Ms. Awat, a teacher from Batangas, first visited me on February 17, 2015. She was a 43-year-old female with a concern of a right breast lump. After I examined her breasts, I told her that my number one diagnosis is a “MACROCYST” on her right breast. I told her the plan of treatment would be a needle evaluation and aspiration with or without biopsy.
Since she was a HMO member, I told her to get a letter of authority first from the HMO for the procedure so that she would have to pay anything to me. I told her to come back when she had the LOA.
When she came back to me on February 21, 2015, she told me that her HMO would not cover the procedure that I suggested. She had gone to 3 offices of the said HMO (2 in Manila and one in Batangas) but she was told the procedure would not be covered. She also narrated that a surgeon affiliated with her HMO in Batangas was telling her to have the breast mass removed using an incision (excision-biopsy).
She decided to come back to me for the needle evaluation and aspiration procedure even without the HMO coverage. I did the procedure. In less than a minute, I got 15 cc of brownish fluid and the mass completely disappeared. These findings confirmed my clinical diagnosis of MACROCYST.
Ms. Awat was so happy with my management that she requested for a picture with me. I also was happy that I saved her from unnecessary breast operation.
Below is my updated registry of patients saved from unnecessary breast operations.
History of ROJoson’s Project: ROJoson’s Patients Saved from Unnecessary Breast Operations – June 23, 2012 (Start of Registry)
Posted on June 23, 2012
Today, June 23, 2012, I had a patient, Elizabeth_C, 40s, a sewer, whom I saved from an unnecessary breast operation. She had a macrocyst which I just aspirated. Prior to seeing me, she was advised by another physician to have a breast operation. No doubt, as a result of what I did, she was very thankful to me as I saved her from an unnecessary breast operation. I have experienced a lot of this kind of situation before, that is, patients advised to have breast operations but which to me are not necessary, either just a needle aspiration is needed or the patient just has a fibrocystic breast condition, which is considered normal. Today, June 23, 2012, I start a project dubbed as “Patients Saved from Unnecessary Breast Operations.” I will make a registry of patients whom I have saved from unnecessary breast operations. The main inclusion criterion will be those patients who were previously advised to have a breast operation (one that is more than a needle evaluation and aspiration with or without biopsy) and after my evaluation, I decided it is not needed and the patient appreciated my recommendation. I will target a total of 50 patients in the registry. I can backtrack, meaning those patients that I have saved from unnecessary breast operations even before June 23, 2012 can be included in the registry. This will be another legacy that I will leave behind for my patients. The other one that I have started in December 2011 is the ROJoson’s Cancer Survivors in which I am also using “50″ as a target. As of December 11, 2012, I already have 50 survivors in the registry. I have reached my target. As of December 2014, I already have 100 survivors in the registry. The ROJoson’s Cancer Survivors and the ROJoson’s Patients Saved from Unnecessary Breast Operations will be two of my end-points in which I can say I have lived a life that matters.