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What’s Up, Doc? Featuring Dr. Lauren Dalvin | The Eye Believe Podcast · The Eye Believe Podcast

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hey everyone welcome back to the Eye Believe Podcast
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I'm Megan and this is another episode of What's Up, Doc?
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this week we have Doctor Lauren Dalvin
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from the Mayo Clinic in Rochester Minnesota
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welcome Doctor Dalvin
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thank you so much for having me I'm
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excited to be here with you we're very
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excited to have you thank you for doing this
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so my first question
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is just a little bit about your backstory
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what was your childhood like where did you grow up
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oh great questions we're gonna dive in
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deep already so I am from Northeast Ohio
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and I am the oldest of four I'm the only girl so I had
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um really wonderful parents
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who probably spoiled me too much
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and then I have three younger brothers who
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once were small and are now all probably about a foot
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towering over me at least
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so we had a busy busy on the go childhood
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my dad was a podiatrist
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who worked in small town community practice my mom
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was a childhood psychologist
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so I grew up with some medicine in the background
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but I'm actually the first MD in my immediate family
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but very encouraging
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loving wonderful home environments and we got to do
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anything and everything
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we wanted to do and I think I was very fortunate
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in that my parents really never made
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career decisions for me they did not
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push me into going into fields
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that I didn't want to do they really
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nurtured me and presented me with opportunities and so
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uh
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medicine was a choice that I really made out of my own
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passion and and drive to do good for patients
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what inspired you to be a doctor
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I initially fell in love with physics believe it or not
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so it wasn't necessarily an initial love for medicine
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or biology or per se I fell very specifically
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in love with ophthalmology and so
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even in high school I thought this is the direction
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that I wanted to go when I was in my high school
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AP physics class I I wrote
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my physics thesis on opto electronic devices which
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at the time were like a little electrode
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retinal implants that were trying to restore eyesight
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for patients with certain types of blindness
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and I emailed David Palanker who was at a lab at
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Stanford developing some of these devices
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and he emailed me back within a couple of hours
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and I thought that was the coolest
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thing ever that somebody so important would email
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me as a high school student back that quickly
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and I think that was a big encourager
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to push me toward this field and at the same time
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we had an ophthalmologist
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who had moved into my childhood neighborhood
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and I was looking at exploring career options and also
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looking for things like summer
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job at the time and so I actually
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shadowed her in the office and ended up working
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part time in their ophthalmology
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office and so I learned things
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like bookkeeping and I also learned things like vision
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checks and pressure checks on patients and
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and sort of had my very first patient interactions
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that pushed me into the field
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wow that's amazing how did you first get involved
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in treating ocular melanoma
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when I was a resident
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my mentor from medical school told me
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you have to work with Jose Pulido so Jose Pulido
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was both an ocular oncologist and a retina
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specialist here at Mayo
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and I did not know that ocular oncology was a field
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at all at the time but I knew I loved these opto
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electronic devices and I wanted to restore vision
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for patients
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and so I wanted to work with a retina specialist
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so I approached him and he is a giant
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and I was a very shy introverted person
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so I think it actually took me a couple of tries
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to say yes I really want to work with you
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I'm gonna do a good job
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and once he took me under his wing it it really grew I
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followed him in clinic
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and I've told this story before on other venues
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but the very defining moment
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we were in clinic together with a patient
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who was very young
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who was having a child who was diagnosed
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with uveal melanoma
