Cases with Helena in’t Veld, MSN, FNP-C

The power of personalized treatment

Helena in’t Veld is a family nurse practitioner at Arizona Centers for Digestive Health, and she regularly sees patients with Barrett’s esophagus. She describes some of those patients as highly anxious and others as very reluctant to take their risk factors seriously.

“Now I’m really able to show patients on paper: ‘This is your risk… this is not the general population where there are outliers, this is you and how we are going to treat you.’ ”
See Helena’s cases below.

See Helena's TissueCypher case studies

Anxious female patient with concerning family history

Helena in’t Veld, FNP-C, had a female patient with Barrett’s esophagus who her practice had followed for nearly 10 years. Despite always receiving a diagnosis of non-dysplastic Barrett’s esophagus (NDBE), the patient had a concerning family history and would routinely ask to shorten surveillance intervals.

“Every 18 months, sometimes 24 months, she would come back into the clinic and say ‘Can we do that EGD a little bit earlier? Do you really feel like 3 years is appropriate?”

See the case details below to learn how Helena helped this patient.

Helping a 56-year-old male take his risk seriously

Helena in’t Veld, FNP-C, helped a patient who was skeptical of his risk factors and pathology diagnosis. She leveraged a high-risk TissueCypher score to persuade him to act on his elevated risk of progressing from Barrett’s esophagus (BE) to cancer.

“Having that TissueCypher report, and having the percentage in front of the patient, makes it a lot more real to them. It upstaged our management, and he got endoscopic eradication therapy instead of just being monitored on medication a year later.”

My interaction with patients has changed since the advent of TissueCypher because I am now able to give them more personalized care."

Helena in’t Veld, MSN, FNP-C