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2019 Calendar
Cancer Program Annual Report for 2018
Honoringcancer survivorsin northwest Ohio
This calendar shares what the cancer program at Community
Hospitals and Wellness Centers (CHWC) is doing to provide
exceptional cancer care to our community.It contains information
on screening, local resources, personal stories and more. The
American College of Surgeons Commission on Cancer (of which
theCHWCprogramisaccredited)requiresustoshareinformation
annually with the public, and we chose a calendar as a way to
inspire and inform. We hope you enjoy the calendar and use it as
a reminder of wellness and cancer prevention all year long!
In 2017, CHWC treated these cancer types:
Breast		 34%
Colon/rectum	 17%
Prostate		 13%
Lung 		 10%
Head & neck	 5%
Others		 21%
Cancer Committee
Pictured left to right:
Pam Alpaugh, CHWC– Radiology Director
Kim Owen, CHWC– Radiation Oncology Center Director
Dr. Michael Nosanov, CHWC– ENT Physician
Cathy Day, CHWC– Compliance Director
Amy Boehm, American Cancer Society– Senior Manager of North
Central Region
Dorothy Myers, CHWC– Registered Nurse
Jan Martinez, CHWC– Director of Nutrition Food Services
Dr. Mahmoud Afifi, Parkview Physicians Group– Hematologist /
Oncologist
Linda Trausch, CHWC– Director of Social Services and Discharge
Planning
Michelle Breitner, CHWC– Tumor Registrar
Dr.Jeffrey Forquer,Toledo Radiation Oncology– Radiation Oncologist
Kelly Colon, CHWC– Patient Navigator
Dr. Michael Liu, Parkview Physicians Group– General Surgery /
Colorectal Surgery
Dr. Shannon Keil, CHWC– Pathologist
Community Hospitals and Wellness Centers
Bryan Hospital 433 W High St. Bryan, OH 43506	 419-636-1131
Dr. Wayne Court		 Radiation Oncology	 	 419-636-9800	
Dr. Michael Nosanov	 Ear, Nose & Throat	 	 419-633-7389	
Dr. Jodi Tinkel		 Cardiology		 	 419-630-2028	
Dr. George Magill	 Wound Care		 	 419-633-3420	
Dr. Daniel Murtagh	 Urology		 	 419-633-7594	
Dr. Hanan Bazzi		 OB/GYN		 	 419-633-0755	
Dr. Samar Hassouneh	 OB/GYN		 	 419-633-0755	
Dr. Satheesh Ramineni	 Orthopedics		 	 419-633-0746	
Dr. Thomas Kindl	 Pain Management	 	 419-633-7348	
Dr. Matt Cooley		 Gastroenterology	 	 419-630-2021
Dr. Daniel Murtagh	 Urology		 	 419-633-7596
Local Health Care Resources
Parkview Physicians Group
PPG- Bryan 422 W High St. Bryan, OH 43506		 419-636-4517	
Dr. Michael Liu		 General Surgery / Colorectal Surgery	 419-636-4517
Dr. Stenneth Adams	 General Surgery			 419-636-4517	
Dr. Anselm Tintinu	 General Surgery			 419-636-4517	
Dr. Melissa Williams	 Dermatology				 419-636-4517
Holli Zeedyk, NP		 Dermatology				 419-636-4517
Dr. Damoder Kesireddy	 Cardiology				 419-636-4517
Dr. Nik Kiehl		 Urology				 260-482-8681	
Dr. Kevin Kolovich	 Orthopedics				 419-636-4517	
Michael Koenig, PA-C	 Orthopedics				 419-636-4517
Dr. Michael Maxwell	 Orthopedics				 419-636-4517
Dr. Mahmoud Afifi	 Hematology Oncology		 419-636-4517
Dr. Robert Arrom	 OB/GYN				 419-636-4517
Dr. Almario Tantoco	 OB/GYN				 419-636-4517
Roberta Stark, WHNP	 OB/GYN				 419-636-4517
Dr. Carolyn Dorsten	 Podiatry				 419-636-4517
Dr. Nitie Sroa		 Podiatry				 419-542-6692
Dr. Lawrence Kennedy 	 Physical Medicine / Rehab		 419-636-4517
A special thanksto:
The survivors who shared their stories, and their caregivers
for their support.
Photographer Paul Zeinert for his beautiful work found
throughout the calendar.
CHWC staff and Cancer Committee members who worked to
bring this calendar to the community.
Mona Jean Goyings
Cervical cancer & endometrial cancer survivor
In the fall of 2017, Mona Jean Goyings—known by many as
MJ—began noticing some light, occasional spotting for three
or four days. She already had a routine appointment with her
primary care physician scheduled for December and planned
to address it then. By Thanksgiving, however, the spotting was
a daily occurrence and a source of anxiety. At her exam, she
wound up getting an ultrasound, which led to a biopsy, which
led to a diagnosis and, as MJ says, “the ball started rolling and
hasn’t stopped.”
“What’s strange is that I had a pap every single year,” she ex-
plains. “But about two years ago, my doctor said that I was at
the age that we could skip a year. Of all the years to skip.”
All things considered, having gone through both chemother-
apy and radiation, MJ reports feeling “okay” and that things
have gone pretty well. “I retired from nursing three years ago,
and I picked up a part-time job right away working with our
coroner and I haven’t missed a beat,” she says.
Advice from a survivor
“Get those routine screenings done.Women: get your mam-
mograms and your pap tests. Men and women: get your
colonoscopies. I heard from someone that a colonoscopy is
much better than chemo. That’s the truth!”
The American Cancer Society estimates that in 2018,
about 13,240 new cases of invasive cervical cancer will have
been diagnosed in the U.S. and about 4,170 women will
die from cervical cancer. Cervical cancer can often be found
early, and sometimes even prevented entirely, by having
regular Pap tests. If detected early, cervical cancer is one of
the most successfully treatable cancers.
Mona Jean Goyings
Paulding, OH
January
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
JANUARY 1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31
New Year’s Resolution:
Schedule all my
cancer screenings
National Healthy Weight Week
National Cervical Health
Awareness Month
419-633-0755
Visit www.chwchospital.org/obgyn.
Ladies, make your appointment now:
New Year’s Day
World Cancer Day
Dr. Hanan Bazzi
OB/GYN
Dr. Samar Hassouneh
OB/GYN
Phil & CraigMcKarns- Father & Son
Bryan, OH and Pioneer, OH
Prostate cancer and lymphoma survivors
Cancer ScreeningGuidelines
Breast screening
Women ages 20+ Breast self-exams
Women 20–39 Clinical breast exams (CBE) at least
every 3 years
Women ages 40+ Annual CBE and mammography
Cervical screening
Women ages 21–65 Pap test and HPV DNA test. Women
who have had a hysterectomy should
stop cervical cancer screening.
