Cancer and Palliative Care


Palliative care
is a type of care that was originally designed to help relieve the symptoms that cancer patients were experiencing without actually curing them. That may seem harsh, but it is because in late stage cancers, the illness can no longer be cured. So the focus was taken from there and directed to making the patient more comfortable.
 
Obviously there are many benefits to this type of patient care. Cancer and Palliative Care patients experience many different symptoms that can be devastating for them. Just because their illness is incurable, does not mean they should have to suffer terribly for the rest of their time alive.
 
These symptoms can include severe pain, shortness of breath, constipation and various degrees of nausea. Palliative care teams from the centers for hospice Las Vegas families trust are specifically trained to be able to deal with these symptoms and more so that the patient can be more comfortable.
 
Contrary to popular belief, that does not simply mean fluffing pillows. Chemotherapy and radiation are treatments that are considered to be palliated. That is because these treatments can reduce the size of tumors which will help lessen the patient’s symptoms. It is important for families to keep in mind that, if this treatment if offered, it was done so purely in an effort to make the patient feel more comfortable.
 
Of course, even palliative chemotherapy and radiation can create side effects in patients. These side effects can include nausea, vomiting, a loss of appetite, skin problems and decreased sexual function. If the treatment does not seem worth the trouble of the side effects, that is a decision that needs to be made between you, your Las Vegas hospice doctor and your family.
 
If you are unsure if palliative care is something you want to participate in, rest assured that research shows cancer patients living longer with the help of palliative care. You deserve to spend as much time as you can with your family.
 
In fact, it is becoming possible to live even longer because palliative care teams all over the country are striving to make sure palliative care becomes an option for a patient as soon as they are diagnosed with cancer. That is because extended palliative care tends to extend a cancer patient’s life exponentially. Patients who receive extended palliative care also report feeling more supported emotionally, mentally, spiritually and legally.
 
Being diagnosed with late stage cancer does not mean you have to give up the fight. Choose hope by reaching out to one of the Las Vegas hospice services that offer palliative care. Choose ProCare Hospice of Nevada because they strive to give patients the best experience possible for as long as possible. For more information about Las Vegas hospice care, contact 702.380.8300.

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Dr. Cara Goo, D.O

Dr. Cara Goo, D.O. completed her Family Medicine residency at Guthrie Lourdes Hospital in Binghamton, NY where she first became interested in Palliative Medicine and its application in the clinic and the hospital. She is a graduate of Touro College of Osteopathic Medicine, and Pacific College of Health and Science, where she trained in Traditional Chinese Medicine, acupuncture, and herbs. In fellowship, she hopes to bridge osteopathic and integrative medicine with palliative care. 

Dr. Iryna Kobita, MD

Iryna Kobita recently completed her Internal Medicine Residency at The Valley Health System in Las Vegas and is pleased to continue her medical training in Hospice and Palliative Medicine. Prior to relocating to the United States, she practiced medicine in Ukraine, bringing valuable international clinical experience to her work. Iryna looks forward to contributing to the program, building strong professional relationships, and continuing to grow as a physician. Outside of medicine, she enjoys traveling, spending time outdoors, and being with family and friends.

Dr. Diana Lee, MD

Dr. Diana Lee graduated from Capital Medical University in Beijing, China, in 1991. Following graduation, she completed five years of pediatric residency training at Beijing Children's Hospital, one of the largest and most prestigious pediatric hospitals in China.

After relocating to the United States, she completed her second residency training program in Internal Medicine at Greater Baltimore Medical Center in 2004. She then worked as a hospitalist with Mercy Medical Group in Sacramento, California, for 10 years, before moving to Las Vegas to join Platinum Hospitalist Group, where she currently practices.

After earning her ABIM board certification in Hospice and Palliative Medicine in 2012, Dr. Lee focused her career on this specialty. In 2017, she established the first hospital-based inpatient palliative care consultation service in Las Vegas at St. Rose Dominican Siena Hospital. Under her leadership, this initiative expanded from a single-physician service into a multidisciplinary team of four palliative care physicians and 12 nurse practitioners, providing consultations across eight hospitals in Las Vegas. She has also served as the program director for the OPTI-West Hospice and Palliative Medicine Fellowship since 2021.

Dr. Lee is dedicated to advancing patient-centered palliative care through clinical excellence, program development, education, and collaboration. As the founder of one of the region's largest inpatient palliative care programs, she continues to expand access to specialty services and improve care for patients with serious illnesses throughout Southern Nevada.

Dr. Dan Miulli, DO, MS, FACOS

Graduate of Midwestern University-CCOM and completed Neurosurgical Residency Training at Allegheny General Hospitals receiving diploma from Philadelphia College of Osteopathic Medicine. Board certified in Neurological Surgery and Neurocritical Care. Practices Neurosurgery in Southern California. Is the Designated Institutional Official, Chief Academic Officer, and CEO of OPTI-West Educational Consortium and Sponsoring Institution.