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Thread: Medical Stuff

  1. #1
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    Default Medical Stuff

    I had reason recently to need medical attention.

    At my annual skin checkup, they tested two spots that were found :
    One was basal cell cancer, the other was melanoma..... small scrapes off my back for biopsy.

    The melanoma rule is that over 1mm is considered dangerous
    Don't ask me why .9999mm and 1.00001mm differ.... an arbitrary number, I suppose.
    Mine was 1.22mm


    This happened in the US...... I was already here (RD) when the results came.
    I hemmed and hawed about seeing the doctor in May when i return.
    He blasted me (known him for years) and said - NOW!!

    You need a surgical oncologist and a sentinel node biopsy.

    Sentinel node biopsy involves injecting a dye and tracking it to the nearest lymph node.
    Then remove and biopsy that node.
    If malignant - follow to the next and repeat- and so on.

    Through DR1 , I was referred to a dermatologist to remove the affected skin and biopsy it further.
    Six stitches for each removal and a negative biopsy report..... nada, zero cancer.

    Of course, I'm ready to walk at this point.

    I call back to my US doctor and back him up with my Cdn one.
    Both yell back about the sentinel node biopsy.

    OK,
    My dermatologist forwards me to the surg/oncol guy.

    He sees me and sends me for a 'gamagraphia'..... like immediately....
    Point here is that all this happens so smoothly & quickly in RD.....
    Canada? Never fast.

    Gamagraphia is nuclear.... radioactive dye and a full body scan.... not invasive and not costly.
    A $5million machine....... The imaging center i used was CIMEN in STI

    The scan covers every organ in your body.

    Clean , I am ......... and all done in a flash.
    Not to say the waiting period isn't fraught with demons (my brother died of Lymphoma) but all in all, relatively painless.

    RD has some excellent doctors, facilities and equipment.
    I strongly doubt that my Cdn hospital has a Gamma Scanner.... I will check.

    For anyone interested, the dermatologist is listed in the residents' forum.... Dra Yunen.

    If I can steer anybody to help..... I'm happy to help.......... as i was helped.
    Thank you HB.

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  3. #2
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    I had a basal cell carcinoma removed from my chest about five years ago. My skin is very badly sun damaged due to excessive tanning up until my early 30s and that was a wake-up call. I live near some of the world's best beaches but rarely go to the beach now.

    Moderator East Coast Forum

    www.DR1.com

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  5. #3
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    this is the best thing about dominican health insurance: immediate access to any specialist and any diagnostic. few months ago i felt a lump on my breast. went to see my doctor, he immediately sent me for mammography, ultrasound and a battery of tests. all covered by insurance, even the mammography which in europe is a problem for women my age.

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    Hope all is well.

    Sent from my SM-G386W using Tapatalk

  8. #5
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    I'm busy now but will report the insurance side of the story later.

    Agreed dv8..... smooth as silk... the whole thing.

    In other countries you sweat it out waiting for attention.... never here

    Smooth as silk.......... glad your breast is better..... lol

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  10. #6
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    Quote Originally Posted by william webster View Post
    I had reason recently to need medical attention.

    At my annual skin checkup, they tested two spots that were found :
    One was basal cell cancer, the other was melanoma..... small scrapes off my back for biopsy.

    The melanoma rule is that over 1mm is considered dangerous
    Don't ask me why .9999mm and 1.00001mm differ.... an arbitrary number, I suppose.
    Mine was 1.22mm


    This happened in the US...... I was already here (RD) when the results came.
    I hemmed and hawed about seeing the doctor in May when i return.
    He blasted me (known him for years) and said - NOW!!

    You need a surgical oncologist and a sentinel node biopsy.

    Sentinel node biopsy involves injecting a dye and tracking it to the nearest lymph node.
    Then remove and biopsy that node.
    If malignant - follow to the next and repeat- and so on.

    Through DR1 , I was referred to a dermatologist to remove the affected skin and biopsy it further.
    Six stitches for each removal and a negative biopsy report..... nada, zero cancer.

    Of course, I'm ready to walk at this point.

    I call back to my US doctor and back him up with my Cdn one.
    Both yell back about the sentinel node biopsy.

    OK,
    My dermatologist forwards me to the surg/oncol guy.

    He sees me and sends me for a 'gamagraphia'..... like immediately....
    Point here is that all this happens so smoothly & quickly in RD.....
    Canada? Never fast.

    Gamagraphia is nuclear.... radioactive dye and a full body scan.... not invasive and not costly.
    A $5million machine....... The imaging center i used was CIMEN in STI

    The scan covers every organ in your body.

    Clean , I am ......... and all done in a flash.
    Not to say the waiting period isn't fraught with demons (my brother died of Lymphoma) but all in all, relatively painless.

    RD has some excellent doctors, facilities and equipment.
    I strongly doubt that my Cdn hospital has a Gamma Scanner.... I will check.

    For anyone interested, the dermatologist is listed in the residents' forum.... Dra Yunen.

    If I can steer anybody to help..... I'm happy to help.......... as i was helped.
    Thank you HB.
    Ironic, cousin had same procedures done past week In Boston with exception it took ten days from excision to getting final result Man, it's great to know all is clear but they sure want to use every single machine available Though he was “clean” the following information is disheartening The annual incidence rate of melanoma is 1 per 100,000 in blacks, 4 per 100,000 in Hispanics, and 25 per 100,000 in non-Hispanic whites.

    The overall average 5-year melanoma survival rate for African Americans is only 70 percent, versus 93 percent for Caucasians.

    Kind of like your chances of getting it if you are black are much lower but if you do, pretty good chance of dying Not sure if this is better or not (If you are AA)

    In any event, happy for you WW

  11. #7
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    I am very happy for you William and agree on the med system here - trust me you dont want melanoma....tom

  12. #8
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    40-50% of the population over 65 gets melanoma.

    Learning that was a comfort..... I was not a 'rare 'case.

    Tom, my process was slowed only by the Christmas/New Years season.

    My derma appt was within 2 days of contacting her.
    The excision was that same day........ 8,000 pesos each and 3,000 for the biopsy...= 19,000 total.

    Results came a day ahead of Christmas and I was scanned Jan 13th.... Doctor's appt the afternoon before.

    Very efficient - in all ways.

    Imagine the cost of a traditional sentinel node biopsy....
    Surgeon operating, in an operating theater with biopsy equipment at hand and a possible overnight stay.

    Scan was faster, and more thorough.........IMO

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  14. #9
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    Glad to know that everything worked out okay and thank you for posting your experience. Could you provide contact details for
    Dra Yunen. Thanks!

  15. #10
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    Dra. María C. Yunén
    Cutis Dermo-Estetica
    Calle Puerto Rico (off Juan Pablo Duarte in front of the Unión Médica)
    809 581 9797

    Santiago.
    Google her but use a 'HotMail' e-mail not her G-Mail acct.... that cost me 2 days.

    Dra Solange Reynoso is in the office too..... she did my work
    Not much English

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