← Return to Mayo Clinic Dr to guide conversation on treatment options

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@bnga

Colleen,
I live north of Atlanta, GA and was diagnosed with Gleason 4+3=7 by Johns Hopkins as a second opinion (initial diagnosis was 3+4) in December after an MRI fusion + random biopsy. Since then I’ve done gene testing, PSMA PET scan with F18 Pylarify and have discs of MRI and PET scan. I was hoping for focal therapy but recently my urologist recommended surgery SOON which would probably be my last choice.

Does Mayo Clinic do remote consultations from Jacksonville? What time frame does it take to get an appointment and what cost? FYI I am currently insured through the ACA in GA so this will be out of network and I will need to self pay. Also of note I will turn 65 in a couple of months and be eligible for Medicare which I suspect will be better.

I’m looking for some guidance to get a well qualified second opinion. If you have an email I can send more details if needed.

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Replies to "Colleen, I live north of Atlanta, GA and was diagnosed with Gleason 4+3=7 by Johns Hopkins..."

@bnga, good questions. I can answer some of them.
Mayo Clinic welcomes both new and existing patients for virtual and in-person care in adherence with federal and state executive orders and guidance. Virtual care is available for out-of-state patients IF the provider you are seeing is licensed in the state where you live. So while you are insured in GA, the Mayo provider will also need to be licensed to practice in the state where you live.

Video and phone visits can be great options for appointments before, after or in place of face-to-face care. Not all appointments are permitted virtually.

Appointment coordinators will recommend a virtual visit if it best fits your individual needs. I suggest contacting an appointment coordinator. They can answer the other questions about time frame and cost. Here's the contact information and how to get started with submitting an appointment request: http://mayocl.in/1mtmR63

I'm in Atlanta as well. Active surveillance 3 years and so far so good. Gleason 3+3, PSA stable around 3.8. I got a second opinion from the Busch Center here in Atlanta. State of the art MRI, run by Joe Busch who is a radiologist and well respected. He is a major proponent of the TULSA procedure and offers it at the Center---maybe the most experienced in the country. I'm not pushing that procedure, but be aware that is his business. That being said, I got a valuable second opinion in a very timely fashion along with an additional MRI that was much better quality than Piedmont Hospital. Hope this helps.