Welcome to the Duke Cancer Institute

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1 Thank you for choosing th Duk Cancr Institut (DCI) for your halthcar nds. Th DCI is a singl ntity that ffctivly intgrats and aligns cutting-dg rsarch and world class ducation with compassionat clinical car. This mans your physicians, som of th most rnownd mdical spcialists in th world, hav virtually instant accss to innovativ scintists who continu th qust to find bttr tratmnts and a cur for th challnging st of disass w call cancr. At Duk, w continu to blaz nw trails in cancr car and prvntion. Th Duk Cancr Institut is a National Cancr Institut-dsignatd comprhnsiv cancr cntr, on of only 45 in th nation. Th Duk Cancr Cntr is a stat-of-th-art patint car facility consolidating in on convnint location almost all outpatint clinical car srvics. Th facility offrs hlpful programs and srvics, including a patint rsourc cntr, rtail pharmacy, slf-imag boutiqu, quit room, café and outdoor gardn. Top quality Duk cancr car is now closr to hom than vr bfor. For addd convninc, dpnding on th typ of cancr and tratmnt ndd, patints can lct to sk car at on of our four cancr cntrs locatd in Wak County. Locations includ Duk Cancr Cntr Raligh, Duk Cancr Cntr Macon Pond, Duk Cancr Cntr Cary and Duk Cancr Cntr Cary Radiation Oncology. Duk Cancr Cntr Raligh is locatd on th campus of Duk Raligh Hospital. Th rcipint of mor than $250 million annually in rsarch funding, th Duk Cancr Institut focuss on basic, translational, clinical and population rsarch. Th Duk Cancr Institut offrs advancd tchnologis and tchniqus long bfor most clinical trials bcom routinly availabl at othr halthcar institutions. This pionring approach to halthcar hlps to nsur our patints rciv individually tailord cancr tratmnt options. Through th dcads and across th glob, patints and thir familis hav bnfitd from Duk s unwavring commitmnt to xcllnc in cancr car, ducation and rsarch. Thank you for choosing th Duk Cancr Institut for your car. It is our privilg to provid to you and your family, cancr car as it should b. Sincrly, Wlcom to th Duk Cancr Institut Intgrating lading-dg rsarch with world-class car Michal B. Kastan, M.D., Ph.D. Excutiv Dirctor, Duk Cancr Institut W suggst you bring this rfrnc guid with you to your first visit. W will rviw th guid with you to hlp idntify aras of particular intrst to you. You may wish to highlight sctions and prhaps vn jot down som nots. Th handy pockts ar rsrvd for th safkping of information you may rciv from your clinicians. If you rcivd a digital copy of this rfrnc guid prior to your first visit, plas b sur to rqust a printd vrsion from your clinical tam at your first visit. Duk Univrsity Halth Systm is vry proud to hav achivd Magnt rcognition (2014). dukcancrinstitut.org

2 2 For Patints A stat-of-th-art facility, ladingdg rsarch and compassionat car all for you Improving your xprinc Establishd in 2012, th Duk Cancr Cntr was dsignd with input from patints, familis and cargivrs to nsur you and your lovd ons xprinc a wlcoming, supportiv and haling nvironmnt. Tam-basd, disas-spcific car Th Duk Cancr Institut brings togthr th many aspcts of your car into on convnint location. A tam of physicians, nurss, pharmacists, mdical family thrapists, social workrs, diticians and othrs will work togthr within a multidisciplinary disas-basd program to provid you with your car nds. Rgistration Rgistration is dsignd to improv flow and ffortlss navigation of th facility. You will chck in with our patint srvic associats, and will rciv a pagr, which provids additional privacy and allows for visiting othr aras of th building until notifid to com to your appointmnt.

