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re: Surgeons at MD Anderson vs Oschner's NOLA ? pancreas

Posted on 3/8/15 at 12:50 pm to
Posted by LACountyTiger
Los Angeles County
Member since Nov 2013
1338 posts
Posted on 3/8/15 at 12:50 pm to
There are a couple of very good surgical oncologists at Ochsner, but I would get 2 oppinions.

MD Anderson is a great place, but they have their share of complications and bad outcomes just like everybody else
Posted by Sam Waterston
Baton Rouge
Member since Sep 2008
1992 posts
Posted on 3/8/15 at 1:46 pm to
The surgeon should be able to provide the number of cases they've done. Compare it to those at mda, but as others have said, a 2nd opinion never hurts
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
41078 posts
Posted on 3/8/15 at 1:57 pm to
Pray that it's not cancer. 90% of all pancreatic cancer diagnosis's die within a year. We lost my mother-in-law to it and recently a high school friend. My wife spends a lot of time with a charity here in Bham supporting UAB and their gastro-intestinal cancer group.
Posted by WindboyCajun
Baton Rouge
Member since Jan 2011
1056 posts
Posted on 3/8/15 at 2:07 pm to
Being a Prostate Cancer survivor, these are the facts:

M D Anderson has experienced over 3 times the cases that Ochsners may observe and the surgeons at MD Anderson have performed surgery multiple times than the local hospitals.

If you have the resources, do not hesitate to get a second opinion from M D Anderson. My hospital has always been Ochsners, but M D Anderson performed my surgery and they did great.
Posted by Old Sarge
Dean of Admissions, LSU
Member since Jan 2012
55228 posts
Posted on 3/8/15 at 2:09 pm to
This isn't even debatable.

MD Anderson
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
65547 posts
Posted on 3/8/15 at 2:12 pm to
quote:

I read Dr. Mary's Monkey and it says Oschner is the reason cancer is so prevalent today, He collaborated with David Ferrie to make weaponized cancer for use against Castro. I also always eat at least a handful of stupid pills every day. That's why I posted this trivial irrelevant bullshite here today.


FIFY

OP: MDA as you would always wonder if you should have gone there if things locally do not go well.

Good luck.
Posted by Grassy1
Member since Oct 2009
6250 posts
Posted on 3/8/15 at 2:13 pm to
quote:

But the other thing that's important is the location of tumor in pancreas is it in the head, body, or tail? Makes a difference in the surgical procedure needed. Having said that, I'm sure ochsner has someone who can do the surgery but I doubt they doubt they do 1/4 of the amount they do at mda.


Mass is in the head. Deemed stage T3, if cancerous.

Thanks for everyone's advice and prayers. I'll meet with my parents in the morning and discuss pursuing some advice by MDA. Maybe we will get biopsy results tomorrow also.

I guess I'll find out soon enough if their insurance will cover review/treatment from MDA also.
Posted by 20MuleTeam
West Hartford
Member since Sep 2012
3862 posts
Posted on 3/8/15 at 2:14 pm to
Go to Houston now, don't listen to any contrary opinions or think about it
Posted by yellowfin
Coastal Bar
Member since May 2006
97618 posts
Posted on 3/8/15 at 2:21 pm to
If it was me I'd be at MDA
Posted by tigerfan4120
Member since Dec 2003
3262 posts
Posted on 3/8/15 at 2:36 pm to
Try to get an appointment with Bolton/Conway at Ochsner and whomever their equivalents at MDA are, if that is feasible. Review the scans and treatment options with both groups and then go with the doctor you are most comfortable with.

Ochsner gets referrals from the entire gulf coast for pancreatic cancer and I believe they had a higher pancreatic surgical numbers compared to their colleagues at MdA this past year.

Treatment is standardized and as long as you go to a high volume center your dad will be in good hands.
Posted by BeachDude022
Premium Elite Platinum TD Member
Member since Dec 2006
34802 posts
Posted on 3/8/15 at 3:30 pm to
MD Anderson is no different than any other cancer hospital out there. Their research is unbelievable, but their docs are just as good and sound as Oschner.
Posted by BR Tiger
Baton Rouge
Member since Mar 2004
4157 posts
Posted on 3/8/15 at 3:54 pm to
Get the surgery done wherever you feel comfortable and the surgeons have a high volume of pancreatic surgeries.

