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ShelbyTerstriepMD
(Physician
- Oncology - Hematology/Oncology
(Verified)
)
| Communities: Breast Cancer | Thank You's: 2 |
| Member Since: Feb. 2012 | Questions: 0 |
| Answers: 8 |
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Professional Statement
Dr. Shelby Terstriep is a medical oncologist at Sanford Health and is the medical director of embrace, Sanford’s cancer survivorship program. She completed her residency and fellowship at Mayo Clinic. She is board certified in internal medicine, hematology and medical oncology. In 2011, she was awarded the American Cancer Society’s Lane Adams Quality of Life award, a prestigious award, given only to eleven extraordinary and compassionate caregivers annually. She is passionate about cancer survivorship and maintaining quality of life along the cancer journey.
Professional Info
Credential:
MD
Primary specialty:
Oncology - Hematology/Oncology
Medical school:
University of Missouri–Kansas City School of Medicine
Residency:
Mayo Clinic College of Medicine
Fellowship:
Mayo Clinic
Areas of expertise:
Cancer Survivorship
Breast Cancer
Gynecologic Cancers
Breast Cancer
Gynecologic Cancers
Practice name:
Sanford Roger Maris Cancer Center
Practice address:
820 4th Street North
Fargo, North Dakota
58102
Practice phone number:
(701) 234-6161
Twitter
https://twitter.com/DrTerstriep
ShelbyTerstriepMD Activities
Not sure why. I would ask him/her. Sometimes they may assume you already know.
Not sure why. I would ask him/her. Sometimes they may assume you already know.
New answer by ShelbyTerstriepMD (Physician - Oncology - Hematology/Oncology (Verified)) in topic(s) Communication, Doctor Patient Communication, NED (No Evidence Detected), Doctor Communication
1
Answer |
3 months ago
I really try to have them focus on 1. achieving a healthy weight 2. consuming a healthy diet 3. Avoiding chemical exposure as much as possible 4. Relieving stress in their lives 5. Making sure to manage any side effects of meds (like hormone blockers) so that they continue to take them 6. Stay up to date on all other cancer screening. My favorite book about these topics is Anti Cancer a New Way of Life by David Servan-Schrieber, MD, Phd
I really try to have them focus on 1. achieving a healthy weight 2. consuming a healthy diet 3. Avoiding chemical exposure as much as possible 4. Relieving stress in their lives 5. Making sure to manage any side effects of meds (like hormone blockers) so that they continue to take them 6. Stay up to date on all other cancer screening. My favorite book about these topics is Anti Cancer a New Way of Life by David Servan-Schrieber, MD, Phd
New answer by ShelbyTerstriepMD (Physician - Oncology - Hematology/Oncology (Verified)) in topic(s) Reduce Breast Cancer Risk, Breast Cancer, Cancer Risk, Breast Cancer Risk, Reduce Cancer Risk, Cancer
1
Answer |
3 months ago
Mainly blood tests that look at the bone marrow function and kidney function and liver function.
Mainly blood tests that look at the bone marrow function and kidney function and liver function.
New answer by ShelbyTerstriepMD (Physician - Oncology - Hematology/Oncology (Verified)) in topic(s) Toxicity Tests, Tests During Chemotherapy, Toxicity, Side Effects, Chemotherapy Treatments, Tests, Chemotherapy
1
Answer |
3 months ago
Symptoms our often our main clue. We use a variety of imaging : plain xrays, bone scans, CT scans, PET scans. Which one is used is dependent on the problem that we are investigating. Tumor markers (from the blood) can be helpful in some cases.
Symptoms our often our main clue. We use a variety of imaging : plain xrays, bone scans, CT scans, PET scans. Which one is used is dependent on the problem that we are investigating. Tumor markers (from the blood) can be helpful in some cases.
