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What happens after your doctor says, "You have cancer?"

Patients are often confused about steps following a diagnosis. So CRMC added a cancer resource center.

By Michelle Dynes
mdynes@wyomingnews.com


CHEYENNE - Cancer patients will have a new resource for information next Monday.

Cheyenne Regional Medical Center and the Wyoming chapter of the Susan G. Komen for the Cure Foundation created a resource library and boutique to assist patients, families and caretakers after a doctor says, "You have cancer."

The diagnosis is overwhelming, said Leonard Geringer, manager for radiation therapy at CRMC and co--chair for the 2008 Komen Wyoming Race for the Cure. He added that it's often difficult for patients to find credible information. But the next steps are crucial.

Patients must select a treatment option, whether it is surgery, radiation therapy, chemotherapy or a combination of treatments. Women with breast cancer who have chosen surgery must decide between a lumpectomy and a mastectomy.

Geringer said the goal for the resource center is to give patients a place to begin. The idea isn't anything new. Hospitals across the country host similar offices, sometimes within a larger comprehensive cancer care center, where patients also can get radiation therapy and visit with medical oncologists.

Cheyenne's boutique features free wigs, scarves, hats and turbans for those undergoing cancer treatments. The resource library contains books on a variety of cancers, computers and a breast health navigator to help with the search.

Geringer said breast, prostate and lung cancer are the most common forms of the disease within his department. He added that hiring a breast cancer specialist is a good place to start. Two grants from the Komen Foundation paid for the library and the staff position.

Dani Best said her role as navigator is to explain the process. While eight out of 10 patients will discover that their suspicious lumps are not cancerous, they may still have questions about a biopsy or other medical test. She coordinates a continuum of care between physicians, radiologists and other providers. She also helps patients locate financial assistance and counseling.

"I think what many patients appreciate is the support of another person, to have a woman by their side as they go through the process, whether (the tumor) is benign or not," Best said.

Carol Green agrees.

She said she would have benefited from similar assistance when she was diagnosed with breast cancer eight years ago. She sat on the floor of bookstores, pouring through volumes to learn more about the disease. And while her family members were supportive, they didn't know how to describe an upcoming procedure or test.

"When I went through it, no one was there," Green said. "Dani goes (to doctor's visits) with patients. (The resource center) is a tremendous thing for cancer patients."




Reader Comments

not always the case wrote on Aug 4, 2008 2:24 PM:

" In some cases, if you do have insurance, they take advantage of you and use you as a guniea pig and try all sorts of tests and unnecessary BS. Insurance is a blessing, but not always a cure. Every person deserves the right to proper and immediate health care, regardless of age, color, gender or insurance. I am sure there are cures out there, but where would Drs. and medical health be if we were all well. Once again, it boils down to greed. "

Cancer Treatment wrote on Aug 4, 2008 8:28 AM:

" When you have cancer you naturally look for care close to home. With many excellent facilities in parts of Wyoming and Colorado, Wyoming citizens hope to have an advantage. That advantage fails when your insurance or Medicare or Medicaid won't authorize the treatment recommended by your doctor. Is there a drug that is needed but it's used off-lable, is there a procedure but the insurance company won't authorize it, with all the money that is in the system poured in by premiums paid so that in the event of cancer or a similar event you might have a chance or a family member might have the chance to live, do we really want the rug pulled out from under us by an insurance company. Didn't you pay money to have coverage? Don't think that it won't happen to you. It can and does everyday. Do you did to go to a national renown facility to commence treatment under a protocol for your cancer, do you want the best doctors to diagnosis your condition. Can you get authorization to treatment outside of your network? These are the choice made everydayandnotbyyou. "

Lazlo wrote on Aug 3, 2008 11:13 AM:

" Having Health Insurance doesn't guarentee that you will be treated anymore. Most people don't even know they have cancer until it's too late thanks to Co-payments, or denial of coverage. Insurance is a joke. Being healthy in the United States is a joke. "

Cali-Runner wrote on Aug 3, 2008 10:27 AM:

" I think this is such a great addition to CRMC!! Information is power and the more informed decisions you can make...the better! "

Mom of a Cancer affected child wrote on Aug 3, 2008 7:43 AM:

" Many people respond differently to Cancer. Espically the ones that love them the most. My son had cancer, one surgery to the next, the not knowing, espically for the one that has the Cancer. One must fight and pray that one will get rid of it, and they will not suffer, not only the one that has it also the loved ones. My Son hopefully had got rid of it, for the sake of his two young children, he is a sole single parent, and the love of their life and mine. Please call and look for answers, there is lot of places to call and read on the internet for information, the more i read, i cried, the more i learned, i became positive, and the more i prayed, God listened and blesses our lives with my Son's life. "

To GOM wrote on Aug 1, 2008 3:37 PM:

