Thursday, May 5, 2016

Clinical Pathway

What is a clinical pathway?

Your clinical pathway is a way for us to ensure that we keep track of how you are doing during and after your cancer treatments.
Who is involved?
Your team of head and neck surgeons, medical oncologists, radiation oncologists, speech pathologists, registered dietitian, social workers and nurse specialist each have a role in the clinical pathway. You will see one, more or all of these professionals at various times as noted in the clinical pathway schedule. 
Why do I need a clinical pathway? 
National Comprehensive Cancer Network (NCCN) provides guidelines for when you should be seen by your doctor and other professionals so you can have the best quality care ( Your clinical pathway follows these guidelines. 
The goals are surveillance for recurrent or new tumors, monitor quality of life and function. 
When will I be scheduled for my clinical pathway appointments?
Before, during and after treatment.
After treatment… You will receive a call from our front desk staff to schedule your clinical pathway appointments.

Tuesday, May 3, 2016

Laryngeal Stroboscopy Grand Rounds


Laryngeal Stroboscopy Grand Rounds
Friday, May 13, 2016
7:30 AM – 8:30 AM
Physician Pavilion East Conference Center

" Management of Age-Related Dysphonia"

Topic Presentation/Discussion:
David Lott, M.D.

Sunday, April 24, 2016

Octave Change

My daughter, now 17, was sick back in Jan 2015. Thought she had the flu but it turned out to be a really bad cold. During this time she had laryngitis for a month. When her voice returned, her volume was low & soft but her pitch was really high. As her normal volume returned her pitch did not. We have been to ENT specialists, Speech Therapists and had many tests done with no answers. She now has been talking like "Minnie Mouse" since her voice returned. She is frustrated because it is very hard for people to understand her...that is how high pitch her voice has become.
Why or what can be causing this? Any suggestions???

Melissa Kim M.S., CCC-SLP writes...

If your daughter’s larynx was determined to be healthy by an Ear, Nose, and Throat physician, it is very possible that her speaking voice difficulties are secondary to muscle tension dysphonia, a general term to describe excessive and unnecessary tension of laryngeal muscles during voicing. Muscle tension dysphonia is often seen following an upper respiratory infection, when individuals compensate for hoarseness, sore throat, etc. by unknowingly “misusing” muscles of the larynx. The condition can be successfully treated by a speech pathologist who is a specialist in the area of voice disorders. Your daughter may be best served by seeking out a comprehensive voice center, where a team of specialists treat only problems with the voice.

Good luck to you!

Friday, April 1, 2016


Tasty Tuesdays:  Oncology Nutrition Lecture and Cooking Demonstration

As cancer treatment continues or comes to an end, you may wonder what foods you should be eating.  It may be time to develop new lifestyle behaviors in regard to nutrition and physical activity.  Join in for a monthly lecture and discussion on the importance of nutrition and physical activity in cancer recovery and prevention.  Each month, a new topic is discussed.  Topics range from choosing whole foods, sugars and sweeteners, understanding food labels and nutrition claims, use of supplements, etc.

Sessions begin at 12 pm in Physicians Pavilion West,
Third Floor Conference Room

April 12, 2016Are there supplements I should take?
May 10, 2016How to grill safely
September 13, 2016Meat: what are the best choices?
October 11, 2016Sugar and High Fructose Corn Syrup
November 8, 2016Nutrition for Brain Health

This is a free patient service open to patients and family members of the Milton J. Dance, Jr. Head and Neck Center and the Sandra and Malcolm Berman Cancer Institute and Breast Center at GBMC.  Light fare and refreshments are served and parking is complimentary. To reserve your spot, please call:  Keri Ryniak, RD, CSO, CNSD at 443-849-8186.

Friday, March 4, 2016

Dysphagia Research Society

Congratulations to our own Barbara Pisano Messing on her well received and award winning presentation of the Efficacy of Prophylactic Swallow Intervention for Head and Neck Cancer Patients at the Dysphagia Research Society annual meeting in Arizona last week. She was honored with the 2016 American Board of Swallowing and Swallowing Disorders Award and the 2016 CSDRG Logeman Travel Award.