Getting GentleCure (IM-SRT) for my 2 Basal Cell Carcinomas

Posted by pianist3 @pianist3, Aug 21, 2025

Hi, everyone! So, I'm in the process of scheduling my treatment for my 2 basal cell carcinomas (they are above my lip.) Anyway, after much research and also being terrified of needles and Mohs surgery (I can't use epinephrine and I have severe anxiety), I've decided to go with GentleCure (IM-SRT). My doctor says I'm a good candidate for it. I'm hoping and praying that I can get through the treatments easily. I will be bringing my stuffed doggie. 🙂 Has anyone had this treatment? Please, please send me only positive comments and anything helpful to make this process easier and more gentle on my skin. I'm reading up on taking more healthy foods to heal my skin, collagen building supplements (maybe) and lots of prayer!! I'm just hoping and praying for no pain, no burning, no radiation sickness, etc. I'm praying for you all!!! Thank you for any encouragement and kind words...life is not always easy...but, I will certainly be wearing more sunscreen and wearing it daily from now on!! Love you guys!!! Mia 🙂

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Profile picture for cleveland26 @cleveland26

@2buddy Yes, my bcc was in situ . (Ha, I had to Google that to see what in situ meant!) Yes, they used the wand before each treatment. No, I did not ask for a specific way for treatment basically because I didn't know anything.

I chose the SRT over Mohs surgery for several
reasons. I was told that after the Mohs surgery that I would be sent down the street to have a plastic surgeon close the incision, after having been administered general anesthesia. Not knowing how long either procedure would take, I could have had a problem with transportation. My wife no longer drives at night.

I am satisfied with the whole thing and glad I don't have to drive into Tacoma every day for a while. I wish you all the best.

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@cleveland26 I knew what in situ meant because I was an RN so familiar with the term. Did your assuming Medicaire pay for the wand as in my google searches saw that right now the wand use is being reviewed to see if it's going to be paid for by insurance. Said that some facilities have the $1500 to $2000 Wand not being charged to patients till this has either been approved or not by Medicare. How long ago did you have your procedure?

Can't believe you would be given general anesthesia and been expected to drive to another facility with a fresh open wound !

Wrote the Dermatologist office and said I do not want to be cut. So will see what the office says tomorrow.

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Profile picture for 2buddy @2buddy

@cleveland26 I knew what in situ meant because I was an RN so familiar with the term. Did your assuming Medicaire pay for the wand as in my google searches saw that right now the wand use is being reviewed to see if it's going to be paid for by insurance. Said that some facilities have the $1500 to $2000 Wand not being charged to patients till this has either been approved or not by Medicare. How long ago did you have your procedure?

Can't believe you would be given general anesthesia and been expected to drive to another facility with a fresh open wound !

Wrote the Dermatologist office and said I do not want to be cut. So will see what the office says tomorrow.

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@2buddy I used confusing language about the general
anesthesia. The general anesthesia would be used in the plastic surgeon's office, following the Mohs surgeon's office ( which would have used a local.)

Regarding insurance, I don't have Medicare Part B. This is under a separate health insurance plan. My plan includes a $50 per session co-pay. I have not received the final bill. The cost of the ultra-sound wand before each session hasn't come up, at least not yet! Have a happy result!

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I was just sent a message from Piedmont Plastic Surgery and Dermatology that they no longer offer the SRT. So their message was to see their Moh's surgeon. What would you do? Thanks!

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Profile picture for 2buddy @2buddy

I was just sent a message from Piedmont Plastic Surgery and Dermatology that they no longer offer the SRT. So their message was to see their Moh's surgeon. What would you do? Thanks!

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@2buddy Hi, morning! I would personally try and find another dermatologist to find SRT nearby. I guess if you’re too far from any provider with SRT, Mohs will be your next best option. But don’t wait too long, as you don’t want your skin cancer to spread any. Blessings and prayers for very fast healing ❤️‍🩹!! 🙏🙏💐💐💕💕

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Profile picture for pianist3 @pianist3

@2buddy Hi, morning! I would personally try and find another dermatologist to find SRT nearby. I guess if you’re too far from any provider with SRT, Mohs will be your next best option. But don’t wait too long, as you don’t want your skin cancer to spread any. Blessings and prayers for very fast healing ❤️‍🩹!! 🙏🙏💐💐💕💕

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@pianist3 Just found out via patient portal that Piedmont Plastic Surgery and Dermatologist is no longer offering the srt due to insurance issues. Evidently Medicare is deciding whether using a wand is shall I say necessary or important which is why my current practice is not using it any longer. Being in the Charlotte NC area there are a lot of facilities. It seems like Moh's is what they are all pushing. Right now looking for another dermatology practice. Have only found one currently. I wouldn't object to the Moh's so much if could find someone to work with the fact that I can not get to an appointment before 11am tops. This is due to having Irritable Bowel Syndrome where in and out of bathroom constantly in morning and then the long sitting due to lumbar degenerative disc disease and scoliosis. Need a chair that is able to adjust positions or at least recline some. Practice going to just has straight back chairs or an exam table with no way to recline. So working to try and find a facility that offers the srt. Any tips you have appreciated.

