Healthy Living Summer 2019

HEALTHYliving SUMMER 2019

WASHINGTON DAILY NEWS

Cancer: Prevention, awareness and celebrating survivors health Published by Washington Newsmedia, LLC

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fitness

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recreation

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Lawrence Larabee, M.D. Board-Certified Orthopedic Surgeon

Kristin Warren, PA-C Certified Physician Assistant

Roanoke Orthopedics

220 Green Street, Williamston

252-385-3097

RoanokeOrthopedics.com/Pain Monday-Friday, 8 a.m.-5 p.m.

Patient results may vary. Consult your physician about the benefits and risks of any surgical procedure or treatment.

Member of the Medical Staff at Martin General Hospital and Member of the Allied Health Staff at Martin General Hospital.

PUBLISHER

HEALTHYliving WASHINGTON DAILY NEWS

Ashley Vansant EDITORIAL

Vail Stewart Rumley

5 EXPLAINING METASTIC CANCER

ADVERTISING DIRECTOR

David D. Singleton MARKETING & SALES

Cecilia Prokos Amy Whitaker Scott Williamson

6 FACTS AND FIGURES ABOUT CANCER

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DISTRIBUTION

Sylvester Rogers

HOW CANCER STARTS

ART DIRECTION

Elizabeth Reed

10 SUPPORTING OUR SURVIVORS

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CALENDAR OF EVENTS

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252-946-2144 HEALTHYliving is published four times

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a year by Washington Newsmedia, LLC. Copyright 2019 Washington Newsmedia, LLC

MEDICAL AND HEALTH DIRECTORY

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SUMMER 2019

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Explaining metastatic cancer

ancer survival rates are on the rise, and that rise can be credited to a host of factors.

Advancements in cancer research and treatment have played a big role in rising survival rates, as have the efforts of various organizations to promote cancer prevention and raise awareness about the disease.

The World Health Organization notes that between 30 and 50% of cancers can currently be prevented by avoiding certain risk factors and implementing evidencebased prevention strategies. However, people can be vulnerable to cancer if they do not pay attention to their bodies or make an effort to protect themselves against certain risk factors for cancer. In such instances, cancer may already have spread to other parts of their bodies, or metastasized, before they are even diagnosed, greatly reducing their likelihood of surviving the disease.

Cancer that spreads to distant parts of the body is known as metastatic cancer and is often referred to as

“stage IV cancer.” According to the National Cancer Institute, when observed under a microscope, metastatic cancer cells feature traits like that of the primary cancer and do not mimic the cells in the part of the body where the cancer is found. That is how doctors can tell that the cancer is metastatic cancer and has spread from another part of the body.

When doctors diagnose metastatic cancer, they will refer to it with the same name as the primary cancer regardless of where the metastatic cancer was discovered.

For example, the NCI notes that breast cancer that has spread to the lungs will not be referred to as lung cancer, but metastatic breast cancer. In addition, when treating the disease in this example, doctors will treat the cancer as stage IV breast cancer, not as lung cancer.

Understanding metastatic cancer can help recently diagnosed men and women better comprehend their disease and their prognosis.■

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HEALTHYliving

SUMMER 2019

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Facts and figures about cancer

8.8 million: The number of people, according to the World Health Organization, who died from cancer in 2015, making it the second leading cause of death across the globe.

22%

70%

70: Percentage of cancer deaths that occur in low- and middle-income countries.

(Source: WHO)

22: Percentage of cancer deaths across the globe that can be traced to tobacco use. (Source: Global Burden of Disease Study 2015)

90: Percentage of highincome countries in which treatment services are available to citizens afflicted with cancer.

(Source: WHO)

<30%

90%

<30: Percentage of low-income countries in which treatment ser vices are available to citizens afflicted with cancer.

(Source: WHO)

12%

12: Percentage of cancers worldwide linked to viruses.