Colorectal screening
Men & women ages 45+ CT colonography every 5 years and
fecal occult blood test annually
or stool DNA test every three years
or flexible sigmoidoscopy every 5 years
or dbl-contrast barium enema every 5 yrs
or colonoscopy every 10 years
Lung screening
Current or former smokers
ages 55–74 in good health
with at least a 30 pack-year
history
Low-dose helical CT (LDCT)
Prostate screening
Men ages 50+ Talk to your primary care physician
Did you know?
Community Hospitals and Wellness Centers (CHWC)
hosts cancer prevention activities throughout the
year. In 2017, CHWC physicians Dr. Hanan Bazzi of the
Women’s Health Clinic and Dr. Michael Nosanov of
the ENT, Sinus & Allergy Clinic presented on HPV and
debunking the myths associated with the HPV vaccine.
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
FEBRUARY 1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28
National Cancer
Prevention Month	February Preventing Cancer, Reducing Risk
About 42% of cancer cases and 45%
of cancer deaths in the U.S. are linked
to modifiable risk factors—and thus
could be preventable—according to
a new study from American Cancer
Society researchers. These figures,
based on data from 2014, translate to:
659,640 cancer cases (out of 1,570,975)
and
265,150 cancer deaths (out of 587,521)
The researchers came up with these
estimates by calculating how much
certain lifestyle factors contributed
to 26 different cancer types among
adults ages 30 and older. Here are
some factors to consider:
Cigarette smoking accounted for
19% of all cancer cases and nearly
29% of cancer deaths
Excess body weight was responsible
for 7.8% of cancer cases and 6.5% of
deaths
Drinking alcohol was linked to 5.6%
of cancer cases and 4% of deaths
UV radiation was attributable to
almost 5% of cases, but a lower 1.5%
of deaths
Physical inactivity played into 2.9% of
cases and 2.2% of deaths
World Cancer Day
Groundhog Day
Valentine’s Day
President’s Day
Schedule your screeningnow!
Talk to your primary care physician about scheduling your
screening colonoscopy today.
Gastroenterologist
Community Hospitals and
Wellness Centers (CHWC)
419-630-2021
Dr. Matt Cooley
Dr. Michael Liu
General Surgeon /
Colorectal Surgeon
Parkview Physicians Group
419-636-4517
Introducingthe Colossal Colon
Colorectal cancer is a major issue in Williams County and its
neighboring counties. In fact, in 2016, only 52% of adults who
met the criteria were being screened for colorectal cancer. The
CHWC Cancer Committee determined that awareness and
screenings for colorectal cancer need to be a priority, and there
is something about a giant blow-up colon that gets people
talking about a subject that is typically avoided. The colossal
colon is used at events along with screening kits and information
to encourage more people to get their screenings done.
From left to right: Kelly Colon, Patient Navigator at CHWC; Kim Owen, Director of
the CHWC Radiation Oncology Center; Dr. Michael Liu, General Surgeon/Colorectal
Surgeon at Parkview Physicians Group; Cathy Day, Director of Compliance at CHWC.
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
MARCH 1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
31
	March National Colorectal Cancer
Awareness Month
Colorectal CancerFacts
Colorectal cancer is almost as
common among women as men.
Each year in the US, about 71,000
men and 64,000 women are
diagnosed with colorectal cancer.
In many cases, colorectal cancer can
be prevented. It often starts with a
small growth called a polyp, which—
if found early—can be removed,
stopping colorectal cancer before it
starts.
If colorectal cancer is found and
treated early, the five-year relative
survival rate is about 90%.
Although it is highly treatable, only
about 4 of 10 cases are diagnosed
during this early stage because
people do not follow recommended
test guidelines.
Most colorectal cancers are found
in people age 50 and older. For
this reason, the American Cancer
Society recommends you start
getting checked for this cancer
when you’re 45.
St. Patrick’s Day
Daylight Saving
Time Begins
RogerFitts
Paulding, OH
Roger Fitts
Head & neck cancer survivor
After many months of treatment for head and neck cancer,
Roger is happy to report he is cancer-free and feeling great.
“There were some really rough days, especially toward the
end of treatment in the last week or two. But I got through
it, I’m back to my regular life and better than ever,” he says
with a smile.
Medical Oncologist
Parkview Physicians Group
419-636-4517
Dr. Mahmoud Afifi
Radiation Oncologist
Toledo Radiation Oncology /
CHWC Radiation Oncology Center
419-636-9800
Dr. Wayne Court
Radiation Oncologist
Toledo Radiation Oncology /
CHWC Radiation Oncology Center
419-636-9800
Dr. Roger Kucway
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
APRIL 1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30
	April April is Oral, Head & Neck
Cancer AwarenessMonth
About Human Papillomavirus (HPV)
HPVis a common sexually transmitted
infection that currently has no cure
and can be linked to a number of
health issues. Once exposed and
infected, an individual’s immune
system typically fights it off, but if
that does not occur, precancerous
growths lead to many procedures,
tests and suffering to prevent
progression to cancer.
HPV Quick Facts
HPV can be linked to cancer.
Cervical, mouth and throat, and
other female and male reproductive
organs can get HPV-related cancers.
Nearly all cervical cancers are
caused by HPV.
You cannot get HPV from sharing
food, utensils, toilet seats, pools or
hot tubs.
You can have HPV and not have
signs or symptoms.
The HPV vaccine can prevent
infection with HPV types related to
cancer.
The HPV vaccine is approved for
use in males and females.
Testicular Cancer
Awareness Month
Watch for future cancer prevention
and screening events
throughout the community!
Oral, Head &
Neck Cancer
Awareness Month
Earth DayEaster
Tax Day
April Fools’ Day
∙
∙
∙
∙
∙
∙
∙
Dick & JudyWhaley- Husband & Wife
Skin, thyroid, kidney & prostate cancer & breast cancer survivors
Fayette, OH
Dick & Judy Whaley
Dick and Judy recently celebrated 60 years of mar-
riage, and have two children, one grandchild, and one
great-grandchild. Over the years, Dick fought and beat
cancers of the kidney, prostate, thyroid and skin. More
recently, Judy was diagnosed with breast cancer and
completed her treatments in October 2018.
