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WHERE IT ALL BEGAN

Honouring Jackie's legacy

By providing age-appropriate care and support for adolescent and young adult (AYA) cancer patients aged 15 to 39.

Meet the JAX Team

The JAX team is dedicated to supporting adolescents and young adults affected by cancer. Together, we provide specialized care, personalized support, research opportunities, and community connection to help young people navigate cancer and life beyond it.

Ramy R. Saleh

Ramy R. Saleh MD, MSc, FRCPC

Program Research Lead

Virginia Lee

Virginia Lee N, MSc(A), PhD

Program Clinical Lead

Mohammad Amin Salehi

Mohammad Amin Salehi MD

JAX AYA Research Coordinator

The JAX AYA Nurse Navigator

The JAX AYA Nurse Navigator is a dedicated guide for adolescents and young adults affected by cancer. They help patients and families understand their care, coordinate services, navigate important decisions, and access supportive resources.

From diagnosis and throughout the cancer experience, they provide personalized support, advocacy, and help patients and families feel informed, supported, and connected.


Alexandra Zatylny RN, BN, BSc

Alexandra Zatylny

How the JAX AYA Nurse Navigator can support you

Understanding Your Care

  • Explain your diagnosis and treatment plan
  • Help you understand what to expect throughout your care
  • Support informed decision-making

Coordinating Care and Services

  • Connect you with oncology, fertility, mental health, social work, rehabilitation, and survivorship services
  • Help you access financial assistance, community resources, and practical supports

Transitioning from Pediatric to Adult Care

  • Work closely with the Pediatric-Adult Transition Hub (PATH) team
  • Support a smooth transition to adult healthcare services
  • Help build confidence, independence, and 
self-advocacy skills

Building Community and Connection

  • Connect you with other young adults facing cancer
  • Share opportunities to participate in events, peer support, and AYA activities

Supporting Life Goals

  • Help address challenges related to school, work, relationships, and future planning
  • Support your goals during and after treatment

Fertility and Sexual Health

  • Discuss how treatment may affect fertility and sexual health
  • Connect you with fertility preservation specialists and resources

Advanced Cancer Support

  • Provide guidance and support when facing complex decisions
  • Help ensure care aligns with your goals, values, and priorities
  • Create a safe space to discuss difficult topics and future planning

Why It Matters

Adolescents and young adults often face unique challenges that are not fully addressed within traditional pediatric or adult cancer programs. The JAX AYA Nurse Navigator helps ensure care is age-appropriate, coordinated, and responsive to the medical, emotional, social, and practical needs of young people affected by cancer.

AYAs Are More Than Their Diagnosis

A cancer diagnosis can affect many of life’s most important milestones. It can disrupt these experiences in ways that are unique to this stage of life.

Young adults may be navigating the following:

School or post-secondary education

Fertility and future family planning

Identity and future goals

Career development

Financial independence

The Biology of Cancer Is Different

Cancer in adolescents and young adults is not simply “pediatric cancer” or “adult cancer.”

Some cancers occur more frequently in young adults, and certain cancers may behave differently due to unique biological and genetic characteristics. Understanding these differences helps researchers develop better treatments and improve outcomes for AYAs.

This is one reason why AYA-focused clinical trials and research are so important.

AYAs Often Fall Into a Care Gap

Young adults may receive care in pediatric or adult healthcare settings, but neither system is always designed to address their specific needs.

Important concerns can sometimes be overlooked, including:

Your Health
  • Fertility and sexual health
  • Survivorship and long-term health
  • Advanced cancer and palliative care needs
  • Mental health and emotional well-being
  • Peer connection and social support
  • Fertility and reproductive health
  • Mental health and psychosocial well-being

Important concerns can sometimes be overlooked, including:

Research Matters

Historically, adolescents and young adults have 
been underrepresented in cancer research and 
clinical trials.

AYA-focused research helps improve our understanding of:

Cancer & Treatment
  • Cancer biology in young adults
  • Treatment outcomes
  • Cancer biology in young adults
  • Treatment outcomes
  • Fertility and reproductive health
  • Mental health and psychosocial well-being

Research not only improves care today—it helps shape the future of cancer care for the next generation of young adults.

How JAX Helps

The Jackie Aziz (JAX) AYA Program provides specialized support for adolescents and young adults affected by cancer.

Through nurse navigation, clinical research, community connection, supportive care, and survivorship services, JAX helps young people navigate cancer while continuing to pursue the goals and milestones that matter most to them.

Because Young Adults Deserve Care Designed for Them

Cancer may be part of the story, but it should not define the future.

JAX exists to ensure that adolescents and young adults receive care, support, and opportunities that reflect who they are, where they are in life, and where they hope to go next.