3 A rfrnc guid to your car at Duk 3 Spacs for you and your family Th Duk Cancr Cntr is opn Monday through Friday, from 6 a.m. to 9 p.m. A vido introduction to th Duk Cancr Cntr and vido tours of th facility ar availabl at dukmdicin.org/cancrtour. Café Lvl 0 Th Duk Cancr Cntr Café offrs indoor and outdoor sating, a halthy mnu faturing local farm-frsh fruits and vgtabls and, from tim-to-tim, cooking dmonstrations. Rsourc Cntr Lvl 0 Th Rsourc Cntr works with your halthcar tam to provid writtn and onlin information on spcific typs of cancr tratmnts, sid ffcts, coping stratgis, family issus, nutrition qustions and mor. Th cntr offrs ducational matrials, computr kiosks and a skills lab for patints and thir familis. Books, vido and audio taps, priodicals, brochurs, magazins and mor ar availabl to patints and thir familis. Th Rsourc Cntr is opn Monday through Friday, from 8 a.m. to 4 p.m. For mor information, call Rtail Pharmacy Lvl 0 Th Duk Cancr Cntr Spcialty Pharmacy provids a convnint location for filling prscriptions as wll as purchasing ovr th countr mdications. Our pharmacy is opn Monday through Friday, from 8:30 a.m. to 6 p.m. Blk Boutiqu Lvl 0 Th 1,000-squar-foot Blk Boutiqu offrs th latst trnds in wigs, hats, caps, scarvs, slf-imag products, post-surgical garmnts and prosthtics itms and rsourcs cancr patints nd as thy journy toward rcovry. Privat consultation rooms ar availabl. Th boutiqu is opn Monday through Friday, from 9 a.m. to 4 p.m. For mor information, call Gardn Th bautiful Ss-Thornton Gardn of Tranquility offrs patints and familis an outdoor spac for mditativ thought and rflction. Th gardn is locatd in front of th Duk Cancr Cntr. Sating is availabl. Common Aras Bginning in th soaring cntral atrium, th Duk Cancr Cntr s common spacs fostr a fling of comfort and rlaxation. Clinics offr spacious, comfortabl waiting aras faturing larg windows and natural light. Host stations can b found in waiting aras whr voluntrs provid information about patint rsourcs. Quit Room Lvl 0 Th Quit Room provids a tranquil spac whr patints and thir familis can tak tim to rflct, rlax, mditat or pray. Th Quit Room inspirs pac, quit and spiritual mditation for individuals of all faiths.

4 4 For Patints Rsourcs and support W ar committd to trating you as a whol prson, mind and body, not just your cancr. W bliv quality comprhnsiv cancr car involvs attnding to issus byond th scop of traditional modls of mdicin. W undrstand cancr not only affcts you; it also touchs th livs of thos surrounding you. Th car w provid xtnds to your family and your support ntwork. In fact, most of our cancr support srvics ar providd at no additional charg to you and your lovd ons. Duk Consultation and Rfrral Cntr For mor information on srvics offrd at th Duk Cancr Institut, contact th Duk Consultation and Rfrral Cntr at DUKE ( ). Th rfrral cntr is opn Monday through Friday, from 8 a.m. to 6 p.m. Rschdul an appointmnt If you nd to rschdul an appointmnt, call th numbr listd on your appointmnt lttr or mail rmindr. If this numbr is not radily availabl, plas call , Monday through Friday, 8 a.m. to 5 p.m. Cancr patint support srvics Th Duk Cancr Patint Support Program offrs srvics that support patints and thir lovd ons. W hlp patints undrstand thir options, mak dcisions, manag th ffcts of cancr and its tratmnt, and find maning in th journy. W offr profssionally facilitatd support groups that giv you and your family mmbrs th opportunity to shar your xprincs, gathr information and rsourcs, and participat in ducational programs. W offr disas-spcific support groups and gnral support groups for family mmbrs and childrn. For mor information on support groups, call Chmothrapy ducation class Ld by a nurs or pharmacist, chmothrapy ducation classs ar hld daily in th Rsourc Cntr, Room 0N10 of th Duk Cancr Cntr. All patints starting chmothrapy should considr attnding. No rgistration is rquird. Family and frinds ar wlcom. Classs ar availabl from 1 to 2 p.m. on Monday and Wdnsday, 10 to 11 a.m. on Tusday and Thursday, and from 9 to 10 a.m. on Friday.