Asymmetry
One half is unlike the other half.
Border
An irregular, scalloped or poorly defined border.
Color
Varies from one area to another; has shades of tan,
brown or black, or is sometimes red, white or blue.
Diameter
Melanomas are usually greater than 6 mm (the size
of a pencil eraser) when diagnosed, but they can
be smaller.
Evolving
A mole or skin lesion that looks different from the
rest or is changing in size, shape or color.
Keep an eye on your skin!
Here are some things to look for when assessing moles
on your body.
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
MAY 1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31
	May Main Typesof Skin Cancer
Squamous Cell & Basal Cell
These types of skin cancer are the most
common, and rarely spread to other
parts of the body.
Melanoma
Melanoma is less common but
more dangerous than basal cell and
squamous cell skin cancers. It can
spread to other areas of the body if
not caught early enough. Melanomas
can appear black, brown, pink, tan or
white and can develop anywhere on
the skin, but are likely to start on the
chest or back in males and on the legs
for females.
Skin Cancer Detection
& Prevention Month
Memorial Day
Mother’s Day
Cinco de Mayo
Dermatologist
Parkview Physicians Group
419-636-4517
Dr. Melissa Williams
Relay for Life
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
JUNE 1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30
	June The end of cancer treatment can bring
about a variety of emotions, from hope
and happiness to uncertainty and fear.
At Community Hospitals and Wellness
Centers (CHWC), an interdisciplinary team
creates a survivorship care plan for each
patient that received cancer care at our
facility. This plan helps guide patients in
the time when they aren’t seeing health
care providers on a daily or weekly basis,
and includes a summary of the treatments
received from all disciplines involved and
the follow-up necessary for each patient.
Father’s Day
National Cancer
Survivors Day
National Men’s Health Week
Our patient navigators are instrumental in
the process of creating these individualized
plans. The multitude of appointments and
questions that come with cancer care can
be overwhelming, and our navigators
see patients through the whole treatment
process—from the time of diagnosis into
the survivorship phase.
Pictured above: Brenda Schofield (left)
and Kelly Colon (right), patient navigators
at CHWC.
National Men’s Health Week
The Green Roof
at Bryan Hospital
On the second-floor roof at Bryan Hospital
is a green roof that is covered in perennial
succulents. The green roof has numerous
benefits, from improved insulation to
reduced water runoff.
Pictured left is Keith Trubey of the
Maintenance Department at Community
Hospitals and Wellness Centers (CHWC)
giving the roof its once-a-year fertilizing,
weeding and mowing.
Remember: slip, slap, slop
this summer to protect yourself from the
sun’s rays!
		Slip on a shirt
		Slap on sunglasses
	 Slop on some sunscreen
Keith Trubey
Maintenance at Community Hospitals and Wellness Centers
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
JULY 1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30 31
	July July is
UV Safety Month
Sun SafetyQuiz
I can’t get skin cancer, because my
normal routine (hobbies, vacations,
commuting to work, etc.) doesn’t
include a lot of time outdoors.
☐ True
☐ False
If I’m wearing sunscreen, I can stay in
the sun as long as I want.
☐ True
☐ False
A sunscreen labeled SPF 15 blocks
more UV radiation than one labeled
SPF 30.
☐ True
☐ False
It’s safe to let my kids stay in the pool all
day if they slip on a T-shirt after a couple
hours and reapply sunscreen to their
faces, arms and legs.
☐ True
☐ False
Getting a “base tan” at an indoor
tanning salon is a good way to prevent
sunburn when I go to the beach later
this summer.
☐ True
☐ False
Get more information about skin cancer at
www.cancer.org/cancer/skin-cancer
Answer key: the correct answer for all five questions is “False”
Independence Day
Curt Spengler
Archbold, OH
Curt Spengler
Head & neck cancer survivor
Curt spent some tough months of his life fighting
head and neck cancer. He recognizes the role
his daughters played in helping him during the
course of treatment and throughout the recovery
process.
“I wasn’t prepared for the physical toll that treat-
ment took on me,” Curt says. “I wouldn’t wish it
on anyone. But, to people who need it, there is
no place with kinder people than at the Radiation
Oncology Center. They treated me great.”
Number of patients diagnosed
Cancer Stage at Diagnois
at Community Hospitals and Wellness Centers - 201780
70
60
50
40
30
20
10
0
In situ Stage I Stage II Stage III Stage IV Unknown
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
AUGUST 1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
	August
World Lung
Cancer Day
August is
Summer Sun
Safety Month AboutHead&NeckCancer
There are many types of head and neck
cancers. Here are just a handful:
∙ Oral cavity cancer
∙ Oropharyngeal cancer
∙ Nasal cavity cancer
∙ Paranasal sinus cancer
∙ Nasopharyngeal cancer
∙ Laryngeal cancer
∙ Hypopharyngeal cancer
The most common type of cancer in the
head and neck area is called carcinoma.
These cancers start in the cells that line
all parts of the nose, mouth and throat.
Alcohol and tobacco use (including
smokeless tobacco) are biggest risk
factors for head and neck cancers.
Ear, Nose & Throat (Otolaryngology)
Community Hospitals and Wellness Centers
419-633-7389
Dr. Michael Nosanov
Jim Ping
Bryan, OH
Jim Ping
Prostate cancer survivor
On his birthday back in March of 2012, Jim found
out he had cancer. He’s now six years out since his
last treatment and is living his best life, riding his
Harley, hunting and fishing.
Married for over 60 years, Jim says, “I have a good
wife, a good family, a good life. It all has bearing
on your life. It’s what got me through all of it.”
About Prostate Cancer
Early prostate cancer usually causes no symptoms.
More advanced prostate cancers sometimes
cause symptoms, such as:
∙ Weak or interrupted urine flow
∙ Inability to urinate or start or stop urine flow
∙ Need to urinate more frequently, especially at
night
∙ Blood in the urine or semen
∙ Pain or burning with urination
∙ Erectile dysfunction
∙ Loss of bladder or bowel control
∙ Pain in the hips, back (spine), chest (ribs), or
other areas from cancer that has spread to bones
∙ Weakness or numbness in the legs or feet, or
even loss of bladder or bowel control from cancer
pressing on the spinal cord
September
Most of these problems are more
likely to be caused by something
other than prostate cancer. However,
it’s important to tell your health care
provider if you have any of these
symptoms so that the cause can be
found and, if needed, treated.
Did you Know?
∙ 92% of all prostate cancers are
diagnosed at an early stage.
