Multidisciplinary Cancer Care - Dr. Vogel

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Dr. Charles Vogel of Sylvester at Deerfield Beach presented "The Multidisciplinary Oncology Team" at the 2011 WellBeingWell Conference in Miami.

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Multidisciplinary Cancer Care - Dr. Vogel

  1. 1. The Multidisciplinary Oncology TeamCharles L. Vogel, MD, FACPProfessor of Clinical MedicineSylvester Comprehensive Cancer CenterMiller School of MedicineUniversity of Miamiand Director, Women’s Center at Sylvester at Deerfield Beach<br />
  2. 2. The Multidisciplinary Oncology TeamClinical Decision Making Core<br />OncologistsDiagnostic ImagingPathology<br />Surgical X-ray Bone density Critical step establishing diagnosis<br />Medical CAT Scans Ultrasound<br />Radiation MRI scans Mammography<br /> Bone Scans Interventional<br />Reconstructive SurgeryClinical Research<br />Nurse Navigator<br />
  3. 3. The Multidisciplinary Oncology TeamCritical Support Services<br />Counseling<br /> Genetic Psychosocial<br /> Financial Psychosexual<br /> Family Social Services<br /> Nutritional Rehab and Physical Therapy<br />Specialized Support Groups and Services<br />Internal<br />Gilda’s Club<br />Wellness Community<br />American Cancer Society<br />Teleconferencing Capabilities<br />
  4. 4. The Multidisciplinary Oncology Team<br />“Integrative” Complimentary/Alternative (CAM)<br />“Medical Wellness”<br />“Mind, Body, Spirit”<br />“Survivorship”<br />TouchFitness/ExerciseHerbal and Nutritional<br />Massage (various techniques) Strength Zumba Nutritional Support<br />Manual Lymphatic Drainage Weight Qi Gong “Safe” Herbs and supplements<br />Acupuncture/Acupressure Pilates Yoga<br />Reflexology Tai Chi Water<br />Complementary Therapies <br /> Art, Music, Pet therapies <br />Meditation<br />Biofeedback <br />Hypnosis<br />
  5. 5. The Multidisciplinary Oncology TeamAdvanced Cancer<br />Pain Management<br />Palliative Care<br />Rehabilitation/ Physical Therapy<br />Hospice Care (In and Out Patient)<br />
  6. 6. Multidisciplinary Breast Cancer Clinic and ConferenceSylvester at Deerfield BeachThe Players and The Design<br />Step 1 Case presentation by oncologist<br />Surg OncRad OncMed Onc<br />Eli Avisar, MD Laura Freedman, MD Mohammed Jahanzeb, MD<br /> Christine Takita, MD Reshma Mahtani, DO<br /> Charles Vogel, MD<br />All have seen patient pre-conference<br />Step 2<br />Breast Imaging Review Monica Yepes, MD<br /> Fernando Collada-Mesa, MD<br />Metastatic Imaging Review Pamela Nottingham, MD<br />
  7. 7. Multidisciplinary Breast Cancer ConferenceSylvester at Deerfield Beach<br />Step 3<br />Videoconferencing Pathology Review: Carmen Gomez- Fernandez,MD<br />MerceJorda,MD<br />Step 4<br />Research Clinical Trials Review: Lori Kronish, RN<br />African-American Women, Project CARE: Suzanne Lechner, PhD<br />Cope, Adopt, Renew, Empower<br />Step 5<br />Additional Input- Genetics-:Talia Donenberg, MS, CGC<br /> Psychosocial : Courtelis Center <br /> Reconstructive Surgery: ZubinPanthaki, MD<br />Step 6<br />Therapeutic Plan and Options Established<br />
  8. 8. Multidisciplinary Breast Cancer Conference Sylvester at Deerfield Beach<br />Step 7<br />Post-Conference Recommendations: Oncologist/Nurse Navigator/Patient<br />Therapeutic<br />Supportive- Courtelis Ctr<br />Subspecialty Consults<br /> Eugene Ahn, MD CAM<br /> Orlando Silva, MD Nutrition<br /> J. David Pitcher, MD Orthopedics<br /> Other MDs as needed<br />Step 8<br /> Coordination of Plan of Treatment- Nurse Navigator<br />
  9. 9. The Past: Stepwise sequential consultations<br />The Present: Coordinated multidisciplinary care<br />Choose Your Team Carefully<br />

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