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Contact Us
The SMS Team is comprised of :
Palliative Care Specialists
Michael W. Rabow, MD, Director
Nancy E. Shepard Lopez, NP, Assistant Director
Bj Miller, MD
Thomas T. Reid, MD
Palliative Care Fellows
Brook Calton, MD
Michael Cohn, MD
Joshua Lakin, MD
Sarah Piper, MD
Social Workers
Lauren Brown, MSW
Ellen Catalina, MSW
Sarah S. Hong, MSW, LCSW
Judy Patt-Smoker, MSW
Sarah Rapp, MSW
Tiffany Raffino, MSW, LCSW
Daphne Stuart, MSW, LCSW
Chaplains
Allison Kestenbaum, BCC, MA, MPA
Nutritionist
Greta Macaire, RD
Psychologist
David Bullard, PhD
Cognitive Specialist
Mary Lovely, PhD, RN
Pharmacy Residents
Administrative Team
Mimi Roth, Practice Manager
Gayle Kojimoto, Practice Coordinator
Appointments are available
Monday—Friday
at one of the following
locations:
Main Office:
2320 Sutter Street, Ste. 102
San Francisco, CA 94115
(Between Scott & Divisadero)
Or
1701 Divisadero Street, 5th Floor
San Francisco, CA 94115
(Diagonally across from the
UCSF Helen Diller Family
Comprehensive Cancer Center)
For more information or to
schedule and appointment,
please call us at
(415) 885-SMS1 (885-7671)
Fax: (415) 353-9522
Find us on the web at:
cancer.ucsf.edu/sms
Symptom
Management
Service
...An Extra Layer of
Support
Our Services
SMS is so helpful.
I wish I had started here right from the beginning.
~ SMS patient
The SMS works with your Oncology Team to:
Treat pain, fatigue, nausea and other physical
symptom related to cancer or its treatment
Treat emotional and spiritual distress related to
cancer and/or its treatment
About the Symptom Management Service
The UCSF Symptom Management Service
(SMS) is an outpatient palliative care clinic.
Palliative care is specialized medical care for
people with serious illness.* It is focused on
providing patients with relief from the
symptoms, pain and stress of a serious illness—
whatever the diagnosis. The goal is to improve
quality of life by a team of doctors, nurses, and
other specialists who work together with a
patient’s other doctors to provide an extra layer of
support. It is appropriate at any age and at any
state in a serious illness and can be provided
along with curative treatment.
At the UCSF Helen Diller Family
Comprehensive Cancer Center, the SMS
provides treatment and counseling for both
physical and emotional symptoms caused as a
result of cancer and other serious illnesses. This
includes treatment for pain, fatigue, depression,
anxiety and spiritual distress. Treatments for these
symptoms include integrated medical,
psychological, social work and spiritual
approaches, offered along with your current
treatment and with the support of your treating
physician.
The SMS is an interdisciplinary team of
professionals. Patients are referred to the SMS by
the their oncologist or primary care physician.
Patients will be seen by one or more of the
members of the SMS interdisciplinary team.
*getpalliativecare.org
This is just the greatest thing.
I always feel better when I come here.
~Loved one of an SMS patient
Provide support to loved ones and family
members
Address the stresses and uncertainties of living
with a serious illness
Assist patients and families in determining their
goals of care and making choices based on their
priorities and values
Coordinate with UCSF Psycho-Oncology,
Seniors At Home, and Hospice By the Bay
The SMS also offers:
Home visits for select San Francisco and Marin
residents who are homebound
Access to symptom management research
studies (such as pain management & spiritual
well being)
Consultation with a nurse expert for cognitive
issues related to cancer or its treatment (such as
“chemo brain”)
The SMS Notes Project: the opportunity to record
memories, thoughts, or stories for your loved
ones. We provide access to audio and video
recording equipment, guidance and instruction,
and access to additional resources to facilitate the
creation of keepsakes such as photobooks,
scrapbooks and journals