I take into account my patients’ preferences and values in the decisions we make about how to manage their problem or their disease. I also inform them of the best available evidence relevant to their clinical decision-making. In addition to teaching my patients, I mentor and teach students and senior trainees. I like that they question the dominant paradigm and ask questions like, "Why do we do it like this?" When I don't have a good answer to that question, then it usually becomes the subject of a potential research study.
Clinical trials are the comparison of two treatment options to determine which one is either safer, more effective or both. Without patients’ participation, we would not be able to move research forward. Patients participate in clinical trials because they want to help future patients in their situation, so we can make the diagnosis and treatment of blood clots even better than it is today.
Area of clinical practice
I've been invited to help develop international clinical practice guidelines for the treatment and prevention of thrombosis. With both the American Society of Hematology and the American College of Chest Physicians, I’ve been involved in the development of guidelines that are used by physicians all over the world to help them make decisions about how to take care of their patients.
Elevated Count on CBC
Suspected Bleeding Disorder
University of Alabama
Johns Hopkins Hospital, Internal Medicine
University of Washington, Hematology
Hematology, 2014, American Board of Internal Medicine
Teaching appointment, University of New Mexico Hospital
Seattle Magazine's 2017 Top Doctors award
At Fred Hutch, you receive care from a team of providers with extensive experience in your disease. Your team includes doctors, a patient care coordinator, a registered nurse, an advanced practice provider and others, based on your needs. You also have access to experts like nutritionists, social workers, acupuncturists, psychiatrists and more who specialize in supporting people with cancer or blood disorders.
Fred Hutch accepts most national private health insurance plans as well as Medicare. We also accept Medicaid for people from Washington, Alaska, Montana and Idaho. We are working to ensure that everyone, no matter what their financial situation, has access to the care they need.