SOUTH ENTRANCE
SacredSpace Pre-
AdmissionClinic
TakeTen
Calgary’sOwn
FlowerCo.
Psychiatric ConsultationLiason Service
MeetingRoom 1148
RexallPharmacy
CalgaryHealthTrust
TheGiftBox
EMERGENCY ENTRANCE
Triage /Admitting
EMERGENCY
RexallPharmacy Hematology
WEST ENTRANCE
WEST ENTRANCE
3
Outpatient Clinics:Clinics 1, 2, 3
Cast Clinic
2
Respiratory
HPTP EMG / EEG
GI/ERCP
PFT
Trach/AADL
CastClinic
Pulmonary Function Testing
Trach / AADL Clinic
Home Parenteral Therapy Program
Rexall Pharmacy
Cast Clinic Endoscopy / ERCP & Post Procedure Recovery
Clinic 1 - Respiratory
Clinic 1 - HematologyClinic 2 - Vascular, Gastroenterology, Internal Medicine,Endocrinology, Pediatric Transition, Fine Needle Aspirate,AMS, CCDM, Anticoagulation Clinic, Day Medicine
Clinic 3 - General Surgery,Hand Clinic, Neurology
166 Women’s
Health
PLC - Outpatient Clinics Map - Clinic 1 - Hematology
DayMedicine
30
Your First VisitWhat should I bring to my first appointment?
Alberta health care card and photo I.D.
A list of the medicines you are currently taking including vitamins and natural health products.
Your pain medicines (if you are taking any).
A list of questions you may have (for ideas go to page 31).
Something to read or a portable device to watch or listen to. Please bring earphones.
Bring something to eat or drink or money to buy something if you prefer.
A support person such as a family member or friend. It may be helpful to have them take notes
during your appointment.
If you have a smartphone or tablet you may want to use it to record what is said during your appointment. Make sure you ask for your healthcare providers’ permission first.
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Arriving for your appointment
Please check in at the registration desk at the main entrance when you arrive at the Tom Baker Cancer Centre. You will receive a white identification card in a plastic sleeve. Please bring this card to all of your future appointments. You will then be told where to go for your visit.
How long will my first appointment take?
You should plan to spend 2 to 4 hours for your first visit.
Meeting Your Healthcare TeamOur doctors, nurses, and other healthcare providers work together as a team to care for you. You may have more than just one doctor or nurse caring for your needs. The members of your team may change during the course of your care if your needs change. Your healthcare team may include some of the people below:
Cancer doctorsThere are different types of cancer doctors. You may see a:
• Medical Oncologist (chemotherapy doctor)
• Radiation Oncologist (radiation doctor)
• Surgical Oncologist (surgeon)
• Hematologist Oncologist (blood cancer doctor)
They will tell you your treatment options and the risks and benefits. The doctor makes the treatment plan with you.
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Nurse PractitionersAre advanced practice registered nurses who have specialized education and experience and may manage your care.
NursesCoordinate your care, teach you about cancer, tests, treatments and will work with you to manage your concerns. They will direct and connect you to other members of your healthcare team as needed.
Radiation TherapistsPlan your radiation treatments with the radiation doctor. They will also teach about what to expect, administer the radiation treatments and help you manage your concerns.
PharmacistsFill your cancer medicine prescriptions, answer questions about your current medications and provide information about your cancer medicines and their effects.
Supportive Care ProfessionalsCancer and cancer treatments can impact your quality of life in many ways. A team of supportive care professionals is available to help you throughout your cancer journey.
This may include professionals such as:• Doctors who specialize in managing pain and symptoms
• Cancer rehabilitation professionals: physiotherapists, occupational therapists, speech-language pathologists
• Psychosocial professionals such as psychologists or social workers.
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ClerksGreet and direct you to where you need to go. They will also book your appointments, notify you of any changes and check you in when you arrive.
Questions about your cancer careYour cancer doctor will answer most of your questions while you are talking about your cancer care. Listen carefully and be clear with your doctor about your concerns.
If you wish, you can use these questions to guide you when you are talking with your doctor. Make sure you get all the answers you need during your appointment.
