ONEMISSION Roswell Park Patient Newsletter December 2016 A Tranquil Scene For Those Under Stress Rodney Taylor remembers traveling to Maryland every year for family reunions in his father’s hometown, and the view from the back seat of the car as trees flashed by. The Buffalo artist shares that sense of journey in Song for My Father, an expansive oil painting of birch trees that welcomes visitors to the lobby of Roswell Park’s new Scott Bieler Clinical Sciences Center. Artist Rodney Taylor, right, with Roswell Park President & CEO Candace Johnson, PhD, in front of his work Song for My Father (oil on canvas, 2016). Phillip O. Taylor served as an x-ray technician at Roswell Park from 1957-1989. www.roswellpark.org Before he picked up his brush, Taylor considered carefully how visitors would view the painting, realizing that many of them would be rushing by on their way to a clinic appointment. “A lot of times patients are coming and going, and there’s not a lot of time to sit and study. I was thinking of the movement when they walk by this painting, that it would capture something for them.” Even glimpsed in passing, the scene pulls viewers into the outdoors. The papery white bark of the trees stands out against a green-and-gold autumn background and the suggestion of water in the distance. The natural setting serves as a tribute to Taylor’s late father, Phillip O. Taylor, who worked as an x-ray technician at Roswell Park from 1957 until his retirement in 1989. Outside his professional life, Phillip Taylor was an outdoorsman who loved fishing and horses and horseback riding. “My father was well liked,” says the artist, “so it’s really nice that people [who knew him] can see this and reference him, bringing their own feelings, like when they would go on fishing trips together.” When Rodney Taylor was a boy, he sometimes met his father at Roswell Park so they could have lunch together. Along the way he walked past patients who were waiting for x-rays, their eyes keen with worry. More than three decades later, that still-vivid memory reminds him that for patients, survivors, and caregivers alike, a cancer diagnosis is “very stressful.” Taylor has experienced that stress firsthand: “I was a patient in a hospital for a very long time. I had kidney failure. I spent ten years in dialysis, and I had two kidney transplants. To have something to take your mind off it for a little while is very beneficial to your health, he adds. Trees, he says, are part of the natural world that everyone finds comforting, and so he hopes that the birches in his painting will be a source of comfort and tranquility for everyone who walks past — even those who are in a hurry. 1-877-ASK-RPCI (1-877-275-7724) Questions? Suggestions? Email [email protected] or write to: Public Affairs Office, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY 14263. One Mission delivers news, information, and stories of hope and inspiration to the patients and families served by Roswell Park Cancer Institute, in keeping with Roswell Park’s mission to understand, prevent, and cure cancer. This patient newsletter is written, created and designed by the Institute’s Department of Marketing, Planning, Public Affairs and Customer Relationship Management, with content contributed by various other departments. Around the Park Paint Box cards pass along the love from our pediatric patients When you’re choosing holiday cards and gifts this year, take a look at the 13 new designs in the Paint Box Project Collection for Cancer Cures. Every item features artwork by our pediatric cancer patients and their siblings, and a portion of the purchase price supports patient-care programs at Roswell Park. You’ll find cards with Christmas, Hanukkah, and winter themes — including some that celebrate Buffalo, the Queen City! — as well as gift bags and tags, treat bags, calendars, mugs and glassware, napkins and placemats and even guest towels. All merchandise can be customized. EXPLORE THE FULL PAINT BOX PROJECT COLLECTION AT WWW.PAINTBOXPROJECT.COM. SELECT CARDS ARE ALSO AVAILABLE AT THE ROSWELL PARK GIFT SHOP. Early arrival? Check our extended valet hours Roswell Park’s valet service is now available even earlier than before, from 6 am-6 pm, Monday-Friday (except for holidays). Just pull up at the main entrance to the hospital and an attendant will park your car while you head inside. The service costs just $1 in addition to the regular rate for parking in the ramp. For further details about parking, visit www.roswellpark.org/visitors/parking. Season’s best gift: whole blood or platelets for our patients The lives of many cancer patients