∙ Prostate cancer is in the top three
types of cancer that is diagnosed and
treated at Community Hospitals and
Wellness Centers.
∙ Treatment for prostate cancer is
dependent on age, stage and grade
of cancer. If caught early, prostate
cancer outcomes are very favorable.
Prostate Cancer
Awareness Month
Gynecologic Cancer
Awareness Month
Leukemia & Lymphoma
Awareness Month
Childhood Cancer
Awareness MonthSUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
SEPTEMBER 1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30
About Prostate Cancer,
continued
Labor Day
CathyDay
Bryan, OH
Cathy Day
Breast cancer survivor
Cathy has long been an advocate for regular cancer
screening; she gets a mammogram every August,
and performs monthly self-exams without fail. It
was a shock, then, when she was diagnosed with
stage 3 breast cancer in August 2016.
“The tumor was deep enough that I didn’t feel it,
but they found it on a screening mammogram,”
Cathy explains. “Feeling good isn’t an indicator that
everything is okay; it doesn’t mean anything. I’m a
great example of this, because I had no idea this
was going on in my body. It’s so important to get
those regular screenings done because it’s curable
if caught early. Had I not gotten that mammogram,
it would have killed me.”
Treatment caused fatigue and some changes
in appetite, but Cathy notes that she was able
to continue working throughout the course of
treatment. “I had surgery in Fort Wayne but was
able to have both chemo and radiation here in
Bryan, which I’ll be forever grateful that I could do
close to home,” she says. “I can’t imagine having
an hour-long drive after a chemo dose. To me, it
would have been impossible.”
Cathy completed her treatments in May of 2017
and sees her care team for regular follow-ups as
well as her trusty mammogram already scheduled
for next August.
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
OCTOBER 1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31
	October Breast Cancer
Awareness Month
Liver Cancer
Awareness Month
DiagnosingBreast Cancer
In 2018, Community Hospitals and
Wellness Centers implemented a
new process that reduces the time
between diagnostic imaging to
receiving a biopsy.
Most commonly, this timeline is 8
days, although this new process
reduces the timeline to 6.5 days.
Halloween
Ladies: Schedule your
mammogram today.
No referral is necessary to
get this important screening
done. Women ages 40+
are encouraged to get a
clinical breast exam and
mammogram annually.
Talk to your primary care
provider about scheduling a
mammogram.
BarneyBeavers
Bryan, OH
LungCancer: Did you Know?
∙ Lung cancer is the leading cause of cancer for men and
women in Williams County (both in incidence and mortality).
∙ Lung cancer is one of the top five cancer sites diagnosed and
treated at Community Hospitals and Wellness Centers (CHWC).
∙ There are other risk factors to lung cancer besides smoking,
such as: exposure to radon or asbestos, family history of lung
cancer, and dietary supplements such as beta carotene for
people who smoke.
∙ Most lung cancers can be prevented.
∙ Most lung cancers are related to smoking and/or second-
hand smoke.
∙ Most lung cancers are found at an advanced stage.
∙ Most lung cancers are widely spread throughout the body at
the time of diagnosis.
∙ Low-dose CT screening can provide early detection of lung
cancer. Individuals who meet certain criteria are eligible for an
annual lung cancer screening CT.
The Imaging Center at Bryan Hospital has a lung cancer
screening program that includes CT, CT interpretation by
highly qualified radiologists and follow-up care by patient
navigators. Ask your primary care provider if you qualify for
a lung cancer screening CT.
Barney Beavers
Lung cancer survivor
Barney has lived much of his life in Bryan, but spent sev-
eral years serving with the United States Army. He states
that his wife was an important part of his cancer care and
recovery. They have three daughters, eight granddaugh-
ters and eight great-grandkids (six boys and two girls).
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
NOVEMBER 1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
	November Lung Cancer
Awareness Month
Pancreatic Cancer
Awareness Month
Thanksgiving
Daylight Saving
Time Ends
Veterans Day
LungCancer Screening
at CHWC
Lung cancer can be screened with the
use of a low dose CT scan on an annual
basis. A physician’s order is required for
the screening. Make an appointment
with a practitioner to discuss eligibility.
SBRT Lung Treatment Available
Stereotactic body radiation therapy
(SBRT) is an external beam radiation
therapy that utilizes highly precise
radiation fields to treat cancer in just a
few treatments.
Need Help Quitting?
Quitting tobacco is not easy. Having a
plan and good resources can help. Here
are a few ways to get started:
∙ Create a personalized plan to quit.
∙ Call the Ohio Tobacco Quit Line at
1-800-QUIT-NOW (1-800-784-8669).
∙ Visit ohio.QuitLogix.org.
∙ Talk to your doctor.
∙ Consider prescription or over-the-
counter medications.
∙ To help overcome the challenges
of quitting, seek other therapies or
counseling.
QualityPatient-Focused Care
With primary focus on patients and caregivers,
the cancer program at Community Hospitals
and Wellness Centers (CHWC) works to
develop and promote education on cancer
prevention, early detection and screening.
Accreditation demonstrates a cancer
program’s commitment to providing high-
quality, multidisciplinary patient-centered
cancer care.
Those of us at CHWC value our patients and
appreciate their trust in us to provide them
with personalized, state-of-the art cancer care.
It gives us great satisfaction to make a positive
difference in their lives.
A heartfelt thank you to the incredible people
who support and care for their loved ones
while managing their own lives. The role they
play in their care is invaluable, and we could
not do what we do without them.
In addition, we thank the community and
organizations in the community for the
support they provide us, our patients and
their families.Cancer Committee
Pictured right, from left to right:
Pam Alpaugh, CHWC– Radiology Director; Kim Owen, CHWC– Radiation Oncology
Center Director; Dr. Michael Nosanov, CHWC– ENT Physician; Cathy Day, CHWC–
Compliance Director; Amy Boehm, American Cancer Society– Senior Manager of
North Central Region; Dorothy Myers, CHWC– Registered Nurse; Jan Martinez,
CHWC– Director of Nutrition Food Services; Dr. Mahmoud Afifi, Parkview Physicians
Group– Hematologist/Oncologist; Linda Trausch, CHWC– Director of Social Services
and Discharge Planning; Michelle Breitner, CHWC– Tumor Registrar; Dr. Jeffrey
Forquer, Toledo Radiation Oncology– Radiation Oncologist; Kelly Colon, CHWC–
Patient Navigator; Dr. Michael Liu, Parkview Physicians Group– General Surgeon;
Dr. Shannon Keil, CHWC– Pathologist
Warm wishesthisholidayseason!
