Issue 2, October 2011 3rd Annual Scrap-Out Cancer Event: A Scrapbooking event to raise awareness of women’s health. The James Beck Cancer Center at Ministry Saint Mary’s Hospital will host the 3rd Annual Scrap-Out Cancer Event; a scrapbooking event to raise awareness of maintaining women’s health. The event will be held on Friday, October 21st from 5 – 9 p.m. at Ministry Saint Mary’s Hospital galleria/cafeteria area located on the first floor at 2251 North Shore Drive in Rhinelander. Use the main entrance to the hospital. Join staff from the James Beck Cancer Center and Ministry Medical Group Woman’s Health provider, Judy Pagano, MD, for this FREE funfilled evening of scrapbooking, card making, and education. Bring your own projects, tools, and papers to work on. Scrapbooking tips and techniques, as well as women’s health educational information will be shared with participants. Goody bags, door prizes, raffles, beverages, sandwiches, and snacks will be provided. Registration is preferred by calling 888.735.7189. Content 3rd Annual Scrap-Out Cancer Event is Announced……….1 Satisfaction Award…………1 Important cancer information: Which treatment should I choose for prostate cancer?...................……….2 Managing the stress of cancer during the holidays….………………….3 Re-cap of the Annual Celebration of Life Event....3 Did you know?....................3 Support Information….….…4 Events……………………....4 . Satisfaction Award Ministry Saint Mary’s Hospital’s James Beck Cancer Center Department of Radiation Oncology recently received the award for outstanding Patient Satisfaction by earning an exceptional national ranking of 10% in the nation for patient satisfaction excellence. This award demonstrates the department’s focus and commitment to their patients by keeping their patients first in everything they do, throughout the entire cancer journey. “Each day comes bearing its own gifts. Untie the ribbons.” --Ruth Ann Schabacker Issue 2, October 2011 Important Cancer Information Which treatment should I choose for prostate cancer? Julie Zilisch, RN OCN As a nurse in the field of Radiation Oncology for 20 years, a frequently asked question is “Which treatment should I choose for my prostate cancer?” With the selection of multiple treatment options, it is not an easy decision. It is common for a newly diagnosed man to read articles on the internet, talk to friends and family, and meet with many doctors. With many differing opinions, it is difficult to know the correct decision. The following information will explain some of the treatment options and how they can be narrowed. through Friday for about 42 treatments. This can be used for all stages of localized cancer. Common side effects are urinary frequency, burning with urination, urgency, or a change in their bowel movements. Symptoms usually go away with time. In general, patients who have external beam radiation can not have a radical prostatectomy later. Radiation Seed Implants (Brachytherapy): This is a procedure where radioactive seeds are placed inside the prostate. This is done in the operating room under general anesthesia, usually as an outpatient procedure. It has the same potential side effects as external beam radiation. Some patients may not qualify for this procedure if they have a PSA over 10 or high Gleason score, have high surgical risks, or men with large prostates. Active Surveillance (Watchful Waiting): This is used for early stage or slow growing cancer, or if the risk of treatment is greater than the benefits. The cancer is monitored closely by a blood lab test to detect PSA levels and digital rectal exams. Treatment would begin only when the tumor shows signs of being more aggressive, when the PSA goes up, or nodules develop on the prostate. This approach is usually taken by older men and those with other life threatening medical problems. Hormone Therapy: This is called hormone therapy, however it is an anti-hormone treatment. Testosterone (the male sex hormone) can accelerate prostate cancer so hormone therapy is used to reduce the testosterone levels. It can also be used to treat a prostate that continues to grow after surgery and radiation therapy, or when cancer is widespread at the time of diagnosis. Hormone therapy can be used prior to external beam radiation or seed implants to shrink the prostate. Therapy is usually given as a shot every 4 months, with the most common side effects being “hot flashes” and impotence. Surgery: This is used to try to remove the cancer before it spreads outside the prostate. Patients have either a Radical (open) Prostatectomy or a Robotic (Laparoscopic) Prostatectomy. Radical Prostatectomy is the removal of the prostate gland, seminal vesicles, and sometimes the lymph nodes in the pelvic area. Nerve sparing surgery can sometimes be done which helps to preserve sexual function. Patients often have problems with urinary incontinence and need to have a Foley catheter in place for several weeks after surgery. Chemotherapy: Chemotherapy is used in patients that have advanced prostate cancer that is no longer responsive to hormone therapy. Robotic Prostatectomy is a less invasive, newer procedure with a shorter recovery time. The patient has less bleeding and pain, but impotence and urinary incontinence may occur. Patients with multiple medical problems may not be good candidates for this procedure. If your cancer is of high grade or known to be metastatic, this may not be an option. If all the cancer is not removed some patients may also need to have external beam radiation. Talk to your Urologist and Radiation Oncologist to better understand your options. If you are still uncertain, speak to your primary care provider. Cryosurgery: This procedure freezes the tissue with liquid nitrogen or liquid carbon dioxide. It is also called Cryotherapy or Cryoablation. A metal probe is inserted through a small incision in the area between the scrotum and rectum. This can be used for early stage cancer and men who can not have Radical Prostatectomy’s. External Beam Radiation: This is sometimes called X-Ray therapy. It uses high doses of radiation to kill cancer cells and stop them from spreading. Usually patients come Monday 2 Issue 2, October 2011 Managing the stress of cancer during the holidays When you have cancer, treatment can leave you exhausted and stressed. The holiday season can sometimes leave you feeling “out of step” from the rest of the world. Managing the rush of the holidays and taking care of yourself at the same time can seem impossible. Here are some tips for helping you enjoy the holidays: Set Limits – This can be difficult at any time, but it is especially important when you are not feeling like your normal self. It is OK to change your usual holiday activities in order to make the most of your energy. Do take time to be together with friends and family, but find the right balance of celebrating with others and spending the time you need on your own. If phone calls and visitors are overwhelming you, ask a family member or friend to help you by screening phone calls and limiting visitors. Enlist help – Cooking, shopping and decorating can become overwhelming. If you usually host the holiday meal, have each family member bring a dish to pass, order food from a restaurant or ask someone else to host the dinner this year. Holiday decorating can be exhausting! Letting others help is a good way to save energy and still enjoy some holiday traditions. Think about sharing your thoughts and feelings as a gift to others instead of giving expensive presents. Writing a short note or making a phone call to let others know you are thinking about them is an expression of love that no material gift can convey. Acknowledge your feelings – During the holidays it is normal to have a range of emotions, especially if you are experiencing difficult family circumstances. Be kind to yourself and accept your feelings. Find someone to talk to for support and comfort – family, friend or a professional if it’s hard to talk to those you are closest to. Communicating your feelings can help you feel less alone and more connected over the holidays. Did you know? The James Beck Cancer Center at Ministry Saint Mary’s Hospital has a wig room. Funded by donations, this program offers wigs, turbans, and scarves at no cost. To set up an appointment, call Julie Zilisch at 715.361.2143. 3 4th Annual Celebration of Life Event Review The 4th Annual Celebration of Life…Together we Soar took place on August 14, 2011 at Ministry Saint Mary’s Hospital. Community members, cancer survivors, and caregivers attended. The annual celebration honors cancer survivors for their strength and courage; recognizes the contributions of their families, friends, and healthcare providers; promotes awareness that knowledge, hope and inspiration can help beat cancer; and emphasizes that cancer survivors can live active, productive lives even though they still face many challenges. The keynote speaker was Nina Miller, Director of Breast Cancer Recovery, a non-profit and Madison-based organization whose mission is to provide environments for women breast cancer