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Old 01-21-2013, 08:22 AM
 
Location: Pie shape
5,661 posts, read 8,191,515 times
Reputation: 6143

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Wanted to get opinions on this - I've managed to convince myself that a suspicious mole is skin cancer - which is kind of ridiculous because I haven't had it checked yet, and sometimes google image search is not our friend.

Anyway, always in the past I have had a dermatologist check these. A local derm office appointment setter wanted me to see the PA there, noting that she had decades of experience, but I wanted to see a dermatologist.

I'm sure there are PAs on the forum so please know I'm not bashing at ALL and would be happy under most circumstances to see a PA. I have before and know that very often PAs are really just as qualified to diagnose and treat.

But -

If I think I have skin cancer with the potential to spread I want to see an MD with specialized training in dermatology.

IS THAT SO WRONG?

I mean, this woman really gave me a very hard time about it to the point that I'm not going to go to that office at all anymore.

As an additional point of reference, I know a PA who is very intelligent yet off her rocker. I also realize there are bad MDs too.

Frustrating. But I just want an MD to do the biopsy and this will require stitches - I want the MD!

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Old 01-21-2013, 08:42 AM
 
Location: Islip,NY
16,832 posts, read 19,432,553 times
Reputation: 17009
I look at it this way if I am paying to see a doctor I want to see a doctor not a PA or Nurse practitioner.
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Old 01-21-2013, 09:21 AM
 
Location: Mostly in my head
19,561 posts, read 52,960,347 times
Reputation: 18386
Quote:
Originally Posted by lubby View Post
I look at it this way if I am paying to see a doctor I want to see a doctor not a PA or Nurse practitioner.
Except the charge is not the same. The MD is the most expensive.
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Old 01-21-2013, 09:38 AM
 
Location: Bella Vista, Ark
68,666 posts, read 78,655,592 times
Reputation: 38076
Quote:
Originally Posted by lubby View Post
I look at it this way if I am paying to see a doctor I want to see a doctor not a PA or Nurse practitioner.
but look at it this way, if we demand to see doctors, we will be paying more, our insurance will go up and the wait will be much longer...I am very content to see a NP. Our primary care doctor has both, our cardiologist does and my husband's urologist has both. There are only so many MDs. Both PAs and NP have exellent training and are perfectally capable to treat our basic needs. Good ones will consult the doctor if he/she has any questions.

OP: I understand your concern and yes, google can be a wonderful tool or a disaster, we have to take internet research as just a starting point. My understanding, among family members in the medical field, moles that are not milanomas (spelling)are very easy to recognize. If a PA or Md has any doubt he/she will do a biopsy. of course there are good PA and bad, the same with doctors...You seem to recognize this, if you have had no problem witht the PA, and she really has had a lot of years dealing with dermatology medicine, I wouldn't be too concerned.
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Old 01-21-2013, 07:10 PM
 
Location: Missouri
6,044 posts, read 21,013,423 times
Reputation: 5020
You do what makes you feel comfortable. I personally would think that a dermatologist's PA would be very appropriate to look at your mole and determine an appropriate course of action. But how I feel doesn't really matter. It's your health and you have to do what feels right to you.
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Old 01-21-2013, 07:19 PM
 
5,545 posts, read 7,542,077 times
Reputation: 5809
Quote:
Originally Posted by christina0001 View Post
You do what makes you feel comfortable. I personally would think that a dermatologist's PA would be very appropriate to look at your mole and determine an appropriate course of action. But how I feel doesn't really matter. It's your health and you have to do what feels right to you.
I agree, and it's not like the PA couldn't just grab the MD if needed. It's not like anything removal wise is likely to happen at a first appointment anyway.
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Old 01-21-2013, 07:24 PM
 
Location: Bella Vista, Ark
68,666 posts, read 78,655,592 times
Reputation: 38076
Quote:
Originally Posted by christina0001 View Post
You do what makes you feel comfortable. I personally would think that a dermatologist's PA would be very appropriate to look at your mole and determine an appropriate course of action. But how I feel doesn't really matter. It's your health and you have to do what feels right to you.
My feelings as well; if the OP is really not satisfied, he has to do what is best, but as I have said, PAs are very knowledgable and if there is any question he/she would ask the MD>..Most medical practices are paniced abou the posibility of mal practice law suits and over-react rather than under diagnose.
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Old 01-21-2013, 07:55 PM
 
Location: in a house
3,574 posts, read 12,776,867 times
Reputation: 2316
Quote:
Originally Posted by NorasMom View Post
Wanted to get opinions on this - I've managed to convince myself that a suspicious mole is skin cancer - which is kind of ridiculous because I haven't had it checked yet, and sometimes google image search is not our friend.

Anyway, always in the past I have had a dermatologist check these. A local derm office appointment setter wanted me to see the PA there, noting that she had decades of experience, but I wanted to see a dermatologist.

I'm sure there are PAs on the forum so please know I'm not bashing at ALL and would be happy under most circumstances to see a PA. I have before and know that very often PAs are really just as qualified to diagnose and treat.

But -

If I think I have skin cancer with the potential to spread I want to see an MD with specialized training in dermatology.

IS THAT SO WRONG?

I mean, this woman really gave me a very hard time about it to the point that I'm not going to go to that office at all anymore.

As an additional point of reference, I know a PA who is very intelligent yet off her rocker. I also realize there are bad MDs too.

Frustrating. But I just want an MD to do the biopsy and this will require stitches - I want the MD!

Sounds as if the receptionist was acting on your urgency and wanted to get you in as soon as possible. Just make the appt. with the doc, but understand it might take longer for you to be scheduled to be seen due to how booked he or she is.
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Old 01-21-2013, 08:40 PM
 
Location: southern born and southern bred
12,398 posts, read 14,218,771 times
Reputation: 19265
as far as your concern goes---been there,done that--many times. You wouldn't believe the number of things it could be that are harmless. I had an ugly black mole that I was positive had to be melanoma. Nope. Mine was seborrheic keratosis. This actually has happened 3x
Best to get such checked out and I'm glad you are but don't be like me and jump to conclusions until the doc sees it.
I also had a small,no color scaly area near my eye that I had not bothered to worry about but the dermatologist said it was a pre-cancer area and treated it then and there. Go figure.
I' ve had my dermatologist and my family physician state to me that yes melanoma is dangerous but it isn't as prevelant as most think.
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Old 01-22-2013, 04:23 AM
 
Location: So Ca
13,521 posts, read 13,307,653 times
Reputation: 11549
Quote:
Originally Posted by christina0001 View Post
I personally would think that a dermatologist's PA would be very appropriate to look at your mole and determine an appropriate course of action.
Absolutely.
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