WEBVTT 00:01.540 --> 00:05.000 well do it . Community hospital did not 00:05.010 --> 00:08.870 have our specialty before because uh 00:08.880 --> 00:10.769 the details in our specialty were 00:10.769 --> 00:12.824 usually only at medical centers . So 00:12.824 --> 00:16.490 we're in hawaii or in in Seattle san 00:16.490 --> 00:18.960 Antonio and previously walter reed . 00:19.340 --> 00:22.490 The decision was made to offer an 00:22.490 --> 00:24.250 oncology service here with the 00:24.250 --> 00:26.430 expansion of the new hospital . And so 00:26.440 --> 00:28.273 we were asked to bring radiation 00:28.273 --> 00:30.440 oncology on board which is an integral 00:30.440 --> 00:33.650 part of any cancer center . And so um 00:33.660 --> 00:35.327 adding the radiation oncology 00:35.327 --> 00:37.680 department to for Babel Community 00:37.680 --> 00:40.270 Hospital is a brand new facility but 00:40.270 --> 00:42.381 it's also of our brand new department 00:42.381 --> 00:45.860 to this side of the community . And 00:45.860 --> 00:48.027 that is exactly I'm glad you asked the 00:48.027 --> 00:49.971 question . That's exactly why they 00:49.971 --> 00:52.138 thought here would be a great location 00:52.138 --> 00:54.304 because we have so many military bases 00:54.304 --> 00:56.527 on this side . We have so many retiring 00:56.527 --> 00:58.749 personnel on this side . A lot of folks 00:58.749 --> 01:00.916 had to go into the civilian sector and 01:00.916 --> 01:03.249 Tricare had to pay for these treatments . 01:03.249 --> 01:05.471 For example , prostate cancer treatment 01:05.471 --> 01:07.304 through its entirety $60,000 per 01:07.304 --> 01:09.193 patient . Breast cancer is ranged 01:09.193 --> 01:12.080 between 20 to 40,000 for each treatment . 01:12.080 --> 01:15.290 So with the ongoing statistics and the 01:15.300 --> 01:18.230 population having a cancer center here 01:18.240 --> 01:20.462 will definitely benefit the military on 01:20.462 --> 01:23.650 whole scale . Oh it's great . It's 01:23.650 --> 01:25.817 fabulous . Take a look around . I mean 01:25.817 --> 01:27.817 there of the other departments that 01:27.817 --> 01:30.980 I've been to I think of the fiber of 01:30.980 --> 01:33.202 the location there in the basement . So 01:33.202 --> 01:35.202 here having the opportunity to have 01:35.202 --> 01:37.147 windows and be able to see outside 01:37.147 --> 01:39.950 brand new facility . We absolutely love 01:39.950 --> 01:42.580 it . And we um call our colleagues at 01:42.580 --> 01:44.747 all the locations sometimes and said , 01:44.747 --> 01:46.858 hey I'm looking out the window . They 01:46.858 --> 01:49.630 don't have that ability . Well the city 01:49.630 --> 01:52.210 scan that we use here . It's also used 01:52.210 --> 01:54.470 in diagnostic radiology . And what this 01:54.470 --> 01:57.200 afford us the opportunity to do is to 01:57.200 --> 01:59.900 be able to see inside the body that 01:59.900 --> 02:02.122 were treated . Um in the older days you 02:02.122 --> 02:04.520 would just take an X ray and we would 02:04.530 --> 02:07.330 um just guesstimate where we'd be 02:07.340 --> 02:09.562 treating what's happening on the inside 02:09.562 --> 02:11.920 with the large bore phillips ct scanner 02:11.920 --> 02:13.930 we have behind us . We now have the 02:13.930 --> 02:16.590 ability to actually take a look on the 02:16.600 --> 02:18.800 inside outline where the tumor is 02:18.800 --> 02:21.133 arranged the beams in several different . 02:21.133 --> 02:23.300 We were able to look on the inside and 02:23.300 --> 02:25.230 this um ability will help us to 02:25.230 --> 02:27.600 decrease the toxicity or exposure of 02:27.600 --> 02:29.822 radiation to the normal tissues that we 02:29.822 --> 02:32.270 do not need to treat . Um Additionally 02:32.270 --> 02:35.560 with this new city , it also has a 02:35.560 --> 02:37.920 higher weight capacity so that even for 02:37.920 --> 02:39.698 the larger patients and certain 02:39.698 --> 02:41.809 positions that we have to do , we can 02:41.809 --> 02:43.920 use this machine without any problems 02:43.920 --> 02:46.087 at all . Well , it depends on the type 02:46.087 --> 02:48.198 of cancer they are that they have and 02:48.198 --> 02:49.976 how advanced the cancer is . So 02:49.976 --> 02:52.198 commonly , let's say for example breast 02:52.198 --> 02:55.340 cancer . And in order usually the way 02:55.340 --> 02:57.507 that is detected is either the patient 02:57.507 --> 02:59.970 feels a lump in their breast or most 02:59.980 --> 03:02.350 often lee these days , over 80% of the 03:02.350 --> 03:04.350 time is through the mammogram where 03:04.350 --> 03:06.572 they have a mammogram done here , which 03:06.572 --> 03:08.850 is also part of our breast care center . 03:08.850 --> 03:10.794 And they see an abnormality in the 03:10.794 --> 03:12.683 mammogram . Then from there , the 03:12.683 --> 03:14.850 procedure goes through where they have 03:14.850 --> 03:16.739 a biopsy done and we discuss them 03:16.739 --> 03:19.390 during a multi disciplinary tumor board . 03:19.390 --> 03:21.668 As far as what the next step should be . 03:21.668 --> 03:23.890 What surgeries are they going to have ? 03:23.890 --> 03:25.779 Well , they have a lumpectomy , a 03:25.779 --> 03:27.890 mastectomy . Do they need radiation ? 03:27.890 --> 03:30.001 Do they need chemotherapy ? So one of 03:30.001 --> 03:32.112 the other new things at this hospital 03:32.112 --> 03:34.334 also offers as any of the other medical 03:34.334 --> 03:36.557 centers do is we have multidisciplinary 03:36.557 --> 03:38.800 tumor board . That is . No one service 03:38.800 --> 03:40.744 may make a decision about patients 03:40.744 --> 03:42.911 treatment . We all come together after 03:42.911 --> 03:45.022 seeing the patient and discuss what's 03:45.022 --> 03:47.210 the best treatment options or path for 03:47.210 --> 03:49.154 this patient based on the stage of 03:49.154 --> 03:49.560 cancer .