Putting some teeth in cancer issues

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It's always fun for me to get a call from a former student from my tenure at Southern Methodist University. Such was the case last fall when I got a call from a young man named Norberto Diaz, who had been my student more than a decade ago. Come to find out he had taken a new job, and, while he had called to catch up, he was also calling to tell me about his new job with a Dallas dentist named Dennis Abbott whose specialty is working with oncology patients. Of course, he knew my history, and he knew I was working at a cancer publication. When he began telling me about what Dr. Abbott was doing, I was intrigued. We had never done a story on dental issues around treatment, but I still could recall the pain of oral mucositis during my treatment. For days I walked around with a mouth full of liquid pain killer. Back then they had little to offer me but pain killer. Today Dr. Abbott has much more for his patients. It turns out that dental issues are huge for head and neck cancer patients as well as those who have problems with their teeth before starting any kind of therapy. We did a story on dental issues in our winter issue and had a number of readers say something along the lines of, "it's about time you talked about dental issues." So, we are going to do it again. This time in a facebook chat – tomorrow, April 12, at noon on our facebook page. Come join us and talk directly to Dr. Abbott about your dental issues.

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For patients with cancer, the ongoing chemotherapy shortage may cause some anxiety as they wonder how they will receive their drugs. However, measuring drugs “down to the minutiae of the milligrams” helped patients receive the drugs they needed, said Alison Tray. Tray is an advanced oncology certified nurse practitioner and current vice president of ambulatory operations at Rutgers Cancer Institute in New Jersey.  If patients are concerned about getting their cancer drugs, Tray noted that having “an open conversation” between patients and providers is key.  “As a provider and a nurse myself, having that conversation, that reassurance and sharing the information is a two-way conversation,” she said. “So just knowing that we're taking care of you, we're going to make sure that you receive the care that you need is the key takeaway.” In June 2023, many patients were unable to receive certain chemotherapy drugs, such as carboplatin and cisplatin because of an ongoing shortage. By October 2023, experts saw an improvement, although the “ongoing crisis” remained.  READ MORE: Patients With Lung Cancer Face Unmet Needs During Drug Shortages “We’re really proud of the work that we could do and achieve that through a critical drug shortage,” Tray said. “None of our patients missed a dose of chemotherapy and we were able to provide that for them.” Tray sat down with CURE® during the 49th Annual Oncology Nursing Society Annual Congress to discuss the ongoing chemo shortage and how patients and care teams approached these challenges. Transcript: Particularly at Hartford HealthCare, when we established this infrastructure, our goal was to make sure that every patient would get the treatment that they need and require, utilizing the data that we have from ASCO guidelines to ensure that we're getting the optimal high-quality standard of care in a timely fashion that we didn't have to delay therapies. So, we were able to do that by going down to the minutiae of the milligrams on hand, particularly when we had a lot of critical drug shortages. So it was really creating that process to really ensure that every patient would get the treatment that they needed. For more news on cancer updates, research and education, don’t forget to subscribe to CURE®’s newsletters here.
Yuliya P.L Linhares, MD, an expert on CLL
Yuliya P.L Linhares, MD, and Josie Montegaard, MSN, AGPCNP-BC, experts on CLL
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