Cancer Care
Cancer Care at Exeter Hospital provides cancer patients and their families with comprehensive in-patient and outpatient services. Accredited by the American College of Surgeon's Commission on Cancer with commendation, The Center for Cancer Care at Exeter Hospital is the most comprehensive cancer center on the Seacoast.
Exeter Hospital Center for Cancer Care and Massachusetts General Hospital Cancer Center form a unique clinical collaboration. This innovative new program brings members of radiation oncology at Massachusetts General Hospital Cancer Center, and their experience and expertise, to patients at Exeter Hospital on a full-time basis. Find out more. Read press release.
Medical Oncologists
Medical Oncologists/Hematologists are physicians who specialize in the care and treatment of cancer and blood disorders. They are experts in the treatment and management of side effects related to cancer therapies, and they work closely with other physicians and members of the Oncology team.
A Medical Oncologist/Hematologist is certified by the American Board of Internal Medicine.
Meet our Medical Oncologists:
Denis B. Hammond, MD, Medical Director
Medical Oncologist/Hematologist
Danny M. Sims, MD, Associate Medical Director
Medical Oncologist/Hematologist
Gina M. DiVenuti, MD, Medical Oncologist/Hematologist
Michael Buff, MD, Medical Oncologist/Hematologist
Physician Assistants and Nurse Practitioner:
Garrick Johnson, PA-C
Lisa Swett, PA
Judy Trotter, ARNP
Treatment Center
The Medical Oncology facility at Exeter Hospital offers 13 treatment areas, including 3 private day suites with beds for long term infusion treatment.
Each treatment area includes a comfortable recliner, television/vcr, portable telephones, wireless computer access and seating for visitors
The two infusion areas, both with southern exposure, face the Healing Garden filled with flowering trees, plants and the soothing sound of trickling water. The private outdoor garden acts as an extension of the treatment area where patients can receive chemotherapy treatment within nature's healing environment.
Laboratory
The Exeter Hospital Department of Oncology/Hemotology provides an onsite, state licensed laboratory for the convenience of our patients undergoing therapy. Our laboratory is operated by two Registered Medical Technologists and is affiliated with LabCorp.
Complete Blood Counts can be performed immediately, and are quickly made available to our physicians. In this way, we are able to rapidly assess our patients' current status. All other laboratory work is sent to the main hospital laboratory for completion.
Pharmacy
The Oncology Pharmacy is dedicated to providing all patients with safe and accurate chemotherapy, drug information regarding their therapy, and other information as needed. Pharmacists also review each patient's current medication history to optimize therapy.
Patients are encouraged to seek information from the pharmacist regarding any questions that may arise during their course of treatment. All pharmacists are licensed by the State Board of Pharmacy of New Hampshire.
Our radiation therapy center houses some of the most technologically advanced radiation therapy equipment currently available in the region. This equipment allows our staff to carefully plan and deliver sophisticated radiation therapy treatment with high precision.
Approximately half of all cancer patients will receive radiation therapy at some time during their care. Radiation therapy can sometimes be used instead of surgery, and is often the preferred treatment for a number of cancers including cancer of the larynx, prostate, breast, brain, lung, and mouth. In many situations, radiation therapy is given following surgery, which may not have completely removed all tumor tissue. Radiation therapy is also very effective at controlling local symptoms caused by cancer, such as pain from the spread of cancer into the bone.
If you require radiation therapy, our staff will work with you, your family, and your medical team to make the treatment as stress-free as possible.
Radiation oncologists oversee the care of each cancer patient undergoing radiation treatment. They develop and prescribe the patient's treatment plan and make sure that every treatment is accurately given. In addition, radiation oncologists help identify and treat any side effects of radiation therapy. They work closely with other physicians and all members of the radiation oncology team.
Radiation Oncologists are certified by the American Board of Radiology.
Meet our Radiation Oncologists:
Radiation Therapy Treatments
Radiation treatments at Exeter Hospital are delivered by linear accelerators using a technique called external beam therapy.