5 5 A rfrnc guid to your car at Duk Child-lif srvics Th diagnosis of cancr impacts vry mmbr of th family, including childrn and tns. Our crtifid child lif spcialist strivs to hlp childrn and tns bttr undrstand and cop with srious illnss in th family. Education and supportiv activitis can rduc th strss xprincd by childrn and tns and mak it asir for familis to talk about th illnss xprinc. To schdul an appointmnt with our child lif spcialist, call co n n t c d am f ov dl an ing a Hop to danc in th ra ning in ar tl ou ab g aitin ut w bo on for ily hat w is w for th storm co ic 's 't a pra ct is i ar On h r, w Lif r to p as s... ath at a tim br as it ng ali H Whil w a wl l dy bo Sc hi na z n so s s lf our Lt us r -T rr i m tho in y s to ith Thank rw t gif th spirit as it h anothr, a family of f a ar all calld to b to a ativ ffort of mind-bod abor y-sp l l o c irit is a E o to ach othr dai giv ly w urs ch oth r -P am L ig ht Mdical intrprtrs ar availabl and can b rqustd whn schduling your appointmnt. cy, fin dp n ho Intrprtrs m ard on anoth r to w n o i ss Own your jour a ny p -N an w Th Patint rsourc cntr provids information and rfrral srvics on arly dtction and risk rduction; spcific cancrs; tratmnts and sid ffcts; rsarch and clinical trials; complmntary thrapis; coping; nutrition; childrn s concrns; and nd of lif car. A lnding library with books, CDs and DVDs; fr cancr-rlatd brochurs and magazins; and computrs for patint and family us ar availabl Monday through Friday, from 8 a.m. to 4 p.m. Th cntr is locatd in Room 0N10 nxt to th atrium on Lvl 0 of th Cancr Cntr. For mor information, call i lls t w Patint rsourc cntr p Ho ark to liv ach day th sp to th fu sn Gntics counsling Th Hrditary Cancr Clinic offrs cancr risk assssmnt and ducation to patints with cancr and popl with a family history of cancr or othr cancr risk factors. For mor information or to mak an appointmnt, call s s u giv th Our xprts across all spcialtis participat in national clinical trials and prform th most advancd tratmnt mthods using th latst tchnology availabl today. W offr our patints accss to clinical trials at th forfront of tratmnt dvlopmnt, long bfor thy bcom routinly availabl. You may b ligibl to participat in on of our clinical trials, many of which tst nw cancr thrapis and xplor gnomics, th study of gns, how thy function and thir impact on halth. To larn mor about availabl clinical trials at th Duk Cancr Institut, visit dukmdicin.org. Photo by Robrt Bnson Clinical trials

6 6 For Patints Oncology rcration thrapy This program assists inpatint adults with cancr adjust to illnss, tratmnt and hospitalization. Rcrational thrapy tratmnt intrvntions and gnral rcrational activitis and rsourcs ar offrd. For mor information, call Pastoral srvics Duk chaplains ar on-sit svn days a wk, 24 hours a day to offr spiritual support to patints and thir familis. Whn rqustd, thy connct patints and thir familis with faith-spcific rprsntativs from th community. To larn mor, call Physical and occupational thrapy srvics Duk Mdicin provids a varity of outpatint physical and occupational thrapy srvics, including a Lymphdma Managmnt Program and falls risk assssmnts. Srvics also includ assssmnts and tratmnts for th following conditions: gnral waknss and dconditioning, chronic pain, changs in cognition, impairmnt with fin motor dxtrity, altrations in vision, incontinnc, and sxual halth issus. To schdul an appointmnt or to sk furthr information rgarding our programs, plas call Spch pathology and audiology rhabilitation srvics W provid rhabilitation srvics to includ a wid rang of cognitiv-communicativ, haring and swallowing issus rlatd to th ffcts of cancr tratmnts. A tam of skilld halth profssionals will work with you to improv difficultis with haring, swallowing, mmory, attntion, problm solving, languag and mor. Our clinicians focus on functional and practical thrapy plans with a goal of achiving, for you, th bst quality of lif possibl. To schdul an appointmnt or to sk furthr information rgarding availabl programs, call Survivorship support Our cancr survivorship initiativ focuss on th dsign and dlivry of high-quality survivorship car following cancr tratmnts. W partnr with patints and thir familis to hlp thm achiv halthy, fulfilling livs byond cancr. Aras of car that ar addrssd includ assssmnt and managmnt of both physical and motional long-trm and lat ffcts that may rsult from th cancr xprinc, cancr scrnings, and counsling rlatd to prvntion and halth promotion. W offr a numbr of clinical and supportiv srvics, as wll as rsarch opportunitis in th ara of cancr survivorship. For mor information, call Thrapy and counsling A diagnosis of cancr can impact a prson both motionally and rlationally. Our mdical family thrapists provid individual, coupl and family thrapy. W also offr psychiatric and psychological srvics as part of our tratmnt for motional, psychological and rlational issus associatd with a cancr diagnosis. For additional information, call Voluntr srvics Th Duk Cancr Patint Support Program offrs voluntrs traind to work with you and your family mmbrs. Thy provid convrsation and comfort. Our voluntrs guid patints to locations and rsourcs within th clinics and hospital. Our voluntrs play a vital rol in th day-to-day activitis at th Duk Cancr Cntr.

