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WELCOME

RICHARD M. LEVINE, M.D., M.S. MANAGING PARTNER

FOR 30 YEARS, the physicians and staff of Space Coast Cancer Center (SCCC) have collaborated with referring physicians and our community hospitals to provide our patients and their families with the best care possible. We believe it is a privilege to have the opportunity to serve our community by caring for patients with

Titusville Nursing Staff

Space Coast Cancer Center HOPE HEALTH HEALING

blood disorders and cancer. Our mission is to cure when possible, and to provide optimal quality of life with palliative care. We offer state-of-the art cancer care, utilizing clinical pathways and advanced technology in a supportive, caring environment. All patients are treated as family, with respect and dignity. We are honored to be the first practice in Florida, and one of the first 17 in the United States, to be nationally certified for quality by the American Society of Clinical Oncology (ASCO) Quality Oncology Practice Initiative (QOPI). At our cancer centers we offer comprehensive infusion therapy (chemotherapy, targeted therapy, immune therapy, biologic therapy, etc.), radiation therapy, laboratory services, CAT scan and PET/CT, clinical trials, financial counselors and clinical patient navigators. Our brochure will help you learn about SCCC, and we encourage you to visit our website at www.spacecoastcancer.com.

Richard M. Levine, M.D., M.S., Managing Partner


SE HABLA ESPAÑOL FOR PATIENTS AND FAMILY MEMBERS WHO PREFER TO COMMUNICATE IN SPANISH, we have physicians and staff members who speak fluent Spanish. If it is their preference, patients may request a Spanish-speaking physician to help care for them at Space Coast Cancer Center. For patients who speak other languages and have difficulty comprehending English, we have the capability of communicating in almost any language with the assistance of a translator via a telephone service. If you have specific needs in this regard, please inform the staff.

PARA LOS PACIENTES Y FAMILIARES QUE PREFIEREN COMUNICARSE EN ESPAÑOL, contamos con médicos y miembros del personal que hablan español con fluidez. Si lo desean, los pacientes pueden solicitar a un médico que habla español para ayudar a cuidar de ellos en el Centro de Cáncer Space Coast. Para los pacientes que hablan otros idiomas y tienen dificultad para comprender Inglés, tenemos la capacidad de comunicarse en casi cualquier idioma con la ayuda de un traductor a través de un servicio telefónico. Si usted tiene necesidades específicas a este respecto por favor informe al personal.

“...patients may request a Spanish-speaking physician to help care for them at Space Coast Cancer Center.”

Juan L. Castro, M.D. and Patients

JUAN L. CASTRO, M.D.

JORGE PEREZ DE ARMAS M.D.

MIGUEL R. PELAYO, M.D.

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MEET OUR PHYSICIANS & NURSE PRACTITIONERS Dr. Levine is a Phi Beta Kappa graduate from Indiana University and graduated with a combined degree from Indiana University School of Medicine (MS Pharmacology, M.D.). He completed his internship and residency in Internal Medicine at the University of Cincinnati Medical Center, and completed his Medical Oncology training at the National Cancer Institute, where he was Chief Fellow. Dr. Levine is Board Certified in Internal Medicine and Medical Oncology. Dr. Levine is a member of the American Society of Clinical Oncology, the Brevard County Medical Society, Florida Medical Association, and the Florida Society of Clinical Oncology (Past-President). He has been the Medical Director of the Cancer Program at Parrish Medical Center (PMC) and Health First Cape Canaveral Hospital, as well as has served on the American Society of Clinical Oncology (ASCO) National Quality of Care Committee. RICHARD M. LEVINE, M.D., MS

OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

Dr. Zimm graduated from the Medical College of Virginia. He completed a residency in internal medicine at the Medical College of Virginia, followed by a two-year fellowship in medical oncology and then a three-year research fellowship at the National Cancer Institute. Dr. Zimm then served as an Assistant Professor of Medicine in the Division of Hematology/Oncology, School of Medicine at the University of California, San Diego from 1985 to 1987. Dr. Zimm is a Fellow of the American College of Physicians and a member of the American Society of Clinical Oncology, the Florida Society of Clinical Oncology, and the Brevard County Medical Society. Dr. Zimm is Board Certified in Medical Oncology and Internal Medicine. OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