1. What kind of cancer do I have, and where did it start? What is the name of my cancer?
2. Has the cancer spread to other parts of my body? If it has, where?
3. How advanced is my cancer?
4. What treatment option or options do you recommend for me?
5. What are the goals of the treatment you recommend?
6. If I choose not to have treatment what will happen?
The Tom Baker Cancer Centre is a teaching facility. Students, interns and residents may be involved in your care. Please ask the healthcare team questions if you are unclear about who people are and what their responsibilities are.
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Things to Know About TreatmentCovering the Costs of Your Cancer CareAlberta Health Care pays for the costs of chemotherapy and radiation therapy in most cases. However, it does not cover pain and anti-nausea medications. These medications can be very expensive, so it’s important to have extra coverage.
How can I cover these other medications?You can use a private or provincial health insurance to cover the costs not covered by Alberta Health Care.
If you have private or public insurance call and ask your insurance company:
• Do I have a yearly maximum for prescriptions? If yes, what is it?
• What is my co-pay portion?
• Is my plan a direct bill plan or a reimbursement plan?
• What level of coverage do I have? For example, is it full or partial coverage?
What if I have no drug coverage?
• You can still apply even with a pre-existing illness.
• If you have no drug coverage, we encourage you to apply for Alberta Blue Cross Non-Group as soon as possible. It will take about 3 months before Alberta Blue Cross starts covering your medicines. For example, if you apply in March you will not get drug coverage until July 1.
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• You can find information and application forms for Alberta Blue Cross Non-Group at: http://www.health.alberta.ca/services/drugs-non-group.html
What if I need more help?If you want help with filling out the paperwork, have more questions about what your plan covers, or need more information, please call the Drug Access Coordinator at 403-521-3656 or one of our Social Workers at 403-355-3207.
TreatmentsYou may need one of the below treatments, or a combination of them. The main treatments we offer include:
• Surgery: Certain types of day surgeries to treat cancer are performed at the Tom Baker Cancer Centre, but most surgeries take place in hospital operating rooms.
• Radiation Therapy: Radiation therapy uses radiation to treat your cancer. You will get information about what to expect with the treatment and side effects, and have the opportunity to take classes that may help you manage during your treatment.
• Chemotherapy: These are drugs designed to destroy or target your cancer cells. You may get these drugs by intravenous (IV), injections or by pill depending on the type of drugs you need and the best way to get them into your system. We offer classes and information about chemotherapy and how to manage the side effects you may have.
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Transportation during your treatmentWe recommend you arrange a ride for your first treatment. For future treatment appointments, if you need help travelling to and from your cancer treatment appointments, the Canadian Cancer Society offers a volunteer driver program. Call 1-800-263-6750 for more information.
What to bring to your treatment and follow-up appointments
Your CancerControl Identification card
A list of questions you want to ask staff
A list of medicines you need renewed by your oncologist
Alberta health care card and photo I.D.
A list of the medicines you are currently taking including vitamins and natural health products.
Your pain medicines (if you are taking any).
Something to read or a portable device to watch or listen to. Please bring earphones.
Bring something to eat or drink or money to buy something if you prefer.
A support person such as a family member or friend. It may be helpful to have them take notes
during your appointment.
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If you have a smartphone or tablet you may want to use it to record what is said during your
appointment. Make sure you ask for your healthcare providers’ permission.
Ask staff to arrange for an interpreter, if you have trouble understanding English.
Clinical and Support Services Available(alphabetical order)
Dietitians (Nutrition) 403-521-3719Registered Dietitians can help you eat well during your treatments. You can see a dietitian by attending one of the classes they offer, or call for advice or book an appointment. Nutrition is important in cancer care. Available Monday–Friday 8:00 am to 4:15 pm.
Drug Access Coordinator 403-521-3656The Drug Access Coordinator can help you understand how your medication coverage works and what options may be available to you during your cancer treatments. Please call if you would like information about programs that can help with the cost.
Clinical Ethics Service 403-943-2821 or 1-855-943-2821This service provides support and guidance for patients, families and healthcare providers with difficult decisions such as choosing between two treatment options, or refusing to be treated.
