Info

Monday, July 26, 2010

Questions for the oncoradiologist

I have tried to check on the oncoradiologist that you are seeing tomorrow - Timothy Chan. I have not found much, but what I have found is good. He is an MD-PhD, which bodes well for being able to communicate with him as a scientist. In my experience, the MD-PhD students are by far the smartest ones among the medical students. Also, he is involved in research. Most of his published work is in genetics/molecular approaches, so he might be a good source of advice on eventual clinical trials. His specialty as a radiation oncologist is precisely in the area of anaplastic astrocytomas (grade III astrocytomas). He was trained at Johns Hopkins (medical school, residency, fellowship), which is one of the few top cancer centers in the USA, as Sloan-Kettering is.
Ask the doctor as much as possible about the procedure. Ask him to tell him in detail what will be done and what he expects to learn from it. Also ask him about what could go wrong, and about recovery from it even if all goes right.
It seems to me that an important question is that of what is it that the proposed treatment will achieve: control the rate of growth, an actual reduction in size? Will it alleviate any symptoms, or delay the onset of new ones? Is it the goal to make the tumor operable?
There are side effects associated with radiation/chemotherapy, so it seems to me that it is important to understand why the treatments are being pursued. It is not the doctors that will have to endure the discomforts, so make sure that there is a good reason for going through with it.
Love - Sara