Dr. James A. Palermo

I was drawn to the field of oncology because cancer is a terrifying diagnosis for most people. It is one of those health issues that make people very nervous. I find great satisfaction working with cancer patients to help allay their fears and provide the best care possible. For me, it is rewarding to work with individuals who express so much courage in overcoming a difficult diagnosis. It is very rare that a patient comes alone to an appointment. Usually they have a spouse, son or daughter, a brother or sister, or a mother or father accompanying them. I spend a lot of time answering family member’s questions, who often provide a significant amount of care and support for their loved one. My job is to help educate both the patient and the family and to formulate a plan by which we can provide comprehensive care for all of the patient’s needs. Dr. Kelsey is rated as a Distinguished provider by MediFind in the treatment of Cutaneous T-Cell Lymphoma (CTCL). His top areas of expertise are Lung Cancer, Pleuropulmonary Blastoma, Small Cell Lung Cancer (SCLC), and Non-Small Cell Lung Cancer (NSCLC).

Ryan Hughes is a Radiation Oncologist in Winston Salem, North Carolina. Dr. Hughes is rated as an Advanced provider by MediFind in the treatment of Cutaneous T-Cell Lymphoma (CTCL). His top areas of expertise are Squamous Cell Skin Carcinoma, Head and Neck Squamous Cell Carcinoma (HNSCC), Throat Cancer, Gamma Knife Radiosurgery, and Splenectomy. Dr. Hughes is currently accepting new patients.

My goal is to provide tailored treatment that aligns with the goals and values of each patient. I was initially attracted to radiation oncology by the cutting-edge technology and the inspiring patients I met. It is a privilege to care for patients during potentially one of the most challenging times of their lives. I strive to make patients feel supported during their treatment and reassured that they are receiving the most up-to-date treatments at Duke. When not in the clinic, I enjoy exploring nature, game nights with friends, and relaxing with my husband and cat. Dr. Westergaard is rated as an Advanced provider by MediFind in the treatment of Cutaneous T-Cell Lymphoma (CTCL). Her top areas of expertise are Breast Cancer, Orbital Pseudotumor, Pleuropulmonary Blastoma, and Lung Cancer.