SOLOMON ZIMM, M.D., FACP

Dr. Sprawls graduated from the University of Louisville School of Medicine. He completed his internship and residency in Internal Medicine at the University of South Florida, and he completed his Medical Oncology Fellowship at the University of South Florida, H. Lee Moffitt Cancer Center. Dr. Sprawls is Board Certified in Internal Medicine and Medical Oncology. He is a member of the American College of Physicians, the Brevard County Medical Society, the Florida Medical Association, the American Society of Clinical Oncology and the American Society of Internal Medicine. R. DUFF SPRAWLS, M.D., MSW

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OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

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PHYSICIANS & NURSE PRACTITIONERS Dr. Castro graduated from the University of Puerto Rico with a Bachelor of Science in Biology, magna cum laude, in 1985. He completed his medical doctorate at the Universidad Central del Caribe in Puerto Rico in 1990, and then he completed his three-year residency in Internal Medicine at the University District Hospital Center in Puerto Rico in 1993. Dr. Castro furthered his training in Hematology and Oncology as a fellow at the Milton S. Hershey Medical Center, completing his three-year program in June of 1997. Dr. Castro is Board Certified in Hematology, Medical Oncology and Internal Medicine. He is a member of the American Society of Clinical Oncology, the Brevard County Medical Society, and the Florida Medical Association. Dr. Castro is fluent in both English and Spanish.

JUAN L. CASTRO, M.D.

OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

Dr. Dalal graduated from the M.S. University Medical College of Baroda, Gujarat, India. He completed a rotating internship in Medicine, Surgery, Pediatrics and Obstetrics and Gynecology at the M.S. University. He furthered his training as a Clinical Research Associate in the Department of Oncology at the Montefiore Medical Center in Bronx, New York. Dr. Dalal also completed a residency in Internal Medicine and a fellowship in Hematology and Oncology at the Beth Israel Medical Center in New York. Dr. Dalal is Board Certified in Internal Medicine, Hematology and Medical Oncology. He is a member of the American Society of Clinical Oncology, the Florida Society of Clinical Oncology, the Brevard County Medical Society and the Florida Medical Association. OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA, MELBOURNE PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

ASHISH DALAL, M.D.

Dr. Muwalla graduated from the University of Jordan Medical School in Amman, Jordan. He completed his residency in Internal Medicine at the University of Arkansas for Medical Sciences in Little Rock, Arkansas. He was an Assistant Professor of Medicine, Director of Inpatient Bone Marrow Transplant Unit at the Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, where he participated in clinical research trials and coauthored multiple publications in reputable medical journals. He completed his Hematology/Oncology fellowship at the University of Florida Shands Medical Center in Gainesville, Florida. Dr. Muwalla is Board Certified in Hematology, Medical Oncology and Internal Medicine. He is a member of the American Society of Hematology, the American Society of Clinical Oncology, the Brevard County Medical Society and the Florida Medical Association. FIRAS R. MUWALLA, M.D.

OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

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PHYSICIANS & NURSE PRACTITIONERS Dr. Bryant received her medical degree from the Medical College of Wisconsin and completed her five-year residency in Radiation Oncology at Emory University School of Medicine in Atlanta, Georgia. She is Board Certified in Radiation Oncology and accepted a faculty position at Emory following completion of her residency. She is trained and knowledgeable in the use of the state-of-the-art radiation therapy Linac, the Varian Trilogy and TrueBeam. Dr. Bryant is also proficient in radioactive prostate seed implantation. She is a member of the American Medical Association, the Florida Medical Association, the American Society of Therapeutic Radiology and Oncology, the American College of Radiology, and the American Brachytherapy Society. CYNTHIA BRYANT, M.D.

OFFICE LOCATIONS: TITUSVILLE, VIERA PRIMARY SPECIALTY: RADIATION ONCOLOGY

Dr. Prendergast graduated from the University of Florida College of Medicine in Gainesville, Florida in 2008. He completed his internship at Presbyterian-St. Lukes Medical Center in Denver, Colorado in 2009, followed by a Clinical and Translation Science Training Program at University of Alabama at Birmingham (UAB) in 2011. In July 2013, Dr. Prendergast completed his residency in radiation oncology at UAB. Dr. Prendergast is a member of the Radiologic Society of North America (RSNA); American Society of Therapeutic Radiation Oncology (ASTRO); and the American College of Radiation Oncology (ACRO), where he has been appointed to the Resident Committee from 2011-2013. OFFICE LOCATIONS: TITUSVILLE, VIERA PRIMARY SPECIALTY: RADIATION ONCOLOGY

BRENDAN M. PRENDERGAST, M.D.

