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Thread: Information on Dr. Rivera

  1. #1
    Join Date
    Jul 2008
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    Orlando, FL
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    35
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    Information on Dr. Rivera

    I meet with an Urologists surgeon today who has preformed the RPLND procedure on hundreds of patients. Is there anyone who has used this doctor for this procedure, and if so, what are your opinions about him?

    Dr. Inoel Rivera
    Winter Park Urology
    Orlando, Florida

  2. #2
    Join Date
    Mar 2008
    Location
    Forest Hills, NY
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    682
    But he does have a nice article on wiener & testicular cancer:
    http://www.dcmsonline.org/jax-medici...malignancy.htm
    Let's Go Mets! sigh...

  3. #3
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    Jul 2008
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    Orlando, FL
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    I found that same article. The practice he belongs to is the same practice that performed my orchiectomy two weeks ago. I am waiting to hear from Dr. Einhorn on his recommendation, whether this surgery is simple enough for Dr. Rivera to preform, or if I should goto Dr. Foster

  4. #4
    Join Date
    Oct 2007
    Location
    Charlotte, NC
    Posts
    1,062
    Dear Am...

    You are smart to try and make sure your doctor has the experience to do this highly complex surgery. It is not something that everyone can do. There are to many ways it can go wrong. I would suggest that only Dr. S for Dr F do the surgery. Dr. F did Les' surgery. When I ask Dr E about a local doctor that did the surgery he said it was important that only doctors that did this surgery lots do the surgery. If I am not mistaken Dr. F does about 300 a year. Good luck..

    Love,
    Pam
    Son Les diagnosed 5/7/07-Right I/0 5/9/07-Stage 3C Non-seminoma Mixed Cell Germ Tumor-Tumors in liver, lungs, lymph nodes, brain-4XBED Finished 7/31/07 HCG 9 tumors smaller, brain lesion gone-9/30/07 HCG 999-TIPx4 started 10/2/07, IU 11/29 Told he had Choriocarcinoma Syndrome HDC and Stem Cell Transplant to begin 1/3/08 Finished Transplant 3/1/08 HDC and Stem Cell Transplant Failure 3/20. 4/17 RPLND & Liver resection, Molecular profiling of tumor, 6/2 Hospice Services- Passed Away 12/12/08

  5. #5
    Join Date
    Oct 2007
    Location
    New Jersey
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    48
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    510
    I looked for Dr Rivera on the TC expert link below and did not see his name, or a Florida based TC Center of Excellence -
    http://www.acor.org/TCRC/experts.html

    I am sure if he has done hundred's of RPLND's he would be well known to Dr Einhorn and you are wise to ask his opininion.
    Manoj
    09.29.07 - visit to ER with severe pain
    10.08.07 - Dx with TC
    10.10.07 - Rt I/O. Dx - 90% EC, 10 % yolk sac tumor, less than 1% immature teratoma & choriocarcinoma
    11.21.07 - (day before Thanksgiving) NS RPLND @ MSKCC
    11.28.07 - Return back home, recieve lab report. 86 lymph nodes removed - all clear. Begin Surveillance
    04.10.08 - 2 cm nodule detected in lungs
    04.28.08 - Starting 4XEP
    07.03.08 - 4XEP complete
    end-Sept - CT Scan scheduled

  6. #6
    Join Date
    Jan 2007
    Location
    Raleigh, NC
    Posts
    621
    I agree with the rest of this advice.

    We looked all across the country....Many experieced urologic surgeons do 5-10 RPLNDs per year.

    Foster and Sheinfeld do over 200 each per year. By any account it is a complex surgery...so please reseach thoroughly.
    Stage III Non-Seminoma- 7/11/06
    Right I/O 7/12/06
    Completed 4x BEP 11/06
    Bi-Lateral RPLND (Dr. Shenifeld)- 11/27/06
    Surveillance since then

    When you think about it, what other choice is there but to hope? We have two options, medically and emotionally: give up, or Fight Like Hell.
    Lance Armstrong.

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