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Who should perform these? If I have a mole that looks suspect (very) should I just go to my family's primary care physician or straight to a dermatologist?
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"It's devastating, because we lost to a team that's not even in the Pac-12. To lose to Utah State is horrible." - John White IV -
Go to the derm, IMO.Originally posted by kccougar View PostAin't it like most people, I'm no different. We love to talk on things we don't know about.
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Dont mess around. Go straight to the derm. Post a picture...
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Any family pcp worth his weight should send you to a derm. Gidget went to our pcp for something unrelated but then asked what he thought of a mole on her forehead. He took one look at it and referred us to a dermatologist. The dermatologist took one look at it and then cut 3" out of her head. The lab came back and it turned out to be melanoma. Thankfully just in situ. So yeah, go to a dermatologist.Originally posted by kccougar View Post"Nobody listens to Turtle."-TurtlesigpicComment
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I agree with those who already posted. If your insurance lets you go straight to the specialist without a pcp referral then that is what I would do.
I just finished a Derm rotation and was pretty surprised about how quick they are to biopsy even mildly suspicious moles. The rational is that it is pretty quick and painless and could save your life.Comment
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I don't regret going to my dermatologist. I had two squamous cell carcinomas removed about 2 years ago. Definitely just go if for nothing else some peace of mind.Last edited by Blueintheface; 11-02-2011, 04:06 PM."Either evolution or intelligent design can account for the athlete, but neither can account for the sports fan." - Robert Brault
"Once I seen the trades go down and the other guys signed elsewhere," he said, "I knew it was my time now." - Derrick FavorsComment
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Slim, what you fail to realize is the RVU from an excisional biopsy. Lesions are a cash cow. I do a ton of derm in my clinic and it pays very well for the level of difficulty and liability of injury.Originally posted by Slim View Post
Maybe it is because I've trained in a rural community where we very rarely refer (cardio referrals are for caths/pace makers, GI for manometry/dilatation, ortho for surgery, etc...) but I think the culture of medicine has left what it should be...see your doctor; if your doctor can't figure it out he/she asks for help."Don't expect I'll see you 'till after the race"
"So where does the power come from to see the race to its end...from within"Comment
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I wish my Derm was quicker to remove moles and weird looking spots, my torso is covered with them, but he is reluctant to cut out a bunch of stuff unless it meets every criteria he thinks is important. This makes me nervous since I have had melanoma removed, but he obviously removed that as soon as he saw it so I think I should trust him. And maybe I should be grateful that he isn't just cutting every spot out since I am seeing him out of plan and he could likely make some good easy money by giving me more peace of mind. I am pretty nervous, I know, but melanoma is scary, and deadly, I just wish it was reasonable to get every weird spot removed and biopsied.I am a philosophical Goldilocks, always looking for something neither too big nor too small, neither too hot nor too cold, something jussssst right. I'll send you a card from purgatory. - PAC
You know how President Hinckley said he doesn't worry about those who pray? The same can be said for men who are self-aware enough to know when there's a life to be lived outside of the world of video games. - AnonymousComment
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Get thee to a Derm - About 5 yrs ago my wife dragged me kicking and screaming and they found a mole that was cancerous. They got it before it spread (thank God) I now have a nice four inch scare on my left sholder blade
I may be small, but I'm slow.
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Melanoma killed Bob Marley."Sure, I fought. I had to fight all my life just to survive. They were all against me. Tried every dirty trick to cut me down, but I beat the bastards and left them in the ditch."
- Ty CobbComment
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Thanks for the advice, everyone. I saw a dermatologist this afternoon and everything seemed to check out fine. The one "mole" I was most worried about the dermatologist said was more a skin tag grown out of control, but almost for certain benign. He went ahead and removed it anyway and will have it tested."It's devastating, because we lost to a team that's not even in the Pac-12. To lose to Utah State is horrible." - John White IVComment
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Be prepared for the bill...Originally posted by kccougar View Post"Don't expect I'll see you 'till after the race"
"So where does the power come from to see the race to its end...from within"Comment
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Fortunately (or unfortunately), with other medical expenses we've had this year we long ago met our family out-of-pocket maximum.Originally posted by doctorcoug View Post"It's devastating, because we lost to a team that's not even in the Pac-12. To lose to Utah State is horrible." - John White IVComment
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