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Experts

Patients Against Lymphoma

 

Doctors and Centers

Last update: 08/29/2010  

TOPICS
Find Doctor | Finding Specialists | Find Radiation Oncologist ... Question to Ask |
Find Surgeon?
Patient-Recommended Lymphoma Oncologists | Cancer Centers
Complaints? | Communicate with Doctors | Optimizing Doctor Visits
Pathology - getting a second evaluationResearch News

Find Doctor/
Second Opinion

doctor.jpg (6782 bytes)

 

Does the oncologist you are considering or consulting:

- have experience in the treatment of your specific cancer?

- conduct clinical trials (is a clinical trial investigator)?

- discuss radio-immunotherapy as a treatment option?

- actively participate in  professional organizations dedicated to continuing education and professional development in the field?

- show  compassion and the ability to communicate and partner with you?

OTHER TIPS:

Adapted from NYT article on how to find good medical care
nytimes.com


* Find out which doctors your closest friends really like, ...ask trusted friends, neighbors and colleagues whom they see and feel comfortable with."

... "I cannot emphasize enough how important it is for every patient to have a trustworthy primary care physician who can help them navigate our challenging, but potentially excellent, health care system," said Dr. David T. Tayloe

* Stressed the importance of patients doing research and becoming active part of the medical team.

... "becoming more active and knowledgeable can only improve your care." ... "This is a shared responsibility between the physician and the patient
for the patient's health," said Dr. Ted Epperly

* Exercise caution when going through information from commercial or industry Web sites.

... "The Web can be a good place but also a dangerous place," Dr. Epperly said. "It's important to find sites that aren't biased and that provide evidence-based information."

* Ask prospective doctor questions like how much experience he or she has with a specific condition or operation

* Make sure you feel part of a shared decision-making process and comfortable saying how you feel, or that you don't understand or that you respectfully disagree.

* Identifying high quality medical groups or hospitals that "carefully monitor the quality of the clinicians affiliated with them" and that provide "decision support, continuous quality improvement and continuing education to keep their clinicians functioning well."

* Contact the national professional society for that doctor's specialty. (for lymphoma: ASCO / ASH)

... a plus: membership in the national professional society of a specialty - often referred to as being a "fellow" in the organization, as in Fellow of the American College of Surgeons, or F.A.C.S. - requires board certification and a certain degree of clinical experience.

...look for: M.D., F.A.C.P."

* Ask about participation in clinical trials.

* Caveats... bedside manner is only one of many concerns. "While excellent quality health care integrates caring with doing the right thing medically," she said, "a caring attitude can mask poor quality medicine."

* Most critical - part of deciding on any physician is the quality of the  first appointment.

... arm yourself with the right questions [in writing - and a summary of your medical issues and treatments]

* Seeking a surgical oncologist?

... ask surgeon about the number of times annually she or he performs the specific operation needed,

... ask also about the hospitals in which those operations are performed. (research has shown that hospital mortality rates are lower when those operations are performed frequently.)

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An accurate diagnosis and finding an expert you can communicate with are critical to receiving optimal care.  

Regarding Second Opinions:

Second opinions can raise the level of the care you receive, because it set's up a kind of peer review. In addition it provides a second informed- and sometimes new perspective.

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Dr. Rosenbaum:  why are second opinions so important? EverydayHealth

You’ve already been given a diagnosis and treatment is about to start.  Going to a tumor board. 

Finding and Choosing a Qualified Oncologist

To locate Board-Certified oncologists in your state: 
  
* Click Cancer.net  
    From Cancernet:
        * Select City and State, 
        * Check category 
           (Oncology, Oncology/Hematology)
        * Click GO.
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Find Board Certified Neurologist application.abpn.com
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Choosing a Specialist LLS

This link provides valuable information about the qualities that make an excellent doctor.

