Surviving Well: Lisa, Breast Cancer

Lisa Pevauteaux is a successful woman. She owns three dance studios, has two beautiful children and is a breast cancer survivor.

In 2000, Lisa had genetic testing and found that she had the BRCA 1 gene, which is linked to hereditary breast cancer.

“I was still pretty young when I found out I had the gene,” Lisa said. “I knew that my chances of getting breast cancer were much higher, but I didn’t think it would happen to me, and if it did, I didn’t think it would be until I was much older.”

Lisa and her husband knew that they wanted children. Her OB/GYN encouraged them to have their family sooner rather than later, and recommended that she be closely screened for the next couple of years and then look at more preventative measures after she was done having children.

In March of 2007, Lisa was pregnant with her second child. She’d had a mammogram only six months prior that came back clean when she went to her obstetrician, Dr. Samantha Patwardhan for her eight week appointment.  During that appointment, Dr. Patwardhan discovered a lump in Lisa’s breast.

“It was very small, less than 1 cm,” Lisa said. “It was amazing that my doctor even found it. I believe that appointment saved my life. If she hadn’t checked, who knows what would have happened?”

Lisa says that at first, she fell apart, but then knew she had to take the bull by the horns to save both her and her unborn child. She visited three oncologists, the first who told her that the pregnancy would have to be terminated for the cancer to be taken care of.

“I couldn’t accept that,” said Lisa. “So I went to see someone else for another opinion.”

She saw two more doctors and then chose one who recommended that once Lisa reached her second trimester, she have surgery to remove the lump then begin part of her chemotherapy treatments.

“There are a lot of studies of breast cancer patients that show that babies who were in the womb during chemo are fine after they are born.” she said. “I decided that was the route I wanted to take.”

Lisa underwent a mastectomy with surgeon Dr. Stephanie Miller and then began her chemotherapy treatments. She said she was lucky and didn’t suffer from many side effects.

“I really didn’t notice any side effects from the treatments,” she said. “My doctor told me that exercise was important and so I went and worked out every single day. I did some acupuncture and massage therapy as well. I think taking little preventative maintenance measures like that really helped.”

In October of 2007, Lisa gave birth to a healthy baby boy. Three weeks later, she started her next round of chemotherapy.

Today, Lisa is celebrating five years of being cancer free and enjoying life with her husband and two boys. She says that for someone facing a diagnosis, especially in a situation like hers, it’s important to be proactive and ask questions.

Lisa Pevateaux“If I had just accepted what the first doctor said, I wouldn’t have my son today,” Lisa said. “Go out and get that second opinion, research your doctors and ask a lot of questions. Surgically, there were a lot of different things we could do. I chose doctors who were willing to fight for me and fight for my baby.”

The Rose “Surviving Well” calendar is a 12-month calendar highlighting our cancer services, physicians and inspirational stories from our patients. Lisa is our survivor for June. 

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Surviving Well: Sandy, Skin Cancer

As a Colorado native, Sandy Melnick loves spending time outdoors.Image

“I’ve always been very athletic,” she said. “My favorite sport is golf, and I also skied and played tennis. I grew up in sun. Back then, no one realized how bad it could be for you.”

About 10 years ago, Sandy noticed some odd markings on her leg. She was concerned, and went to see her dermatologist, who diagnosed her with squamous cell carcinoma, a type of skin cancer.

Her primary dermatologist was able to treat her until the cancer spots started to become more complicated. Then, her doctor referred her to Dr. Karen Johnson, a skin cancer specialist.

“Dr. Johnson is great,” Sandy said. “She is so skilled at what she does and is really good about making you feel comfortable and at ease when you come to see her.”

Over the past several years, Sandy has had to undergo multiple Mohs micrographic surgeries to remove cancerous spots. The Mohs procedure removes the cancerous cells from the skin followed by a detailed mapping of the surrounding area. It pinpoints the cancer’s location and helps to protect the surrounding healthy tissue as much as possible.

“When you have the Mohs procedure, they remove layers of the skin and the cancer,” Sandy explains. “Then, you go and wait while they check the margins. If they don’t get enough, they go and remove a little bit more.”

Today, Sandy is vigilant with her skin checks and doctors appointments.

Image“I’m very good about doing regular body checks to make sure that I don’t have any new growths,” Sandy said. “As soon as I find one, I go in to see Dr. Johnson. Because we can usually catch it pretty fast, it makes the treatment process a little easier.”

Sandy says that she wishes she had known when she was younger how important sun protection is, and that now she takes precautions to stay out of the sun and wears sunscreen or longs sleeves and pants when she does go outdoors.

“It’s so important to use sunscreen and keep yourself covered up,” she said. “There are so many tools out there that are easy to use for prevention that I wish people were more aware of.”