It takes about five to 15 minutes to be positioned for treatment, and the treatment itself takes only a few minutes. Patients are treated with multiple small doses of radiation with time in between treatments so their healthy cells can repair much of the radiation damage.
The patient usually receives external beam therapy five times a week; some patients receive treatment twice a day. An entire course of radiation treatment usually lasts from one to eight weeks, depending on the type of cancer and the goal of treatment.
The Radiation Therapist gives external beam treatment following the treatment plan developed by the Radiation Oncologist, Physicist and Dosimetrist. The therapist is not in the treatment room with the patient but closely monitors the patient on a television screen.
During the treatment, the patient lies very still, and can communicate with the therapist via a microphone in the treatment room.
Simulation
Before radiation treatment is started, x-ray films are taken and calculations are made to determine the angles from which the x-rays should be directed. These measurements are taken with a CT simulator.
During simulation, the area of the patient's body to be treated is marked directly on the patient's skin with markers. Very tiny permanent marks, or tattoos, are sometimes made to ensure that daily treatments are delivered accurately. These are also useful for future treatment planning sessions and treatment updates.
At Exeter Hospital, Inc., our affiliated surgeons work collaboratively with affiliated pathologists, medical oncologists, and radiation oncologists to develop the most comprehensive treatment plans for our patients.
And our medical staff works to ensure you are as comfortable as possible throughout your procedure.
Surgical interventions are provided for the following specific diagnoses:
We also offer many different kinds of support for cancer patients and their families:
At the Center for Cancer Care, we believe support is an important component of the care and recovery of our patients and their families. Several programs are available to support individuals throughout all aspects of their cancer experience.
The social workers at the Center for Cancer Care at Exeter Hospital offer counseling and psychotherapy services to our patients and members of their family. Individual, couples, and family counseling are available to offer emotional support for all those involved in the treatment process.
In addition, a variety of support groups and programs are offered to enhance coping skills, gain support, and learn anxiety reduction techniques for children, adolescents and adults.
Emotional well being is equally as important as the physical well being of our patients. The diagnosis of a serious illness, such as cancer, may be a time when emotional concerns may need to be addressed. In addition to counseling services, social workers are available to help patients become more familiar with community resources, answer financial and insurance related questions, and provide referrals to VNA and other home health care agencies.
For information about counseling, please call Anthony Provazza, LICSW at (603) 580-7084.
The majority of individuals with cancer will receive surgery, chemotherapy and radiation therapy. Individuals receiving treatment for cancer can often benefit from rehabilitation to address some of the physical side effects of treatment.
Preventative - Treatment works to prevent problems such as fatigue, weakness or swelling (lymphedema).
Restorative - Treatment works to restore skills such as daily functional activities and strength.
Supportive - Treatment works to support conditions such as swelling or nerve related symptoms such as numbness or weakness.
Palliative - Treatment is intended to help manage symptoms related to disease progression.
The Center for Cancer Care has a physical therapist on staff to provide immediate and ongoing screening for rehabilitation. Those individuals who need rehabilitation can receive Physical, Occupational and/or Speech Therapy during their hospital admission, in their home or on an out-patient basis. Treatment plans are established to meet the individual goals of the patient.
Physician referrals are required for rehabilitation; most services are covered by insurance. For more information call Amy Litterini, PT, DPT, Cancer Wellness Coordinator at (603) 580-7067.
Individuals with a diagnosis of cancer often have special dietary concerns. Cancer treatment may cause side effects such as changes in appetite, eating habits or taste, fluctuations in weight, or nausea. Some dietary supplements and herbals can interfere with cancer treatments. Nutrition consultations with a Registered Dietitian are available.
A healthy diet supports cell repair and helps prevent infection. In fact, some cancer treatments are more effective if the patient is getting enough calories and protein before, during and after treatment. Programs are designed to ensure proper nutrition during cancer care, minimize the effects of cancer care on one's diet, and restore health through nutrition during recovery. For more information, please call our registered dietician Meg Merz, RD, LD, at (603) 580-7303.
