U.S. National Institute of HealthNational Cancer Institute
The NIH GIST Clinic

 1.  The Pediatric and wildtype GIST Clinic at the NIH

 2.  Am I eligible?

 3.  How will I benefit by participating?

 4.  Will this clinic benefit others?

 5.  What is the goal of the clinic?

 6.  When is the clinic?

 7.  How do I register?

 8.  Who will pay for this visit?

 9.  Transportation

10.  Lodging and meals

11.  The NIH Pediatric and wildtype GIST team

12.  Maps of the NIH
GIST Members

Shown in the photograph from left to right are Barbara Wise pediatric nurse practitioner, Elizabeth Skree who attended the inaugural Pediatric GIST clinic, and Lee Helman scientific director for clinical research at the National Cancer Institute.
1. The Pediatric and wildtype GIST Clinic at the NIH
We are pleased to announce the Pediatric and wildtype GIST clinic at the National Institutes of Health. The study of rare diseases is difficult. However, our belief is that a gathering of patients and expert healthcare providers will generate a wealth of information to discover the underlying mechanisms behind Pediatric and wildtype GIST.
2. Am I eligible?
You are eligible to attend the clinic if you are a child or a young adult with GIST, or if you have wildtype GIST.
3. How will I benefit by participating?
You will be seen by some of the national leaders in the field of GIST, comprised of geneticists, medical oncologists, pediatric oncologists and pediatric surgeons. In addition, we have assembled a team of healthcare providers to help manage some of the problems associated with GIST. This includes physicians who specialize in pain management, dieticians and psychosocial experts. Pathologists and radiologists will also participate. We would like to stress that it is not our intention to take over your care from your oncologist. However, the number of experts from different fields who are thinking about the specifics of your medical history may allow us to make recommendations to your oncologist and surgeon, with the goal of improving your health. Additionally, you will have the chance to interact with other patients and families.
4. Will this clinic benefit others?
The contribution that your visit to this clinic will make to the care of others cannot be emphasized enough. Our philosophy is that the opportunity to evaluate every patient with Pediatric or wildtype GIST will help the medical community understand the mechanisms that underlie this disorder. We will have the opportunity to compile details of your history, response to prior treatments, radiographic assessments and molecular studies. The data for a single patient may not provide much insight. However, when combined with that of all other patients, the information will generate many leads to help us better understand the genetic and clinical elements of Pediatric and wildtype GIST.
5. What is the goal of the clinic?
The data that we obtain from these clinics will help us to design innovative treatment protocols. These protocols may have a biological component (to see which biochemical pathways are activated in the tumor), a molecular component (to determine which genes are disrupted), a radiographic component (to assess different imaging modalities) and a pharmacokinetic component (to see if drug levels in your body are appropriate). Your oncologist will remain in charge of your care. Our role will be to help provide any elements of your care that may not currently be available at your hospital.
6. When is the clinic?
The NIH GIST Clinic will occur usually in June, once every year. Please contact us for the specific dates.
7. How do I register?
Please send an e-mail to ncipediatricgist@mail.nih.gov. State your wish to attend subsequent clinics. A return e-mail will be sent to you shortly thereafter with further instructions.
8. Who will pay for this visit?
The Pediatric and wildtype GIST clinic is sponsored by the National Cancer Institute and the National Institute of Child Health & Human Development. Some expenses will be paid by the NCI and NICHD. Please read below for more details, especially for patients age 21 and older.
9. Transportation

Normally patients are responsible for their travel to the NIH for the first GIST clinic they attend, unless special considerations need to be made.

For all visits after the initial one the following guidelines apply. For patients 21 and under, airfare for the patient and one guardian is provided. For patients over 21, airfare is provided for the patient only. Travel expenses are only authorized for patients residing outside a 50mile radius of the NIH campus in Bethesda, Maryland. For patients who reside less than 50 miles from the NIH, neither travel expenses nor food vouchers are provided. For patients who reside outside the United States, airfare will be provided from the closest point of entry within the United States. Free round trip shuttle service is available from the three local Washington DC airports.

10. Lodging and meals
Patients age 25 and under are eligible to stay free of charge at the Children’s Inn. If room is not available at the Children’s Inn, then the patient and guests will be housed at a local hotel at no charge. Patients age 26 and over, will receive a reimbursement of $50 per night for lodging at a local hotel. All patients will receive $8 per night for food. For patients under the age of 21 an additional $8 will be provided to the guardian daily. These amounts may be slightly different from year to year.
The NIH Pediatric and Wildtype GIST Team
Fernanda Arnaldez, MD Pediatric Oncologist
Ann Berger, MD Pain Management Director
Sosipatros Boikos, MD Medical Oncology Fellow
Peter Choyke, MD Radiologist
Sherri DePollar, PCC Patient Care Coordinator
Joan Galil, LCSW Clinical Social Worker
Donna Gregory, CTRS MBA Rehabilitation Medicine Specialist
Lee Helman, MD Medical Oncologist, Scientific Director for Clinical Research at NCI
Maya Lodish, MD Pediatric Endocrinologist
Lauren Long, RN Research Nurse Specialist
Terri Moore, PCC Patient Care Coordinator
Markku Miettinen, MD Pathologist, Head of Surgical Pathology Section at NCI
Margarita Raygada, PhD MSC Staff Genetic Counselor
Joan Sheeron, MA RN Pediatric Clinic Nurse Manager
Constantine Stratakis, MD D(med)Sci Pediatric Endocrinologist, Scientific Director at NICHD
Lori Wiener, PhD Pediatric Psychosocial Specialist

12. Maps of the NIH

We hope that you will join us in the effort to discover more about GIST by participating in the Pediatric and wildtype GIST clinic at the National Institutes of Health.