Posts Tagged ‘farber’

OPEN HOUSE NEW YORK

October 6th, 2011

OHNY

Open House New York will be held this year on October 15 and 16, with private residences, commercial space (The Farber Center included), hotels, unbuilt corners of parks, and architects’ offices opening their doors to the public. This is the 9th annual open house New York weekend.

OHNY weekend offers you rare access and insight into hundreds of architecturally and culturally significant sites in all five boroughs. This annual weekend of urban exploration and architectural discovery also includes free talks; fun youth and family activities; and tours on foot, bicycle, and even by canoe.

Some of those spots require reservations, and OHNY’s reservation system is officially open. The full list of sites for the weekend can be downloaded here: OHNY LINK The OHNY website is a little slow this a.m. as the rush to reserve a spot continues, so be patient, here is the link to register: OHNY.

You can see below that The Farber Center will have open dialogue tours with the architect from 12:30pm to 2:30pm Saturday October 15th and Sunday October 16th.

The Farber Center part of OHNY

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77WABC Breast Cancer Expert

October 4th, 2011

Dr. Marnee Spierer from The Farber Center for Radiation Oncology is now 77WABC’s Breast cancer expert. Please watch as Dr. Spierer talks about what a breast cancer patient should know.

To learn more about breast cancer please visit The Farber Center for Radiation Oncology here: The Farber Center
To visit 77WABC breast cancer page go here: 77WABC

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5 Day Prostate Cancer Treatment

September 26th, 2011

When you are researching prostate cancer there are a lot of treatment options out there and I highlighted them in a previous blog. What I would like to highlight today is a 5 day course of treatment.

What is a 5 day course of treatment? It is a five-day, non-invasive treatment for prostate cancer (called “stereotactic body radiation therapy” or “SBRT”). SBRT is a specialized form of IMRT (intensity modulated radiation therapy) that delivers high doses of radiation over a period of five days. Instead of giving small doses of radiation each day for several weeks, SBRT involves delivery of very focused beams of high-dose radiation. Several beams are aimed at the tumor from different angles. When for other cancers it is delivered in a single fraction it is known as stereotactic body radiosurgery. Like other forms of external radiation, these treatments are painless.

Currently there are nuances determined by which machine you are treated on. Cyberknife is one machine, another is Elekta Infinity which is what we have here at The Farber Center.

TOTAL TREATMENT TIME: 45 minutes on CyberKnife vs. 20 minutes on Elekta Infinity.

TREATMENT PLANNING: Both CyberKnife and Elekta Inifinity use Monte Carlo based dose calculations. Unlike other planning software programs that use theory models to calculate dose, Monte Carlo is statistical planning and the most accurate. Because Elekta Infinity utilizes a multileaf collumater, which can change shape instantaneously we can mimic the shape of the prostate as seen from different beam angles better, compared to the circular aperture in a CyberKnife system. This will reduce the normal tissue being irradiated from various gantry angles. Thus we can achieve better DVH (Dose Volume Histogram) with LINAC based prostate SRT compared to CyberKnife.

TARGETING THE PROSTATE: None of these machines can track the motion of the prostate throughout treatment AND adjust delivery accordingly. The CyberKnife System uses invasively implanted fiducials as reference points to identify the exact location of the prostate. Patients will wait approximately one week after insertion of the fiducials before CyberKnife treatment planning can begin to ensure that fiducial movement has stabilized.

At The Farber Center for Radiation Oncology we have a completely non-invasive approach to targeting the prostate. We use a RadiaDyne balloon. The balloon acts primarily as an immobilizer reducing the daily variations in location of the prostate, and allowing the rectum and prostate to be positioned in a more predictable and reproducible location during the treatment course. Because of the decreased probability of the prostate moving out of the treatment fields, smaller treatment margins around the prostate may be used. This will have the effect of lowering the radiation dose to the normal tissue surrounding the prostate and lowering the incidence of potential side effects to normal tissues. We also take a second Cone Beam CT Scan in the middle of treatment to verify the position of the prostate. This together with the placement of the RadiaDyne ballon ensures consistency in the location and motion of the prostate during the course of treatment. Due to the fact that we can complete a entire treatment including setup and imaging in under 20 minutes, the amount of prostate motion documented from studies (Both, et al) is kept at a clinical minimum.