Dr. Perez De Armas graduated from the University Central del Caribe, a United States Accredited school in Bayamon, Puerto Rico. The U.S. Army National Guard veteran completed his residency in internal medicine at Lehigh Valley Hospital. Dr. Perez De Armas completed his advanced training in Hematology and Oncology at Penn State Hershey Medical Center in Hershey, Pennsylvania. He is Board Certified in Internal Medicine, Hematology and Medical Oncology. Dr. Perez is fluent in both English and Spanish. JORGE PEREZ, M.D.

OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA, MELBOURNE PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

Dr. Pelayo graduated from the medical school at the University Central del Caribe, a United States accredited school in Bayamon, Puerto Rico. He completed his residency in internal medicine at the University of South Florida in Tampa. Dr. Pelayo completed his fellowship training in Hematology and Oncology at H. Lee Moffitt Cancer Center and Research Institute in Tampa, Florida. He is Board Certified in Internal Medicine, Hematology and Medical Oncology and is a member of the American College of Physicians, the American Society of Hematology and the American Society of Clinical Oncology. Dr. Pelayo is fluent in both English and Spanish. OFFICE LOCATIONS: TITUSVILLE, MERRITT ISLAND, VIERA, MELBOURNE PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

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MIGUEL PELAYO, M.D.


PHYSICIANS & NURSE PRACTITIONERS Katie Wilkerson, ARNP, graduated from the University of South Florida with a Master of Science in Nursing degree in August 2003. The University is an affiliate of the H. Lee Moffitt Cancer Center where she did her clinical training. Prior to becoming a Advanced Oncology Certified Nurse Practitioner, Ms. Wilkerson worked a number of years as a certified oncology nurse. Ms. Wilkerson is a member of The Oncology Nursing Society, American Academy of Nurse Practitioners, Florida Nurses Association and American Nurses Association. KATIE WILKERSON, MSN, ARNP

OFFICE LOCATION: TITUSVILLE PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

Jackie Luker, ARNP graduated from Fort Hays State University in Hays, Kansas with a Master of Science in Nursing Degree in December of 2009. Prior to becoming a Advanced Oncology Certified Nurse Practitioner, Ms. Luker worked for 11 years as an RN on an acute care oncology unit. She was involved in chemotherapy administration and education of both patients and staff and was also manager and clinical coordinator of the unit for four years. Ms. Luker is a member of The Oncology Nursing Society, and American Academy of Nurse Practitioners. OFFICE LOCATIONS: MERRITT ISLAND PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

JACKIE LUKER, ARNP

Cathy Marinak received her Bachelor’s of Science degree in Nursing from Vanderbilt University in Nashville, Tennessee, and her Master of Science in Nursing as an Adult Nurse Practitioner from Florida Atlantic University. She has been nationally Certified in Oncology since 1985. Ms. Marinak also has advanced training and knowledge in cancer risk assessments and genetic counseling. She has been the coordinator for a nationally accredited high risk breast cancer program in Jupiter, Florida. She is a native of Palm Beach County where she has practiced for the past 26 years. CATHY MARINAK, PA, ARNP, MSN, AOCN

OFFICE LOCATIONS: TITUSVILLE, VIERA PRIMARY SPECIALTY: RADIATION ONCOLOGY

Jessica Holcomb received her Bachelor of Science in Nursing from the University of Central Florida, and her Master of Science in Nursing with an Oncology Concentration from the University of South Florida. Ms. Holcomb has been working as a Certified Oncology Nurse since 2005 and became an Advanced Oncology Certified Nurse Practitioner in 2012. She joined the Space Coast Cancer Center team in August 2012. In addition, Ms. Holcomb has been an active member of the Oncology Nursing Society since 2005. OFFICE LOCATIONS: TITUSVILLE PRIMARY SPECIALTY: HEMATOLOGY/ONCOLOGY

JESSICA HOLCOMB, ARNP

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CANCER CENTERS WITH STATE-OF-THE-ART CANCER CENTERS on the Space Coast, we are virtually

within 30 MINUTES of any home in Brevard County.

Parrish Medical Center

TITUSVILLE

CANCER CENTER 95

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Miguel R. Pelayo, M.D. and Ashish Dalal, M.D.

528

MERRITT ISLAND

520

CANCER CENTER

Cape Canaveral Hospital

Wuesthoff Medical Center-Rockledge

VIERA

CANCER CENTER® Viera Hospital Wuesthoff Medical Center-Melbourne 192

Joann Muszynski, Michelle Johnson and Jessica Hendrickson

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1A

404 518

MELBOURNE

OFFICE

Holmes Regional Medical Center

95

• Local hospitals SCCC physicians have privileges.