7 A rfrnc guid to your car at Duk 7 Additional programs Duk MyChart Th onlin mdical rcord systm allows you to rqust appointmnts, chck lab rsults and mor. Visit our convnint and scur wbsit, dukmychart.org: Viw your lab and radiology rports and othr halth information (including nots from your doctor, if applicabl) Communicat with your providr Rqust appointmnts Rqust mdication rfills To start using MyChart srvics, visit dukmychart. org and follow th instructions to sign up. You can also add a lovd on or a cargivr to your account so h or sh is abl to viw your lab rports, rqust appointmnts and us othr MyChart faturs. If you hav qustions about MyChart or nd assistanc stting up an account, contact th Duk Mdicin Customr Srvic Cntr at Kp in touch with CarPags As part of our commitmnt to patint-cntrd car, at Duk Mdicin w offr an onlin tool to hlp patints connct with thir support systms back hom. CarPags ar fr Wb pags that patints can crat to communicat with lovd ons throughout thir xprinc at Duk Univrsity Hospital, Duk Raligh Hospital or Duk Rgional Hospital. CarPags can hlp patints: Journal thir hospital stay Post mssags and photos for family and frinds Rciv words of ncouragmnt Updat lovd ons all at onc, rducing th nd for multipl phon calls Connct with othr patints facing similar challngs Your CarPag is privat and fully scur. Only thos to whom you hav givn a password can visit your pag. To crat a CarPag or larn mor about it, visit carpags.com/dukhalth. hlps to fostr working partnrships btwn our patints and our scintists, who ar on th frontlins of cancr rsarch. Philanthropic support from patints and thir lovd ons nabls us to advanc nw modls of patint-cntrd car; to prpar th nxt gnration of compassionat and innovativ cancr doctors and rsarchrs; and to continu to bring novl, improvd tratmnts to patints at Duk and byond. Ultimatly, patint support acclrats our qust to cur cancr. Thr ar many ways to support th Duk Cancr Institut and its fforts. To larn mor or to mak a donation, contact th DCI Offic of Dvlopmnt at or visit dukcancrfund.org. Amrican Cancr Socity Road to Rcovry program Th Road to Rcovry program is a fr srvic that matchs Durham County and Wak County patints who nd transportation with local voluntrs willing to driv thm to oncology appointmnts at th Duk Cancr Cntr or Duk Rgional Hospital. Cancr patints nding transportation to thir appointmnt or who would lik mor information about th program can call 800-ACS Duk Cancr Institut Offic of Dvlopmnt Many of our patints and thir familis want to know what thy can do to hlp mak a diffrnc in th livs of othrs battling cancr. Th DCI Dvlopmnt offic

8 8 For Patints Frquntly askd qustions What should I bring to my appointmnt? Compltd mdical qustionnairs All mdications and supplmnts (in original containrs) Any mdical rcords that may nd to b rviwd Photo ID Insuranc cards This rfrnc guid Whr should I park? S th Dirctions, parking and maps information providd in this packt on pag 13. Additional rsourcs ar availabl at dukmdicin.org. What can I xpct whn I visit? At th Duk Cancr Institut w ar ddicatd to a multidisciplinary approach to cancr car. Our goal is to stramlin your car. In a singl visit, dpnding on your diagnosis, you may s a varity of spcialists, including your mdical oncologist, surgon, radiation oncologist and gnticist. In many instancs you will also mt with a nurs, a pharmacist and a social workr. Your nw patint appointmnt may bgin with a nurs, nurs practitionr or physician assistant. At that tim, your halthcar providr will rviw and discuss with you your halth history. H or sh may ask additional qustions to stablish a complt ovrviw of your diagnosis and tratmnt history. Th Duk Cancr Institut transforms cancr car through intgration of innovativ rsarch and world class ducation. W ar dvotd to th mntoring of futur halthcar providrs. Thrfor, at tims you may b sn by a mdical rsidnt or fllow pursuing spcialty training in halthcar. Both work closly with your oncology spcialist and ar vital mmbrs of your halth car tam. Aftr mting with your halth car tam, you will b sn by a cancr spcialist who will discuss with you in dtail tratmnt options and nxt stps. On subsqunt visits, your mdication and symptoms will b rviwd by a nurs. You will thn s ithr your cancr spcialist or th nurs practitionr or physician assistant who works with your cancr spcialist. Our physician assistants and nurs practitionrs ar xprincd in caring for cancr patints and thy ar xprts in symptom managmnt. Th Duk Cancr Cntr offrs disas-sit nursing, which mans you hav nurss who ar focusd on your particular cancr. At ach appointmnt you will s th sam nursing tam. This approach givs you a consistnt point of contact for qustions and concrns that aris outsid of th clinic. Rquird lab tsts or imaging studis may incras th lngth of your visit, so w ncourag you to mak any ncssary childcar or pt car arrangmnts. You ar ncouragd to bring a swatr or light jackt, rading matrial, a laptop or mobil dvic and powr cords. Fr wirlss Intrnt srvic is providd throughout th Cancr Cntr. What do I nd to know about clinical trials offrd at Duk? Our xprts across all spcialtis participat in national clinical trials and prform th most advancd tratmnt mthods using th latst tchnology availabl today. As a rsult, w offr a broad slction of mdical, surgical and minimally invasiv options to our patints, including som who ar not considrd candidats for tratmnt lswhr. A cancr clinical trial is a rsarch study in which patints participat as voluntrs to tst lading-dg thrapis, including nw drugs, nw approachs to surgry or radiation thrapy, nw combinations of tratmnts, dvics or gn thrapy. Th Duk Cancr Institut is committd to offring you th most advancd car possibl. W offr hundrds of clinical trials for th tratmnt and prvntion of many forms of cancr. Som of ths trials ar availabl only at th Duk Cancr Institut. For a complt list of activ clinical trials, visit dukmdicin.org. What should I know about insuranc and my bill? W will procss claims for srvics with your insuranc carrirs. You may b askd to pay, at th tim of your visit, amounts not covrd by your insuranc, such as co-pays, dductibls and coinsuranc. Duk participats with most insuranc companis, Mdicar and North Carolina Mdicaid. Prior to your visit, chck with your mployr or

