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ONCOLOGY UPDATE in South Florida ...ONCOLOGY UPDATE in South Florida



                                      Memorial Healthcare System Making Strides in Research,

                                                 Community Outreach, and Patient Experience


        New Research                         and Cancer, a data clearinghouse. Yet, it is   tricity. This has enabled them
        Partnership with Moffitt             nearly 100% preventable.             to train healthcare profession-
        Cancer Center                          In an effort to reduce the number of   als in Haiti to screen in any
          A year and half after first coming togeth-  deaths, two Memorial Healthcare System   rural or urban setting, and
        er in a clinical partnership that has   physicians founded Primary Care Haiti, a   make way for treatment that
        enhanced care for leukemia and lym-  501 (c)(3) organization that provides con-  enables the health centers to
        phoma patients in South Florida, Tampa-  tinuing medical education to healthcare   develop a sustainable pro-
        based Moffitt Cancer Center and Memorial   professionals in Haiti.        gram.
        Healthcare System have taken their rela-  “Our initial focus was on the early   “Next steps for our organi-
        tionship to a whole new level. In    detection and treatment of cervical pre-  zation include combining the
        November 2018, both institutions extend-  cancer, which is caused by the HPV virus   screen and treat program with
        ed their partnership to include research,   and is easily detectable using a pap smear,”   point of care HPV testing, col-
        giving patients access to Moffitt trials   said Primary Care Haiti Co-founder   laborating with other non-  Patrick T. Ryan, Robert Parker, John Brown and Vedner
        while receiving care at Memorial Hospital   Jennifer Goldman, D.O., a board-certified   profit organizations in Haiti,   Guerrier with the Guardian of Excellence Award
        West in Pembroke Pines, the facility where   family physician and medical director at   and working with pharma-
        Moffitt’s Malignant Hematology and   South Broward Community Health       ceutical companies to bring
        Cellular Therapy program resides.    Services, Memorial’s primary care    the HPV vaccine to the island
          The portfolio of trials is extensive,   provider. “Unfortunately, pap smears are   to prevent further incidence
        according to Candice Sareli, M.D., chief   resource intensive and logistically difficult   of cervical cancer,” said Dr.
        medical research officer at Memorial   in Haiti.”                         Kissinger Goldman.
        Healthcare System’s Office of Human    In addition to the equipment needed for
        Research. “Moffitt is a National Cancer   each test, a pathologist is needed to read   Memorial Cancer
        Institute (NCI) accredited site and they do   each sample individually. With very few   Institute Wins 2018
        a large amount of investigator initiated and   pathologists in Haiti, getting these slides   Guardian of Excellence
        translational (bench to bedside) research.   read was challenging. To overcome the   Award                      Memorial Hospital West
        This is a major benefit for patients in   logistical hurdles, the group partnered   Memorial  Healthcare                Press Ganey. “They are truly
        South Florida.”                      with the Institute Haitien D’Oncologie, the   System’s Memorial Cancer             dedicated to delivering excep-
          The Moffitt program at Memorial    Haitian Institute of Oncology, and started   Institute  and  Memorial              tional care in the communi-
        Hospital West is led by Hugo Fernandez,   training local Haitian healthcare providers   Physician  Group  have          ties they serve, and their com-
        M.D., and provides services of malignant   on how to conduct the pap smears. During   received the 2018 Guardian        mitment to capturing and act-
        hematology therapy and blood and mar-  initial training sessions, Primary Care   of Excellence Award® from              ing on patient experience
        row transplant, as well as those related to   Haiti had more than 600 patients seek   Press Ganey for providing an      feedback is a very powerful
        molecular diagnostics, personalized medi-  diagnostic services.           exceptional patient experi-                   demonstration of this.”
        cine, and hematopathology. In less than   “In our quest for high quality, low cost,   ence. The award honors top-         Presented annually, the
        two years, the program has conducted   highly sensitive screening tests for cervical   performing healthcare organi-    Press Ganey Guardian of
        more than 100 bone and marrow trans-  cancer, we then turned to the World   zations who have reached the                Excellence Award is recog-
        plants from both autologous (self) and   Health Organization for screen and treat   95th percentile for patient         nized nationally as a symbol
        allogenic (related or unrelated) donors.    programs for low resource countries,” said   experience, engagement or      of achievement in health care.
                                             Kissinger Goldman, D.O., MBA, a board-  clinical quality performance.
        Memorial Healthcare System           certified emergency physician at Memorial   Recipients have sustained   Dr. Hugo Fernandez  The award underscores inno-
        Physicians Answer Haiti’s Call       Hospital West and the director of patient   performance in the top 5% for           vative approaches to physical
                                                                                                                                 medicine that makes it possi-
          Cervical cancer is the most common   experience for Memorial Healthcare   each reporting period for the award year.    ble for health administrators to lower costs
        cancer for Haitian women, and the second   System’s emergency departments.   "We are proud to partner with Memorial   while achieving better outcomes, increas-
        leading cause of cancer deaths among that   Primary Care Haiti was able to secure   Cancer Institute to support their mission   ing patient satisfaction, and improving the
        group, according to the Institut Català   medical devices that were portable and   to provide safe, high-quality, patient-cen-  work life of health care providers.
        d’Oncologia Information Centre on HPV   would work in areas with little or no elec-  tered care,” said Patrick T. Ryan, CEO of




