Autumn Escapes: Discovering Big Bear in the Fall

At any given time, there are roughly 200 research investigations and clinical trials being conducted at Scripps Health in as many as 25 medical specialties. Research and patient care go hand-in-hand at Scripps. Those studies can be categorized as clinical trials of a medication or device that are conducted by Scripps physicians and studies designed by Scripps’ physicians and clinicians. Click here to learn about three exciting studies underway at Scripps and the benefits to patients. 

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Scripps has recently unveiled new features in the MyScripps patient portal and mobile app to help patients connect with their primary care team and simplify the payment process. Among the recent updates is the addition of primary care E-visits for minor conditions. Patients who have an established primary care physician can schedule an E-visit, complete an online questionnaire and, if needed, send a photo. Their doctor can then advise and prescribe medication, when appropriate. Autopay is also now available through MyScripps. Patients can enable or disable autopay, allowing them to more easily manage payments. Learn more about MyScripps and how it helps patients stay connected here. 

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Farrah Adams had a persistent dull ache in her lower back that her massage therapist suggested might be caused by the way she sat or drove. That explanation seemed reasonable, but when coupled with heavy, painful periods led the then 46-year-old to seek answers. When she looks back on it now, she’s beyond grateful she trusted her gut. She made an appointment with a Scripps OB-GYN, who determined she had Stage 3 cervical cancer that had spread to several lymph nodes. Farrah was overwhelmed, but immediately found a “champion” in Scripps Clinic gynecologic oncologist Jo Marie Tran Janco, MD. After undergoing successful treatment at Scripps Cancer Center, Farrah is now using her story to inspire other women to make time for care. Read more of her story here. 

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In the last several years, there’s been a surge in FDA approvals for what’s known as oral oncolytics. Oral oncolytics are targeted cancer therapies that come in tablet, capsule or liquid form that patients can take at home, rather than in an infusion clinic. Scripps physicians have seen exponential growth using this approach, with patients citing convenience as a major quality-of-life enhancement in their cancer treatment. This approach also allows treatments to be customized based on specific genetic mutations and a patient’s unique disease biology. Find out more about oral oncolytics here. 

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Reza Shirazi, MD, EE, FACRO and Siavosh Vakilian, MD, FRCP(C), DABR

Unio Specialty Care is a multi-specialty practice specializing in urology, gastroenterology, and radiation oncology.

Unio’s Radiation Oncology team—Dr. Donald B. Fuller, Dr. Tahir Ijaz, Dr. Reza Shirazi, and Dr. Siavosh Vakilian—combines extensive clinical experience with a commitment to personalized cancer care. The RO team treats cancerous and non-cancerous conditions using precision therapies including SBRT, IGRT, and the CyberKnife® S7 System, the only system of its kind in Southern California. Their expertise spans prostate, breast, lung, gastrointestinal, pancreatic, and central nervous system cancers, as well as low-dose radiotherapy for osteoarthritis.

In 2026, Dr. Shirazi and Dr. Vakilian were recognized as San Diego Top Doctors, joining Dr. Fuller and Dr. Ijaz, who have previously received this distinction.

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5395 Ruffin Rd, Suite 103, San Diego, CA 92103 | 858-221-9135
@uniospecialtycare | uniospecialtycare.com