› Forums › General Melanoma Community › Dermatologist Visits for for Stage 3+
- This topic has 9 replies, 3 voices, and was last updated 11 years, 3 months ago by blden2186.
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- September 27, 2013 at 7:38 pm
Question for all those stage 3 or higher… do you still visit the dermatologist? I have been stage 3C for over a year now and I have been continuing to follow up with a dermatologist every 6 months (she actually wanted to see me more often than that).
The reason for my question is this – health care is getting prohibitively expensive as most of us are being forced into these high deductible plans. My last visit to the dermatologist cost over $600 which seems criminal to me. Given the melanoma, they will biopsy anything that looks remotely suspicious. They took two samples and they were nothing.
By contrast, my last visit to my melanoma specialist cost me $70. However, I know I have very expensive scans coming up again in January (with a brand new deductible of course). I am becoming of the mindset that I should skip all other doctor visits barring an annual physical to save for the long and costly road of melanoma treatment. How does everyone else handle this?
Kevin
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- September 27, 2013 at 9:17 pm
I'm not stage III, but stage I with a history of 3 primaries. I found all my primaries. I actually went 7 years without seeing a derm between #1 melanoma and #2 because of insurance issues. If you can take pictures of your moles and monitor them that way, then YOU can look for change. Anything changes then you can have that removed. Otherwise, just see your oncologist. The likelihood of a second primary is < 10%. You don't want to ignore your skin, but it isn't your biggest worry already being stage III. I think if you can feel comfortable monitoring yourself for CHANGE, then I personally see no reason to visit the derm. For me, I now go more regularly, but I'm honestly concerned more with the other skin cancers than I am with melanoma. If I felt I had something suspicious that was changing, I have it removed. But otherwise, I'm really asking my derm to look for the other cancers that come with sun exposure.
Do what makes YOU confortable!
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- September 27, 2013 at 9:17 pm
I'm not stage III, but stage I with a history of 3 primaries. I found all my primaries. I actually went 7 years without seeing a derm between #1 melanoma and #2 because of insurance issues. If you can take pictures of your moles and monitor them that way, then YOU can look for change. Anything changes then you can have that removed. Otherwise, just see your oncologist. The likelihood of a second primary is < 10%. You don't want to ignore your skin, but it isn't your biggest worry already being stage III. I think if you can feel comfortable monitoring yourself for CHANGE, then I personally see no reason to visit the derm. For me, I now go more regularly, but I'm honestly concerned more with the other skin cancers than I am with melanoma. If I felt I had something suspicious that was changing, I have it removed. But otherwise, I'm really asking my derm to look for the other cancers that come with sun exposure.
Do what makes YOU confortable!
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- September 27, 2013 at 9:17 pm
I'm not stage III, but stage I with a history of 3 primaries. I found all my primaries. I actually went 7 years without seeing a derm between #1 melanoma and #2 because of insurance issues. If you can take pictures of your moles and monitor them that way, then YOU can look for change. Anything changes then you can have that removed. Otherwise, just see your oncologist. The likelihood of a second primary is < 10%. You don't want to ignore your skin, but it isn't your biggest worry already being stage III. I think if you can feel comfortable monitoring yourself for CHANGE, then I personally see no reason to visit the derm. For me, I now go more regularly, but I'm honestly concerned more with the other skin cancers than I am with melanoma. If I felt I had something suspicious that was changing, I have it removed. But otherwise, I'm really asking my derm to look for the other cancers that come with sun exposure.
Do what makes YOU confortable!
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- September 28, 2013 at 3:12 am
What Janner says makes a lot of sense, as usual. Your most immediate concern would be enlarged lymph nodes rather than a new melanoma lesion, and your oncologist will check you lymph nodes regularly. Take picture of any skin lesions that concern you– use a ruler or a dime or something as a size guage–and look for changes. You should be fine. Rotten situation with the damn insurance deductibles, though. I'm sorry you have to deal with that on top of your cancer.
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- September 28, 2013 at 3:12 am
What Janner says makes a lot of sense, as usual. Your most immediate concern would be enlarged lymph nodes rather than a new melanoma lesion, and your oncologist will check you lymph nodes regularly. Take picture of any skin lesions that concern you– use a ruler or a dime or something as a size guage–and look for changes. You should be fine. Rotten situation with the damn insurance deductibles, though. I'm sorry you have to deal with that on top of your cancer.
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- September 28, 2013 at 3:12 am
What Janner says makes a lot of sense, as usual. Your most immediate concern would be enlarged lymph nodes rather than a new melanoma lesion, and your oncologist will check you lymph nodes regularly. Take picture of any skin lesions that concern you– use a ruler or a dime or something as a size guage–and look for changes. You should be fine. Rotten situation with the damn insurance deductibles, though. I'm sorry you have to deal with that on top of your cancer.
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