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and she was very well educated and had read everything
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awful that you can read
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online about this disease and was terrified
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that she was not going to see her child grow up and
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in that room I'm like a fly on the wall
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standing in the back of the room but Doctor
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Pulido looks at patient he looks at me and he says
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in 15 years from now Doctor
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Dalvin's gonna be here with you and she's gonna tell you that you're cancer
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free
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and it was really that moment that I knew
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I need to be here for her
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and so that was my defining moment when I thought I
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need to be an ocular oncologist
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and and I want to take over my mentor's practice
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that's amazing that's such a special
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like oh it gets you in the feels I love that
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I know every time I tell it I still
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I've told it so many times but I still tear
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up a little bit when I tell it cause these are such
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emotional moments in the clinic even even today
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it doesn't get easier to have those conversations
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of course and what type of doctor are you
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so I am an ocular oncologist so I
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full time treat eye cancers or monitor
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things that are at risk for becoming eye cancers
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and I'm so fortunately lucky
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that I get to do what I'm super passionate
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about every day
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and tell us a little bit about your location
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you're at the Mayo Clinic
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brag on them a little bit what can patients
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expect at the Mayo Clinic
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I have the most wonderful team of people here um
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we are in Rochester Minnesota
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so I know it feels like maybe we're a little in the middle of nowhere
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the hospital has grown tremendously
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since I was a resident and even since I've been on
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staff these past seven years
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there are so many new buildings and so many new centers
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and teams that are getting fleshed out
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so we have anything and everything
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I have the most wonderful clinic tech the most
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wonderful medical administrative assistant
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and the most wonderful scheduler who my patients
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tell me
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really great things about all the time I have fantastic
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photographers and ultrasonographers
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I could not do any of this without them and then we collaborate
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all over the hospital which is one of the really cool things
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about being an ocular oncologist so we have
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radiation oncologists and here we have all
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sorts of different types of radiation treatment options
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for eye melanomas we have plaque
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radiation we have proton radiation we have gamma knife
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and we have radiation oncologists
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who specialize in all of those different things
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we've got radiologists who read really detailed
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scans of teeny teeny tiny tumors in eyes and we have
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wonderful local oncology team who helps us
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if we get to a place where cancer
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has spread so I I just have the most fantastic people
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and I am so lucky to be surrounded by
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not only people who are very good at what they do but people who really care about our patients
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absolutely makes a big difference
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and what do you believe makes a great doctor
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oh that's a fantastic question it's really hard
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to define what a great doctor is you know we're all
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different people with different backgrounds
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and different experience that we bring into our field
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I think you know at Ground Truth
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we all have wonderful training we are all
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very skilled and very knowledgeable
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about what we do but I think caring
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about your patients I think having this right fit
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and a ground of trust is especially especially
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important I know that when I am on the
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receiving end and when I have to be a patient
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I am probably the world's most anxious patient
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who just wants to be in control of everything
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and I need somebody
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who I can really
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really count on to be forthcoming with information
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for me and and everybody
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maybe wants a different style or wants
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a little bit of a different type of connection
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with their doctor and I think somebody
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who's willing to go through the journey with you
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a little bit on your terms and not necessarily
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making you come to their terms is really
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important especially when you're dealing with issues
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that are so highly stressful and emotional
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yeah absolutely and if someone becomes your patient
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what can they expect from you