(Source: National Toxicology Program, National Institute of Environmental Health Sciences)

25: Percentage of cancer cases in lowand middle-income countries caused by infections such as hepatitis and the human papilloma vir us, or HPV. (Source: WHO).

1,690,000 1.69 million: The number of deaths attributed to lung cancer across the globe in 2015, making it the most deadly cancer in the world. Liver cancer (788,00 deaths), colorectal cancer (774,000), stomach cancer (754,000), and breast cancer (571,000) were the other most common causes of cancer deaths in 2015. (Source: WHO)

1,160,000,000 1.16 trillion: Economic cost, in American dollars, of cancer in 2010.

(Source: International Agency for Research on Cancer)

33%

8,800,000

25%

A global concern in every way, cancer affects people from all walks of life. But as prevalent as cancer is, some facts and figures may still surprise you.â&#x2013;

33: Percentage of cancer deaths that can be linked to five leading behavioral and dietary risks: high body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, and alcohol consumption. (Source: WHO)

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HEALTHYliving

How cancer starts

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any people have been diagnosed with cancer or have a loved one who has received such a diagnosis. In fact, according to estimates from the International Agency for Research on Cancer, by 2030 there will be 21.7 million new cases of cancer. That estimate means cancer cases will have increased considerably since 2012, when the IARC reported there were 14.1 million new cases of cancer.

The World Health Organization notes that between 30 and 50 percent of cancers can currently be prevented by avoiding risk factors and implementing evidencebased prevention strategies. That requires men, women and children to learn as much as they can about cancer, including how it grows.

The Canadian Cancer Society notes that the human body is made up of trillions of cells that are grouped to form tissues and organs. Each cell contains genes within its nucleus that tell it when to grow, work, divide, and die. In healthy people, cells follow these instructions. However, sometimes a change in DNA or damage to DNA can result in mutated genes that don’t work properly. In such instances, the communication between genes and cells is mixed up, and that miscommunication can cause cells that should be resting to divide and grow uncontrollably. That uncontrolled growth can lead to cancer.

The CCS notes that gene mutations can sometimes be inherited. In other instances, genes may mutate as the body ages and the genes wear down. External factors, such as cigarette smoke, ultraviolet radiation from the sun and alcohol can damage genes, paving the way for mutations to transform genes from normal cells into cancer cells.

No cell in the body is immune to becoming a cancer cell.

While there are no ways for people to guarantee they won’t get cancer, avoiding tobacco and embracing a healthy lifestyle that includes routine exercise and a diet that’s rich in fruits and vegetables can help men, women and children reduce their cancer risk. ■

HEALTHYliving

SUMMER 2019

Same Day Appointments Available No Referral Needed For Annual Screening Mammogram

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Supporting our

SURVIVORS

N

ational Cancer Survivor’s Day was recognized on June 2, although many cancer survivors see every day as a celebration. It is one day further from learning their diagnosis, one less treatment and one less medical appointment. With this celebration, though, also comes a fear of the unknown.

Will my cancer return? Will I have complications from my treatments? Will I continue to be a productive member of society?

According to the National Cancer Institute, “An individual is considered a cancer survivor from the time of diagnosis, through the balance of his or her life. Family members, friends and caregivers are also impacted by the survivorship experience and are therefore included in this definition.” The Office of Cancer Survivorship further quantifies that as of January 2019, there are 16.9 million cancer survivors with that number expected to increase to 29.1% by 2029. Between 1971 and 2007, the number of survivors grew from 3 million to 11.7 million.

Increasing survival rates can be attributed to cancer prevention and screening, early detection and innovative treatments. The Office of Cancer Survivorship statistics show that 67% of survivors have survived five or more years after diagnosis, 45% have survived 10 or more years, and 18% have survived 20 or more years. As the number of survivors continues to increase, there will need to be an increased awareness in the physical and psychosocial short and long-term effects. Therefore, it is imperative that we all are educated on the unique needs of cancer survivors.

