After biopsy

13 years 8 months ago #33136 by Patricia
Replied by Patricia on topic After biopsy
i wouldn't go by one testimony..GWU is ranked very low on the list of hospitals that are ranked
tinyurl.com/2ay9c2e
Dr. Jarrett has some fine credentials but also is not ranked by Castle Connelly as one of the best uro's in the area.
Personally i would not want to go to a hospital with a less than desired mortality rate as this one seems to have.
pat

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13 years 8 months ago #33134 by Akhnaten
Replied by Akhnaten on topic After biopsy
Does anyone have any opinions on Jarrett at GWU? PubMed tells me that he has a fairly good publication record on urinoscopic surgery and nephrectomies and ureteral cancers. He is also quite a bit more convenient to get to then either Schoenberg or hospital-outpatient urologist. Also the only doctor I've seen so far where someone actually bothered to positively review him on vitals.com.

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13 years 8 months ago #33132 by mmc
Replied by mmc on topic After biopsy
If you can get in to see Schoenberg and the current status is that it is a benign papilloma, then waiting a couple/few weeks seems like no problem at all.

You'd be surprised how many local urologists run into complications. You want good margins around the tumor and you don't want to have a puncture.

When in doubt, go with the best you can get as fast as you can. In your case though, it doesn't seem like there is any significant risk to letting time slip a bit in order to get to the best doc.

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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13 years 8 months ago #33131 by Akhnaten
Replied by Akhnaten on topic After biopsy
Hmm. I really don't know. I've emailed Schoenberg with the story to see what he thinks. It really comes down to how long I want to delay removal. My impression from readings is that I've got time, but I'm guessing you'll understand when I say that my instincts of course want all neoplastic entities removed from me ASAP...

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13 years 8 months ago #33130 by Patricia
Replied by Patricia on topic After biopsy
Well it might be trivial in the hands of a very experienced surgeon....how many TURBS has he done this year? How many bladder cancer patients does he see in a year? Puncturing the bladder is not trivial.
Even trivial needs a good surgeon. And trivial also needs a great pathologist.
Pat

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13 years 8 months ago #33127 by Akhnaten
Replied by Akhnaten on topic After biopsy
Thanks. I will contact Schoenberg, but in the meantime I have this dilemma about going through with the TUR on Saturday in the outpatient clinic. I have to decide soon because if I switch to another doctor, it will be at least another couple of weeks, I'm guessing, before I get to actual surgery.

I guess I could simply let the procedure be done (it is minor outpatient), and then go to someone else for a second opinion and/or further biopsy. About three days to decide, not enough info. My instinct is always Big Research Hospital but the procedure seems so trivial even in the literature.

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