Purple Tab 2014

Cancer Awareness

3-D mammography detects breast cancer earlierPage 2

Cancer survivor uses support program to inspire, be inspiredPage 6

From survivor to fighter, former cancer patient is healthier than everPage 7

CT lung screening detects cancer in

earliest stagesPage 10

Centegra STAR Program: Collaborative cancer care

Page 12

Physician uses personal approachPage 14

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Purple Tab 2014

From 2010 to 2013, Centegra Health System and the Northwest Herald partnered to develop a special Pink Tab newspaper insert, which highlighted the exceptional breast cancer care provided by our physicians and skilled associates right here in McHenry County. This year we’ve expanded this issue to touch even more lives. In recognition of all cancer survivors, our annual edition has gone from pink to purple. Purple is used to increase awareness about all types of cancer. Centegra Health System teaches community members how to prevent cancer by leading healthy lifestyles. We provide free screenings throughout the region to detect cancers in their earliest, most treatable stages. Our teams bring advanced imaging technology close to your home so you don’t have to travel for sophisticated care.One such technology is our low-dose CT lung screening, which helps physicians detect lung cancer in its most treatable stages. We began to offer these screenings in 2013 and have since changed the lives of people whose diseases and conditions may have otherwise been found when it was too late to cure them. See page 10 for more information about these life-saving screenings. If you want to be inspired, read the story of Jennie Jones, a cancer survivor who fights (literally fights, she’s a martial artist) every day to stay ahead of future health problems. Jones took advantage of a support group at Centegra that helped her begin her path to wellness. See her story on page 7. Jen McBride’s creativity helped her express herself during her cancer recovery, and today she uses her talents to support other cancer survivors at our Creating Expressions support group. See page 6 to learn about her story and the reasons she gives her time and talent to our Centegra Sage Cancer Center. Some of our other stories focus on the exceptional certified nurses who care for people with cancer and the important work of the Centegra Health System Foundation, which funds many of the advanced technologies and services we use to fight cancer in McHenry County. I’ve known Dr. Terrence Bugno for almost 15 years, and after reading the story on page 14 I have even more insight into why our patients find it easy to connect with him on a personal level. Centegra Health System’s doctors and associates are dedicated to keeping our community members well, but when a person has a frightening diagnosis of cancer we provide the sophisticated treatment and compassionate care they need. We are proud to serve you and we urge you to talk to your doctor today about the cancer screenings that are right for you.

Michael S. Eesley

Chief Executive Officer,Centegra Health System

Michael S. EesleyChief Executive Officer, Centegra Health System

A recent study shows that 3-D mammography like that offered at the Centegra Gavers Breast Center improves the detection rate of breast cancer. Also known as tomosynthesis, 3-D mammograms are reported to detect more invasive breast cancers and reduce false alarms that would cause women to undergo additional tests. The study, which was published in the June issue of the Journal of the American Medical Association (JAMA), was the largest clinical study to date to examine the benefits of Hologic 3-D mammogram technology. The study was conducted at five academic hospitals and at eight community-based clinical sites. “If this study’s results were translated into real-world numbers and 3-D mammography became the norm, each year more than 500,000 women in the United States would be spared the worry of further testing,” said Lynn Griesmaier, nurse and breast health navigator at Centegra Health System. “That was why it was so important for Centegra to be the first to provide this advanced technology to the women of our region. We knew it would help us detect cancer even earlier.” The study showed a 41 percent increase in the detection of invasive breast cancers when 3-D mammography was used and a 29 percent increase in the detection of all breast cancers. There was a 15 percent decrease in women who needed to return for additional testing. First brought to the McHenry County region by Centegra in 2013, 3-D mammograms capture multiple images of the breast at different angles, which allows radiologists to examine the tissue in one-millimeter slices. This enhanced view of the breast helps doctors see if anything of concern is hiding behind overlapping tissues. The end result? Greater peace of mind for patients. “Breast cancer is very treatable when it is found in its earliest stages, and 3-D mammograms help us find small cancers even earlier, especially in women with dense breasts,” said Dr. Elissa Brebach, section chief of mammography and an independent board-certified radiologist at the Centegra Gavers Breast Center. Dense breasts have more fibrous tissue than fatty tissue. This dense tissue, which can also include supporting tissue and ductal tissue, appears white on a mammogram. In contrast, fatty tissue appears gray on a mammogram. As some women age, their breast tissue becomes less dense and easier to visualize on a mammogram. Other women have dense breasts throughout their lives. The board-certified radiologists on the medical staff at Centegra recommend that all women age 40 and older receive annual mammograms. Talk to your doctor about what is right for you. To schedule a mammogram at a Centegra location near you, call 815-334-5566.

Study shows 3-D mammography detects breast cancer earlier

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Former Centegra Health System associate Susan McDougall discovered she had basal cell carcinoma, a common form of skin cancer in April 2012. As someone who worked at the Centegra Sage Cancer Center, McDougall understood the importance of getting checked and attending health screenings. Her efforts to stay ahead of cancer allowed her doctors to find the basal cell carcinoma in its early stages. Within a month of her diagnosis, McDougall had received treatment and was cancer free. Her determination to stay healthy helped save her life. “I encourage anyone to do screenings,” McDougall said. “It can eliminate their fears.” Centegra Sage Cancer Center has numerous health screenings that keep the community ahead of cancer and other illnesses. As someone who has both participated and provided screenings, McDougall was aware of its immense benefits. Even so, she never expected a cancer diagnosis. “Even though I worked at the cancer center, you still think it only happens to other people. Now I know I’m vulnerable too,” she said. For more information about screenings at Centegra, visit centegra.org/screenings or call 877-CENTEGRA (236-8347).

Staying ahead of cancerCentegra Health System encourages people to attend health screenings

Cancer Awareness Calendar The American Cancer Society and other associations sponsor or promote a number of cancer awareness campaigns each year. A few are listed below. For a more complete list, visit cancer.org. Centegra often offers free screenings for a select number of these awareness months (marked with an asterisk). Visit centegra.org for more information.

