DIVISION OF ENDOCRINOLOGY

Faculty

Photo of Dr. LynchJane Lynch, MD

Professor of Pediatrics
Greehey Foundation Endowed Chair, Pediatric Endocrinology
Interim Division Chief
Fellowship Director of Pediatric Endocrinology
Division of Endocrinology & Diabetes
210-567-5283

Education:
M.D. Wright State University School of Medicine, Dayton, OH 1984
B.S. Microbiology, Indiana University, Bloomington, Indiana, 1980

Training:
Fellowship, pediatric endocrine/child psychology, Massachusetts General Hospital, 1989-90
Fellowship, genetics, edocrinology and metabolism, Children's Hospital of Oklahoma, 1987-89
Residency, pediatrics, Southwest Children's Medical Center, Dallas, 1985-87
Internship, pediatrics, St. Louis Children's Hospital, 1984-85

Board Certification:
Pediatrics, 1988-current; Pediatric Endocrinology, 1991-current

Recent Publications:
PREP Endocrinology Advisory Board and Writer: Pediatrics Review and Education Program. Writes 12 annual questions & discussion and participates in writing committee for publication which was launched January 2010.

TODAY Study Group. Design of a family-based lifestyle intervention for youth with type 2 diabetes: the TODAY study. Int J Obes 2010 Feb;34(2):217-26

Lynch JL. Today‘s Pediatric Endocrinologists Must Also Be Health Care Advocates Review of Endocrinology 2008 Jan cover article

Mendoza Orsi C, Lynch J, Hale, D. Degree of Fatty Liver in Obese, Hispanic Adolescents with Vitamin D Deficiency. June 2010.( Endocrine Society)

Arslanian S, Pyle L, Caprio S, Bacha F, Cutler L, Goland R, Levitsky L, Lynch J, Nadeau K, Winestock R, White N. Gender Differences in Baseline Fasting OGTT – Derived Surrogate Estimates of Insulin Sensitivity and Secretion in TODAY. 2010 June. (American Diabetes Association)

Hamaker, M, Fowler S, Farook V, Lynch J, Comuzzie A, DeFronzo R, Hale D, Duggirala R, Cersosimo E. Vascular Dysfunction and Microalbuminuria as Early Risk Indicators in Mexican American Children 2010 June (American Diabetes Association)

The Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine 1993 Sep; 329(14):977-986

TODAY Study Group. Rapid rise in hypertension and nephropathy in youth with Type 2 diabetes: The TODAY clinical trial Diabetes Care 2013 Jun;36(6):1735-1741.

 J Lynch.  Nephropathy in Youth and Young Adults with Type 2 Diabetes. Current Diab Rep (2014) 14:456

N Engl J Med 2012 June; 366:2447-56.  A Clinical Trial to Maintain Glycemic Control in Youth with Type 2 Diabetes. TODAY Study Group.

Hum Genet. 2013 Sep;132(9):1059-71. doi: 10.1007/s00439-013-1315-2. Genetic epidemiology of cardiometabolic risk factors and their clustering patterns in Mexican American children and adolescents: the SAFARI Study.
Fowler SP, Puppala S, Arya R, Chittoor G, Farook VS, Schneider J, Resendez RG, Upadhayay RP, Vandeberg J, Hunt KJ, Bradshaw B, Cersosimo E,Vandeberg JL, Almasy L, Curran JE, Comuzzie AG, Lehman DM, Jenkinson CP, Lynch JL, Defronzo RA, Blangero J, Hale DE, Duggirala R.

Lynch JL. Design of a family-based lifestyle intervention for youth with type 2 diabetes: the TODAY study. Int J Obes 2010 Feb;34(2):217-226.

 

Photo of Dr. Carisse Mendoza OrsiCarisse Mendoza Orsi, MD

Assistant Professor of Pediatrics
Medical Director for TDI
Assistant Program Director, Clinical Competence Committee
Division of Endocrinology
210-567-5283

Education:
B.A., Evolutionary Ecology and Biology, Princeton University, Princeton, 2000
M.D., Drexel University College of Medicine, Philadelphia, 2004

Training:
Fellowship, pediatric endocrinology, The University of Texas Health Science Center at San Antonio, 2007-10
Pediatric Residency, The University of Texas Health Science Center at San Antonio, 2004-07

Board Certification:
Pediatrics, 2007- current
Pediatric Endocrinology- 2011- current

Recent Publications:
Pankratz LA, Orsi C, Slusser C, Lynch J. Management of Neonatal Diabetes Mellitus in a 1-Month-Old Male. Practical Diabetology 2010; 29:2:5-10.

