ORIGINAL VERSION
Robert Goldsby
Dr. Robert Goldsby is a pediatric hematologist and oncologist in San Francisco, California. Dr. Goldsby received his MD from The Robert Larner, M.D. College of Medicine at the University of Vermont and has over 21 years of experience. Dr. Goldsby is affiliated with the Zuckerberg San Francisco General Hospital and Trauma Center and the UCSF Medical Center. He has earned numerous awards and grants including an American Society Grant and Hope Street Kids Grant. Most of his research entails treatment for adolescent and young adults with cancer. He has had the opportunity to provide care for cancer survivors on a long term aspect.
Children are our future, the next generation. Cancer is a huge deal because it’s so intense, especially when discussing about children. There has been reports of numerous survival progress among childhood cancer. The improvements have allowed young children to beat cancer and make a living. Pediatric cancer is a very complex topic and requires a lot of attention.
Cancer has long term effects on children. It never goes away, even if an individual survived it. This requires a lot of assistance and support, especially for children. Although they are cancer survivors, it’s a possibility that they might encounter particular issues. It has become an objective for physicians to discuss these long term outcomes with patients. It’s more than just surviving; it’s about creating a lifestyle. Dr. Goldsby has been able to use his platform to ensure young adolescents receive the necessary care.
Dr. Goldsby has joined a program particularly in the field of medicine named Survivors of Childhood Cancer. It’s a specialized program that has developed immensely through their objectives. Particularly, providing medical knowledge for the survivors and analyzing any signs of late effects. The program consists of a panel of nurses, nutritionist, social workers and oncologist working together to track a child’s health transitioning into adulthood.
Dr. Goldsby is the medical director for the Survivors of Childhood Cancer Program. It’s ideally for children who have survived cancer after two years of remission. They have created research data as a guide to study the late effects of cancer therapy. It’s a fairly new development that physicians are continuing to learn more about these consequences. It’s also a program where they are including families and primary care providers regarding significant issues for survivors. The objective is to provide knowledge that would be beneficial for survivors and their families of any issues they might face.
Physicians have been able to reach out to patients and their families. It’s about analyzing each patient’s records and the best method to care for them. The program has allowed physicians and patients to educate themselves through data entry and what they might endure. The program evaluates the struggles and the late risks of cancer therapy among survivors.
Dr. Goldsby has studied a tool, called Survivor Health Passport. It’s a permanent document that survivors carry with them which includes some type of summary of their therapy. He has viewed this exceedingly important because it’s a way for survivors to have their treatments and follow-ups listed. This also benefits physicians because they are able to ensure that they are proposing an appropriate follow-up. Furthermore, it’s also an easy way for patients to understand what treatments they have endured in a very simple manner. The information can be especially helpful if patients encounter an emergency.
The underlying issue is therapy. It’s significant for patients and survivors to understand their course of treatment. By researching what it does and its risks. Most therapies are aggressive treatments and every patient reacts differently. According to Dr. Goldsby, the focal point of survivorship is determining which therapy is best to implement and to also keep in mind its long term effects. His recent studies have shown some consequences of their cancer therapy. Currently, the works have been put into implementing less toxic therapy and more targeted areas.
Dr. Goldsby has been able to participate and advocate in advancing pediatric cancer. Specifically, choosing the right path of treatment and therapy for patients. The first step for patients is to learn what their treatment is and if they include any long term effects. It’s all about knowledge and educating yourself. It’s very beneficial for the patient and their family to understand. This also goes for childhood cancer survivors because they will be able to comprehend why they are feeling a certain type of way. Dr. Goldsby and his team have been trying to improve and limit any complications that comes along with therapy.
In a most recent journal, “Adolescent and Young Adult Oncology, Version 2.2018”, provides the guidelines for treatment and considerations among young adolescents. One of the main long term toxicities that affect young children is fertility. This is viewed as an underlying issue that might become a problem for women in the near future. Women are at risk for premature ovarian failure following therapy. Dr. Goldsby has introduced discussing the option of embryo or oocyte and ovarian tissue to patients. This infertility is due to cancer treatments because they may have encountered intense treatment such as chemotherapy agents and radiation as a child.
Furthermore, the psychosocial and supportive care services are also a crucial need for young children. Specifically, psychiatric symptoms such as depression and mental health. Dr. Goldsby has initiated this method of offering counseling to help distress any unusual indicators. Cancer also has an impact on identity such as self-esteem, and body image. Patients have easy access to support care services and therapy.
Dr. Goldsby approach and part in this program is very encouraging. He acknowledged that it is essential to provide appropriate follow-up care in order to fulfill the quality of life for patients. The program is very comprehensive and significant. He has seen the errors and ways to go about fixing them. Dr. Goldsby and his team have been able to conduct extensive research and provide complex patient care. Dr. Goldsby had the opportunity to direct a program where they have improved survival cancer rates amongst children.
