Dayton Physicians Network

November is Lung Cancer Awareness Month

Lung cancer awareness







November is Lung cancer awareness month and we encourage everyone to learn about the signs and symptoms, screening guidelines and treatment options for lung cancer, as well as; support for cancer patients and their families and caregivers.

Lung cancer is the second most common cancer in both men and women, but is the leading cause of cancer death in the United States. The risk of developing lung cancer is highest in smokers, but many people who do not smoke also develop lung cancer each year.



National Comprehensive Cancer Network provides outstanding tools for people with cancer and the general public so that they may better understand screening and treatment options.  The guidelines are meant to help people with cancer and their loved ones to more easily talk with their physician about the disease and treatments.  Please check out these resources that they offer:

NCCN Guidelines for Patients: Lung Cancer Screening Guidelines    

NCCN Guidelines for Patients: Non-Small Cell Lung Cancer Guidelines



Everyone needs support when diagnosed with cancer; patients, friends, family and caregivers alike.  Be sure to check out the American Cancer Society, Cancer.Net, and the Lung Cancer Alliance to find more information and support to patients, caregivers, family and friends.


Dayton Physicians Network, we’re here for you providing information and resources,

Dr. Steinmetz named Cancer Committee Chair at Atrium Medical Center

Ryan Steinmetz, MD








Dayton Physicians Network Radiation Oncologist, Dr. Ryan Steinmetz has been named Chairman of the Cancer Committee, which is the primary leadership body for the cancer program at the Atrium Medical Center.   Dr. Steinmetz is a board certified Radiation Oncologist and has been treating patients at the Atrium since 2006.

As chairman, he leads the Atrium Cancer Committee in establishing goals, providing quality cancer care, oversight of the tumor board and cancer conferences and community outreach in accordance with Commission on Cancer requirements for cancer program accreditation.




Dayton Physicians Network, we’re here for you providing expertise and leadership in cancer care.

Susan Melton – HIT Series Speaker at Miami University

Susan Melton, MHA







Dayton Physicians Network’s own Susan Melton, MHA, Information Technology Director has been a long-time contributor and presenter for the Health Information Technology Series at Miami University. She was instrumental in helping Miami University build their program to what it is today.

On October 20th, Susan, was part of this year’s speakers series on HealthCare and IT. She shared her extensive expertise with Miami Hamilton students on Interoperability in Healthcare IT.

Miami University is appreciative of Susan’s contributions to the program that helps keep everyone abreast of the changing landscape of Health and Information Technology.  At Dayton Physicians Network, we are also appreciative of Susan’s accomplishments and her work to keep our technology safe and sound for users and patients alike.


About the HIT Speaker Series at Miami University

The Health Information Technology Speaker Series was first developed in Spring of 2013 under the direction of Dr. Yousuf Ahmad. Professionals from the local community graciously agreed to share their Health Information Technology expertise with our students. They were so impressed with the quality of the speakers that they made this opportunity available to the community. Learn more


Dayton Physicians Network, we’re here for you – educating the community about Health Information Technology

Breast Cancer: What You Need To Know

Mark A Marinella, MD, FACP







Dr. Mark Marinella, MD, FACP, Medical Oncologist recently spoke with Meredith Moss from the Dayton Daily News about prevention and treatment of breast cancer in order to raise awareness during Breast Cancer Awareness Month.  Read article here…Springfield Sun News, October 9, 2015

Dr. Marinella reflects on the changes in prevention, screening and treatment over the last 20 years. He also encourages women to educate themselves on prevention, treatment and resources available in the community as Miami Valley has many valuable resources.



Dayton Physicians Network, we’re here for you.


Lithotripsy for Kidney Stones


Michael K. Yu, MD, FACS








Lithotripsy for Kidney Stones

Dayton Physicians Network urologists offer a wide array of treatments for many different urological conditions.

Extracorporeal shock wave lithotripsy (ESWL) is a non-invasive method used to treat urolithiasis (urinary tract stones) using an acoustic pulse. It is estimated that over one million patients are treated per year with lithotripsy.

Fluoroscopic x-ray imaging is used to locate the stone and aim the treatment, and the acoustic pulse is aimed at the focal point corresponding to the location of the stone. ESWL works best with kidney stones between 4-20 mm in diameter which are located in the kidney. It can be used to break up stones located in the ureters, but with a lower rate of success.

A number of clinical studies report that slowing the firing rate of the lithotriptor to 60 shock waves (SW) per minute gives better outcomes than treatment at the typical rate of 120 SW per minute. The advantage of slowing the SW rate is that fewer shock waves are needed for treatment, but a potential disadvantage is a modest increase in overall treatment time. In addition, studies have shown that slowing the Shock waves rate and starting with lower power of treatment results in a reduction in renal injury during ESWL. Renal &Urology News, August 2015

Recent studies have shown that increasing the rate to 90 SW per minute for ureteral stones can improve the stone clearance rate, from 83% to 100% for proximal stones, and 73% to 96% in mid-ureteral stones. No change in stone clearance rates were seen for distal ureteral stones. There has been a decrease in popularity of ESWL for ureteral stones due to advances in technology, which has resulted in more ureteral stones being treated ureteroscopically, this may be relevant, as it indicates that optimizing the SW delivery rate can achieve excellent outcomes for proximal and mid-ureteral stones.