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so you are gonna get my time and my attention um I
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have told people as my predecessor
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Jose Pulido used to tell people
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I am not a fast doctor
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so I am not always on time but when I am with you
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that is your time and so I give everyone
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the time that they need in their appointment
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and if that takes 15
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minutes that's fine if that takes an hour and a half
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that's fine but you are gonna get me for whatever
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time you need to make sure that you feel comfortable
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to make sure that you've had your questions answered
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to me I I don't want to send you out of my room
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feeling like
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you've been blindsided or you don't understand
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what we're going to do next and sometimes that takes
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more than one visit because sometimes
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the first visit is a shock value of getting news
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that you didn't want to hear and that I didn't want to give so
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sometimes that takes multiple visits but
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I I really want to make sure that my patients
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feel that comfort
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level and and feel that care from me and my team
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and that means so much to them just being
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heard and seen so I love that you said that
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the next question I have when there are multiple
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treatment options how do you guide patients
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through the decision
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and what role do you believe patients
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should play in the decision making
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another fantastic question
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patients I've I've noticed
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sometimes want different things I've had patients on
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very wide ends of the spectrum where
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they want to be the driver and the decision
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maker or other patients
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who really just want me to tell them what the right decision
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is and I can do any and all of those things
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I really like it when a patient participates
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in the decision making process I think nobody knows
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what is going to be better
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for your life long term than you
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and so my job I really see it as
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being able to give you all of the information
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and all of the latest and greatest
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on what I know to be true and be honest with you
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about things that we just don't know the answers to
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and then we can navigate a decision together I
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because I've been doing this for a while
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know where I would
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stand if I were in certain situations
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so when patients do ask me
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what would you do I do have very honest answers
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for what my preferences would be
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but what I would do for me isn't always what someone else would do for them so I never want
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my personal feelings to overshadow
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what might be right for someone else
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great point how do you work with other specialists
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to provide the best care and what should patients
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know about being part of a multidisciplinary team
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I think having a team is so important
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with any cancer care any complex disease
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so we have really regular
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people that we work with for different things I know all their names
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we have all of each other's contact information we have
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fleshed out processes
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so that we know things aren't gonna get missed and we're gonna communicate in a timely
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fashion and I think knowing that we are tight
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knit and we're working together for you is really
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important so that you know that
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you're not just a number
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being passed through different places
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that we're definitely coordinating on your behalf um
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here I really feel that I have taken up the leadership
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role of the team for most of the ocular
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oncology patients so when we're
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treating something that's localized that's
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inside or on the eye I am
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making sure all of those puzzle pieces
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fit together and I'm making sure that nothing
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falls off the cart
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so you can really count on me to make sure that
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that happens for you
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amazing and what advancements
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are most exciting to you right now
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we have a lot of clinical trials in our field
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and that is incredibly exciting because if you go back
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even five years ago
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we had not really done a trial in ocular oncology
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since maybe the Collaborative Ocular Melanoma Study (COMS) trial in the 1980s that told us
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that plaque is a good standard of care
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so it's been a long time and to see this boom
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in new clinical trials
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brings such hope for the future so we're seeing