Dr. Goldsby is a very dedicated advocate for survivors. He has been able to provide resources and educate survivors on knowledge that is important for them to understand. Survivors have this certainty that they are getting the most accurate information and follow ups if needed. This program allows patients to have a higher chance for a long and happy life.
Cancer is a very sensitive topic. It’s a very scary diagnosis where patients are faced with possible mortality. Dr. Goldsby and his team have been able to identify any complications cancer survivors might encounter. It’s significant because they will be able to care for patients first-hand with their level of expertise. There’s not many programs out there that dedicate themselves to survivors of childhood cancer. It’s very unlikely and that’s what makes Dr. Goldsby work very important to the community. The research has been ongoing and the team have been learning new things along the way. It’s definitely a learning process that helps numerous patients and physicians on an international perspective. It has helped raises awareness and support for survivors. Nonetheless, it has been a healing journey.
Dr. Goldsby has helped numerous patients through this course of action. His main objective is very clear by aiding survivors of childhood cancer. He has been able to educate patients and also indicate any warning signs of effects. His level of expertise and attention is what made this program magnificent. Patients have this whole team to ask questions to or raise any awareness of. The support and care is very important for these patients. This new level of medicine is the type that patients need on a global perspective. The most effective way to go about surviving cancer is the course of treatment and open access to resources.
References
Survivors of Childhood Cancer Program. (n.d.). Retrieved March 08, 2018, from https://www.childrenshospitaloakland.org/main/departments-services/survivors-of- childhood-cancer-program-166.aspx
Interview with Dr. Robert Goldsby: Beating Pediatric Cancer and Living Well. (n.d.). Retrieved March 08, 2018, from
Goldsby, RE., Ablin, A., Strong, LC., Oeffinfer, K., Sklar, CA., Armstrong, GT., Robison, LL,. Bhatia, S., Leisenring, WM. (2018). Long-term sequelae in survivors of childhood leukemia with Down Syndrome: A childhood cancer survivor study report. Cancer 124(3):617-625.
REVISED VERSION
Robert Goldsby
Dr. Robert Goldsby is a pediatric hematologist and oncologist in San Francisco, California. Dr. Goldsby received his MD from The Robert Larner, M.D. College of Medicine at the University of Vermont and has over 21 years of experience. Dr. Goldsby is affiliated with the Zuckerberg San Francisco General Hospital and Trauma Center and the UCSF Medical Center. He has earned numerous awards and grants including an American Society Grant and Hope Street Kids Grant. Most of his research entails treatment for adolescent and young adults with cancer. He has had the opportunity to provide long term care for cancer survivors.
Cancer has long term effects on children. It’s a very long procedure and it never goes away, even if an individual survived from it. This requires a lot of assistance and support, especially for children. Although they are cancer survivors, it’s a possibility that they might encounter particular issues. It has become an objective for physicians to discuss these long term outcomes with patients. It’s more than just surviving; it’s about creating a lifestyle. Dr. Goldsby has been able to use his platform to ensure young adolescents receive the necessary care.
Dr. Goldsby has joined a program particularly in the field of medicine named Survivors of Childhood Cancer. It’s a specialized program that has developed immensely through their objectives. Particularly, providing medical knowledge for the survivors and analyzing any signs of late effects. The program consists of a panel of nurses, nutritionist, social workers and oncologist working together to track a child’s health transitioning into adulthood. It’s about analyzing each patient’s records and the best method to care for them. The program has allowed physicians and patients to educate themselves through data entry and what they might endure. The program evaluates the struggles and the late risks of cancer therapy among survivors.
The Survivors of Childhood Cancer Program is ideally for children who have survived cancer after two years of remission. They have created research data as a guide to study the late effects of cancer therapy. It’s a fairly new development that physicians are continuing to learn more about these consequences. It’s also a program where they are including families and primary care providers regarding significant issues for survivors. The objective is to provide knowledge that would be beneficial for survivors and their families of any issues they might face.
Dr. Goldsby has studied a tool, called Survivor Health Passport. It’s a permanent document that survivors carry with them which includes some type of summary of their therapy. He has viewed this exceedingly important because it’s a way for survivors to have their treatments and follow-ups listed. This also benefits physicians because they are able to ensure that they are proposing an appropriate follow-up. Furthermore, it’s also an easy way for patients to understand what treatments they have endured in a very simple manner. The information can be especially helpful if patients encounter an emergency.
