Talk of The Villages Florida

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-   -   MOHS Surgery (https://www.talkofthevillages.com/forums/medical-health-discussion-94/mohs-surgery-177613/)

George1938 01-09-2016 03:21 PM

MOHS Surgery
 
Anyone have experience on the subject? Specifically with Dr.David Casper?

tedquick 01-09-2016 04:08 PM

Both my daughter and I have had MOHS procedures in the past. It is a relatively simple surgery. While I have not had MOHS with Dr. Casper he is my dermatologist here in TV and I have complete trust in him. I recently completed radiation treatment for two spots, one on my nose and one on my shoulder. I had the choice of doing MOHS but chose instead the radiation. I have had quite a bit of experience with him and I believe that you can trust him with whatever it is that you need to have done. Best of luck.

JoMar 01-09-2016 04:16 PM

When in PA my dermatologist was a Mohs surgeon and I have the scars to prove. When I moved here I wanted a doctor that had that capability inside his/her practice which is why I am a patient with Dr. Casper. His practice is hard to get into (guess a lot feel as I do) but I find him knowledgeable, accomplished and caring. I recently had surgery which required 7 stitches. Dr. Casper personally did a followup call at 9PM to check on my condition. At this juncture, I am totally satisfied. If you want details on what the surgery entails you can google it and get more detail then you will get on here.

jimnc 01-09-2016 04:35 PM

Both my husband and I have had MOHS surgery. My husband had MOHS with Dr. Casper and everything went fine. He was given the option of radiation instead of MOHS but chose MOHS. In my opinion it is the best way to go. The Dr. may need to cut more than once but when you leave the office you can feel confident that all the cancerous cells have been removed. That peace of mind is priceless. Dr. Casper comes highly recommended. Try not to worry. MOHS is a more common procedure than you might think. You should be just fine.

MikeV 01-09-2016 04:37 PM

My wife had MOHS surgery below the corner of her eye by Dr. Casper. All is well now and he did a great job.

Doctor Who 01-09-2016 09:34 PM

MOHS...a necessary treatment
 
MOHS is unpleasant no matter who does the surgery. Dr. Casper has done several on me. While I consider him to be a wonderful dermatologist the treatment and recovery time are the same as any other dermatologist. Where possible I select the radiation treatment. It is time consuming (15 visits) but it is a good alternative. In some cases MOHS may be necessary and along with it the possibility of some plastic surgery. I have had substitute skin taken from my ear and chest and applied to my nose; in that case by a different physician. Its always best to be in good hands and Dr. Casper is a very caring physician.

George1938 01-11-2016 01:05 PM

Thank you to all who replied. Total positive agreement, I might add

manaboutown 01-11-2016 06:00 PM

I had a Mohs Procedure done on a melanoma by a dermatological plastic surgeon. It went very well and I am happy with the results. What I might add to the above posts is that I was a compliant patient and rigorously adhered to the surgeon's instructions about frequently cleaning/tending/dressing the wound and changing the bandage twice a day as prescribed. It took weeks to heal because the wound on my scalp was so large, initially the size of a stack of three half dollars.

villagerjack 01-12-2016 04:08 PM

Quote:

Originally Posted by tedquick (Post 1169141)
Both my daughter and I have had MOHS procedures in the past. It is a relatively simple surgery. While I have not had MOHS with Dr. Casper he is my dermatologist here in TV and I have complete trust in him. I recently completed radiation treatment for two spots, one on my nose and one on my shoulder. I had the choice of doing MOHS but chose instead the radiation. I have had quite a bit of experience with him and I believe that you can trust him with whatever it is that you need to have done. Best of luck.


Be mindful that the radiation treatment with Villages Insurance will cost you 20% copayment which could be in the hundreds of dollars. They do not tell you this when they push this as an alternative.

Also a good idea to get a second opinion on these surgeries. I went to a different doctor when I was out of Town and the second doctor said I did not need the surgery. He treated it with liquid Nitrogen and today it is fine. There is entirely too much cutting here in The Villages IMO.,

tedquick 01-12-2016 09:03 PM

Quote:

Originally Posted by villagerjack (Post 1170678)
Be mindful that the radiation treatment with Villages Insurance will cost you 20% copayment which could be in the hundreds of dollars. They do not tell you this when they push this as an alternative.

Also a good idea to get a second opinion on these surgeries. I went to a different doctor when I was out of Town and the second doctor said I did not need the surgery. He treated it with liquid Nitrogen and today it is fine. There is entirely too much cutting here in The Villages IMO.,

I was told that there could be up to a $300.00 co-pay. There was none.

I think getting a second opinion is an interesting idea. I may actually do that following my next regularly scheduled appointment even though my appointments here have been nearly identical to what I experienced when I was still living in Omaha.

villagerjack 01-12-2016 09:17 PM

Quote:

Originally Posted by tedquick (Post 1170816)
I was told that there could be up to a $300.00 co-pay. There was none.

I think getting a second opinion is an interesting idea. I may actually do that following my next regularly scheduled appointment even though my appointments here have been nearly identical to what I experienced when I was still living in Omaha.

Good for you but the Villages Health Insurance has a 20% co-pay.

JoMar 01-12-2016 09:26 PM

I have United Healthcare PPO in the Villages Health System.....my copay is 50.00 for specialists. Not sure where the 300.00 comes from.

JoMar 01-12-2016 09:31 PM

Quote:

Originally Posted by tedquick (Post 1170816)
I was told that there could be up to a $300.00 co-pay. There was none.

I think getting a second opinion is an interesting idea. I may actually do that following my next regularly scheduled appointment even though my appointments here have been nearly identical to what I experienced when I was still living in Omaha.

A curiosity question, if you get a second opinion that is different from the original opinion what do you do? I always believed that if you go for a second opinion it would be to doctor or hospital that has significantly more accreditation, experience or a National recognition as an expert in the field. Going to a peer only puts you in the position to make a decision which begs the question, how do you do that if they disagree? In TV and dermatology who would you go to? And, if you think the doc that is giving you the second opinion is better than the original doc why aren't you going there initially? Just curious?

Shimpy 01-13-2016 05:44 PM

Quote:

Originally Posted by JoMar (Post 1170822)
I always believed that if you go for a second opinion it would be to doctor or hospital that has significantly more accreditation, experience or a National recognition as an expert in the field. Just curious?

Most people I believe, like myself, are seeking an opinion that they are looking for.

JoMar 01-13-2016 06:24 PM

Quote:

Originally Posted by Shimpy (Post 1171243)
Most people I believe, like myself, are seeking an opinion that they are looking for.

Isn't that a bit dangerous?


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