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things that treat tumors potentially
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without radiation and it's going to be exciting
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to see those results come through
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because we're looking at possibilities
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of preserving vision in ways that we could not before
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we're also looking at medicines that might
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shrink tumors so we can give less radiation
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and potentially even medicines
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that might change the trajectory
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to prevent or decrease the risk of metastatic disease
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so these things are all incredibly incredibly exciting
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and I I hope someday
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our lab work also is gonna contribute to this my
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ultimate
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life goal is that the conversation that I'm having
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now in my career with patients is gonna be light years
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away from the conversation
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I'll be having toward the end of my career
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yes let's all hope for that that is a lot of exciting
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advancements there's so much coming out that it's
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it feels like every month we've got some other
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like you know breaking news
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piece that we're like oh my gosh
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it's it's just so cool right so
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you know we're gonna save vision we're gonna save lives
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and it is changing the world for patients affected
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by uveal melanoma
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absolutely
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alright we're gonna switch to a little bit more personal questions
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so my first one for you is what keeps you going on the hard days
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my research is a huge thing that keeps me going
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I hate giving bad news I do all of the metastatic
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screening in my practice which
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is not the case I think for a lot of ocular oncologists
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a lot of ocular oncologists um relegate the screening
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to the medical oncology team but in my practice
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I am the one who initially detects when cancer
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has spread I am the one who gives that news
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and that is absolutely
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one of the hardest things that I do
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being able to learn
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from my clinical practice
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and learn from my very generous patients
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and take that back into the laboratory
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and look at treatments that potentially might better
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target this disease
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is really something that gives me hope and
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and just this morning I got some data of something
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that looked really excitingly effective
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for uveal melanoma in a dish and in a dish
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we know is a far way away from in a patient yet um but
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these things are the things that really keep me going
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that make me honestly believe that someday
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I'm gonna tell a patient that they have metastasis but
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we have effective treatments
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and it's not doom and gloom and this may be curable
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and that's
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that's really what keeps me going when things get hard
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how has this work changed you as a person
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this has made me much more thankful
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for all of the wonderful things that I have in my life
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when I think that something in my life is hard
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and then I come to the clinic and I have some of these conversations
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with patients it really puts things into perspective
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I think knowing what people are going through
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you look at your own situation and you you just feel
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gratitude to be where you are there's an incredible
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sense of gratitude just to be healthy and what a gift
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that is and to be able to be here every day and to lead
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people through this journey
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I think that's one of the biggest things this has done for me is
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is really changed my perspective and it grounds me
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even when I get off track I feel like my patients
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always bring me back to what is really
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important in life
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and what have your patients taught you over the years
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my patients have really taught me
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that you can still
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be incredibly kind and helpful and giving to others
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even when you are going through immense
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struggles yourself
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it amazes me how much people have to give
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and I I have said so many times
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people who
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have really devastating disease
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are some of the nicest and kindest
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people in the whole world
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and I don't know if it's that
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that gives them perspective about what's
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important in life but I will have people come in
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whom I
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wish I could give better news to and they are still
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thanking me for my time they are telling me
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what good work that I'm doing and how meaningful
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I've been in their patient
