Early detection of cancer can be the next best thing to prevention. There are several widely known risk factors for prostate cancer that may increase the probability of a man to develop prostate cancer. Age, race and family history are the most common today. According to ASCO Cancer.Net, “Prostate cancer that runs in a family, called familial prostate cancer, occurs about 20% of the time.” Sources say that shared genes, similar lifestyles and environments play a role in developing familial prostate cancer. Hereditary prostate cancer accounts for almost 5% of cases. This type of gene mutation is passed down within family generations. A few characteristics for hereditary prostate cancer could include: (more…)
Many online blogs tell us the traditional 4th anniversary gift is flowers or fruit, but at Provision CARES Proton Therapy, we prefer cake! January 20th marks the 4th anniversary of operation for Provision CARES Proton Therapy Knoxville (PCPTK) providing the most innovative cancer treatment in the world, proton therapy.
Dale C. first heard about Provision CARES Proton Therapy through a TV commercial. Not knowing he had cancer, he tucked the words “proton therapy” in the back of his mind, hoping that he would never have to remember them. It was February 2015 when he learned he had prostate cancer. Dale had always been proactive when it came to his health. He said, “my mom always taught me to be proactive.” He went in for regular checkups, yearly physicals, and was well aware of his PSA and gleason score. At his appointment in 2015, all test scores came back normal, but he insisted on a biopsy, just to be sure. Both the doctor and Clayton were shocked, his biopsy came back positive. Dale was diagnosed with low risk, non-aggressive prostate cancer and decided on active surveillance.
Two and a half years later, things started to change. His PSA remained normal but his biopsy showed the cancer had doubled in size. “It’s a miracle we found it,” said Dale. “I believe God placed the right doctors, urologists, and friends around me to help me make an informed treatment decision.” He researched prostate cancer and treatment options, from surgery to brachytherapy to protons, and there were two things that were very significant to his treatment decision process: Cure Rate and Quality of Life.
At Provision CARES Proton Therapy, we are dedicated to providing a safe workplace for our employees and a safe treatment environment for our patients. Just this month, our Provision CARES Cancer Center team in Knoxville received the official Accreditation Certificate issued by ASTRO (“Accreditation Certificate”). To receive this accreditation, the team was required to focus on five pillars of patient care. One of the five pillars of patient care is safety. The team demonstrated and committed to the highest standards of safety through daily processes and procedures. To read more about the Accreditation process and this achievement see our previous blog here. (more…)
Replacing saturated fat with polyunsaturated fat impacts reduce risk of lung cancer
By Casey Coffey MS, RD, LDN
According to recent studies, benefits of polyunsaturated fats have been widely reviewed by looking at the relationship between dietary components of the Mediterranean diet and cancer risk, diabetes, cardiovascular events, and Alzheimer’s disease. Within these studies, the primary conclusion shows correlation between fat intake and risk associated with lung cancer.
This past week’s 1,000th patient celebration culminated a whirlwind week of progress for Provision and its quest to make proton therapy as available and accessible as any other cancer treatment.
PHOTO CAPTION: Recent patient and new Proton Ambassador Gene Ponkauskas (second from the right) was known for wearing his stylish fedora every day. On his graduation day at the completion of his treatment, the clinical staff surprised Gene and wore fedoras in honor of him.
You may recall last week’s video blog featuring Gene Ponkauskas and his patient experience while undergoing proton therapy treatment, especially his love of the Wellness Center here on the Provision campus. He graciously wrote a lovely newsletter article for us to recap his treatment journey. It was such a moving piece, we just had to share it with you. Here it is, in his own words:
As my journey at the Provision Center for Proton Therapy comes to an end and I leave to “carry on” as the saying goes, I go with a heavy heart. Looking back, it is these incredible talented, dedicated, caring, and professional people, all of whom teamed together to make my time with prostate cancer and its treatment a pleasant and most memorable experience. Pleasant and memorable for most are not words one would ordinarily associate with cancer but for me, given the alternatives, they are most fitting. It is remarkable to think that the staff of the Provision Center for Proton Therapy, in their short life together, have grown into this amazing center of hope and restoration to those of us who suffer from one of many forms of cancer.
I first heard the word cancer from my primary care physician at the VA who referred me to the urologist and after a most unpleasant biopsy discovered a problem from a surgical procedure some 50 years ago. This being said, I had limited entry to the one area which I later learned my future therapist would explore on a daily basis throughout my treatments… I’LL JUST SAY, THEIR KINDNESS AND GENTLENESS WAS MOST APPRECIATED.