A cancer survivor and their caregivers can be faced with a multitude of issues beginning on the day of diagnosis

NICOLE DAVIS

REBECCA SIMMONS

HEALTHYliving

and sometimes lasting throughout their lifetime. For example, it has been found that almost 75% of childhood cancer survivors will develop a chronic medical problem within 30 years of diagnosis. Whether treatment consists of surgery, radiation, chemotherapy or any combination, cancer survivors may experience adverse effects associated with their treatment. Adverse effects may develop at any time during treatment, shortly after completion or even many years down the road. In addition to adverse effects, there are also psychological and social issues that patients may face. Depression, anxiety, fear and difficulty returning to or participating in work or school, obtaining insurance and fitting back into society are all potential hazards to watch for.

There has been a strong focus on cancer survivorship since 1986 when the National Coalition for Cancer Survivorship was formed. The same can be said for childhood cancers with the development of long-term follow up clinics and guidelines established through the Childrenâ&#x20AC;&#x2122;s Oncology Group. Several other organizations

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have embraced the concept of survivorship care, including individual cancer centers across the country and those who seek or maintain accreditation status. There are now several long-term follow up clinics that specialize in survivorship issues for adults. Support groups for survivors are found online and throughout the community. The use of survivorship care plans and treatment summaries assist patients and their caregivers to maintain crucial details about their treatment and survivorship.

The Marion L. Shepard Cancer Center is committed to caring for patients throughout their cancer journeys, including survivorship issues. Once a patient has completed his or her cancer treatment, they meet with a provider to discuss a summary of their treatment. We are able to review current or potential long-term effects of their treatments and discuss psychosocial, physical or financial concerns providing an array of resources available to them.

We encourage our patients to be proactive with their care and they are provided with a copy of their Survivorship Care Plan.

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As the number of cancer survivors continues to grow, there is a great need for support. Cancer survivors are unique because they have the potential to face a multitude of complications and comorbidities. The medical community should stay updated on the short and long-term needs of cancer survivors as they become integrated back into the primary care setting. We can all do our part by being aware of ways to support cancer survivors as they return to their daily routines at work and school.

The Shepard Cancer Foundation and Vidant Beaufort Hospital came together to host our 3rd-annual Shepard Family Fun Day on May 4. More than 200 people attended to celebrate our cancer survivors and their caregivers. They participated in face painting, arts and crafts, bingo, yoga, massage, a cake walk, dancing, photo booth, raffles and a delicious catered meal. Because of the overwhelming feedback about how much our survivors enjoyed the Fun Day, it will be an annual event to celebrate our cancer survivors. Congratulations to all of you and we will continue to celebrate with you each day!

Nicole Davia, PA-C, and Rebecca Simmons, MSN, RN, AGCNS-BC, OCN, of the Marion L. Shepard Cancer Center, Vidant Beaufort Hospital, can be reached at 252-975-4308. â&#x2013;

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Cancer calendar raises awareness, funds To highlight Breast Cancer Awareness Month, Vidant Beaufort Hospital ramps up cancer events in the fall of each year, offering multiple opportunities to help fundraise for the Marion L. Shepard Cancer Foundation, raise cancer awareness and take part in free cancer screenings. From lunches to screenings to fundraising 5Ks, registration will be available as the events draw closer, and readers can find out more by Vidant Beaufort Hospital on Facebook. For more information about these events, call Jennifer Lewis, Vidant Beaufort Hospital’s Community Health Improvement Coordinator, at 252-975-8850.

“Dinner with a Doc,” featuring Dr. Daniel Richardson of Vidant Breast Clinic Sept. 19, 6 – 8 p.m.

Martelle’s Feed House 3301 U.S. Highway 264, Engelhard Dr. Richardson will share information about breast cancer awareness, signs of breast cancer and awareness. Free. Registration required.

Ride for the Ribbon Sept. 28, 8:30 a.m.

