Survivorship Starts Day One
No doubt cancer is an ugly word. While you have a treatment team to manage your disease, who is going to be there to take care of the rest of you? The Center for Integrative Oncology and Survivorship (CIOS) offers a holistic approach to you, the person. The integrative therapies are developed to compliment and augment your doctor’s focus on your disease.
From the time of your diagnosis, you are understood by the team at CIOS as a survivor. We are dedicated to assisting you and your caregiver team with what is a new reality; living your best life with a cancer diagnosis.
Within CIOS, the Center for Cancer Prevention and Wellness (CCPW) is creating a program with the hope of extending our reach to the community we serve. The mission is to spread the word regarding the fact that the majority of cancers are preventable with lifestyle modifications. Public outreach is to be combined with clinical research evaluating techniques for detecting cancer at its earliest and potentially most treatable stage.
There are a variety of services offered at CIOS. An initial referral may start with an “Integrative Oncology” visit with an oncology nurse practitioner to answer questions on integrative therapies and identify what services may help you during this time. The nurse practitioner will not only address your physical needs, but your emotional and social needs as well. You will be educated on long-term side effects of treatment and national guideline recommendations for cancer screenings.
The center is designed to empower patients to navigate through the cancer experience with the goal of producing the best quality of life possible. To schedule a visit, have your provider refer you, or for more information, call (864) 455-1364.
Many women experience sexual health issues during or after their cancer treatment. These issues may include vaginal dryness, vaginal pain, pain with intercourse, decreased desire, decreased arousal, inability to climax, or body image concerns.
That’s why a sexual health evaluation (SHE visit) is offered to all female cancer survivors at the Cancer Institute. (This visit is not mandatory.)
A SHE visit involves discussing and assessing your concerns about your sexual health as a result of a cancer diagnosis or treatment. A nurse and nurse practitioner will meet with you to address your specific issues.
For more information or to schedule a visit, call Nurse Navigator Stephanie Hoopes, RN, BSN, OCN, HNB-BC, at (864) 455-5219. Offices are located at the GHS Cancer Institute, 900 W. Faris Road, 1st floor.
Note: An office visit charge or a co-pay may apply.
Complementary therapies, in concert with traditional therapies, provide holistic, patient-centered care encompassing mind, body and spirit.
CIOS endorses acupuncture in clinical research trials at the GHS Cancer Institute and by referrals to Integrative Health Partners. Cancer survivors are eligible for a free 15-minute consultation with Dr. William Hendry, DAOM, to learn more about acupuncture/oriental medicine. Call (864) 365-6156 to schedule your free consultation.
Systematic manipulation of muscles and connective tissues that improves blood flow to the heart and lymph flow throughout the body. Massage therapy is provided by a certified oncology-trained massage therapist. To schedule an appointment or for additional information, call (864) 455-4231.
Evidenced-based music therapy strategies, individualized to the needs of acutely ill patients, have been shown to decrease anxiety, decrease pain perception, increase general overall well being, and provide avenues for patients undergoing cancer treatment to voice their concerns, and connect more deeply with their loved ones.
Nutrition counseling is provided by a registered and licensed dietitian/nutritionist (RD, LD) with years of oncology experience to help you maintain and enhance nutritional status across the continuum of care.
QuitSmart Smoking Cessation Program
QuitSmart nurse practitioners (NPs) at CIOS will manage medications for smoking cessation and work with your GHS network of care. Smoking cessation is associated with many health benefits including a reduced risk of lung cancer, coronary heart disease, stroke, and other respiratory symptoms like coughing and wheezing. For more information, please call (864) 455-5219.
Cancer Support Community
CIOS is pleased to integrate the evidence-based programs and services of Cancer Support Community (CSC), a leader in psychosocial oncology, into our cancer care delivery model. GHS Cancer Institute is proud to have been the first hospital to partner with CSC in June of 2012. The mission of CSC perfectly complements that of GHS to ensure that all people impacted by cancer are empowered by knowledge, strengthened by action and sustained by community.
Lifetime Clinics offer a new model of long-term follow-up care for cancer survivors. Here, they receive periodic surveillance tests according to the national guidelines for their type of cancer and are monitored for new cancer.
Additional services include:
- Screening for delayed toxicities and management of long term effects from treatments
- Specialty referrals (if needed) for post treatment issues
- Orders and coordinates recommended follow-up tests for each particular cancer and treatment based on national guidelines
- Assessment and recommendations for healthy life style modifications regarding nutrition and exercise
- Screening recommendations and counseling to minimize risk of second independent cancers
- Cancer prevention counseling including risk reduction for environmental risk factors
- Cancer genetic testing and cancer genomics referrals as appropriate based on latest research recommendations
- Survivorship research opportunities as available (quality of life, integrative therapies)
Adult Lifetime Clinic
Patients must be in the third stage of survivorship, which means they have completed therapeutic treatments (surgery, chemotherapy, radiation) but still may be on hormonal therapy and have no evidence of active cancer.
Gynecologic Oncology Lifetime Clinic
This clinic includes all curable women’s primary cancers (ovarian, uterine and cervical). Survivors are provided follow-up gynecologic exams and offered help regarding issues specific to the treatment of these cancers.
Adolescent and Young Adult Lifetime Clinic
As with the other lifetime clinics, patients must have completed therapeutic treatments. This clinic provides care for two populations:
- Survivors diagnosed and treated between the ages of 15-39
- Survivors treated for childhood cancers who are currently adults between the ages of 15-39
While managing patients the Nurse Practitioner will follow national guidelines tailored to the patient’s age, diagnosis, and treatment received.