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journey and that just amazes me
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and it really reminds me that I have a lot to give and
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and even when things are hard for me I need to
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remain in that giving mindset
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and I'm just so thankful and appreciative
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of everything they've taught me and
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I you know I've been frustrated
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about things and I've come into clinic thinking
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oh my gosh I can't I can't do anymore
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I don't have anything left in the tank because
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this can be emotionally draining and
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and the universe at that moment will send me a patient
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who tells me how much what I do matters to them
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and it's amazing just having one person
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express their gratitude for you
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completely resets you and then all of a sudden
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you can keep going and you have more
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and you know that you matter
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so I'm so thankful I I really do get so much
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from my patients
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and I I really
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hope that I'm able to give that back to them in return
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what does hope mean to you in your work
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hope is such a powerful word
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of course when I think of hope my biggest hope is is
19:47
for cures for this disease my biggest hope is that
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we can help people survive longer we can help people
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live
19:56
a quality of life that is better in the time that they have
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um but hope is is more than just scientific progress
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or more than just new medical treatments I think
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there's a lot of hope in human connection
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and one of the things I think A Cure In Sight
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does really well is it connects these people
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and it really forms a sense of community
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so I think even in
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the face of something that is devastating and even in
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a setting where we don't have
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control and we can't do what we wish we could
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I think having that human connection still breeds hope
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absolutely what do you love to do outside of work
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um yes now we'll now we'll stop tearing up hahaha
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so outside of work I really like to travel
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so you know I work really
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really hard when I'm here and then to decompress
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we have a fantastic airport in Minneapolis
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and you can get
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almost anywhere in the world in a direct
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flight which is amazing so lately I've really
21:06
enjoyed traveling through Asia I really like
21:10
different languages so I um
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really love Japan that's my current favorite country
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and I've been
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learning at least a little bit of Japanese
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there's not a whole ton of English throughout Japan
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so it's nice to know a little bit when you go
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but I've always been a fan of languages and fascinated
21:29
by them so I try to learn a very little bit of different languages
21:33
when I go to different countries
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and I'm really lucky that our field
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fosters a lot of travel because we are a relatively
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small field
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I know the ocular oncologist in most countries
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as close friends
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from all of the conferences
21:50
that we've been to together so it's really fun when you go somewhere
21:53
you get to have a personal
21:54
friend or someone to make personal recommendations
21:57
and when we have our conferences
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we have our conferences
22:00
in all different parts of the world and people are just
22:02
fabulous hosts
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and they get to show you their home country and and so
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my career has really fueled my travel passion as well
22:10
that would be a lot of fun to travel and find somebody
22:13
that not only do you know but they're an expert
22:15
on their country and they can show you
22:17
around I mean I think that would be so amazing
22:20
how do you unwind after a long day
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I walk every day um perhaps compulsively so
22:29
but I always get my four miles and 10,000 steps in
22:34
and that's very important to me I think you know it's
22:38
it's been the sustainable form of exercise
22:40
for me for better or worse I am
22:43
very short and so I do not have the legs of a runner
22:45
but but walking
22:47
I can do and I found that that's the thing I can do very consistently
22:51
I think it's really
22:52
important to have a little bit of exercise
22:54
in your life and that kind of
22:55
resets your mind and helps you decompress
22:58
after a long day
23:00
for sure what is something that helps you reset
23:04
when things feel overwhelming
23:09
yeah it's a it's a good question
23:11
and it is probably something I work on all the time
23:15
I think it's always important to have
23:18
friends and a family that help you reset
23:22
I am a talk about my feelings kind of person
23:25
so when something is bothering me or eating at me
23:28
I need to talk about it with someone and I don't necessarily
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need someone to tell me what to do or someone to fix
23:36
the problem for me but I just need to say it out loud
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and maybe say it out loud
23:41
three times so it's good to have three friends so your same friend doesn't have to hear you say it three times cause they'll get tired
23:48
but that really helps me sometimes just
23:51
saying something it helps it leave the active
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part of my mind and helps me let go of things that I'm otherwise
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hanging on to
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what brings you the most joy outside of medicine
24:07
my
24:08
my friends and family really bring me so much joy
24:13
and I have a a really wonderful significant other who
24:17
grounds me and
24:19
he he keeps me honest he is a much more calm
24:23
person than I am I am Type a I am absolutely
24:27
married to my job and I am so blessed
24:30
that I found somebody who understands
24:33
that and tolerates
24:34
that and does not make me feel guilty
24:37
when I'm working late nights or when I'm interrupting
24:40
