![]() ![]() That's exactly what he did in 1994 after diagnosing a young child who had what appeared to be a slow-growing malignant brain tumor. He often offers his first and second choice of treatment options and provides patients the opportunity to get a second opinion if additional options are offered at other facilities. Cohen recommends a specific treatment, he informs his patients which therapy is available at his hospital and whether treatment differs elsewhere. "For example, a proton beam accelerator, which is used in patients who require very precise treatment of their brain cancer, is found at only a few centers across the United States," Dr. "Ask your doctor if there are different ways to treat your tumor and whether technology better suited to treat it might be available elsewhere." Most medical centers can't afford all the different radiation therapy machines used to treat brain cancer, he says-nor provide all types of experimental chemotherapy, including gene therapy or vaccine therapy. "Brain tumor treatment, especially if the tumor recurs, may differ depending on the medical center and the equipment available," Dr. He recommends asking your neurologist if you should get a second opinion. Cohen, M.D., Fellow of the American Academy of Neurology (AAN) and director of pediatric neurology Akron Children's Hospital, treats adults and children who have brain tumors. In the last issue of Neurology Now, we discussed five tests or treatments that you might not need. Here, neurologists choose five questions they think patients should ask to get the best possible care. Maybe you're concerned about your job, but you can't seem to find the right opportunity to bring it up. ![]() But when you or a family member has a chronic or life-threatening neurologic condition-such as Parkinson's disease (PD), Alzheimer's disease (AD), multiple sclerosis (MS), or a brain tumor-the concerns that keep you up at night might not make it into those discussions. When you arrive, she conducts a physical examination and asks about your symptoms since the last visit, all of which is vital. You've waited weeks to see your neurologist. ![]()
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