Scan this QR Code to go to our website for further directions to Space Coast Cancer Center’s locations. Jorge Perez De Armas, M.D. and Brendan M. Prendergast, M. D.

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LOCATIONS

TITUSVILLE

MERRITT ISLAND

CANCER CENTER (TCC)

CANCER CENTER (MCC)

490 N. WASHINGTON AVENUE TITUSVILLE, FL 32796

225 CONE ROAD MERRITT ISLAND, FL 32952

Phone: 855.894.HOPE (4673)

Phone: 855.894.HOPE (4673)

VIERA

MELBOURNE

Fax: 321.268.1386 Office Hours: 8:00 a.m. – 5:30 p.m. Laboratory Hours: 8:00 a.m. – 4:00 p.m.

Fax: 321.452.4939 Office Hours: 7:30 a.m. – 5:30 p.m. Laboratory Hours: 8:45 a.m. – 5:00 p.m.

CANCER CENTER® (VCC)

OFFICE

8725 N. WICKHAM ROAD, SUITE 103 VIERA, FL 32940

111 E. HIBISCUS BOULEVARD MELBOURNE, FL 32901

Phone: 855.894.HOPE (4673)

Phone: 855.894.HOPE (4673)

Fax: 321.636.9083 Office Hours: 8:30 a.m. – 5:30 p.m. Complimentary valet parking available.

Fax: 321.636.9083 Office Hours: Thurs. 9:00 a.m. – 5:00 p.m.

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NEW PATIENT SERVICES TO HELP new patients of SCCC, we have a fulltime patient medical intake coordinator. She will contact you to schedule your appointment, obtain demographic and insurance information, as well as ensure that appropriate medical records are available for review by your SCCC physician. She will also refer you to the proper department if you have any questions regarding services we provide. The patient medical history specialist will contact you by phone to review your medical history. This will all be entered into your electronic medical record prior to your visit. Please bring copies of any medical records that you feel you would like your SCCC physician to review and include in your medical chart. The nurse navigator answers your calls regarding any clinical questions you have. She helps facilitate prescription refills, instructs you on approved SCCC clinical pathways to manage treatment side effects, and will help coordinate your care, communicating with the oncology nurses, ARNPs and your SCCC physician.

Tina Norman (standing) and Debbie Swan (seated)

New Patient Coordinators Samantha Endress and Amanda Powyszynski

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SCCC has two full-time patient advocates who are knowledgeable of insurance benefits, and will assist new patients in obtaining optimal insurance coverage, benefits from the State of Florida assistance, assistance from pharmaceutical companies, as well as patient foundations.

Victoria Alderman, Roxanne Grabill and Amanda Powyszynski

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Cindy King and Patient


ONCOLOGY / HEMATOLOGY SERVICES HELPING COORDINATE QUALITY CANCER CARE between multiple medical specialties and support service providers can be challenging. Here at SCCC, we have established multidisciplinary care teams. The leader ensures that patients will have rapid access to all the different services that they need. For example, patients diagnosed with head and neck cancer are cared for by an ear, nose and throat (ENT) surgeon, oral dental surgeon, gastroenterologist, general surgeon, medical oncologist, radiation oncologist, pain management physician, nutritionist, rehabilitation specialist for swallowing and speech therapy, as well as often a psychologist and social worker. In addition, diagnostic imaging using CAT scan and PET/CT and radiation therapy simulation are performed. The care team coordinator helps the patient with their scheduling and follow-up with all these integrated medical services. This facilitates improved access, as well as outcome and cure.

be leaders in Florida as the first practice to participate in national quality studies, utilizing national guidelines and treatment pathways, as well as establishing the Annual Survivorship Summit. It is a privilege to care for you and we will strive to do our best to always provide you the best care possible.

The mission of the physicians and staff of SCCC is to provide state-of-the-art cancer care utilizing the most modern and safest technology, follow evidence-based national guidelines, and collaborating with Moffitt Cancer Center. Clinical trials, quality assurance studies, multidisciplinary care, nationally accredited diagnostic imaging studies and 24/7 coverage are all important and valued medical care services that are available at SCCC. We are proud to

Christina Norman, RN, Megan Woods, RN, Firas Muwalla, M.D. and Kendall Rosenberger, RN

“...state-of-the-art cancer care utilizing the most modern and safest technology.�

Michelle Pillow, RN and Patient

Medical Assistant Tiffany Jackson

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LABORATORY SERVICES “SCCC is proud that its in-house laboratory is accredited by the Commission on Laboratory Accreditation (COLA).” Peter Santos, MT

Michele Kerr

LABORATORY AND TESTING EXCELLENCE SCCC’s in-office laboratory is licensed by the State of Florida and Clinical Laboratory Improvement Amendments (CLIA), performing hematology, comprehensive chemistry and tumor-marker testing. Laboratories are available in Titusville and Merritt Island. Hematology results are available within 10 minutes after the lab is drawn.