KEY POINTS with Elekta Infinity:
5 Day Treatment
No need for surgical procedure
No Hormones
Better bladder DVH
Higher Rate of Erectile Function Preservation
CBCT to see prostate/rectum interface

In my opinion, the most important factors in selecting the right team are the reputation, training and experience of the radiation oncologists and their support staff (physicists, dosimetrists, therapists, nurses, etc.) in treating prostate cancer using SBRT.

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77WABC’s Prostate Cancer Expert

September 19th, 2011

Dr. Leonard Farber from The Farber Center for Radiation Oncology is now 77WABC’s prostate cancer expert. Please watch as Dr. Farber talks about what a prostate cancer patient should know.

Please go here 77WABC to learn the key statistics for prostate cancer.

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Prostate Cancer Treatment

September 13th, 2011

Let’s take a closer look at the most common cancer in American men, prostate cancer. Why, because its prostate cancer awareness month and 1 man in 6 will be diagnosed with prostate cancer in his lifetime.

So you just got diagnosed with prostate cancer and need to know your options: There is a lot to think about when choosing the best way to treat or manage your prostate cancer. You should always get a second opinion, especially if you have many treatments to choose from. Prostate cancer is a complex disease, and doctors may differ in their opinions about the best treatment options. You will want to weigh the benefits of each treatment against its drawbacks, side effects, and risks.

Current Treatment Options include the following:

ACTIVE SURVEILLANCE
The concept of active surveillance, or watchful waiting means watching the patient closely with regular PSA tests and digital rectal exams every 3 to 6 months. Transrectal ultrasound-guided prostate biopsies may be done every year as well. Treatment is started if the cancer seems to be growing or getting worse, based on either a rising PSA, a change in the rectal exam, or biopsy results.

SURGERY
A surgical approach toward the treatment of prostate cancer is called a prostatectomy. There are several prostatectomy options:

1. Radical Retropubic Prostatectomy: The most common type of prostatectomy involves making an incision in the abdomen and removal of the prostate from behind the pubic bone.
2. Nerve-sparing prostatectomy: The surgeon cuts very close to the edges of the prostate. Care is taken to spare the nerves responsible for erections that run alongside the prostate. In cases when the nerves cannot be spared it may be possible to perform a surgical grafting procedure.
3. Laparoscopic Radical Prostatectomy (LRP): minimal invasive surgery. Very small incisions are made in the abdomen, into which the surgeon inserts narrow instruments fitted with cameras (laparoscope) and/or surgical tools, allowing the surgeon to visualize and operate on the internal structures without cutting open the entire abdomen.
Side effects of prostatectomy
 include urinary incontinence (stress and total), erectile dysfunction (ED) and impotence, and post-operative complications.

RADIATION THERAPY
There are several radiation options for the treatment of prostate cancer.
1. External beam radiation therapy involves focusing a beam of ionizing radiation to the tumor while sparing the surrounding tissue. Treatments are given Monday through Friday and last less than 30 minutes.
2. 3-Dimensional Conformal Radiotherapy (3D-CRT) is a method of treatment delivery that combines multiple radiation treatment fields using 3-Dimensional computer planning to produce a high-dose area of radiation that conforms to the shape of the area to be treated.
4. Intensity modulated radiation therapy (IMRT) is an advanced form of 3D-CRT that modifies the intensity or strength of each radiation beam. It utilizes a sophisticated system of treatment delivery that allows a precise adjustment of the radiation beam intensity to the tissue within the target area while minimizing effects on surrounding tissue.
5. IGRT or Image Guided Radiation Therapy is another technology that can also be used to ensure better targeting of daily radiation treatments.
5. The Newest Technique is Stereotactic body radiation therapy (SBRT) is a specialized form of 3D-CRT that delivers high doses of radiation over a period of five to ten days.
6. Brachytherapy refers to the technique of implanting small radioactive sources directly into the prostate gland. This procedure takes place under anesthesia, usually in the operating room. Brachytherapy is generally used only in men with early stage prostate cancer that is relatively slow growing. There are two methods of delivering this type of radiation to prostate cancer:

HORMONE THERAPY
is also called androgen deprivation therapy (ADT) or androgen suppression therapy. Often hormone therapy will be used in addition to other treatment. It may consist of a combination of injections and oral tablets. Therapy typically begins at least two months prior to radiotherapy and may be recommended for up to three years depending on the clinical situation.

