Free in-person second opinion. First consultation కి charge లేదు. నేను personally review చేస్తాను. Free in-person second opinion. No charge for the first consultation. I review personally.
నా practice లో, "surgery possible కాదు" అని referred అయిన patients లో significant percentage, careful evaluation తరువాత, surgery candidates అవుతున్నారు. Peritoneal spread ఉన్న cases లో, PCI (Peritoneal Carcinomatosis Index) score 20 కంటే తక్కువగా ఉంటే, CRS+HIPEC consider చేయవచ్చు. NCCN guidelines కూడా selected peritoneal metastasis cases లో surgery option ని support చేస్తాయి.
నేను "inoperable" తో agree అవుతానా? కొన్నిసార్లు yes. కానీ first hand గా reports చూసిన తరువాత మాత్రమే చెప్తాను. Phone లో కాదు, scanning reports చూడకుండా కాదు.
Second opinion తీసుకోవడం betrayal కాదు. Treating doctor ని doubt చేయడం కాదు. మీ family safety కోసం due diligence.
In my practice, a significant percentage of patients referred as "not operable" do become surgical candidates after careful evaluation. For cases with peritoneal spread, if the PCI (Peritoneal Carcinomatosis Index) score is below 20, CRS+HIPEC may be considered. NCCN guidelines also support surgery as an option in selected peritoneal metastasis cases.
Do I agree with every "inoperable" label? Sometimes yes. But I will only tell you after looking at the reports myself. Not over the phone. Not without the scans.
Seeking a second opinion is not betrayal. It is not doubting your treating doctor. It is due diligence for your family's safety.
Referred as inoperable. I want to look at the scans myself before agreeing.
I trained at AIIMS and in Germany. That level of care exists in Hyderabad. You may not need to travel.
CION network rates are transparent. Aarogyasri-eligible procedures are covered under the government scheme.
Two doctors suggesting different plans. The CION Tumor Board reviews complex cases and gives a unified answer.
Surgery is coming up but you are not confident. One more opinion costs you nothing and may confirm you are on the right track.
I explain biopsy and scan reports in plain language. Telugu, Hindi, English or Urdu.
Reports complete గా లేకుండా రాకుండా ఉండాలని లేదు. ఉన్నవి తీసుకువచ్చినా, initial conversation possible.
You don't need complete reports to come. Bring what you have and an initial conversation is still possible.