MEDICAL MATTERS Advancing Cancer Research
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MEDICAL
L ANE COUNTY MEDICAL SOCIETY | APRIL 2023
MATTERS
Advancing
Cancer
Research
Dr. Sharman’s work
with the US Oncology
Network puts Eugene
on the national map for
cancer research.
REGISTER NOW
LCMS 66th Annual
Golf Tournament
June 17th
Join Us
THIS ISSUE
Contents
L ANE COUNT Y MEDIC AL SOCIET Y | A PRIL 2023
9
CANCER CONTROL MONTH
GOLF
TOURNAMENT
Dr. Paul Chavin shares
11
WVCI
12
EUGENE
14
MEMBER
his vision and fundraising
GASTRO PROFILE
Willamette Valley Cancer
goals for the upcoming Institute and Research Dr. Nathan Holman Dr. Sharman shares how
66th Annual LCMS Golf Center stresses the emphasizes the increased his interest in cellular
Tournament. connection between risks for colon cancer and biology led to his work as
preventive care and early encourages screenings at an oncologist.
detection with overall 45 instead of 50 years old.
treatment.
19 20 23 25
OSW PH ADVERTISER PWP
SPOTLIGHT DONATIONS
Dr. Christine Kollmorgen PeaceHealth talks about
states the importance of new treatments for Thank you to everyone
The Adrienne St. Clair
follow-up appointments prostate cancer. who donated to the
Group shares about
to prevent and monitor Physician Wellness
their knowledge and
potential side effects after Program in 2022 and
connections when it comes
surgery. celebrated the 10-
to local real estate.
year anniversary of the
program.
MEDICA L M ATTERS | A PRIL 2023 3
MEDICAL MATTERS
Lane County Medical Society
Executive Committee
President
Benjamin Vazquez, MD
Past President
Kevin Modeste, MD
Vice President/Secretary
Leslie Pelinka, MD
Treasurer
Bryan McVay, MD
Executive Director
Shondra Holliday
Editor
Kianna Cabuco, MBA
Advertising Inquiries
info@lcmedsociety.com
Membership Inquiries
Trina@lcmedsociety.com
Lane County Medical Society
PO BOX 7192
Springfield, OR 97475
Phone: 541-686-0995
Fax: 541-687-1554
info@lcmedsociety.com
www.lcmedsociety.com
LCMS Physician
i ster Wellness Program
Reg !
Now
Confidential Counseling
Cascade Health or
24-hour support line
THE 66TH ANNUAL
541-345-2800
LCMS GOLF Stress Reduction Workshops
Amy Trezona, RN
TOURNAMENT 541-912-0216
Executive/Life Coaching
JUNE 17, 2023 Shannon O’Leary
EMERALD VALLEY GOLF COURSE 541-255-2669
Karen McGovern
920-903-0323
Joseph Arpaia, MD
541-912-1534
Lifestyle Medicine
Joseph Sage, MD
541-600-2492
4 MEDICA L M ATTERS | A PRIL 2023
COMMITTEES UPDATE
LCMS Committees: Let’s Ideate
Ideation is the process of forming ideas from conception to implementation. Ideation is expressed via graphical, written, or verbal
methods, and arises from past or present knowledge, influences, opinions, experiences, and personal convictions.
The role of the LCMS Board is of utmost importance for the organization, but much of the work is done at the committee level.
For those interested in getting involved, but unsure if serving on the board is the right fit, committees offer an opportunity to make a
difference in the organization, in healthcare, or in the community through LCMS partnerships. Committees thrive when comprised of a
variety of individuals with a diversity of skills and expertise. Whether it’s financial prowess, affinity for wellness, passion for social causes,
event planning experience, or fundraising connections, there is something for everyone.
The first committee meetings took place in March and each group spent time ideating about goals, establishing action items, and
identifying future projects or programs. Still in early stages, we’d welcome additional input or participation from LCMS members or the
community, but we’re off to a great start! The following information is not intended to be a complete list, but rather a glimpse into the
focus and direction of each committee.
Community Health Committee Physician Wellness Program Membership & Events Committee
Mission: Establish meaningful (PWP) Committee Mission: Maintain a strong, robust
connections and leverage the Mission: Evaluate program to organization and offer valuable
collective power, influence, and ensure the highest quality and most membership benefits.
voice of LCMS to collaborate with diverse services offered to Lane Goals: Review benefits of
community organizations with County physicians. membership and host (or co-host)
similar goals. Maintain a focus on Goals: Determine effective ways to educational events on relevant
education, all-inclusive outreach, share program information, ensure healthcare topics, social events
and prevention. availability of inclusive services, aimed at creating connections, and
Vision: Increase visibility of LCMS confirm new provider vetting community collaborations to build
in community events and activities. process, and regularly monitor recognition of the Society.
Goals: Work closely with other quality measures of services LCMS Events: See current events
public health efforts by appointing provided. below. Other events are still in the
liaisons and create a list of Ideas so far: planning stage, so watch for updates
connections and resources. • Review current providers for in upcoming communications.
Ideas so far: areas of expertise to determine • May – Wellness Month (see insert
• Increase awareness on the health potential gaps for details)
effects of alcohol • Work closely with PWP providers • June 14th – “Nine & Wine” Social
• Arrange YMCA “hard-hat” tour to establish program effectiveness Event at Top Golf (all golfing is
(Scheduled for April 20th) • Review PWP brochure to virtual for non-golfers!)
