The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- TSH-basal, fT3, fT4
- indicators of blood coagulation
- CT-planning of radiation therapy
- full course of radiation therapy
- individual plan of the chemotherapy
(the cost of medicines is included) - symptomatic treatment
- cost of essential medicines and materials
- nursing services
- control examinations
- consultations of related specialists
How program is carried out
During the first visit, the doctor will conduct a clinical examination and go through the results of previous laboratory tests and instrumental examinations. After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function. Based on the received results, the physician will elaborate the chemotherapy regimen, conduct radiotherapy planning with the help of CT or MRI, make the permanent tattoo marks on the skin and conduct CT simulation in order to assess the accuracy of the rays and the radiation dose. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).
Chemotherapy and radiation therapy are carried out as the day hospital procedure, without mandatory admission to the hospital. At each visit, the physician will assess your general condition and the marks on the skin. After that, you will be placed in a shielded radiation therapy room, on a special table.
Each radiation therapy session lasts less than half an hour (including preparation). All this time, doctors and nurses are monitoring your condition, you can communicate with them through a loudspeaker. The procedure is completely painless. Depending on the planned course of treatment, you will visit the hospital from 1 to 3-5 times a week.
During the chemotherapy session, after the placement of a venous catheter, you will stay in a comfortable ward. An infusion system will be connected to the catheter, through which the required drug or a drug combination will be administered. All drugs are administered by intravenous drip, slowly, so the total duration of the infusion can be up to several hours. All this time, doctors and nurses will monitor your health condition closely.
After the completion of the chemotherapy and radiation therapy course, you will undergo control examinations aimed at assessing your condition and efficacy of treatment. After that you will receive the medical report with detailed recommendations regarding further follow-up and treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of treatment, if necessary.
Required documents
- Medical records
- MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
Service
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About the department
The Department of Oncology and Palliative Care at the MediClin Robert Janker Clinic provides palliative treatment for patients with incurable diseases. The goal of the department's doctors is to alleviate the symptoms of the disease and improve the quality of human life. The department's specialists use an individual approach to each patient and always take into account his wishes. A competent multidisciplinary team, which consists of palliative care experts, nurses, psycho-oncologists, physiotherapists and social workers, works here for the benefit of patients. The department is headed by Dr. med. Katri Elina Clemens.
The department's doctors mostly admit patients with incurable cancers, neurological pathologies, various types of dementia, diseases of the heart, lungs, kidneys and liver. The focus is on patients with advanced cancers. In addition to therapeutic measures, psycho-oncologists intensively work with the patient (if necessary, and with his relatives). They help the patients and their families to cope with a severe diagnosis and maintain good spirits.
The department offers palliative care for patients with the following diseases and pathological conditions:
- Malignant diseases, particularly, bowel cancer, ovarian cancer, esophageal cancer, metastasis in the liver, kidneys and soft tissues
- Incurable types of dementia
- Incurable heart diseases
- Incurable lung diseases
- Incurable kidney diseases
- Incurable neurological diseases
- Stressful symptoms, such as nausea, vomiting, shortness of breath, constipation in the case of incurable diseases
- Psychosocial problems with incurable diseases
- Chronic musculoskeletal pain
- Other diseases
The department's range of medical services includes:
- Palliative pain and symptomatic therapy (the treatment scheme is developed in accordance with the individual needs, depending on the intensity of pain)
- Palliative radiation therapy (mainly prescribed to relieve symptoms in cancers)
- Palliative chemotherapy (helps to slow the progression of cancer and the spread of metastasis)
- Physiotherapy
- Therapeutic gymnastics
- Massage
- Relaxing techniques
- Psychosocial support
- Other therapeutic services
Curriculum vitae
Education
- Study of Human Medicine at the University of Bonn.
Clinical and Scientific Career
- 1995 - 2000 Medical Consultant of the Johanniter-Unfallhilfe (mainly Africa and Eastern Europe).
- 1998 - 2000 Internship, Department of Anesthesiology, Intensive Care, Palliative Care and Pain Therapy, Malteser Hospital Bonn-Rhein-Sieg.