January National Cervical Cancer Screening Month

February National Cancer Prevention MonthWorld Cancer Day, February 5

March Colorectal Cancer Awareness Month* (Free Fecal Occult Blood Test kits provided)Dress in Blue Day, March 6

AprilNational Oral, Head, and Neck Cancer Awareness Week* (Free screenings offered)Testicular Cancer Awareness

MayBrain Tumor Awareness MonthMelanoma MondaySkin Cancer Detection and Prevention Month* (Free screening offered)

JuneCancer Survivors Day* (Free event offered)

JulyUV Safety Month

SeptemberGynecologic Cancer Awareness MonthLeukemia and Lymphoma Awareness MonthNational Ovarian Cancer MonthNational Prostate Cancer Awareness Month* (Free screening offered)Thyroid Cancer Awareness Month

OctoberNational Cancer Awareness MonthNational Mammogram Day, October 17

NovemberLung Cancer Awareness Month* (Free screening offered for a limited time)Great American Smokeout, November 20Pancreatic Cancer Awareness Month

Mammo MondaysWhen: Select MondaysWhere: Locations at Centegra Gavers Breast Center, Centegra Hospital-McHenry, Centegra Health Center-Huntley, and Centegra Hospital-Woodstock

Mammo Mondays offer:• Digital mammography screenings • 3-D mammography screenings (if requested) • Bone density screenings • FREE expert bra fittings Appointments are recommended. To schedule, call 815-334-5566.For dates, locations and times visit centegra.org. Please bring your physician order. All insurance will be billed.

Free CT Lung ScreeningWhen: Now through December 31Where: Centegra-Crystal Lake Medical Arts and Centegra Health Center-Huntley.If you are 55 to 80 and are a current or former heavy smoker, take advantage of a free low-dose CT Lung Screening, a savings of $299. To schedule a free CT lung screening, call 815-334-5566. For more information, visit centegra.org/lungscreening.

Colorectal Cancer Awareness MonthWhen: March 2015During Colorectal Cancer Awareness Month, Centegra will offer a free FOBT screening kit to give people a chance to stay ahead of colon cancer.For additional details or a list of screenings, please visit centegra.org.

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s4 Benefits of yoga are not a stretch

for cancer survivors at Centegra

As they quietly stand with their arms outstretched, it’s hard to tell if the women are reaching for peace or reaching for each other. The sense of connection among them is clear, but to anyone who passes the room it may seem like a normal yoga class. There are warriors and downward dogs, but every pose is especially chosen for participants of Pink Ribbon Yoga. Marla Davis, a three-year cancer survivor, said the class provides her support as she moves forward. “For me, yoga is therapy,” Davis said. “It helps my muscles and it helps my state of mind.” The free class is offered every Wednesday at Centegra Gavers Breast Center and every Saturday at Centegra Health Bridge Fitness Center-Crystal Lake. The instructor, Gina McGuire, is a breast cancer survivor herself. She attended her first yoga class after her cancer treatment and made the decision to become certified so she could support fellow breast cancer survivors. “I offer a multilevel class,” McGuire said. “If you were to come in and you can’t get onto the floor we will get a chair for you,” she said. “We always make sure to modify the poses. It’s really about the patient.” Lynn Griesmaier, breast health navigator and a nurse at Centegra Health System, said Pink Ribbon Yoga is designed for breast cancer survivors who are both currently receiving treatment and who have completed their care. “Our goal is to give women the opportunity to gently exercise while gaining the benefits of stretching according to their personal comfort levels,” Griesmaier said. “The class also helps women connect with other breast cancer survivors.”

Dr. Terrence Bugno, a radiation oncologist on the medical staff at Centegra, said other cultures have always understood that yoga and tai chi movements improve health, however it took longer for Western medicine to catch up. “Recent research on yoga in breast cancer demonstrates improvements in over 30 quality of life parameters such as pain, movement, strength, social function and vitality,” Bugno said. “Further studies show reductions in fatigue, improvements in sleep and lower depression scores. It’s a great anti-inflammatory physical medicine. Yoga is now integrated into our Centegra STAR Program for cancer rehabilitation. Why? Because it really does make a difference in how we live both during and after cancer treatments.” Class participant Cathy Perz said yoga stretches tissues that feel tight after surgeries. Other participants say yoga relieves joint pain caused by medications and that it improves balance and overall strength. No matter their restrictions or challenges, the women feel safe and supported during their yoga practice. “Many patients seek diverse ways to further their own health,” Bugno said. “It’s self-help and self-health. They actively participate to move beyond their cancer. Because yoga is so adaptable to any age and circumstance, patients have embraced it and made room for it as a permanent lifestyle change. They experience its true body and mind effects, and choose this as a healthy habit. Their own intuition, now supported by medical science, creates a new path for a better life.” For more information about Pink Ribbon Yoga, call 815-356-6149 or visit centegra.org.

Marla Davis, a three-year cancer survivor, participates in Pink Ribbon Yoga to help her state of mind.

