
Who's Who in the Hospital
Typical members of your health care team may include:
Medical Doctors
Nurses
Inter-disciplinary Team Members
MEDICAL DOCTORS
Primary
Oncologists
A doctor specializing in cancer who is in charge of and responsible for
your care, sometimes working in a team with other oncologists. This physician
stays in communication with your primary care pediatrician or physician.
Attending
Physician
One of a team of doctors responsible for your care. In your hospital,
a team of oncologists may work together to care for you on rotating schedules.
You may have a primary oncologist but still be seen by other attending
physicians while you are in the hospital or clinic. Don't worry - in most
hospitals all the doctors work as a team and constantly share information
about how you are doing and what you need.
Radiation Oncologist
A doctor who specializes in using radiation to treat cancer. This physician
often puts together your radiation treatment plan and may be responsible
for your scans and x-rays.
Surgeon
A doctor who performs operations. You may have different types of surgeons
involved in your care for different reasons. For example, a general surgeon
may insert your central catheter; an orthopedic surgeon may be involved
if you have bone cancer; a neurosurgeon may remove your brain tumor, etc.
Oncology
Fellow
A doctor who has finished residency training and doing additional training
to become a specialist in oncology. A fellow is a fully certified physician
who works closely with the attending physicians to make decisions regarding
your treatment. The fellow sometimes has more time than your primary doctor
to really talk about things that concern you.
Resident
A doctor who has graduated from medical school and is getting more clinical
training in the hospital before becoming fully certified. Residents rotate
through several specialty areas including oncology, and work with your
other doctors. The residents you see in the hospital will change when
their rotations end. This is sometimes annoying because you are always
seeing new faces during rounds who may not know your medical history.
Try to be patient - we all have to learn somewhere.
Anesthesiologist
A doctor who specializes in giving medicines or other agents that prevent
or relieve pain, especially during surgery. An anesthesiologist will always
be part of your team when you have surgery. For some procedures like bone
marrow biopsies, an anesthesiologist may administer some type of anesthesia
and monitor your body functions.
Psychiatrist
A medical doctor that specializes in providing psychotherapy, or general
psychological help. Because they are medical doctors, psychiatrists
can also prescribe medication, such as antidepressants or medication
to help you sleep.
Radiologist
A physician with advanced training in diagnosing diseases by interpreting
X-rays and other types of imaging studies, for example, CT scans and MRI's.
NURSES
Nurse
Practitioner or Advanced Practice Nurse
A registered nurse with additional education and clinical training in
Oncology. Nurse Practitioners work with your doctors and do many things
including: performing physical examinations and procedures, diagnosing
patient problems, ordering labs, tests, and medications and teaching you
about issues related to your care. In some hospitals, you may spend much
more time with your nurse practitioner than your doctor. Nurse practitioners
usually wear white lab coats like the docs, and not scrubs like the other
nurses.
Staff
Nurse
A registered nurse who provides the care you require both while you are
in the hospital and as an outpatient in the Clinic. The nurse may draw
your blood, administer chemotherapy and/or medications, teach you about
your cancer and treatment, and help arrange follow-up.
Nursing
Aides, Patient Care Technicians
The aides in your hospital may have one of several different titles, but
they probably all do essentially the same jobs. They often check vitals:
blood pressure, temperature, pulse, etc. - and usually have the dubious
honor of checking the levels of bodily wastes that you leave behind for
closer examination. They might also do things like change your linens,
bring in your food trays, and take care of minor problems.
INTER-DISCIPLINARY
TEAM MEMBERS
Social
Worker
A trained professional who helps you and your family adjust to your illness,
access hospital and community resources and deal with problems. Sometimes
you may not feel like talking with the social worker about things that
are on your mind
They always want to know "How are you feeling?"
It's OK if you don't want to talk. If you do, they're available.
Child
Life Specialist
A child development expert who offers age-appropriate activities to help
meet your social and emotional needs. In some hospitals, child life specialists
supervise activity rooms, coordinate activities and help you deal with
difficult procedures and treatments.
Clinical Psychologist
A therapist skilled in administering tests to determine at what level
you are functioning intellectually and emotionally. Psychologists can
help if you are feeling depressed or sad or having problems dealing
with your disease. Psychologists are not medical doctors but have a
doctoral degree in psychology and counseling and are referred to as
Dr.
Nutritionists
Registered dieticians are knowledgeable about the nutritional needs
of oncology patients. They are nutrition experts who evaluate eating
patterns and problems and recommend nutritional options. When you are
going through various treatments (chemotherapy, radiation, surgery,
etc.) you may not feel like eating. The nutritionist can help you keep
your strength up which is very important during treatment.
Chaplains
Members of the clergy (ministers, priests, rabbis, etc.) who are available
to help you with your spiritual issues, concerns or needs.
Physical, Occupational, Speech, and Respiratory
Therapists
Individuals with advanced training in their specialty area who may help
you with specific problems related to your cancer or its treatment.
Phlebotomists
Individuals who draw your blood when you do not have a central venous
catheter like a Broviac or medi-port.
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