• Provide opportunities for determine needed updates • June 17th – Charity Golf
connections to social causes • Find “Champions” to serve as Tournament (benefitting Veterans
• Engage community medical ambassadors for the program Legacy)
leaders of tribes and immigrants • Choose representatives to serve • July 15th – Vineyard Event
• Hold informational pop-up tents on the Foundation Board to best • November 8th – Winter Social
at the Saturday Market communicate the work of the • September 2024 – Biennial
• Offer support/endorsements to PWP committee Physician Wellness Program
community projects with similar • Solicit personal stories aimed at Fundraising Gala
missions and values normalizing conversations about
• Survey LCMS membership to struggles and triumphs, including
determine community health quotes from those utilizing
priorities services (can remain anonymous)
MISSING SOMETHING? Let us know! Or, better yet, consider joining a committee.
It’s the perfect opportunity to help our leaders further the mission, connect with colleagues, and find strength and clarity in the work
of the organization. Committees typically meet every other month (2023 dates are listed on the LCMS website, www.lcmedsociety.com).
We’d welcome feedback and additional suggestions. It’s as simple as a phone call to 541-686-0995 or email to info@lcmedsociety.com.
MEDICA L M ATTERS | A PRIL 2023 5
Your automotive future has arrived in Eugene E X P L O R E O U R A L L- E L E C T R I C E Q L I N E U P
NEWS
Chart Notes
“Right now, Register Now! 66th UPCOMING
there are Annual LCMS EVENTS
over 4,000
medicines Golf Tournament OMA Day at the
Capitol is Monday,
being June 17th April 17th. You must
be an Oregon Medical
Association member
developed Grab some friends and
colleagues, and register
Graduate a few days before for
anyone that wants to join in on
to attend. Learn more,
for cancer
register, or join today
now for this year’s LCMS the fun without spending a full at theOMA.org.
Charity Golf Tournament
treatment.
day on the course.
benefitting Veterans Legacy Space is limited
So form a team for a day of for a hard hat
What we are at Emerald Valley golf
course on June 17th.
fun and prizes or come by the
social to connect with peers as
tour of the new
Eugene Family
seeing now, Last year, we were able to raise we head into summer. YMCA facility on
over $10,000 for Veterans
in terms Legacy and Camp Alma. This
For more information about
Veterans Legacy, visit www.
April 20th. Only 15
spots are available. If
of cancer year, the “Chair’s Choice” is
to once again support our
veteranslegacyoregon.
org or contact us at info@
interested, email info@
lcmedsociety.com to
research, is veterans. Alongside the normal
golf tournament, LCMS will
lcmedsociety.com if you’re add your name to
the list.
interested in a tour of the
completely be fundraising for Veterans
Legacy with the goal of
grounds. LCMS would like
different topping last year’s numbers. All members are welcome
to both events, so sign up
to thank our annual
event sponsors
from what we We’ll also be hosting a “Nine &
Wine” social at Top Golf at the
today! and publication
advertisers. As a
saw even five show of appreciation,
we invite our
years ago...In past, present, and
prospective advertisers
many cases, and sponsors to join
we may have us for a chance to
mingle and connect
a therapy that on April 13th. This will
also be an opportunity
is specific to to see what we have
planned for the rest of
an individual’s 2023 and how to get
involved. For more
cancer.” information, email
info@lcmedsociety.
– DR. JEFF SHARMAN com.
ON CANCER RESEARCH
& RESOURCES
FOR MORE, SEE PAGE 14
MEDICA L M ATTERS | A PRIL 2023 7
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8 MEDICA L M ATTERS | A PRIL 2023
COMMUNITY
66th Annual
LCMS Golf Tournament
As we get ready for this year’s golf forever, and I knew he ran Veterans you hit the ball 100 yards and you have a
tournament, LCMS is also planning a pre- Legacy and Camp Alma. I also knew it player on your team that hits it 200, you
tournament social for golfers, non-golfers, had little formal support. Being an ex- play from the 200 yard spot. It also means
new members, and those simply wishing to Navy man, I am very partial to veterans, when you have the best ball on the green
connect. We’ll be in the Top Golf suite at so I felt this was ideal. The second idea you have four chances to make the putt.
the Graduate a few days before for a “Nine was to invite more women and younger This allows players at all levels to join in
& Wine” get together. (Get it? “Nine” like docs to create another opportunity for on the fun. The club pro at Emerald Valley
9 holes, a half round of golf! We’re quite socializing and relay that this event is open will help with handicaps and scoring,
clever.) This is also an opportunity to learn to ALL members. and the funds raised will go again to
more about Veterans Legacy and socialize Veterans Legacy with the goal to surpass
“As doctors, it is
with peers as we move into summer. Keep an last year’s donations.
eye out for the chance to RSVP! At Camp Alma, Vets are given the
And now, a message from the 66th second nature to chance to put their lives back together and
readjust to civilian life, which is not always
Annual Golf Tournament chairman,
Dr. Paul Chavin: help others. It’s an easy or smooth transition. Considering
our freedom and wonderful lives are
Some might call it serendipity, but I just who we are. made possible by the soldiers, sailors, and
So uncover those
would be the first to say I became chairman marines that protect us, we should do our
of the golf committee mostly by accident. best to help them when they come home.