- 2000 - 2005 Assistant Physician, Department of Anesthesiology, Intensive Care, Palliative Care and Pain Therapy, Malteser Hospital Bonn-Rhein-Sieg.
- 2004 - 2010 Lecturer in Palliative Care, University of Bonn.
- 2005 - 2010 Head of the Training and Research Center, Palliative Care Center, University of Bonn, Malteser Hospital Bonn-Rhein-Sieg.
- 2005 - 2010 Qualified Specialist in Palliative Care, Palliative Care Center, Malteser Hospital Bonn-Rhein-Sieg.
- 2006 Appointment as Examination Board Member for Additional Qualification in Palliative Care, Medical Association of North Rhine-Westphalia.
- 2007 United Nations, Consultant of the International Atomic Energy Agency; Department of Nuclear Science in Medicine, Vienna, Austria.
- Since 2011 Head of the Department of Oncology and Palliative Care at the MediClin Robert Janker Clinic.
Qualifications
- Medical Specialist in Anesthesiology.
- Additional Qualification in Palliative Care.
- Admission to carry out the advanced training courses in Palliative Care, Medical Association of North Rhine-Westphalia.
Memberships in Professional Societies
- German Association for Palliative Medicine (DGP).
- German Cancer Society (DKG).
- German Society for the Study of Pain (DGSS).
- German Society of Anaesthesiology and Intensive Care Medicine (DGAI).
- International Association for the Study of Pain (IASP).
- International Association for Hospice and Palliative Care (IAHPC).
- European Association for Palliative Care (EAPC).
Photo of the doctor: (c) MEDICLIN Robert Janker Klinik
About hospital
The MediClin Robert Janker Clinic is a progressive medical facility, which has all the very latest diagnostic and treatment methods for the recovery of health of patients who suffer from cancers. The clinic was founded by renowned radiologist and surgeon Robert Janker. Today, its history has more than 80 years of successful clinical practice, which has brought worldwide fame and reputability to the medical center. The specialization of the clinic includes oncology, radiation oncology, diagnostic and interventional radiology, palliative care.
The work of the medical team of the clinic is based on the use of sparing and highly specialized therapeutic procedures. Each clinical case is individual and requires a special approach. The specialists of the medical facility guarantee their patients not only the most effective treatment, but also top-class medical care, respectful attitude and understanding of the needs and wishes of each patient.
The patients can receive medical care both on an inpatient and outpatient basis. The doctors of the clinic cooperate closely with many specialized Cancer Centers in Germany, as well as with many private practitioners. Along with conventional cancer treatments, the clinic also offers an individual counseling, psychological support, social care and other related activities.
The outstanding quality of the diagnostics and treatment is confirmed by certification in accordance with DIN EN ISO 9001: 2015 standards. In addition, the clinic is certified by the German Cancer Society. The clinic is also a certified cooperation partner of the Cancer Center Bonn-Rhein-Sieg.
Photo: (c) MEDICLIN Robert Janker Klinik, (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the MediClin Robert Janker Clinic live in modern and comfortable rooms. Each room is equipped with an ensuite bathroom with shower and toilet. The standard room includes a comfortable automatically adjustable bed, a bedside table, a table and chairs for receiving visitors, a wardrobe for storing clothes, a radio, a TV and a telephone (additional charges apply for using a telephone and a TV). The patient rooms also have WI-FI.
The patients with disabilities are accommodated in specially equipped rooms. The clinic also provides single enhanced-comfort rooms of a five-star hotel level.
Meals and Menus
The patients of the clinic are offered healthy and varied diet. The wishes and needs of the patient are always taken into account. The patients have a choice of several daily menus, particularly, a full menu, a basic menu, both diet and vegetarian menus. Breakfast and lunch are served in the cafeteria of the clinic, while dinner is served in the patient room.
The patients who live in enhanced-comfort rooms are offered an individual menu. In addition to breakfast, lunch and dinner, the patient is additionally provided with coffee and delicious cakes, fruit in the room.
Further details
Standard rooms include:
Religion
Religious services can be provided upon request.
Accompanying person
During an inpatient program, an accompanying person can stay with you in the patient room or in a hotel of your choice.
Hotel
During the outpatient program, you can stay at a hotel of your choice. Our managers will help you choose the most suitable option.