Onc In SF South Bay?

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meatie
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Joined: Wed Aug 20, 2014 8:13 am
Location: San Jose, CA

Onc In SF South Bay?

Postby meatie » Thu Sep 18, 2014 2:08 am

We are having trouble finding a oncologist for my mother. The main problem is the language barrier. She only wants to see a chinese-speaking oncologist, even if I agree to accompany to all doctor's appointments and interpret for her. Her health insurance is anthem blue cross pathway PPO. She has been rejected by a few (chinese-speaking) oncs already. It is getting frustrating. Could anybody recommend a chinese-speaking oncologist in the south bay of the san francisco bay area?
Mother DX @59 8/14
cln+lvr res 9/14, stage 4
FOLOX+Avs 12-rd 10/14 to 4/15
Reoccurrence, KRAS mutant 11/15
Folfiri 18-rds 11/15-8/16
FOLFIRI with Ramicirumab 28-rds 8/17-9/18
Regorafenib 10/18-10/19
Lonsurf 10/19 onward
Folfox rechallenge 05/20
Regonivo (Opdivo+Stivarga) 08/20

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Bev G
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Facebook Username: Bev Golde
Location: Quechee, VT

Re: Onc In SF South Bay?

Postby Bev G » Thu Sep 18, 2014 2:52 am

Why has she been "rejected" by these once? Are they not members of her plan?
58 yo Type1 DM 48 years
12/09 Stage IV 2/22 nodes + liver met, colon resec
3 tx FOLFIRI, liver resec 4/10
9/10 6 mos off chemo, Neg PET&CTC CEA nl
2/11 finished total 10 rounds chemo

9/13 ^17th clean PET/CT NED for now

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meatie
Posts: 418
Joined: Wed Aug 20, 2014 8:13 am
Location: San Jose, CA

Re: Onc In SF South Bay?

Postby meatie » Thu Sep 18, 2014 3:03 am

@Bev G

Some doctors reject certain insurance plans because of low-balling by insurance. If a doctor does a procedure and think it is worth $1000 and bills the patient that amount, the insurance company would claim that the procedure is only worth $700, then pays the doctor, for example, $600, with the patient chipping in the final $100. The doctor tends to think that he is out $300.
Mother DX @59 8/14
cln+lvr res 9/14, stage 4
FOLOX+Avs 12-rd 10/14 to 4/15
Reoccurrence, KRAS mutant 11/15
Folfiri 18-rds 11/15-8/16
FOLFIRI with Ramicirumab 28-rds 8/17-9/18
Regorafenib 10/18-10/19
Lonsurf 10/19 onward
Folfox rechallenge 05/20
Regonivo (Opdivo+Stivarga) 08/20

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Bev G
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Facebook Username: Bev Golde
Location: Quechee, VT

Re: Onc In SF South Bay?

Postby Bev G » Thu Sep 18, 2014 3:10 am

Hi Meatie,

I am very well aware of negotiated rates between docs and insurance companies, and the fact that some docs are not enrolled in some plans. I was simply asking if the "rejection"by the once you are referring to is because they are NOT participating in your mother's plan. If this is the case, you need to get a list from the insurance company, and look at the list they have of oncologists, and go from there. They will NOT let you go out of network simply because of the language your doc speaks. Your mom might just have to get used to you translating for her. I can well understand that she would prefer to speak directly in her native tongue, but that's just not always possible.

Best wishes,

Bev
58 yo Type1 DM 48 years
12/09 Stage IV 2/22 nodes + liver met, colon resec
3 tx FOLFIRI, liver resec 4/10
9/10 6 mos off chemo, Neg PET&CTC CEA nl
2/11 finished total 10 rounds chemo

9/13 ^17th clean PET/CT NED for now

ccpt1958
Posts: 8
Joined: Mon Dec 31, 2012 11:35 am

Re: Onc In SF South Bay?

Postby ccpt1958 » Thu Sep 18, 2014 8:27 am

Ideally, you should not translate for your mom in the medical setting, unless you are trained to do so. Many south bay facilities utilize translation services that provide phone of video translators during the actual appointment. You may want to ask providers about this, once you get a list of oncologists who participate in her plan.

