Philadelphia -Help with best surgeon

Discussion Board Forums Introductions! Philadelphia -Help with best surgeon

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  • #92049
    jreedhack
    Spectator

    Marion,

    Thank you for responding I agree with what you said it depends on the skills of the surgeon, which I do believe Dr. Kato has after doing so much research on him. The surgeon, my mom’s first opinion, I truly do not believe is a skilled surgeon doing complex surgeries-especially the complexity of the liver. I find this as I was told by another surgeon who is CA that the surgeon she went to does mostly pancreatic. Of course that is a surgery but does not have all the complexities that the liver as with veins, etc. Another reason why I know he is not the right surgeon for her is that her main Oncologist said that he will only refer to another surgeon within the University of Pennsylvania and if her first opinion surgeon, Dr. Jeffrey Drebin, who no one seems to know on this forum, doesn’t feel he can do the surgery after her scans that will be done the last week in April than he could see if another surgeon, who is a more aggressive liver surgeon, Dr. Douglas Fraker would do it. However, he doubts he will since they are colleagues. So, right then and there I know that he is not the one, neither of them are and Dr. Kato has the experience with the liver, has done the complex surgeries, reviewed her scans after her first round of chemo and said he could do the surgery then, so he will have all her new scans when she goes and sees him in person on the 9th of May.

    I know so many people think of the University of PA as a top hospital but it is quite amazing how it is not even mentioned by anyone in the forum. (I know of it because I live in Philadelphia.)

    Thanks,
    Jennifer

    #92048
    marions
    Moderator

    Jennifer…..I am not an expert and can only bring a layman’s view to this question. Several have had resections involving the vena cava whereas some have not and not all report back to us.

    You may want to post a new thread addressing the entire community with the subject of “vena cava” and perhaps others can share their thoughts with us.

    What I do believe though is that some surgeons are particularly skilled performing complex surgeries whereas others are not.

    Is Dr. Kato repeating the scans?

    Hugs
    Marion

    #92047
    jreedhack
    Spectator

    Marion
    In my readings on the board I did not see anyone that had a resection when the tumor was near the vena cava or part in right n part in left love. Have u seen it? I have spoken to Dr. Yuman Fong who is now at the City of Hope in CA that is how I found Dr.Kato in NY. Dr. Fong said that no matter where the tumor is located even near the vena cava it can be resected as they have come along way over the past year/s in surgeries for CC. Dr. Kato reviewed Her scans that were blurry to him and he said he could resect so consult May 9th with Dr. Kato.

    Curious of what u have learned about resections n near the vena cava.

    #92046
    marions
    Moderator

    Jennifer….You are welcome. Your Mom must be so proud of you. Dr. Kato is one of several highly experienced biliary surgeons, but most (not all ) are practicing in major cancer centers. I am happy to hear that your Mom agreed to trust Dr. Kato with this complex procedure.

    You would want to address molecular analyses of your Mom’s tumor. Most centers test for molecular alterations (most likely 50 panels,) but I would make sure to request additional tumor testing. The test must be performed in a lab that has obtained CLIA certification, CAP accreditation and for labs offering services to residents of New York, accreditation from the state of New York.

    Tons of good wishes,
    Hugs,
    Marion

    #92045
    jreedhack
    Spectator

    Thank you so much, Marion for posting this web presentation by Dr. Tomoako Kato. I read so much about him and was feeling he was surgeon for my mom and this confirms it even more knowing that you had his presentation on here.

    I emailed a month or more ago and he emailed me back and I sent him my mom’s scans and he said he can do the resection. I am going to schedule the appointment for last week in April or the first week in May since she needs to have her last 2 chemo treatments and then repeat scans the last week in April.

    He is an unbelievable surgeon from just reading about him. He is the only doctor that someone has recognized on this board of all the ones I mentioned.

    Thank you, Thank you!

    Thank you,
    Jennifer

    #92044
    marions
    Moderator
    #12344
    jreedhack
    Spectator

    Hi, I am new to the board so I am hoping you will be able to help me. My mom was diagnosed in late November with CC after found by CT coincidentally n then MRI and biopsy confirmed . She saw Dr. Jeffrey Drebin at Abramson CC in Philadelphia who said that he couldn’t do surgery at that time as it was too big 9 x 11 cm n wrapped around the vena cava. So he sent her to Dr. Mark O’Hara Oncologist at Abramson who started her on 6 cycles of Gemzar/ Cisplatin. She is getting treated at one of their satellite office n the doctor there added one more cycle since she was doing so well with the chemo. She had repeat CT n PET’s on Feb 22nd which showed 30% shrinkage of tumor down to 6 x 8 and the uptake was down from19.8 to 9. The doctor there started her on another round as myself, my sister n my dad worked on getting in touch with Dr. O’Hara he said he is very pleased with results. ( btw no mets) he finally got in touch with Dr. Drebin who loved the results and wants to see if more shrinkage can happen before he does surgery. My mom of course just wants the tunit out of her. Does anyone know anything about Dr. Drebin, does this seem right? I was in touch with Dr. Fong who was mentioned on this board but he is now in California which my mom refuses to go to. But I also saw Drs. K. Tomoako n Dr. Edmond mentioned. Did anyone hear of Dr. Samstein at Cornell or Dr. Jeffrey Allen? I just am trying to find the best n definitely want a second opinion. Looking forward to comments back. Thanks

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