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Lymphomation.org or Support > Doctors and Centers

Last update: 05/04/2008  

Find Doctor | Communicate with DoctorsFinding Specialists | Cancer Centers 
Patient-recommended Lymphoma Oncologists by State | Integrative 
Pathology - getting a second evaluation
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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)?

* offer radioimmunotherapy (nuclear medicine) 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?
On Optimizing Office Visits:

This is a reminder that our physicians have many patients and the day is short - and that your records are probably stored in an impenetrable stack, with but one piece of the picture visible to the eye. So arranged, trends can be impossible to see. And it could be that if you do not connect the dots that nobody will.

Think like a corporation: Produce the reports - the chronology of tests, treatments, lab results, and outcomes that show the trends.
Prepare your lists of questions, medications, events, and allergies. Provide a summary of your goals. Provide information on the 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. 

Be respectful of your doctor's time. Ask if it's a good time to ask questions ... 

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

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Getting an accurate diagnosis and finding a cancer expert can be be critical to receiving optimal care.  

We highly recommend the Cancernet service for Finding Board-Certified Oncologists, and the LLS information about Choosing a Specialist

Finding and Choosing a Qualified Doctor

To locate Board-Certified oncologists in your state: 
  * Click Cancer.net  
    From Cancernet:
        * Select City and State, 
        * Check category (Oncology, Oncology/Hematology), 
        * Click GO.
New: Compare health care providers  ucomparehealthcare.com

Disclaimer: We cannot verify the criteria used to determine ratings.
Search the Cancer.org Hospital Locator 

A database of more than 1,400 cancer hospitals that meet the guidelines and reporting standards of the American College of Surgeons' Commission on Cancer (CoC).
Find a doctor who specializes in neuropathy  neuropathymd.org 
Choosing a Specialist  LLS

This link provides valuable information about the qualities that make an excellent doctor.
Resources for Finding and Evaluating Doctors and Centers:
(Provided by Carol Lee)
Search for ACR accredited Diagnostic Imaging Centers 
“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
Best doctors bestdoctors.com/bd/default.htm  
Radiation Specialists lymphomahelp.org
Centers that run Clinical Trials for Lymphoma

Centers that Administer Bexxar by State | Site Locator 

Centers that Administer Zevalin by State  | Site Locator

Rates hospitals for various procedures healthgrades.com     
Access to disciplinary reports docinfo.org   
Licensing, background, and disciplinary information on physicians docboard.org   
Resources for Physicians PAL

Optimize Consults | Drug / Supplements Interaction  
Clinical Trials for Lymphoma
| Resources 
 
 
Leads on Locating Specialists
Scientific Advisory board LRF 
CLL experts and centers cll.ucsd.edu 
Stem cell transplant advisory board BMT Info
SPOREs for Lymphoma - Specialized Programs of Research Excellence PAL
 
See patient-recommended doctors Below

Communicating with your doctor

Discussing CAM with your doctor scienceblogs.com:80/terrasig 

Doctor to patient relationship PAL
 
Guidance on how to communicate with your doctor, and how to create a support team to optimize your care.  

Questions for your doctor a categorized checklist 

PAL
| PDF brochure 
Questions related to treatment, side effects, and general questions.

Questions for Doctors - A Checklist PDF (printable brochure)

When should I consider a clinical trial? PDF brochure
Questions for your doctor.

A checklist for doctor visits PAL

'The Smart Patient: How to Get the Best Care NPR.org 

"From how they talk to doctors to what they read, patients can strongly influence the level of care they receive."

Treatment Diary - includes common questions to ask your doctor PAL

TOPIC SEARCH: 
Patient/doctor relationship - Medscape
Nurses perspectives - PubMed
Shared decision-making - PubMed
  | Web

Cancer Centers

Cancer Centers
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Patient Recommended Lymphoma Specialists

Patient-recommended
oncologists
The criteria for this list is that your oncologist is respected by his or her peers, and has demonstrated a willingness to be a partner in your care:  that he or she communicates the pros and cons of both standard and investigational  treatments  effectively - mindful of how they relate to the true risks of the disease,  the clinical details, and your treatment priorities.  
 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 (PI), CENTER, CONTACT INFO (date added)

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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These physicians, listed in State/Country order, have made at least one patient very happy with the services they provide. Doctors marked in blue conduct clinical research and may have access to and information about emerging therapies. PI means that this physician also conducts lymphoma-specific clinical research.

