Breast Cancer Care – LewisGale Medical Center

My name is Dr. Jason Rigoni. I am a general surgeon working with LewisGale Medical Center Every breast cancer patient that comes to LewisGale Medical Center will be part in the breast cancer registry and Their case before they even see the surgeon or the radiation oncologists or the medical oncologist or the plastic surgeon if need be Or the geneticist would be to go with our patient coordinator And their case is going to be discussed at our Regularly scheduled breast cancer conferences where we get the patient’s history. Every Specialist that is going to take care of that patient is in the same room and we formulate projectionary plans based on the imaging and the pathology of what we have for the workup and in making the registry. Next person that that patient is going to see will be me once I see that patient and I verify the history. I verify their pathology. I’m able to go through all these things with the patient unless the patient has an alternative provider that they want to go see, I already have the built-in referral patterns for medical and radiation oncology and the plastic surgeon that can do immediate reconstruction. We can do a lot of the operations with coordination with the the plastic surgeon as well as the breast cancer surgeon at the same operation, so you don’t have to come back from multiple operations. We try to minimize the number of visits We also try the number minimize the number of operations that you’re going to have. I also spend more time with my patients. For a breast cancer patient, I schedule 75 minutes It’s an hour and 15 minute initial consultation, because I will go through everything with you: the pathophysiology of breast cancer, your treatment options, what the future may hold for you with your treatment options, not just based with me but also your radiation oncologist, your medical oncologist who they are if you need to have a consultation to another provider, I will get that appointment for you before you leave my office. We will make a plan for you. You will know the day of your operation, you’ll know the day of your post-op, and if you have to have a preoperative workup, then you’ll know the days you get your pre-op workup, as well as your pre-op in my office to make sure that everything’s put together. I am Type-A. I am meticulous, and it works for a reason. I’ve built a practice using these foundation principles, and it works beautifully. I have different standards for pain control, depending upon the operations that I do. A vast majority of my breast cancer patients that I operate on, even they get mastectomies, they just take Tylenol. I’m very careful of where I cut, how I do it. I do skin sparing techniques. I also do outpatient mastectomy, which is also kind of at the forefront. If you come in you need a mastectomy done, obviously without reconstruction, then you have the potential, if you’re a correct candidate of going home the same day as your operation and just following up in the office the next day. I thoroughly enjoyed doing comprehensive breast cancer care. I’d like to believe that I have it better than acceptable standards for cosmetic outcome as well as for complication rates, I’m a mastery of breast surgery, a participant with the American Society of Breast Surgeons. it was one of my strong points during residency training with our surgical oncologist. Once I started into the program at Lima Memorial, and I did additional training while I was post residency in the transition period of my payback in the military, I did some advanced courses. I joined the American Society of Breast Surgeons and went to their annual meetings and took some extra classes on advances and more highly technically challenging operations, and thought it was a very interesting field to further explore. And then I had a family member that wound up having breast cancer that wound up having the state of the art treatment and wound up now as cancer-free, and I’m like this is definitely the way to go to help people to save lives to beat cancer. That’s the best way that we can do it in today’s medicine. There’s very few cancers we can make completely go away and have very long-term outcomes and that is early breast cancer early detection, vigilant monitoring and we can make it go away.

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