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What foods are the most effective in the fight against cancer? That is a question patients often ask Lora Anderson, oncology dietitian and outreach coordinator at the Centegra Sage Cancer Center. “Overall our food supply is safe,” said Anderson. “If you eat a variety of fresh, non-processed foods and you are eating a healthy diet, you are doing everything you can.” There isn’t just one food item that is proven to prevent cancer, but research shows some foods may be more beneficial than others. Anderson recommends berries and broccoli because they are known to prevent colon, stomach, breast, mouth, esophagus and bladder cancers. “I recommend that people limit packaged foods and eating out at restaurants where the nutrition may not be the best,” Anderson said.Foods to increase “We know that if you increase your consumption of plant-based foods you can decrease your risk of cancer,” Anderson said. Plant-based foods include fruits, vegetables and grains. The Academy of Nutrition and Dietetics recommends at least 2½ cups of vegetables and fruits each day. It is also recommended people use low-fat cooking methods such as broiling, baking or steaming, instead of frying or charbroiling. If grilling meats, avoid charring or burning the meat to avoid cancer causing compounds. Foods to avoid Anderson recommends limiting some foods such as sugary drinks, red meat, salt and processed meats including bacon, sausage, lunchmeats and hot dogs. If you drink alcohol, Anderson said you should limit yourself to no more than

one drink per day for women and two drinks per day for men. One drink is equal to 12 ounces of beer, 5 ounces of wine or 1.5 ounces of liquor. It is also best to choose low-fat dairy products including milk, cheese and yogurt. Weight, Exercise Anderson recommends that people try to achieve a healthy weight for their height. She said the best way to calculate this is using a Body Mass Index (BMI) chart.

“We know people who are obese have an increased risk for cancer,” said Anderson, citing a study from the American Cancer Society. Anderson also recommends at least 150 minutes of physical activity per week, which equates to about 30 minutes of exercise, five days a week. Support The Centegra Healthy Living Institute (CHLI) offers programs for people who want to prevent cancer, heart disease and diabetes. CHLI also provides support to patients who are currently receiving cancer treatment and/or who want to prevent cancer reoccurrences. Learn more about the Centegra Healthy Living Institute at centegrahealthyliving.com or by calling 877-CENTEGRA (236-8347).

Eat your way to better health

To calculate your BMI go to:centegrahealthyliving.com/bmi

3 cups broccoli florets and peeled stems, finely chopped 1 1/2 cups water 1 tablespoon corn oil margarine ½ cup onion, chopped 1 tablespoon all-purpose flour 3 cups 1% low-fat milk 1/2 teaspoon salt (optional) 1/2 teaspoon pepper 1/4 teaspoon paprika 1/4 teaspoon celery seed 1/8 teaspoon cayenne pepper

Combine broccoli and water in a 3-quart saucepan and bring to a boil. Lower heat, cover and simmer for 10 minutes. Drain, saving liquid.

Melt margarine in a larger saucepan over low heat and add onion and sauté until soft. Add flour and continue to cook for several seconds, stirring constantly. Stir in reserved liquid and cook until thickened. Add milk, broccoli, salt, black pepper, paprika, celery seed, and cayenne pepper, mixing well. Heat to serving temperature over low heat. Makes 6 servings. Approximately 101 calories; 3 grams of fat per serving.

Cream of Broccoli Soup4 large sweet potatoes or yams, peeled and quartered 1/2 cup light brown sugar, packed 1/4 cup fresh orange juice 2 teaspoons orange rind, grated 1/2 teaspoon cinnamon 2 large, tart cooking apples, unpeeled and sliced 2 tablespoons corn oil margarine, chilled and cut into small pieces

Steam sweet potatoes in a steamer over medium heat

for 15 minutes or just until tender. Allow potatoes to cool slightly and cut into 1/2-inch slices. Combine brown sugar, orange juice, orange rind and cinnamon in a small bowl and mix well. Preheat oven to 350. Layer sweet potatoes, apples and brown sugar mixture one-third at a time in a baking dish and dot with margarine. Bake for 30 minutes or until apples are tender. Makes 8 servings. Approximately 159 calories; 3 grams of fat per serving.

Sweet Potatoes with Apples

Recipes taken from The American Cancer Society’s, “Cooking Smart.”

Paws for a CauseSunday, October 5, 2014Noon-3pmHorse Fair ParkSpring Grove, IL For more information and to register, visit pawsforacausewalk.org.

Upcoming Cancer Fundraising EventsNorthwest Trail RunSunday, November 9, 20148:30amVeteran Acres ParkCrystal Lake, ILFor more information and to register, visit signmeup.com.

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paws for a causepaws for a cause community dog walkBring your K-9 companion to a community dog walk to support the Centegra Gavers Breast Center. The walk is just less than two miles on even terrain.

Join usSunday, October 5, 2014 Noon-3pmHorse Fair Park, Spring Grove, ILRegistration fees start at $15 for one person and one dog or $40 for a family and one dog. You may bring up to two dogs and the additional dog is $5.

walk for a cause: Visit pawsforacausewalk.org to register for the walk.

As a three-time breast cancer survivor, Jen McBride knows the true meaning of exhaustion. She felt physically drained and emotionally depleted after her cancer treatments. All she wanted was to begin feeling like herself again. McBride helped to develop Creating Expressions, an expressive art’s program at the Centegra Sage Cancer Center to offer cancer survivors an escape from the burden of living with cancer. “I’ve changed so much through treatments,” McBride said. “I need the nudge to keep my creativity alive, to socialize with others, to inspire and be inspired.” Artistic expression was a part of McBride’s healing after her life changed forever in the fall of 2007. At 37, she was diagnosed with breast cancer and she prepared herself for the fight of her life. From the start, McBride committed to being open about her diagnosis and treatments. “My kids were watching me and I wasn’t going to hide it from them,” McBride said. “I didn’t want them to see me give up. That would be really sad.” Life didn’t stop when she was diagnosed with

cancer. Although family and friends supported her, McBride still wanted be an active mother, supportive wife and contributing member of the community. After months of being strong for everyone else, McBride realized her creative side could help her take a break, if only for a few hours. Before McBride’s first diagnosis of breast cancer she was a professional scrapbooker. Then, it was a way to pass the time and earn a paycheck. Now it would help her express her emotions of love, fear, pain and survival as she fought her way back from cancer. Creating Expressions is a free program that meets once a month and offers opportunities for connection and growth. McBride is active in the group as a participant and enjoys being a creative mentor to others. No artistic experience is required. People share their talents, skills and love for creating with each other. “They come to do something relaxing and maybe to try something they have never done before,” she said. “They might even make friends along the way.” McBride said people with various cancer

experiences, from those with an initial diagnosis to those who have lived with the disease for many years, are welcome. To learn more about Creating Expressions or to sign up call the Centegra Sage Cancer Center at 815-344-8000.

