Finding the right cancer care team

Posted by 54321kl @54321kl, Feb 17 7:56am

Hello,
I will be going to my 2nd visit with the hematologist/oncologist I was referred to by my PCP. My question is how did other people find their specialist. I am confident that it does make a difference to connect with a specialized care team for CLL.

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

@gingerw

@54321kl This is a great question! @katgob gave a very good example of how she was able to get a great medical team together.

Remember, you are part of the medical team. A very crucial part, I might add. Here is the example I often use: The patient is the hub of a wheel, the medical specialists are the spokes. The spokes won't work without the hub, and vice versa. I have found it to be of utmost importance that we all work together. If there is conflict, it could be a problem. Do not be afraid to make a change if it is not working out like you think it should.

When I was going through my diagnosis of blood disorder, I was also moving 800 miles away to a new set of doctors! In fact, my first appointment with my oncologist was less than 2 weeks after moving! I found him by reaching out to someone who had a family member with the same disorder as me, and queried who their oncologist was, if they liked him. He is Mayo Clinic trained, and even before I physically made the move here, I had contacted his cancer center and requested to become his patient. At my first visit I asked him who he has had good rapport with for a nephrologist, and he gave me his recommendation. There have been no regrets. Likewise, I took my time seeking out [and interviewing ahead of time!] for a primary care provider. I took her recommendation for a dermatologist. Although they do not all share the same record management system, I find everyone keeps each other informed. And I keep detailed notes from all my visits, so if there are gaps they can be addressed.

Hoping this helps you, and please feel free to ask any questions.
Ginger

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I am extremely disappointed in my care. I have an onc/ heme who refuses to work with a cll specialist. I can tell, from discussing treatment options, he is not up- to-date with treatments. He does not answer my questions. I need a cll specialist and a trustworthy onc/ heme. There are no cll specialists here.
To allow me to be seen by Mayo, I changed my insurance...Only to be told Mayo won't see me because I come from an area where hospitals are closing or being bought out....
I feel completely thrown away and at the mercy of people who see me as a mere income rather than a valuable life. I was an oncology nurse, so I do not make this statement lightly.

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@5gk

I am extremely disappointed in my care. I have an onc/ heme who refuses to work with a cll specialist. I can tell, from discussing treatment options, he is not up- to-date with treatments. He does not answer my questions. I need a cll specialist and a trustworthy onc/ heme. There are no cll specialists here.
To allow me to be seen by Mayo, I changed my insurance...Only to be told Mayo won't see me because I come from an area where hospitals are closing or being bought out....
I feel completely thrown away and at the mercy of people who see me as a mere income rather than a valuable life. I was an oncology nurse, so I do not make this statement lightly.

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Your concerns are very valid. So much in medicine is left to profit. It's unfair to have anyone direct you to a care provider based on what is best for the hospitals in your area. I am convinced having a good caring care team does make a difference. I hope you will continue to advocate for yourself and continue to push for the care team you deserve as I am certain you have always done in the past for your patients.

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@54321kl

Your concerns are very valid. So much in medicine is left to profit. It's unfair to have anyone direct you to a care provider based on what is best for the hospitals in your area. I am convinced having a good caring care team does make a difference. I hope you will continue to advocate for yourself and continue to push for the care team you deserve as I am certain you have always done in the past for your patients.

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Thanks for responding. I hope Mayo cancer patients participate in clinical trials to help ALL patients, wherever they live, achieve a cure. It is my only hope.

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Suggest you do an online search for the MPN Research Foundation. These docs are much more likely to be up on the current research and treatment options.
I was fortunate in that I was referred to an MPN specialist by my functional medicine primary. Don’t let anyone stop you from seeking the right professional 🙂

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@54321kl

I live in near the University of Michigan and was not referred to any specialist by my PCP as the wait was long for U of M. I have a physician friend who directs a family practice residency and he spoke to a former resident who provided the hematologist/oncologist name I have seen once. I am due to return but feel like there is a great amount of diversity in the care people receive and want to be sure I have care that includes an integration of opinions and treatments including diet, exercise, vitamins and if needed traditional care. I am new to this in the last 6 months and have no symptoms. I am willing to travel if needed.

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If you would like to get a second opinion from Mayo Clinic experts, you can self-refer. To submit a request, start here: http://mayocl.in/1mtmR63

I agree that care is not equal at all facilities. Here’s more information about chronic lymphocytic leukemia care at Mayo Clinic https://www.mayoclinic.org/diseases-conditions/chronic-lymphocytic-leukemia/care-at-mayo-clinic/mac-20352437

In my opinion, what stands out about care at Mayo is the multidisciplinary team of specialists. See more here:
- CLL: Mayo Clinic's approach to diagnosis
https://connect.mayoclinic.org/blog/hematology/newsfeed-post/cll-mayo-clinics-approach-to-diagnosis/
CLL

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@sregiani

Suggest you do an online search for the MPN Research Foundation. These docs are much more likely to be up on the current research and treatment options.
I was fortunate in that I was referred to an MPN specialist by my functional medicine primary. Don’t let anyone stop you from seeking the right professional 🙂

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Thank you! I will research MPN specialists.

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