Page ContentA Team Approach to Your CarePatients with serious and chronic illnesses may live longer and enjoy a higher quality of life during and after treatment by the Kelsey-Seybold Supportive Medicine team. The team, under the direction of Managing Physician Rupesh Nigam, M.D., works together with a patient's other doctors to help provide comprehensive care. Supportive Medicine can be provided at any stage of illness, even if a cure is likely. Meet the Team Shira Amdur, MD Dr. Shira Amdur is board-certified in Internal Medicine and trained in Supportive Medicine and Palliative Care. She cares for patients at Kelsey-Seybold’s Main Campus. Dr. Amdur graduated from The University of Texas Health Sciences Center at San Antonio in 2012. After earning her medical degree, she completed an Internal Medicine residency at the University of New Mexico Health Sciences Center in 2015 and was awarded a fellowship in Hospice and Palliative Medicine from The University of Texas Health. Rupesh Nigam, M.D. Rupesh Nigam, M.D., is board-certified in Internal Medicine. He’s Managing Physician of Supportive Medicine, Associate Medical Director of Hospital Services and a Kelsey-Seybold hospitalist. He sees patients at Pearland Clinic and at the St. Luke’s Medical Tower. Dr. Nigam graduated from the Armed Forces Medical College of the University of Pune in India. After graduation, he completed medical residency in India prior to his arrival to the United States. Dr. Nigam spent close to 10 years in basic science and translational research at Baylor College of Medicine and The University of Texas MD Anderson Cancer Center. He then continued medical training at The University of Texas Health Science Center at Houston to complete a residency in Internal Medicine in 2011. Dr. Nigam joined Kelsey-Seybold in 2011.