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
DECEMBER 1 2 3 4 5 6 7
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New Year’s Eve
In 2018, the cancer program
at Community Hospitals
and Wellness Centers
was granted Elite Status by
the Commission on Cancer.
What does it mean to be an
Accredited Cancer Program?
Community Hospitals and Wellness
Centers’ cancer program is accredited
through the American College of
Surgeons Commission on Cancer
(CoC). The CoC establishes standards
to ensure quality cancer care
delivery with a multidisciplinary and
comprehensive approach. These
standards require the cancer program
to create meaningful processes to
monitor treatment patterns, cancer
care delivery, and outcomes to best
serve our patients.
433 W. High St. Bryan, OH 43506

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Honoring Cancer Survivors in Northwest Ohio- Know How To Keep Yourself Safe from Cancer

  • 1. 2019 Calendar Cancer Program Annual Report for 2018 Honoringcancer survivorsin northwest Ohio
  • 2. This calendar shares what the cancer program at Community Hospitals and Wellness Centers (CHWC) is doing to provide exceptional cancer care to our community.It contains information on screening, local resources, personal stories and more. The American College of Surgeons Commission on Cancer (of which theCHWCprogramisaccredited)requiresustoshareinformation annually with the public, and we chose a calendar as a way to inspire and inform. We hope you enjoy the calendar and use it as a reminder of wellness and cancer prevention all year long! In 2017, CHWC treated these cancer types: Breast 34% Colon/rectum 17% Prostate 13% Lung 10% Head & neck 5% Others 21% Cancer Committee Pictured left to right: Pam Alpaugh, CHWC– Radiology Director Kim Owen, CHWC– Radiation Oncology Center Director Dr. Michael Nosanov, CHWC– ENT Physician Cathy Day, CHWC– Compliance Director Amy Boehm, American Cancer Society– Senior Manager of North Central Region Dorothy Myers, CHWC– Registered Nurse Jan Martinez, CHWC– Director of Nutrition Food Services Dr. Mahmoud Afifi, Parkview Physicians Group– Hematologist / Oncologist Linda Trausch, CHWC– Director of Social Services and Discharge Planning Michelle Breitner, CHWC– Tumor Registrar Dr.Jeffrey Forquer,Toledo Radiation Oncology– Radiation Oncologist Kelly Colon, CHWC– Patient Navigator Dr. Michael Liu, Parkview Physicians Group– General Surgery / Colorectal Surgery Dr. Shannon Keil, CHWC– Pathologist
  • 3. Community Hospitals and Wellness Centers Bryan Hospital 433 W High St. Bryan, OH 43506 419-636-1131 Dr. Wayne Court Radiation Oncology 419-636-9800 Dr. Michael Nosanov Ear, Nose & Throat 419-633-7389 Dr. Jodi Tinkel Cardiology 419-630-2028 Dr. George Magill Wound Care 419-633-3420 Dr. Daniel Murtagh Urology 419-633-7594 Dr. Hanan Bazzi OB/GYN 419-633-0755 Dr. Samar Hassouneh OB/GYN 419-633-0755 Dr. Satheesh Ramineni Orthopedics 419-633-0746 Dr. Thomas Kindl Pain Management 419-633-7348 Dr. Matt Cooley Gastroenterology 419-630-2021 Dr. Daniel Murtagh Urology 419-633-7596 Local Health Care Resources Parkview Physicians Group PPG- Bryan 422 W High St. Bryan, OH 43506 419-636-4517 Dr. Michael Liu General Surgery / Colorectal Surgery 419-636-4517 Dr. Stenneth Adams General Surgery 419-636-4517 Dr. Anselm Tintinu General Surgery 419-636-4517 Dr. Melissa Williams Dermatology 419-636-4517 Holli Zeedyk, NP Dermatology 419-636-4517 Dr. Damoder Kesireddy Cardiology 419-636-4517 Dr. Nik Kiehl Urology 260-482-8681 Dr. Kevin Kolovich Orthopedics 419-636-4517 Michael Koenig, PA-C Orthopedics 419-636-4517 Dr. Michael Maxwell Orthopedics 419-636-4517 Dr. Mahmoud Afifi Hematology Oncology 419-636-4517 Dr. Robert Arrom OB/GYN 419-636-4517 Dr. Almario Tantoco OB/GYN 419-636-4517 Roberta Stark, WHNP OB/GYN 419-636-4517 Dr. Carolyn Dorsten Podiatry 419-636-4517 Dr. Nitie Sroa Podiatry 419-542-6692 Dr. Lawrence Kennedy Physical Medicine / Rehab 419-636-4517 A special thanksto: The survivors who shared their stories, and their caregivers for their support. Photographer Paul Zeinert for his beautiful work found throughout the calendar. CHWC staff and Cancer Committee members who worked to bring this calendar to the community.
  • 4. Mona Jean Goyings Cervical cancer & endometrial cancer survivor In the fall of 2017, Mona Jean Goyings—known by many as MJ—began noticing some light, occasional spotting for three or four days. She already had a routine appointment with her primary care physician scheduled for December and planned to address it then. By Thanksgiving, however, the spotting was a daily occurrence and a source of anxiety. At her exam, she wound up getting an ultrasound, which led to a biopsy, which led to a diagnosis and, as MJ says, “the ball started rolling and hasn’t stopped.” “What’s strange is that I had a pap every single year,” she ex- plains. “But about two years ago, my doctor said that I was at the age that we could skip a year. Of all the years to skip.” All things considered, having gone through both chemother- apy and radiation, MJ reports feeling “okay” and that things have gone pretty well. “I retired from nursing three years ago, and I picked up a part-time job right away working with our coroner and I haven’t missed a beat,” she says. Advice from a survivor “Get those routine screenings done.Women: get your mam- mograms and your pap tests. Men and women: get your colonoscopies. I heard from someone that a colonoscopy is much better than chemo. That’s the truth!” The American Cancer Society estimates that in 2018, about 13,240 new cases of invasive cervical cancer will have been diagnosed in the U.S. and about 4,170 women will die from cervical cancer. Cervical cancer can often be found early, and sometimes even prevented entirely, by having regular Pap tests. If detected early, cervical cancer is one of the most successfully treatable cancers. Mona Jean Goyings Paulding, OH
  • 5. January SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY JANUARY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 New Year’s Resolution: Schedule all my cancer screenings National Healthy Weight Week National Cervical Health Awareness Month 419-633-0755 Visit www.chwchospital.org/obgyn. Ladies, make your appointment now: New Year’s Day World Cancer Day Dr. Hanan Bazzi OB/GYN Dr. Samar Hassouneh OB/GYN
  • 6. Phil & CraigMcKarns- Father & Son Bryan, OH and Pioneer, OH Prostate cancer and lymphoma survivors Cancer ScreeningGuidelines Breast screening Women ages 20+ Breast self-exams Women 20–39 Clinical breast exams (CBE) at least every 3 years Women ages 40+ Annual CBE and mammography Cervical screening Women ages 21–65 Pap test and HPV DNA test. Women who have had a hysterectomy should stop cervical cancer screening. Colorectal screening Men & women ages 45+ CT colonography every 5 years and fecal occult blood test annually or stool DNA test every three years or flexible sigmoidoscopy every 5 years or dbl-contrast barium enema every 5 yrs or colonoscopy every 10 years Lung screening Current or former smokers ages 55–74 in good health with at least a 30 pack-year history Low-dose helical CT (LDCT) Prostate screening Men ages 50+ Talk to your primary care physician Did you know? Community Hospitals and Wellness Centers (CHWC) hosts cancer prevention activities throughout the year. In 2017, CHWC physicians Dr. Hanan Bazzi of the Women’s Health Clinic and Dr. Michael Nosanov of the ENT, Sinus & Allergy Clinic presented on HPV and debunking the myths associated with the HPV vaccine.
