I am a primary care physician and Director of Memorial Sloan Kettering’s Adult Long-Term Follow-Up Program. This program provides follow-up care for adults of all ages who had cancer during their childhood, adolescent, or young adult years.
In addition to providing health care for cancer survivors, I am a National Cancer Institute-supported independent investigator leading studies to better understand long-term health problems related to cancer and its treatment. We have three primary areas of focus: (1) identifying the risk of cardiovascular disease following cancer therapy, and learning how to modify it; (2) promoting cancer screening, such as screening for breast cancer in survivors who were treated with radiation to the chest (a common component of Hodgkin’s disease therapy); and (3) optimizing follow-up care for cancer survivors, including increasing awareness of such care among their primary care physicians.
I serve on the steering committee for the Childhood Cancer Survivor Study (CCSS), a multicenter study supported by the NCI that is following a large cohort of long-term survivors of pediatric cancer who were treated between 1970 and 1989. Their health is being compared with a group of their healthy siblings. The findings of the CCSS have already identified several diseases and disorders that may be more common among some survivors of childhood cancers — information which healthcare professionals are using to determine the best way to monitor the health of survivors into adulthood.
In addition to patient care and research, I serve on the Late Effects and Outcomes Steering Committee of the Children’s Oncology Group, the Cancer Survivorship Committee for the American Society of Clinical Oncology, and the Survivorship Research Task Force for the American Association for Cancer Research. I also teach residents, fellows, and postdoctoral researchers about the long-term effects of cancer and its treatment.
- Clinical Expertise: Adult survivors of pediatric and young adult cancers
- Languages Spoken: English
- Education: MD, University of Texas Medical School at San Antonio
- Residencies: McLennan County Family Practice Residency, Baylor College of Medicine
- Fellowships: National Cancer Institute, Division of Cancer Epidemiology and Genetics, Radiation Epidemiology Branch
- Board Certifications: Family Medicine
Research is integral to our mission at Memorial Sloan Kettering, and clinical trials help us discover better forms of patient care and treatment. For you, this could mean access to a new therapy or therapy combination. Click to see a list of the trials I’m currently leading.