To find out more or speak directly to Dr. Leonard Farber, please visit The Farber Center for Radiation Oncology

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Have Cancer and Need a Helping Hand?

August 29th, 2011

Lotsa Helping Hands was created to answer the question what can I do to help? If you are caring for someone with cancer or in a crisis, or going through one yourself, chances are you have heard this question a lot. And, if you have watched a friend or loved one in need, you have probably asked the same question. Everyone wants to help, but no one knows exactly what to do. Its simple, free and private! How does it work?

1. Visit the Create a Community Page
In literally minutes, you, a friend or family member can fill out the form on our Create a Community page. Simply enter the name of the community being created and your name and email address. Who should create the community?

2. Invite members who want to help
Next, enter the names and email addresses of those you wish to be part of your community. Start with people who have expressed interest in helping. You can keep adding names once your community is created. Members have to be invited to join your community or request membership. Members receive a “welcome” email message about the community, with sign-in information.

3. Enter volunteer tasks
Go to the Administration Tab in your community and begin posting needs with our easy to use templates. This may include dinner on Monday, Wednesday, and Friday nights; or rides to medical appointments on Tuesday mornings. Members are notified by email when new needs are posted. The system sends reminders to volunteers so no one forgets their commitments.

4. Add more information to your community
Now, you can add more to your community – post photos, create custom sections, add resources from our nonprofit partners, and more. And, members can post well wishes, share announcements, and send messages to the family.

They also offer other coordination needs for military families. You can go here to see a video or start your own page: Helping Hands

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Integrative oncology

August 11th, 2011

The Farber Center for Radiation Oncology

So what is “integrative oncology?” It depends on who you ask. When you google “integrative oncology,” chances are, the modalities under discussion will usually focus primarily on various dietary changes and lifestyle interventions, such as exercise. You will also find that some will refer to it as quackademic medicine.

What does is mean to The Farber Center? It means we use and coordinate the best evidence-based treatments (i.e. surgery, chemotherapy, radiation therapy) with complimentary modalities (i.e. acupuncture, massage, stress reduction, herbal/botanicals, etc.) with the goal of treating your cancer, preventing recurrence and reducing side effects and symptoms. We do all of this in an environment that soothes and nurtures you.

No matter what kind of treatment a cancer patient receives, the fight against cancer is more than a physical challenge. It impacts everything from emotional well-being to financial stability. We believe that caring for a patient is caring for a person. We realize that people exist within a matrix of family, friends, jobs, homes, neighborhoods, geographical areas, and psychological and cultural environments, all of which can influence health and disease. Our mission is to develop a treatment plan that is right for our patient and their loved ones in an environment that supports and nurtures them.

Going to a physician who believes in integrative oncology won’t change your diagnosis, but it will put your body in a better place to get healthy. Integrative Oncology encourages living a healthy lifestyle to help the body in its’ innate abilities to fight and prevent cancer. This can be accomplished by learning strategies to reduce stress, increasing physical activity and eating healthfully (“anti-cancer diet & nutrition.”) Practicing these lifestyle changes creates a place where the healthy cells in your immune system can flourish and do their best work.

And when your cancer treatment is over The Farber Center for Radiation Oncology has joined forces with Urban Zen’s integrative therapy program (UZIT) and created OHE (optimal healing environment) classes to create a place/space where you can explore the issues that brought you treatment and to do what you can to prevent you or your loved ones from going through it again.

The 4-week integrative program is targeted to EMPOWER the cancer patent to get the best treatment of mind, body and sprit.

Program:
Initial consultation: with one of our physicians to review the overall scope of the program, the concept of functional medicine, heart disease, diabetes, obesity, “knowing your numbers,” and introduction of “Daily Health Log.” There are no out of pocket expenses for Farber Center patients.

Week 1: Nutrition/Zen*
Discuss various dietary options and specific guidelines for CA patients, esp related to preventing recurrences. Dieting,Supplements, Juicing, Fiber, etc.

Week 2: Movement/Zen*
Explore physical activity with emphasis on yoga

Week 3: Mind/Body/Zen*
Tools for stress reduction and empowerment

Week 4: Guest Lectures/Zen*
Nutrition, Stress Reduction, Adrenal Fatigue,Inflammation, Immunity,

*Zen: each week will include guided meditation and yoga practice with therapist from the Urban Zen integrative therapy program. The UZIT program is a 12 month program that includes training in yoga therapy, essential oil therapy, Reiki, nutrition, and contemplative care giving to addresses the key patient symptoms of PANIC- pain, anxiety, nausea, insomnia, constipation, and exhaustion.