Orsi CM, Pankratz L, Practical Management of Type 1 and 2 Diabetes in Youth, Practical Diabetology: 28(3):10-16, 2009.

Mendoza Orsi C, Lynch J, Hale, D. Degree of Fatty Liver in Obese, Hispanic Adolescents with Vitamin D Deficiency. June 2010.( Endocrine Society)

Orsi CM, Hale DE, Lynch JL. Pediatric obesity epidemiology. Curr Opin Endocrinol Diabetes Obes 2011 Feb;18(1):14-22.

 

Maria “Sukie” Rayas, M.D.Maria “Sukie” Rayas, MD

Assistant Professor of Pediatrics
Division of Endocrinology
210-567-5283

Education:
B.S., Psychology, Washington and Lee University, Lexington, 2002
M.D., University of Texas Health Science Center, San Antonio, 2007

Training:
Fellowship, pediatric endocrinology, The University of Texas Health Science Center at San Antonio, 2010-13
Pediatrics Residency, University of Texas Health Science Center, San Antonio, 2010

Board Certification:
Pediatrics, 2010- current
Pediatric Endocrinology,  2013- current

Recent Publications:
Rayas, M. Cystic Fibrosis Related diabetes. Section on Endocrinology American Academy of Pediatrics Spring Newsleter 2012; 22:3-5

Rayas M, Willey-Courand D, Lynch J, Guajardo J. Improved screening for cystic fibrosis-related diabetes by an integrated care team using an algorithm.  Submitted for publication Pediatric Pulmonolgy 2014.

Poster Presentations:
"Persistent Hyperinsulinemic Hypoglycemia of Infancy due to a mutation in HNF1A." Gonzalez C, Hutchins J, Rayas M. Pediatric Endocrine Society for Texas, Oklahoma, Louisiana and Arkansas (PESTOLA) Regional Meeting, Jan 2015, Dallas TX

“Cystic Fibrosis Related Diabetes: Current Recommendations on Screening, Diagnosis, and Treatment”. SSPR, New Orleans, Louisiana, 2/2009

“Improvement in Screening and Care for Cystic Fibrosis-Related Diabetes: a Quality Improvement Initiative Update.” Pediatrics Research Day, 3rd place winner, May 2012

“Improvement in Screening and Care for Cystic Fibrosis-Related Diabetes: a Quality Improvement Initiative.” Pediatric Endocrine Society Regional Meeting (PESTOLA), Jan 2012

“Improved Screening and Care for Cystic Fibrosis-Related Diabetes: A Quality Control Initiative.” Rayas M, Willey-Courand D, Lynch J. National Cystic Fibrosis Foundation Meeting, Nov 2011

Presentations:
"Doctor's Day--How to have a career in medicine." Presentation given to Memorial High School Students (250 in attendance), Mar 2015

"Health and Wellness." Motivational graduation speech given to participants of a 12-week wellness program at the Y-Living Center (150 in attendance), invited speaker, Dec 2014

"Differences in Type 1 and Type 2 Diabetes." Television Interview on "San Antonio Living", Nov 2014

"Pediatric Type 1 Diabetes." Nurse Practictioners Lecture, Oct 2014

"Basic Pumping." Lecture given at the Juvenile Diabetes Research Foundation Regional Meeting, May 2014 “Pediatric Diabetes.” Nursing student Lecture, UTHSCSA, Jan 2014

“CFRD Management During Hospitalization.” Lecture given to University Hospital inpatient nurses, June 2013

“Cystic Fibrosis-Related Diabetes.” UTHSCSA Department of Pediatrics, Grand Rounds, April 2014

“Power Over Diabetes: Diabetes 101”. America Diabetes Association Por Tu Familia Conference Platform, Oral presentation, Sept 2012

