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How to get doc to listen
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How to get doc to listen

› Forums › General Melanoma Community › How to get doc to listen

  • Post
    • February 9, 2013 at 12:49 am
    sal d
    Participant
      Skin appt this week. I have had 4 in situs in past 11 years. 58 punch biopsies. Photos twice. I have three things I want biopsied, but I know it will be a hassle. Residents dont listen. i am a nurse so…………one spot is like two tiny black spots together on my thigh. I know it is new….within a year. So I want it off. I have not been for exam in two years because I know they think Insitus are just nothing. Frustrated. Had to switch docs due to my insurance. Any suggestions on how to get these stupid three spots taken off?

      Skin appt this week. I have had 4 in situs in past 11 years. 58 punch biopsies. Photos twice. I have three things I want biopsied, but I know it will be a hassle. Residents dont listen. i am a nurse so…………one spot is like two tiny black spots together on my thigh. I know it is new….within a year. So I want it off. I have not been for exam in two years because I know they think Insitus are just nothing. Frustrated. Had to switch docs due to my insurance. Any suggestions on how to get these stupid three spots taken off?

    Viewing 2 reply threads
    • Replies
        • February 9, 2013 at 2:05 am
        Janner
        Participant

          Say the 3 lesions have changed.  If they don't go along, ask that they guarantee IN WRITING these are not melanoma.  That usually prods most docs along – fear of being sued is a powerful thing.  I hate that type of tactic, but they work for you not the other way around.  You could also ask your PCP.  My one PCP would tell me he would biopsy anything of concern I had whether or not my derm thought it an issue or not.  Fortunately, my derm has always listened to me, but it was nice knowing I had a backup plan.

          Best wishes,
          Janner

            • February 9, 2013 at 2:56 am
            POW
            Participant

              Great idea, Janner. Tell the docs that the spot(s) has changed. Love it!

              • February 9, 2013 at 2:56 am
              POW
              Participant

                Great idea, Janner. Tell the docs that the spot(s) has changed. Love it!

                • February 9, 2013 at 2:56 am
                POW
                Participant

                  Great idea, Janner. Tell the docs that the spot(s) has changed. Love it!

                  • February 10, 2013 at 3:46 pm
                  sal d
                  Participant
                    Jan can I send you a picture of the spot? Need you email. I used to be on here all the time but never could figure out this new site.
                    Thanks Sally DiGia
                    • February 12, 2013 at 3:22 am
                    Janner
                    Participant

                      My email is available through this site.  Click on my name to go to my profile, then click on Contact.  You can send an email that way.  But when it comes to pictures, they don't tell me much.  You can't know just from looking if something is "bad".  I look for "ugly duckling" – different from all my other moles – and change for the worse over time.  I'll quote the derm that runs a mole mapping clinical trial at my institution.  "New and consistent with other moles is fine.  New and different from everything else is suspect".  For me, all my primaries changed for the worse over time so that is my criteria.  Single pictures probably would not have required 2/3 of my primaries be removed unless you compared them with all my other moles.  They stood out as being the ugly duckling moreso than answering the ABCDs of melanoma.

                      Best wishes,

                      Janner

                      • February 12, 2013 at 3:22 am
                      Janner
                      Participant

                        My email is available through this site.  Click on my name to go to my profile, then click on Contact.  You can send an email that way.  But when it comes to pictures, they don't tell me much.  You can't know just from looking if something is "bad".  I look for "ugly duckling" – different from all my other moles – and change for the worse over time.  I'll quote the derm that runs a mole mapping clinical trial at my institution.  "New and consistent with other moles is fine.  New and different from everything else is suspect".  For me, all my primaries changed for the worse over time so that is my criteria.  Single pictures probably would not have required 2/3 of my primaries be removed unless you compared them with all my other moles.  They stood out as being the ugly duckling moreso than answering the ABCDs of melanoma.

                        Best wishes,

                        Janner

                        • February 12, 2013 at 3:22 am
                        Janner
                        Participant

                          My email is available through this site.  Click on my name to go to my profile, then click on Contact.  You can send an email that way.  But when it comes to pictures, they don't tell me much.  You can't know just from looking if something is "bad".  I look for "ugly duckling" – different from all my other moles – and change for the worse over time.  I'll quote the derm that runs a mole mapping clinical trial at my institution.  "New and consistent with other moles is fine.  New and different from everything else is suspect".  For me, all my primaries changed for the worse over time so that is my criteria.  Single pictures probably would not have required 2/3 of my primaries be removed unless you compared them with all my other moles.  They stood out as being the ugly duckling moreso than answering the ABCDs of melanoma.

                          Best wishes,

                          Janner

                          • February 13, 2013 at 12:56 am
                          sal d
                          Participant
                            Basically begged to have two spots biopsied. My skin. My insurance. My anxiety. And yes I said it just like that.
                            • February 13, 2013 at 12:56 am
                            sal d
                            Participant
                              Basically begged to have two spots biopsied. My skin. My insurance. My anxiety. And yes I said it just like that.
                              • February 13, 2013 at 12:56 am
                              sal d
                              Participant
                                Basically begged to have two spots biopsied. My skin. My insurance. My anxiety. And yes I said it just like that.
                                • February 10, 2013 at 3:46 pm
                                sal d
                                Participant
                                  Jan can I send you a picture of the spot? Need you email. I used to be on here all the time but never could figure out this new site.
                                  Thanks Sally DiGia
                                  • February 10, 2013 at 3:46 pm
                                  sal d
                                  Participant
                                    Jan can I send you a picture of the spot? Need you email. I used to be on here all the time but never could figure out this new site.
                                    Thanks Sally DiGia
                                  • February 9, 2013 at 2:05 am
                                  Janner
                                  Participant

                                    Say the 3 lesions have changed.  If they don't go along, ask that they guarantee IN WRITING these are not melanoma.  That usually prods most docs along – fear of being sued is a powerful thing.  I hate that type of tactic, but they work for you not the other way around.  You could also ask your PCP.  My one PCP would tell me he would biopsy anything of concern I had whether or not my derm thought it an issue or not.  Fortunately, my derm has always listened to me, but it was nice knowing I had a backup plan.

                                    Best wishes,
                                    Janner

                                    • February 9, 2013 at 2:05 am
                                    Janner
                                    Participant

                                      Say the 3 lesions have changed.  If they don't go along, ask that they guarantee IN WRITING these are not melanoma.  That usually prods most docs along – fear of being sued is a powerful thing.  I hate that type of tactic, but they work for you not the other way around.  You could also ask your PCP.  My one PCP would tell me he would biopsy anything of concern I had whether or not my derm thought it an issue or not.  Fortunately, my derm has always listened to me, but it was nice knowing I had a backup plan.

                                      Best wishes,
                                      Janner

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