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  • Health Insurance Exchanges Waste Taxpayer Money September 29, 2014
    Obamacare may surpass Cash for Clunkers to become the prime example of federal taxpayer resource mismanagement. For every dollar in premiums for exchange coverage, taxpayers paid 94 cents in subsidies to either enroll people or encourage them to do so. …
  • Mesothelioma: An avoidable cancer? September 26, 2014
    by Sue Redmond Did you know? Mesothelioma is an aggressive cancer that attacks the lining of the body cavity called the mesothelium (80% of which occur within the lining of the lungs). The only known cause to mesothelioma is exposure …
  • Government Healthcare is Breech of Contract September 24, 2014
    by G. Keith Smith, MD One of the smartest people I have ever met is a property and contracts lawyer, someone from whom I have gleaned countless and valuable insights over the years.  He has advised me, among other things, …
  • Dr. Alieta Eck Campaign Update September 24, 2014
    Dr. Eck http://EckForCongress.com speaks to colleagues at AAPS 71st annual meeting on September 5, 2014.
  • Is There A Provider In The House? September 22, 2014
    by Marilyn Singleton, MD, JD Physicians have a proud heritage. We can boast Dr. Benjamin Rush, a founding father, signer of the Declaration of Independence, Surgeon General of the Continental Army, and opponent of slavery. And Dr. James Derham, born …
  • From EBM to Guidelines September 20, 2014
    Richard Amerling, MD presents at the 71st Annual Meeting of the Association of American Physicians and Surgeons, September 5, 2014.
  • Flaw In Federal Software Lets Employers Offer Plans Without Hospital Benefits September 19, 2014
    A flaw in the federal calculator for certifying that insurance meets the health law’s toughest standard is leading dozens of large employers to offer plans that lack basic benefits such as hospitalization coverage, according to brokers and consultants. The calculator …
  • Ralph Weber Talks About Cost Shifting – Video September 17, 2014
    How do hospitals come up with their prices? Medicare patients cause them to lose money. They have to make up the difference by charging the self-insured more. Non-profit hospitals keep beds vacant or build other facilities so as not to …
  • Here’s The Thing #4 Cost Shifting HD September 17, 2014
  • The Commoditization of Medicine September 17, 2014
    Parvez Dara, MD, FACP, MBA, author of http://jedismedicine.blogspot.com/, speaks at the AAPS 71st Annual Meeting in Charleston, SC.
  • The Progressive Train Wreck: From Medicare to HillaryCare to ObamaCare September 15, 2014
    Jane M Orient, MD presents at the AAPS 71st annual meeting, September 5, 2014, Charleston, SC.
  • Varying Prices for Lab Tests are Absurd September 15, 2014
    by Adrienne Snavely The health needs of a community vary by market. If you cannot find what you need or afford it, you should have the opportunity and information to go elsewhere without being penalized. A patient in Chicago went …
  • The Future Of Medicare September 14, 2014
    Lawrence R. Huntoon, MD, PhD presents at the 71st Annual Meeting of the Association of American Physicians and Surgeons, September 6, 2014, Charleston, South Carolina.
  • Unethical ABMS behaviors and the MOC Scam: How It Will Be Used to Control Medical Practice September 13, 2014
    Paul Kempen, MD, PhD presenting at 71st annual meeting of AAPS, September 6, 2014, Charleston, SC.
  • How is that low fat diet working out for you? September 12, 2014
    by Sue Redmond First, let’s ask where did the idea for the low diet come from? In the late 50’s and early 60’s the AMA worked on a theory and published a report that a low fat diet could help …
  • EHR: Remote Control – Craig M. Wax, D.O. September 12, 2014
    Dr. Wax of http://ip4pi.wordpress.com examines how government-controlled electronic health records undermine quality medical care and patient privacy. Presentation at 71st Annual AAPS Meeting Sept. 4-6, 2014.
  • Evidence-Based Medicine as Junk Science — Twila Brase RN September 11, 2014
    Twila Brase, President of http://CCHFreedom.org outlines how so-called evidence-based medicine (EBM) encourages one-size-fits-all healthcare, is a tool for increased control by insurance companies and the government, and is detrimental to individualized patient care.
  • What ObamaCare Means for Patients September 11, 2014
    Kris Held, MD addresses the 71st Annual Meeting of the Association of American Physicians and Surgeons, September 4, 2014 in Charleston, SC.
  • Private Health Care is Individualized Care, Not Public Health — Richard Amerling, MD September 10, 2014
    AAPS President-Elect Richard Amerling, MD opens the 71st Annual Meeting, Sept. 4, 2014, Charleston, SC.
  • Come Together – The Kidney Stones September 10, 2014

What is Mohs Micrographic Surgery?

By Dr. Drew Claudel, a registered dermatologist on MediBid.com

mohs micrographic surgery

It may have a funny sounding name, but Mohs micrographic surgery is
currently the most precise and successful form of treatment for basal cell
and squamous cell carcinomas (by far the most common skin cancers).
Developed by Dr. Frederic Mohs in the 1930’s, the technique has gained
substantial use and popularity over the last several decades due to its
impressive track record. It offers cure rates of 98-99% for primary
(previously untreated) tumors, and up to an astonishing 96% for recurrent
tumors which have failed treatment with other methods. This is impressive
for a technique that was barely known about and even aroused outrage in
the medical community as little as 50 years ago when first announced as a
skin cancer cure.

Mohs micrographic surgery allows even the most difficult and high risk skin
cancers to be treated safely and cost effectively in the office setting. After a
numbing shot, the cancer is removed piece by piece and examined under the
microscope with the aid of a detailed map or drawing of the color coded
specimen (thus the term “micro graphic”) until all margins are clear while at
the same time steering clear of healthy (uninvolved) skin. This not only leads
to a quick and highly effective cure of the cancer, but it also preserves surrounding healthy skin and tissue. This is a very important and valuable aspect of Mohs surgery, as most skin cancers unfortunately involve the delicate areas of the face such as the nose, ears, eyelids, and lips. These are the areas that receive the highest concentration of UV (ultraviolet) radiation, the biggest risk factor for skin cancer.

Of course, other treatments can and should be used to treat skin cancer as well. These include some quicker and less costly older forms of treatment such as curettage and electrodesiccation (“scrape and burn”) and standard (or simple) excision. There is also an ever increasing selection of newer, although slightly more expensive, non-surgical options. These include topical chemotherapy creams and gels, as well as light-based anti-cancer treatments usually done in an office setting using lasers and visible light systems (photodynamic therapy or “PDT”). However, none of these treatments offer cure rates as good as Mohs micrographic surgery and should not be used for “high risk” tumors. These are cancers even more likely to recur and include some aggressive subtypes of basal and squamous cell carcinomas, cancers on certain locations of the face and body, cancers that have already recurred, and cancers in immunosuppressed individuals. An evaluation by your friendly Dermatologist, and possibly a biopsy will determine the best form of treatment for you.



At MediBid, we restore market forces to medical care. Doctors get to set their own rates based on their training, experience, and outcomes, and patients get to shop for medical care across state lines and international borders. Many times with MediBid, you will find procedures that are more effective than procedures allowed, or covered by health plans. Transparency and competition are the only way to achieve reasonable costs. Many of our employer clients offering group health insurance through MediBid save $5,000 per employee per year. Those are substantial savings. Patients are saving an average of 48% vs. insurance discounted rates, or 80% vs. retail. Contact us for more information.
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