For treatment get that in BR. Your dad will have access to the same treatments and will be able to be at home. That is a huge deal.

Mary Bird Perkins-OLOL fies great work and the quality of care is as good as anywhere. MDA refers most "routine" patients from the area there for treatment. Many of the docs trained at MDA and are still "in the loop" if consultation is needed- usually only needed if there is a specific clinical trial that might potentially be applicable.
Posted by 4LSU2
Member since Dec 2009
37317 posts
Posted on 3/8/15 at 4:35 pm to
Prayers sent to you and your family, man.

My only advice is to load them up ASAP and get to MDA before it is too late. They can work miracles when there is no hope. My best friend of many years went to MDA when it was too late and hopeless. They sent him home the same day they saw him. Hindsight being 20/20, I wonder daily if things were different had he gone there 8 months prior.

Posted by BayouCatFan
Member since Jul 2008
4580 posts
Posted on 3/8/15 at 4:49 pm to
There should not even be a discussion. MD Anderson is the way to go. My closest friend was diagnosed with Stage 3 pancreatic cancer. The local surgeon was scheduled for surgery to remove the tumor, but we got into MD Anderson the day before actual surgery. Doctors at MD Anderson told us she would have died on the table.

MD Anderson is a cancer treatment hospital. They are fantastic with helping with the emotional trauma of a cancer diagnosis. My friend lived 17 months when she was only expected to live 3-6. I credit MD Anderson for her extra time.
Posted by Sentrius
Fort Rozz
Member since Jun 2011
64757 posts
Posted on 3/8/15 at 5:21 pm to
My uncle practically lived at MDA for much of the past few years fighting a very aggressive blood cancer and while it wasn't enough to save him, it did extend his life to a couple more years and a half and that was enough to see his daughter graduate from high school. Those extra years were pretty comfortable for him until the last couple months until he died just this past december.

If it were any other hospital, my uncle would've died a few years ago. I credit MDA for enabling my cousin to have the memory of her father at her graduation and my aunt being able to experience her 30th wedding anniversary with her husband.
Posted by O
Mandeville
Member since Oct 2011
6449 posts
Posted on 3/8/15 at 5:33 pm to
Prayers sent. I lost my grandfather to pancreatic cancer, it's no joke. I wish your father a speedy recovery wherever you choose to do the procedure.
Posted by Toula
504
Member since Dec 2006
35399 posts
Posted on 3/8/15 at 5:48 pm to
quote:

He is not the surgeon, and we will meet with the surgeon Thursday


Hold-off until you meet with the surgeon. It'll be either Dr Bolton or Conway, both are top-notch.

I've had two family members see Bolton for pancreatic cancer. One had the whipple and his back to near 100%. Unfortunately, the other wasn't curable but he and his nurse continued to check on her.

If you dig into their quality numbers, specifically for the whipple procedure, it's right there with MDA.
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
140462 posts
Posted on 3/8/15 at 5:53 pm to
Get a second opinion.

Also I personally would just let Oschner do it if I trusted their ability. We can all split hairs but you need to factor in the availability, travel, and the stress all that can bring.



Naaa frick it, fly him up to Sloan in NYC


Great vibes are being sent your way. I hope the very best for your family going through this.
This post was edited on 3/8/15 at 5:54 pm
Posted by Slinky
Member since Dec 2013
3118 posts
Posted on 3/8/15 at 6:34 pm to
Ochsner is one of the finest medical facilities you will find. I highly recommend them.
Posted by SuperSaint
Sorting Out OT BS Since '2007'
Member since Sep 2007
140462 posts
Posted on 3/8/15 at 6:39 pm to
quote:

Ochsner is one of the finest medical facilities you will find. I highly recommend them.

You will find the same level of doctors at Ochsner with the same amount of experience as you will at Hopkins, Sloan, MDA, Mayo, UCSF, etc. The main differences in these hospitals is research but all the top doctors are in the loop so to speak.

I think when it comes down to the top echelon hospitals, which Ochsner is one, You need to start thinking about convenience, drive time, comfortability and things like that.
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