“Improving Glycemic Control With the IproTM Continuous Glucose Monitor in Children with Poorly Controlled Diabetes.  Early Investigators Workshop, Endocrine Society Oral Presentation, San Francisco, Nov 2011

“Overview of Pathophysiology and Management of CFRD.” Oral Presentation.  UTHSCSA CF Education Day, San Antonio. Nov 2011

“What’s New with Type 2 DM in Children: An update.” TNT UTHSCSA National Webinar Presentation, San Antonio, July 2011

“The Different Faces of Cystic Fibrosis-Related Diabetes.” Pediatric Endocrine Society Regional Meeting, New Orleans, March 2011

 

Maria Elia Nila Escaname, MD

Assistant Professor of Pediatrics
Division of Endocrinology
210-567-5283

Education:
B.S., Biomedical Science, Texas A&M University, College Station, TX – 2005
M.D., Universidad Autonoma de Guadalajara Mexico – 2010
Pediatric Residency, University of Illinois at Chicago, 2014
Pediatric Fellowship, University of Texas Health Science Center at San Antonio, 2014 – 2017

Board Certification:
Certified in Pediatrics by American Board of Pediatrics, 2014-Current
Pediatrics Endocrinology, Board Eligible

Poster Presentation:

Pediatric Endocrine Society Texas, Oklahoma, Louisiana and Arkansas (PESTOLA).
(January 2015). Type I Diabetes Mellitus and Epilepsia Partialis Continua in a 10 year old male. Dallas, TX.
Health Literacy Research Conference. (November, 2015). Assessment and Improvement of Physician Patient Health Literacy in an Ambulatory Pediatric Subspecialty clinic. Bethesda, Maryland.

Pediatric Endocrine Society Texas, Oklahoma, Louisiana and Arkansas (PESTOLA).
(January 2016). XY Gonadal Dysgenesis in a Phenotypic Female with Renal Failure and Delayed Puberty. Ft. Worth, TX.
Pediatric Academic Society. (May 2016) Percent Body Fat Using Air Displacement Plethysmography Correlates with Thigh Skin Fold in Infants of Diabetic Mother and Healthy Term Infants in largely Hispanic Population.              

Advancing Care Through Automation: Hybrid Closed Loop Minimed 670G System. (February 9, 2016/San Antonio, TX –J-Prime Steakhouse)    Topics of Discussion: Clinical Evidence: Pivotal Trial of Hybrid Closed Loop System in Type 1 Diabetes; Overview of Hybrid Closed Loop System; Key Learnings from Patients & Investigators -Speaker: Francine Ratner

 

Oral Presentation:

Pediatric Grand Rounds: Clinical Pathology Conference. (March 2014). Non-immune Hydrops Fetalis. Children's Hospital University of Illinois. 

Pediatric Academic Society. (May 2016). Randomized Controlled Trial of DHA Supplementation in Pregnancy: Results from Long-Term Follow-Up of Offspring. Baltimore, Maryland.

Department of Pediatrics Annual Research Day. (May 2016). Randomized Controlled Trial of DHA Supplementation in Pregnancy: Results from Long-Term Follow-Up of Offspring. University of Texas Health Science Center at San Antonio.

Board Certification:

Quality Improvement Project. (September 2013). Implementation of vision acuity testing for well child visits: Year two of a resident QI project. Children's Hospital University of Illinois.

Quality Improvement Project. (July 2012). Pediatric DKA order set for ED and PICU. Children's Hospital University of Illinois.

Research Assistant. (May 2010). Assisted in DNA extractions and PCR analysis for projects involving genes associated with glucocorticoid resistance. Department of Pediatric Endocrinology SUNY Downstate Hospital Brooklyn, NY

Publications:
Alvaro Moreira, Rachel Jacob, Libby Lavender, Elia Escaname. (2015, November). Metabolic Bone Disease of Prematurity. Neoreviews.
Jessica Hutchins, Rose Ann Barajas, Daniel Hale, Elia Escaname, Jane Lynch. (2016, November). Type 2 diabetes in a 5-year-old and single center experience of type 2 diabetes in youth under 10. Pediatric Diabetes.