A.Fritz and Associates, LLC -  Preparing Cancer Registry Professionals for the Future

This is a portion of a banner signed by hundreds of attendees at the NCRA Annual Conference.  Click on the banner to see a larger image.
This is a portion of a banner signed by hundreds of attendees at the NCRA Annual Conference this May in Nashville.  Click on the banner to see a larger image.

Dear friends and colleagues

Thank you all for the requests for updates on my health status. I am pleased to say this is probably my last update because I'm going back to work!

When people hear someone has a diagnosis of pancreatic cancer, they envision some poor cachectic thing lying on the sofa wrapped in an afghan watching TV all day and feebly asking an aide or spouse to bring them some water to take pills with.  Well, that's not me--although I can empathize with patients in that condition. Almost 3 months post-op, I'm tired of TV (especially daytime TV) and the games on my computer. It's time to get busy again.

I'm hardly cachectic, although I've had to shop for clothes 4 to 5 sizes smaller than last year.  However, I do not recommend this particular strategy for weight loss...  My stamina is good for getting to doctor appointments and running errands while I'm downtown. But I am avoiding housecleaning as much as possible--no stamina for that!  I still (as of mid-July) have the wound vac because the abdominal incision has been very slow to heal even after 2 courses of antibiotics, wound lavage and outpatient wound care 3 times a week, and debridement and abscess drainage under general anesthesia. That's probably more than you want to know about my abdomen... 

Anyway, the wound infection delayed starting adjuvant chemotherapy past the window of known effectiveness (reduction of recurrence risk versus side effects), so my MedOnc decided not to give chemo. Since surgical margins were negative and "only" 2 of 22 nodes were involved, I'm OK with close follow-up (CT scans or PET scans) rather than chemo.  If all goes well, my chemo port will be removed about a year from now; if not, the port is ready for use at any time.

While I'm home, I am continuing to work on Volume III of the Cancer Registry CASEbook, despite the vagaries of what will or will not be included in registry data bases less than 18 months from now.  Registrars still need to understand anatomy, regional nodes, surgeries, and other aspects of less common sites (I've become an expert on pancreas and biliary tract.  I am actually looking forward to getting on airplanes again and unless something happens to the contrary, I am looking forward to seeing you at one of several state or regional registrars association meetings this fall at which I have been invited to speak.  Our training program and CTR review workshops here in Reno will continue as well.

I wish you could see my living room (but then I'm grateful that you can't due to the housecleaning issues mentioned previously)--there are dozens of 'thinking of you' cards on the coffee table and a huge banner signed by hundreds of attendees at NCRA.  The energy I have received from all the messages is amazing and I know that is what has carried me through this recent adventure.  I am so thankful to all of you for your thoughts, prayers, and expressions of support.  They have been an enormous source of comfort and inspiration to me.

Now you're caught up on my general health and treatment status.  In short, I'm doing well and looking forward to seeing many of you at conferences this fall.

 All the best,  

Education is the key to professional development in any field.  For cancer registrars, a good education forms the foundation for understanding the principles of oncology and the highly detailed work involved in cancer registration. April Fritz, RHIT, CTR and her associates provide the finest educational opportunities available in the field of cancer registry operations.   

A.Fritz and Associates offers a variety of educational programs ranging from customized presentations prepared for registry professional organizations to three- and five-day highly focused educational programs for beginning registrars, CTR examination preparation courses, and Level II training for more experienced registrars. 

With more than 30 years of experience in cancer registration, April has worked in a variety of settings—hospital registries, central registries, and registry support companies.  She knows what registrars need as the educational foundation for everyday work activities.  In addition, she has been on the leading edge of registry technologies, helping to develop ICD-O-3 and the Collaborative Staging system and can bring that information to her audiences in an uncomplicated, understandable format.   

“Preparing Cancer Registry Professionals for the Future” is more than the slogan of A.Fritz and Associates; it’s our mission.  Schedule a presentation or register for a training program right here. 

A.Fritz and Associates, LLC is a woman-owned, veteran-owned,
small business and is an equal-opportunity employer.

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21361 Crestview Road
Reno, NV 89521
Phone: 775-636-7243
Toll Free: 877-705-9753
FAX:  888-891-3012