Cancer survivor uses support program to inspire, be inspired

Jen McBride, a cancer survivor, uses artistic expression to help in the healing process.

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Purple Means BusinessProud to be a part of the fight for a cure.

Crystal lake Huntley MCHenry WoodstoCk 381 S. Main Street • (815) 479-8600 10101 Route 47 • (847) 669-0777 1500 S. Route 31 • (815) 385-5556 1290 Lake Avenue • (815) 338-2300

amcombank.com Equal Housing Lender Member FDIC

Jennie Jones tosses a 25-pound kettle bell like a feather during a workout near her Lake in the Hills home. Strong, powerful and confident – these are three words that describe Jones, a 39-year-old mother of two. Two other words that describe her? Cancer survivor. Five years after completing treatment for Hodgkin’s lymphoma, Jones feels healthier than ever. She said her journey to better health began with the Cancer Transitions support group at the Centegra Sage Cancer Center. Jones began to attend the group after a counselor suggested it may help her move ahead after chemotherapy and radiation therapy. “When I finished treatments I couldn’t even walk a block,” Jones said. “I was extremely overweight and I would get very winded. The group gets you back on track with working out.” Cancer Transitions is a six-week group program for cancer survivors who have completed treatment, usually within the last two years. Oncology-trained staff offers education about fitness, nutrition, emotional support and medical management to help people continue to feel stronger as they recover. Jones worked with Lora Anderson, a registered dietitian and oncology outreach coordinator, to develop a plan that would help her reach her goals.

“Lora was a huge help,” she said. “She’d let me come in every two weeks to weigh in and she gave me food tips. She kept me going, and even when I cheated on my diet she was there for me. I went from not being able to walk a block to doing mixed martial arts with my husband.” At Cancer Transitions meetings, Jones realized that many cancer survivors have the same concerns. “I was stressing about my cancer coming back,” she said. “I was wondering about my neuropathy, thinking ‘does it ever go away?’ A lot of people could put my thoughts into words at the meetings.” Jones lost more than 50 pounds through walking and diet changes, and then she decided to rev up her workouts to meet her weight-loss goals. “I wanted to do what I could do to avoid getting cancer again,” Jones said. Her husband, Tony Jones, knew exactly the workouts she should try next. The couple began mixed martial arts training, which Tony had taught when the couple was first married. Jennie was quickly drawn into Jiu Jitsu, boxing, Tae Kwon Do, judo, throws and takedowns. The woman who had once been a survivor had now become a fighter. Jones said she’s lost more than 100 pounds and she continues to work toward her goal weight.

“I can do everything I want now, she said. “I eat right, I workout and I’m preparing for a grappling tournament. I’m healthy and I’m strong. My doctor jokes all the time with me now. He says, ‘I don’t know why it took cancer for you to be this healthy, but you did it.’” To register for the Cancer Transitions Support Group or for more information, call 815-759-4459 or visit centegra.org.

From survivor to fighter,former cancer patient is healthier than ever

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No time like the present: Call 815-334-5566 to schedule your mammogram. As our gift to you, receive a free eye pillow for taking the time for yourself (while supplies last). Learn more at centegra.org/mammo.

TIME For your mammo The time has come TO STAY AHEAD OF BREAST CANCERAs a busy woman, you are often pressed for time. But taking the time to maintain your breast health with a yearly mammogram is something the American Cancer Society recommends for women 40 and older. It is a proven way to detect breast cancer in its earliest stages.

A typical mammogram only takes 15-30 minutes and Centegra offers screening mammography at four convenient locations throughout McHenry County so you don’t have to travel across town.

Is it time for your mammogram?

Centegra Imaging facilities: Centegra Gavers Breast Center • 360 N. Terra Cotta Rd., Crystal LakeCentegra Hospital-McHenry • 4201 Medical Center Dr., McHenryCentegra Health Center-Huntley • 10350 Haligus Rd., HuntleyCentegra Hospital-Woodstock • 3701 Doty Rd., Woodstock

Surviving Together: Centegra Health System Cancer Support Groups Centegra Health System offers many free support groups for those living with cancer, cancer survivors and for their loved ones. Each group is tailored to maximize the quality of people’s lives through educational, psychological, spiritual and social support. For additional information about or to register for any of the groups listed below, contact the Centegra Sage Cancer Center at 815-344-8000.

Cancer Transitions is a six-week group program for cancer survivors who have completed active treatment within the last two years. Topics of fitness, nutrition, emotional needs and medical management are highlighted as research has shown these topics to be instrumental in the recovery and ongoing health of cancer survivors. Participants engage in exercise with personal trainers and are challenged to complete food diaries, exercise logs and action plans toward increasing their wellness. The benefit and use of a cancer survivorship plan is explained and encouraged. Wednesdays • 6-8:30pm • CSCC • RR

Caring for the Caregiver is a monthly group for those who care for anyone with a serious illness. This group provides an opportunity to connect with others who understand the unique experience of being a caregiver. To assist those in a caregiving role, education about relevant topics and support are offered to help people address the challenges of

caregiving. Relaxation and guided imagery are used to promote personal peace and restore a sense of wellness and balance. Third Thursday • 10-11am • CSCC

Creating Expressions is a monthly expressive arts program designed to benefit cancer survivors and their care partners. This program links artistic expression with education and support. Opportunities for enhanced relaxation, guided imagery and journaling are offered. No art experience is required and all materials are provided at no cost. Second Thursday • 3-5pm • CSCC