Dr. Goldsby has intense research data on analyzing late effects among survivors of childhood cancer. Particularly in Coccia et al 1 and Arin et al 2, both studies indicate certain risks. In Coccia et al 1, researchers provide the guidelines for treatment and consideration among young adolescents. They specifically go into detail for one of the main long term effects, fertility. There are certain cases where women are at risk for premature ovarian failure following therapy. Coccia et al states, “The impact of cancer treatment on fertility is related to the age of the patient at the time of diagnosis and treatment and depends on the type, duration, and dose intensity of treatment”. 1 Since this is an underlying issue, numerous factors effect fertility when the child is diagnosed. Specifically, any encounters of intense treatment such as chemotherapy agents and radiation. Dr. Goldsby has introduced discussing the option of embryo or oocyte and ovarian tissue to patients. In Arin et al 2, information regarding the long term effects of surgery, radiation and chemotherapy among survivors of childhood cancer is given. According to the article, there’s an increases risk of survivors of childhood cancer obtaining intestinal obstruction from chemotherapy or surgery. Arin et al states, “The risk of intestinal obstruction should be discussed with patient and families during consent for radiotherapy and surgery, as well as throughout treatment”. 2 It’s important to acknowledge the possible long-term risk for patients and by following up with them regularly is a key component. The pattern between both of these sources portray how committed Dr. Goldsby is to his work. He has ongoing data that entails on numerous different side effects among survivors of childhood cancer. Dr. Goldsby treats numerous patients, he sees the issues that they have to go through first hand. This empowered him to guide patients living beyond cancer by acknowledging the issues patients deal with. Both of these research data shows how devoted Dr. Goldsby is to provide the necessary care for patients.
In Lee et al 3, researchers attempt to describe secondary malignant neoplasms effect on survivors of childhood cancer. A patient is at risk of developing secondary malignant neoplasms at the time they begin therapy. There is little information how the specific risk it has on young adults. According to their results, factors such as chemotherapy and radiation may contribute for a higher risk of secondary malignant neoplasm. Their analysis indicates how the treatment and its resources can introduce numerous late effects for cancer survivors. The pattern between my sources indicate how it all starts when the child is diagnosed. The most significant issue when it comes to late effects, is therapy. They all have pros and cons and it’s important for patients to outweigh them. Some of them have long term effects and Dr. Goldsby believes they should be acknowledge when treating a patient.
Dr. Goldsby approach and part in Survivors of Childhood Cancer program is very encouraging. He acknowledged that it is essential to provide appropriate follow-up care in order to ensure patients are not experiencing any late effects. The program is very comprehensive and significant. He has seen the errors and ways to go about fixing them. Dr. Goldsby and his team have been able to conduct extensive research and provide complex patient care. Dr. Goldsby has helped numerous patients through this course of action. His main objective is very clear by aiding survivors of childhood cancer. He has been able to educate patients and also indicate any warning signs of effects. His level of expertise and attention is what made this program magnificent. Patients have this whole team to ask questions to or raise any awareness of. The support and care is very important for these patients. This new level of medicine is the type that patients need on a global perspective. The most effective way to go about surviving cancer is the course of treatment and open access to resources.
Dr. Goldsby is a very dedicated advocate for survivors. He has been able to provide resources and educate survivors on knowledge that is important for them to understand. Dr. Goldsby saw the importance in providing care and information for patients. By acknowledging the late effects, Dr. Goldsby has participated in numerous research studies to indicate its influence on patients.
Cancer is a very sensitive topic. It’s a very scary diagnosis where patients are faced with possible mortality. Dr. Goldsby and his team have been able to identify any complications cancer survivors might encounter. It’s significant because they will be able to care for patients first-hand with their level of expertise. There’s not many programs out there that dedicate themselves to survivors of childhood cancer. It’s very unlikely and that’s what makes Dr. Goldsby work very important to the community. The research has been ongoing and the team has been learning new things along the way. It’s definitely a learning process that helps numerous patients and physicians on an international perspective. It has helped raises awareness and support for survivors. Nonetheless, it has been a healing journey.
Works Cited
- Coccia, PF., Pappo, AS., Beaupin, L., Borges, VF., Borinstein, SC., Chugh R., Dinner, S.,Folbrecht, J., Frazier, AL., Goldsby, R., Gubin, A., Hayashi, R., Huang, MS., Link, MP., Livingston, JA., Matloub, Y., Millard, F., Oeffinger, KC., Puccetti, D., Reed, D., Robinson, S., Rosenburg, Ar. (2018). Adolscent and Young Adult Oncology. JNCCN 16(2):66-97.
- Madenci, AL., Fisher, S., Diller, LR., Goldsby, RE., Leisenring, WM., Oeffinger, KC., Robison, LL., Sklar, CA., Stovall, M., Weathers, RE., Armstrong, GT., Yasui, Y., Weldon, CB. Intestinal obstruction in survivors of childhood cancer: a report from the childhood cancer survivor study. Journal of Clinical Oncology 33(26).
- Lee, JS., DuBois, SG., Coccia, PF., Bleyer, A., Olin, RL., Goldsby RE. (2016). Increased risk of second malignant neoplasms in adolescents and young adults with cancer. Cancer 122(1):116-23.
- Survivors of Childhood Cancer Program. (n.d.). Retrieved March 08, 2018, from https://www.childrenshospitaloakland.org/main/departments-services/survivors-of-childhood-cancer-program-166.aspx
- Interview with Dr. Robert Goldsby: Beating Pediatric Cancer and Living Well. (n.d.). Retrieved March 08, 2018, from https://www.ucsfbenioffchildrens.org/education/interview_goldsby_beating_pediatric_cancer_and_living_well/