I had one of those memorable days where
golfers – if lucky, play better than their golf clubs and If you have a chance to Camp Alma,
take it. See for yourself the difference
handicap would indicate. Putts seemed
to magically find their way into the hole.
pull together a Veterans Legacy is making and how much
there is still left to do. As doctors, it is
So after that very lucky day on the golf
course, I won a bunch of money and the
team. Let’s make it second nature to help others. It’s just who
we are. So uncover those golf clubs and
honor to chair the golf tournament the happen.” pull together a team. Let’s make it happen.
following year. Then, Covid hit!
The year when Covid was in full bloom, Birdies forever,
no events were happening including the Shondra Holliday and the staff did Paul Chavin
golf tournament. The following year, it was all the heavy lifting, including securing
up to me to restart planning of the 65th sponsors, food, and prizes for the event.
annual tournament. I pulled together a They were integral in making the golf
committee of eight guys and one gal. tournament a successful event.
Among the suggestions was to run it like At the end of the day, we had happy
it has always been. I felt I was just not into players and were able to raise $10,000
running a “good old boys” tournament dollars for Veterans Legacy.
again, and the suggestion had surfaced for This year, we are hoping to make it
a possible fundraiser. I was thrilled with even better. We will be back at Emerald
the idea and even had an idea in mind of Valley Golf Course in Creswell on June
who we might support. 17th. The format will be a team event
Dr. John Lebow and I have been friends with the best ball format. That means if
MEDICA L M ATTERS | A PRIL 2023 9
Serving those who provide care.
IT’S IN OUR DNA.
We’re taking the mal out of malpractice insurance.
Delivering the best imaginable service and unrivaled
rewards is at the core of who we are. As an organization
founded and led by physicians, we understand the value of
superior care. Because for us, it’s not just a best practice,
it’s in our unique code. Join us at thedoctors.com
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Ask the experts! Register here:
10 MEDICA L M ATTERS | A PRIL 2023CANCER CONTROL
Taking Preventive Measures
BY WILLAMETTE VALLEY CANCER available preventive options (Samimi and the best course of treatment.5 Treatments
INSTITUTE AND RESEARCH CENTER others, 2019).3 may include active surveillance, surgery,
chemotherapy, targeted therapy,
April is National Cancer Control Early Detection hormone therapy, immunotherapy, stem
Month. Originally instituted by President Skin cancer, cervical cancer, and cell or bone marrow transplant, and/or
Franklin D. Roosevelt in 1943, each colorectal cancer are the most preventable radiation therapy. Except for transplants,
year the sitting president has made an types of cancer. In addition to education which require extended hospital stays,
annual proclamation and renewed the on prevention strategies, such as limiting all these therapies are available through
Nation’s commitment to reduce the UV, vaccinations, and healthy nutrition, Willamette Valley Cancer Institute and
incidence, morbidity, and mortality of regular screening should be emphasized Research Center or our Oregon Cancer
cancer and to improve the quality of life to find lesions or abnormal cells before Alliance partners in Lane County.
of cancer patients. they become malignant. In fact, radiation therapy at WVCI has
We’ve come a long way since 1943, “…With proper vaccination and recently been enhanced with the addition
cancer incidence and death rates have screening for HPV, in theory, no woman of a Varian TrueBeam linear accelerator.
been on a slow, steady decline in Oregon should lose her life to cervical cancer in The TrueBeam joins WVCI’s Halcyon in
and across the country for decades. But the US.” – Dr. Charles K. Anderson, MD the suite of radiotherapy tools available to
according to the Oregon Health Authority, That leaves 50% (or more) of cancers treat cancer.
malignant neoplasms continue to be the that are not preventable. Non-modifiable “We’re well positioned to give the
leading cause of death in Lane County risk factors include age, gender, race/ best types of [radiotherapy] treatments
(and all of Oregon), followed closely by ethnicity, and family history/genetics. currently available in North America to
heart disease, then COVID-19, which was a Reducing morbidity and mortality for our patients.” – Adil Akhtar, Chief Medical
distant third. This year there are expected these cancer cases begins with education Physicist, WVCI
to be 26,030 new cases of cancer in Oregon about risk factors, common symptoms, The TrueBeam has RapidArc
from among our patients, neighbors, and the appropriate cancer screening technology that delivers 3-D sculpted
colleagues, friends, and family members.1 recommendations. beams, which match the shape of tumors
Cancer Control Month is a good Studies show that some screening tests from every angle. Its sophisticated
time for each of us, as part of a larger that detect abnormalities before they are motion management targets tumors with
healthcare community, to review our part clinically apparent improve mortality accuracy measured in sub-millimeters.
in the prevention, early detection, and rates, while others do not.4 According This precision makes it especially useful
treatment of cancer. to the NCI, expert groups generally for treating all types of cancer, including
recommend regular screening for the some of the most common such as
Prevention
following cancer types: breast, cervical, prostate, breast, and rectal cancer.6
According to the World Health colorectal, and lung (high risk only). The speed of imaging, higher intensity
Organization, 30-50% of all cancer doses, and extreme accuracy ensures
cases are linked to modifiable risk Diagnosis & Treatment patients get exactly what they need, where
factors. Prevention is still the most cost- When cancer is detected by screening they need it, with less time on the table and
effective, long-term strategy for the or suspected due to presentation of fewer treatments. What was unimaginable
control of cancer. 2 signs/symptoms, diagnostic testing 15-20 years ago, is now becoming standard
Primary care physicians have a and interpretation by a pathologist and care for improving clinical outcomes and
critical role in delivering preventive a radiologist is critical for diagnosis, quality of life for patients with cancer. u
healthcare services. Studies have found staging, and to help inform clinical
that the most important factor that decisions by oncologists. Based on this For more information about cancer
predicts cancer prevention uptake is information and working in conjunction treatments and related topics, visit
physician recommendation, which is with surgeons, gastroenterologists, and www.oregoncancer.com.
