Charleston Bound, part 2

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  • Kat-ski
    Kat-ski Member Posts: 212
    edited October 2013


    That is what I heard. I went for a consult with Dr. Kline in August which went fine but not for me. PRMA is another good one with is in network with most insurances and the the doctors have a range of knowledge. NOLA has not responded yet to insurance but I have just decided to go to PRMA b/c I have family there and will need the support after surgery. I think you just have to call,email and talk then make up your mind. Good luck for whatever you decide but do what is right for you. You will know in your gut. Kat

  • MartyJ
    MartyJ Member Posts: 1,859
    edited October 2013


    NOLA is excellent, as is Dr. Marga Massey (she operates with the team in NOLA and in Charleston). Insurance coverage is a challenge anywhere you go. Consult with your top choices and then make the decision. Personally, I love Dr. M.

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited October 2013


    I'm partial to Dr Kline. :)


    Insurance is NOT a problem with Dr Kline and Craigie. They take ALL insurance and do not balance bill. They only work with breast cancer patients which makes a huge difference in my opin. Very down to earth doc, emails with me all the time, operates in a beautiful regional hospital with all private rooms with nurses trained in their reconstruction of natural breast recon specialty using flaps. They do DIEP, SGAP, PAP. No trams or lat flaps!


    Warm wishes with your research and decision.

  • rdgc
    rdgc Member Posts: 93
    edited October 2013


    Thank you. I guess it depends on your insurance too, but I wonder how much the insurance will cover. I mean if they have private rooms, I wonder if even really good insurance would cover that part...

  • rdgc
    rdgc Member Posts: 93
    edited October 2013


    Does anyone know of an excellent plastic surgeon California or the San Francisco area?

  • montrial
    montrial Member Posts: 48
    edited October 2013
    I am scheduled for Stage 1 DIEP with Dr. Craigie, Charleston, this November. In my research I contacted NOLA and Dr. Massey's offices. Neither was willing to take my insurance -- even though it is the best coverage available. I was losing hope for a DIEP when I contacted Dr. Robert Allen's office -- the doctor who developed these procedures. He recommended Drs. Kline and Craigie in Charleston. Both of them trained under Dr. Allen (as did Dr. Massey and the doctors in NOLA). I travelled to Charleston to meet the doctor in person and was very impressed with Dr. Craigie, his staff and the facilities. I have since spoken with several breast cancer survivors who have had their reconstruction performed by Drs. Kline and Craigie (they operate together) and who profess wonderful results and have nothing but high praises for this team. They also accepted my insurance. So for me, it is a wholehearted "GO" for Stage 1 DIEP with Dr. Craigie November 7th. Good luck as you pursue your options, but I don't think you could go wrong with Drs. Kline and Craigie, Dr. Massey, or the doctors in NOLA. It will probably come down to your insurance. Montrial
  • Catie2013
    Catie2013 Member Posts: 1,023
    edited October 2013


    I too had my reconstruction done with Drs Kline and Craigie and had no problem with insurance covering all of my hospital stay (private room, GREAT MATTRESS, and wonderful care) at 100% after I met my deductible - I think it makes a difference what your individual insurance plan covers or not. Mine pays 100% after deductible is met for in network hospitals. I live in GA and the SC hospital was covered.


    I am 1000% pleased with my procedures, Drs, and hospitals. So much in fact that I am willing to drive 6 hours to get to them!


    Hope all goes well in your search, and Montrial in your upcoming surgery!


    Hugs


    Catie

  • lbrewer
    lbrewer Member Posts: 766
    edited October 2013


    New Orleans definately has a good reputation, but you will find the women on this thread chose Charleston, many of is in lieu of NOLA.. After speaking with the NOLA docs myself, I chose Dr. Kline. To me NOLA was more of a business, and Dr. Kline an extremely talented surgeon who truly cares about his patient. You have to make the choice that seems right to you but you will be doing yourself a grave disservice if you do not include Dr Kline and Cragie in the equation.