See also finding Cancer Centers by specialty and excellence
 


Find a Radiation Oncologist Near You

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RTanswers.org   


Questions To Ask Your Radiation Oncologist

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RTAnswers.org

Finding Experts:
 

Leads on Specialists
 
Scientific Advisory board LRF 
CLL experts cll.ucsd.edu | cll.acor.org 
Stem cell transplant advisory board BMT Info
Centers for Research Excellence PAL
Patient-recommended doctors Below
Experts on Lymphoma
“America’s Top Doctors” (Fifth Edition)
The Best in American Medicine: America’s 
Top Doctors and Hospitals  childrenshospitalla.org  
American Board of Medical Specialties abms.org
Radiation Specialists lymphomKahelp.org
Specializing in neuropathy Neuropathymd.org 
Licensing, background, and disciplinary information on physicians docboard.org   
 
 

Resources for Physicians PAL

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Optimize Consults

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Drug / Supplements Interaction  

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Clinical Trials for Lymphoma | Resources  


Communicating with your doctor

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See Optimizing Consults PAL | Brochure

On Optimizing Office Visits:

Our physicians have many patients, some with urgent needs, and that the day is short.  So, it can help to be respectful of your doctor's time. Ask if it's a good time to ask questions ... 

Think like a corporation: Produce a concise executive summary that describes your history and main objectives. Have ready the chronology of tests, treatments, lab results, and outcomes that show the trends.

Prepare in writing: your main questions ... 
and a  list of the medications, events, and allergies you may have.  

Provide a summary of your goals. Provide information on the clinical trials you think worth discussing. 

And sometimes just in the making of your report and questions, new ideas will arise. 

Be concise -- avoid handing your doctor a 20 page report - adding one stack to another. 

To assist you in your mission, we provide patient support tools here


Complaints About Doctors?

We believe that the overwhelming majority of physicians and their staff are dedicated to meeting the needs of their patients.   However, there are sometimes unfortunate exceptions.  

What should you do in such cases?  When "the duty was not acted upon ... the provider failed to provide the standard of care."

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We recommend that you first write your doctor directly regarding your concerns - describing what happened concisely but in detail.

Next, if necessary, copy the State Medial Board ... if the problems you cite are not addressed or recognized. 

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To locate the Medical Board in your State:

Go to: http://www.fsmb.org/directory_smb.html
Then select the letter for your state.
 

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In the meantime, use the resources on this page to help locate and choose another physician, or ask neighbors, friends, support groups, ... for referrals.

 


Finding a Competent Surgeon / Hospital

Signals of Excellence 

Adapted from Medical Matters Consumer Reports (subscription required)

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Volume counts: How often surgeons and hospitals perform the procedure - which can be especially important for unusually complicated procedures.
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Complication rates:  Volume is not a perfect indicator of excellence, so too are issues that arise after surgery, which can be due to the medications prescribed, and the quality of follow up care.

Questions for the surgeon:

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Is your Board Certification up to date?
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How many operations of this type have you done in the last year?
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What is your success, failure and complication rate?

A competent surgeon will be happy to provide this information.
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Does the hospital follow "best practices"?

See ratings - consumer Reports
See Hospital Compare A quality tool provided by Medicare http://bit.ly/cE6Bwo
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Click "Find and Compare Hospitals"

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Select "Find a hospital within a certain distance of a ZIP Code"

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Enter Zip code and distance.

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Check at least two hospitals in region.

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Click Compare button. 

 
Patient-Recommended Lymphoma Specialists

Countries:
Canada | United Kingdom / Spain
 
United States:
Northeast | Midwest | South/Southeast West/Southwest

Criteria for Patient-Recommended
Oncologists
1) your oncologist is respected by his or her peers, and has demonstrated a willingness to be a partner in your care: 
2) that he or she communicates about the full range of treatment options (standard and investigational) - providing the rationale for each choice.  
 We reserve the right to exclude referrals when the physician promotes  unconventional therapies or diagnostic tests  that have not been validated by clinical research.   