" I think what you are really saying is that you can't get medical treatment because you don't have health insurance. Every American should have the dignity of having health insurance. And those who have health insurance should have assurances that their bills will be paid. Those statements leave many American short with not having any guarantees of treatment at the facility of their choice, not having paid travel to a Cancer Treatment center, not have insurance or not having insurance that will authorize the treatment recommended by your doctor. "

TO GOM wrote on Aug 1, 2008 10:23 AM:

" Diagnosed by yourself? I think you just have serious mental problems and like to cut yourself. Go ahead, maybe one time you will slip and hit a major vein and we wont have to listen to your stupid comments. You are either very young or old and lonely and need attention badly.Your comments are childish and the lengths you go to to prove yourself incompenent are hilarious. "

To Grizzeled Old Man wrote on Aug 1, 2008 8:44 AM:

" I guess if that's how you want to handle it, by all means. *rolls eyes* After all it's your life right? I lost my Mom to cancer in 2004. My Dad had cancer, my nephew, My brother, My Grandmother and each time the response is the same. "Dangit" There is treatment out there but it's hard to know what is right anymore. With no affordable health insurance you are doomed. If I got it I would probably deal with it on a daily basis. Probably no treatment because of the fact that my husband is self employed and I work for him and we can't get insurance at a reasonable price and we can't get medicade because he makes too much. (NO I don't want to go on medicade!) People who find out they have cancer, it's important to stay positive and fight. Keep the stress out and take care of yourself the very best you can. Rely on your family and friends. I hate Cancer too. I pray for all who have it and hope one day soon they finally find a true cure. "

Nurse Hatchet wrote on Jul 31, 2008 8:12 PM:

" Sounds to me Grizzeled ole Man needs a nurse, he'll just get an infection. I hate that big word C just keep seeing your doctors and take your medicine. Canada seems like a great idea but who's gonna afford the passport, just go to calfornia. "

To Mike Valenta wrote on Jul 31, 2008 1:47 PM:

" Good for you to continue the good fight. Keep positive, I think it is one of the most important things. My family has had a very long history of various cancers. Your attitude has a lot to do with your recovery/remission! Keep it up and Good Luck!! "

Angie in SC wrote on Jul 31, 2008 10:31 AM:

" It's a sad day when people comment so negatively about a wonderful resource for those diagnosed with cancer.
I lost my beloved mother to lung cancer in April of 2007. A day doesn't go by that I don't wish I could do to lung cancer what it did to her.
My goal now is to advocate for lung cancer awareness and make others aware of the dismal lack of research funding it receives.
So, to Grizzeled Old Man and James Williams, while you appear to have a great deal of time on your hands, please consider contacting you state senators to support the Lung Cancer Mortality Reduction Act - S.3187 at http://capwiz.com/lungcanceralliance/home/ "

CANCER SURVIVOR wrote on Jul 31, 2008 8:44 AM:

" GOM needs to find an outlet.
Good post Mike. People need to do all the screenings and tests available which allow Doctors to detect cancer. If you or a loved one is diagnosed, learn as much as you can and trust your doctors and nurses.
Jim, move to Canada now and avoid the rush. Ignorance is more easily cured than cancer. "

NRC wrote on Jul 30, 2008 11:18 AM:

" Grizzeled, you just showed your intellegence. I just found out I have breast cancer. You're an idiot, and your comment makes me sick. How dare you! "

TO Grizzled wrote on Jul 30, 2008 11:09 AM:

" Well, well, isn't that something special. Ignorance and alcoholism..makes interesting decisions.
Personally I think you are full of beans and just say dumb stuff to humor others. "

James Williams wrote on Jul 30, 2008 11:05 AM:

" If I found out, I'd just plan to die and get my affairs in order. These days in America it's either move to Canada or get left behind during a medical crisis by insurance that won't pay the bill. "

life goes on wrote on Jul 30, 2008 8:55 AM:

" Dani Best RN is one of the most talented and compassionate registered nurses CRMC has been privileged to have on their staff. It is about time they put her exceptional skills back to good use with direct patient contact. "

Mike Valenta wrote on Jul 30, 2008 8:16 AM:

" Been there. Survived. Now I have another tumor. Surgery will be soon. There is a lot to think about and do before having surgery. The best thing a person can have is a good support mechanism, within reach. This community is not that friendly towards those with disabilities and medical problems.

This looks to be a change in a positive direction and long overdue.

The more educated I was going into surgery, the more relaxed I was laying on the table.

I encourage everyone going to battle with cancer to ask as many questions as possible. If your provider seems like the questioning is annoying or does not answer the question with confidence, seek another provider.

The caregiver must CARE about each patient at the highest reasonable level.

Good luck to those who must fight. If you want to talk, I can listen. "

Grizzeled Old Man wrote on Jul 30, 2008 7:26 AM:

" I don't trust doctors. I've had skin cancer on several occasions (by my own diagnosis), and I just cut it off with a hunting knife. I don't need some pill pushin doctor telling me my business. I'll just cozy up next to a space heater and sip bourbon until I feel better...or cut off the skin cancer with a sharp knife. "

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