COLA ACCREDITATION SCCC is proud that its in-house laboratory is accredited by the Commission on Laboratory Accreditation

Peter Santos, Misty10 Merchant, Diey-Hao Nguyen and Kelly Coley

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(COLA). SCCC’s laboratory also has received COLA’s Laboratory Excellence Award, presented to the top 15 percent of laboratories in the nation, an achievement signifying the practice’s commitment to performing quality patient testing and overall laboratory practices. The award is presented to COLA laboratories that are found to be compliant with all COLA essential and required criteria at the time of an on-site survey.


CLINICAL TRIALS DEPARTMENT OUR CLINICAL TRIALS DEPARTMENT OFFERS RESEARCH STUDIES in collaboration with the National Cancer Institute through the Clinical Trials Support Unit (CTSU), Moffitt Cancer Center, the Sarah Cannon Research Institute (SCRI) and pharmaceutical companies. Clinical trials available vary year to year. We have studies for patients with breast cancer, colon cancer, lung cancer, head and neck cancer, non-Hodgkin lymphoma, prostate cancer, chronic lymphocytic leukemia, as well as supportive care studies and quality of life studies.

Linda Perez, Gia Randall, RN and Sandra Roberts

Our staff will conduct a nationwide search for clinical trials for our patients upon request. For more information regarding clinical trials please view our website.

Scan this QR code for more information on SCCC’s clinical trials department. Richard M. Levine, M.D., MS and Patient

11Michelle Pillow, RN Mary Beth Rosser, RN, Elisa Maldonato, RN, R. Duff Sprawls, M.D., MSW, Joann Muszynski, Pharmacy Tech and W W W. SPAC E C OA STC A N C E R . C OM


GENETIC RISK ASSESSMENT & DIAGNOSTIC IMAGING

Ashish Dalal, M.D. and Cathy Marinak, ARNP, MSN, AOCN

GENETIC RISK ASSESSMENT & TESTING CLINIC Space Coast Cancer Center is pleased to offer to the community expertise in genetic risk assessment and counseling, as well as testing for patients and their family members. Individuals with an increased risk for inherited gene mutations that are associated with cancer include patients diagnosed under the age of 50 with cancer of the breast, patients with bilateral breast cancer, male breast cancer, ovarian cancer, and patients with a family history of breast or ovarian cancer. It also includes patients diagnosed with cancer of the colon, uterus, pancreas, and prostate, as well as patients under the age of 25 diagnosed with melanoma, and any patient with a strong family history of cancer.

Jessica Grudzien, Christina Shreve and Joan Werner

LEADERSHIP IN DIAGNOSTIC IMAGING The American College of Radiology (ACR) Committee on Computed Tomography Accreditation of the Commission on Quality and Safety approved SCCC’s General Electric medical system Discovery ST (CAT scan) for adult patients. We are also pleased that the American College of Radiology (ACR) Committee on Nuclear Medicine accreditation on the Commission of Quality and Safety approved SCCC’s General Electric medical system Discovery LS for brain and oncology diagnostic studies (PET/CT). All PET/CT and CAT scans are interpreted by board certified radiologists.

Scan this QR code for more information on SCCC’s diagnostic imaging services.

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LUNG SCREENING LOW-DOSE CT (LDCT) LUNG SCREENING The goal of low-dose CT (LDCT) lung screening is to save lives. Without LDCT lung screening, lung cancer is usually not found until a person develops symptoms, at which time the cancer is more advanced. LDCT lung screening is recommended for the following groups of people who are at high risk for lung cancer. Those individuals who have symptoms of a lung condition at the time of screening, such as a new cough or shortness of breath, are not eligible for screening.

CATCH LUNG CANCER EARLY WITH LOW DOSE CT LUNG CANCER SCREENING LUNG CANCER IS THE LEADING CAUSE OF CANCER-RELATED DEATH IN THE UNITED STATES.