NOTE: Because we cannot verify all the recommendation received, please consider this list to be only a starting point in your search.

Send your referral in 
this format:

STATE, CITY, 
CENTER, ADDRESS
 

NAME, Phone, Web/Email

Send an email referral by clicking Here 

PI means that this physician also conducts lymphoma-specific clinical research.

The information presented on Lymphomation.org is not intended to be a substitute for  professional medical advice or to replace your relationship with a physician. For all medical concerns,  you should always consult your doctor. Patients Against Lymphoma, Copyright © 2004,  
All Rights Reserved.

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LIMITATIONS:

The list is based on  submission by patients, and therefore excellent oncologists may not be included simply because patients haven't yet taken the time to tell us.

Submissions are also subject to patient bias, such as inter-personal chemistry.

PI  = primary investigator - does clinical research.
ES = Expert Status  (See also Experts)


CANADA

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Canada, Vancouver
 
BC Cancer Agency

BCCA, 600 West 10th Avenue, Rm 3225
Vancouver, BC V5Z 4E6

Dr. Joseph M. Connors (PI) (604) 877-6000 
Randy Gascoyne, B.Sc., M.D.  (PI / ES)
  Specialty:  biospecimen-based research
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Canada, Montreal, Quebec,
 
Jewish General Hospital
Pav E, 3755 Côte-Ste-Catherine Road,
Montreal, Quebec, CanadaH3T 1E2

Dr.Stephen N. Caplan, MD, FRCP 514-340-8222 ext. 8248
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Canada
 
McGill University 

Dr. Pierre Laneuville (PI)
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Canada

Maisonneuve

Dr. Jean Roy jean.roy@ssss.gouv.qc.ca  
practices out of hospital) 

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NORTHEAST UNITED STATES

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CT, New Haven
 
Yale Cancer Center, New Haven
 
Francine M. Foss, MD (PI / ES)
  Cutaneous T-cell Lymphomas | Web Profile
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MA,  Boston
 
Dana Farber Cancer  Institute,  800- 320-0022

Dr. Arnold S. Freedman (PI / ES) (617) 632-3441 Web Profile 
Dr. Lee Nadler (PI / ES) (617) 632-3331
George Canellos (PI/ ES) , M.D. (617) 632-3470
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DC, 
 
Georgetown University Medical Center - Lombardi Comprehensive Cancer Center, 3800 Reservoir Road, NW Washington, DC 20007, 

Head of Hematology, and Director  of Hematology Research
Dr. Cheson is Professor of Medicine (PI / ES) (202) 444-2223
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NJ, Forked River
 
Hematology Oncology Associates of Ocean County

Dr. Sara Jane McGee  (609) 693-2000)
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NJ, New Brunswick
 
Robert Wood Johnson Hospital,
The Cancer Center of NJ

Dr. James Salwitz
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NJ,  Morristown
 
Carol G Simon Cancer Ctr
PO Box 1089 100 Madison Ave Morristown, NJ 07962-1089

Dr. Charles Farber
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NY, New York
 
Center for Lymphoma and Myeloma, Weill Cornell Medical College, The New York Presbyterian Hospital, 

Dr. Richard Furman (PI / ES) (212) 746-2932 
  Specialty:  CLL
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NY, New York 
 
NY Presbyterian Hospital Weil Medical College, 

Dr. Morton Coleman (PI / ES)  (212) 517-5900
Dr. John Leonard (PI / ES)  (212) 746-2932
  Specialty:  antibody-based research
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NY, New York,  
 
Memorial Sloan-Sloan Kettering Cancer Center

Dr. Carol Portlock (PI /ES)
Dr. Zelenetz (PI /ES)
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NY, Rochester
 
Wilmot Cancer Center in 
Strong Memorial Hospital

Dr. Richard I. Fisher (PI /ES) , (585) 275-0842
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NY, Staten Island
 
St Vincent's

Dr. Thomas Forlenza (718) 816-4949 
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PA, Philadelphia
 
University of Pennsylvania, 15 Penn Tower, 3400 Spruce Street, Philadelphia, PA 19104. 