Sandy also recommends regular checkups with a dermatologist.

“If you are exposed to the sun at all, which most Coloradoans are, it’s so important to go in for skin checks,” Sandy commented. “Find a dermatologist with a good reputation who can make recommendations on how often you need to have them done and knows what they should be looking for.”

Sandy

The Rose “Surviving Well” calendar is a 12-month calendar highlighting our cancer services, physicians and inspirational stories from our patients. Sandy is our survivor for May.

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Introducing the DAISY Award at Rose

This week, Rose began a new recognition program for nurses, in partnership with the DAISY Foundation

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The DAISY Award prizes

The DAISY Foundation was created by the family of J. Patrick Barnes, who died at age 33 of complications from an autoimmune disease. DAISY stands for Diseases Attacking the Immune System. His family remembered the incredible care that he had received and wanted to find a way to express gratitude to compassionate nurses everywhere for the work they do. The DAISY Award for Extraordinary Nurses was born to honor the skillful and compassionate care provided by nurses.

Nurses who receive the DAISY Award are honored in a number of ways. They receive a certificate, a DAISY Award pin and a beautiful hand-crafted sculpture entitled A Healer’s TouchThe winner’s department is also recognized with a banner to display and Cinnabon® cinnamon rolls. Why Cinnabon? When Patrick was a patient, he ate a Cinnabon cinnamon roll one day, and despite having no appetite for food, he asked for another one the next day, as well as enough for all the nurses on that unit.  

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DAISY Award winner Dana Samartine (middle) with her manager, Michelle Penney (left) and Chief Nursing Officer, Lynne Wagner (right).

Rose’s first DAISY Award winner is Dana Samartine, a nurse in the Intermediate Care Unit (IMC). Dana was nominated by a patient who said that Dana brightened every day and provided incredibly compassionate care. 

Congratulations Dana and the IMC team! The next Rose DAISY Award winner will be announced in July. 

If you want to nominate a compassionate Rose nurse for the DAISY Award, please contact us through our website or look for DAISY Award nomination forms around the hospital. 

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Dana (middle) and her IMC nursing co-workers.

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Celebrating Nurses Week at Rose

This past week was Nurses Week, and at Rose, we took time to celebrate the fantastic nurses who work every day to provide the best care for our patients. Part of our celebration is the creation of our Evidence-Based Practice and Improvements Gallery. We ask our nurses, as well as our non-clinical departments, to examine either a new or an existing process that they believe could improve patient outcomes, and then to create a poster outlining their research and the results they found.

The Evidence-Based Process and Improvements Gallery

The Evidence-Based Practice and Improvements Gallery

This gallery ties perfectly to the American Nurses Association National Nurses Week theme this year, which was “Delivering Quality and Innovation in Patient Care.” That theme emphasizes nurses’ role and influence in making the healthcare system work better for patients.

Our dedication to inquiry inevitably produced innovations and raised quality. Sometimes, it’s a creative solution addressing a problematic symptom for one patient; others are a novel approach to care delivery that could be applied to a whole class of patients with similar condition or to systems that indirectly improve our patient care.

At the end of Nurses Week, we awarded the top three posters, selected by a panel of judges from multiple departments at Rose.

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The first place poster, which examined kangaroo care (skin-to-skin contact) for infants in the NICU.

The winners were:

  • 1st Place – NICU – “Kangaroo Care – It’s More than Just a Nice Thing to Do” by Tammy
    Hendrix, MSN, RNC
  • 2nd Place – Labor & Delivery – “Delayed Cord Cutting in Pre-term Infants Less than 32 Weeks Gestation” by Tracy Lujan, BSN, RN and Marta Cicero, BSN, RNC-OB
  • 3rd Place – Administration – “Nursing Leader Succession Planning” by Lynne Wagner, BSN, MHS, RN, CENP
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Rose Celebrates National Donate Life Month

Today, Rose Medical Center, in celebration of National Donate Life Month, hosted a “Lifecycle of Donation Day” focused solely on educating its staff about the organ, eye and tissue donation process.Image

Members of Donor Alliance, Colorado and Wyoming’s non-profit organ procurement organization partnered with Rose to offer this first-of-its-kind forum that included data sharing and training about the organ and tissue donation process. The Rocky Mountain Lion’s Eye Bank presented data as well, and Donor Alliance case managers presented a case study of a donation case at Rose from the end of 2012.

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The day also included a Physician Grand Rounds and lunch presentation by Donor Alliance’s Medical Director, Dr. Katherine Fitting.

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Double lung recipient Judy Kang also spoke about the importance of donation.