LIMITATIONS: The list isn't comprehensive because it's based on  submission by patients, and so excellent oncologists may not be included simply because patients haven't yet taken the time to tell us.

The list can't be considered completely reliable either because the quality of individual consults are somewhat dependent on our skills too: the questions  we ask, our communication skills, and also luck - such as when the doctor  has lots of time that day. ... That is to say: results will vary 

 

Canada, B.C., Dr. Joseph M. Connors (PI), B.C. Cancer Agency, Vancouver, (604) 877-6000 Local 2746....
Canada,  Dr. Pierre Laneuville is an Associate Professor in the Department of Medicine and Oncology at McGill University 
Canada, Dr. Jean Roy (who practices out of hospital Maisonneuve) jean.roy@ssss.gouv.qc.ca 
CA - Stanford, Dr. Sandra Horning - Stanford Cancer Center, Lymphoma Clinic,  875 Blake Wilbur Dr., Clinic C , (650) 725-6456 | Web Profile 
CA - Campbell, 95008, Martin Rubenstein M.D., F.A.C.P. (PI), Southbay Oncology Hematology Partners, 50 E. Hamilton Ave. Ste. 200, (408) 376-2300
CA, La Jolla, Peter R. Holman, M.D., (PI); Hematology/Oncology, Cancer Center & Department of Medicine, University of California, San Diego, (858) 657-6790
CA - Stanford, Dr. Ronald Levy - Stanford Cancer Center, Lymphoma Clinic,  875 Blake Wilbur Dr., Clinic C, (650) 723-7621 | Web Profile
CA, San Francisco, Dr. Karin Gaensler, Division of Hematology/Oncology, 400 Parnassus Avenue Suite A502 
San Francisco, Ca. 94143-0324, Tel: (415) 353-2421, Fax: (415) 353-2467
CA, Whittier, Dr. Glenn Tisman, Hematology/Oncology, (562) 789-8822
CO, Denver Dr. Jeffrey Matous, Rocky Mountain Cancer Centers 1800 Williams Street, Suite 200 Denver, CO 80218
CT - Francine M. Foss, MD - Yale Cancer Center, New Haven
Presented at Clinical Applications Conference; Expert in CTCL - Cutaneous T-cell Lymphomas | Web Profile
DC - Dr. Cheson is Professor of Medicine, Head of Hematology, and Director  of Hematology Research, Georgetown University Medical Center - Lombardi Comprehensive Cancer Center, 3800 Reservoir Road, NW Washington, DC 20007, (202) 444-2223
FL, Ft. Lauderdale, Dr. Mayda Arias, North Broward Medical Center Cancer Center in Pompano Beach, (954) 786-6460
IA, Iowa City, Dr. Brian Link (PI); University of Iowa Hospitals and Clinics, (319) 356-8508
IL, Chicago, Dr. Leo Gordon, Northwestern University, The Feinberg School of Medicine, (312) 695-4546
IL, Chicago, Dr. Gregory (PI), The Rush Cancer Institute
IL, Chicago, Dr. Steven Rosen, Director Lurie Cancer Center of Northwestern University Medical Center, (312) 908-5250
IL, Chicago, Stephanie Ann Gregory, M.D. Rush Medical Center
IN, South Bend, Dr. Rafat Ansari at the Michiana Hematologist/Oncologist Center, in South Bend,  (574) 234-5123
MA, Boston,  Dr. Arnold S. Freedman, Dana Farber Cancer 
Institute  44 Binney Street Boston, MA, 02115 Mailstop: Dana 521
Phone: (617) 632-3441 Fax: (617) 632-5235 arnold_freedman@dfci.harvard.edu | Web Profile
MI, Ann Arbor, Dr. Mark Kaminski; University Mi Comprehnsv Cancr 
734-647-8901
MN, Minneapolis, Dr. Bruce Peterson (PI); University of Minnesota Hospitals, (612) 625-5411
MN, Rochester, Dr. Thomas Haberman (PI); Mayo Clinic, (507) 284-2511
MN, Rochester, Dr. Stephen Ansell (PI); Mayo Clinic, (507) 284-2511
MN, Rochester, Dr. David Inwards (PI); Mayo Clinic, (507) 284-2511
MN, Rochester, Dr. Thomas E. Witzig (PI) Mayo Clinic, (507) 284-2511
MO, Joplin, Dr. Tracy L. Coe, MD, Hematology/Oncology. Freeman Cancer Institute 3415 Macintosh Circle Drive P.O. Box 2644, Joplin Missouri 64803-2644 (417) 782-6630 / (888) 234-3737