dependent on physician familiarity with pulmonologists, a joint decision is made on
1. “Cancer Facts & Statistics” American Cancer Society, Web. https://cancerstatisticscenter.cancer.org/#!/state/Oregon, accessed 3/9/2023
2. “Preventing Cancer” World Health Organization, Web. https://www.who.int/activities/preventing-cancer, accessed 3/9/2023
3. “Cancer Prevention in Primary Care: Perception of Importance…https://www.amjmed.com/article/S0002-9343(19)31095-2/fulltext, accessed 3/9/2023
4. “Cancer Screening Overview (PDQ) – Health Professional Version”, National Cancer Institute. Web. https://www.cancer.gov/about-cancer/screening/hp-
screening-overview-pdq, accessed 3/10/2023
5. “What Cancer Screening Tests Check for Cancer?”, National Cancer Institute. Web. https://www.cancer.gov/about-cancer/screening/screening-
tests#recommended-cancer-screening-tests, accessed 3/10/2023
6. “TrueBeam”, Varian, Web. https://www.varian.com/products/radiotherapy/treatment-delivery/truebeam, accessed 3/10/2023
MEDICA L M ATTERS | A PRIL 2023 11CANCER CONTROL
45 is the New 50!
BY NATHAN HOLMAN, MD
EUGENE GASTROENTEROLOGY CONS.
percent decline in colonoscopy screening.
This, in turn, resulted in a 32 percent “Colon cancer
Cancer kills around 600,000 people
decline in new colon cancer diagnoses.
Throughout 2020, the overall number
screening has been
annually in the United States. Of all
malignancies, colon cancer is the third
of colonoscopies performed declined shown to reduce the
risk of developing
by around 25 percent in comparison to
most common cancer diagnosed among 2019. While this number did improve
both men and women. The American
Cancer Society currently estimates that
in 2021, overall colon cancer screening
was still roughly 3.4 percent down from colon cancer by up
there will be roughly 153,000 new cases
of colorectal cancer diagnosed in 2023.
the years leading up to the pandemic.
Epidemiologic models predict that by the
to 90 percent in
Colon cancer prevention has faced new
challenges in recent years, with the
year 2040 there will be an extra 4000 to
7000 colorectal cancer deaths related to
some studies.”
COVID-19 pandemic having brought delays in screening during the pandemic. is owed to the fact that a colonoscopy
about a substantial decline in routine Another challenge facing colon cancer has the ability to view the entire colon
screenings. There has also been increasing prevention as of late has been the alarming while also allowing for detection and
evidence that colon cancer is on the rise increase in colon cancer incidence among removal of precancerous polyps. The
among the younger population, leading to younger people. Recent studies show an American Society for Gastrointestinal
updated colon cancer screening guidelines uptick in colon cancer incidence of 2% Endoscopy (ASGE) has stated that it
in 2021. March was Colon Cancer per year among patients under 50. The is also the only test that is suitable for
Awareness Month, and it is important to American Cancer Society has reported individuals who have risk factors such as
discuss these recent challenges as well that people born in 1990 have double the family history of colon cancer. There are
as changes surrounding colon cancer risk of colon cancer and quadruple the risk also stool based testing options, though
prevention. It is also essential to highlight of rectal cancer compared to those born in these require more frequent checks than
the excellent methods available for 1950. Research is still ongoing as to why a high-quality colonoscopy. A FIT test
reducing one’s chance of succumbing to a this may be, though there is some evidence (fecal immunochemical test) detects
largely preventable disease. that suggests environmental factors microscopic amounts of blood in the stool
Colon cancer screening has been shown such as obesity, poor diet, and sedentary and should be undertaken annually. The
to reduce the risk of developing colon behavior play a role. In response to this Cologuard test is another stool-based test,
cancer by up to 90 percent in some studies. data, multiple societies, including the which detects both microscopic blood as
In spite of a clear benefit, the CDC reports American Cancer Society as well as US well as DNA cancer markers, and it must
that only around 70 percent of eligible Preventive Services Task Force, are now be done every three years. While both can
adults are up to date with their screening. recommending colon cancer screening offer some protection as they can detect
At the start of the COVID-19 pandemic, start at 45 instead of 50. This is quite a anywhere from 79-92 percent of cancers,
the Centers for Medicare and Medicaid monumental change and bears repeating: they are only able to detect a fraction of
Services recommended all non-urgent 45 IS THE NEW 50. Help us spread precancerous polyps when compared
procedures be delayed, resulting in a 90 the word! with colonoscopy.
With these challenges in mind, it is As the US Preventive Service Task
“Recent studies clear that colon cancer screening will Force has noted, “the best screening test
show an uptick require a stronger emphasis moving
forward. There are a variety of screening
is the one that gets done.” This is certainly
true, as any test is better than no test,
in colon cancer tests that can be done, though current data
suggests that a high-quality colonoscopy
though it is worth keeping in mind that
the colonoscopy is currently our best tool
incidence of 2% per is the best available method. This test is
associated with the highest number of
to detect and prevent colon cancer. Talk to
your patients about getting screened, and
year among patients colon cancer cases avoided, assuming help save lives by spreading the news that
under 50.”
one gets testing at regular 10-year when it comes to colon cancer screening,
intervals. The high quality of this exam 45 IS THE NEW 50! #45isthenew50 u
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MEDICA L M ATTERS | A PRIL 2023 13MEMBER PROFILE
Advancing
Cancer
Research
Dr. Sharman’s early interest in cellular
biology has led to the development of
multiple cancer treatment drugs.