Eastern Radiologist, Inc. Breast Imaging Center 2101 W. Arlington Blvd., Greenville 13th-annual “Ride for the Ribbon” motorcycle ride, a 100-mile, half-day event featuring stops in Greenville, Washington, Kinston and Winterville. Cost is $30, including free T-shirt and poker hand. All net proceeds are donated in Pitt, Beaufort and Lenior counties to support breast cancer screenings, early detection programs and provide assistance to breast cancer patients (men and women) during treatment. First bike out at 9:30 a.m.

Paint the Town Pink Oct. 11, Washington It’s all about awareness — a day to wear pink and decorate your home or business to support breast cancer awareness. Join in this festive opportunity for a great cause!

Darleen’s Flamingo 5K Oct. 12, 9 a.m.

End of Hubs Rec Road, Belhaven, Smithton community Proceeds from the 10th-annual Darleen’s Flamingo 5K will be donated to the Shepard Cancer Foundation in Washington in honor of Darleen Smith, who battled breast cancer and lived by her favorite slogan “you make your own party.” Race course is lined with pink flamingos and water views. Awards will be given for the top three male and female overall, the top three male and female in each group, and the oldest male and female finishers. 5K age groups have awards for 15 and under, 16-19, 20-29, 30-39, 40-49, 5059 and 60-plus. Morning registration begins at 7 a.m. and breakfast will be served after the race. Sign up at runsignup.com/Race/ NC/Belhaven/DarleensFlamingo5K.

“Lunch and Learn,” featuring Dr. Daniel Richardson of Vidant Breast Clinic Oct. 16 Noon to 1 p.m.

Grub Brothers Eatery, Washington Dr. Richardson will share information about breast cancer awareness, signs of breast cancer and awareness. Free. Registration required.

Breast screenings Don’t miss out on these free breast screenings in Washington and Belhaven.

Oct. 26, 9 a.m. to noon Vidant General Surgery 615 E. 12th St., Washington

Oct. 29, 5:30-7:30 p.m.

Vidant Multispecialty Clinic 598 W. Old County Road, Belhaven

Ball-drop Nov. 16, 11 a.m.

Washington-Warren Airport Airport Road, Washington This fundraiser is fun one — purchase a numbered ball and it, and many others, will be dropped by helicopter at the airport. The ball closest to the bullseye wins half the money raised from ball sales. All other proceeds are donated to the Shepard Cancer Foundation, to support the work of the Marion L. Shepard Cancer Center.

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HELPING HAND

MATT DEBNAM | DAILY NEWS Danielle White (left) is the oncology navigator at the Marion L. Shepard Cancer Center in Washington. Her role is to steer cancer patients in the right direction, whether that's to insurance options, transportation to chemotherapy or answering patients' questions about their treatment. Here, White is picture with oncology social worker Judy Humphries.

If they have any questions or things that they want to talk to the doctor about but didn’t ask, sometimes I’ll take that to him; sometimes I’m able to answer those questions without talking to the doctor.

— DANIELLE WHITE

HEALTHYliving

SUMMER 2019

Navigators steer cancer survivors in the right direction

BY VAIL STEWART RUMLEY

T

he cancer journey can be a difficult — full of uphill battles, twists, turns, stops and starts — a road that many travel but for which no map exists.

That’s where Danielle White steps in. White is the one with the map, the one who can direct cancer survivors on their individual journey to the right direction, resources along the way, further assistance and even shortcuts when needed.

That’s why she’s called a navigator.

White is the oncology nurse navigator at the Marion L. Shepard Cancer Center in Washington, and it’s her job to help.

“We have some main goals to eliminate barriers for patients that are diagnosed with cancer,” White said.

Those barriers come in all forms, from a lack of insurance to lack of answers to questions patients forgot to ask, but they tend to fall into four categories: improving care coordination; improving access to care; providing multidisciplinary support; and enhancing patient education and engagement.

