The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Content within the patient forum is user-generated and has not been reviewed by medical professionals. Other sections of the Melanoma Research Foundation website include information that has been reviewed by medical professionals as appropriate. All medical decisions should be made in consultation with your doctor or other qualified medical professional.

How Long to wait for Second Opinion?

Forums General Melanoma Community How Long to wait for Second Opinion?

  • Post
    davidstewart
    Participant

      I know it is case by case but is there a rule of thumb?

      I was diagnosed with metastatic melanoma August 31. We got in quickly to see the expert at UNC Chapel Hill. We have been encouraged to get a second opinion rather than rush into whatever is offered initially for treatment and I wanted to explore possible clinical trials. So we decided on M.D. Anderson (either of the two Dr. Hwu's). I learned on Friday that it may be 3 to 4 weeks before I can be seen. I asked my local expert to intervene but realistically there is little he can do.

      Having to wait so long definitely ups the anxiety even though we have been told that three weeks is not unreasonable. Anyone have any words of wisdom that will help us sort this out?

       

      Thanks, David

    Viewing 11 reply threads
    • Replies
        kathycmc
        Participant

          I know it sounds like a long time but it is not unusual to have to wait that long.  The melanoma experts don't seem to think that a month makes much difference in overall survival rate.  It is good to get a second opinion because it is important to know your options and sometimes having one treatment will disqualify you for another treatment down the line.  That is something to ask about.

          kathycmc
          Participant

            I know it sounds like a long time but it is not unusual to have to wait that long.  The melanoma experts don't seem to think that a month makes much difference in overall survival rate.  It is good to get a second opinion because it is important to know your options and sometimes having one treatment will disqualify you for another treatment down the line.  That is something to ask about.

            kathycmc
            Participant

              I know it sounds like a long time but it is not unusual to have to wait that long.  The melanoma experts don't seem to think that a month makes much difference in overall survival rate.  It is good to get a second opinion because it is important to know your options and sometimes having one treatment will disqualify you for another treatment down the line.  That is something to ask about.

              arthurjedi007
              Participant

                Since you asked for a specific doc at mda then yes 3 to 4 weeks is normal. A request for any doc still takes awhile. For me 9 days. Typically I think 2 weeks. I've found mda has really smart docs and really worth the trip but they can be rather slow and have very little communication with me. But that's just my experience so far.

                Artie

                arthurjedi007
                Participant

                  Since you asked for a specific doc at mda then yes 3 to 4 weeks is normal. A request for any doc still takes awhile. For me 9 days. Typically I think 2 weeks. I've found mda has really smart docs and really worth the trip but they can be rather slow and have very little communication with me. But that's just my experience so far.

                  Artie

                  arthurjedi007
                  Participant

                    Since you asked for a specific doc at mda then yes 3 to 4 weeks is normal. A request for any doc still takes awhile. For me 9 days. Typically I think 2 weeks. I've found mda has really smart docs and really worth the trip but they can be rather slow and have very little communication with me. But that's just my experience so far.

                    Artie

                    Mat
                    Participant

                      Agree with the prior posts–at least for institutions like MDA and MSK.  The doctor I'm planning to see at MDA for a trial consultation only sees new patients on Monday afternoons.  By definition, any new patient will need to wait and these in demand doctors are mostly seeing advanced stage patients.  My appt is approximately 4 weeks after I initially contacted MDA.  That said, I do think that it is worthwhile to "become a patient" at these institutions (e.g., for consultations).  That way, you're "in the system", which will save at least a week or two the next time you want to visit (since you would've already dealt with the new patient stuff).

                      Mat
                      Participant

                        Agree with the prior posts–at least for institutions like MDA and MSK.  The doctor I'm planning to see at MDA for a trial consultation only sees new patients on Monday afternoons.  By definition, any new patient will need to wait and these in demand doctors are mostly seeing advanced stage patients.  My appt is approximately 4 weeks after I initially contacted MDA.  That said, I do think that it is worthwhile to "become a patient" at these institutions (e.g., for consultations).  That way, you're "in the system", which will save at least a week or two the next time you want to visit (since you would've already dealt with the new patient stuff).

                        Mat
                        Participant

                          Agree with the prior posts–at least for institutions like MDA and MSK.  The doctor I'm planning to see at MDA for a trial consultation only sees new patients on Monday afternoons.  By definition, any new patient will need to wait and these in demand doctors are mostly seeing advanced stage patients.  My appt is approximately 4 weeks after I initially contacted MDA.  That said, I do think that it is worthwhile to "become a patient" at these institutions (e.g., for consultations).  That way, you're "in the system", which will save at least a week or two the next time you want to visit (since you would've already dealt with the new patient stuff).