Group 1: People ages 55-80 who have smoked at least an average of one pack/day for 30 years. This includes people who still smoke or have quit within the past 15 years. Group 2: People ages 50-80 who currently or in the past have smoked at least an average of one pack/ day for 20 years. Must also have at least one other risk factor for lung cancer, not including exposure to second-hand smoke. Risk factors include having cancer in the past, emphysema, pulmonary fibrosis, a family history of lung cancer or exposure to certain substances (including asbestosis, arsenic, beryllium, cadmium, chromium, diesel fumes, nickel, radon, silica, and uranium). Your health care provider can help you determine if you have one of these other risk factors. If you are one of the individuals at high risk and eligible for screening, you may have your physician contact SCCC to schedule the scan, or you may call yourself.

Early detection is a proven, successful strategy for fighting any forms of cancer. That is why Space Coast Cancer Center is proud to offer Lung Cancer Screening with low-dose computed tomography (CT) for people at high risk for lung cancer at our Titusville Cancer Center. Patients can be referred by their physician or self-referred. Screening is not covered by insurance and there are eligibility criteria. Space Coast Cancer Center follows the National Comprehensive Cancer Center guidelines.

SCCC follows the National Comprehensive Cancer Network (NCCN) criteria and guidelines. For more information, visit www.nccn.org.

Space Coast Cancer Center is also pleased to offer smoking cessation classes. Please call for more information. Scan this QR code for more information on SCCC’s screening services.

855.894.HOPE (4673) W W W. SPAC E C OA STC A N C E R . C OM

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CT LUNG SCREENING QUESTIONNAIRE

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ALL CANDIDATES FOR CT LUNG SCREENING should be asymptomatic, have no metastatic disease, and should not have a diagnosis of lung cancer within the past 5 years. Patient Name:__________________________ Patient Signature:________________________ Date:______________ DOB:______________________________ Age:_____ Telephone:________________________ SCCU#:_____________ Address:_________________________________________________________ City:____________________________ State:________ Zip:________________ E-mail:_________________________________________________________ Smoking Status:

o Current Smoker, Pack-Years (# packs/day X # of years) : ___________ o Former, quit ______years ago, Year quit: __________

NCCN High-Risk Group 1 Eligibility: 1. Age 55 – 80 yrs 2. Currently a smoker or have quit within 15 years 3. Have smoked at least a pack of cigarettes a day for 30+ years

YES o o o

NO o o o

YES o o o

NO o o o

If all answers YES, then patient is eligible. NCCN High-Risk Group 2 Eligibility: 1. Age 55 – 80 yrs 2. Have smoked at least a pack of cigarettes a day for 20+ years 3. Have one additional lung cancer risk factor, not to include second hand smoke. If all answers YES, then patient is eligible. Group 2 High Risk Factors. Please Check all that apply. Family History of Lung Cancer: A oMother oFather oSibling oChild Personal History Of Chronic Lung Disease: A oCOPD oEmphysema oBronchitis

oPulmonary Fibrosis

Personal Cancer History: B oLung Cancer (greater than five years ago) oBladder oCervix oStomach oLymphoma oHead and Neck oEsophageal Occupational exposure to lung carcinogens: B oArsenic oNickel oBeryllium oChromium

oCadmium

oColon

oCoal Dust

oKidney

oPancreas

oDiesel Fumes

oSilica

Please send report/letter to physician:_______________________________________________________________ ELIGIBLE:

oYes

oNO

Approved By:_________________________________________ Date:_______________

Date Scheduled:______________________ $110 Fee Paid: oYes

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oNO


RADIATION ONCOLOGY THE MOST COMPREHENSIVE RADIATION THERAPY SERVICES are offered at SCCC. Specialized treatment utilizing stereotactic radiosurgery, stereotactic body irradiation, image-guided radiation therapy (IGRT), intensity modulated radiation therapy (IMRT), respiratory gating, onboard imaging, and 3D Conformal radiation therapy are delivered by the Varian Trilogy and TruBeam. Electronic beam therapy for skin cancer, as well as brachytherapy (seed implant for prostate cancer) are offered at both cancer centers. Cynthia Bryant, MD and Brendan Prendergast, MD are both board-certified radiation oncologists. SCCC has the state-of-the-art Varian Trilogy Linac at Titusville Cancer Center and the Varian TruBeam Linac at Viera Cancer Center.

