Peninsula Radiation Oncology at the Jane Thompson Russell Cancer Care Center

Scheduling appointments
Our office hours are:
Monday - Friday, 8 a.m. - 4:30 p.m.
For appointments call 253-851-5155

Appointments can be scheduled weekdays during office hours. We try very hard to stay on schedule, and know that your time is extremely valuable. However, emergencies do arise unexpectedly. If we are delayed, or if we need to reschedule your appointment, we will notify you in advance. We appreciate your understanding and patience.

Fees and insurance
We accept most managed care and commercial health insurance plans, and file claims directly with these companies. We will bill Medicare and accept assignment. However, in order to avoid any unexpected charges, we recommend you find out about co-payment policies and familiarize yourself with any restrictions regarding self-referrals. We appreciate co-payment at the time services are rendered.

Franciscan Health System provides services to all individuals, regardless of their ability to pay. If you would like more information about how we can assist you with your bill, please talk to the receptionist when you visit a clinic. The receptionist can direct you to a patient account representative, who will help you evaluate your payment options. For your convenience we accept cash, check or credit card.

What to expect: your first appointment:
Your first appointment with a radiation oncologist will be a consultation. This visit will include a health history, a physical exam and a discussion of treatment recommendations and/or options. It may be necessary to schedule other diagnostic tests in order to determine the best course of treatment and/or your physical ability to start treatment.

Simulation
The next scheduled appointment is usually for review and discussion of test results and/or for a simulation. This appointment may take 30 to 90 minutes. A simulation involves using either specialized CAT (CT) scan or other X-ray films to determine the treatment field position. It will be at this time that pen marks and/or tattoos will be placed on the skin so that we can position you precisely for the radiation therapy treatment. The temporary skin markings indicating treatment areas should not be washed away until you are instructed to do so. If you are marked with the permanent tattoos, do not attempt to remove them. These tattoos are a record of the location of the treatment field for your current treatment. This particular treatment field may need to be identified many months or even years in the future. If a CT scan is required either before or sometime during your treatment, it will be performed on site where we have a specialized, dedicated scanner used only for radiation treatment planning. This procedure may take 10 to 30 minutes.

Treatment
Treatment usually begins between seven to 10 business days after the simulation appointment. This allows us to complete complex computerized treatment planning. Additional time may be necessary for planning the more technical forms of therapy. The number of treatments prescribed by your radiation oncologist will depend on the size, location, type and radio sensitivity of the disease or tumor, as well as your general health condition. The length of time for the treatment varies with each individual and depends on the type of treatment planned by your physician. Generally, the treatments are short in duration and painless. The radiation therapists will position you on the treatment machine and will then leave the room during the actual treatment. It will be important for you to lie very still during the treatment. You will be monitored via an audio-visual system for your safety.

Treatments are generally given daily, Monday through Friday, at approximately the same time each day. We will attempt to accommodate any requested specific time of day as best we can. Occasionally, there may be an unavoidable delay that will necessitate you waiting beyond your scheduled appointment time, and we apologize should this occur. We assure you, however, that we do make every possible attempt to keep the treatment schedule on time.