Once it was confirmed that it was cancer it began with a parade of options which we, who have been there, are all too familiar with. Surgery, radiation, seeds and one urologist even suggested waiting and watching because, “You have a better chance of being hit and killed by a tour bus off the planet of Mars than to die from prostate cancer, and at your age you will most likely die of something else.” Needless to say first, it was cancer and second “at my age”, how dare he; I have a lot of life yet to live.
After exploring the options laid out to me and with the prospect of the peripheral ramifications from diapers, incontinence and impotency, along with a whole host of unpleasant and horrific possibilities, they all were confident they could remove the cancer…BUT!! It was that BUT that lead to my wife’s and my belief that there had to be something else because up to that point we didn’t see any type of outcome that gave us any comfort until we requested a package from Provision Center for Proton Therapy. From that point on I’ll repeat what a pleasant, memorable experience it has been. From our initial consultation with Dr. Marcio Fagundes to the last insertion of my final balloon and last treatment I feel none the worse for wear and, as far as I can tell, all systems remain fully functional.
As I recount my journey, I see the Provision Center as a fine-tuned and well-orchestrated symphony. Initially I saw Dr. Fagundes as the conductor, but have come to believe him to be the instrument in which a much higher power has placed the baton. Let me begin with the brass, and what would a symphony be without brass. The therapists who administered the daily treatments are indeed the players of the brass and they play it well, thanks to a mystery group of instrument technicians who fine tune that brass to each parent’s specific need.
Of course, to keep our full attention, there is plenty of liquid refreshment and each attendee is given a balloon as a remembrance only just to be taken back as you leave their arena. Not that I know of anyone who has asked to keep theirs. Yes, this symphony has brass!! Mellowing the brass are the strings which is the medical team that reads our vitals and a lot more to balance out the sometimes overpowering brass.
Between the rhythm of the brass and the strings there is that one element which keeps everything running on time and in sync, and that is the percussions. Each performance, as we lay motionless, listening to the clunks, whirrs, bells and chimes, this symphony has its own master percussionist. Personally, I’ve heard those sounds, along with a few others that some might think did not belong in the tune I expected to be playing, but I disagree. Let’s just say, hearing a strange sound at a symphony most of the time would not be a good thing.
And finally, harmony, that being the support staff, they always present a supportive staff which blends all the sounds together. This makes the beautiful music of the Provision Center for Proton Therapy for all of us who have had the good fortune to hear. Yes, the Provision Center for Proton Therapy is a Symphony, but no encore for me…………. just PLAY ON, OH YES, PLEASE DO PLAY ON!!!!!!
The Provision Center for Proton Therapy, Tennessee’s first and only proton therapy treatment facility, celebrated the treatment of its 100th patient today. Located in Knoxville on the Dowell Springs medical campus, the first patient was treated back in January with this revolutionary and accurate cancer treatment available at only in a handful of cities in the U.S.
Mr. Marshall Munro from Kingsport, Tennessee, completed his treatments today and gained the designation of patient number 100. Munro completed 40 treatments for prostate cancer. He traveled four hours round trip from his hime in Kingsport to Knoxville for 40 treatments. “That’s 10,000 miles and two oil changes,” joked Munro, “but I’m very happy with my decision and it was definitely worth it.”
Provision’s third treatment room is scheduled to open in early fall. Once the third treatment room opens the Provision Center for Proton Therapy will have the ability to provide life-saving cancer treatment to as many as 90+ patients per day.
“The treatment of our 100th patient is an exciting achievement,” said Mary Lou DuBois, President of Provision Center for Proton Therapy. “We are blessed and honored to provide our community and this region with the most compassionate and effective cancer treatment available today. ”
Former Provision Center for Proton Therapy patient Richard Patton tells his proton therapy story, in his own words . . .
My journey to proton therapy probably started like a lot of people that choose this type of treatment. I did my due diligence and researched all available treatments to try and find the one that I thought would be best for me. I searched the internet, read tons of material and even spoke with other survivors. I even met with a team of doctors at a top University hospital which is rated as one of the top ten cancer treatment centers in the United States. I must say they did have an impressive facility with a large glass fronted building and a lobby/atrium with lavish furnishings. A string quartet was playing in the mezzanine and a pianist was busy on the main floor.