  • 7. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY FEBRUARY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 National Cancer Prevention Month February Preventing Cancer, Reducing Risk About 42% of cancer cases and 45% of cancer deaths in the U.S. are linked to modifiable risk factors—and thus could be preventable—according to a new study from American Cancer Society researchers. These figures, based on data from 2014, translate to: 659,640 cancer cases (out of 1,570,975) and 265,150 cancer deaths (out of 587,521) The researchers came up with these estimates by calculating how much certain lifestyle factors contributed to 26 different cancer types among adults ages 30 and older. Here are some factors to consider: Cigarette smoking accounted for 19% of all cancer cases and nearly 29% of cancer deaths Excess body weight was responsible for 7.8% of cancer cases and 6.5% of deaths Drinking alcohol was linked to 5.6% of cancer cases and 4% of deaths UV radiation was attributable to almost 5% of cases, but a lower 1.5% of deaths Physical inactivity played into 2.9% of cases and 2.2% of deaths World Cancer Day Groundhog Day Valentine’s Day President’s Day
  • 8. Schedule your screeningnow! Talk to your primary care physician about scheduling your screening colonoscopy today. Gastroenterologist Community Hospitals and Wellness Centers (CHWC) 419-630-2021 Dr. Matt Cooley Dr. Michael Liu General Surgeon / Colorectal Surgeon Parkview Physicians Group 419-636-4517 Introducingthe Colossal Colon Colorectal cancer is a major issue in Williams County and its neighboring counties. In fact, in 2016, only 52% of adults who met the criteria were being screened for colorectal cancer. The CHWC Cancer Committee determined that awareness and screenings for colorectal cancer need to be a priority, and there is something about a giant blow-up colon that gets people talking about a subject that is typically avoided. The colossal colon is used at events along with screening kits and information to encourage more people to get their screenings done. From left to right: Kelly Colon, Patient Navigator at CHWC; Kim Owen, Director of the CHWC Radiation Oncology Center; Dr. Michael Liu, General Surgeon/Colorectal Surgeon at Parkview Physicians Group; Cathy Day, Director of Compliance at CHWC.
  • 9. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY MARCH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 March National Colorectal Cancer Awareness Month Colorectal CancerFacts Colorectal cancer is almost as common among women as men. Each year in the US, about 71,000 men and 64,000 women are diagnosed with colorectal cancer. In many cases, colorectal cancer can be prevented. It often starts with a small growth called a polyp, which— if found early—can be removed, stopping colorectal cancer before it starts. If colorectal cancer is found and treated early, the five-year relative survival rate is about 90%. Although it is highly treatable, only about 4 of 10 cases are diagnosed during this early stage because people do not follow recommended test guidelines. Most colorectal cancers are found in people age 50 and older. For this reason, the American Cancer Society recommends you start getting checked for this cancer when you’re 45. St. Patrick’s Day Daylight Saving Time Begins
  • 10. RogerFitts Paulding, OH Roger Fitts Head & neck cancer survivor After many months of treatment for head and neck cancer, Roger is happy to report he is cancer-free and feeling great. “There were some really rough days, especially toward the end of treatment in the last week or two. But I got through it, I’m back to my regular life and better than ever,” he says with a smile. Medical Oncologist Parkview Physicians Group 419-636-4517 Dr. Mahmoud Afifi Radiation Oncologist Toledo Radiation Oncology / CHWC Radiation Oncology Center 419-636-9800 Dr. Wayne Court Radiation Oncologist Toledo Radiation Oncology / CHWC Radiation Oncology Center 419-636-9800 Dr. Roger Kucway
  • 11. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY APRIL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 April April is Oral, Head & Neck Cancer AwarenessMonth About Human Papillomavirus (HPV) HPVis a common sexually transmitted infection that currently has no cure and can be linked to a number of health issues. Once exposed and infected, an individual’s immune system typically fights it off, but if that does not occur, precancerous growths lead to many procedures, tests and suffering to prevent progression to cancer. HPV Quick Facts HPV can be linked to cancer. Cervical, mouth and throat, and other female and male reproductive organs can get HPV-related cancers. Nearly all cervical cancers are caused by HPV. You cannot get HPV from sharing food, utensils, toilet seats, pools or hot tubs. You can have HPV and not have signs or symptoms. The HPV vaccine can prevent infection with HPV types related to cancer. The HPV vaccine is approved for use in males and females. Testicular Cancer Awareness Month Watch for future cancer prevention and screening events throughout the community! Oral, Head & Neck Cancer Awareness Month Earth DayEaster Tax Day April Fools’ Day ∙ ∙ ∙ ∙ ∙ ∙ ∙
  • 12. Dick & JudyWhaley- Husband & Wife Skin, thyroid, kidney & prostate cancer & breast cancer survivors Fayette, OH Dick & Judy Whaley Dick and Judy recently celebrated 60 years of mar- riage, and have two children, one grandchild, and one great-grandchild. Over the years, Dick fought and beat cancers of the kidney, prostate, thyroid and skin. More recently, Judy was diagnosed with breast cancer and completed her treatments in October 2018. Asymmetry One half is unlike the other half. Border An irregular, scalloped or poorly defined border. Color Varies from one area to another; has shades of tan, brown or black, or is sometimes red, white or blue. Diameter Melanomas are usually greater than 6 mm (the size of a pencil eraser) when diagnosed, but they can be smaller. Evolving A mole or skin lesion that looks different from the rest or is changing in size, shape or color. Keep an eye on your skin! Here are some things to look for when assessing moles on your body.