depend on donations of whole blood and platelets — whole blood to replace any lost during surgery, and platelets (special blood cells) to prevent uncontrolled bleeding after injury. These folks from Roswell Park’s Clinical Research Services Department rolled up their sleeves together to donate for our patients (l. to r.): Deeponpaul Singh, Patricia Manderscheid, Heather Werner, Carrie Andruszko, Aaron Pry. 2 If you’re healthy, please take time this holiday season to save a life with a donation. It takes between 45-60 minutes to donate a pint of whole blood and between 90-120 minutes to donate platelets. When you donate at the Roswell Park Donor Center, your donation stays right here to help our patients. Bonus for you: cookies, an entry into a raffle for fabulous monthly prizes, and the knowledge that you helped save someone’s life. Learn more and book an appointment online at www.roswellpark.org/donor-center, or call 716-845-8275. Information on this page is provided by Roswell Park’s Patient Education Department. Questions or comments? Please call 716-845-8784. Patient Education Notes Rehabilitation and the Road to Recovery Cancer and cancer treatments can cause a wide range of symptoms, and the physical and emotional difficulties that go with a cancer diagnosis can be overwhelming. Common physical problems include weakness, muscle and joint pain, lack of endurance, reduced stamina, trouble with balance, and lymphedema (swelling) or pain caused by any disruption to the lymph system. If you are suffering from these types of symptoms, rehabilitation services can significantly reduce your discomfort, revive your strength and balance, and improve your quality of life. Rehabilitation services are aimed at relieving some of the symptoms of cancer as well as the side effects that may result from surgery, chemotherapy, radiation therapy, or tests or treatments. This can be achieved through physical therapy, which helps you to regain mobility and alleviate pain, and occupational therapy, which can improve your WHAT’S PRE HABILITATION? TURN TO P. 8 OF THIS ISSUE TO FIND OUT. Rehabilitation services are available Mon.-Fri., 8 am-4:30 pm. Need an evaluation? Ask your health care provider for a referral. 4 ability to perform everyday tasks. Approximately one in four patients has some sort of cancerrelated condition or impairment that could be improved through rehabilitation. Located on the first floor of the hospital, Roswell Park’s Rehabilitation Services Center provides patients with physical, Carolyn Miller works with occupational, William Oishei in Roswell Park’s and lymphedema Rehabilitation Services Center. therapy. If you feel you might benefit from these services, ask your doctor for a referral and set up an appointment to meet with a therapist for an initial evaluation. The evaluation will help the therapist understand your condition and outline a plan of care for reducing your discomfort and improving your strength and functional abilities. Roswell Park’s physical and occupational therapists are all specially trained in cancer-related issues, and three are certified lymphedema specialists. They will work with you on exercises and techniques that can help you improve your health during treatment and speed your recovery. The Patient Experience Information on this page is provided by Roswell Park’s Office of the Patient/Family Experience. Questions or comments? Please call 716-845-8114. You Asked for It: Patients Inspired Our New Chemo Orientation Program Amy Lesakowski, right, helps Kristy Gossel prepare for chemotherapy. If your treatment plan includes chemotherapy, you may be nervous or confused about what to expect. Help is on the way, thanks to a new orientation class created by Nancy Bertran, MSN, RN, and Jeannette Jackson-Rose, BSN, RN — both nurse administrators of the Chemotherapy and Infusion Centers — and Roswell Park’s Patient Education team. Kara Eaton-Weaver, Executive Director of the Patient/Family Experience, says the class was developed because “so many patients told us they wished this kind of offering had been available when they started their treatment. They brought the idea to us.” The class covers the ABC’s of chemotherapy — what it is, how to manage side effects, when (and which person) to call with questions or concerns, and information about helpful resources at Roswell Park and in the community. Every participant receives a free Chemo Support Kit, funded by donations to the Roswell Park Alliance Foundation, with a tote bag, water bottle, and information to help you manage your treatments. The class is offered in both the morning and afternoon one day