 Dr. Stephen Schuster (PI / ES)  (215) 614-1846
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PA, Philadelphia
 
Hospital of the University of Pennsylvania
Abramson Cancer Center

Dr. Sunita Nasta (PI) 215-615-5858
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PA, Philadelphia
 
Fox Chase Cancer Center

Dr. Mitchell Smith, MD (PI) (215) 728-2674
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PA, Pittsburgh
 
Retina Vitreous Consultants, 412-683-5300 

Dr. Louis Lobes, MD, 
Specialty:  orbital lymphomas
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PA,  Pittsburgh
 
University of Pittsburgh Physicians, Department of Neurology, Hillman Cancer Center 5115 Centre Avenue Pittsburgh, PA 15232 Phone: 412-692-4724

Frank Scott Lieberman, MD, 
Specialty: Neuro-Oncology (PI)

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WEST / SOUTHWEST  UNITED STATES

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CA, Campbell
 
Southbay Oncology Hematology Partners, 
50 E. Hamilton Ave. Ste. 200,  Campbell, 95008

Martin Rubenstein M.D., F.A.C.P. (PI) (408) 376-2300
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CA, La Jolla
 
University of California, San Diego
Hematology/Oncology, Cancer Center & Department of Medicine,

Peter R. Holman, M.D., (PI) (858) 657-6790
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CA, San Francisco
 
Division of Hematology/Oncology, 400 Parnassus Avenue Suite A502 San Francisco, Ca. 94143-0324, Tel: (415) 353-2421, Fax: (415) 353-2467

Dr. Karin Gaensler
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CA,  Palo Alto
 
Stanford Cancer Center, Lymphoma Clinic
 875 Blake Wilbur Dr., Clinic 

Dr. Ronald Levy (PI /E) (650) 723-7621 | Web Profile 
  Specialty:  immunotherapy-based research
Dr. Sandra Horning (PI /E) (650) 725-6456 | Web Profile 
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CA, Whittier,  
Hematology/Oncology, 

Dr. Glenn Tisman (562) 789-8822
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CO, Denver
 
Rocky Mountain Cancer Centers 
1800 Williams Street, Suite 200 Denver, CO 80218

Dr. Jeffrey Matous (PI /E)
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TX, Dallas, Oncology/Hematology, Sammons Cancer Institute,
  
Baylor School of Medicine  

Mark Walberg, M.D., Ph.D (214) 370-1000
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TX, San Antonio, TX, Hematology/Hematologic Malignancy, Cancer Care Centers of South Texas, (210) 595-5300. 

Roger Lyons, M.D., F.A.C.P. (PI)
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WA
 
Univ. of Washington

Dr. Maloney, (PI / ES)  (206) 288-7400
| WebProfile
Specialty:  antibody-based research
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WA
 
Seattle Cancer Care Alliance

Dr. Oliver Press (PI / ES) 
(206) 288-SCCA (7222) Fax: (206) 288-1025  Web profile
Specialty:  Radioimmunotherapy-based research
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WI
 
Minocqua, Lakeland Center

Dr Weiss

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SOUTHEAST UNITED STATES

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FL, Ft. Lauderdale
North Broward Medical Center Cancer Center Pompano Beach,

Dr. Mayda Arias  (954) 786-6460
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MS, Jackson
Oncology Associates PLLC Dr. 1815 Hospital Drive, Jackson, MS 39204 

Dr Tammy Young (601) 373-4421 (800) 776-2378 
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NC, Asheville
Asheville Hematology and Oncology Associates, P. A

Dr. James Puckett (828) 254-8232
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SC, Charleston
Hollings Cancer Center
A National Cancer Institute Designated Cancer Center, 96

