Lung Cancer Screening

Lung Cancer Screening

Did you know that lung cancer is the leading cause of cancer death in the United States? According to the American Cancer Society, more than 220,000 people are expected to be diagnosed with lung cancer in 2017.

Lung cancer occurs when abnormal cells form in the lungs and grow out of control. According to the Agency for Healthcare Research and Quality, eight out of 10 lung cancer cases in the United States are caused by smoking. Additionally, nine out of 10 people die from the disease because it is diagnosed too late.


 

Good news

The Centers for Medicare and Medicaid Services (CMS) has determined that the evidence is sufficient to add a shared-decision making visit and an annual lung cancer screening to the preventative services available under the Medicare program.

Appalachian Regional Healthcare System (ARHS) launched a lung cancer screening program for patients who qualify in June 2017. Interested participants should:

  1. Complete the Low Dose DCT Lung Screening referral form with their primary care provider.
  2. Participate in a shared decision-making visit at Appalachian Regional Internal Medicine Specialists located in Boone, NC.
  3. Schedule a LDCT scan at Watauga Medical Center.
  4. Discuss results and follow up plan with ARHS’s Pulmonology Navigator.

Download the Low Dose DCT Lung Screening referral form

For more information about the lung cancer screening call Appalachian Regional Internal Medicine Specialists at 828-386-2746


Eligibility

Who is eligible under Medicare?  

  • Patient must be between 55 – 77 years of age.
  • No signs or symptoms of lung cancer.
  • Current smoker or quit within the last 15 years.
  • Have smoked at least 30 pack years (1 pack-year=smoking one pack/20 cigarettes per day for 1 year)

Will private insurance cover the LDCT scan?

  • Private insurance plans do cover LDCT scans for patients between 55 – 80 years of age.

Find out if you’re a candidate for our lung cancer screening programs today, call Callie Crump at (828) 386- 2039 ext. 62039


Screening Details

What is a shared decision-making visit?

  • Face-to-face meeting between the patient and their clinicians to discuss the benefits and potential risks of a low-dose computed tomography (LDCT) scan.

What is a LDCT scan?

  • The LDCT scan is especially effective for diagnosing cancer at its earliest, most treatable stages. The patient will lie on an exam table while an x-ray machine uses a low dose of radiation to make a detailed image of the patient’s lungs. The outpatient procedure is painless and only takes a few minutes to complete.

 Benefits & Risks

 Benefits

  • CT scanning is painless and doesn’t require needles
  • LDCT of the chest is especially effective for diagnosing cancer at its earliest, most treatable stage
  • Lung cancer screening with LDCT has been proven to reduce the number of deaths from lung cancer

Risks

  • Possibility of a false- positive result
  • There is a theoretical small risk of cancer from exposure to low dose radiation.
  • Not all of the cancers detected by LDCT will be found in the early stages of the disease
  • Test results that appear to be normal even when lung cancer is present are called false-negative results.
Cardiac and Pulmonary Rehabilitation

Cardiac and Pulmonary Rehabilitation

The Appalachian Cardiopulmonary Rehabilitation Program (ACRP) is a physician referred medically supervised exercise program. Each patient is provided with multidisciplinary care from several healthcare professionals that include a medical doctor, exercise physiologist, registered nurse, respiratory therapist, behavioral health specialist, and clinical dietician.

The Cardiac Rehabilitation program is designed to restore the cardiac patient to an optimal physical, vocational, recreational and emotional status with the potential for prevention of further disease progression. The patients are strongly encouraged to make various lifestyle changes for the purpose of reducing coronary risk and improving quality of life.

The Pulmonary Rehabilitation program is designed to improve lung function, reduce symptom severity and improve quality of life. It is an important part of the management and health maintenance of people with chronic respiratory disease who remain symptomatic or continue to have decreased function despite standard medical treatment.

A patient who has, or has had one or more of the conditions below may be an appropriate candidate for the program:

Cannon Memorial Hospital

(828) 737-7069 | Fax (828) 737-7509

Watauga Medical Center

(828) 268-9054 | Fax (828) 268-9055

Conditions for Cardiac Rehabilitation

  • PTCA / Stent
  • Acute Myocardial Infarction (heart attack) within last 12 months
  • CABG (Coronary Artery Bypass Grafting)
  • Heart Valve Repair / Replacement
  • Stable Angina Pectoris (chest pain) with current symptoms
  • Heart / Heart-Lung Transplant
  • Heart Failure-Chronic (systolic), EF <35%, NYHA Class II-IV
  • Peripheral Arterial Disease (PAD with symptoms)
  • LVAD
  • Other Cardiac Diagnoses would be based on the patient’s individual insurance approval

Conditions for Pulmonary Rehabilitation:

* Patient must have recent (within 1 year) PFT/Spirometry completed prior to starting rehab

  • COPD (Chronic Obstructive Pulmonary Disease) Moderate to Very Severe
  • Asthma
  • Status Asthmaticus
  • Lung Transplant
  • Restrictive Lung Disease
  • Pulmonary Fibrosis
  • Chronic bronchitis
  • Emphysema
  • Other Pulmonary Diagnoses would be based on the patient’s individual insurance approval

Comprehensive Evaluation:

A comprehensive evaluation by the ACRP team and/or patient’s physicians and may include:

  • Exercise testing
  • Coronary risk factor profile
  • Nutritional evaluation
  • Coping skills evaluation
  • EKG
  • Medical history review
  • COPD Risk Assessment
  • Sleep Apnea Risk Assessment
  • Fall Risk Assessment
Paul H. Broyhill Wellness Center

Broyhill Wellness Center

232 Boone Heights Drive
Boone, NC 28607
Phone: (828) 266-1060
Fax: (828) 386-2664
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Cannon Memorial Hospital

434 Hospital Drive
Linville, NC 28646
Phone: (828) 737-7000
Fax: (828) 737-7401
Visit website

Watauga Medical Center

336 Deerfield Road
Boone, NC 28607
Phone: (828) 262-4100
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Cardiac & Pulmonary Rehabilitation Therapy Sessions Include:

Support: A group with which to share success and encouragement, and in turn, be encouraged.

Exercise: Activity to improve heart and lung function, as well as increase muscular strength. Heart rate, blood pressure, oxygen saturation, EKG and blood glucose are monitored during the exercise sessions.

Education: Education is provided to patients about how to better cope with their disease, how to modify their lifestyle, and reduce risk factors for their disease.

For more information, call:

  • Cannon Memorial Hospital, Sloop Medical Building– (828) 737-7069 Fax (828) 737-7509
  • Watauga Medical Center, Broyhill Wellness Center– (828) 268-9054 Fax (828) 268-9055

 

Questions?

If you would like to speak to someone about our services, please let us know!

Better Breathers Club Pulmonary Support Group

Better Breathers Club Pulmonary Support Group

The American Lung Association Better Breathers Club is a support group for individuals with lung disease, such as COPD, pulmonary fibrosis, asthma, and lung cancer. Learn better ways to cope with your condition while getting the support of others in similar situations. These support groups give you the tools you need to live your best quality of life.

The group meets the 2nd Wednesday of each month from 1:00-2:30 p.m. at the Paul H. Broyhill Wellness Center,
232 Boone Heights Drive

Better Breathers Club features educational presentations on a wide variety of topics, including:

  • Breathing techniques
  • Exercise
  • Talking with your physician
  • Medications and other treatment
  • Medical tests
  • Supplemental oxygen
  • Air pollution

Questions? Call Callie Crump at 828-386-2039.