Melissa Hulvat, M.D.

310 Sunnyview Lane

Kalispell, MT 59901

Phone (406) 751-6488

Fax: (406) 751-6690

www.kalispellregional.org

Resources for

Healthy Survivorship

NowWhat?

SurveillanceAppointments with oncology practitioner:• Every 3-6 months x 2 years• Every 6-12 months x 3 additional years

until cancer free for 5 years• Changes from these appointments may

be individualized

Mammograms:Patients that have had: Lumpectomy → 1st mammogram six months after therapy then annually for both breasts Single mastectomy → annually Double mastectomy → none

Other:• Hormone Replacement Therapy contraindicated for breast cancer survivors• Women taking Tamoxifen should see a

gynecologist annually & notify their physician of any vaginal bleeding after menopause; certain antidepressants may be contraindicated - ask your doctor.

• The relatively high frequency of severe congenital abnormalities indicates that reliable birth control during tamoxifen treatment is mandatory. After tamoxifen use, a washout period of 2 months is advisable based on the known half-life of tamoxifien.

• Women taking Aromatase Inhibitors may need periodic bone density testing

• Report any changes in the breast/chest wall area including lumps, swelling, or skin rashes, arm swelling, tightness, or pain to your physician

• Report any new symptoms of persistent pain in one area or bone, vision change, or weight loss to your physician

RehabilitationThe Summit Medical Fitness CenterMontana’s most comprehensive fitness and wellness facility. (406) 751-4100 One2One A unique, personalized weight loss solution for your life. (406) 751-4509 Journey to Wellness 90 day individualized fitness program. (406) 751-4106

Comprehensive Oncology RehabilitationDiane Miklos, PT (406) 752-0330Joe Bilau, PT (406) 751-4520Care for short term &/or long term side effects of cancer treatments including lymphedema

Eureka Health Therapy CenterTreatment for lymphedema. (406) 297-3915

Kalispell Medical EquipmentPost surgery garments. (406) 752-6111

Lynn R. Troy, Naturopathic PhysicianFocus on natural remedies for side effects of the various cancer treatments (406) 752-8900 or (406) 892-4406

Sheril Schenck & Marguerite HaalandRegistered DieticiansNutritional counseling. (406) 751-6486 or 751-6778

The Montana Center for Wellness & PainManagement @ HealthCenterPain management including acupuncture and massage.(406) 756-8488

Psychology/Counseling ServicesContact: Stephanie Cymbal(406) 756-8488

Oncology Social WorkerNikki Roth (406) 257-4797 office or (406) 871-4632 cell

Treatment EffectsFor more information regarding treatment effects:Treatment side effects including sexual and cognitive dysfunction go to website www.journeyforward.org

SupportWomen’s Cancer Support GroupMeets 2nd TuesdayContact: Stephanie Cymbal (406) 250-2999

Glacier BuddiesOne on one supportContact: Kim Grindrodkgrindrod@krmc.org

Flathead Valley Cancer Chicksformerly known as Young(er) Women with Breast CancerContact: Dina Wood (406) 270-5623 dina@sherpadesign.netFacebook page FV Cancer Chicks

Kids ConnectedFamilies dealing with cancerContact: Angie Olson (406) 253-7888cabincreeklanding@yahoo.com

Whitefish Women’s Cancer Support GroupMeets twice monthly.Contact: Terri Dunn (406) 863-3513

American Cancer Society (ACS)1-800-227-2345 | www.cancer.org

Caring Bridgewww.caringbridge.org

MASH (insurance)Financial resources.(406) 751-6548 or (406) 751-6918

Cancer Support Community-Kalispell37 W. Washington St., Kalispell, MT Contact: Jennifer Young (406) 752-0130