New answer by ShelbyTerstriepMD (Physician - Oncology - Hematology/Oncology (Verified)) in topic(s) Breast Cancer Tests, Metastatic Breast Cancer Tests, Breast Cancer, Metastatic Breast Cancer, Metastasis, Tests
1
Answer |
3 months ago
Typically it decided based on the results of clinical trials. We test different drugs with a large population of breast cancer patients and then whichever one is the most effective is the one that becomes the standard of care (i.e. the one that we choose first). If there are reasons why that person can’t tolerate that regimen then we may have to alter that plan. There may be sometimes where there are regimens that are equal and then it is based on side effects or logistics (how often the infusion ).
Typically it decided based on the results of clinical trials. We test different drugs with a large population of breast cancer patients and then whichever one is the most effective is the one that becomes the standard of care (i.e. the one that we choose first). If there are reasons why that person can’t tolerate that regimen then we may have to alter that plan. There may be sometimes where there are regimens that are equal and then it is based on side effects or logistics (how often the infusion ).
New answer by ShelbyTerstriepMD (Physician - Oncology - Hematology/Oncology (Verified)) in topic(s) Chemotherapy For Breast Cancer, Breast Cancer Treatments, Breast Cancer, Chemotherapy
1
Answer |
3 months ago
I think the fertility conversation absolutely has to come as soon as the person is diagnosed with cancer. Ideally if there is a navigator having them bring up the topic right away so that appropriate referral to a fertility specialist is done immediately. I often use the fertilehope website for the risk calculator for chemotherapy regimens so that I know what the risk to their fertility would be. As part of our survivorship program we have engaged our fertility specialist to give training on different options for fertility preservation/treatment. With this collaboration there is an agreement that cancer patients will be seen “same day”. As far as sexual functioning, I think this is also very important to address at the beginning. . explaining potential problems ( and potential solutions) that may occur with each option. It is also critical to address throughout treatment and survivorship. I consider it part of my review of systems. Knowing support resources to refer to is critical.
I think the fertility conversation absolutely has to come as soon as the person is diagnosed with cancer. Ideally if there is a navigator having them bring up the topic right away so that appropriate referral to a fertility specialist is done immediately. I often use the fertilehope website for the risk calculator for chemotherapy regimens so that I know what the risk to their fertility would be. As part of our survivorship program we have engaged our fertility specialist to give training on different options for fertility preservation/treatment. With this collaboration there is an agreement that cancer patients will be seen “same day”. As far as sexual functioning, I think this is also very important to address at the beginning. . explaining potential problems ( and potential solutions) that may occur with each option. It is also critical to address throughout treatment and survivorship. I consider it part of my review of systems. Knowing support resources to refer to is critical.
New answer by ShelbyTerstriepMD (Physician - Oncology - Hematology/Oncology (Verified)) in topic(s) Fertility, Sexual Function, Side Effects, Cancer
2
Answers |
3 months ago
I agree it is a grey zone. I would recommending proceeding with the second opinion. At this point in the intermediate risk on oncotype it often comes down to discussing the risks of chemo versus possible benefit and then the patient saying they are willing to take the risks even though the benefit may be small.
More info would be helpful such as this is your third time to have breast cancer or were there 3 primaries in the same breast? Are you pre or post menopausal? If previously treated for breast cancer, did you get any chemo? What was the size and grade of the tumor?
In general, an intermediate score [on the low side] with a low grade, low risk lesion in a postmenopausal woman would lead to no chemo recommendation, but with pathology in hand, the doctors at UCLA should be able to give you a good recommendation.
There are clinical trials regarding intermediate Oncotype DX scores out there, have you looked at them?
In general, an intermediate score [on the low side] with a low grade, low risk lesion in a postmenopausal woman would lead to no chemo recommendation, but with pathology in hand, the doctors at UCLA should be able to give you a good recommendation.
There are clinical trials regarding intermediate Oncotype DX scores out there, have you looked at them?
New answer by ShelbyTerstriepMD (Physician - Oncology - Hematology/Oncology (Verified)) in topic(s) Chemotherapy Decision, Patient Decisions, Breast Cancer, Chemotherapy
2
Answers |
3 months ago
ShelbyTerstriepMD's Profile
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