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Kaiser takes new team approach

  • Kaiser Permenente staff from left clockwise, Marc Fields, physician, Loie Sauer, surgeon, Paula Kelleher, nurse practitioner, Nicolaj Andersen, physician, Yung Do, physician, and Rose Cook, breast care coordinator, meet to discuss a unified plan for one of their newly-diagnosed breast cancer patients prior to meeting with her to help her understand what she will be facing in the future.

The shock of getting a breast-cancer diagnosis can be hard to absorb, and a team of doctors at Kaiser Permanente Santa Rosa Medical Center is reducing the trauma by streamlining medical visits.

In November, a newly formed multidisciplinary breast care team began seeing patients during two monthly clinics. Instead of asking women to come for numerous appointments to learn about the possible surgery, radiation, chemotherapy and breast reconstruction procedures, they could now see a group of doctors during one appointment.

The woman and her family convene in an exam room and the doctors rotate in to see them every half-hour. For those who are employed, this means missing just one day of work, and by grouping the surgeon, medical oncologist and radiation oncologist into one visit, patients only need to make one co-payment and find a parking space once.

The innovative approach is the result of a focus group conducted last year at Kaiser to learn from former breast-cancer patients what worked well and what could be improved from the time of diagnosis through treatment.

Kaiser surgeon Loie Sauer was initially worried that patients might find the lengthy appointment an overload of too much information, but feedback from women who have participated in the clinic show they appreciate the cohesive, complete treatment plan they receive.

Pearl Sorensen of Penngrove says she was pleased with the process. Her husband, Nels, and adult daughter, Kristen, came to the appointment and when they were done seeing doctors had a clear picture of what to expect.

Prior to the session, Sorenson had spoken with Kaiser's breast-care coordinator and nurse Rose Cook, who gave an overview of how the clinic would function.

"From the time of the biopsy until surgery was a few weeks at most," said Sorensen, who had surgery in May. "The breast team really works like clockwork."

Sorensen acknowledged it was a lot of new information to digest, but said it relieved her anxiety to get the full picture. Her daughter, who is a teacher, took time off from school for the clinic appointment, and she assisted by taking copious notes as the various doctors discussed the plan.

"It was better to get a plan. It would've taken a month to see different doctors," she said. "It's comforting and allows you to concentrate on healing. It's important to me that the group of doctors and nurses work as a team."

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