9 A rfrnc guid to your car at Duk insuranc company to s if you hav accss to halthcar srvics at Duk. Othrwis, you may b rsponsibl for all or a larg portion of your bill. Bring your complt halth insuranc information, including idntification, insuranc cards and authorization forms. Co-paymnts for physician and hospital car and othr balancs you may ow ar du on th day you rciv srvics. Your insuranc may also rquir you to pay for stimatd coinsuranc or dductibls rlatd to your car. If you hav multipl appointmnts, your insuranc company may rquir multipl co-paymnts. Duk is committd to providing car with dignity and rspct. If you hav qustions or cannot pay your bill in full, plas tll us and lt us hlp. Our account rprsntativs and financial car counslors, locatd on vry floor of th cancr cntr, will assist you with filling out applications for monthly paymnt plans, financial assistanc programs and govrnmnt sponsord programs. Who do I call with qustions about billing or insuranc bfor or aftr my visit? If you hav any qustions about your co-paymnts, dductibls or coinsuranc rquirmnts, plas call your insuranc company. If you hav qustions about your bill or would lik to spak with somon about financial assistanc, contact th Duk Mdicin Customr Srvic Cntr at Who do I contact about my xprinc at th Duk Cancr Cntr? Our goal is to provid you with high-quality car and an outstanding patint xprinc. To hlp srv you bttr and to idntify opportunitis for improvmnt, w dpnd on th fdback of our patints. About two wks aftr your appointmnt you may rciv in th mail a patint satisfaction survy. Plas tak a fw momnts to complt th survy and rturn it in th postag-paid nvlop providd. If your fdback is urgnt or if you wish to spak with somon, plas contact our patint advocats at Chim In! Larn mor about th Duk Cancr Institut and shar your xprincs with othrs. Follow us on Twittr and lik us on Facbook. Mdical qustion? Nd to spak with a nurs? Call our oncology triag lin at (Dtails on Pag 16.) 9

10 10 For Patints Travl & Lodging Th Duk Cancr Cntr is approximatly 16 mils from th Raligh-Durham Intrnational airport (RDU). Taxis, shuttls and public transportation ar availabl at th airport. Som hotls also offr transportation assistanc. Th following hotls ar locatd nar th Duk Cancr Cntr in Durham. Information is providd as a courtsy and is not rprsntativ of all ara lodging options. Whn making rsrvations, b sur to ask about shuttl srvics and a mdical room rat. Many local hotls offr discounts to patints rciving car at th Duk Cancr Cntr. Duk Concirg Srvics partnrs with slct hotls and inns to scur spcial mdical rats. *To scur a Duk Concirg Srvics mdical rat, patints and thir familis must call Duk Concirg Srvics at Rats subjct to chang. For additional lodging options, visit dukmdicin.org/lodging. Brookwood Inn 2306 Elba Strt Durham, NC (.3 mils from Duk Cancr Cntr) Comfort Inn Univrsity Durham Chapl Hill 3508 Mount Moriah Road Durham, NC *(Duk Concirg Srvics mdical rat: $49 pr night + tax) (6.9 mils from Duk Cancr Cntr) Courtyard by Marriott 1815 Front Strt Durham, NC (2.8 mils from Duk Cancr Cntr) Duk Towr All- Condominium Hotl 807 Wst Trinity Avnu Durham, NC (2.4 mils from Duk Cancr Cntr) Durham Marriott City Cntr 201 Fostr Strt Durham, NC / (2.3 mils from Duk Cancr Cntr) Extndd Stay Amrica 1920 Ivy Crk Boulvard Durham, NC *S pag 16 for discount offr. *(Duk Concirg Srvics mdical rat: $44 pr night + tax) (4.41 mils from Duk Cancr Cntr) Holiday Inn Exprss 2516 Guss Road Durham, NC (2.7 mils from Duk Cancr Cntr) Hilton Gardn Inn 2102 Wst Main Strt Durham, NC (1 mil from Duk Cancr Cntr) Homwood Suits 3600 Mt. Moriah Road Durham, NC (6.4 mils from Duk Cancr Institut) Millnnium Hotl Durham 2800 Campus Walk Avnu Durham, NC (1.4 mils from Duk Cancr Cntr) Quality Inn & Suits 3710 Hillsborough Road Durham, NC *(Duk Concirg Srvics mdical rat: $40 pr night + tax) (1.4 mils from Duk Cancr Cntr) Rd Roof Inn 4405 Highway 55 East Durham, NC (8.8 mils from Duk Cancr Cntr) Staybridg Suits 3704 Mount Moriah Road Durham, NC (5 mils from Duk Cancr Cntr) Univrsity Inn 502 Elf Strt Durham, NC (.4 mils from Duk Cancr Cntr) Washington Duk Inn & Golf Club 3001 Camron Boulvard Durham, NC (1.9 mils from Duk Cancr Cntr)