At the Center for Cancer Care we consider exercise to be a potential part of each patient's treatment plan. Cancer Well-fit is our exercise program designed for people who are currently in or within one year of cancer treatment. These free, 10-week, twice-weekly exercise classes are held at Synergy Health and Fitness Center on the campus of Exeter Hospital. All participants are screened by a physical therapist prior to enrollment and individual exercise programs are prescribed to meet the needs of each participant.
Weekly Cancer Well-fit Yoga classes are also available at Synergy's Mind Body Studio. Medical clearance and screening are required for the Cancer Well-fit Yoga classes.
For more information, contact Amy Litterini, PT, DPT,at (603) 580-7067.
Our support groups offer a comfortable, safe and confidential group setting with facilitation by Oncology social workers. All programs are free of charge.
Cancer Support Group: This support group meets weekly on Thursday evenings. Patients, family members and friends are invited to attend. You will have an opportunity to learn coping skills and gain emotional support from long-term cancer survivors and other patients currently in treatment. On a periodic schedule, staff from the Oncology Clinic will attend this group to answer specific questions that group members may have. Contact Jeanne Wholey at (603) 580-7355 if you would like to attend this group.
Caregivers Support Group: This group is for those individuals who find themselves in the care-taking role of a loved one who is coping with the diagnosis of cancer and cancer treatment. This group provides support, an opportunity to share coping skills, and relaxation methods in a supportive and confidential environment. This group meets for 8 sessions. Contact Anthony Provazza at (603) 580-7084 if you would like to attend this group.
Couples Support Group: The focus of this group is to promote communication and discussion for couples coping with a cancer diagnosis. Communication strategies will be discussed to help couples learn skills, which will enable open discussion on a variety of couple's issues. By encouraging the expression of feelings group members will come to support and learn from one another in an open and trusting environment. Contact Anthony Provazza at (603) 580-7084 for more information and to register.
Men's Group: This group is an opportunity for men to meet and discuss topics specific to their diagnosis and treatment. This group meets for 8 sessions. Group meetings are confidential. Contact Anthony Provazza at (603) 580-7084 if you would like to attend this group.
Art Therapy Support Program: Directed group using various art mediums as a modality to identify and express thoughts and feelings, leading to insight and ability to make changes. Techniques may include drawing, collage, clay, and guided imagery. For more information contact Lori Nathan, ATR at (603) 580-7017.
Children/Family Art Support Group: Support group for children/adolescents who are coping with a family member diagnosed with a life threatening disease. Through drawing and other art forms, participants are encouraged to share their feelings, hopes and fears. A companion group for parents/guardians focusing on children’s issues and family coping skills runs simultaneously. For more information contact Lori Nathan, ATR at (603) 580-7017.
Healing Arts Program
This weekly class is available to adults interested in learning basic art techniques and using the creative process as a springboard for their own personal, spiritual and healing growth. This class is designed for all levels of experience and you do not have to be a trained artist to participate. For more information, or to register, contact Kathleen Robbins at 603-580-7280.
One on One Art Instruction
While patients are here for treatment, our in house artist is available for art instruction in their area of interest. Some of the projects available are painting, drawing and craft related projects. One popular project is the memory book where patients compile a chronology of their life story into a scrapbook with photo memorabilia, lettering and creative decor. Please contact Kathleen Robbins at 603-508-7280 for more information or to set up an appointment.
Patients at the Center for Cancer Care for radiation therapy or infusions may receive a complimentary chair massage or Reiki session on the day of their medical visit by appointment. Private, out patient appointments are available for a fee in our new Integrative Oncology room. Packages are available with a discount and gift certificates are available. Please call (603)-580-7375 to request an appointment.
Pet Visits: We have certified pet handlers and pet therapy dogs who visit both medical and radiation concology weekly. These visits are sure to bring smiles and help reduce stress!
Look Good...Feel Better: In collaboration with the American Cancer Society, the Center for Oncology and Hematology hosts the Look Good...Feel Better program. This non-medical program teaches women going through cancer treatment the basics of make-up application and hair techniques to help manage the appearance related to side effects of cancer treatment. A free make-up kit is provided to each individual. For more information, contact the American Cancer Society at (800) ACS-2345.T o register for the next class, contact Krista Smith-Grew at (603) 580-7039.