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Library / Knowledge Centre 403-521-3765
Library and information services are available for patients, families and friends. The Library in the Tom Baker Cancer Centre specializes in books and journals on cancer care, treatments, research and supportive care. Library staff is happy to help you search and find cancer information. You may borrow books, DVD’s, videos and CD’s. The Centre is on the main floor near the escalators. Please call for library hours.
Healing Arts / Arts in Medicine 403-521-3369
Creative expression can help patients and family members face feelings that come with a diagnosis of cancer. Supports available through the Healing Arts program include both individual and group art therapy, as well as arts-based groups designed to provide a safe space to express and play. Please pick up an “Arts in Medicine” pamphlet from the racks for more information on upcoming opportunities. Classes are also listed in the “Classes for Patients and Families” booklet.
Interpreter ServicesYou can ask for an interpreter during your clinic visits. Professional interpreters are available in more than 200 languages. If possible, please let us know before your appointment if you would like to have an interpreter. This is a free service.
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Pharmacy Services 403-521-3764
Tom Baker pharmacy: ground floor (left off of the elevators). Holy Cross pharmacy: ground floor
Cancer Centre pharmacies provide your cancer treatment drugs that you may receive in clinic or take at home. These medicines are covered by your provincial health care insurance. You will need to fill your prescriptions for other medicines at your regular pharmacy. Our pharmacists review your current medications and provide information about your cancer medicines and their effects. Make sure you have a list of all current prescription and non-prescription medications including vitamins and herbal products.
Psychosocial Oncology 403-355-3207
Staff focus on helping patients and their families cope with the emotional, psychological and social stresses that can come from cancer and its treatment. Staff offer services such as counselling, assessment, support of finances, educational classes and support groups. Call for more information or pick up the brochure "Counselling and Support" from the pamphlet racks.
Rehabilitation Oncology 403-698-8169
This program provides cancer patients with physiotherapy and occupational therapy outpatient services for issues related to their cancer or cancer treatments. The program also helps with managing lymphedema (swelling of a body
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part) that can sometimes happen after the removal of lymph nodes or radiation treatment. You need a doctor’s referral to access these services. If you think this is something you need, please ask your doctor or nurse at your clinic visit to make the referral. If you need more information, please call 403-698-8169.
Speech and Swallowing Cancer and cancer treatments can cause a wide variety of disorders that affect people’s ability to communicate or swallow effectively. If you are having difficulties with speaking or swallowing, a Speech Language Pathologist may help you. You need a doctor’s referral for this service. Please ask for one at your clinic visit if you feel it would help you.
Spiritual Care 403-521-3352
Helps patients and families explore their beliefs, values and emotions, keeping the feelings of hope and purpose strong in their lives. It offers support to all, whether religious or non-religious and individual counselling is available by appointment. There is a multi-faith chapel available on the main floor of the Foothills Medical Centre.
Volunteer Driver Program The Canadian Cancer Society operates a shuttle service for patients who are receiving treatment and are living in the Calgary area. Please pick up an information sheet from the pamphlet racks or call 1-800-263-6750 for more information.
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Volunteer Services 403-944-1336
Volunteers generously give their time and energy to help patients find their way, serve refreshments, prepare patient information packages, operate the Gift Shops, as well as many other things. If you are interested in being a volunteer, please visit the website www.albertahealthservices.ca/volunteers.asp
Cancer EducationNew Patient Information Sessions
Every Thursday (except on holidays; any exceptions would be listed in the "Classes for Patients and Families" booklet) 2:00 pm–3:00 pm, Tom Baker Auditorium (main floor)
This session will help prepare you for your medical care and give you information about the centre. Family and friends are welcome!
Please note:
• If you are unwell, physically unable, or staying in hospital, please do not come to the class. You will be given any information that you need at your clinic visit instead.
• If you live out of town, you may attend if you like. If not, you will be given information at your clinic visit instead.
To RegisterThere is no registration necessary. Please come to any session.