I
BY ALAN SYLVESTRE
FOR LANE COUNTY MEDICAL SOCIETY
n recent years, medical discovery continues to achieve new milestones.
Physicians have access to new information parallel to advancing technology
and innovation.
For Dr. Jeff Sharman, Director of Research at Willamette Valley Cancer
Institute and Research Center, and Medical Director of Hematology
Research for the US Oncology Network, he has seen a drastic change in the
biologic understanding of cancer and an explosion of novel technologies to
treat the disease.
“For many years, we had limited knowledge of what caused cancer to
grow,” Sharman says.
“Furthermore, the tools we had to treat it were very rudimentary and non-specific.”
Now, he says the dynamics of an oncologist’s ability to treat cancer has shifted with the
growing advances in medicine.
“Right now, there are over 4,000 medicines being developed for cancer treatment,”
Sharman says. “What we are seeing now, in terms of cancer research, is completely different
from what we saw even five years ago,” he says. “Take non-small cell lung cancer as an
example. We used to divide it into three different diseases: adenocarcinoma, squamous cell
carcinoma, and large cell carcinoma. Now, we recognize that there may be 10-20 important
molecular drivers that can vary from one cancer to the next. We can identify each of those
MEDICA L M ATTERS | A PRIL 2023 15MEMBER PROFILE
he discovered his specialty.
“Knowing, appreciating, and “It was within my first year of medical
understanding what happens at the
school that I knew I wanted to be an
oncologist,” Sharman says. “I really fell in
cellular level is what oncologists manage love with immunology as a subject matter,
such as lymphomas and leukemias are
on a daily basis.” cancers of the immune system. At that
point, it became clear that I wanted to
specialize in blood cancers.”
drivers at the DNA and protein level. In be present and be there for them.”
Over the span of his career, Sharman
many cases, we may have a therapy that is Especially with a terminal diagnosis,
has helped develop multiple cancer
specific to an individual’s cancer.” he believes the most important thing
drugs, and his research has provided the
Having the knowledge of how a disease someone can do is provide time.
Willamette Valley Cancer Institute access
works at a molecular level has allowed “Time is one of the things you can’t get
to new areas of cancer studies that include
oncologists to cure forms of cancer that back later,” Sharman says. “So be kind, be
immunotherapy, targeted therapy, and
once weren’t possible. supportive, and just be there.”
personalized medicine.
“Five years ago, I would not have said He understands the challenging task of
His current work as the medical
you could cure anyone with metastatic being present while dealing with potential
director of hematology research for The
melanoma, but now we can,” Sharman emotional and physical hardships.
US Oncology Network has helped put
says. “Now, approximately 10 to 15 percent “Nobody wants to face an illness,”
Eugene on the national map in terms of
of patients with a metastatic disease can be Sharman says. “But if we can use it to
cancer research.
cured. And we hope to move that number pause and evaluate the relationships we
“We have been able to lead multiple
higher as tools emerge that are going to let have, it can actually be an opportunity.
global phase three trials from here in
us do that.” That’s not to dismiss, in any way, the
Eugene,” Sharman says.
hardships associated with cancer.”
Be Present During his time in Eugene, he has
Science & Cells published over 90 papers including three
Although medical breakthroughs are
in the New England Journal of Medicine
arriving at rapid rates, Sharman says that Science was always a field that excited
and a first author manuscript published
the majority of patients diagnosed with Sharman.
in The Lancet.
metastatic cancer will not be cured. “My undergraduate studies were
Currently, the US Oncology Network is
“It can be tricky in this new era to in biochemistry and cellular biology,”
merging with the Sarah Cannon Research
carefully navigate patient expectations Sharman says. “I was always fascinated
Institute to become the largest cancer
where there is so much optimism, yet by the chemistry of how things worked in
research program in the world.
the journey remains frightening and living systems. And cellular biology is the
“One in five US patients treated for
uncertain for the patient. It is so study of what turns cells on and off.”
cancer will receive their care through the
important to be present for the patients Originally having no interest in
combined organization,” Sharman says,
where they are emotionally,” Sharman medical school, Sharman says his studies
“which gives us an unprecedented level of
says. “One strategy might not work in cellular biology created the foundation
access to research.”
on every patient since every cancer for his work as an oncologist.
In his role leading the blood cancer
diagnosis is unique. It’s important to “Knowing, appreciating, and
research program, Sharman will help
keep a patient informed of their status understanding what happens at the
identify promising new therapies and
as it evolves.” cellular level is what oncologists manage
bring them to patients in Eugene.
And what happens when that status on a daily basis,” he says. “I don’t take
Sharman has focused a lot of his
matures into a terminal diagnosis? out livers, or transplant hearts, or fix
research on medications that impact
Sharman says over his years as an bones because that’s not my skill set.