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Profile picture for 2buddy @2buddy

@pianist3 Just found out via patient portal that Piedmont Plastic Surgery and Dermatologist is no longer offering the srt due to insurance issues. Evidently Medicare is deciding whether using a wand is shall I say necessary or important which is why my current practice is not using it any longer. Being in the Charlotte NC area there are a lot of facilities. It seems like Moh's is what they are all pushing. Right now looking for another dermatology practice. Have only found one currently. I wouldn't object to the Moh's so much if could find someone to work with the fact that I can not get to an appointment before 11am tops. This is due to having Irritable Bowel Syndrome where in and out of bathroom constantly in morning and then the long sitting due to lumbar degenerative disc disease and scoliosis. Need a chair that is able to adjust positions or at least recline some. Practice going to just has straight back chairs or an exam table with no way to recline. So working to try and find a facility that offers the srt. Any tips you have appreciated.

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@2buddy Hi again! I would go to the Gentle Cure website and type in your zip code to find locations and providers for the Gentle Cure SRT treatments. Where is your skin cancer located? I’d highly recommend SRT over Mohs, I think that even though doctors push one kind of treatment, I think it’s due to them not wanting you to leave their practice, sadly, some are money driven. But, you should know all your options and choices, and get 2nd or 3rd opinion, that’s what I did! I had two BCC removed through SRT on my upper lip and didn’t want the Mohs surgery, and the cure rate is the same, like 99.9% cancer free. I also have no scars now, no discoloring and the cancer is gone. I guess you may have to pay some out of pocket, I had to pay $1,000 deductible with my insurance (I’m using Care Credit for that payment.). The Gentle Cure technicians are amazing and will help you feel super comfortable each time. I even brought my favorite stuffed animal for each treatment (I had 20 total.). Ok, I hope this helps!! Go to a doctor and facility that’s highly rated (check yelp and google reviews) and go with your gut as well. Heal fast and God Bless you!!! 💕💕🙏🙏🌷🌷

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Profile picture for 2buddy @2buddy

@pianist3 Just found out via patient portal that Piedmont Plastic Surgery and Dermatologist is no longer offering the srt due to insurance issues. Evidently Medicare is deciding whether using a wand is shall I say necessary or important which is why my current practice is not using it any longer. Being in the Charlotte NC area there are a lot of facilities. It seems like Moh's is what they are all pushing. Right now looking for another dermatology practice. Have only found one currently. I wouldn't object to the Moh's so much if could find someone to work with the fact that I can not get to an appointment before 11am tops. This is due to having Irritable Bowel Syndrome where in and out of bathroom constantly in morning and then the long sitting due to lumbar degenerative disc disease and scoliosis. Need a chair that is able to adjust positions or at least recline some. Practice going to just has straight back chairs or an exam table with no way to recline. So working to try and find a facility that offers the srt. Any tips you have appreciated.

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@2buddy I would try to find another facility that does SRT. My impression from the various radiation therapists I had treating me is that the ultra sound exam before each session was, if I may use an expression not heard since my childhood, gilding the lily.

That is, they didn't seem to think it was really necessary before each session. One of them even said, we do it for insurance purposes.

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Profile picture for cleveland26 @cleveland26

@2buddy I would try to find another facility that does SRT. My impression from the various radiation therapists I had treating me is that the ultra sound exam before each session was, if I may use an expression not heard since my childhood, gilding the lily.

That is, they didn't seem to think it was really necessary before each session. One of them even said, we do it for insurance purposes.

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@cleveland26 The ultrasound is very necessary before each SRT treatment, it guides them and shows the tech where the cancer is still active. This guides their treatment plan and is critical to full care and eradication of all the cancer. You can actually see the cancer go down each session. It’s a critical part of this procedure, hence the ultrasound guided radiation therapy name of the procedure.

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Profile picture for pianist3 @pianist3

@cleveland26 The ultrasound is very necessary before each SRT treatment, it guides them and shows the tech where the cancer is still active. This guides their treatment plan and is critical to full care and eradication of all the cancer. You can actually see the cancer go down each session. It’s a critical part of this procedure, hence the ultrasound guided radiation therapy name of the procedure.

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@pianist3 You may very well be correct! But it seems that the geniuses at Medicare do not agree. (Not that their saving a buck or two isn't a consideration.)

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Profile picture for pianist3 @pianist3

@2buddy Hi again! I would go to the Gentle Cure website and type in your zip code to find locations and providers for the Gentle Cure SRT treatments. Where is your skin cancer located? I’d highly recommend SRT over Mohs, I think that even though doctors push one kind of treatment, I think it’s due to them not wanting you to leave their practice, sadly, some are money driven. But, you should know all your options and choices, and get 2nd or 3rd opinion, that’s what I did! I had two BCC removed through SRT on my upper lip and didn’t want the Mohs surgery, and the cure rate is the same, like 99.9% cancer free. I also have no scars now, no discoloring and the cancer is gone. I guess you may have to pay some out of pocket, I had to pay $1,000 deductible with my insurance (I’m using Care Credit for that payment.). The Gentle Cure technicians are amazing and will help you feel super comfortable each time. I even brought my favorite stuffed animal for each treatment (I had 20 total.). Ok, I hope this helps!! Go to a doctor and facility that’s highly rated (check yelp and google reviews) and go with your gut as well. Heal fast and God Bless you!!! 💕💕🙏🙏🌷🌷

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@pianist3 One other Dermatology group has the machine. Driving there tomorrow as they need an official biopsy report. Figured easier to give to them in person than to try to get the current Dematology group to Fax it. Also spoke the Atrium hospital who a man on the app Next Door recommended as he was seeing the same group I have been seeing had one Mohs proceedure but did't want another wanted the guided imagery srt. The hospital partners with Levine cancer hospital and he had his done there in 20 visits. The person my husband spoke with said as soon as the PA I'm seeing sends a referral I can go there. Doesn't the PA legally have to refer me since they no longer have the machine. And they can't provide me with what I need?

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