Growing Together through Cancer Transitions is a monthly group for cancer survivors who have completed the Cancer Transitions program. Education and support are offered to increase personal empowerment, wellness and long-term cancer survivorship. Participants in the group become part of the Centegra Cancer Survivors’ Network, offering input and direction about activities and events. They also nurture and mentor others who are living with cancer. First Wednesday • 6-8pm • CSCC • RR

Guided Patient Services is a one-time class offered bimonthly in a group setting for those recently diagnosed with cancer and their care partners. Participants will receive valuable

information and resources that will aid them before, during and after diagnosis and treatment. Members of the Survivorship Training and Rehabilitation (STAR) certified-team are available to address questions and concerns while patients participate in assessments to help create personalized plans of care. Please contact Trish Dalton at 815-759-4870 for more information. Second Tuesday • 10-11:30am • CSCC • RRFourth Tuesday • 6:30-8pm • CSCC • RR

KEY CSCC Centegra Sage Cancer Center CGBC Centegra Gavers Breast Center RR Registration Required CHBFC-CL Centegra Health Bridge Fitness

Center-Crystal Lake TBD To Be Determined

H.O.P.E. (High On Positive Energy) is a monthly energizing group offered to women who have been diagnosed with breast cancer. Each month features a specific tool that is designed to help with the physical and emotional changes associated with this diagnosis. A breast cancer survivor, breast health navigator and hospital chaplain offer unique perspectives to cover pertinent educational topics facilitate meetings. Each session ends with a reflection to calm the spirit. First Tuesday • 7-8:30pm • CGBC

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9Living With Grief is a six-week program for adults living with the death of a loved one that offers grief education and support. The group offers storytelling, sharing, journaling and expressive arts. Participants learn how to live with the pain, adjustment and challenges of grief, as life beyond loss is understood. A licensed clinical professional counselor with advanced training and experience in grief work facilitates the group. Thursdays for six weeks • 7-9pm • CSCC • RR

Look Good…Feel Better is a free program sponsored by the American Cancer Society for women who are receiving cancer treatment. Volunteer cosmetologists teach women techniques to help them combat the appearance-related side effects of cancer treatment, using cosmetic and skin care products. By appointment only • CSCC • RR

Partners in Cancer Transitions is a monthly support group specifically designed for couples who are navigating the cancer experience. Participants discuss the commonalities and differences a couple may experience as each one’s life is impacted by cancer. The importance of attending to the physical, emotional, mental, social and spiritual dimensions of life as an individual and as part of a couple is highlighted, along with community building with others engaged in cancer management. Third Wednesday • 7-8:30pm • CSCC • RR

Pathfinders is a monthly support group for men and women living with cancer and their care partners. It provides a positive environment where members meet and share their experiences, offer each other encouragement and learn strategies to give them added strength on their journeys. Featured speakers are occasionally invited to share their insights.Second Monday • 6:30-8 pm • CSCC

Pink Ribbon Yoga is a weekly class for breast cancer survivors of any age to experience the mental and physical health benefits of yoga. A certified yoga instructor and breast cancer survivor will help participants connect while promoting wellness through gentle stretching and exercise. No prior yoga experience necessary.Saturdays • 11:30am-12:30pm • CHBFC-CL Wednesdays • 6:30-7:30pm • CGBC

Sounds of Health is a monthly program that features drumming to promote health and wellness to those affected by cancer. Research has shown that sound can play a therapeutic role in cancer management. Participation in a Sounds of Health event can increase empowerment and connection as sound is experienced individually and communally. The sound experience can calm the mind and the body, affect the emotions and promote healing power within. Third Saturday • 6:30-8pm • CSCC • RR

Water Fitness is a weekly class that helps adult cancer survivors and their care partners better their health and wellness. The class offers participants an opportunity to increase body strength and physical fitness through exercise in the warm, soothing water of the therapy pool. Emotional health is nurtured through the community enjoyment of this active and fun water experience. People at all fitness levels are welcome to participate. Saturdays • 10-11am • CHBFC-CL • RR

Wig Boutique is a free, appointment-based session for cancer survivors sponsored by the American Cancer Society. In a private setting, participants are fitted with a wig and work with licensed hairstylists and trained volunteers to choose their color and style. Hats, scarves and other alternatives are also available at no charge. Call 800-227-2345 to schedule an appointment.By appointment only • CSCC • RR

Yoga Flow is a weekly class that promotes health and wellness for adult cancer survivors and their care partners. The class offers participants an opportunity to learn about and practice yoga to increase body strength and physical fitness as well as emotional health. A relaxation and guided imagery experience is also offered to further promote calm and emotional wellbeing. All levels of fitness are welcome to participate in and benefit from the class. Mondays • 5:30-6:30pm • CSCC • RR

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Some people see into the future. A few actually plan for the future they see. Such was the case with Dr. Spiridon Gerolimatos, medical director of imaging for Centegra Health System. Gerolimatos had believed for many years that low-dose CT scans had an important role to play in detecting early stage lung cancer. He had to wait for the science to catch up, however. “I knew it would just be a matter of time before we could prove that it would save lives and put it into practice,” he said. So when researchers verified that the screenings were effective, Gerolimatos was ready to go. That’s one of the reasons Centegra was the first in the area to offer low-dose CT lung cancer screenings. The free screenings will be offered through December and will be covered by most insurance plans starting in January 2015.

Finding Cancer Early Currently, most lung cancers diagnosed at Centegra are of a later stage and are found only after people start experiencing symptoms, such as coughing or losing weight. In later stages, these tumors may have already spread and are difficult to treat. Lung cancer is the leading cause of cancer-related deaths in McHenry County

and the leading cause of death in the United States. This makes early screening of people at high risk for this disease all the more important. Centegra’s screening program, in operation for two years, aims to lower the number of lung cancer deaths by finding and treating cancer early.