Jonathon Lucas St.  P.O.Box 250635, 903 CSB Charleston, SC 29425

Robert K. Stuart, MD 843-792-4271
Professor of Medicine, Hematology/Oncology
Director, Hematological Malignancies and BMT Programs

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MIDWEST UNITED STATES

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IA, Iowa City
 
University of Iowa Hospitals and Clinics, 

Dr. Brian Link (PI / ES) (319) 356-8508 
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IL, Chicago, Northwestern University,
The Feinberg School of Medicine, 

Dr. Leo Gordon (PI / ES) (312) 695-4546
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IL, Chicago
 
The Rush Cancer Institute

Dr. Gregory (PI / ES)
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IL, Chicago
Lurie Cancer Center of Northwestern University Medical Center, 

Dr. Steven Rosen (312) 908-5250
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IL, Chicago
 
M.D. Rush Medical Center

Dr. Stephanie Ann Gregory
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IN, South Bend
 
Michiana Hematologist/Oncologist Center, in South Bend,  

Dr. Rafat Ansari  (574) 234-5123
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IN, Indianapolis
 
Hematology-Oncology, Clarian Health-Methodist Hospital, 1704 N. Capital Ave. Indianapolis, IN 46202 (317) 962-9000

Sumeet Bhatia, MD
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IN, Indianapolis
 
Associated Vitreoretinal and Uveitis Consultants, 8704 N Meridian St. Indianapolis, IN 46260 

Ramana S. Moorthy, MD (317) 571-1501
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MI, Ann Arbor
 
University Michigan Comprehensive Cancer 

Dr. Mark Kaminski (PI / ES) 
734-647-8901
Specialty:  Radioimmunotherapy-based research
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MN, Minneapolis
 
University of Minnesota Hospitals, (612) 625-5411

Dr. Bruce Peterson (PI)
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MN, Rochester
 
Mayo Clinic, (507) 284-2511

Dr. Thomas Haberman (PI)
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MN, Rochester
  
Mayo Clinic, (507) 284-2511

Dr. Stephen Ansell (PI)
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MN, Rochester
 
Mayo Clinic, (507) 284-2511

Dr. David Inwards (PI)
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MN, Rochester
 
Mayo Clinic, (507) 284-2511

Dr. Thomas E. Witzig (PI) 
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MO, Joplin
 
Hematology/Oncology. Freeman Cancer Institute
3415 Macintosh Circle Drive
P.O. Box 2644, Joplin Missouri 64803-2644 

Dr. Tracy L. Coe, MD | (417) 782-6630 / (888) 234-3737
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MO, St Louis
 
Alvin J. Siteman Cancer Center, 4921 Parkview Place, Suite B, Floor 7, St. Louis, MO 63110 

Dr. Bartlett, Nancy Lee (PI) 
(314) 747-9281 Fax: (314) 362-1608
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NE, Omaha
 
University of Nebraska Medical Center 

Dr. James Armitage (PI / ES) 
  
(402)-559-7290, Web
Dr. Julie Vose (PI / ES)  (402) 559-3848
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OH, Columbus
 
Arthur James Cancer Hospital at OSU

Dr. Eric Kraut (614) 293-8606
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OH, Canton

Dr. James Schmotzer

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United Kingdom / Spain

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UK
 
Nottingham UK, Consultant Haematologist,
Nottingham City Hospital, 0115 9691169 

Dr. Andy Haynes
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Spain, Pamplona
 
Lab of Immunotherapy Cell Therapy Area Clínica Universitaria, University of Navarra 
Avda. Pio XII, 36 31008 Pamplona, Spain

Maurizio Bendandi, M.D., Ph.D.  (PI / ES)
Phone (+34 606 002 087)
Fax: +34 948 296 500 | email: mbendandi@unav.es 
Specialty: immunotherapy-based research
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Patient Recommended Doctors
 who Practice Integrative Medicine

Patient-recommended
doctors who practice Integrative Medicine
We define integrative medicine as the combining of evidence-based medical therapies with supportive life style approaches.
The primary criteria for entry into this list is that your doctor has demonstrated an ability to be a partner in your care and that he or she communicates your treatment options effectively and responsibly - based on best practices.  
IMPORTANT:  A responsible physician will

(1) not promote unproven alternative practice as a substitute for proven conventional therapies;

(2) will work with all your help care providers to  ensure a safe and coordinated course of care.
 We reserve the right to exclude referrals when the physician promotes  therapies or diagnostics that have not been validated by clinical studies.   

