Hi, Marie! I am in northwestern VA, not DC area, and have had ll my treatments and surgery in my local cancer center. We do work in connection with Johns Hopkins, 2 hours away. They reviewed everything and set up my first chemo. At least one of our oncologists spends one day a week working there. I have been there in person one time between surgery and chemo. Computer info does the trick, I guess, I am still on chemo break since April 30 and feel stronger and SO much happier! I am willing to continue only if they prove to me that it will benefit me.