Complete Care The Centegra Sage Cancer Center provides a complete range of services to treat lung cancer— beginning with screening and continuing through survivorship care. If a lung cancer screening detects an abnormality, the team at Centegra works with the patient to create a personalized treatment program. For early-stage lung cancer, that treatment may include surgery.“When you find lung cancer early, before it has spread, you may have many more surgical options,” said Dr. Thomas J. Hinkamp, a cardiovascular and thoracic surgeon on the medical staff at Centegra. “A surgeon might even be able to remove the entire tumor.” The surgeon may also refer a patient

to an oncologist for additional treatment, which may put lung cancer into remission. “The benefit of screening to find lung cancer in its early stages becomes obvious when you’re able to stop the cancer and provide the opportunity for a cure,” he said. Visit centegra.org/lungscreening or call 815-334-5566 to find out if you qualify for a free screening.

Centegra CT lung screening detects cancer in its earliest stages

Kyle Grillot - kgrillot@shawmedia.com CT Technologist Traci Schauer prepares Ellen Jeffery of Huntley before her scan.

Dr. Thomas Hinkamp, cardiovascular and thoracic surgeon on the medical staff at Centegra Health System

Dr. Spiridon Gerolimatos, medical director of imaging at Centegra Health System

CHECK YOUR Lung healthLung cancer is the primary cause of death in McHenry County and the leading cause of cancer death in the United States. Centegra Health System is leading the way in early detection of lung cancer by offering a state-of-the-art CT Lung Screening. Recommended for those age 55-80 who are former or current heavy smokers, this low-dose screening detects small abnormalities in the lungs often missed by basic chest X-rays.

SCHEDULE A FREE SCREENING:Call 815-334-5566 to see if you qualify for a FREE CT Lung Screening, a savings of $299. For more information, visit centegra.org/lungscreening.

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A tightly knit team of oncology-certified nurses works together to care for patients and families at the Centegra Sage Cancer Center. And though Centegra uses a team approach, each nurse took a personalized path to oncology nursing. When Sandy Smith entered nursing school she wasn’t the typical student. She was a mom in her mid thirties who was already familiar with medical terminology, heartbreaking loss and the compassion needed to be an exceptional oncology nurse. “I became an oncology nurse because my son had cancer. He was nine and a half,” said Smith. “The nurses took such good care of him.” Today, Smith is the charge nurse on a team of eight nurses at Centegra Sage Cancer Center. She works with Judy Salvador, a clinical nurse educator at the center, who said the team members often joke that they are like siblings. “We drive each other crazy, but we would do anything for each other,” Salvador said. “I think that really gets me through each day.” An average day for a nurse at the Centegra Sage Cancer Center starts with a team meeting. Nurses review medical charts, test results and the personal needs of the patients they are going to see that day. The center provides radiation therapy to about 35 patients each day. Between 10 to 15 patients come to the infusion center for chemotherapy every day. Once a week, the entire care team comes together to discuss patients’ cases. “We make sure that we’re striving for the very best quality of life and that our patients understand we are here to help them fight the disease,” Salvador said.

The experienced nurses at Centegra are helping to change the medical field’s approach to cancer care. They continue to focus on innovative treatments and at the same time realize the need for cancer treatment beyond chemotherapy and radiation therapy. This focus on cancer survivorship helps patients understand their diagnoses, get through treatment and plan for their lives after cancer. Centegra’s nurses emphasize quality of life as much as they do quality clinical care. “It is a really new way of thinking in oncology,” Salvador said. “I think that we are going to see an entire generation of cancer survivors that are being supported.” When patients come to the cancer center, nurses help them manage side effects of cancer treatments. They also educate patients about upcoming tests or appointments. “You have more time to spend with your patients in oncology,” Salvador said. “I love educating them.” Both Salvador and Smith say the day-to-day life of an oncology nurse can be challenging and inspiring. They rely on a combination of faith, family and the strength of their patients to get through each day. “We are blessed to be there for patients during what can be the scariest times in their lives,” Salvador said. “We have a special connection with our patients. It feels like family treating family.” Learn more about the Centegra Sage Cancer Center by calling 877-CENTEGRA (236-8347) or visiting centegra.org/sage.

Centegra nurses understand the importance of cancer survivorship

CT Lung Screening Statisticsfrom November 1, 2013– September 2, 2014

• 718 CT screenings performed • 544 negative findings• 183 patients received a diagnosis of coronary artery disease or suspicious aneurysm• 127 patients were diagnosed with pulmonary hypertension/fibrosis • 66 positive (highly suspicious) findings • 50 patients required follow-up care in either three, six, nine or 12 months • 18 patients had lesions in or around the lungs• 12 patients received a positive cancer diagnosis• 7 patients needed surgery• 6 patients received chemotherapy or radiation therapy

For most patients, there were no findings of cancer. For peace of mind, call 815-334-5566 to make a screening appointment.

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Just over a year ago Centegra Health System introduced the Centegra Survivorship Training and Rehabilitation (STAR) Program, a nationally recognized cancer survivorship program that improves the lives of people who experience side effects caused by cancer treatments. The Centegra STAR Program provides patients coordinated cancer rehabilitation by a team of certified STAR clinicians and providers. The specially trained team includes physicians, nurses, physical therapists, occupational therapists, speech-language pathologists, registered dietitians and mental health professionals. Each team member provides expertise, guidance, training and support to help cancer survivors thrive. “Many of our patients tell us how comforting it is to know they have so many providers looking out for them,” said Trish Dalton, Centegra STAR Program coordinator. “The patients benefit because so many experts are involved in their care.” As the coordinator of the program, Dalton works with about 80 certified clinicians and providers. She manages all referrals and ensures providers are kept up to date with each patient’s progress, resulting in better outcomes for patients. Dalton shared that a STAR-certified physical therapist was working with a client who recently had been diagnosed with cancer and was having a hard time managing the emotions she was

experiencing. The physical therapist referred the client to the program and she is now getting the help she needs from a STAR- certified behavioral therapist. Dalton helps coordinate services for patients and their families. These services include physical therapy, massage therapy, spiritual and emotional care and consultations with a dietitian and financial counselor. The Centegra STAR Program offers services that will help patients heal emotionally and physically. Dalton’s services are free for the patient as well as family members. “The STAR Program has been an invaluable resource for my own patients and for cancer patients treated within Centegra Health System,” said Dr. Thomas Weyburn, a medical oncologist with North Shore Oncology. “As clinicians we are aware that treating patients with cancer is not simply treating the physical,” said Weyburn. “That is where the STAR Program can help fill in the gaps. From providing physical therapy and lymphedema management to counseling and behavioral health services, we are able to treat the whole patient and provide the needed support to patients and their families. It takes a lot to treat someone with cancer and do it well, and this program has helped us do so.” For more information about the Centegra STAR Program, contact Dalton at 815-759-4870.