B-cell receptor signaling.
oncologist, he has one piece of advice he But when it comes to understanding
“B-cells give rise to the majority of
gives to family members and friends. molecular switches and the interactions
lymphomas and leukemias,” he says. “As a
“I think it’s important to be present of the immune system, to me, that
fellow, I had the idea that interfering with
and be there with your loved one,” is really interesting.”
that signaling might prove to be of benefit
Sharman says. “Oftentimes, people want After his undergraduate graduation, he
for patients with those cancers.”
to try and solve problems that might not says it became apparent to him to pursue
Fast forward 15 years, and the
exist. Ultimately, it’s important to simply medical school, and it wasn’t long before
16 MEDICA L M ATTERS | A PRIL 2023MEMBER PROFILE
therapies that emerged from that idea it’s because of the culture, or the type of know of them.”
have revolutionized the management of physicians who want to work in Eugene, Staying connected to other specialists
chronic lymphocytic leukemia and several there’s a level of medical sophistication is a perk of the region’s medical community
types of lymphoma. that exceeds similar communities in that he enjoys. The sense of community
“B-cell receptor signaling inhibitors terms of our average demographic.” and collaboration across specialties and
like ibrutinib and acalabrutinib have Having practiced in Lane County since organizations provides a network that
transformed the management of this 2005, Sharman says there’s no reason he helps him provide the best care he can
disease. When I started at WVCI, all would ever leave because patients don’t for his patients.
we had was chemotherapy for these have to travel far to receive great care. “I can’t tell you how many times I’ve
patients. Now we don’t use chemotherapy “The skills of the subspecialists we can been in a room with a patient, and I
at all,” Sharman says. “Targeted leverage is surprising and refreshing,” he know they’ve seen another doctor and
agents have completely replaced says. “I have a great deal of trust in all of there’s something important about that
traditional treatments.” my colleagues to provide high-quality care visit that I need to know,” Sharman says.
The story of these molecules recently for our patients.” “Sometimes, I can just call them when I’m
was published in a novel entitled For Sharman attributes some of the in the exam room because I have them
Blood and Money by Nathan Vardi. strength of the medical community to on speed dial, and we can talk out their
Sharman is included as a character organizations like LCMS that support oncological situation right there.”
in the novel. local physicians. Lane County provides a balanced
“LCMS represents a communication combination of knowledge and
A Strong Medical Community vehicle across specialties,” Sharman says. accessibility.
“The medical community in Lane “It helps me stay connected to other “It’s the perfect size of a medical
County is unusually robust for a physicians in the area. It’s a small enough community because it’s not too big,
community of this size,” Sharman says. community where I might not know every and it’s not too small,” Sharman says.
“And what I mean by that, is whether doctor on an individual basis, but we “It’s just right.” u
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EUGENE MAGAZINE | FA L L 2021 31CANCER CONTROL
Damage Control:
Lymphedema Prevention
After Breast Cancer Treatment
BY CHRISTINE KOLLMORGEN, MD collateral damage. planning, and sentinel lymph node biopsy.
OREGON SURGICAL WELLNESS Because of stories like Alison’s, it is Finally, the importance of robust follow-
important that our medical community up cannot be stressed enough. Meticulous
Prior to her breast cancer diagnosis in stays up-to-date by offering patients state- post treatment history taking, and physical
2017, Alison (name has been changed to of-the-art and innovative solutions. Some exams are highly recommended for early
protect her identity) was considered by life-saving treatments will occasionally detection. Working closely with regional
her friends and family to be ‘exceptionally cause collateral damage. Lymphedema, physical therapists and integrative
strong and healthy for her age’. She a well-known side effect of surgery and providers who specialize in lymphedema
practiced yoga, walked daily, and was a oncologic treatments to the breast and treatment and prevention can also make a
full-time hairdresser in addition to co- under arm, can be a source of discomfort big difference.
owning a small sustainable farm with her and in some cases significant disability. Taking these strategies to another level,
husband. She even ran a farmers’ market The common symptoms include; swelling the teams at Oregon Surgical Wellness
stand on seasonal weekends. Her plan was of part or all of the arm, back, and chest and Pacific Integrative Oncology are
to work “forever,” as she loved being active wall, a feeling of heaviness or tightness, working collaboratively to double down
and engaged in her community. She chose restricted range of motion, recurring on lymphedema prevention. With a grant
to have a bilateral mastectomy without infections or hardening and thickening from the OHSU Knight Cancer Institute
reconstruction – so she could get back to Community Partnership Program, “The
“No one stressed
her regular life quickly. Three sentinel Feasibility of a Remote Lymphedema
lymph nodes were taken on the side with Prevention Program for Newly Diagnosed
the cancer, and she went on to receive
chemotherapy and radiation treatments. that I should be Breast Cancer Patients Undergoing
Surgery” is a pilot program that aims to
Routine follow up appointments
with her oncologists, surgeon, and
on the lookout for find out if a “change in knowledge” about
lymphedema.”
lymphedema prevention will improve
PCP were scheduled. patient satisfaction and speed access to
Looking back, she says, “NO ONE lymphedema care. The goal is to recruit
stressed that I should be on the lookout of the skin. 50 patients who have had or will be having
for lymphedema.” While lymphedema is often diagnosed axillary lymph node surgery for this
It was during these follow up visits by a clinician, proactive care is better important study. If you or your patients
that she mentioned pain and heaviness than reactive care if we know our patients are interested in this prevention course
in her right arm. These symptoms are at risk. Taking steps to decrease scan the QR code below. With collective
progressed over the next two years, and the incidence of this condition are very commitment to lymphedema prevention,
her lymphedema, formally diagnosed important if we want patients to achieve the hope is that stories like Alison’s
in 2019, became so severe that she was optimal quality of life. While there are no will be rare, and that collateral damage
deemed ‘permanently disabled’. She had guarantees we can prevent lymphedema from cancer treatments will be more
to quit her job and was no longer able altogether, there are dramatic benefits to manag eable
to engage in the farm stand work that early detection as this chronic condition and less
brought such purpose to her life. To this is more manageable when detected early. severe. u
day, despite active compression, self- Strategies to improve post treatment
treatments at home, and physical therapy, quality of life include: ample patient
her symptoms remain a constant battle education, the use modern scientifically
to control. While she is grateful to have proven surgical techniques like axillary Scan the QR
survived her cancer, she is frustrated and reverse mapping (ARM) which reduces code to access
disappointed to be left with debilitating the risk by up to 15%, careful surgical the course.