a week in the new Scott Bieler Clinical Sciences Center next to the hospital, and in the evening once a month at Roswell Park’s Amherst Center. www.roswellpark.org Amy Lesakowski, Operations Coordinator in the Patient Education Department and manager of the chemo orientation program, is also available to meet with patients in the Chemotherapy and Infusion Center. “We want to make sure patients understand the chemotherapy process and are prepared for their appointments,” she says. “Being prepared and knowing what to expect, especially on the first day, can relieve anxiety.” “We believe the orientation program will help patients and their families feel confident and in control,” adds Megan Battaglia, Senior Education Facilitator. “We’re here to support them every step of the way.” The Resource Center for Patients and Families offers videos, books, pamphlets, and many other helpful materials. The center recently opened a branch in the Chemotherapy Infusion Center specifically for those whose treatment plan includes chemotherapy. 1-877-ASK-RPCI (1-877-275-7724) Finding Joy in the Holidays after a Cancer Diagnosis Tips from Four People Who Learned How For many people, December 1st ushers in the holiday season with a flurry of shopping, decorating, and baking. For Andrew Bouquard, it’s the anniversary of the day he was rushed to the emergency room because of major complications caused by a large tumor in his chest — a day followed by chemotherapy and a bone marrow transplant to treat his late-stage immunoblastic non-Hodgkin lymphoma. Reach out Twenty years later, that memory remains strong amid the celebrations. Nineteen at the time of his diagnosis, today he’s a husband, father, and Senior Research Subject Protection Specialist at Roswell Park. We asked Bouquard and three other cancer survivors — all Roswell Park volunteers — to recall how they felt when cancer interrupted the holidays, and to offer advice for patients and their loved ones who are going through the same thing this year. Here’s what they told us: If you’re the patient… “In the beginning, everybody’s always there, but they can suddenly go away, and that can be tough,” says Bouquard. Sometimes that happens because friends aren’t sure whether you’re feeling well enough for a call or visit, he adds. “When survivors reach out to their friends, that’s one way of keeping those relationships going.” Bouquard kept in touch by exchanging Christmas cards with friends. And when he wasn’t able to attend Bills or Sabres games, his parents ordered pizza and invited everyone to their house to watch the games on TV. “That really gave me comfort, and brought family and friends together,” he says. In 2011, after Sara Sade’s second cancer diagnosis, she splurged on an iPad so she could hold video chats with out-of-town family members during Hanukkah. A volunteer with Roswell Park’s pet therapy program and the Resource Center for Patients and Families, she has faced breast cancer, melanoma, and metastatic melanoma. At one point, “I couldn’t walk, I couldn’t talk,” she recalls. Video chats enabled her sisters “to see me and communicate with me. It brought us closer. It was an incredible link to the outside world.” When my body said, OK, it’s time for a nap, I would do that. – Sara Sade Put on your supervisor hat Breast cancer survivor and patient advocate Averl Anderson wards off depression during the holidays by keeping her family close. “My grandchildren bring me joy,” she says. “Live, love, and laugh!” dinner and go shopping for gifts. I may help make dinner, or I may not.” What’s most important is “just being part of the holiday season — maybe decorating the tree, even if I just sit there while they decorate and I supervise. She has learned to set aside the expectations of Christmases past. “I can’t do all of that, cook the big “Realize and recognize your limitations, and don’t exceed them,” she advises. 6 Averl AndersonAndrew BouquardAlicia Keller Sara Sade Christmas, my transplant anniversary, and my birthday — I celebrate them more than I probably would have if this had never happened. – Andrew Bouquard If you’re the friend or loved one of a patient… What to give? What to serve? Just ask Before you order a fancy fruit basket or box of chocolates, check with the person who’s in treatment to find out if any foods are off limits, suggests Alicia Keller. After her diagnosis of acute myeloid leukemia, “I was put on what’s called a ‘low-microbial diet,’” she explains. “Many foods were restricted or had to be thoroughly cooked.” So when planning holiday meals, “ask if the patient has any dietary restrictions, or if foods have to