Conquering Colon Cancer - Renown Health

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Renown institute foR canceR 26 Feature WRITTEN by RoSEANN KEEGAN leading the way Nurses help patients navigate their journey hen patIents leaRn they have a suspICIous W lump In theIR Body, the news Can Be oveRwhelmIng. processing that information is frightening, and the next step of scheduling appointments and procedures can add stress. shelley nelson, Rn, oCn, is there for those patients. nelson is a nurse at the Renown Institute for Cancer, and works with those who have or may have colorectal and digestive cancers. “my job is to bring treatment options together, make sense of it and smooth out the process so patients can focus on getting through it physically and emotionally,” nelson said. nurses at the Institute for Cancer help patients map out their treatment plans by arranging all necessary appointments when cancer is diagnosed or suspected, as well as offering education and emotional support. for nelson, this is more than a job. she lost both of her parents to cancer, which fueled her passion to ensure all patients receive prompt and compassionate attention to their various needs during treatment. “this is something close to my heart and something I’m dedicated to helping people through,” nelson said. as a part of the Cancer Concierge at the Institute for Cancer, the nurses can also assist rural patients with lodging accommodations and special rates for stays at the Inn at Renown or other partner Reno-sparks hotels. Renown joURneY shelley Nelson, rN, ocN, helps colorectal and digestive cancer patients with scheduling appointments, educational resources and ongoing support through their journey. the early and well-coordinated care offered by the nurses helps patients, families, and caregivers navigate the many systems needed during the cancer journey. ■ For information, please visit www.renown.org/cancer or call the Institute for Cancer at 775-982-6830. renown Health acknowledges the efforts of the following organizations who make genuine difference in the lives of pediatric patients with cancer in northern Nevada: american cancer society 775-329-0609 angel Kiss Foundation 775-323-7721 builder’s association charity 775-329-2424 Family ties 775-823-9500 For Kids Foundation 775-741-5231 Give Hope Foundation 775-329-HoPE (4673) HaWc 775-329-6300 Keaton raphael memorial, inc. 775-327-6275 Leukemia & Lymphoma society 775-787-3300 • 800-410-8170 make-a-Wish Foundation 775-826-8008 • 800-525-9474 Nevada Parents encouraging Parents 775-448-9950 • 800-216-5188 reno cancer Foundation 775-329-1970 ronald mcDonald House 775-322-HoME (4663) the solace tree 775-324-7723 trauma research institute 775-544-1293 WeLcome WRITTEN by DAGMAR boHLMANN new faces renown institute for cancer welcomes new physicians MaRY SchUltheiS, MD colon and Rectal Surgeon M aRy sChultheIs, md, deCIded to speCIalIze In Colon and ReCtal CanCeR because the disease is highly curable. the five-year survival rate is 90 percent for localized rectal cancer that has not spread to other areas. “If starting at age 50, everyone gets screened with a colonoscopy — as every person should — there is a very high chance for a good outcome,” she said. Born in arlington, va., dr. schultheis grew up in silver spring, md. she attended college at the university of maryland and received her medical degree from Creighton university school of medicine in omaha, neb. after completing her residency in general surgery at saint agnes healthcare in Baltimore, she began a fellowship, which is an extra year in specialized training, in colon and rectal surgery at the greater Baltimore medical Center. dr. schultheis and went on to become board certified in general surgery in 2007, showing her commitment to continuing education. at Renown she is allowed to practice in a setting in which technology has changed the way we think about cancer treatment, dr. schultheis said. “I provide patients with state-of-the-art surgery,” she said. “times have changed from when people had rectal cancer and ended up with a colostomy and a bag.” aside from hard work and dedication, dr. schultheis acknowledges that success can be enhanced when working as part of a top-notch treatment team. “Colorectal surgeons work best within a treatment team because the most effective treatment combines a variety of therapies,” she said. together with radiation oncologists, medical oncologists and gastroenterologists, she designs and executes treatment plans that utilize the most advanced technology and put the patient first. to stay healthy and in balance herself, dr. schultheis finds stress relief in the northern nevada outdoors. with her yellow lab puppy, Rufus, she hikes the scenic trails of the mt. Rose wilderness. “I came here because I love lake tahoe and the friendly, more laid-back west Coast attitude,” she said. ■ Renown Regional Medical Center Renown offers a Regional variety of Medical services Center and offers dining a options variety of to services meet your and dining needs options during to your meet visit. your needs during your visit. The BouTique The BouTique Women’s boutique with specialty products Women’s for cancer boutique patients with such specialty as breast products forms, mastectomy for cancer patients bras, Lindi such skin as breast care products, forms, mastectomy scarves bras, and Lindi