Frequently Asked Questions
Who can come to this clinic to see Dr. Butros?
Why would I go to a pay-for-service clinic rather than an office visit paid for by my insurance?
This clinic is a very different setting than a clinic in a major medical center. It is quiet and relaxing yet provides a physician well-versed in the care of children with cancer and blood disorders. Dr. Butros wants to see you/your child live a long, healthy, productive life and plans to follow him/her throughout that process.
In the current state of healthcare, the co-pays are often exorbitant, and the bills for services keep coming months-years after the clinic visit. We do not want to turn away the under- or uninsured. We want to make it simple and affordable to provide and to get care for all. This clinic defines up front the cost of services provided. These charges are outlined on the website. Dr. Butros believes in a model of care that is quality care for all. If you feel you cannot afford the services, please contact us regardless. We want to help.
The cancer survivor visit occurs 1-3 times per year. Most patients will only need to come once per year. The remainder of the care will occur in phone consultation with Dr. Butros and the primary care provider as needed. The out of pocket cost is likely only a once yearly fee. Dr. Butros works very hard to keep the cost of service to a minimum so that her patients can afford it, and she can sustain her practice of medicine.
Why do I need to see a specialist now that I have completed my cancer treatment and I am in remission?
>60% of childhood cancer survivors have at least one chronic or late-occurring complication of treatment. Many complications are manageable with proper diagnosis of the long-term side effects. Many childhood cancer survivors are thriving members of the community with the proper support, management of side effects, and education. Complications and side effects include, but are not limited to:
Why does the first visit cost more?
The first clinic visit for a childhood cancer survivor provides you with a Personal Health Binder which includes treatment exposures such as types and doses of chemotherapy, radiation exposure, and surgeries. This binder with the Treatment Summary is an important part of information relevant to the long-term health of any cancer survivor and requires many hours of data acquisition and analysis.
The first clinic visit for a child/adolescent with a blood disorder involves a similar amount of time and effort in order to discuss with the child/adolescent's primary care provider the reason for the referral; the onset and progression of the blood disorder; and the treatment received thus far. The first visit takes the longest and generally will provide the most helpful information for both Dr. Butros and the patient and patient's family.
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