survivors to heal emotionally. The celebration included the presentation of $4,600.00 in donations from three area organizations. The donors included Lisa and Erik Wierschke, Rhinelander Cross County Bar and Grill; Julie Bronson, Rhinelander Country Club Woman’s League; and Northwood Golf Woman’s League. The donated dollars go toward patient wigs, turbans, and hats as well as assist in the funding of future Celebration of Life events. The celebration concluded with a butterfly release, and a blessing of the extended commemorative brick pathway and new picnic table. Issue 2, October 2011 Support Information Monthly Cancer Support Group: This support group for people facing cancer meets on the second Thursday of each month for one hour at 10 am at Ministry’s James Beck Cancer Center. For more information call 715.361.2027. Look Good Feel Better Class: For some people, one of the most traumatic consequences of certain cancer treatments is the loss of hair or change in appearance. Through this program created by the American Cancer Society, patients are taught how to restore their appearance and self-image while going through chemotherapy and radiation treatments. The program is a non-medical, product neutral program. Registered cosmetologist volunteers who have received special training for this program will conduct the workshop. The class is free of charge, and is a one time 1-2 hour workshop. You will receive a bag of brand name cosmetics to take home. If interested, call Julie Zilisch 715.361.2143 for more information on the next session. Tomahawk Area Interfaith Volunteers, Inc.: This group of volunteers from the Tomahawk community helps to fill the gaps where extra help is needed so that senior citizens, disabled persons of any age, and others living alone may continue to remain living in their own homes as long as possible with dignity and respect. The volunteers provide friendly visits, telephone reassurance, light housekeeping, respite for caregivers, minor home repairs, light yard work, transportation, shopping and errands, social outings and assistance with paperwork. For more information call 715.453.4242. Events James Beck Cancer Center: Scrap-Out Cancer. Friday October 21, 2011. 5-9pm in the galleria/cafeteria area of Ministry Saint Mary’s Hospital. See page one of this newsletter for more details. Community Health Screening Event: Saturday October 22, 2011 8-11:30am. Sponsored by Ministry Health Care and the Sacred Heart Hospital Foundation. Ministry Sacred Heart Hospital/Ministry Medical Group Clinic. 401 W. Mohawk Drive, Tomahawk. FREE Screenings available: Diabetes Screen, PSA Prostate Screen, Cholesterol Screen, Blood Pressure, Balance, Throat Screen, Depression & Anxiety Take-Home Quiz, and Colorectal Take-Home Kit. Call to make appointments for Hearing Screens and Breast Health Exams. Medication disposal is also available. Medications should be brought in their original containers (please do not mix medications together). For prescription medications, the patient’s name should be crossed out with a black permanent marker to comply with HIPPA requirements. No chemotherapy drugs or sharps please! Funding provided by the Sacred Heart Hospital Foundation The Great American Smokeout. Thursday November 17, 2011. If you are currently a smoker, consider taking a step towards improving your health by participating in the Great American Smokeout. It has helped to spotlight the dangers of tobacco use and the challenges of quitting. If you are ready to take the step towards kicking the habit, know that you are not alone. Ministry Rehabilitation Services is here to help you every step of the way. For more information: call 888-843-1367 or 715-369-2300 Coming Soon! A Fitness Program for Cancer Survivors at the YMCA in Rhinelander. The LIVESTRONG at the Y fitness program is for adult cancer survivors who have become de-conditioned from recent cancer treatment. The 12-week program provides survivors the opportunity to rebuild strength and stamina under the guidance of a highly trained YMCA instructor. Using a combination of individual instruction and group activities, survivors can participate in resistance training, cardio and functional activities as well as flexibility exercises. The YMCA is committed to helping all participants develop their own fitness program to continue healthy lifestyle habits, not only as part of recovery, but as a way of life. To register for an upcoming LIVESTRONG program, call Marilyn Duschl at 715-362-9622 ext. 118 or e-mail mduschl@ymcanw.org subject line LiveStrong. 4