(717) 735-3738

For Patients


How do I make an appointment?

You can make an appointment via the FollowMyHealth patient portal or by calling our office

What are the signs and symptoms of cancer?

The signs and symptoms vary depending on the specific kind of cancer, but there are some general signs and symptoms that may indicate a need for testing. These include fatigue, a sore that does not heal, nagging cough, pain, unexplained weight loss, fever and changes on the skin. Although there could be other reasons for these sign and symptoms, anyone experiencing these should consult their physician.

What are risk factors for cancer?

Risk factors vary by kind of cancer.  A risk factor is anything that increases a person’s chance of getting a disease. Some risk factors can be negated, such as factors in the environment or lifestyle choices, and others, such as age, family history and race, cannot.

How did I get cancer?

The answer to this question will be different for everybody. There are some cancers that we know are caused by environmental or genetic factors, but in many cases the answer is simply not clear. The best thing to do is to talk to your doctor in person.

What are the different types of cancer?

The main types of cancers are: carcinoma, sarcoma, lymphoma, leukemia and myeloma.

Carcinomas are the most common types of cancer. They arise from the cells that cover external and internal body surfaces such as the skin, lung, breast, and colon.
Sarcomas are cancers arising from cells found in the supporting tissues of the body such as bone, cartilage, fat, connective tissue and muscle.
Lymphomas are cancers that arise in the lymph nodes and tissues of the body's immune system.
Leukemia is cancer that starts in immature blood cells that grow in the bone marrow and causes abnormal blood cells to accumulate in large numbers in the bloodstream.
Myeloma is a cancer that develops in the plasma cells of bone marrow.

What is staging?

Staging is the process of determining how far the cancer has spread. It is important to know the stage of the cancer before determining which treatment options are best. Most often, physicians use the TNM system for staging. This system gives three key pieces of information:

T describes the size of the tumor and whether the cancer has spread to nearby tissue and organs.
N describes how far the cancer has spread to nearby lymph nodes.
M shows whether the cancer has spread (metastasized) to other organs of the body.

What are treatment options for cancer?

Standard types of treatment for cancer are surgery, radiation therapy, chemotherapy, hormone therapy and biological therapy. These treatments may be used alone, but often combined to maximize the patients’ long-term survival. Surgery and radiation therapy are considered local treatments, as they target the cancer cells in the tumor and near it. Chemotherapy, hormone therapy and biological therapy are systemic treatments, meaning they travel through the bloodstream reaching cancer cells all over the body. Patients should work closely with their Oncologist to determine the best individualized treatment options.

What is remission?

Remission is a decrease in or disappearance of signs and symptoms of cancer. In partial remission, some, but not all, signs and symptoms of cancer have disappeared. In complete remission, all signs and symptoms of cancer have disappeared, although cancer still may be in the body.

Are all tumors cancerous?

No. Some tumors are benign (noncancerous) and do not spread to other parts of the body. Cancerous tumors are called malignant.

Is there a cure for cancer?

Today, a cure may be available depending on the cancer type and its extent. Tremendous scientific advances have significantly improved patient survival rates, and many patients today will never have recurrence of their disease.  However, even after successful treatment, there may remain cancerous or precancerous cells in the body. Cancer patients must maintain a high level of vigilance for the rest of their life, as the risk still remains.  Clearly, this question is best left to a discussion with your oncologist.

What are clinical trials?

Clinical trials are studies of new or experimental treatments in patients. This type of study is offered to eligible patients when there is reason to believe that the treatment being studied may offer benefits to the patient, such as improved outcomes or side effect management. There are three phases of clinical trials a treatment must complete before it is eligible for approval by the Food and Drug Administration (FDA). Phase I is to study the best way to give a new treatment and study its safety. It is often the first time the specific agent has been tested in a human, outside a laboratory. Phase II is designed to see if the treatment works. Phase III involves large numbers of patients and divides patients into two groups—a control group and the group receiving the new treatment.

What is the survival rate for cancer?

The answer to this will depend on many factors including the type and stage of your cancer and is best addressed in person with your doctor.

What is community-based cancer care?

Community-based cancer care integrates all aspects of outpatient cancer care, from laboratory and diagnostic imaging capabilities, to chemotherapy and radiation therapy in treatment centers located within patients’ communities. It is based on the concept that providing convenient, high-quality care closer to patients and their support networks aids the maintenance of quality of life and improves patient adherence to therapy, a crucial element in the treatment process.

Who do I contact in case of an after-hours emergency?

You can call our office 24 hours a day, 7 days a week, and you will be able to speak with a physician on call, even after hours. We are here to help you.  


Who should I call for prescription refills?

You can request a refill on your medication via the FollowMyHealth patient portal, or by calling our office.  

Can I get my lab or test results?

Yes. Labs and other test results are available for patients to view via the FollowMyHealth patient portal. Additionally you can call our office and speak to one of our clinical staff who can help you.

Do I need a referral and how do I obtain one?

The answer depends on your insurance. While we do try to know as much about all the plans that service our area, everybody’s benefits are different. It is your responsibility to know if you need a referral and to obtain one. If you do not know if your plan requires you to have a referral in order to be seen in our office please call the Member Services number listed on the back of your insurance card.  

What if I don’t have insurance?

If you are currently uninsured, we strongly recommend that you apply for PA Medical Assistance (Medicaid). You can apply online or call the Lancaster County Assistance office at 717-299-7411.