Organ, eye and tissue donation is an important topic to learn more about. More than 115,000 people nationwide are waiting for a lifesaving organ transplant, including 2,000 people in Colorado. To learn more about becoming a donor, visit Donor Alliance for more information.

It’s also crucial that you discuss your wishes for medical care and organ donation with your family, so that they can advocate for you in case you’re unable to do so for yourself. Learn more about Advance Directives here.

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Surviving Well: Alina, Thyroid Cancer

It was during Alina Pugel’s second pregnancy in that she heard the words that no one wants to hear– “You have cancer.”

Alina had been having problems with her thyroid since 2008, when she went to see her primary care physician who found that her thyroid levels were off.

“My doctor sent me to see an endocrinologist, who diagnosed me with hyperthyroidism. She also diagnosed nodules. I remember her telling me about the possibility of cancer, but I didn’t really pay much attention. I was shocked I was going to have to be on medication for the rest of my life, but I found out later that lot of women had thyroid conditions.”

After the first diagnosis, Alina went in every six months to have her thyroid levels checked through ultrasounds. In 2011, when Alina was five months pregnant, the ultrasound results weren’t good.5AlinaP_018_SMALL

“I knew that something was wrong, based on my doctor’s reaction during the ultrasound,” Alina said. “Sure enough, one of the nodules was malignant. Small, but malignant. I felt betrayed by my body. How could I not have known? How could my body do this to me while I was growing another life?”

Alina’s doctor referred her to Dr. Kim Vanderveen, a thyroid surgeon at Rose.

“I really connected with Dr. Vanderveen and liked her demeanor and philosophy,” said Alina. “She was pregnant and had kids too, so I felt that she was very empathetic and understanding. She answered all of my questions and really worked with me to come up with the right treatment plan for me and the baby.”

Dr. Vanderveen recommended waiting to do surgery until after the baby was born, as thyroid cancer is generally slower growing. Eight weeks after baby William was born, Alina had a thyroidectomy. The surgery was successful, the cancer had not spread to any lymph nodes, and no further treatment was needed.

Today, Alina has to see her endocrinologist for regular checkups and is still on synthroid. Both of her beautiful children are doing great and are happy and healthy.

Alina says that even when you’re busy, it’s important to take care of yourself.

“Sometimes life can get in the way and we forget about the importance of taking care of ourselves,” she said. “But it’s so important. Even if you feel healthy, the doctors might find something that you can’t detect.”

To learn more about the Rose Thyroid & Parathyroid Center, visit www.RoseThryoidCenter.com or call 303-320-2578.

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The Rose “Surviving Well” calendar is a 12-month calendar highlighting our cancer services, physicians and inspirational stories from our patients. Alina is our survivor for April. 

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Hitting the High Note at the Rose Employee Gala

This weekend, Rose celebrated many of its employees at the annual Rose gala. Employees who were celebrating five-year anniversaries at Rose (e.g. 5 years, 10 years, 15 years, etc.) were honored. This included two Rose employees who have worked at Rose for 45 years!

There were also several special awards given at the event.

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2011 Leader of the Year, Tracee Hendershott, passes the torch to 2012 Leader of the Year, Alisa Bishop.

The 2012 Leader of the Year was announced – Alisa Bishop, the Director for Laboratory Services. Alisa has been at Rose for 12 years and serves as a Facilitator for the Rose Community Team. Alisa was nominated because of her outstanding work for her employees, her follow through on projects for physicians, and her exceptional work on the Community Team.

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2012 Employee of the Year, Robyn Hudson, with CFO Jac Connelly and Director of Lab Services, Alisa Bishop.

The 2012 Employee of the Year was also awarded - Robyn Hudson from Microbiology Lab. The Employee of the Year is chosen from the 12 employees of the month that are recognized throughout the year. Robin was selected for her work ethic, her positive attitude and her commitment to her co-workers and serving the community.

The Executive Staff also recognized the 2012 Team Award Winners at the gala. These employees were nominated by Rose leaders as well as their peers for the exceptional work that they do for our four Cornerstone groups – the community, employees, patients and physicians.

  • Community Team: Amy Smeester, Occupational Therapy
  • Employee Engagement: Jennifer McKay, NICU
  • Employee Engagement: Shannon Smith, IMC
  • Patient Loyalty: Mike Benigno, Radiology
  • Patient Loyalty: Rhonda Watson, Patient Access
  • Physician Satisfaction: Robin Jensen, Surgery
  • Physician Satisfaction: Linda Tyler, Case Management
  • Medical Staff: Kelli Gibson, Pharmacy
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2012 Safety Hero, Melissa Chase, with Rose Safety Officer Kat Kemper.