Niki Demeter, Debbie Hankins, Brendan Prendergast, M.D. and Sarai Almaguer

SCCC has available a 24/7 maintenance contract with the Trilogy and TruBeam Linacs. We have routine preventative maintenance provided by Varian trained staff, which helps minimize any machine down time. This ensures patients are treated on schedule and increases the opportunity for cure and rapid palliation of symptoms. Cynthia Bryant, M.D., Brenda Lepuschitz, Andrew Winningham, Ph.D and Lisha Blankenship

Robert Parker, Cathy Marinak, ARNP, Brenda Lepuschitz, Shannon Waddy, Cynthia Bryant, M.D., W WLisa W. SPAC E C OA STC A NSmith CER.C OM Blankenship, Crystal and Andrew 15Winningham, Ph.D


MANAGEMENT & ADMINISTRATION THE MANAGEMENT AND ADMINISTRATIVE STAFF ARE DEDICATED to ensuring that your experience and care at Space Coast Cancer Center is provided in a coordinated, safe and supportive environment. If you have any questions or concerns please feel free to contact Nancy Payne, Executive Director.

NANCY PAYNE Executive Director

DAWN FAUST

Marketing and Communications

ANDREW WINNINGHAM, PH.D

Medical Physicist

Management Team16

“Our goal is to help coordinate and provide the highest quality medical care with safety and compassion.”

MANDY WALTER

Human Resources Manager

AMY FENTRESS, RN

Clinical Nurse Manager

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TERESA SAVELL Front Office Manager

KIM BEGGS

Practice Accountant

PETER SANTOS Laboratory Manager

LYNN LEVINE

Comptroller

Business Offices Staff


COME HOME SCCC HAS BEEN SELECTED to be one of only seven cancer centers in the U.S., and the only practice in Florida, to be approved and funded by the Centers of Medicare and Medicaid Service Innovation Center (CMMI) to establish a community oncology medical home. As a participant in the Innovative Oncology Business Systems (IOBS) program, “Come Home,” SCCC will be offering cancer patients insured by Medicare the only federally funded Oncology Medical Home in Florida. The patient-centered medical home promotes value-based medical care, providing best practices through clinical pathways to improve the quality of the medical care patients are provided. It fosters a team-based approach including physicians, nurse practitioners, clinical coordinators and nurse navigators. It will include enhanced patient access with a 24/7 triage line for “first responders,” and active disease management, including patient education and web portals. Utilizing electronic medical records, there will be real-time tracking of the patient’s medical care with evidence-based clinical pathways. Customized software will allow streamlining and standardized care, and facilitate the identification and measurement of potential complications of therapy and disease.

and improved outcomes when patients are cared for along established clinical pathways. It is expected there will be less toxicity and therefore less need for patients to require emergency department visits at the hospital, as well as a decrease in hospital admissions due to toxicities. Each patient’s care will be monitored closely and supportive care and symptom management initiated promptly. The project described was supported by Funding Opportunity Number CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation. Its contents are solely the responsibility of the authors and have not been approved by the Department of Health and Human Services, Centers for Medicare & Medicaid Services.

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The focus is to improve collaboration of clinical support and treatment teams, adherence to evidencebased guidelines, prevention and early treatment of complications of disease and therapy.

THE MEDICAL HOME’S MISSION The creation of an Oncology Medical Home in our community will mean that SCCC can deliver coordinated care that is focused on the patient’s medical condition in a more efficient and accessible way. Utilizing evidence-based clinical pathways, there will be improved quality of medical care, and a decrease in the variability of treatment between patients with similar conditions.

Solomon Zimm, M.D., FACP

There are clinical studies that document that there is improved safety and quality care with decreased cost, W W W. SPAC E C OA STC A N C E R . C OM

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SUPPORT SERVICES SCCC IS INTERESTED IN THE HEALTH AND WELL BEING OF OUR PATIENTS. To that end, we have a variety of support services for education, and the physical and emotional needs of our patients. We understand that a cancer diagnosis is a stressful time for patients and their loved ones. There are many questions and unique needs that arise in the midst of cancer. SCCC provides educational classes, support groups and survivorship events in adjunct to the medical approach and treatment of cancer. SUPPORT GROUPS

Van Driver David Morrison and Patient

All of our support groups meet on a monthly basis to address the questions and unique needs of the patients/ survivors who attend. The support group environment includes:

• Open discussion

“We have a variety of support services for education, and the physical and emotional needs of our patients.”

