Patient and Family Services
An Umbrella for Supportive Services
The Path to Helping Patients and Families
As monumental as the therapeutic successes against cancer have been over the past 50 years, so have the social advances.
When our Cancer Center first opened its doors in 1977, cancer was taboo and shrouded in fear.
“In those days, if a family member had cancer, families didn’t talk about it to many people. The myth was that it was contagious,” recalls Louise Knight, director of the Duffey Family Patient and Family Services Program. Knight’s predecessor, Matthew Loscalzo, was director from 1997-2002.
We worked hard to dispel those myths, to be an advocate for patients and families, and to help them through this journey, she says. Today, our patients and their families are very knowledgeable about their disease. They are active participants in their care.
Recognizing that patients are more than the disease they are battling, the Cancer Center’s Duffey Family Patient and Family Services Program addresses all patient and family needs, and these improvements are as significant as the advances in therapies.
“Our Cancer Center is a family place. If someone is struggling, we help them. It is a place of hope,” says Knight.
Patient and Family Services is an umbrella for a breadth of services aimed at supporting patients and families from diagnosis through survivorship: social work; the living with cancer education series; survivorship programs, including an annual day of celebration; financial and transportation assistance; religious and spiritual support; and the Hackerman-Patz Patient and Family Pavilion, which provides homelike suites for patients and families traveling to the Cancer Center for treatment. Two earlier residences, the Joanne Rockwell Memorial House and the Hackerman-Patz House, provided this home away from home until the Pavilion opened in 2008.
Patient and Family Services also hosts the annual Service of Remembrance to offer support and reflection to the families of those who died during the year.
As they work to help others, she can’t help but think of the people who make their work possible. “Mrs. Harry J. Duffey was the engine who started this program and her family continues to move us forward. Mrs. Duffey’s gifts allowed us to launch the Duffey Pain and Palliative Care Program in 2007,” says Knight.
Our Cancer Center is a family place. If someone is struggling, we help them. It is a place of hope.
Knight
In addition, Paul Reed Smith, whose One Night, One Show, One Cause music event, also helps sustain the important work of the Patient and Family Services Program.
“The kindness of so many others, that’s what helps support us in our missions. It’s really quite beautiful,” she says. “We continue to hold true to our mission of caring for patients and families and the full scope of their psychosocial needs. Sometimes that means helping patients with mortgage payments and utilities, providing no-cost counseling to the spouse, providing education about Advance Directives, or helping a family plan for care at home after treatment. I think Mrs. Duffey would be smiling knowing all we have accomplished.”
There is a painting that hangs by Knight’s desk. It captured her attention several years ago when she visited a consignment shop that supports hospice care. In many ways, it illustrates the mission of Patient and Family Services, she says.
“Everyone who looks at it sees something different,” she says of the painting, which shows a path lined by flowers and shrubbery on each side. Where the path leads, she says, is up to the interpretation, imagination and hope of each patient’s and family member’s journey through cancer diagnosis and treatment. It’s different for each one, Knight says, but she and her team are there to help guide patients and families along the path they choose.
Patients and Families | Advances
Plans for Expansion of Cancer Center Announced
Citing overcrowding and increased demand for cancer care and research, the Johns Hopkins Health System announced plans for the construction of a new, $100 million, 88 bed Cancer Center in March 1987. Center Director Albert Owens and other Johns Hopkins officials said the existing Center, which opened in 1977, was unable to meet the growing surge of cancer patients. The number of cancer patients coming to Johns Hopkins tripled, and the number of patients under active treatment rose from 6,200 in the 1970s to more than 17,000 in 1986, Owens reported. He added that since its 1977 opening, the Cancer Center operated at capacity. There was also a critical need for additional research space. Owens said that 49 of the 64 full-time faculty had grants totaling more than $11 million, which could support a double amount of research immediately, if space was available.
Early Telemedicine and Community Outreach
The Cancer Center established collaborative radiation oncology services at Saint Agnes Hospital in Baltimore and Chambersburg Hospital in Pennsylvania in 1989. Patient information from Chambersburg, such as X-rays and charts, was relayed to the Center via computer, fax and video hookup. A telephone and video conference system brought physicians from the facilities together for case review.
Designing New Therapies for Breast Cancer
Led by Martin Abeloff, M.D., and later Nancy Davidson, M.D., Cancer Center clinicians were continually developing innovative therapies to treat all stages of breast cancer. For newly diagnosed patients, our physicians examined the interaction of chemotherapy and several new hormonal therapies to prevent recurrence. They also found a way to effectively administer very high doses of several certain drugs in a timed sequence.
Discoveries in Cancer Development
Stephen Baylin, M.D., Mack Mabry, M.D., Barry Nelkin, Ph.D., Rob Casero, Ph.D., and Andree de Bustros, M.D., found that two cancer-promoting oncogenes — c-myc and a mutated form of the ras gene — induced changes in small cell lung cancer and provided a model for studying mechanisms of change in human cancers. In laboratory models of medullary thyroid cancer, they found that the most aggressive tumors lack the protein hormone calcitonin. Inserting genes, such as ras, restored normal calcitonin production. The research provided a model to study the events that disrupt normal cell behavior to promote cancer development.
Before the Hackerman-Patz Patient and Family Pavilion
Two residential facilities, the Joanne Rockwell Memorial House and the Hackerman-Patz House, opened in the mid 1980s and offered patients and their families a home away from home during treatment. The 20 efficiency apartments just a block from the hospital provided communal dining, garden and living areas, classrooms, counseling programs and physical therapy rooms to create a natural circle of camaraderie and support.
Anti-Nausea Treatment for Patients with Cancer
Noting that control of nausea and vomiting was essential in patients undergoing chemotherapy, David Ettinger, M.D., noted in this 1984 news interview: “Antiemetic (anti-nausea and vomiting) therapy should be instituted before the start of chemotherapy in cancer patients, it should be continuous, and it should be tailored to each patient’s special needs.”