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Transforming Care

 Home | Publications | HealthViews Magazine | Archives & Downloads | Nov/Dec 2007 | A Breath of Hope

A Breath of Hope
A new minimally invasive procedure at Ocean Medical Center offers a lung cancer patient a faster road to recovery.

George Woolley of Manasquan, 67, has lived in New Jersey almost all his life. A passionate outdoorsman, he spent any free time he could find fishing, hunting, and living on the water. "I always juggled two jobs, but recently had to retire due to problems with my health," he explains. "I have such debilitating back problems that I would huff and puff just walking to the mailbox!"

His health problems aren’t limited to his back, unfortunately. During a recent visit to the emergency department at Ocean Medical Center for a recurring gastrointestinal (GI) bleed, a chest X-ray and CT scan revealed a spot on his lung. A follow-up biopsy confirmed his worst fear — he had lung cancer.

"I was in really bad shape," George admits. "I was short of breath and weak. My recurring GI bleed caused a low blood count, as well." To top it off, his lungs were damaged because George had smoked three packs of cigarettes a day for most of his life. His litany of health problems limited his treatment options. Since he was not a candidate for surgery to remove the cancer from his lungs, it appeared that chemotherapy was his only treatment option.

"As soon as I learned about the lung cancer, I started to take better care of myself," George states. "I quit smoking and started exercising." These positive lifestyle changes helped George build up his strength and also helped improve his treatment options.

Paul Friedman, M.D., a board certified pulmonologist at Ocean Medical Center assessed George’s breathing and determined that he might be a candidate for new minimally invasive surgery. He recommended that George see James McCaughan, M.D., a board certified thoracic surgeon who recently joined Ocean Medical Center.

After meeting with Dr. McCaughan, George was even more optimistic. "I really like Dr. McCaughan," he says. "He spends time with you to discuss your situation and options. He told me I could be cancer-free with surgery."

Dr. McCaughan recommended removing George’s lung cancer with a procedure called video-assisted thoracic surgery (VATS). The surgical technique uses just a small incision, about 2.5 inches in length, which enables the physician to insert surgical equipment to locate and remove the cancer. Since it is minimally invasive, a patient typically experiences less pain and has a faster recovery.

According to Dr. McCaughan, George underwent a two-hour surgery using this procedure to remove the diseased portion of his lung. "All the cancer was removed, and he has a very good chance for cure without additional treatment — which means no chemotherapy or radiation," explains Dr. McCaughan. "He has no pain from the surgery site, and George has high hopes for his new lease on life."

"I was in and out of the hospital in just one week," says George. "I’m looking forward to getting back to fishing and working on the house with my wife."

– Anne Marie Keevins

How to Keep Your Lungs Disease-Free

Emphysema and chronic bronchitis — illnesses that limit how much air you can breathe — are known together as chronic obstructive pulmonary disease (COP D). Though largely preventable, COP D is the fourth leading cause of death in the U.S.

What Causes COPD?

Long-term smoking is largely to blame for the disease. Other factors that increase risk include:

  • Frequent, prolonged exposure to certain types of dust and chemicals
  • Breathing in secondhand smoke
  • A history of childhood respiratory infections
  • A family history of the disease
Lifestyle May Keep Lungs Healthy

The most important step for preventing COPD is to avoid smoking. The following strategies may also help:

  • Exercise regularly to strengthen your lungs. Aim for at least 30 minutes of moderate activity on most, if not all, days of the week.


  • Wear a mask over your nose and mouth when working around large amounts of dust or paint, paint remover, varnish, or any other chemical with strong fumes.


  • Steer clear of secondhand smoke.


  • On high air pollution days, stay indoors as much as you can and confine outside activity to early morning or after sunset, when pollution levels are typically lower.

Early discovery of a breathing problem can prevent COPD from progressing to the point where it seriously interferes with your life. A simple, painless test called spirometry can tell whether your breathing is normal. Ask your doctor if you should have a breathing test.

A Team Approach to Lung Cancer Treatment

For those facing lung cancer, Ocean Medical Center offers the expertise of an interdisciplinary board of physicians comprised of specialists in pulmonology, thoracic surgery, medical and radiation oncology, radiology, pathology, and primary care. Together, the board analyzes each patient’s unique situation to help determine the best course of treatment.


About The Doctor
Picture Available McCaughan, James, M.D.
Board certified in Thoracic Surgery
Brick, NJ  08724
(610) 509-4707

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