hair skin pieces. care products, scarves and hair pieces. SieRRa GifTS SieRRa GifTS Specializing in adorable mom and baby gifts. Specializing offers an assortment in adorable of mom cards, and magazines, baby gifts. offers an assortment balloons and of flowers. cards, magazines, balloons and flowers. Tahoe GifTS Tahoe GifTS Seasonal gifts, collectibles, note cards, Seasonal gifts, and collectibles, flowers. note cards, and flowers. BuSineSS SeRviCeS BuSineSS SeRviCeS Convenient location for copies, fax, uPS shipping Convenient and dry location cleaning. for copies, frontier fax, financial uPS shipping Credit union and dry and cleaning. aTMs are frontier also available financial in Credit union multiple and aTMs locations. are also available in multiple locations. DininG DininG Whether it’s a homestyle meal or a quick treat, Whether we offer it’s a Remedee’s homestyle Restaurant, meal or a quick Sierra treat, Cafe, we offer Ben Remedee’s & Jerry’s and Restaurant, Starbucks. Sierra Cafe, Ben & Jerry’s and Starbucks. renown.org 27
Renown institute foR canceR 28 WeLLNess & PreveNtioN GuiDe* your guide to screenings General screenings during your physical exam, your physician may include examinations for cancers of the thyroid, oral cavity, lymph nodes, and other types of cancer depending on your age, sex, family history and other risk factors. General screenings age 18-39 age 40-49 age 50-64 age 65+ comments Physical exam annually annually annually annually additional exams may be necessary as your health demands. skin exam every other year breast cancer screening Renown joURneY annually annually annually More frequent exams may be necessary depending on family history and risk factors. women at increased risk of breast cancer should talk to their doctor about the benefits and limitations of adding mRI screening to their yearly mammogram screening. screening age 18-39 age 40-49 age 50-64 age 65+ comments breast self-exam Learn by age 20. Monthly. Monthly Monthly Monthly women should know how their breasts normally feel and report any breast change promptly to their health providers. breast exam by Physician every 3 years annually annually annually mammogram usually not needed annually annually annually cervical cancer screening If you are over age 30 and have had three or more normal pap tests in a row, talk to your doctor about a revised test schedule. women with certain risk factors may need to be screened more often; please speak with your physician. screening age 18-39 age 40-49 age 50-64 age 65+ comments Pap/Pelvic exam annually, beginning 3 years after a woman begins having vaginal intercourse or by age 21. annually annually annually women 70 years of age or older who have had 3 or more normal Pap tests in a row and no abnormal Pap tests in the last 10 years may choose to stop having cervical cancer screening. * American Cancer Society Guidelines for the Early Detection of Cancer; http:// www.cancer.org. colorectal cancer screening** Beginning at age 50 (45 for african americans), both men and women at average risk for developing colorectal cancer should use one of the screening tests below. If you are at moderate or high risk for colon cancer, talk to your physician about a different test schedule. screening age 18-49 age 50-75 age 76-85 age 86+ High-sensitivity Fecal occult blood test (Fobt) usually not needed sigmoidoscopy usually not needed colonoscopy usually not needed Lung cancer screening annually Routine screenings not needed – consult your physician every 5 years, with highsensitivity foBt every 3 years Routine screenings not needed – consult your physician every 10 years Routine screenings not needed – consult your physician Do not screen Do not screen Do not screen the american College of Chest physicians recommends that individuals should only be screened with low-dose Ct in the context of well-designed clinical trials. screening should only be performed when the clinician and patient are committed to pursuing follow-up investigations, including serial imaging and possible surgical lung biopsy. screening age 18-39 age 40-49 age 50-64 age 65+ comments Low-dose Lung ct usually not needed men’s cancer screening consider if at risk consider if at risk consider if at risk Lung cancer ct screening may be considered for those with a history of smoking. Both the prostate-specific antigen (psa) blood test and digital rectal examination (dRe) should be offered annually, beginning at age 50. Information should be provided to all men about what is known and what is uncertain about the benefits, limitations, and harms of early detection and treatment of prostate cancer so that they can make an informed decision about testing. screening age 18-39 age 40-49 age 50-64 age 65+ comments Digital rectal exam usually not needed Prostate Psa usually not needed testicular self-exam Learn by age 20. Monthly. usually not needed usually not needed annually annually Digital Rectal exam should begin at age 45 for african american males and those with a family history. annually annually Psa should begin at age 45 for african american males and those with a family history. Monthly Monthly Monthly Be sure to follow up with your physician if you have any concerns. **Colorectal Cancer Screening guidelines provided by the U.S. Preventive Services Task Force. renown.org 29
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