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Eldercare
Reply to "Mohs surgery in elderly "
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[quote=Anonymous]I suggest trying imiquimod. I think Mohs is WAY overused - apparently Mohs rates skyrocketed after Medicare cut reimbursement rates for other types of procedures (simple excision, EC&D, freezing, etc). The docs want to get paid so they recommend Mohs for everything now ("gold standard" blah blah blah). Sad state of affairs but here we are (and patients are scared and don't know any better). Scientists don't know precisely how imiquimod works, but somehow it triggers/revs up your immune system to target and destroy the cancerous cells. It is a drawn-out process (6+ weeks) and the raw/oozing/scabbing skin is unpleasant to say the least . . . but new skin grows back and generally there is no/very minimal scarring. And - dirty secret the Mohs docs won't tell you - if it doesn't work or only reduces the lesion - well then you can have it cut out.[/quote]
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