Centegra STAR Program: Collaborative cancer care

The following are the number of survivors who have received Centegra STAR Program services, listed by cancer type:

• 101 breast• 12 head & neck• 5 myeloma• 4 colon• 4 lymphomas• 3 cervical, uterine & ovarian• 3 lung • 2 brain• 2 melanoma• 1 esophageal• 1 prostate• 1 sarcoma• 1 thymoma

STAR Program Statistics(as of August 2014)

The average age of the Centegra STAR Program survivor is 61, the youngest is 32 and the oldest is 88.

Centegra STAR ProgramCancer treatment often is difficult and comes with side effects such as fatigue and nausea. Through the Centegra Survivorship Training and Rehabilitation (STAR) Program, our goal is to minimize the side effects of cancer therapies and encourage survivors to thrive.

STAR-certified clinicians work as a team in various clinical care areas and have been through intensive oncology training to recognize and offer emotional and supportive care to help you increase your strength and energy so you can be a thriving survivor.

Become a Thriving survivor: Call 815-759-4870 or visit centegra.org/star to learn more about the comprehensive services offered through the Centegra STAR Program..

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Nurses at Centegra Sage Cancer Center are leading a study to see whether a special type of honey is as effective as an antibiotic cream at treating skin problems related to radiation therapy. Manuka honey, which comes from the Manuka tree and is found only in New Zealand and Australia, is already approved by the Food and Drug Administration (FDA) for wound treatment in the United States. Jill Benedeck, an oncology-certified nurse and an educator at the Centegra Sage Cancer Center, leads the study at Centegra. “Many of the people we care for at our cancer center are looking for natural alternatives to antibiotics because they’re already taking medications for cancer treatment,” Benedeck said. “Wounds caused by radiation therapy usually heal quickly and we already have an effective topical antibiotic cream. By studying the effects of Manuka honey on these wounds, we’re hoping to provide our patients a treatment that will heal their wounds and support their interest in natural alternatives.” The study was made possible by a J. Patrick Barnes Grant for Nursing Research from the DAISY Foundation. Benedeck said the goal is to have 50 patients in the study. Julie Anderson, 53, was the first person to become part of the honey study. After she was diagnosed with breast cancer in 2013, she underwent a double mastectomy and chemotherapy before beginning eight weeks of radiation therapy at the Centegra Sage Cancer Center. When her skin

began to develop burns from the radiation, she was randomly selected as the first person to use the honey as a topical treatment. Anderson agreed to be part of the study. The honey comes on sheets that can be cut to the size a person needs. Anderson said she cut the honey sheet and applied it to her skin, covered it with special gauze to protect her clothing and then went about her normal activities for the day. “It was a little sticky,” Anderson said. “I would shower before I went to radiation and as soon as I got home I’d put the honey on and leave it on for 24 hours.” Anderson was closely monitored throughout her treatment. The only times she felt discomfort were when she changed the dressing on burns that developed on a surgical scar. She said she hadn’t thought much about the effects of the honey until her follow-up visits with Dr. Aaron Schwaab, a surgeon with Centegra Physician Care, and Dr. Philip Bushnick, an independent plastic surgeon with Cosmetic and Plastic Surgery Associates in McHenry. “They were thrilled with how I was healing,” Anderson said. “When I went to see Dr. Schwaab he said, ‘Didn’t you have radiation? Your skin looks so good, I can’t tell you had radiation at all.’ He said a lot of times people have darker skin where they had radiation. Dr. Bushnick was impressed, too.” Anderson said she has one discolored patch of skin on the back of her shoulder, and that is in a place

where she didn’t apply honey. Today, life is sweet after Anderson’s participation in the honey study and the completion of her cancer treatment at Centegra. She’s back to work in human resources at a McHenry elementary school and she’s making travel plans for later this year. “We just sent our youngest off to college and this is a new time in our lives,” Anderson said. “We are ready to enjoy living. I feel good.”

Honey used as alternative therapy for cancer treatment wounds

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For more than 28 years, radiation oncologist Dr. Terrence Bugno has been more focused on treating people than treating cancer. It is his special focus on relationships that has made Bugno one of the most trusted physicians in Chicagoland when it comes to cancer care. Since his career began, new treatments and technologies have dramatically changed the way he and his colleagues treat cancer. But what Bugno is most excited about is

the ways doctors have begun to engage patients in conversations about their hopes, their needs and their overall health. Those conversations, he said, are where real medicine begins at the Centegra Sage Cancer Center. When Bugno was a young adult he supported his mother as she received treatment for uterine cancer. Although her clinical care was excellent, Bugno knew he wanted to do more when he became a doctor. “The communication, the heartfelt medicine sometimes was missing,” he said. “As I started to