  • 13. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY MAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 May Main Typesof Skin Cancer Squamous Cell & Basal Cell These types of skin cancer are the most common, and rarely spread to other parts of the body. Melanoma Melanoma is less common but more dangerous than basal cell and squamous cell skin cancers. It can spread to other areas of the body if not caught early enough. Melanomas can appear black, brown, pink, tan or white and can develop anywhere on the skin, but are likely to start on the chest or back in males and on the legs for females. Skin Cancer Detection & Prevention Month Memorial Day Mother’s Day Cinco de Mayo Dermatologist Parkview Physicians Group 419-636-4517 Dr. Melissa Williams
  • 15. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY JUNE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 June The end of cancer treatment can bring about a variety of emotions, from hope and happiness to uncertainty and fear. At Community Hospitals and Wellness Centers (CHWC), an interdisciplinary team creates a survivorship care plan for each patient that received cancer care at our facility. This plan helps guide patients in the time when they aren’t seeing health care providers on a daily or weekly basis, and includes a summary of the treatments received from all disciplines involved and the follow-up necessary for each patient. Father’s Day National Cancer Survivors Day National Men’s Health Week Our patient navigators are instrumental in the process of creating these individualized plans. The multitude of appointments and questions that come with cancer care can be overwhelming, and our navigators see patients through the whole treatment process—from the time of diagnosis into the survivorship phase. Pictured above: Brenda Schofield (left) and Kelly Colon (right), patient navigators at CHWC. National Men’s Health Week
  • 16. The Green Roof at Bryan Hospital On the second-floor roof at Bryan Hospital is a green roof that is covered in perennial succulents. The green roof has numerous benefits, from improved insulation to reduced water runoff. Pictured left is Keith Trubey of the Maintenance Department at Community Hospitals and Wellness Centers (CHWC) giving the roof its once-a-year fertilizing, weeding and mowing. Remember: slip, slap, slop this summer to protect yourself from the sun’s rays! Slip on a shirt Slap on sunglasses Slop on some sunscreen Keith Trubey Maintenance at Community Hospitals and Wellness Centers
  • 17. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY JULY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 July July is UV Safety Month Sun SafetyQuiz I can’t get skin cancer, because my normal routine (hobbies, vacations, commuting to work, etc.) doesn’t include a lot of time outdoors. ☐ True ☐ False If I’m wearing sunscreen, I can stay in the sun as long as I want. ☐ True ☐ False A sunscreen labeled SPF 15 blocks more UV radiation than one labeled SPF 30. ☐ True ☐ False It’s safe to let my kids stay in the pool all day if they slip on a T-shirt after a couple hours and reapply sunscreen to their faces, arms and legs. ☐ True ☐ False Getting a “base tan” at an indoor tanning salon is a good way to prevent sunburn when I go to the beach later this summer. ☐ True ☐ False Get more information about skin cancer at www.cancer.org/cancer/skin-cancer Answer key: the correct answer for all five questions is “False” Independence Day
  • 18. Curt Spengler Archbold, OH Curt Spengler Head & neck cancer survivor Curt spent some tough months of his life fighting head and neck cancer. He recognizes the role his daughters played in helping him during the course of treatment and throughout the recovery process. “I wasn’t prepared for the physical toll that treat- ment took on me,” Curt says. “I wouldn’t wish it on anyone. But, to people who need it, there is no place with kinder people than at the Radiation Oncology Center. They treated me great.” Number of patients diagnosed Cancer Stage at Diagnois at Community Hospitals and Wellness Centers - 201780 70 60 50 40 30 20 10 0 In situ Stage I Stage II Stage III Stage IV Unknown
  • 19. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY AUGUST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 August World Lung Cancer Day August is Summer Sun Safety Month AboutHead&NeckCancer There are many types of head and neck cancers. Here are just a handful: ∙ Oral cavity cancer ∙ Oropharyngeal cancer ∙ Nasal cavity cancer ∙ Paranasal sinus cancer ∙ Nasopharyngeal cancer ∙ Laryngeal cancer ∙ Hypopharyngeal cancer The most common type of cancer in the head and neck area is called carcinoma. These cancers start in the cells that line all parts of the nose, mouth and throat. Alcohol and tobacco use (including smokeless tobacco) are biggest risk factors for head and neck cancers. Ear, Nose & Throat (Otolaryngology) Community Hospitals and Wellness Centers 419-633-7389 Dr. Michael Nosanov
  • 20. Jim Ping Bryan, OH Jim Ping Prostate cancer survivor On his birthday back in March of 2012, Jim found out he had cancer. He’s now six years out since his last treatment and is living his best life, riding his Harley, hunting and fishing. Married for over 60 years, Jim says, “I have a good wife, a good family, a good life. It all has bearing on your life. It’s what got me through all of it.” About Prostate Cancer Early prostate cancer usually causes no symptoms. More advanced prostate cancers sometimes cause symptoms, such as: ∙ Weak or interrupted urine flow ∙ Inability to urinate or start or stop urine flow ∙ Need to urinate more frequently, especially at night ∙ Blood in the urine or semen ∙ Pain or burning with urination ∙ Erectile dysfunction ∙ Loss of bladder or bowel control ∙ Pain in the hips, back (spine), chest (ribs), or other areas from cancer that has spread to bones ∙ Weakness or numbness in the legs or feet, or even loss of bladder or bowel control from cancer pressing on the spinal cord
  • 21. September Most of these problems are more likely to be caused by something other than prostate cancer. However, it’s important to tell your health care provider if you have any of these symptoms so that the cause can be found and, if needed, treated. Did you Know? ∙ 92% of all prostate cancers are diagnosed at an early stage. ∙ Prostate cancer is in the top three types of cancer that is diagnosed and treated at Community Hospitals and Wellness Centers. ∙ Treatment for prostate cancer is dependent on age, stage and grade of cancer. If caught early, prostate cancer outcomes are very favorable. Prostate Cancer Awareness Month Gynecologic Cancer Awareness Month Leukemia & Lymphoma Awareness Month Childhood Cancer Awareness MonthSUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SEPTEMBER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 About Prostate Cancer, continued Labor Day
  • 22. CathyDay Bryan, OH Cathy Day Breast cancer survivor Cathy has long been an advocate for regular cancer screening; she gets a mammogram every August, and performs monthly self-exams without fail. It was a shock, then, when she was diagnosed with stage 3 breast cancer in August 2016. “The tumor was deep enough that I didn’t feel it, but they found it on a screening mammogram,” Cathy explains. “Feeling good isn’t an indicator that everything is okay; it doesn’t mean anything. I’m a great example of this, because I had no idea this was going on in my body. It’s so important to get those regular screenings done because it’s curable if caught early. Had I not gotten that mammogram, it would have killed me.” Treatment caused fatigue and some changes in appetite, but Cathy notes that she was able to continue working throughout the course of treatment. “I had surgery in Fort Wayne but was able to have both chemo and radiation here in Bryan, which I’ll be forever grateful that I could do close to home,” she says. “I can’t imagine having an hour-long drive after a chemo dose. To me, it would have been impossible.” Cathy completed her treatments in May of 2017 and sees her care team for regular follow-ups as well as her trusty mammogram already scheduled for next August.