What I soon found out, however, was the doctors there pretty much pushed their own area of expertise which was primarily surgery and rounds of conventional radiation therapy, hormone therapy, etc… I left there for the trip back home feeling sad and alone with thoughts of treatments resulting in wearing adult diapers or being nauseated for weeks on end from radiation therapy….and what about hormone therapy? Would I start growing breasts and shopping uncontrollably? Obviously more research was required. At that point I had pretty much written off proton therapy because I just couldn’t see me spending weeks in a strange place all by myself and going through the treatments too.
Shortly thereafter, a minor miracle happened. My cousin who lives in Knoxville and works in the medical field told my parents about the new Provision Center for Proton Therapy and suggested I consider it for my treatment. I searched the website and discovered the center was located just about a mile from my parent’s home! I liked the idea of a “radiation vacation” but all indications were that it wasn’t scheduled to open until January 2014 and I had been diagnosed in September 2013. I was really disappointed. I didn’t think I could wait that long because like most people I assumed that once you are diagnosed with cancer the next step is to get it out ASAP. But the University surgeon had told me in early October they wouldn’t be able to operate on me until about mid-December as they like to give the prostate time to heal from the biopsy to lessen the chance of possible infection. That was just another month before theProvision Center was scheduled to open, so I thought this just may work out.
I also discovered that prostate cancer can be a slow growing form of cancer and that many people live with it and employ the watchful waiting technique, so I decided another month wouldn’t really make a big difference. Things were starting to come together! I first contacted the Provision Center around the middle of October and spoke with Kathleen Steele and started the process. I received the necessary paper work and Robert J. Marckini’s book, “You Can Beat Prostate Cancer.” I read the book continuously after work and finished it on the second day. I was really getting psyched. I was home for the holidays my parents and I took a tour of the facility. My mother along with the rest of my family were still struggling to come to terms with the fact that my older brother had just passed away suddenly a week earlier. My family was encouraged by the center and were all very hopeful that I would get better.
I came home for a couple of weeks around Christmas and during the first week I had my preliminary work done such as the MRI and placing of the fiducial markers. I joked with the family that no one could say I was worthless anymore because with the gold markers and a gold filling in one of my teeth I was at least worth a few bucks. Looking back I would say that the preliminary work was probably the worst part of the whole experience. I will never forget the kindness that was extended to me by the people at the center. I especially remember Rebecca Thomas, Nurse Manager, holding my hand for the marker placement. That small act of kindness still stands out in my mind. I found out that Zach Dutton, Radiation Therapist, has “the hands of an angel.” I really liked the staff and looked forward to seeing them despite the circumstances. We had a few laughs too, like the time the gown I was given one day looked like it was made for a child and the therapists really liked my “mini-skirt.” One of the girls said she had seen me in a gown so often she probably wouldn’t recognize me if we met on the street. I really miss everyone at Provision and I truly feel like I left a part of myself there too.
I am beginning to miss East Tennessee after being home for so long and I am looking to finding work there. Don’t be surprised if you see me around the water cooler one day. Provision is a place with such great people who really make a difference. I will definitely return for a visit one way or another. My health condition is improving each week and the “plumbing” is working pretty well so I hope to be back to normal soon. I can honestly say that my time with Provision was a life changing experience and I think about it every day. When I think about the day I walked out of my last treatment and everyone was there waiting for me and applauding, I get choked up every time. The real applause belongs to the staff at Provision Center for Proton Therapy and the fine work they do there. I am eternally grateful.
Mr. Patton’s story does not end here . . . look for Part 2 of his inspirational story next week.
Elizabeth Vanzo is the Hospitality Manager at Provision Center for Proton Therapy.
With less than 50 proton therapy centers in the world, Provision Center for Proton Therapy in Knoxville, Tennessee, serves as local, national and international host to patients from all corners of the globe that need proton therapy. Provision takes special care of all patients through our Culture of Care initiatives that respect the dignity of every person. We work diligently to know the needs of our patients and make their stay as comfortable as possible. We know that patients who make Knoxville their home away from home during treatment have different needs than those who are local. Provision has continued to grow in the number and diversity of patients we treat, not just in disease site, but also in nationality!
We are privileged to treat our very first international patient in this month! We welcome all nationalities and cultures to the Provision Center for Proton Therapy, as the Knoxville community is an “International Ready” community, and can provide full support of our patient’s experience. Understanding the needs of our international patients and exceeding their expectations is our distinguishing feature among other medical providers. We place great value on the patient experience and we are ready to serve the needs of all patients.
Nancy Howard is Vice President of Patient Services and the Scott Hamilton CARES Foundation.