NOTE: Because we cannot verify all the recommendation received, please consider this list to be only a starting point in your search.

Send your referral in 
this format:
STATE, CITY, DR, CENTER, CONTACT INFO (date added)

Send an email referral by clicking Here 

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IMPORTANT:  A responsible physician will (1) not promote unproven alternative practice as a substitute for proven conventional therapies; (2) will work with all your help care providers to  ensure a safe and coordinated course of care.

We reserve the right to exclude referrals when the physician promotes  therapies or diagnostics that have not been validated by clinical studies.   

NOTE: Because we cannot verify all the recommendation received, please consider this list to be only a starting point in your search.

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CANADA, integrative clinic -- Conventional doctors (MD's) and so-called alternative practitioners all in the same clinic. Almost all their involvement is with cancer.  www.healing.bc.ca/index2.shtml 
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MD - University of Maryland Department of Complimentary Medicine on Kernan Drive near Security (exit 17 off 695).   Dr. Sharon Montes is very knowledgeable about all sorts of things and Dr. Maggie Covington is great at talking things through when you have information to sift through.  They both refer to a local alternative pharmacist,  Brian Sanderoff in Owings Mills. They both do acupuncture. source: -NHL-info
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NY, New York, Dr. Raymond Chang, Meridian Medical Group, (212) 683 1221 www.meridianmedical.org 
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PA - Phoenixville & Philadelphia Offices:  Ira Cantor, MD & CAM (Complementary & Alternative Medicine): Clinical Practice Director, Jefferson's Center for Integrative Medicine, Thomas Jefferson University Hospital.  Voice: (215) 879-5121 (Philadelphia) or (610) 933-1688 (Phoenixville)

The information presented on Lymphomation.org is not intended to be a substitute for  professional medical advice or to replace your relationship with a physician. For all medical concerns,  you should always consult your doctor. Patients Against Lymphoma, Copyright © 2004-2006,  All Rights Reserved.

 

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Pathology - Getting a second evaluation

Pathology - getting 
a second evaluation

Related Topics

Diagnosis & Pathology

  Getting a Second Pathology Evaluation

Prognostic indicators

Performance Standards

Diagnostic Tests

Disease Direction Indicators

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An accurate diagnosis is a key to receiving the the best treatment. We have received a good number of  reports from patients on the support lists of incorrect or missed diagnosis. Unfortunately, it is more common than we would like to think. 

Please know that your pathologist can send the slides out to the center you indicate for a nominal fee.  Insurance reimbursement is also likely.  No matter. If you can find a way to have this done, we think you ought to.

I want people to be aware of the importance of a second opinion. For almost eight years I have been treated for Mantle cell lymphoma. I was sent to a radiologist for evaluation of treatment and he questioned my diagnosis as Mantle cell is very aggressive and if I have had it for 8 years and I look so healthy, he said he has treated many patients with mantle cell I did not fit the diagnosis. He had previous biopsies sent to an entirely different hospital and have been diagnosed with low grade indolent lymphoma.

DR LEONARD: ..."  it is easy to ascertain a pathologic second opinion — it’s simply a matter of sending the slides; the patient doesn’t have to go. Generally, pathologists will discuss it with you over the phone, even if you’re at another institution. It’s not a big deal to do, and the pathology is key. I believe a pathologic second opinion is more important than another lymphoma subspecialist’s opinion. We re-evaluate a situation based on our pathologist giving us information that the primary oncologist didn’t have; therefore, I encourage patients to ascertain a pathologic second opinion. It is a relatively easy thing to do, and it gives the patients some reassurance.