MEDICA L M ATTERS | A PRIL 2023 19CANCER CONTROL
New Cancer Treatments
in the Region
BY SHERRI BURI McDONALD Portland to offer it.” nuclear technologist Toni Bamford. It
COMMUNICATIONS SPECIALIST Referrals for Pluvicto™ treatment claimed her mother’s life 20 years ago.
PEACEHEALTH
generally come from oncologists or “When you see someone go through
urologists. A PET scan confirms the this, you want to do everything you can to
Prostate cancer is the second most
disease, then six treatments are given try to help others who are going through
common cancer among men in the United
six weeks apart. Pluvicto™ is delivered it,” Bamford says.
States, just behind skin cancer.
through an IV and each infusion When Bamford heard that Lutathera®
This year, 288,000 new cases will be
generally takes less than 10 minutes. was available, she and fellow technologist
diagnosed and nearly 35,000 people will
Each appointment is longer than that, Erica Bennett made it their mission to
die from prostate cancer, the American
however, to allow time for questions and bring it to their community. It took them
Cancer Society estimates. So when new
for monitoring after the infusion. and their fellow nuclear technologists
treatments become available, they are
about a year.
sure to generate interest.
“When you see
They researched state and federal
That is the case with Pluvicto™, a new
radiation safety requirements. They
treatment for a specific type of prostate
cancer. Pluvicto™ binds a therapeutic someone go through followed the process to amend the
hospital’s radiation license. They worked
[a cancer diagnosis
radioactive particle to a carrier compound.
with the manufacturer to set up a
It targets a protein found on most prostate
treatment area and learned how to safely
cancer cells, delivering a high dose of
radiation to diseased cells and steering and treatment], dispose of the waste. They also figured
out how to get referrals and bill for
clear of healthy ones.
In early July, the nuclear medicine
you want to do the treatment.
team at PeaceHealth Sacred Heart
Medical Center at RiverBend in Springfield
everything you can By the time the FDA gave Pluvicto™
the green light, everything was already
treated their first patient with Pluvicto™, to try to help others in place.
“The day it was approved, we were
soon after it received FDA approval.
Today, the team is treating 20 patients, who are going ready,” Bamford says.
“Theranostics in nuclear medicine –
some from as far away as California and
eastern Oregon.
through it.” using one radioactive drug to diagnose and
a second one to treat – holds great promise
The team’s ability to treat more
in cancer care,” Dohrman says. “Our team
patients is only limited by the supply
PeaceHealth Sacred Heart Medical looks forward to the development and
of Pluvicto™.
Center at RiverBend was able to quickly approval of additional treatments for
“Pluvicto™ has the potential to
start offering Pluvicto™ because the other types of cancer. We understand that
extend the lives of people who have tried
nuclear medicine team had already laid therapies for brain cancer and kidney
other treatments for this specific type of
the groundwork to offer Lutathera®, cancer are in the pipeline.” u
prostate cancer,” says Dr. John Dohrman,
a different treatment by the same
medical director of the 10-member
manufacturer for a certain type of For more information or questions about
nuclear medicine team. “We’re proud to
neuroendocrine cancer. the treatments at PeaceHealth Sacred
be among the first nonuniversity hospitals
Neuroendocrine cancer affects far Heart Medical Center at RiverBend, call
in the country to offer this therapy and to
fewer people than prostate cancer, but it 541-222-2729.
be the only Oregon hospital outside of
played a big role in the life of PeaceHealth
20 MEDICA L M ATTERS | A PRIL 2023Spring is
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MEDICA L M ATTERS | A PRIL 2023 21B O U T THE
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24 MEDICA L M ATTERS | A PRIL 20232022
PHYSICIAN WELLNESS
PROGRAM DONATIONS
$5000 & more Up to $500 Up to $100
William Flanary Nicholas & Rachael Wolfgang
Bob Stephenson
Karthik Mahadevan Amy King
Up to $2500 Margaret Pattison Jodi Paoli
Alice & Daniel Horrell Leita Dzubay
Jim & Sylvia Emory
Charlotte Ransom Paul Rockey
Joseph Arpaia
Donald Garbett Amit Kainth
Brooke & Christopher Kyle
Peter Karth Claire Murphy
Thomas & Amy Trezona Colette Khan
Up to $2000 Denis McCarthy Dan Bowers
Andrew McIvor Lauren Herbert Naomi Light
Brittany & Marius Pakalniskis Duc Vo Mark Lyon
Richard & Lori Beyerlein Charles Stanton & Julie Gemmell Thomas Seddon
Kimberly Ruscher & Kevin Modeste Richard Padgett Randy Lewis
Audrey Garrett & Craig Seidman Jessica Versage William Miller
Lorne Bigley & Beth Moore Thomas Harburg
Bryan & Pamela Andresen
Up to $1000 Lee & Mary Jean Michels
Eric Spencer
Kathleen Cordes Paul Chavin
Garret & Angela Zallen Marc & Tina Schnapper
Gary Josephsen
Joseph Sage
Diane Baird
Jocelyn Park
THANK YOU!