the middle of our day to make sure that I'm taking
24:42
care of something for a patient I'm really fortunate um
24:46
but also somebody who
24:48
reminds me that work is not everything
24:51
and that I do need to take care of myself
24:54
um it is
24:56
important to me to have somebody
24:57
that reminds me of that because I don't always do the best job of that and so I have that built in and I'm really lucky
25:04
for that
25:06
that's fantastic
25:09
who has had the biggest impact on your life
25:13
it's hard to pick just one person my goodness
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it's it's really a struggle I mean in in the end
25:22
honestly I think your parents are so
25:26
critical in who you
25:28
become and and who you grow up to be
25:30
I've had so many wonderful career mentors
25:33
but I think I would not
25:34
be where I am today without my wonderful parents
25:38
my my dad is is a really great
25:42
listener and will be someone who always takes
25:44
my side so if I ever needed to come home and complain
25:47
about something my dad's
25:49
the first person to say oh you want me to come there
25:52
I'll take care of this for you
25:54
and then my mom balances it because my mom says well
25:59
let's think about what the other person was feeling
26:01
let's make sure we know what they were going through and
26:04
and make sure that you're not
26:06
overreacting to the situation
26:08
and and so I had that really nice
26:10
balance and I think from a very early age
26:13
I sort of got reinforced that I need to be very cognizant
26:17
of how other people are feeling
26:18
how other people are handling situations
26:20
and making sure that I'm considering
26:23
the big picture when I approach life in general
26:27
so I think it's it's been very very fortunate
26:30
that I grew up with people who who were so wise
26:33
and who grounded
26:34
me and and who let me have the freedom to explore and
26:37
become who I am but while also helping me be
26:40
a well rounded and reasonable person
26:44
but I've had so many wonderful
26:46
career mentors I I mean I wouldn't
26:48
have gone into this field
26:49
at all if not for Jose Pulido
26:51
so I owe him so very much um
26:54
and and of course he tapped me to take up his job
26:58
here which has been incredibly meaningful
27:00
and Carol Shields
27:01
was a fantastic mentor to me in fellowship I
27:05
became a better scientific
27:06
writer because of her I learned about everything
27:09
that I treat today because of her and I think
27:12
the two years that I spent
27:13
with her I am so thankful for because I came out
27:17
very very comfortable
27:19
with anything that I am going to encounter and also
27:23
importantly comfortable
27:24
with the things that we don't know the answers
27:26
to and how to approach those
28:00
what does a perfect day look like for you
28:05
perfect day if I could if I could just have fun
28:10
and we're not gonna work for the day if I could go I would probably
28:15
at this point pick to be
28:17
in Japan on like a warm fall day
28:20
and I usually wake up early from the jet
28:23
lag so you get to see the sunrise
28:25
you go for a nice walk
28:28
they have really fun temples and shrines
28:30
there where you can just walk kind of peacefully
28:32
among nature and that's really really
28:35
calming and grounding and
28:38
and then have some really delicious food I love sushi
28:41
so I could have a sushi meal um
28:44
do some shopping which is my vice
28:48
and perhaps have
28:50
many more pairs of shoes
28:51
than any reasonable human being should have
28:54
so we'll do a little shopping and then
28:57
I could have some katsu a little like breaded hot stone
29:02
grilled steak which is another one of my favorite meals
29:06
and then
29:07
end with a stroll with all the twinkling lights in
29:10
another shrine or temple
29:11
and just end the day on a peaceful note
29:13
I think that would be
29:15
a really really perfect day for me
29:18
that does sound like a perfect day
29:20
so now we're gonna shift into our lightning round
29:23
this is where I'm just gonna ask you some questions
29:25
and you can just throw out some quick answers
29:28
first question is what is your go to coffee order
29:32
oh I don't drink coffee
29:35
I might I wonder if I'm the only person who says this but
29:39
no yeah no okay good I'm among good company then
29:43
I really like oolong tea though
29:46
okay
29:48
that's a great answer
29:50
are you a morning person or night owl night owl
29:55
and what is your favorite way to spend a day off
29:59
if I've been working a lot
30:01
my number one answer is sleep
30:04
I could sleep and then watch some Netflix and I'd be very happy
30:09
love that what is your favorite vacation spot
30:13
I think Japan is my favorite do you have a specific
30:17
spot in Japan that you like best
30:19
I don't know if I've picked a favorite I've done Tokyo
30:23
Fukuoka and Kyoto so I think we'll do Osaka next
30:28
Osaka is supposed to be the kitchen of Japan
30:30
so I'm looking forward to it cause I love food
30:34
awesome what is currently on your playlist
30:39
ooh I love like late 90s
30:43
so all these songs that were like the three chord
30:45
songs Third Eye Blind 3 doors down
30:51
I never thought about it like that that's funny
30:54
um what is your favorite movie or TV show
30:59
I love the Harry Potter movies
31:01
I've watched them I don't even know how many times
31:05
it's a nice escape into fantasy
31:10
are you more of a planner or go with the flow
31:13
I am a planner to a fault
31:18
what's a small thing that makes your day better
31:23
chocolate always chocolate is a good idea great answer
31:27
do you have a favorite quote or mantra that you live by
31:32
hmm
31:34
I do yeah I don't know if I have a
31:36
I I don't know if I have a favorite quote
31:38
I do strongly believe that everything in life happens
31:41
for a reason
31:42
and even if you don't know what that reason is now
31:45
you just have to stick it through and it's gonna
31:47
become clear later
31:49
what is the best advice you've ever received or given
31:55
I am still constantly learning to take the advice
31:58
to let things go
31:59
it is very important and it is a learning process
32:04
this is true it's harder than it sounds
32:06
but yes you're right very important
32:08
um what advice would you give your younger self
32:14
I would tell my younger self
32:18
I would probably tell my younger self to
32:21
to let things go and have a little more fun
32:25
I am a very delayed gratification person
32:29
and it's taking
32:29
me a long time to learn that you can't delay everything
32:32
forever or you will miss out on life
32:36
wise words do you have a hidden talent
32:42
um I I play the piano
32:45
and I used to be able to sing very well
32:48
it's very possible medical school
32:50
um beat these out of me a little bit
32:52
but but I really enjoy music
32:56
what is something
32:57
that people would be surprised to learn about you
33:06
yeah what is surprising about me
33:10
I think probably
33:12
I mean probably
33:13
all of the different little bits of languages
33:15
I know is probably surprising I know I've
33:18
surprised a few of my colleagues at conferences
33:21
by greeting
33:22
them in their own language and that's always fun
33:25
that is very cool if you could
33:27
instantly master a new skill what would it be
33:31
it could be languages
33:33
yeah I love it if I could if I could be instantaneously
33:36
fluent in a bunch of different languages
33:38
it would be very cool or if I could fly flying is cool
33:42
both great choices
33:44
what's a fun or quirky habit that you have
33:49
hmm
33:52
fun or quirky habit
33:57
yeah I have a lot of quirks my quirks are
34:01
my quirks are less fun I have an office full of candy
34:05
so if you could see where I'm sitting
34:07
right now you would see my collection of sweets
34:10
that I must be surrounded by at all times
34:13
and in my clinic there is an emergency chocolate drawer
34:18
I love that okay beach or mountains beach
34:25
early mornings or late nights late nights
34:29
sweet or salty sweet and favorite treat
34:36
hmm chocolate probably
34:39
chocolate awesome well that is all of my questions
34:42
is there anything
34:43
else that you want to add before we wrap up
34:45
I've had so much fun I am so glad
34:48
that you're doing this I hope this is really helpful to patients
34:52
and I'm so thankful for everything
34:54
that you guys do I think it really means a lot to the community
34:58
thank you and thank you so much for being here we appreciate
35:01
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35:02
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35:04
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35:07
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35:09
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