Any Experiences With Dr. David Kelsen At MSKCC?

Please feel free to read, share your thoughts, your stories and connect with others!
JDMNYC
Posts: 133
Joined: Wed Apr 15, 2015 5:12 pm
Location: Morris County, New Jersey

Any Experiences With Dr. David Kelsen At MSKCC?

Postby JDMNYC » Thu Sep 15, 2016 4:42 pm

Hi -

Anyone have any experience with Dr. David Kelson at MSKCC?

I'd be grateful to hear about them. Feel free to inbox if you prefer.

Thanks.
- Dx Stage IIIc rectal cancer: January 2015 (CEA 20)
- Chemo (Folfox): January - April 2015
- Chemo-Radiation (Xeloda): May - June 2015
- Surgery (LAR/temporary ileostomy): September 2015; 4/20 lymph nodes – no adjuvant chemo
- Reversal: December 2015
- Stage IV: August 2016 - Lung Mets
- Chemo (Xeloda) Started October 2016.
- CEA down; lung mets shrinking.

"There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy."

Lee
Posts: 6207
Joined: Sun Apr 16, 2006 4:09 pm

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby Lee » Sat Sep 17, 2016 6:37 pm

Don't know if you got any responses, inbox wise.

Bumping this back to the top for others to see.

good luck,

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 16 years and counting!

Pita
Posts: 637
Joined: Wed Feb 10, 2016 3:48 pm
Location: So Calif

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby Pita » Sun Sep 18, 2016 1:21 am

Still no responses about the doc? Did you google his reviews, etc? Call the hospital he works out of and ask them what they think about him? MSK? call and ask Dr. Kemeny? that so many use. Grasping at straws here but at this point seems to me any oncologist would be better then the one you have now that tells you that you are terminal. I think that's BS.
From your other post: Not hopeful at all. Repeatedly emphasized that I am terminal and that no treatment will be intended to vary that outcome. No mention of the lymph node independent of the nodules, no suggestion that one nodule might be a metastatic but the others might be something else, flatly refused refused to consider the prospect that chemo now might render nodules operative at some point (assuming they are metastatic) or subject to SBRT or RFA. Pretty amazing. I am trying to get to another oncologist without having to go outside of the mother ship, but if that is not possible, I don't see that I have much choice.

I'm very similar to you except 5 nodules, went off chemo on June 15 due to upcoming surgery for tumor then restarted chemo 8/23 and Avistan will be added on Tuesday. My nodules mildly increased. My Onc wanted me to have chemo up till 2 weeks before the surgery but the surgeon said no, he wanted to start Avistan on the 23rd but the surgeon said no, one incision needed to heal a few more weeks. Onc did not like that I'd be off chemo for 2 months but nothing he could do about it. My Onc fights for me, always tells me that just because I am a Stage 4 it doesn't mean that it cannot be treated with everything that is available. This is the kind of Onc you need. Make an appointment and see if you feel a connection with him. Better yet why not find a Thoracic Surgeon and see what they have to say and perhaps they can recommend an Onc that they team up with.
Sorry for the rant, makes me mad what they've told you. Thinking of you with prayers and hugs...
70yo Fem DX: 1/21/2016 RC Stage IV-Nodules lungs
MSS-Kras Wild-Lynch Synd Neg-Lung Biopsy 1/27/16-Port 2/19/16
MRI 7/7/16 Endometrial polyp found, watching LAR 7/19/16, No Ileostomy, Stage ypT3 N1
CT 11/7/16: Most mets stable,1 shrunk,1 new??
CEA Tests: 1/21/16=20, 12/22/16=5.3, 1/20/17=4.8, 2/15/17=6.2
9/20/16-1/24/17 Folfuri & Avastin
#10/10 Done
PET/CT 2/10/16-1/31/17=Some shrunk & growth to 2, Avastin failing ??? :evil:
2/21/17 Folfuri & Avastin

User avatar
mypinkheaven
Posts: 459
Joined: Fri May 20, 2016 4:29 pm
Facebook Username: Sally Cunningham
Contact:

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby mypinkheaven » Sun Sep 18, 2016 12:16 pm

Some people don't like his bedside manner. . . . .