  • cascader
    cascader Member Posts: 599
    edited October 2013


    I agree with what the others have said about Kline and Craigie, but I am partial as I had a wonderful experience with these two docs, their fun and friendly staff, and East Cooper hospital. I live in Wash state and my insurance like Caties paid everything once I met my deductible. I think you should contact all of the mentioned docs and go with what works best for you , insurance, location , etc ,but most importantly trust your instincts. I don't think you can go wrong with Nola but I ultimately chose Dr Kline because of his down to earth and caring attitude , no ego, no big head. Good luck with your research, once you make a decision don't second guess yourself, it can drive you crazy. :)

  • Cherrie
    Cherrie Member Posts: 1,423
    edited October 2013


    you can not go wrong with any of the doctors in Charleston, NOLA, and PRMA. It all boils down to insurance.

  • Davy
    Davy Member Posts: 114
    edited October 2013


    Crs319, about six months ago I became a vegetarian and iron absorption is more difficult to obtain from plant foods. Here's a few tips that I've read. Vitamin C will increase the absorption of heme and non heme iron (the kind found in plants), but calcium and the oxalates found in some foods will inhibit it. Oxalates are in kale, nuts, spinach, beets and a few other foods.


    So if you take an iron supplement with orange juice make sure the juice doesn't have added calcium. And make sure you avoid calcium rich foods or drinks and caffeine for an hour and a half. AND avoid eggs after iron intake because they, too, block absorption. AND avoid the oxalate containing foods.


    I find it easier to eat, say, a banana between meals and take a vitamin c supplement or drink some oj. Then at night I'll take a couple tbl of molasses with a little oj before going to bed.


    It's difficult to remember all this at first, but once you have done it for awhile, like anything else, it becomes second nature. I hope this helps a little.


    Cheers,


    Davy

  • rdgc
    rdgc Member Posts: 93
    edited October 2013


    Hi: I am considering SGAP. Can you share your experience with me?

  • cascader
    cascader Member Posts: 599
    edited October 2013


    Hi rdgc, I had a unilateral Sgap a year ago last June and very happy with results. No regrets. Lots of info on these boards but feel free to PM me if you would like. I am not on here as much as I used to be but check in every so often and would be happy to answer any questions.

  • Davy
    Davy Member Posts: 114
    edited October 2013


    Rdgc - I just PM'd you. If you have specific questions I'll answer whatever I can and I'm certain the other SGAPers will, too.

  • rdgc
    rdgc Member Posts: 93
    edited October 2013


    Thank you Davy, I appreciate reading about your experience! Also, I am wondering if anyone ever has to do surgery for any reason after the SGAP. I wonder if there is ever any kind of complication...

  • Catie2013
    Catie2013 Member Posts: 1,023
    edited October 2013


    With any surgery there could be complications. And every Dr has had them. Both the NOLA pts and the Charleston pts have talked on the forum re their flap failures, seromas, hematomas, nausea. But it's how the Dr addresses your issues, fixes the problems and treats you as a human being not a number or a payday - that's what matters to me. I think Dr Kilne handled my complication in a kind, caring and very skilled way. - even going the extra mile to try something new on me so that I could have a good outcome when it seemed I was out if options (I was not a candidate for DIEP ) - I believe others have been equally as happy with Dr D from NOLA - but I'm partial to Dr K and his staff - and the fact that I've only had to pay my deductible has made this do much easier mentally and financially!


    Cascader said it well, when you do choose don't second guess yourself!


    Hope this helped!


    Hugs


    Catie

  • 5andcounting
    5andcounting Member Posts: 232
    edited October 2013


    thanks lbrewer, pink heart, and Davy I will try the iron suggestions and see how fast I can push this up.


    Hope you are all doing well and having a good fall.


    I'm definetly a Klinette-drive 8 hours for him and he's worth every mile:). Would be fun if he had a yearly bash for his patients.


    Wonder if they've ever considered that?