look at how I might be an agent of change, that’s what guided me into oncology. I began to recognize that communication of what’s going on, why it’s going on, and how the patient can become an active participant, could actually be vital to the patient’s overall outcome.” When he meets a patient, Bugno’s first goal is to get to know him or her as an individual. Once he’s established a relationship with the patient and family he can begin to understand which cancer treatments and other care will be most successful. “Without question, high quality personalized, multidisciplinary cancer care is critical to the patient’s ultimate outcome,” Bugno said. “Even though we may do many things with them or on their behalf, the bottom line is that patients can often heal themselves based on how much energy and effort they put in as well as their own belief systems and understanding,” Bugno said. “Quite honestly, statistics are great in books but they don’t often hold for an individual. Every time I meet a new patient it is a new one-on-one conversation.” Bugno said he tries to help people cope with the rush of emotions that often happens after a cancer diagnosis. “For many individuals, they’ve been so busy running through life that they haven’t even stopped to think, what are my goals? Or, if there was a shortened

timeline, what are my priorities,” he said. Those priorities often center on family members and other relationships that are extremely important for cancer survivors. Bugno said the concept of community cancer care – not going to big cities like Chicago for cancer diagnosis and treatment – was developed to help people stay anchored in their support systems while they’re receiving treatment. “You don’t really go at this alone,” Bugno said. “You do it within families, within relationships, within churches, even within your health care system where there are various support groups.” Social networks – the real, person-to-person kind that provide lasting support – not only play an important role in cancer treatment, they can also help people create healthier habits that lead to cancer prevention. Centegra Health System thinks support systems are so important that it provides specialized care for family members and friends of people who have cancer. “We respect and support the primary and secondary caregivers who walk the cancer journey with the person who has the problem,” Bugno said. “That can be as vital to a person’s outcome as anything else. We can give people all sorts of

Physician uses personal approach, sophisticated medicine to heal patients

Dr. Terrence Bugno, radiation oncologist on the medical staff at Centegra Health System

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directions, but if they don’t get help outside of interactions with physicians and health care providers then it may not happen.” Just as he tells his patients to lean on their families and friends, Bugno has come to rely on his relationships with other health care providers. He said his strong relationships with the team at Centegra and with other doctors have positive effects on every patient he treats. “I’ve been blessed because for me, radiation oncology is instinctively a team effort,” he said. “I work with radiation therapists, nurses, dosimetrists, physicists, support and administrative staff, social workers, dietitians, pharmacists, pastoral care and now rehabilitation partners. It’s a team program and we all work together to benefit the quality and quantity of our patients’ lives.” As part of the Centegra STAR Program, Bugno is one of more than 80 providers who have special training to address the side effects of cancer care. He sends patients for a wide range of services including massage therapy, physical therapy and speech therapy to help them recover from treatments.

“We work collaboratively because we all have a stake in guiding each patient’s progress,” he said. “We even provide services to get patients to appointments and to be sure they’re in safe environments at home. Progressive oncology programs have begun to offer coordinated services and that is what we do at Centegra.” While he and his colleagues work together to change patients’ lives, Bugno said he has also changed through the years. “I’ve learned to be much more passionate, patient and considerate, but I’ve also continued to be intense,” he said. “I’ve continued to be on the mark about learning conventional and integrative medicine - because my true desire is to help individuals in any way, shape or form that I can. I recognize one simple fact. It’s not always what we do to patients, but it is who we are with our patients. They know it and they feel it and they read us just like we read them. It’s real-life medical care.”

The Centegra Health System Foundation fights cancer by purchasing state-of-the art technology and funding services throughout McHenry County. This can only be done through generous donations from community members and businesses that share Centegra’s commitment to early intervention and exceptional cancer treatment. The McHenry Country Club Ladies Association is just one of the many community organizations that have donated to the Foundation to help Centegra purchase advanced technology. Diane Spengel, a board member at the McHenry Country Club Ladies Association, helps organize the Association’s annual Breast Cancer Rally Day. Proceeds from the event have gone to the Centegra Gavers Breast Center for the last three years. “It is important to us to keep our donations local,” said Spengel. “By supporting the Centegra Foundation we ensure contributions directly impact friends and family who need care.” Other contributions to the Centegra Health System Foundation have helped Centegra become the first in the region to offer sophisticated medical imaging such as 3-D mammography. This enhanced mammogram, also known as tomosynthesis, provides doctors the best opportunity to detect breast cancer in its earliest stages. To advance the fight against lung cancer, the Gavers Community Cancer Foundation donated $15,000 to support 50 free low-dose CT lung screenings at Centegra. Other services such as Patient Express Van free transportation, support groups, educational programs and the Centegra STAR Program would not be possible without contributions to the Foundation. To learn more about Centegra Health System Foundation’s current fundraisers or about donating to the Foundation, call 815-788-5870 or visit centegra.org/foundation.

Physician continued from page 14 Centegra Health System Foundation funds cancer services

ENhanced mammographyIn addition to the state-of-the-art imaging technology already provided, the Centegra Gavers Breast Center offers the only 3-D breast imaging, called tomosynthesis, in McHenry County. Ideal for women with dense breasts, this technology captures multiple images of the breast at different angles, providing a 3-D reconstruction. The enriched view helps health care providers see if anything of concern is hiding behind overlapping tissue, providing women a greater peace of mind.

Schedule an appointment: Call 815-334-5566 to schedule your mammogram. Learn more about tomosynthesis and view videos and images at centegra.org/mammo.

STAY AHEAD OF BREAST CANCER with Nationally-Recognized Breast Care Centegra Gavers Breast Center is the hub for Centegra’sbreast health program offering:

• Accredited breast care program• Breast Health Navigator• On-site Radiologist• Quicker results• Multidisciplinary team approach• Research-focused breast surgeons• Leading-edge technology, such as 3-D mammography• Breast ultrasound and MRI• Robust support – emotional, educational, financial• Integrated with the Centegra Sage Cancer Center

LOCATION360 North Terra Cotta Road Crystal Lake, IL 60012

centegra gaversbreast center

schedule An Appointment: Call 815-334-5566 to schedule your mammogram. Learn more about the services offered at the Centegra Gavers Breast Center at centegra.org/breastcenter.