be prepared in a certain way, so when the meal is presented, they can feel that they’re part of the experience.” Keller says people often ask what they can buy for her or how they can help. “I always say, ‘Donate blood!” So many cancer patients need blood products. I would not be alive if it were not for the transfusions I received. “Give blood! Give platelets! It’s a really simple, easy process, and you can save multiple lives.” Find Ways to Celebrate and Be Grateful “I cherish every minute, every second of my life,” says Averl Anderson. It’s a sentiment shared by all four of these survivors. “Even though a lot of bad things happened, to this day a lot of positive things come out of it, too,” says Bouquard. For Sara Sade, that feeling is especially strong when she’s home with her husband on New Year’s Eve. One year she nodded off before the clock struck midnight, but “my husband woke me up, and we drank sparkling cider and brought in the New Year together,” she says. “He wanted to instill that there was a lot to celebrate and a lot to be grateful for.” Don’t forget the cancer patients who are in the hospital. Holiday cheer goes a long way to brighten people’s spirit. At the holidays and every day, family and prayer — those are the most important things for me. – Averl Anderson www.roswellpark.org 1-877-ASK-RPCI (1-877-275-7724) – Alicia Keller RPCI Cancer Talk Blog & eNewsletter For straight talk from Roswell Park experts and survivors, visit our blog to read patient-focused news you can use about cancer detection, prevention, research and treatment. Read inspiring stories and learn about the latest therapies, tips for living with cancer and much more. CANCER ncerTalk .org/Ca rk a llP e w Ros VISIT Don’t forget to sign up for our monthly e-newsletter that highlights our most popular posts from the Cancer Talk blog. Sign up at: RoswellPark.org/cancertalk/sign-up. From Rehab to Prehab: Roswell Park Introduces Training before Treatment If you were an athlete, you wouldn’t wait until after a competition to start training. You’d work to build up your strength ahead of time so you’d be in top physical condition for the contest ahead. The same idea is changing the approach to physical rehabilitation for cancer patients who are about to enter treatment: Just add a “p” to make it prehabilitation. Putting that notion into practice, last summer Sai Yendamuri, MD, FACS, Chair of Roswell Park’s Department of Thoracic Surgery, teamed up with Andrew Ray, PT, PhD, Department of Rehabilitation Science at the University at Buffalo, to introduce prehabilitation for lung cancer patients. Roswell Park is “one of few” programs in the country to offer the service, Yendamuri says. “The theory is that the stronger you are before having surgery, the better you’re going to be coming out, so your recovery will be a little easier,” explains Bryan Wittmeyer, MS, PT, Director of Rehabilitation and Wellness Services at Roswell Park. “Lots of patients who come in for surgery are smokers and have damaged lungs,” he says. “That may make it impossible for them to withstand surgery.” In addition, removing a lung — or even part of lung — will make it harder for any patient to breathe easily, and can also increase the risk of post-surgery pneumonia. We know what radiation, chemotherapy, and surgery do to the body. They’re debilitating. So if someone is already out of shape, they’re going to struggle even more after treatment. Yendamuri and Ray are encouraged by the results of “prehab” in the first lung cancer patients who completed it. The very first was a woman in her 40s whose lung function was so poor that surgery was almost out of the question. But Ray guided her in the use of a training device that helped her strengthen the muscles used in breathing. “She did so well that she was able to have the surgery, and she got out of the hospital sooner than expected,” he says. Wittmeyer says he and his staff are also providing rehab for patients who are preparing for blood and marrow transplantation (BMT). And the team is working to introduce prehab for bladder cancer patients who are scheduled for cystectomy (removal of the bladder), to help them get in shape in advance through cardiovascular and strengthening exercises. The goal: a shorter hospital stay and faster, easier recovery. Wittmeyer plans to expand the prehab program when Rehabilitation Therapy and Wellness Services moves to a new home on the first floor of the hospital in 2017, giving even more patients the chance to train for treatment. Dr. Yendamuri, left, with a patient. stay connected 30593
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