11 A rfrnc guid to your car at Duk 11 Long-trm lodging Patints visiting Duk for an xtndd priod of tim may choos to stay at on of th following locations: Caring Hous Caring Hous offrs comfortabl and affordabl housing for adults rciving outpatint tratmnt at th Duk Cancr Institut and thir cargivrs. Rooms ar $35 pr night and ar availabl for longand short-trm stays. A rfrral from a clinical social workr or patint rsourc managr is ndd for first-tim gusts. For mor information call or visit caringhous.org. Othr long-trm lodging Ronald McDonald Hous provids tmporary housing for pdiatric patints and thir familis. A rfrral from a clinical social workr or patint rsourc managr is ndd for first-tim gusts. For mor information, call Th Host Homs program is sponsord by Duk Patint Information Srvics and can assist with lodging in privat homs. A nominal nd-basd f is chargd for this lodging. For mor information, plas call Concirg srvics Dsignd to srv patints and thir familis, Duk Concirg Srvics provids guidanc for lodging, dining, prsonal srvics, ntrtainmnt, sporting vnts and mor. Duk Concirg Srvics has partnrd with svral local hotls to provid patints and thir familis with concirg rats. To scur a concirg rat or for mor information, call Patint advocats Th Dpartmnt of Patint and Visitor Rlations assists patints and thir familis. As advocats for you and your family, patint rprsntativs can listn to and follow up on your concrns, answr qustions or dirct your rqust to th appropriat hospital dpartmnt and arrang for spcial srvics or dirct you to rsourcs in th community. For mor information, call For mor information Familis and visitors can find additional information about patint srvics, rsourcs and support at dukmdicin.org. For mor information about th City of Durham, visit th Durham Convntion and Visitors Burau at durham-nc.com. Courtsy of Washington Duk Inn

12 Strt A ndrson N 12 For Patints Exit 174 B Exit 108D 147 LaSall Strt Sprunt Avnu Hillsborough Road Road Hillandal 20 Duk Mdicin Circl Durham, NC Exit 108B Exit 15B Morrn Road Exit 108C Erwin Road LaSall Strt Erwin Road Fulton Strt Elba Strt 6 BYPASS Rsarch Driv 5 Duk Chapl A B Chapl Driv Trnt Dr Flowrs Driv Hillsborough Road Main Strt Exit 15A Erwin Road Campus Driv 147 Main Str Raligh, DUKE UNIVERSITY Camron Blvd Duk Univrsity Road