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Other ClassesWe also offer other classes on chemotherapy, radiation, nutrition, and lifestyle matters. For all of the details, pick up the brochure “Classes for Patients and Families.”
Useful WebsitesYour healthcare team is happy to answer your questions. But if you’d like to do some of your own research, the internet can have a lot of good, and up-to-date information. Remember that not all sites are reliable.
Here are some websites to get you started:
Alberta Health Servicesalbertahealthservices.ca/cancer.asp
American Cancer Society cancer.org
Canadian Cancer Society (CCS) cancer.ca1-888-939-3333.
Canadian Cancer Trials canadiancancertrials.ca
CancerNet cancer.net
Cancer View Canada cancerview.ca
My Health Alberta myhealth.alberta.ca
National Cancer Institute (U.S.) cancer.gov
OncoLink® oncolink.org
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Your Rights and ResponsibilitiesYour Health Information
We collect only what we need to do our job. When possible, we work with information that doesn’t include your name or other information that could identify you. Your health information may be used to:
• Provide you with the best possible health services
• Determine what health services you’re eligible for
• Evaluate your care
• Gather statistics on cancer and help in cancer prevention
• Conduct research if approved by an ethics committee
Patient Rights—What You Can Expect From Us
As a patient, you have a right to:
• Be treated with care, dignity and respect.
• Expect that your medical records be kept confidential. Review your health records.
• Have your diagnosis, treatment options, prognosis and other information explained in clear and understandable terms (with the help of a medical interpreter for another language, when needed).
• Know the benefits and risks of a procedure or treatment offered to you.
• Decide whether you wish to be treated or not. If you refuse treatment, you will be told of the likely medical results of your decision.
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• Refuse to sign a consent form (agreement) if you feel everything has not been clearly explained. You can cross out any part of a consent form that you do not want applied to your care.
• Change your mind about any treatment or procedure for which you have given your consent (agreement).
• Agree or refuse to take part in medical training and research programs.
• Voice comments and concerns regarding the quality of the care and service you receive, and know that this will not have a negative effect on your care. If you have something you would like us to know, please feel free to talk with our staff, ask for the Manager of the area or inform the Patient Feedback Line at Alberta Health Services by calling 1-855-550-2555 or emailing [email protected].
Patient Responsibilities—Help Us to Help You
AppointmentsIt is very important that you come to all your appointments, and diagnostic tests. If you cannot come to an appointment, please call us as soon as possible to reschedule. Keep in mind that if you need to reschedule an appointment, it may cause a delay in your care.
Make Sure Your Phone Number is Not Blocked
• When we call you from the Cancer Centres, our identity is blocked from your telephone to help ensure your privacy at your home or work setting.
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• If your telephone service blocks phone numbers that are not identified, then we may not be able to reach you with important calls regarding your care. Please check your service and make sure that your telephone does not require an identity from the caller in order to reach you.
If You are SickCall the Cancer Centre if you have an appointment and have any of these symptoms:
○ Fever ○ Sore Throat○ New Rash ○ Diarrhea○ Cold Symptoms ○ New Cough
Cancer treatments can weaken your immune system, which makes it easier for you to get sick while you are on treatment. If we know that you are sick before your appointment, we can better protect your health and the health of others.
Please Don’t Wear ScentsMany patients and staff members are allergic to perfumes, colognes or lotions. Please don’t put on any scented products such as body sprays, scented deodorant, or hairspray, on days you are coming to the Cancer Centre. If you forget, do your best to wash it off.
Be Active in Your Care• We encourage you to participate in your care. Speak
up if you have any questions or concerns. You are the most important member of your care team.
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• Attend our classes. There are many presentations for patients each week that are free of charge. Knowing what to expect and how to manage your treatments and symptoms is important.
• Use the many supportive services the Cancer Centre offers for you.
Respect the Privacy of Others • If another patient is talking with a staff member, give
them privacy.
• Keep a respectful distance from reception desks when staff are serving other patients.
• Don’t share the identity of other patients with people outside the cancer centre, unless they give their consent.
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Notes
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Cancer Patient Education
General Information│PatientGuide│TBCC│R2017-03│B0002