• Guest speakers with pertinent information for the specific types of cancer • Educational materials • Resource information • Emotional support SCCC is pleased to provide support groups for the following:

• Breast cancer • Caregivers • Lung cancer • Lymphoma and leukemia • Multiple myeloma • Prostate cancer (Man-to-Man) We acknowledge that this does not cover all the types of cancers that SCCC treats. We are adding classes and services continually to meet our patient’s needs. Please let us know what classes and groups would be significant to you, and we will try our best to support your needs. Linda Bradley with Support Group

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KEEP IN TOUCH PATIENT PORTAL Access to patient lab and test results, as well as medical records, are available 24/7 in SCCC’s patient portal. The patient portal can be access through SCCC’s website at www.SpaceCoastCancer.com. Scan this QR code to access our patient portal.

FACEBOOK Keep track of posts and events happening at SCCC on Facebook. Like SCCC at www.Facebook.com/Space-Coast-Cancer.

Nursing Staff

Scan this QR code to connect with us on Facebook.

TWITTER SCCC tweets. Keep up with what we are talking about on Twitter. Follow us at www.Twitter.com/SCCancerCenter. Scan this QR code to connect with us on Twitter.

Merritt Island Staff

YOUTUBE Visit our video channel at www.YouTube.com/user/SpaceCoastCC. Scan this QR code to view our YouTube videos.

EDUCATIONAL VIDEOS SCCC has more than 60 online educational videos. To view these educational videos go to www.SpaceCoastCancer.com/Educational-Videos.

Medical Assistants

Scan this QR code to view our educational videos.

NEWSLETTER Sign up for our newsletter at www.SpaceCoastCancer.com. Scan this QR code to sign up now. Front Office Staff

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CHARITY UNFUNDED CARE THE MISSION OF SCCC is to care for all patients with blood and cancer disorders who reside in our referral region. All patients receive state-ofthe-art care by our physicians and staff. Our patient advocates/financial counselors work closely with the physicians and oncology nurses to identify patients with financial needs. If a patient is eligible, we help coordinate benefits such as replacement medication, co-pay assistance, foundation grants, enrollment in Medicaid and other government assistance programs. With the backing of Space Coast Cancer Foundation (SCCF), we offer assistance with transportation, and

grants to help patients cover expenses of medications (pain, anti-nausea), as well as personal bills including rent, mortgage, car payment, electric bill, water bill, food and other basic necessities of life. Because of the challenges of uncompensated care, we encourage those with means to support SCCF. All donations are directed to cancer patients in Brevard County with financial need. Additionally, scholarships for continuing education for nurses in the field of oncology, as well as grants are available for cancer research performed in Brevard County.

SPACE COAST MEDICAL ASSOCIATES LLP DONATED MEDICAL SERVICES 2013 $439,300.28 50%

Radiation Chemotherapy

$126,773.45 14%

$314,321.25 36%

Physician Services

Total = $880,394.98

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HOPE HEALTH HEALING


SPACE COAST CANCER FOUNDATION (SCCF)

THE SPACE COAST CANCER FOUNDATION (SCCF) is dedicated to its mission of helping all who need a helping hand in the fight against cancer. SCCF provides financial assistance, as well as other aid, to individuals battling cancer, and the Foundation also strives to promote community awareness of relevant healthcare issues through a variety of outreach functions. It also contributes to and supports the efforts of other non-profit and public healthcare organizations dedicated to reaching new breakthroughs in the detection and treatment of cancer.

SCCF PARTICIPATES IN VARIOUS EVENTS THROUGHOUT THE YEAR to raise needed funds for the organization. Notable event include the Pump N’ Run Against Cancer 5K (held in the Spring), the Celebration of Life at the Park (held in the Spring) and the Annual Daffodil Gala (held in the Fall).

SCCF BOARD OF DIRECTORS Richard M. Levine, M.D. - Chairman Tina Norman - President Linda Bradley - Immediate Past President Nancy Payne - Treasurer Eddie Norman Grace Vista Linda Miedema, Ph.D Dawn Faust Keith Shook Susan Swanson R. Duff Sprawls, M.D.

Jon and Donna Skattum, 2013 “Survivor of the Year”

JOIN THE DAFFODIL SOCIETY BE A VOLUNTEER HELPING OTHERS IN YOUR COMMUNITY.

For more about Space Coast Cancer Foundation, visit SpaceCoastCancerFoundation.org or call (855) 894-HOPE (4673) ext. 3130.

Nicholas and Stephanie Seibert, 2013 “Volunteers of the Year” W W W. SPAC E C OA STC A N C E R F O U N DAT ION . ORG

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Space Coast Cancer Center Magazine