13 A rfrnc guid to your car at Duk 13 Dirctions, Parking & Maps Campus Zon Entris Rgional Map Cntr For Living Lnox Bakr LaSall Strt Rsarch Driv Ey Cntr Ey Cntr Ey Cntr Parking Duk Hospital Duk Hospital Duk Childrn s Hospital Duk Hospital Parking From Richmond and points north From I-85, tak Exit 174B Hillandal Road. Turn lft onto Hillandal Road. Driv 1.5 mils south and continu without turning as Hillandal Road bcoms Fulton Strt. Turn lft onto Erwin Road. Turn right onto Trnt Driv. You will s signs rfrncing Zon 8. Trnt Driv bcoms Duk Mdicin Circl. Th Duk Cancr Cntr is locatd at 20 Duk Mdicin Circl. Th Duk Mdicin Circl parking garag is locatd at 302 Trnt Driv, about 1/10 mil aftr you mak th turn onto Trnt Driv. From RDU Airport, Raligh, and points ast From I-40, tak Exit 279B NC 147 North. From NC 147, tak Exit 15A Elba Strt/Trnt Driv. 7 8 A B EMERGENCY Emrgncy Dpartmnt Duk Mdicin Circl Duk Mdicin Pavilion Cancr Cntr Duk Clinic Duk Mdicin Circl Parking Pratt Strt North Pavilion North Pavilion Parking Elba Strt Duk Hospital Parking At th top of th ramp, turn lft onto Trnt Driv. You will s signs rfrncing Zon 8. Trnt Driv bcoms Duk Mdicin Circl. Th Duk Cancr Cntr is locatd at 20 Duk Mdicin Circl. Th Duk Mdicin Circl parking garag is locatd at 302 Trnt Driv, about 1/10 mil aftr you mak th turn onto Trnt Driv. From Fayttvill and points south From I-95 N, tak Exit W toward Raligh. Tak Exit 279B to mrg onto NC 147 N toward Durham. From NC 147, tak Exit 15A for Elba Strt/Trnt Driv. t Strt 9th At th top of th ramp, turn lft onto Trnt Driv. You will s signs rfrncing Zon 8. Trnt Driv bcoms Duk Mdicin Circl. Th Duk Cancr Cntr is locatd at 20 Duk Mdicin Circl. Th Duk Mdicin Circl parking garag is locatd at 302 Trnt Driv, about 1/10 mil aftr you mak th turn onto Trnt Driv. RDU From Grnsboro and points wst From I-85, tak Exit 172 NC 147 South. From NC 147, tak Exit 15B Fulton Strt. Turn right onto Fulton Strt. Turn lft onto Erwin Road. Turn right onto Trnt Driv. You will s signs rfrncing Zon 8. Trnt Driv bcoms Duk Mdicin Circl. Th Duk Cancr Cntr is locatd at 20 Duk Mdicin Circl. Th Duk Mdicin Circl parking garag is locatd at 302 Trnt Driv, about 1/10 mil aftr you mak th turn onto Trnt Driv.

14 14 For Patints Ey Cntr Parking 5 Ey Cntr Ey Cntr Ey Cntr Parking 5 Ey Cntr B Elba Strt Duk Hospital Parking VA Hospital Undrground Walkway Conncts Duk Hospital to Hospital Parking 6 Duk Hospital Duk Hospital Duk Childrn s Hospital 6 Fulton Strt B A Pratt Strt A North Pavilion North Pavilion Parking Duk Hospital Parking Elba St Erwin Road 7 Concours Duk Hospital Duk Childrn s Hospital Emrgncy Driv Mdical Cntr Grnway Hans Building Sarl Cntr School of Mdicin Larning Cntr Duk Mdicin Pavilion School of Nursing Duk Mdicin Circl Duk Cancr Cntr 20 Duk Mdicin Circl Durham, NC Concours Cancr Cntr Duk Mdicin Circl Parking Duk Clinic Concours Bakr Hous Davison Building Studnt Halth

15 A rfrnc guid to your car at Duk 15 rt 7 EMERGENCY Trnt Driv 8 Trnt Building N Raligh, RDU 8 Duk Mdicin Circl Duk Mdicin Pavilion Cancr Cntr Duk Clinic Duk Mdicin Circl Parking Parking & transportation Parking is availabl in th Duk Mdicin Circl parking garag, locatd at 302 Trnt Driv. Thr is a $2 pr hour f or $8 pr day (f subjct to chang). Pr-paid discountd parking passs ar availabl at th Blk Boutiqu, locatd in th cancr cntr. Packts with 10 daylong parking passs ar availabl for $40 and can b purchasd at th boutiqu. A courtsy shuttl is availabl fr of charg for patints and visitors. Th whit shuttl van picks up passngrs at Lvl 1 of th Duk Mdicin Parking Garag on Trnt Driv, just outsid th lvator lobby nar a tall Courtsy Shuttl sign locatd outsid on th sidwalk. Th shuttl maks stops at th Cancr Cntr, Morris Building and Duk Clinic. Aftr appointmnts, patints and visitors can catch th shuttl at drop off locations for transport back to th parking garag. Th van runs rgularly vry 5 to 8 minuts throughout th day, Monday through Friday, bginning at 6:30 a.m. and nding at 6 p.m. For $9 (f subjct to chang), valt parking is availabl at th main ntranc of th Duk Cancr Cntr. Attndants will provid you with a claim chck and thn park your car in th parking garag. This srvic accpts cash only. Whlchairs and assistanc ar availabl in th Duk Cancr Cntr. As you calculat your travl tim, plas includ xtra tim to park your car, find th clinic and rgistr. Plas s map at lft. Flowrs Driv Campus Map 1 Zon Idntification Building Entranc Bus Stop Patint Shuttl Emrgncy Parking Valt Concours Concours Accss