http://www.vitals.com/doctors/Dr_David_Kelsen/reviews
MSS, KRAS Wild NRAS Mutated
9/2012 CRC IIB Lft Colectomy 0 lymph nodes 0 Chemo
10/2013 CT clear
11/15 CEA 2.7 to 4.6
11/15 Spread to uterus. Hysterectomy
2/16 Pelvic radiation 25, brachytherapy 3
4/16 - 6/16 Xeloda
6/16 CT Several lung nodules 5 mm
8/16 CT Nodules still present. Most stable. Some growth
11/16 Transfer to UCSD Moores
12/16 Folfox + Avastin failed
2/17 Folfiri + Erbitux
8/17 5FU+Erbitux No 5FU bolus
7/18 Spread to vagina
6/18 Folfiri + Avastin + Trametinib
6/18 CEA dropping

JDMNYC
Posts: 133
Joined: Wed Apr 15, 2015 5:12 pm
Location: Morris County, New Jersey

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby JDMNYC » Sun Sep 18, 2016 1:10 pm

Thanks all - no, no inboxed responses. Thank you for the bump.
- Dx Stage IIIc rectal cancer: January 2015 (CEA 20)
- Chemo (Folfox): January - April 2015
- Chemo-Radiation (Xeloda): May - June 2015
- Surgery (LAR/temporary ileostomy): September 2015; 4/20 lymph nodes – no adjuvant chemo
- Reversal: December 2015
- Stage IV: August 2016 - Lung Mets
- Chemo (Xeloda) Started October 2016.
- CEA down; lung mets shrinking.

"There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy."

ams5796
Posts: 2298
Joined: Fri Feb 06, 2009 10:07 am

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby ams5796 » Sun Sep 18, 2016 5:17 pm

I'm not sure if you're getting sick of all of us giving you our advice, but I'm going to give it a try anyway. :) I was thinking about second opinions. I can't tell whether you are getting a second opinion with this new oncologist or if you're changing oncologists at this time. I don't think it's a great idea to get a second opinion at the same institution as your first opinion. I obviously don't know how easy it is for you to go "out of network" but I would consider getting a second opinion at someplace like Dana Farber in Boston. It can't be too far from you. When I had my first recurrence I went for a second opinion and when I got there I found out that the oncologist was a friend and student of my local oncologist. She agreed completely with everything my doctor said! So, I then went for a third opinion and got the information I needed.

Just my two cents.


Ann
Stage 3C (or 4?) Rectal Cancer 01/07
2/10 lung mets
3/11 VATS
6/11 VATS
7/13 lung met
2/14 SBRT
NED 8/14
5/17 scan and MRI found treated spine met

User avatar
mypinkheaven
Posts: 459
Joined: Fri May 20, 2016 4:29 pm
Facebook Username: Sally Cunningham
Contact:

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby mypinkheaven » Sun Sep 18, 2016 6:01 pm

ams5796 wrote:When I had my first recurrence I went for a second opinion and when I got there I found out that the oncologist was a friend and student of my local oncologist. She agreed completely with everything my doctor said! So, I then went for a third opinion and got the information I needed.

Just my two cents.


Ann


I've been thinking about what you just wrote, Ann. I got a 2nd opinion at my HMO. Although I do like this doc better and his plan is a bit different, it almost seemed like from what 2nd was saying, 1st had sent him notes on me. I'll have to fight to get a 3rd opinion out of the HMO's network. Maybe I should be getting a lawyer :twisted:

Sally
MSS, KRAS Wild NRAS Mutated
9/2012 CRC IIB Lft Colectomy 0 lymph nodes 0 Chemo
10/2013 CT clear
11/15 CEA 2.7 to 4.6
11/15 Spread to uterus. Hysterectomy
2/16 Pelvic radiation 25, brachytherapy 3
4/16 - 6/16 Xeloda
6/16 CT Several lung nodules 5 mm
8/16 CT Nodules still present. Most stable. Some growth
11/16 Transfer to UCSD Moores
12/16 Folfox + Avastin failed
2/17 Folfiri + Erbitux
8/17 5FU+Erbitux No 5FU bolus
7/18 Spread to vagina
6/18 Folfiri + Avastin + Trametinib
6/18 CEA dropping

ams5796
Posts: 2298
Joined: Fri Feb 06, 2009 10:07 am

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby ams5796 » Sun Sep 18, 2016 6:49 pm

I've been thinking about what you just wrote, Ann. I got a 2nd opinion at my HMO. Although I do like this doc better and his plan is a bit different, it almost seemed like from what 2nd was saying, 1st had sent him notes on me. I'll have to fight to get a 3rd opinion out of the HMO's network. Maybe I should be getting a lawyer :twisted:


I'm glad that helped you, Sally. I can't stress enough the importance of a second (third or fourth) opinion. I think whatever you have to do to make that work will be worth it in the long run.