The 2012 Safety Hero is Melissa Chase from the ICU. Melissa was chosen from a group of Safety Heroes that were nominated throughout the year. She worked on a plan for infectious disease control that was first implemented in her unit and then hospital-wide.

At Rose, we know that our staff is what makes us so special, so we love taking the time to celebrate these wonderful people!

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Surviving Well: Dianne, Colon Cancer

Nursing runs in Dianne’s family. She has been a nurse at Rose for over 30 years, and both her mother and sister went to nursing school as well.

“I worked in critical nursing, surgical intensive care, and a few other uDianne Lindonnits before finding a real passion for pain management,” Dianne said. “I began managing the department in 2006 and since then, the pain clinic has doubled in size.”

Working as a nurse, Dianne knew the importance of preventive screenings and following the recommended guidelines, which is why she has been having annual mammograms since 40, and a colonoscopy at 50. It was the routine colonoscopy that may have saved her life.

“In 2007, I went in for my colonoscopy with Dr. Jonathan Fishman at the Rose Surgical Center,” said Dianne.  “I have no family history and no symptoms, but when I woke up from the procedure,  Dr. Fishman informed me that they had found cancer.”

Dr. Fishman recommended Dianne see Dr. Longcope, a colorectal surgeon who specializes in colon cancer. She was scheduled for surgery to remove the tumors the next day.

“It’s funny,  because even after working at Rose for so long, I hadn’t met Dr. Longcope before. But I had heard that he was the best, and so I knew I was in good hands.” she said.

The doctor said he wouldn’t know if he could remove all of the cancer until they were able to get a better look during surgery.  Luckily, Dr. Longcope was able to remove all of the Stage 2 cancer in one procedure.

“I was very lucky, because it was caught so early and they were able to remove it all,” said Dianne. “Because of that, I didn’t have to have any chemotherapy or radiation after the surgery.”

Today, Dianne is busy working, traveling, hiking and golfing, and has been cancer free for over five years. She regularly sees her oncologist, Dr. Feiner, and had colonoscopies every year until she hit the five-year mark, and now has them every two years.

She says that leading a healthy lifestyle with proper diet and exercise is important, but that following screening guidelines for cancer is one of the best things someone can do for themselves.

“If I hadn’t had that screening, they might not have caught the cancer until it was too late,” said Dianne. “Now, I encourage everyone to go in for their colonoscopies and mammograms. It could save your life!”

To schedule a screening colonoscopy at Rose, call 303-320-2578.

The Rose “Surviving Well” Calendar is a 12-month calendar highlighting our cancer services, physicians, and inspirational stories from our patients. Dianne is our survivor for March, which is colorectal cancer awareness month.

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What does is mean to be a Top 100 Hospital?

Last week, Rose Medical Center was named of the nation’s Top 100 Hospitals by Truven Health Analytics, a provider of information and solutions to improve the cost and quality of healthcare. Rose was the only hospital in Denver to make the list this year, and this is the sixth time that Rose has made this exclusive list.

2013 Top 100 Hospitals

But there are plenty of healthcare awards out there, so what does this one actually mean? Truven Health Analytics looks at a variety of measures, from complication rates to Core Measures to readmission rates to HCAHPS. It encompasses quality patient care, patient satisfaction, operational efficiencies and overall organization performance.

In fact, Truven shares that if all Medicare inpatients received the same level of care as those treated in Top 100 Hospitals:

  • More than 164,000 additional lives could be saved;
  • Approximately 82,000 additional patients could be complication free;
  • More than $6 billion could be saved;
  • And, the average patient stay would decrease by nearly half a day.

If those same standards were applied to all inpatients (not just Medicare), the impact Rose Frontwould be even greater.

So it’s no wonder that the leadership, staff and physicians at Rose are excited to be named on this list again!

Congratulations to the everyone at Rose for this achievement!

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The Importance of a Colonoscopy

March is Colorectal Cancer Awareness Month. While colon cancer is one of the leading cancer causes of death in the United States, the good news is that with early diagnosis, it’s almost always completely curable.March

A colonoscopy can help detect precancerous polyps, which can then be removed before they turn cancerous. It can help find cancer in its early stages when it’s more treatable.

Early detection is VERY important, which is why following the colonoscopy screening guidelines could save your life.

The CDC recommends getting a colonoscopy after turning 50, unless you have a family history, in which case your physician might recommend having one earlier. You should then have the screening done at regular intervals (talk with your doctor about what those should be).

Getting a colonoscopy for the first time can seem daunting and scary, but in reality, it’s not as bad as it seems. In this video, Dr. Susan Sgambati, a colorectal surgeon at Rose explains what to expect during and after a colonoscopy screening.

To learn more and find a doctor for your colonoscopy, call 303-320-2578.

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