I think all patients diagnosed with mantle cell lymphoma should also have a second pathology opinion. That’s a hard diagnosis to make and the implications, as far as the prognosis, are enormous. Additionally, if the disease is acting like one type of lymphoma, but the pathologist is telling you it’s another type of lymphoma, maybe that’s a red flag that you ought to have it evaluated by someone else.

Finally, gray areas exist when you see follicular and diffuse lymphomas, and you are trying to decide if transformation has occurred and whether you need to use an anthracycline — this is an area in which I would encourage a second opinion from the pathological standpoint."  meettheprofessors.com

Some contacts

See Also NCI Designated Cancer Centers
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Armed Forces Institute of Pathology offers expert pathology consultation for both military personnel and civilian cases  afip.org
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CA - UCLA - Dr. Said  healthcare.ucla.edu 
1-800-UCLA-MD1 (1-800-825-2631). or email access@mednet.ucla.edu
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CA - Stanford University - Pathology Dept Stanford
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Find Cancer Experts is a free, non-profit organization that recommends pathology experts for second opinions based on the tumor type findcancerexperts.com 
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MA - Dana Farber (866) 408-DFCI (3324)  dana-farber 
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MD - NCI - Elaine S. Jaffe, M.D. cancer.gov
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NY - NY Weil Cornell Medical Center nycornell.org
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NY - Pre-Appointment Pathology Submissions Memorial Sloan Kettering 
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TX - MD Anderson Cancer Center - Outside consultation services MDACC

Criteria

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University Teaching Hospitals

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National reputations

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Evaluate Lymphoma specimens often

Related articles

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Pathology the Gold Standard A Retrospective Analysis of Discordant Second-Opinion Lymphoma Pathology and Its Impact on Patient Care

The most common reasons for discordance were: 
   malignant non-malignant - 27 cases, 
   Non-Hodgkins Hodgkins - 14 cases, 
   lymphoma solid tumour - 18 cases and 
   more or less aggressive lymphoma - 47 cases. 

Conclusions: (1) a discordance (one pathology finding not matching a second) rate of 16% was similar to previous studies and this high rate maybe improved through centralization of lymphoma pathology;

2) these types of patients are clearly at risk for harm, as best exemplified by patients who were felt to have a benign pathology that was actually malignant;

3) Discordant pathology has clear clinical implications including serial biopsies, invasive testing and treatment delays.
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Comparison of Lymphoid Neoplasm Classification: 
A Blinded Study Between a Community and an Academic Setting 
Medscape (free login req.)  Am J Clin Pathol 115(5), 2001 
 
Summary:
188 cases evaluated
167 cases were concordant (correctly diagnosed) - 88.8%
21 cases were discordant (incorrectly diagnosed) - 12.2 %
Research News
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Research News

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How Doctors Think NPR.org 

This question, not surprisingly, spawned others: Do different doctors think differently? Are different forms of thinking more or less prevalent among the different specialties? In other words, do surgeons think differently from internists, who think differently from pediatricians? Is there one "best" way to think, or are there multiple, alternative styles that can reach a correct diagnosis and choose the most effective treatment? How does a doctor think when he is forced to improvise, when confronted with a problem for which there is little or no precedent?
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Patient-Support Tools  Medscape General Medicine [TM]

Future Directions: As limited and unsatisfying as information technology for patients has been, Blumenthal points out that the transformative potential is great. The fundamental premise of the practice and economics of medicine is a wide asymmetry of information. 
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Study: 1 in 3 doctors hides options - Physicians withhold information on treatment choices MSN.com
 
Disclaimer:  The information on Lymphomation.org is not intended to be a substitute for 
professional medical advice or to replace your relationship with a physician.
For all medical concerns,  you should always consult your doctor. 
Patients Against Lymphoma, Copyright © 2004,  All Rights Reserved.