Benjamin Vazquez Troy Richey 2022 celebrated the 10-year
Kathleen Yang James McGovern anniversary of the LCMS
Healther Campion Physician Wellness Program and
Mark Mildren Up to $250 our first PWP Fundraising Gala
that raised over $50,000 to help
Lucas & Ashlene Korcek
Carmina Angeles Leslie Pelinka sustain the program. We're proud
Jonathan Sherman Shannon O'Leary to share that on top of
Katie Swank & Geoffrey Gil Judith Sabah counseling services, the PWP also
Shelli Flynn Joy Pendowski offers executive and lifestyle
Sandra Rood Tamara Barstow coaching, stress reduction
Allan Hunter Laura Sanderson workshops, and more with
Luci Kovacevik Rechelle Asirot various providers allowing
William MacMaster John Lundeen members to find a good match.
Mark Hereema Amandajo Sanders We look forward to the
Glenn Buchanan John Lebow continued expansion of PWP
John & Leslie Polansky Misty Carlson services offered in 2023 and
Michelle Taube partnerships with our physician
Fay Sunada community to keep this program
Frances Munkenbeck growing. For more information
SCAN TO John Perkins about the PWP, visit
DONATE Jenna Godfrey www.lcmedsociety.com/pwp.NEWS
Announcements
New Members April 17th. Join the Oregon
Medical Association in Salem
Get ready for the LCMS
Wellness Month challenges
Notes
Jaime Fair, MD to connect with political leaders in May. It’ll kick off with an 2023 Directories are here!
Internal Medicine about upcoming legislation Outdoor Group hike May All preorders have been
McKenzie-Willamette MC that could impact healthcare. 6th with LCMS president, delivered. If your office would
1460 G Street Attendees must be OMA Dr. Benjamin Vazquez, and like to order one, contact info@
Springfield 97477 members. Learn more, register, continue throughout the lcmedsociety.com.
P: 541-726-4400 or join today at theOMA.org. month with a few community
F: 541-744-8441 Join us for a hard hat tour
connections. Join in for a hike, Interested in joining an
of the new Eugene Family
yoga, spin, and more. See insert LCMS Committee to make
Stephen Peirce, MD YMCA facility on April
for details. a bigger impact? Options
Physical Medicine & Rehab 20th. Space is limited to the include Community Health,
Pacific Sports & Spine HIV Alliance Big Night PWP, and Membership
first 15 registrants. Email info@ 2023 fundraiser is set for
217 Division Ave lcmedsociety.com to add your & Events. Email info@
Eugene 97404 May 19th from 5:30-8:00pm lcmedsociety.com for more
name to the list. at the Farmer’s Market
P: 541-780-6654 information or to apply.
F: 541-780-6645 The Youth Leadership Pavilion. For more information
Committee at Positive or to purchase tickets, visit
Rishi Vora, DO
Physical Medicine & Rehab
Community Kitchen
is hosting their annual
www.hivalliance.org/event/big-
night.
Classified
Pacific Sports & Spine fundraiser themed
Sign up now for the
Advertising
217 Division Ave “After School Snacks: A
Eugene 97404 Cookoff for a Cause” April 66th Annual LCMS Golf CUSTOM
P: 541-780-6654 25th from 6-8pm at the Tournament. This year, we’ll SUNRIVER HOME:
F: 541-780-6645 Farmer’s Market Pavilion be fundraising for Veterans 3 BR, 3 BA, den with
in downtown Eugene. Legacy and Camp Alma with Q futon + sleep/play
Events There will also be a raffle, live the goal of beating last year’s
donation of over $10,000. Grab
loft. Sleeps 6. 4 flat
music, and more. For tickets screen TVs, 2 DVD
The Knight Campus and information, visit www. your foursome and register players, Wi-Fi, new gas
presents Precision Medicine positivecommunitykitchen.org. today. All members welcome! cooktop, gas barbeque,
for Better Bones with fireplace, bikes, 2 car
Dr. Danielle Benoit on garage, hot tub, private
Tuesday, April 11th from setting by Nat’l forest.
6:30-8:00pm at the John $325 + cleaning. No
G. Shedd Institute for the
Arts. This event is free and Physician Wellness smoking. Call Carol
Berkman – cell: 541-
open to the public. Register
at accelerate.uoregon.edu/ Program (PWP) 953-5430.
FREELANCE
science-knight-out.
WRITERS NEEDED:
The Women Physicians Free & Confidential Help is Available LCMS is looking
for freelance writers
Group will gather on April Through Cascade Health to connect with
12th from 5:30-7:30pm
at KidsFirst. For more To schedule an members, community
information, contact Shannon appointment or access the organizations, and
O’Leary at catalystbcandc@ more. Pay starts at
gmail.com.
24-hour support line, $100/article based on
OMA Day at the Capitol
Call 541-345-2800 specifications. Email
info@lcmedsociety.com.
is scheduled for Monday,
26 MEDICA L M ATTERS | A PRIL 2023MEDICAL
Postage PRSRT STD NONPROF
PLACE Required. US POSTAGE US POS
Post Office
STAMP will not deliver
PAID PAI
MATTERS HERE without proper EUGENE, OR EUGEN
postage. Permit
Permit No.
No.921
17 Permit N
Lane County Medical Society
PO Box 7192
Springfield, OR 97475
Change Service Requested
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