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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