To find out more about the program please contact The Farber Center at 212 300-0663

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Cancer Patients Speak Out About The Farber Center

August 9th, 2011

A special thank you to our patients who were kind enough to speak out and tell their stories and allow us to put together this video. These patients are fighting breast cancer, prostate cancer, sarcoma, and brain cancer. We will have longer versions of the stories available soon on our website. Grace Huang directed the film, and Industrial color handled the post production.

About Grace Huang: You might remember her from our Rocks Against Cancer Video. Grace began her photography career at Harvard University, where she obtained a BA in Visual Environmental Studies under the tutelage of acclaimed fine art photographer Christopher James. After graduation, a Rotary International Fellowship afforded her the opportunity to spend an adventurous year in and around Provence while attending the Ecole Nationale de la Photographie. Settling in New York City, Grace began her professional photographic career shooting everything from fashion and beauty to lifestyle and travel for a wide range of magazines. Her signature style of cinematic storytelling and naturalistic spontaneity evolved over the next decade. Today she has a eclectic career shooting both stills and motion for a diverse editorial and advertising clientele. Her editorial clients include InStyle, British Marie Claire, Red, German InStyle, Self and Lucky. Her advertising clientele includes Dove, EOS, Mary Kay, St. Ives, Aveeno, Clinique, John Frieda, Cyzone, Gillette, Johnsons, Carefree, Hue, No Nonsense, Gardasil, Olay, Avon, Lilly Pulitzer, Liz Claiborne, Target, Godiva, Walmart and Saks Fifth Avenue. Grace has photographed a range of celebrities such as Krysten Ritter, Katrina Bowden, Poppy Delevingne, Bijou Phillips, Cory Kennedy, Jennifer Morrison, Carmen Electra, Julie Delpy, Jessica Simpson, Cynthia Rowley, Shiva Rose, Sarah Chalke, Elisha Cuthbert, Mia Tyler, Daisy Fuentes, Rhona Mitra, Whitney Port, Daveigh Chase, Sarah Wynter, B. Smith, Jesse Martin, Christy Turlington, Frederick Fekkai, Sergio Garcia, and Henrik Lundqvist.

About Industrial Color: From top tech and production support on over 10,000 shoots to inventing online digital photo workflow, Industrial Color continues to push the limits and develop industry standards. With offices in New York, Los Angeles and Miami, their talented team and extensive production capacity enables them to provide a full range of high-end services to clients whether it be in studio or on location anywhere around the globe. Services of Industrial Color include: digital still and RED and HD video capture, post-production, color and video editing services, archival printing, high-speed file transfer, online image management, archive and file storage.

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The Farber Center on Today in New York on NBC

June 17th, 2011

Darlene Rodriguez

We were honored to welcome Darlene Rodriguez into our center a few weeks ago. Darlene Rodriguez is co-anchor of Today in New York on WNBC. Rodriguez became co-anchor of the show in July 2003 after serving as a reporter for WNBC and then co-anchor of Weekend Today in New York. Here is the link to the report: www.nbcnewyork.com Enjoy and spread the word.

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The Farber Center Walks for Cancer

April 18th, 2011

Marina Higgins VP Argo Real Estate

On April 30th, The Farber Center Team lead by our patient Marina, will walk for the 14th Annual Industry Foundation Revlon Run/Walk in New York City.
The EIF Revlon Run Walk was created in 1994 through the committed and collective efforts of the Entertainment Industry Foundation, Lilly Tartikoff and Ronald O. Perelman. The EIF Revlon Run/Walk for Women has grown to become one of the nation’s largest 5K fundraising events. To date, the Run/Walks (in Los Angeles and New York) have distributed over $60 million for cancer research, treatment, counseling and outreach programs. Thanks in part to these funds, new treatments are being developed and lives are being saved.

Your donation will help fund important research into the cause and cure of women’s cancers, prevention, education and support service programs.

So please donate if you can. Here is the link: DONATE

Team t-shirt by our friend Dan McClure: his email:dan@eastcoastsportswear.com

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