I do not understand?
why the dr's do not promote the MRI. After my surgery I had an MRI after
reading how often many women have been told that they had another tumor
that was missed. My surgeon said it was not needed, I did it anyway for
my peace of mind. Well sure enough there was a small tumor found and
lucky me it was benign. I now have an MRI every other six months and
alternate with a digetal mamo. My insurance pays and since my bc dx.
they do not deny these tests.
Also the MRI can also exam the chest wall for cancer. I think since we have
been dx. with bc we are concerned about cancer recurrences and the digetal
mamo and MRI are a great diagnostic tool to help dx. I think it is a great
patient follow up. I just do not understand why the dr. does not feel it
is necessary. I have to wonder if the dr. is concerned that it looks bad for
them with the insurance and HMO since they are ordering the tests. We all
know the Dr. are rated on how many tests they order and HMO"s have
a lot of power over the dr.'s.
MRI is highly sensitive for small abnormalities....being a stage 1 patient
this would be extremely encouraging as you would like to remain a stage 1
patient. In the end I am afraid it is about money....not care....
the dr. is concerned he will be punished by the HMO or insurance carrier
for ordering too many tests. You are not the only patient your dr. orders test for. Dr.'s are given a number to follow in regards to testing.
Jean
__________________
Stage 1, Grade 1, 3/30/05
Lumpectomy 4/15/05 - 6MM IDC
Node Neg. (Sentinel node)
ER+ 90% / PR-, Her2+++ by FISH
Ki-67 40%
Arimidex 5/05
Radiation 32 trt, 5/30/05
Oncotype DX test 4/17/06, 31% high risk
TOPO 11 neg. 4/06
Stopped Arimidex 5/06
TCH 5/06, 6 treatments
Herceptin 5/06 - for 1 yr.
9/06 Completed chemo
Started Femara Sept. 2006
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