What does that mean? According to White, it means making life easier for those faced with the test of cancer.

IMPROVING CARE COORDINATION White said improving care coordination means smoothing the way for treatment. An example, she said, would be someone diagnosed with cancer at Vidant Medical Center but wants to receive their chemo treatment at home in Beaufort County. White teams up with the VMC navigator to get all the relevant information.

“Pretty much, we know them before they walk into the door,” White said.

If a patient has no insurance, White can research the options, including Medicaid and other resources. If a patient lives in Hyde County and needs transportation, transportation can be found.

“We do a lot of transportation help for these patients,” White said.

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IMPROVING ACCESS TO CARE Whether it’s getting appointments locally or in Greenville, part of a navigator’s role is to get patients in to see who they need to see. If a cancer survivor needs a PET scan in Greenville and the next available appointment is three weeks out, White is there to facilitate moving that appointment up.

“It falls along with the coordination — just making sure they are able to get the care they need,” White said PROVIDING MULTIDISCIPLINARY SUPPORT When in the moment of that doctor’s consult, or getting results from tests, sometimes remembering to ask all the questions that need to be asked can be challenging. Patients might be left without answers. Again, this is where the navigator can step in.

“If they have any questions or things that they want to talk to the doctor about but didn’t ask, sometimes I’ll take that to him; sometimes I’m able to answer those questions without talking to the doctor,” White said.

Finding access to home health services, hospice, physical therapy and other disciplines and support systems fall into this realm, as well.

“I work with a lot of community resources to try to better serve them,” White said.

an annual event that celebrates cancer survivors and their families, no matter where they are in their battle, from recent diagnosis to mid-treatment to many years after they've been told they're cancer-free. It also includes explaining other opportunities for cancer patients, and often for their family members, including weekly yoga classes and massage therapy.

As for the education aspect, White’s role is help explain services and processes. While the cancer center has a chemo educator on staff, White can ENHANCING PATIENT also answer questions about treatment.

EDUCATION & ENGAGEMENT “I think in eastern North Carolina, Enhancing engagement encompasses a lot of our patients maybe don’t have the fun stuff, such as Survivors Day, the education or are elderly and don’t

have access to a computer, and they don’t know the resources available to them,” White said. “I just try my best to meet with them and find out how I can help.”

The role of navigator can be lifeline for many cancer survivors in need of a helping hand to navigate the complexities of the disease. Offering the service, and the help, means more patients can get treatment and have access to the resources, right here at home, according to White.

“We want to keep our patients that are living local, here,” White said.

For more information about navigator services, call Danielle White at 252-9758830.■

HEALTHYliving

SUMMER 2019

MEDICAL AND HEALTH DIRECTORY

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GastroenteroloGy Vidant Gastroenterology-Washington 608 East 12th Street, Washington

252-946-1573

www.VidantHealth.com

Home HealtH & Hospice Breast surGery Vidant Breast Clinic - Washington

Vidant Home Health and Hospice 1211 Highland Drive, Washington

1-252-847-2000

www.VidantHealth.com

615 E. 12th Street, Washington, NC

252-946-0181

www.VidantHealth.com

Hospitals cardioloGy Vidant Cardiology

608 E. 12th Street, Washington

252-758-3211

Vidant Beaufort Hospital-Washington 628 East 12th Street, Washington

252-975-4100

www.VidantHealth.com

www.VidantHealth.com

internal medicine Family medicine Vidant Family Medicine–Aurora 151 3rd Street, Aurora

252-322-4021

Vidant Internal Medicine-Washington 1380 Cowell Farm Road, Washington

252-946-2101

www.VidantHealth.com

www.VidantHealth.com

Vidant Multispecialty Clinic - Belhaven & 24/7 Care

mammoGrapHy

598 W. Old County Road, Belhaven

252-943-0600

www.VidantHealth.com/Belhaven

Vidant Family Medicine–Chocowinity 740 Bragaw Lane, Chocowinity

252-946-9562

www.VidantHealth.com

Vidant Family Medicine– Washington 501 West 15th Street, Washington

252-975-2667

www.VidantHealth.com

Eastern Radiologists Washington 630 E. 11th Street, Washington, NC 27889 252-946-2137 easternrad.com Early morning and Saturday Appointments Available for X-ray and Mammography