You may also want to try this link: http://www.cancer.org/treatment/finding ... ters/index

I hope this helps.
diagnosed stage IIIA 4/2012
sigmoid resection 4/2012
T2T1MO (only 4 lymph nodes harvested)
completed FOLFOX 11/2012
dropped oxy after the 4th treatment due to worsening neuropathy
clean scan 1/2014
NED

Valorie
Posts: 365
Joined: Mon May 05, 2014 6:33 am

Re: Onc In SF South Bay?

Postby Valorie » Thu Sep 18, 2014 11:07 am

Meatie: My Onc is part of the Palo Alto medical Foundation. If you go on their website PAMF.org you can put in find a doctor and put in Onc and there is also a search for languages spoken by the physician. I know they take several Blue Cross policies from the Calif. Insurance exchange if that is where your mom obtained her insurance. I have been given excellent care through them. Hope this helps.
Age 53 dx 2a CC 0/21 LN Oncotypedx score: 11
Sigmoidectomy 5/8/14
MSS No lymphovasular involvement,
6/14 PET - NED, 12/14 CT NED, 7/15 CT - NED
6/14-12/9/14 Xeloda 8 cycles
2/12/15 incisional hernia repair - Boooo!

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trapbear
Posts: 74
Joined: Mon May 10, 2010 12:53 pm
Facebook Username: bill manning

Re: Onc In SF South Bay?

Postby trapbear » Thu Sep 18, 2014 11:13 am

Meatie,
My husband had excellent care at PAMF in Mountain View and then Sunnyvale. Please PM me and I can let you know the name of our doctor.
Bill
Husband Dx with Stage 3 CC in Dec 07
Xelox Jan-July 08
Lung mets Jan 09
Folfiri plus Avastin Mar-May 10
5FU plus Avastin May 10-current
2 liver mets March 13, continue 5 FU & Avastin
liver RFA Oct 13, hospice June 14, at peace Sept 2, 2014

nkoske
Posts: 442
Joined: Fri Feb 22, 2013 2:00 pm
Location: California

Re: Onc In SF South Bay?

Postby nkoske » Thu Sep 18, 2014 11:20 am

I don't recall any Chinese GI Oncs at Stanford.
Nick, DX @ age 34, IIIB Rectal Cancer 10/2012
ChemoRad IMRT 11/2012
Laparoscopic LAR 1/2013 (No Ileo)
Post Surgery Path IIIB (2/15 LN)
Chemo 2/2013 (XelOx)
Currently NED, Graduated from Med Onc 10/2017

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meatie
Posts: 418
Joined: Wed Aug 20, 2014 8:13 am
Location: San Jose, CA

Re: Onc In SF South Bay?

Postby meatie » Thu Sep 18, 2014 12:03 pm

I just found out that PAMF does not accept Blue Cross Pathway PPO. That crosses off quite a number of target doctors we thought about calling up. It seems that the "Pathway" in Anthem Blue Cross Pathway PPO is the magic word that got us rejected so many times.
Mother DX @59 8/14
cln+lvr res 9/14, stage 4
FOLOX+Avs 12-rd 10/14 to 4/15
Reoccurrence, KRAS mutant 11/15
Folfiri 18-rds 11/15-8/16
FOLFIRI with Ramicirumab 28-rds 8/17-9/18
Regorafenib 10/18-10/19
Lonsurf 10/19 onward
Folfox rechallenge 05/20
Regonivo (Opdivo+Stivarga) 08/20

Quilter
Posts: 3
Joined: Tue Dec 17, 2013 12:43 pm

Re: Onc In SF South Bay?

Postby Quilter » Thu Sep 18, 2014 12:03 pm

Raymond Lee on Jose Figueres. He's the best.

Dori W
Posts: 34
Joined: Mon Aug 25, 2014 2:30 pm
Facebook Username: Dori Woodhouse

Re: Onc In SF South Bay?

Postby Dori W » Fri Sep 19, 2014 9:24 pm

I went to Southbay Oncology Hematology Partners in Campbell (near San Jose). I don't think my doctor speaks Chinese (she is Taiwanese, I think), but it might be worth calling to see if any of their doctors speaks Chinese. I think very highly of these folks. I really can't say enough positive things about them. Here is their website: http://sbohp.com/.

They are in the process of becoming part of Stanford, but they will remain in the South Bay.
Diagnosed stage 3C signet ring colon cancer in May, 2008
14 out of 18 positive lymph nodes
Final treatment in November, 2008
NED ever since
I used to have an account under "Dori," but I've lost access to it.
You can view my old posts here: search.php?author_id=1446&sr=posts


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