Adventure Day: In collaboration with The University of New Hampshire's Browne Center, the Cancer Wellness program provides the biannual "Adventure Day" each Spring and Fall. This outdoor experiential program involving both high and low elements was created for any adult with cancer as well as their significant support person. An adolescent program is held the same day for participant's children. For more information, contact Amy Litterini at (603) 580-7067.
Spiritual Care: Spiritual Care can be an important part of healing for some patients. At The Center for Cancer Care, the non-denominational hospital chaplain is available in the clinic or by appointment to provide spiritual counseling and support. A religious affiliation is not required as spirituality is different for every individual. For more information, contact Champlain Wayne Van Gundy, D. Min., at (603) 580-7482.
Each year, the Center for Cancer Care participates in several events designed to increase awareness for cancer prevention and support, raise funds for cancer research and programming, and celebrate survivorship.
The Relay for Life is an annual summer event hosted by the American Cancer Society at Phillips Exeter Academy. Teams of 8-15 people walk or run around the track for 18 hours while generating donations from sponsors. Many fun activities are planned and the music is always lively. Come enjoy the survivor's lap and opening ceremonies as well as the luminary ceremony at dusk. Contact the American Cancer Society at 1-800-ACS-2345 for more details.
Making Strides against Breast Cancer is an annual event in October - breast cancer awareness month - hosted by the American Cancer Society and Exeter Health Resources, at Synergy Health and Fitness Center. Sponsored teams walk a planned route through downtown Exeter with the funds raised going towards breast cancer research. Please contact Karen Ellis at (603) 580-6775 for more information.
Survivor's Day is an annual celebration held on the first Sunday in June. It is hosted by the Center for Cancer Care. The family style cookout is served with live music and plenty of fun. Please join us for this celebration for patients, families and staff. Please contact Amy Litterini at (603) 580-7067 for dates and times.
With coordination by the Center for Cancer Care, Exeter Hospital hosts a monthly session for clinicians called the
Schwartz Center Rounds. These meetings are an open forum for our staff members to discuss the emotional issues surrounding care.
Cancer Wellness Newsletter
The Center for Cancer Care at Exeter Hospital distributes a quarterly newsletter to patients, physicians, and others. The newsletters contain articles and information on:
- Available programs
- Community events and fundraising
- Art and writing from our patients
- An "Ask the Expert" column
- Recipes from our nutritionists
- A calendar of events
The clinical trials program at Exeter Hospital allows our patients to participate in cutting-edge research without having to travel to Boston or Dartmouth.
The Cancer Center participates in several national research groups sponsored by the National Cancer Institute. We are able to offer a variety of clinical trials. The type of clinical trial usually offered by the Cancer Center is called a Phase III trial, meaning that the new treatment has been tested in humans and that we know the new treatment provides some level of effectiveness against cancer. The new treatment is being compared to what is felt to be “standard care.”
In addition to contributing to advancements in cancer care, one of the benefits of a clinical trial is that it may allow you to receive new treatments not yet approved by the FDA, and therefore not available unless you are in a trial. The risks of participating in a trial are that we don’t know if the treatment is better or worse than standard treatment and we may not know all the potential side effects of the treatment. The decision to participate in a clinical trial is a personal one.
If you are interested in participating in a clinical trial, talk with your oncologist. He or she can let you know if there are trials available for your type of cancer either here or in a larger cancer center. Participating in a clinical trial is voluntary. You will receive all the care and treatment that we can provide in the Cancer Center regardless of whether or not you participate in a trial.
In addition to the clinical trials, we sometimes have other research projects available. For example we may have a study open that evaluates the benefits of exercise for people with cancer or a study looking at quality of life. Again, participation is always voluntary.
To see which clinical trials and studies are currently available at the Cancer Center, please see the following list. The list changes almost every month, for the most up-to-date information, please talk with your oncologist.
