just diagnosed with DCIS in Orlando
I'm searching for the best breast surgeon and oncologist in the Orlando area, any suggestions? Also, in limbo about choosing lumpectomy and radiation vs. single or double masectomy so I'm looking for feedback on that from those who have been through it. I know it is "pre" cancer, but it is very stressful nonetheless!
LindyL
Comments
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LindyL,
I have just been throught this! One of my most attentive friends thoughout my ordeal lives in Orlando. She's not been through it, but I'll see if anyone she knows has and get back to you.
I am not very good at making decisions, and in my case, most of my options were limited for me. I had implants prior to being diagnosed. Radiation can cause problems with implants and sometimes even using implants in the future. I did not want radiation anyway, so I went with mastectomy. Honestly, though, if I hadn't had the implants and I liked my breasts the way they were, I think I would have chosen lumpectomy and radiation. I also chose double when I could have done single so that they both would be the same and need the same type of care in the future.
I will post again if I hear something from my friend in Orlando. Good luck with your decisions.
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Hi,
I just stumbled on your post...I was in Jax when I got dx, but moved to Orlando in the middle of the mess. I used the Hematology and Oncology Clinic. My dr. is Sonalee Shroff but I was not impressed with her. She wanted to refer me out for every little problem...thinking she should have known what was chemo related and what was not on her own. There are several other dr.s there that are good...reason I say this is I picked up the Orlando magazine and it listed all the top doctors in Orlando!!! I grabbed my paper and pen and made notes. Several of the clinic drs were listed. Dr. Sonalee Shroff is prob. the newest onc in the practice. And they are freaking busy...maybe too busy.
I used Dr. Cicilioni for my ps. He is a remarkable surgeon and a perfectionist. My breast surgeon was Dr. Kamy Kemp. She was terrific and deals with people like us all day every day. The 3 of them communicate well, and if they have a question, they flip open their phone and call one another while you are there. It was reassuring.
Truth be told, it was a freaking nightmare. I did dbl mastectomy because i thought 'lets treat this once and for all' and I will get a reconstruction and no radiation. Maybe it was my age (57) and that I didn't have a husband to take good care of me and had to rely on the kindness of friends. You will need lots of care if you go that route. I THINK I would rather have done the lumpectomy, but my breast would have been pretty mutilated. For the same reasons as the person who also responded, you kinda want a 'matched pair', but there are bunches of people on the reconstruction threat that are 'uni's'.
Good luck! And good for you for trying to get info ahead of time...
edited to add: the bs will remove the breast tissue and/or lump and the ps is there at the same time and will make things pretty again
You will see your ps over and over and the bs only to take your port out (they're the ones that put it in), so choose carefully.
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I was diagnosed with DCIS Dec 2009. I had a unimast March 2010. The DCIS was extensive and lumpectomy would have left me with maybe one half of a very small to begin with breast (barely a B cup). I really did not have a choice. I am very happy with my one foob and things are going great.
I cannot help with orlando, I had my surgery in Chicago. I had an SIEAm which is very similar to DIEP. Very happy with my results. One thing you have is some time. DCIS is very slow and so there is not the urgency with other cancers. My doc even let me go on my vacation and then have surgery after. I had a trip that was planned years ahead, he said as long as i could enjoy myself knowing I was coming back to surgery, he said go for it.
I did not have chemo or rads as all docs I saw said that was not going to help me. I had a sentinel node removed and there was no sign of cancer. I am not currently on any hormone therapy.
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NWSTD - may I ask where in Chicago you had your surgery? I'm in a suburb outside Chicago, trying to decide if I'm going to stay at my local hospital or try to go elsewhere. Thanks for the info.
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Thanks for all of the info. I'm thankful I found this site! My head is spinning from trying to decifer all of the info on DCIS. The BS I went to for the biopsy didn't want to answer any of my questions, just kept telling me not to worry "you'll be fine" - she literally took my notebook with my list of questions and closed it, telling me not to look up things on the internet, yet she wouldn't take the time to explain all of the different treatment scenarios until my BRAC test comes back. I have a feeling the BRAC analysis will come back negative so I want to know as much as I can about the different options to help me with my decision without waiting another two or three weeks. It's very frustrating! Thanks for your help.
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I live in Merritt Island but work at Florida Hospital in Orlando where I was treated for my cancer. Dr. Molthrop is my oncologist and Dr. Cicilioni is my reconstructive surgeon. I can only say that Dr. Cicilioni is the best! The doctors at Florida Hospital are very, very good. Dr. Molthrop is a good doctor as well. You might want to try Florida Hospital for your treatments. They have a dedicated cancer center and the people there are wonderful.
Agada
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Hi Agada, who was your breast surgeon who did the initial? I have already met with Multhrop and like him a lot. I keep hearing he is one of the best, so that is reassuring. Thanks for any info you have!
Lindy
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Dr. Barr did my mastectomies. He is a wonderful doctor and he has a good sence of humor. He is also VERY serious about giving you the right information about the types of surgery you need. He will not make up your mind for you but you can ask him anything about what would be the best type of surgery for you. He will either agree or suggest something else for you based on family history, etc. He is also a very to the point doctor.
Sandra
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Hi LindyL,
Sorry I cannot help you with doctor recommendations in FL. I live in NJ and know what you are going through. I was diagnosed with DCIS just before the holidays. I visited several doctors, specialists, and created my own "chart" so to speak (binder with info, pathology reports, questions, notes, etc.) I took my "chart" with me to every appointment. Gathering information to make a decision about your treatment is very difficult. I am 55 years old and prior to my diagnosis, already had two wide-local excisions (surgeries in each breast) and 5 different biopsies in both breasts over the last 14 months. I also sought a second opinion at Memorial Sloan-Kettering in NYC. In the end, I decided on a double-mastectomy with immediate reconstruction. The reconstruction involves insertion of the tissue expanders and then the implants at a later date (after the muscle and skin are stretched to size I'm comfortable with). It is a very challenging time sorting through all of the information with numerous decisions. Lumpectomy or mastectomy? One or both breasts? Reconstruction - which type? etc. Please feel free to write me with any questions or feelings you are experiencing that you think I might be able to help with. My surgery was Feb 9th and I am in the healing stages. My pathology report came back with no sign of residual carcinoma in either specimen. Do I regret the BMX? In a word, No. I am finally free and will not require any radiation or chemo. I wish you the best!
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This is a very old thread, but since it came up in my Google search, I wanted to add some information.
I am located in Orlando and have been extremely impressed with my doctors so far. I'm using Marc Demers as my breast surgeon and doctors from the UF Cancer Center (was MD Anderson) at ORMC for the rest of my care. My MO Nikita Shah and RO Tomas Dvorak have been extremely helpful, and my first impression of PS Jeffrey Feiner is also positive. Anyone from Central Florida is free to message me at any point in the future with questions. I'm sure I will know more as I got through the treatment process. -
Hi irisheyes39
I just had my excisional biopsy yestarday at uf Orlando health Dr. Smith. Now I'm waiting for results. Core biopsy found 2 micro foci adh. I have breast implants and i am very scared that my results will be malignant. Radiation is not really n option for me. I'm 49 years old. .my plastic surgeon does not take ins. So maybe I'm getting ahead of myself but do you know a good ps that takes ins.
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Demers is in the same office as Smith, I believe.
As far as I know, the UF Cancer Center docs all take insurance, and Smith should work with them. My PS is Jeffrey Feiner. Who is your current PS? -
I think they scheduled me with Finner I have an appt Wed just to get more info. My excisional biopsy was totally neg. Only adh on core needle. I Don't know what I'm doing yet. Tomoxifen scares me.
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