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,It's a big yes from us. We took our son there for a second opinionand it was well worth the trip. We had his ERCP done there and thediagnosis confirmed. When you have something rare you want to go where they see a lot of it.LeeI was wondering how many of you have been to Mayo for an opinion on your PSC. We are considering going to Mayo Rochester to get a second opinion for my husband. His doctor is not giving us the info that we are looking for or the answers that we deserve. We are just wanting to know if it is going to be worth it to go all the way to Minnesota for a second opinion. Hopefully there are many of you that can give me some advice. Thanks.

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I've been there twice, but not for an opinion. I was referred to Mayo from my

GI practice right out of the ER (midnight ambulance ride). I was very impressed

by the clinic, personnel, organization (and followup!).

Arne

---- megasam2 megasam2@...> wrote:

=============

I was wondering how many of you have been to Mayo for an opinion on

your PSC...

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I've been to Mayo Rochester as well and can echo the positive reviews

listed elsewhere.

That said, be aware of a couple things:

First, be flexible with your travel arrangements. At both of my

visits to Mayo, there were additional tests that they wanted to run,

but I had firm return reservations that could not be moved (my

mistake). It was a hassle to get them to squeeze me into the various

areas for those tests. They may tell you to plan on a four day stay.

I would schedule at least six or seven. If you don't have to stay

longer, you can always try to get earlier flights out, or just be

tourists for a while. (The Hormel Spam museum is about 45 minutes

away, and it's lots of fun.)

Second, it's very inconvenient to travel to Rochester, given the

current state of the airline industry. Make sure that both of you

have the physical stamina to make the trip, and don't underestimate

the stress of travel.

Third, Mayo is extremely parochial. They insist on doing all testing

and procedures themselves, even if the same tests could be done quite

competently and efficiently by your local doctors or a more convenient

facility. You don't necessarily get better results by having

everything done at Mayo, either. In my case, the recurring throat

problems I was having were dismissed by multiple doctors at Mayo with

nothing more than a shoulder shrug. Furthermore, in my experience the

Mayo doctors have tunnel vision. They are highly specialized in their

areas of expertise, but they don't necessarily consider all factors

when making an evaluation. According to Mayo and the MELD model, I'm

not nearly sick enough to be listed for transplant. Yet, when you put

all of my other factors together...severe anemia, diminishing

platelets and vanishing white cells, hypersplenomegalomy, severe

pruritis, et al, not only is a transplant appropriate, but there is

some urgency to it.

I'm still glad I had the evaluations at Mayo, but I don't consider

them infallible. You may find, as I did, that there are high quality

physicians that are much closer and convenient to you.

Tom

PSC 1999

Crohns 2005

Xplant June 17, 2008

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I've been to Mayo Rochester as well and can echo the positive reviews

listed elsewhere.

That said, be aware of a couple things:

First, be flexible with your travel arrangements. At both of my

visits to Mayo, there were additional tests that they wanted to run,

but I had firm return reservations that could not be moved (my

mistake). It was a hassle to get them to squeeze me into the various

areas for those tests. They may tell you to plan on a four day stay.

I would schedule at least six or seven. If you don't have to stay

longer, you can always try to get earlier flights out, or just be

tourists for a while. (The Hormel Spam museum is about 45 minutes

away, and it's lots of fun.)

Second, it's very inconvenient to travel to Rochester, given the

current state of the airline industry. Make sure that both of you

have the physical stamina to make the trip, and don't underestimate

the stress of travel.

Third, Mayo is extremely parochial. They insist on doing all testing

and procedures themselves, even if the same tests could be done quite

competently and efficiently by your local doctors or a more convenient

facility. You don't necessarily get better results by having

everything done at Mayo, either. In my case, the recurring throat

problems I was having were dismissed by multiple doctors at Mayo with

nothing more than a shoulder shrug. Furthermore, in my experience the

Mayo doctors have tunnel vision. They are highly specialized in their

areas of expertise, but they don't necessarily consider all factors

when making an evaluation. According to Mayo and the MELD model, I'm

not nearly sick enough to be listed for transplant. Yet, when you put

all of my other factors together...severe anemia, diminishing

platelets and vanishing white cells, hypersplenomegalomy, severe

pruritis, et al, not only is a transplant appropriate, but there is

some urgency to it.

I'm still glad I had the evaluations at Mayo, but I don't consider

them infallible. You may find, as I did, that there are high quality

physicians that are much closer and convenient to you.

Tom

PSC 1999

Crohns 2005

Xplant June 17, 2008

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My transplant will be done at town University Hospital in DC.

I had my pre-surgical testing and consultation yesterday. There's

nothing stopping us now. I am scheduled for surgery this coming

Tuesday at 7:30 am.

Dr. Lynt will be leading the surgical team for the donor, and

Dr. Fishbein will be the lead on my team. Assisting them will

be Dr. Kirti Shetty, who has been my hepatologist for the last four

years. Between the two surgeons, they have nearly 1,000 liver

transplants, so I'm in good hands.

Tom

PSC 1999

Crohns 2005

Xplant in Five Days

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Tom,

Best wishes for a *routine* transplant and a speedy recovery! We'll be

thinking of you and anxious to hear of your progress.

- Severin

**********

Father of 4 (8,6,2,0.5)

UC/PSC 11/07

>

> My transplant will be done at town University Hospital in DC.

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