Ann
Stage 3C (or 4?) Rectal Cancer 01/07
2/10 lung mets
3/11 VATS
6/11 VATS
7/13 lung met
2/14 SBRT
NED 8/14
5/17 scan and MRI found treated spine met

JDMNYC
Posts: 133
Joined: Wed Apr 15, 2015 5:12 pm
Location: Morris County, New Jersey

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby JDMNYC » Sun Sep 18, 2016 7:04 pm

mypinkheaven wrote:Maybe I should be getting a lawyer :twisted:


I think everyone should always have a lawyer - ideally on retainer :)
- Dx Stage IIIc rectal cancer: January 2015 (CEA 20)
- Chemo (Folfox): January - April 2015
- Chemo-Radiation (Xeloda): May - June 2015
- Surgery (LAR/temporary ileostomy): September 2015; 4/20 lymph nodes – no adjuvant chemo
- Reversal: December 2015
- Stage IV: August 2016 - Lung Mets
- Chemo (Xeloda) Started October 2016.
- CEA down; lung mets shrinking.

"There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy."

Lee
Posts: 6207
Joined: Sun Apr 16, 2006 4:09 pm

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby Lee » Sun Sep 18, 2016 7:11 pm

mypinkheaven wrote:
ams5796 wrote:When I had my first recurrence I went for a second opinion and when I got there I found out that the oncologist was a friend and student of my local oncologist. She agreed completely with everything my doctor said! So, I then went for a third opinion and got the information I needed.

Just my two cents.


Ann


I've been thinking about what you just wrote, Ann. I got a 2nd opinion at my HMO. Although I do like this doc better and his plan is a bit different, it almost seemed like from what 2nd was saying, 1st had sent him notes on me. I'll have to fight to get a 3rd opinion out of the HMO's network. Maybe I should be getting a lawyer :twisted:

Sally


Is it possible to get an opinion via the telephone. I was diagnosed 12 years ago and A LOT has changes since then, insurance wise. Butt I had a surgeon and an Onc I was happy with. Butt wanted a 2nd opinion. Was able to call Mayo Clinic here and had a surgeon call me back. He basicly told the same thing both my Dr.(s) told me. I felt good knowing I was getting standard care for my stage.

Don't know if that is possible anymore, ie phone call consult.

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 16 years and counting!

User avatar
H is for Hawk
Posts: 103
Joined: Wed May 20, 2015 4:51 pm
Location: eastern Pennsylvania

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby H is for Hawk » Mon Sep 19, 2016 4:57 pm

I had an oncologist who would not win any personality awards, and was not the warm and fuzzy type. I kept seeing him anyway because I thought he had good diagnostic skills, was aware of the latest research, and made decisions based on data, not a hunch. Expecting to find a doctor with good bedside manner may not be the best criteria when selecting a physician. You are going to an oncologist to get the best possible treatment and maximize your lifespan, not to find a friend.
H is for Hawk (57)
10/14 L. hemi-colectomy 3 x 4 x 1 cm tumor, 13/14 lymph nodes pos. pT4a N2B M0 stage 3 MSS
11/14 - 4/15 12x FOLFOX
5/15 PET scan: 2.5 x 1.5 cm l. colon lesion, peri surface lesion SUV 2.4, adenocar., KRAS wd, BRAF V600E mut
6/15 HIPEC
9/15 Pleural lining & liver mets, CA 19-9: 6000
10/15 Vectibix Tafinlar Mekinist
11/15 1500
1/16 200
2/16 100, add Lentinan
3/16 122
6/16 4500
7/16 20,000, CT scan - three new liver mets
8/16 6700, FOLFIRI
9/16 4900, CT scan - two new liver mets
10/16 2255 vinorelbine

JDMNYC
Posts: 133
Joined: Wed Apr 15, 2015 5:12 pm
Location: Morris County, New Jersey

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby JDMNYC » Mon Sep 19, 2016 6:48 pm

H is for Hawk wrote:I had an oncologist who would not win any personality awards, and was not the warm and fuzzy type. I kept seeing him anyway because I thought he had good diagnostic skills, was aware of the latest research, and made decisions based on data, not a hunch. Expecting to find a doctor with good bedside manner may not be the best criteria when selecting a physician. You are going to an oncologist to get the best possible treatment and maximize your lifespan, not to find a friend.


