Canvas of Hope

by RidePelotonia

Question by Heather Jane: What hospital in the US is the best rated to help LUNG cancer patients?
I already have seen the list of top Cancer hospitals in the US…but I want to know is it better to go to one for Lung Cancer over the other? My grandmother went to Sloan Kettering for what she thought was Leukemia and turned out to be Fibrosis…(they were awesome)…but is there a better hospital for Lung cancer?? Thanks!

Best answer:

Answer by Spreedog
There is no medical center that is doing far better with lung cancers than any other.
Far more important is the type of lung cancer, the stage, and co-morbid conditions.
For late stage – advanced metastatic – non-small cell lung cancers, no medical center is doing well anywhere in the world.
For early stage non-small cell lung carcinomas, many medical center do equally well. If this is a small cell lung carcinoma, this person could do equally well at any number of medical centers around the country – USA.
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You grandmother had “leukemia” that turned out to be “fibrosis?”
You must mean myelofibrosis.
Any U.S. medical center or any good hematologist/oncologist in private practice should have been able to figure that out. Maybe her original physicians did know that she had a myelodysplastic disorder that was bordering on or transforming into a type of leukemia. Was your grandmother cured? Are you sure of the details of your information? Why not just go back to Sloan Kettering for this case since you had an awesome experience?
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People get obsessed with this idea of wanting the best of everything
- especially in the U.S.
I suppose that is human nature. People who have large amounts of money are often especially concerned with getting care better than the average person. [This is not to suggest that you have a wealthy family.]
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Some people want to go to a big name place like Sloan Kettering, but many people prefer the nearest tertiary medical center for advanced care.
One thing to remember when you go to university medical centers – much of the surgery and medical care is handled by doctors in residency training who are in the learning phase of training and lack experience. The attending physicians are often away giving talks and doing research. Someone may see this and object, but I went through training at major tertiary referral cancer centers in both Pennsylvania and North Carolina. I can tell you that is how it is.
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When my mother needed surgery, she went to non-university hospitals where I worked and which had doctors I knew who were experienced and up to date on the latest advances. She did not have a surgical resident doing her surgery. When my wife was diagnosed with a malignancy and needed surgery, radiation, and chemotherapy – we made sure she went to a non-university hospital where she and I both knew the doctors. My wife did not have residents in training handling her care.
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Of course doctors in training need to gain experience when they are in training, so it is good that people often want to go to the university medical centers for their care. ‘ Just something for people to think about when they make this decision. If you go to a major university center, you could ask that the attending physician be the one to provide all of the surgery and all of the care, but it is not likely to happen that way – otherwise, how would the doctors in training get their experience?
I managed patients under supervision for 8 years in university medical centers before I was qualified to go out on my own in community private practice. Often the supervision was from afar. Maybe that was because the attending physicians trusted me, but maybe it was because they were busy doing other things. I was a better doctor after I had that experience. This is the apprenticeship for all doctors. We are not at our best until we are a board certified masters of our profession.

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