Multidisciplinary Team (MDT) must treat all cancer patients. Patient should be free to select best doctor for treatment. 11
Patients must demand the best cancer treatment. Patients should be active consumers of health and healthcare. Multidisciplinary team assessment of each cancer patient is always required in modern cancer treatment. Leading Swedish cancer surgeon interview. Why Multidisciplinary Team (MDT) of medical specialists is crucial for successful treatment of cancer today? Every patient with cancer has to be evaluated by the best multidisciplinary team of cancer treatment experts. Leading cancer surgeon discusses strategy of precision medicine cancer treatment. Patients must demand the best cancer treatment. Dr. Anton Titov, MD. Patients should be active consumers of medical treatment. Multidisciplinary teams is a must-have in modern cancer treatment. Rectal cancer treatment . Advanced rectal cancer surgery. Medical second opinion confirms that rectal cancer diagnosis is correct and complete. Medical second opinion also confirms that rectal cancer surgery is required. Best treatment for rectal cancer. Medical second opinion helps to choose the best treatment for rectal cancer. Get medical second opinion on rectal cancer and be confident that your treatment is the best. Best rectal cancer treatment center and cancer surgeon. Video interview with leading expert in rectal cancer treatment surgery and minimally invasive rectal cancer treatment. Dr. Anton Titov, MD. Clearly these are recurring themes: multidisciplinary treatment teams and high volume surgical procedures. For best treatment results, cancer surgeon has to have high-volume surgery in that particular type of surgical operation that has to be done on the patient. Dr. Anton Titov, MD. These are recurring themes that come up in our conversations across various medical and surgical specialties. Dr. Torbjorn Holm, MD (Rectal Cancer surgeon, Professor, Karolinska Institute, Stockholm). Today you should not be allowed to treat patients with rectal cancer unless you discuss them in the multidisciplinary team meeting before and even after surgery. So the decision can be taken if rectal cancer patient needs some more treatment and how the patient should be followed up. It’s obvious that some patients with rectal cancer have a very low risk of recurrence. Maybe you don’t have to follow them at all. Dr. Anton Titov, MD. Some rectal cancer patients have a high risk and they should be followed very intensively. All of these things would be much more demanding in the future. That’s why you need the multidisciplinary treatment teams. That’s why you need the high volume surgical units to treat patients with rectal cancer. Dr. Anton Titov, MD. also initiative and activity by the patients seeking the correct treatment. Patients should understand the value of going to the cancer surgeon who really has the most experience in doing the correct surgery. Dr. Torbjorn Holm, MD (Rectal Cancer surgeon, Professor, Karolinska Institute, Stockholm). Then we have obstacles to best treatment of rectal cancer. Because at least in the Swedish health system there is no free market. So the patient cannot go to any hospital they want to go to. The government decides how many operations each hospital is allowed to do every year. This is a problem. But hopefully the demand by patients will solve that in the future. So that if the rectal cancer patient wants to go to hospital then the government will pay for it. So that hospital will increase their workload. hospitals that are not so popular will have to close down. I hope that will be the future. The availability of treatment has to be tailored to the patient’s needs. It should be the patients who decide who should treat them. Not the way it has been to date, when doctors decide who should treat the patient. Dr. Anton Titov, MD. So patients should become true consumers of health care. for some reason the term “client” or “consumer” has had negative connotations in medicine. that’s absolutely not true. Because “patient” means somebody who is patiently awaits. that’s not the way medicine is going. Dr. Torbjorn Holm, MD (Rectal Cancer surgeon, Professor, Karolinska Institute, Stockholm). Future will be completely different. Patients will demand a lot of information, they will demand to come to special treatment units. Patients will demand to have the best possible treatment. they will find out about best treatment options on the Internet and in the open registries. That would be the future. Dr. Anton Titov, MD. Professor Holm, thank you very much for this very informative conversation. It’s a very exciting area of oncology. Rectal cancer is a difficult problem, but so much has been achieved. In our conversation today it is clear a lot more will be achieved in the future. Dr. Anton Titov, MD. Thank you very much! Dr. Holm: Thank you! Patients must be proactive and seek best cancer treatment, best surgeons and learn what “the best” actually means in cancer treatment. Leading Swedish cancer surgeon.
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