                          kylez
                          Participant

                            I understand that anxiety. When MM recurred I started looking for a clinical trial on my own, pretty much immediately. I contacted lots of clinical trial coordinators on the phone. Leads and phone numbers came from clinicaltrials.gov, and also directly from some of the trial hospitals' web sites that list their specific trial offerings. The trial I ulitmately got into was via that approach.

                            Once I found a promising trial with openings (which I learned from the trial coordinators) I made an appointment to see the doc there and get 'in the system'. I ended up getting into a trial at the same site, just a different one than I flew there to sign up for. So — you can look on your own for trials. It took a lot of phone calls. Some sites make their trial coordinators easy to talk to. MDA is not one of those sites as I recall — see a doctor or nothing. Other places you can get the 'low down' on various trials with a phone call. Otherwise, the statuses like 'actively recruiting' at clinicaltrials.gov are not very up to date. 

                            Also, MDA should be good at putting you in one of their trials, if there is a match there that you feel good about. But they're not necessarily going to do much to facilitate to get you into trials elsewhere other than at MDA. At least that's my personal experience so far at few facilities.

                            I did fly to MDA a few years ago for a second opinion. As far as my current situation, for me they're further away than I would want to travel to every 2 or 3 weeks for an actual trial though (5 hour flight). So I didn't check in with MDA this time. I do fly 1.5 hours every 2 weeks for my current trial. I'm able to turn it around in a day trip now which helps.

                            Good luck. I guess I'm also saying I liked having multiple irons in the fire, knowing that there are all kinds of reasons that openings in a given trial will get delayed.

                            – Kyle

                            kylez
                            Participant

                              I understand that anxiety. When MM recurred I started looking for a clinical trial on my own, pretty much immediately. I contacted lots of clinical trial coordinators on the phone. Leads and phone numbers came from clinicaltrials.gov, and also directly from some of the trial hospitals' web sites that list their specific trial offerings. The trial I ulitmately got into was via that approach.

                              Once I found a promising trial with openings (which I learned from the trial coordinators) I made an appointment to see the doc there and get 'in the system'. I ended up getting into a trial at the same site, just a different one than I flew there to sign up for. So — you can look on your own for trials. It took a lot of phone calls. Some sites make their trial coordinators easy to talk to. MDA is not one of those sites as I recall — see a doctor or nothing. Other places you can get the 'low down' on various trials with a phone call. Otherwise, the statuses like 'actively recruiting' at clinicaltrials.gov are not very up to date. 

                              Also, MDA should be good at putting you in one of their trials, if there is a match there that you feel good about. But they're not necessarily going to do much to facilitate to get you into trials elsewhere other than at MDA. At least that's my personal experience so far at few facilities.

                              I did fly to MDA a few years ago for a second opinion. As far as my current situation, for me they're further away than I would want to travel to every 2 or 3 weeks for an actual trial though (5 hour flight). So I didn't check in with MDA this time. I do fly 1.5 hours every 2 weeks for my current trial. I'm able to turn it around in a day trip now which helps.

                              Good luck. I guess I'm also saying I liked having multiple irons in the fire, knowing that there are all kinds of reasons that openings in a given trial will get delayed.

                              – Kyle

                              kylez
                              Participant

                                I understand that anxiety. When MM recurred I started looking for a clinical trial on my own, pretty much immediately. I contacted lots of clinical trial coordinators on the phone. Leads and phone numbers came from clinicaltrials.gov, and also directly from some of the trial hospitals' web sites that list their specific trial offerings. The trial I ulitmately got into was via that approach.

                                Once I found a promising trial with openings (which I learned from the trial coordinators) I made an appointment to see the doc there and get 'in the system'. I ended up getting into a trial at the same site, just a different one than I flew there to sign up for. So — you can look on your own for trials. It took a lot of phone calls. Some sites make their trial coordinators easy to talk to. MDA is not one of those sites as I recall — see a doctor or nothing. Other places you can get the 'low down' on various trials with a phone call. Otherwise, the statuses like 'actively recruiting' at clinicaltrials.gov are not very up to date. 

                                Also, MDA should be good at putting you in one of their trials, if there is a match there that you feel good about. But they're not necessarily going to do much to facilitate to get you into trials elsewhere other than at MDA. At least that's my personal experience so far at few facilities.

                                I did fly to MDA a few years ago for a second opinion. As far as my current situation, for me they're further away than I would want to travel to every 2 or 3 weeks for an actual trial though (5 hour flight). So I didn't check in with MDA this time. I do fly 1.5 hours every 2 weeks for my current trial. I'm able to turn it around in a day trip now which helps.

                                Good luck. I guess I'm also saying I liked having multiple irons in the fire, knowing that there are all kinds of reasons that openings in a given trial will get delayed.

                                – Kyle

                            Viewing 11 reply threads
                            • You must be logged in to reply to this topic.
                            About the MRF Patient Forum

                            The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

                            The information on the forum is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.