  • 23. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY OCTOBER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 October Breast Cancer Awareness Month Liver Cancer Awareness Month DiagnosingBreast Cancer In 2018, Community Hospitals and Wellness Centers implemented a new process that reduces the time between diagnostic imaging to receiving a biopsy. Most commonly, this timeline is 8 days, although this new process reduces the timeline to 6.5 days. Halloween Ladies: Schedule your mammogram today. No referral is necessary to get this important screening done. Women ages 40+ are encouraged to get a clinical breast exam and mammogram annually. Talk to your primary care provider about scheduling a mammogram.
  • 24. BarneyBeavers Bryan, OH LungCancer: Did you Know? ∙ Lung cancer is the leading cause of cancer for men and women in Williams County (both in incidence and mortality). ∙ Lung cancer is one of the top five cancer sites diagnosed and treated at Community Hospitals and Wellness Centers (CHWC). ∙ There are other risk factors to lung cancer besides smoking, such as: exposure to radon or asbestos, family history of lung cancer, and dietary supplements such as beta carotene for people who smoke. ∙ Most lung cancers can be prevented. ∙ Most lung cancers are related to smoking and/or second- hand smoke. ∙ Most lung cancers are found at an advanced stage. ∙ Most lung cancers are widely spread throughout the body at the time of diagnosis. ∙ Low-dose CT screening can provide early detection of lung cancer. Individuals who meet certain criteria are eligible for an annual lung cancer screening CT. The Imaging Center at Bryan Hospital has a lung cancer screening program that includes CT, CT interpretation by highly qualified radiologists and follow-up care by patient navigators. Ask your primary care provider if you qualify for a lung cancer screening CT. Barney Beavers Lung cancer survivor Barney has lived much of his life in Bryan, but spent sev- eral years serving with the United States Army. He states that his wife was an important part of his cancer care and recovery. They have three daughters, eight granddaugh- ters and eight great-grandkids (six boys and two girls).
  • 25. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY NOVEMBER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 November Lung Cancer Awareness Month Pancreatic Cancer Awareness Month Thanksgiving Daylight Saving Time Ends Veterans Day LungCancer Screening at CHWC Lung cancer can be screened with the use of a low dose CT scan on an annual basis. A physician’s order is required for the screening. Make an appointment with a practitioner to discuss eligibility. SBRT Lung Treatment Available Stereotactic body radiation therapy (SBRT) is an external beam radiation therapy that utilizes highly precise radiation fields to treat cancer in just a few treatments. Need Help Quitting? Quitting tobacco is not easy. Having a plan and good resources can help. Here are a few ways to get started: ∙ Create a personalized plan to quit. ∙ Call the Ohio Tobacco Quit Line at 1-800-QUIT-NOW (1-800-784-8669). ∙ Visit ohio.QuitLogix.org. ∙ Talk to your doctor. ∙ Consider prescription or over-the- counter medications. ∙ To help overcome the challenges of quitting, seek other therapies or counseling.
  • 26. QualityPatient-Focused Care With primary focus on patients and caregivers, the cancer program at Community Hospitals and Wellness Centers (CHWC) works to develop and promote education on cancer prevention, early detection and screening. Accreditation demonstrates a cancer program’s commitment to providing high- quality, multidisciplinary patient-centered cancer care. Those of us at CHWC value our patients and appreciate their trust in us to provide them with personalized, state-of-the art cancer care. It gives us great satisfaction to make a positive difference in their lives. A heartfelt thank you to the incredible people who support and care for their loved ones while managing their own lives. The role they play in their care is invaluable, and we could not do what we do without them. In addition, we thank the community and organizations in the community for the support they provide us, our patients and their families.Cancer Committee Pictured right, from left to right: Pam Alpaugh, CHWC– Radiology Director; Kim Owen, CHWC– Radiation Oncology Center Director; Dr. Michael Nosanov, CHWC– ENT Physician; Cathy Day, CHWC– Compliance Director; Amy Boehm, American Cancer Society– Senior Manager of North Central Region; Dorothy Myers, CHWC– Registered Nurse; Jan Martinez, CHWC– Director of Nutrition Food Services; Dr. Mahmoud Afifi, Parkview Physicians Group– Hematologist/Oncologist; Linda Trausch, CHWC– Director of Social Services and Discharge Planning; Michelle Breitner, CHWC– Tumor Registrar; Dr. Jeffrey Forquer, Toledo Radiation Oncology– Radiation Oncologist; Kelly Colon, CHWC– Patient Navigator; Dr. Michael Liu, Parkview Physicians Group– General Surgeon; Dr. Shannon Keil, CHWC– Pathologist Warm wishesthisholidayseason!
  • 27. SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY DECEMBER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 December ChristmasChristmas Eve New Year’s Eve In 2018, the cancer program at Community Hospitals and Wellness Centers was granted Elite Status by the Commission on Cancer. What does it mean to be an Accredited Cancer Program? Community Hospitals and Wellness Centers’ cancer program is accredited through the American College of Surgeons Commission on Cancer (CoC). The CoC establishes standards to ensure quality cancer care delivery with a multidisciplinary and comprehensive approach. These standards require the cancer program to create meaningful processes to monitor treatment patterns, cancer care delivery, and outcomes to best serve our patients.
  • 28. 433 W. High St. Bryan, OH 43506