                                          Lung Screenings Key to Cancer Survival



          Plenty has changed since                      Thoracic Oncology for    for detection.                       ing people from getting lung cancer
        1957 when Surgeon General                       Broward Health, has been a   “In later stages, patients may present   screenings is a lack of education, yet he
        Leroy E. Burney and the U.S.                    thoracic surgeon for 25   weight loss, wheezing and hemoptysis or   remains optimistic.
        Public Health Service recog-                    years, and is passionate   coughing blood,” said Tishko. “By then   “If we have been able to convince peo-
        nized the link between smok-                    about treating and prevent-  the disease has probably spread beyond   ple to get mammographies and colono-
        ing and lung cancer.                            ing lung cancer. According   the lungs, making it harder to treat. Early   scopies,” said Tishko, “we can certainly
          Although great strides have                   to Tishko, even though   detection can significantly lower the   explain the importance of a CT scan to
        been taken to educate on the                    smoking is still the most   chance of dying from lung cancer.”    detect lung cancer.”
        community on the risks of                       significant risk factor for   A low dose CT scan of the thoracic   The Centers for Disease Control and
        smoking, it is still the number                 lung cancer, recent years   area is all that is needed to screen for   Prevention (CDC) recommends people
        one cause for lung cancer and                   have seen an increase in   lung cancer. It does not require needles   between the ages of 55 and 80 who
        lung cancer is a major health                   patients who do not      or infusion and only minimal exposure   smoke or have quit smoking within the
        concern.                                        smoke.                   to radiation.                        last 15 years and have a history of heavy
          Responsible for more deaths   Dr. Dennis Tishko   “Sadly, lung cancer    “A study published by the National   smoking to request a yearly lung cancer
        than breast, ovarian, uterine,                  accounts for five times   Institute of Health shows that the all-  screening.
        colon, prostate and brain cancers com-  more deaths than breast cancer,” said   cause mortality, or deaths due to any fac-  The first step to getting a lung cancer
        bined, lung cancer is reported to account   Tishko. “But we do not talk about it reg-  tor, is reduced by seven percent when the   screening is to schedule a physician eval-
        for 25 percent of all cancer deaths. An   ularly and 95 percent of the population is   scan is performed,” said Tishko. “As an   uation.
        estimated 154,000 Americans are expect-  not being screened for the disease.”   added benefit, as we capture other
        ed to die from the disease this year,   Not only does lung cancer present a   organs, we can detect other conditions
        according to the American Cancer     high prevalence rate, it also shows no   that would have remained otherwise   To find a Broward Health physician, visit
        Association.                         significant symptoms until later stages,   unknown.”                            www.browardhealth.org/physicians.
          Dennis Tishko, M.D., Director of   making early screenings the main source   For Tishko, the main obstacle prevent-




         22                       January 2019                                                           southfloridahospitalnews.com                                                                       South Florida Hospital News
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