MO, St Louis, Dr. Bartlett, Nancy Lee (PI), Alvin J. Siteman Cancer Center, 4921 Parkview Place, Suite B, Floor 7, St. Louis, MO 63110 (314) 747-9281 Fax: (314) 362-1608
MS, Jackson, Dr Tammy Young, Oncology Associates PLLC Dr. 1815 Hospital Drive, Jackson, MS 39204 (601) 373-4421 (800) 776-2378 
NC, Asheville, James Puckett, Asheville Hematology and Oncology Associates, P. A., (828) 254-8232
NE, Omaha, Dr. Julie Vose (PI); University of Nebraska Medical Center, (402) 559-3848
NJ, Forked River, Dr. Sara Jane McGee, Hematology Oncology Associates of Ocean County, (609) 693-2000
NJ, New Brunswick, Dr. James Salwitz, Robert Wood Johnson Hospital, The Cancer Center of NJ
NJ,  Morristown, Dr. Charles Farber, Carol G Simon Cancer Ctr
PO Box 1089 100 Madison Ave Morristown, NJ 07962-1089
NY, NYC, Dr. Morton Coleman, NY Presbyterian Hospital-Cornell Campus, (212) 517-5900
NY, NYC, Dr. John Leonard (PI), NY Presbyterian Hospital Weil Medical College, (212) 746-2932
NY, New York, Dr. Carol Portlock (PI), Memorial Sloan-Sloan Kettering Cancer Center, (212) 639 8109 
NY, Rochester, Dr. Richard I. Fisher, Wilmot Cancer Center in 
Strong Memorial Hospital, (585) 275-0842
NY, Staten Island, Dr. Thomas Forlenza, St Vincent's, (718) 816-4949 
OH, Columbus, Dr. Eric Kraut, Arthur James Cancer Hospital at OSU, (614) 293-8606
OH, Canton, Dr. James Schmotzer
PA, Philadelphia,  Dr. Stephen Schuster, University of Pennsylvania, 15 Penn Tower, 3400 Spruce Street, Philadelphia, PA 19104. (215) 614-1846
PA, Philadelphia, Dr. Mitchell Smith, MD (PI), Fox Chase Cancer Center, (215) 728-2674
TX, Dallas, Mark Walberg, M.D., Ph.D; Oncology/Hematology, Sammons Cancer Institute, Baylor School of Medicine, (214) 370-1000. 
TX, San Antonio, TX, Roger Lyons, M.D., F.A.C.P. (PI); Hematology/Hematologic Malignancy, Cancer Care Centers of South Texas, (210) 595-5300. 
UK - Nottingham UK, Andy Haynes, Consultant Haematologist, Nottingham City Hospital, 0115 9691169
WA - Dr. Maloney, (PI) Univ. of Wash,  (206) 288-7400 | WebProfile
WI, Minocqua, Dr Weiss, Lakeland Center

Patient Recommended Doctors who Practice Integrative Medicine

Patient-recommended
doctors who practice Integrative Medicine
We define integrative medicine as the integration of evidence-based complementary medical therapies and supportive life style approaches into conventional patient care.
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.  
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.

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 
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
NY, New York, Dr. Raymond Chang, Meridian Medical Group, (212) 683 1221 www.meridianmedical.org 
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.

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.

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

University Teaching Hospitals

National reputations

Evaluate Lymphoma specimens often

Related articles
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 aggressive lymphoma 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.

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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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?
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. 
Study: 1 in 3 doctors hides options - Physicians withhold information on treatment choices MSN.com
 
Disclaimer:  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.