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.

@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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@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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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

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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@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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@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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@mepowers

Katgob, the insurance companies are brutal. I know so much about fighting them now vs when I got sick. Sounds like the City of Hope stepped in for you just like Mayo did for me. It’s a shame that people have to deal with being sick and fighting, begging and pleading with the insurance companies too.

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I agree empowers as I met one lady in the department at COH who I contacted to see if they are paying the $6.000.00 bill I received from Anthem. She told me to not pay and do not worry. She has been in this department for 30 years and knows how to work with insurance companies. She told me to take care of me.
Wow I thought. How many smaller hospitals, not like Mayo, COH and other cancer hospitals do not have that help.
I try to advocate to others, that they keep calling and asking till they find the person to get them help.

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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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Hello,
I have Polycythemia Vera and see a local Oncologist and an MPN Specialist at the University of Michigan. I don’t know what your specific diagnosis is but I encourage you to see a specialist that is trained and treats specifically within your diagnosed condition. My local hematologist/Oncologist is good but not specifically trained and studied in MPN’s. I feel confident that by working both with my MPN Specialist and local doctor is the best method of treatment for me as I live about an hour from UofM. They work in conjunction to be sure I’m getting all bases covered.

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@katgob

Mepowers,
That is great news . I found the department at City of Hope and the Doctors to be masterful at getting my treatments what is called "Medically necessary". I was denied a procedure after my mastectomy to expander surgery, so my plastics Dr called the insurance doctor. It was approved. Now I need to contact them about the cost of my future bone marrow transplant.

Jump to this post

Katgob, the insurance companies are brutal. I know so much about fighting them now vs when I got sick. Sounds like the City of Hope stepped in for you just like Mayo did for me. It’s a shame that people have to deal with being sick and fighting, begging and pleading with the insurance companies too.

REPLY

Mepowers,
That is great news . I found the department at City of Hope and the Doctors to be masterful at getting my treatments what is called "Medically necessary". I was denied a procedure after my mastectomy to expander surgery, so my plastics Dr called the insurance doctor. It was approved. Now I need to contact them about the cost of my future bone marrow transplant.

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