Hawk - completely agree. You want a friend, buy a dog. But I do think doctors (and lawyers and auto mechanics and tax and investment advisors) should be able to, and have an obligation to, thoroughly answer questions, and cogently explain recommendations and alternatives, so that one has a basis to make an informed decision.
Last edited by JDMNYC on Mon Sep 19, 2016 7:08 pm, edited 1 time in total.
- Dx Stage IIIc rectal cancer: January 2015 (CEA 20)
- Chemo (Folfox): January - April 2015
- Chemo-Radiation (Xeloda): May - June 2015
- Surgery (LAR/temporary ileostomy): September 2015; 4/20 lymph nodes – no adjuvant chemo
- Reversal: December 2015
- Stage IV: August 2016 - Lung Mets
- Chemo (Xeloda) Started October 2016.
- CEA down; lung mets shrinking.

"There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy."

JDMNYC
Posts: 133
Joined: Wed Apr 15, 2015 5:12 pm
Location: Morris County, New Jersey

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby JDMNYC » Mon Sep 19, 2016 6:52 pm

Adopt a dog, I probably should have said :)
- Dx Stage IIIc rectal cancer: January 2015 (CEA 20)
- Chemo (Folfox): January - April 2015
- Chemo-Radiation (Xeloda): May - June 2015
- Surgery (LAR/temporary ileostomy): September 2015; 4/20 lymph nodes – no adjuvant chemo
- Reversal: December 2015
- Stage IV: August 2016 - Lung Mets
- Chemo (Xeloda) Started October 2016.
- CEA down; lung mets shrinking.

"There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy."

User avatar
mypinkheaven
Posts: 459
Joined: Fri May 20, 2016 4:29 pm
Facebook Username: Sally Cunningham
Contact:

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby mypinkheaven » Mon Sep 19, 2016 8:15 pm

JDMNYC wrote:Adopt a dog, I probably should have said :)


Spay and neuter, please.
MSS, KRAS Wild NRAS Mutated
9/2012 CRC IIB Lft Colectomy 0 lymph nodes 0 Chemo
10/2013 CT clear
11/15 CEA 2.7 to 4.6
11/15 Spread to uterus. Hysterectomy
2/16 Pelvic radiation 25, brachytherapy 3
4/16 - 6/16 Xeloda
6/16 CT Several lung nodules 5 mm
8/16 CT Nodules still present. Most stable. Some growth
11/16 Transfer to UCSD Moores
12/16 Folfox + Avastin failed
2/17 Folfiri + Erbitux
8/17 5FU+Erbitux No 5FU bolus
7/18 Spread to vagina
6/18 Folfiri + Avastin + Trametinib
6/18 CEA dropping

JDMNYC
Posts: 133
Joined: Wed Apr 15, 2015 5:12 pm
Location: Morris County, New Jersey

Re: Any Experiences With Dr. David Kelsen At MSKCC?

Postby JDMNYC » Mon Sep 19, 2016 9:03 pm

mypinkheaven wrote:Spay and neuter, please.


No worries there :)
- Dx Stage IIIc rectal cancer: January 2015 (CEA 20)
- Chemo (Folfox): January - April 2015
- Chemo-Radiation (Xeloda): May - June 2015
- Surgery (LAR/temporary ileostomy): September 2015; 4/20 lymph nodes – no adjuvant chemo
- Reversal: December 2015
- Stage IV: August 2016 - Lung Mets
- Chemo (Xeloda) Started October 2016.
- CEA down; lung mets shrinking.

"There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy."


Return to “Colon Talk - Colon cancer (colorectal cancer) support forum”



Who is online

Users browsing this forum: Google [Bot] and 158 guests