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my name is susan dent im a medical oncologist whose focus is breast cancer and my other responsibilities include heading up a breast cancer clinical research program the other unique thing at duke is the cardio oncology program and this is really one of the firsts in in north america and so one of the things im very interested in is the impact of cancer treatments on the heart in particular how does it impact the heart and so at duke we have a cardio oncology program where we work with closely with cardiologists to try and ensure we can deliver the best cancer therapy without having a negative impact on the heart i think its important when i first meet someone an individual to be very honest with them and to try and explain in their terms that they understand what theyre facing and their disease and then the next thing i think is understand that we work as a team whether it be me the nurse and you the patient we need to work together so were all moving in the same direction its v