  • 5andcounting
    5andcounting Member Posts: 232
    edited October 2013


    Does anyone know much about Roper hospital in Charleston? They can do my stage 2 there on November 4 or November 24 but not at East Cooper til December 18.


    Anyone have surgery at Roper?

  • Del11
    Del11 Member Posts: 944
    edited October 2013


    I had surgery at Roper. It's not as new as East Cooper but the nursing staff was great, and they love Dr. Massey. Food was terrible.

  • mags20487
    mags20487 Member Posts: 1,591
    edited October 2013


    Had stage 2 at Roper in August....loved the staff and had a nice spacious private room there. Will be there again Dec 4th :)


    Maggie

  • MartyJ
    MartyJ Member Posts: 1,859
    edited October 2013


    I have had 2 procedures at Roper. It was fabulous. The surgery center is in the Heart & Vascular tower and the same day surgery center staff is wonderful. The facility is only a few years older than East Cooper. Private rooms are nice, nursing staff is terrific on the floor I was on. I will be there again on December 5th!


    Kline & Craigie are in the Roper system, but did they offer you Roper downtown or St. Francis or Mount Pleasant Hospital? They are all part of the Roper/St. Francis system. My husband just had spinal surgery at St. Francis. Mount Pleasant Hospital is our very newest. Be sure you ask which facility they are using. I am happy to share any info I can.

  • 5andcounting
    5andcounting Member Posts: 232
    edited October 2013


    Thanks so much mags and Marty!!!!


    This is one reason I like the boards. We can share information and that alleviates so much anxiety!

  • Catie2013
    Catie2013 Member Posts: 1,023
    edited October 2013


    CRS - trying to organize a "reunion " next autumn - Sewannee Girl's idea too - to combine with annual checkup with Dr K and Dr B!!!! Hoping it works out!!!

  • jacee
    jacee Member Posts: 1,384
    edited October 2013


    I've had 3 surgeries at Roper with Dr. Massey. I absolutely loved it! She has a team of nurses dedicated to her. She is continuously training them while caring for her patients. From valet parking to surgical staff to kitchen staff..everyone was wonderful!

  • rdgc
    rdgc Member Posts: 93
    edited October 2013


    Has anyone had any success in getting their insurance to cover going to Charleston?

  • cascader
    cascader Member Posts: 599
    edited October 2013


    I think it depends on which surgeon you choose and whether they are in network with your specific insurance carrier. My 3surgeries were covered with Kline/Craigie at East Cooper. I only paid my deductible and out of pocket co-insurance. Thank goodness I am done as I lost my health insurance as of October 1 and now have to wait until Jan 1 for Obamacare to start.

  • rdgc
    rdgc Member Posts: 93
    edited October 2013


    Thank you. Were you able to go to them because your regular provider does not perform the surgeries you needed?

  • cascader
    cascader Member Posts: 599
    edited October 2013


    No, I went to them because I thought they were the best choice for me. My insurance did not have that restriction as to where I go. Altho I live in Wash state, Dr Kline was in network, so not a problem. I believe he is in network for most insurances. I have however heard of patients over on the NOLA thread that have had to prove to their insur company that the procedure was not available to them elsewhere. I don't know the details but again, it depends on what your specific insurance says. You may want to call them and get specifics, will help you make your decision on where to go, etc.

  • Davy
    Davy Member Posts: 114
    edited October 2013


    My surgeries have all been covered in network as well, deductible and co-insurance only (BC/BS PPO). I never called my insurance beforehand, I let Dr. Kline's office handle that part. Of course it is plan specific. I don't think it had anything to do with what local doctors can or cannot do. Whichever doctor you are considering you can ask them to prequalify you with your ins company, so you'll know what you're facing financially.

  • MartyJ
    MartyJ Member Posts: 1,859
    edited October 2013


    If you are considering Dr. Massey, her staff will handle the insurance qualifications for you as well. She does her Stage 1 in NOLA and will do Stage 2s in Charleston and Chicago along with NOLA. There are other doctors in Charleston that do DIEP, though I do not know their track record.

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