16 16 For Patints Additional rsourcs and support Patint navigation Patint navigation is a patint-cntrd intrvntion that liminats barrirs to timly diagnosis and tratmnt of cancr and othr chronic disass. Patint navigation has volvd to bcom a houshold trm in most cancr cntrs and is oprationalizd diffrntly across institutions. Duk Cancr Institut s patint navigation is a part of Patint Support Srvics, targting vulnrabl patints facd with multipl barrirs. Patint navigation utilizs a multidisciplinary modl and is ld by a rgistrd nurs who coordinats car across th continuum from point of ntry through survivorship. Th navigation modl utilizs th xprtis of social workrs, family thrapists, financial car coordinators and rgistrd nurss to dlivr comprhnsiv navigational srvics. At vry point of contact, th patint is assssd for barrirs and rfrrd to th appropriat rsourc. For mor information, plas call Valari Worthy, RN, at Oncology & Palliativ Car Social Work Oncology and palliativ car social workrs hlp patints and thir lovd ons cop with th motional and practical concrns that accompany th diagnosis and tratmnt of cancr. Our social workrs assss individuals and family mmbrs to idntify and addrss thir spcific nds. Social workrs stablish intrvntions to hlp our patints allviat strssors and th financial burdn associatd with a cancr diagnosis, as wll as connct patints and familis to rsourcs such as disability, hom halth/hospic, advanc dirctivs, and nd of lif car. For assistanc in finding th most appropriat social workr, plas contact th Patint Rsourc Cntr at Smoking cssation Th Duk Cntr for Smoking Cssation (CSC) is ddicatd to nding smoking addiction through rsarch. Th cntr conducts clinical trials to study fficacy of currnt tobacco cssation tchniqus and cutting-dg mthods. Participation is voluntary. Scrning is availabl onlin or by phon. A crtifid tobacco tratmnt spcialist nurs is also availabl at th Duk Cancr Cntr Patint Rsourc Cntr th third Monday of ach month. For mor information, call or visit duksmoking. com. For mor information on sssions hostd at th Duk Cancr Patint Rsourc Cntr, call Cancr nutrition Our rgistrd dititian/nutritionists spcializ in oncology, working collaborativly with you to mak sur you r wll-nourishd throughout your cancr tratmnt. Dititians hlp to prvnt and trat malnutrition, rstor digstiv halth, minimiz th sid ffcts of your cancr tratmnt and work with you in survivorship. For mor information, call Cancr patint triag srvic Th Duk Cancr Cntr offrs an oncology tlphon triag srvic. Th srvic provids fficint accss to car, conncting patints to halth profssionals bst abl to addrss thir spcific nds. Calls ar routd basd on nd. Patints can slct from six options, including: schduling an appointmnt, billing inquiry, prior authorizations and othr paprwork nds, prscription rfills, tst rsults, and nurs advic. Th oncology triag tlphon srvic is availabl Monday through Friday, from 8 a.m. to 5 p.m. To accss th phon srvic, plas call Duk Law School provids FREE lgal srvics Duk Law School s Halth Justic Clinic offrs fr lgal assistanc to hlp you dal with lgal issus that may accompany your mdical diagnosis and tratmnt. Voluntr law studnts from th Cancr Pro Bono Projct ar also availabl to hlp prpar important lgal documnts, such as halthcar powr of attorny, living will, and gnral powr of attorny. Fr lgal srvics through th Offic of Public Intrst and Pro Bono ar availabl to Duk Cancr Cntr patints on th first and third Fridays of th month, from 10 a.m. to noon and from 1 p.m. to 3 p.m. To schdul an appointmnt, call *Amrican Cancr Socity Hop Lodg Program Extndd Stay Amrica has partnrd with th Amrican Cancr Socity to launch Kys of Hop, a program offring Amricans battling cancr with an affordabl, comfortabl plac to stay. Ovr a two-yar priod, Extndd Stay Amrica is providing 100,000 stays fr of charg to patints and thir cargivrs. Th program also provids 40,000 rooms at $19 pr night and anothr 40,000 rooms at a 25 prcnt discount. For mor information or to rsrv a room, plas call th Amrican, plas call th Amrican Cancr Socity at

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