As a non-invasive treatment option for management of urolithiasis, ESWL usually results in less post-operative pain and an earlier return to normal activity as compared to ureteroscopic management, and should be included in the complete discussion of treatment options for patients with urolithiasis who are seeking treatment.


We’re here for you, with education about different treatment options to help you make the best decision for you.

Palliative Care

Beth Delaney, RN, MS, CNS, FNP-NC, OCN, ACHPN







At Dayton Physicians Network we truly desire to take great care of you. As a result, we want to offer services that help support you and your family throughout your cancer journey. Palliative Care is one of those services available at Dayton Physicians Network.

You are a Bridge describes the concept of palliative care. Take a look and if you would like to learn more about palliative care just ask one of your care providers at your next visit to our office.


We’re here for you, to provide support when you need it most.

Dr. Nkeiruka Okoye, presenter at Butler County Women’s Health Conference

Dr. Nkeiruka Okoye








Dr. Nkeiruka Okoye was welcomed as a presenter for the Cancer Workshop portion of the Butler County Women’s Health Conference.  This conference is sponsored by Primary Health Solutions and was held at Atrium Medical Center on Saturday, September 26, 2015.

Dr. Okoye discussed Leukemia and Lymphoma with the participants.  She shared information about signs, symptoms, diagnosis and treatment with the the women who attended this conference to learn about prevention and treatment of cancer.


Chemo Brain is Real

Jill Reese, RN, BSN, OCN


Chemo Brain is Real.




Have you heard of the term chemo brain or chemo fog and wondered exactly what that meant? Or if chemo brain truly was something real? Unfortunately chemo brain is real as there has been research over the years that have shown that chemotherapy, and radiation, can impact one’s memory.

Patient’s notice that they do not remember things quite as well, have difficulty concentrating on a particular task, or find they have a short attention span. Some notice this before treatment even begins. These changes may be subtle to family and friends, but the person experiencing chemo brain is aware that their way of thinking has changed. This definitely can impact one’s quality of life.

Fortunately, there is research being done on how to prevent it along with strategies on how to cope with chemo brain. If you, or someone you love, are experiencing chemo brain there are ways to help manage it and to keep your brain active.


  • Exercising all areas of your brain is helpful so try to work through a cross word or Sudoku daily.
  • Manage your stress
  • Ensure that you get a full night’s sleep
  • Avoid distraction when working on a task
  • Be organized
  • Keep a journal
  • Write yourself a reminder
  • Exercise

Do not hesitate to ask a loved one for help!  Also, ask that they be patient with your questions or information you may ask to be repeated. Please let your Oncologist know that you are experiencing chemo brain as they may have additional advice for you.  For more information about chemo brain and other topics, please visit www.Cancer.net

At Dayton Physicians Network we strive to be sure you know everything about your condition.  We offer you education, information and resources to help you understand diagnosis and treatment.


We’re here for you.

Dayton Physicians Network Earns National Accreditation from Commission on Cancer

Commision On Cancer Accredited Oncology MedicalHome







Dayton Physicians Network was selected as one of five practices to to participate in a Medicare Innovation Center Grant for the “Come Home program” in 2012.   Now that pilot project is complete and Dayton Physicians Network has earned National Accreditation from the Commission on Cancer.  Read more here….2015 CoC OMH Press Release


As a CoC-accredited oncology medical home, Dayton Physicians Network provides a coordinated, efficient, patient-focused system for delivering quality care. This physician led, team based-based health care model provides comprehensive and continuous care to cancer patients with a goal of obtaining maximized health outcomes while controlling costs. Patients seen at this practice know they have expanded access to care and that they will receive the right care, at the right time and at the right place.


The Dayton Physicians Network “Come Home” clinic is located at:

Greater Dayton Cancer Center

3120 Governor’s Place Blvd

Kettering, Ohio 45409

We have evening and weekend hours, please call us first at 937.293.1622.



Dayton Physicians Network, we’re here for you-when you need us the most. 

The Best Medical Information

David W. Key, MD








   The best place to find medical information…check with your health care provider


The internet is a wonderful place to spend time.  A great place to shop, to explore history and faraway lands.  However, it is not always the best place to find the medical information and education associated with your particular disease.

According to an article in Urology Times, Dr. Google creates anxiety, opportunity, Dr. Steven A. Kaplan, MD recommends that health care providers help patients learn more about their disease and its’ treatment.  Providers should use every opportunity to assure the patient has all the medical information needed.

I absolutely agree with Dr. Kaplan.  As providers we need to be sure we are not only treating a patient’s medical condition.  We should also educate them about their particular condition and offer them the best resources to learn more.

At Dayton Physicians Network, we pride ourselves on providing accurate and timely information.  We distribute fitting handouts and direct patients to appropriate websites such as Urology Care Foundation and Cancer.net .

We want to alleviate anxiety by directing you to meaningful information and education about your disease.  We want you to be informed, so that you can make good decisions about your health care.


We’re here for you, when you need accurate information.