Learn more about Lifetime Clinics by listening to the podcast below.
Lung cancer is the leading cause of cancer deaths in the United States and worldwide. Approximately 85% of lung cancer occurs in current or former tobacco smokers.
Screening examinations are tests performed to find disease before symptoms begin. Current recommendations for lung cancer screening are based on risk factors for lung cancer. Lung cancer risk factors include: smoking tobacco; exposure to radon, asbestos or other cancer-causing agents; family history of lung cancer; personal history of a smoking related cancer; certain chronic lung diseases.
Individuals at an increased risk of developing lung cancer should meet the following criteria:
- 55-77 years old with 30 pack years smoking history*
- Current smoker or one who has quit within the last 15 years
- No symptoms of lung cancer and willing and able to undergo treatment if necessary
*To calculate pack years multiply years smoked x average packs/day smoked
Potential Screening Benefits: Effective research proven screening exam; early diagnosis which can lead to improved outcomes; non-invasive testing; decreased radiation exposure.
Potential Screening Risks: False positive test results; false negative test results; finding late-stage cancer; overtreatment including additional tests or procedures; radiation exposure.
Computed tomography (CT) scanning combines special x-ray equipment with sophisticated computers to produce pictures of the inside of the body. Low-dose CT (LDCT) scans produce images of sufficient quality to detect many lung diseases or abnormalities but use up to 70% less radiation than a regular CT scan. The scan is normally performed while lying on your back on a table. No IV or oral contrast medications are required for LDCTs.
Below are current statistics of findings through the CIOS Lung Cancer Screening program
Lung Cancer Alliance
The Cancer Institute’s Center for Integrative Oncology and Survivorship of Greenville Health System has been named a Screening Center of Excellence by the Lung Cancer Alliance (LCA) for its ongoing commitment to responsible lung cancer screening. This center is one of five in the state of South Carolina and of the 250 nationally recognized sites.
Schedule Your Screening
Call 1-844-GHS-DOCS (447-3627) to schedule your screening appointment today.
Philanthropy and Partnership
CIOS is advancing cancer care through donor gifts and partnerships. The Office of Philanthropy & Partnership, the philanthropic arm of Greenville Health System, seeks gifts of time, talent and treasure from the community.
The gift of your time is invaluable. We depend on volunteers to help us deliver an all around positive patient experience.
The information and resources below are tools for your journey through survivorship.
- ACS Survivorship
- American Society of Clinical Oncology
- American Cancer Society
- ASCO Survivorship
- Cancer Support Community
- National Cancer Institute
- Leukemia Lymphoma Society
- NCI Survivorship
- Diarrhea Nutrition Therapy
- Dry Mouth Nutrition Therapy
- Low-Fiber Nutrition Therapy
- High Calorie & Protein Therapy
- Caregivers Toolkit (Spanish)
- Livestrong Survivorship
- Survive and Thrive Resource Directory
- CDC Survivorship
- MD Anderson Survivorship
- Society for Integrative Oncology
- Calcium Content of Foods List
- Vegan Sources of Calcium
- Getting your Vitamin D
- How to Stay Healthy
- Weight Watchers Free Food List
- Adopting a Plant-based Diet
- Sugar and its Role in Cancer
Walking Inspired Seniors (WISE) Audiobook Study
To encourage physical activity among cancer survivors, the CIOS department is hosting a study to consider how the use of audiobooks affects participants in meeting their step goals. After a seven day pre-assessment, participants will wear a Fitbit for 12 weeks. There will be two groups for the study – one walking group and one audiobook group, which will receive audiobook instructions and recommendations to listen to as they participate in physical activity over the course of the study. Participants in both groups will receive a Fitbit along with a physical activity educational session where goals for physical activity will be set based on the pre-assessment. Data will be collected on the number of steps taken daily, along with height and weight during in the pre-assessment and post-assessment.
- Have recently completed cancer treatment (≤ 3 years)
- Not currently physically active (< 60 minutes of moderate-intensity physical activity a week)
- Able to walk unassisted
- Has access to or ability to go to a library
- Able to hear audiobooks and has good vision
Assessment of Body Composition During and Post Cancer Treatment Using the SOZO Device
CIOS is conducting two research studies to assess how body composition changes during a cancer patient’s treatment and post-treatment. Body composition will be measured via the SOZO device which estimates fluid status (total body water, extracellular fluid, intercellular fluid), total body composition (fat free mass, fat mass, % of weight), metabolic report (active tissue mass, extracellular mass, basal metabolic rate), skeletal muscle mass, phase angle, BMI, Weight, and Hydration index analysis. SOZO measurements will be compared with DEXA scan results as well as other study measurements to determine the effectiveness of the device.
- BMI less than or equal to 40 or body weight of less than 300 pounds
- Received cancer diagnosis within 45 days (During Treatment Study) or completed chemotherapy within 6 months (Post-Treatment Study)
- Cancer stage I-III
- Chemotherapy, immunotherapy or radiation have not been initiated (During Treatment Study) or planned chemotherapy treatment not to exceed 6 months (Post-Treatment Study)
- Cardiac pacemakers or defibrillators
- Any acute swelling condition diagnosed or actively being treated with 30 days of screening
- Basal cell carcinoma or squamous cell skin cancer
- Planned breast implant or orthopedic implant surgery
- Plan for breast expanders post-mastectomy