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MaMMograPhy

NursiNg & rehabilitatioN

Eastern Radiologists Breast Imaging Center 2101 W. Arlington Blvd., Suite 100 Greenville, NC 27834 252-752-5000 easternrad.com M-F 8 am-5 pm, Tues. ‘til 7 pm, Sat. 8 am-4 pm Offering Hologic 3D Mammography ™, 3D™ Breast Biopsy, Breast Ultrasound and MRI All your Breast Imaging needs in one location Rivertrace Nursing & Rehabilitation Center Vidant Women’s Care-Washington

Joyful Healing. Physical, Occupational & Speech Therapy Offered 7 days a week. Specialized Wound Treatment.

250 Lovers Lane, Washington 252-975-1636

1204 Brown Street, Washington

252-974-9204 or 252-946-6544 www.VidantHealth.com Now scheduling 3D Mammography

Massage theraPy

oNcology Marion L. Shepard Cancer Center 1209 Brown Street, Washington

252-975-4308

www.VidantHealth.com

orthoPedics Vidant Orthopedics-Washington 1207 Highland Drive, Washington

252-946-6513

Neurosurgery

www.VidantHealth.com

PaiN MaNageMeNt

Vidant Neurosurgery - Greenville

Vidant Pain Management Center - Greenville

252-847-1550

1-866-910-5222

2325 Stantonsburg Road, Greenville, NC

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2010-A W. Arlington Blvd., Greenville

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SUMMER 2019

Tayloe’s Hospital Pharmacy

Vidant Rheumatology-Washington

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628 East 12th Street, Washington

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sUrgery

PUlmonology Vidant Pulmonology

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rheUmatology

Pharmacy 601 E. 12th Street, Washington

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Vidant General Surgery-Washington 615 E. 12th Street, Washington

252-946-0181

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Urology radiology

Vidant Urology-Washington 1202 Brown Street, Washington

252-946-0136

Eastern Radiologists Washington 630 E. 11th Street, Washington, NC 27889 252-946-2137 easternrad.com Early morning and Sat. Appointments Available

Wellness/Fitness Vidant Wellness Center

1375 Cowell Farm Road, Washington

252-975-4236

Eastern Radiologists Greenville MRI 2101 W. Arlington Blvd., Suite 110 Greenville, NC 27834 252-752-5000 easternrad.com M-F 7 am - 9 pm S/S 8 am - 8 pm

www.VidantHealth.com

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Women’s care Vidant Women’s Care-Washington Gynecology and Primary Care

1204 Brown Street, Washington

Eastern Radiologists Interventional Radiology 2101 W. Arlington Blvd.

Greenville, NC 27834 252-754-5253 easternrad.com M-F 7:45 am - 4 pm

252-946-6544

www.VidantHealth.com

Vidant Women’s Care-Washington Obstetrics and Gynecology

1210 Brown Street, Washington

252-975-1188

www.VidantHealth.com

Being well is for everyone And we bring it to you

Being a true system of care means more than simply providing health care services. It means bringing better health and wellness directly to you. At Vidant Beaufort Hospital our goal isnâ&#x20AC;&#x2122;t just to treat disease, but to prevent it in the first place. From community health-fairs and cancer detection screenings to health education and support groups weâ&#x20AC;&#x2122;re making community wellness our commitment to you. With specialty services like gastroenterology, oncology, orthopedics, outpatient rehabilitation and urology we have the experts to care for you, right here, close to home.

Call toll free 855-MYVIDANT (855-698-4326) to make an appointment.

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