Re: please be so kind to reply as soon as possible Wednesday, June 18, 2008 10:38 PM From: "cyoung@mayfieldclinic.com" <cyoung@mayfieldclinic.com> View contact details To: "Dinu Marius-Ciprian" <dmariusciprian@yahoo.com> Dear Mr. Dinu, Two of our skull based surgeons took a look at the images you sent. (Dr. Tew & Dr. Theodosopoulos) They both felt that they could absolutely help your father surgically and would be happy to provider their professional services at no cost to your family. That aside, there will be some cost incurred from the stay and use of the hospital equipment. If you feel that you are in a position to travel with your father to Cincinnati, we would be happy to see him. According to our surgeons, the best case scenario for this type of tumor would be surgery to remove as much as possible, followed by radiation. Pending a positive outcome with both of these treatments, it is possible that your father could have a full recovery. Dr. Theodosopoulos said he would be happy to speak with you over the phone, and I am certainly willing to do the same. If you'd like me to assemble the costs for the hospital stay and inpatient care, please let me know, Best to you and your family, Candice Candice C. Young Operations Site Manager Mayfield Clinic 513-569-5243 513-475-7250 www.mayfieldclinic.com Re: Estimated costs Thursday, June 19, 2008 5:32 PM From: "cyoung@mayfieldclinic.com" <cyoung@mayfieldclinic.com> View contact details To: dmariusciprian@yahoo.com Hello Mr. Dinu, Thank you for your prompt response. I look forward to receiving the translated report. I've sent an email to the hospital for estimated costs. We are looking at MRI prior to surgery, surgery, then immediate imaging postoperatively and 2 days in intensive care followed by 3-5 days on the recovery floor. The Pre-operative imaging can be done at Mayfield Clinic's imaging center at no cost to your family but the remaining hospital stay and inter-operative imaging will be billed through the hospital. I'm hoping to have something today, but the woman who works on this is out of town until Monday so I may not hear anything until then. I'll be in touch as soon as I have something. Thank you and have a good day, Candice Candice C. Young Operations Site Manager Mayfield Clinic 513-569-5243 513-475-7250 www.mayfieldclinic.com Re: Advice Thursday, July 3, 2008 9:24 PM From: "cyoung@mayfieldclinic.com" <cyoung@mayfieldclinic.com> View contact details To: dmariusciprian@yahoo.com Hello Christian, I don't really understand the slowness of the hospital billing department either. The Mayfield Clinic is a separate organization than the University Hospital- we perform surgery at the University Hospital, but we do not, unfortunately, control their billing or anything else. I sent another email to their finance department asking what was taking so long. I'm sorry that you're still waiting- and please have a wonderful birthday with your father. Best wishes, Candice Candice C. Young Operations Site Manager Mayfield Clinic 513-569-5243 513-475-7250 www.mayfieldclinic.com Re: Advice - COSTS Monday, July 7, 2008 7:23 PM From: "cyoung@mayfieldclinic.com" <cyoung@mayfieldclinic.com> View contact details To: dmariusciprian@yahoo.com Hello Christian, I'm sorry that your father's birthday was held under such depressing circumstances but happy that he had the chance to spend some time with close family and friends. I am still waiting (somewhat impatiently for finance information from the University Hospital. While we work very closely with the University Hospital, they are not a part of the Mayfield Clinic and often move VERY slowly. It is a large hospital system and unfortunately they have a lot of people to coordinate in order to get us the information that we need. My best guess is that is will probably cost somewhere between 50,000 dollars US, and 100,000 dollars US. The cost of the surgery equipment, operating room staff, and several over night stays in the intensive care unit can be very pricey. I was hopeful that they could get me an estimate sometime soon, so that I could then attempt to negotiate a lower cost for you and your family, but I also do not want to put your father's healthcare into any sort of delay. I honestly believe that your father would do well here, but I know that it is going to be very costly for your family. I will again contact the hospital today in an effort to get you an estimate as soon as I possibly can. With kind regard, Candice Candice C. Young Operations Site Manager Mayfield Clinic 513-569-5243 513-475-7250 www.mayfieldclinic.com Re: Advice - Mortality risk Tuesday, July 8, 2008 5:31 PM From: "cyoung@mayfieldclinic.com" <cyoung@mayfieldclinic.com> View contact details To: dmariusciprian@yahoo.com Hello Christian, Two out of nine deceased seems high- however, it is a very complicated procedure in a delicate area of the brain. In addition, 8-9 cases this year is less than what we'd do, but I am a little uncomfortable with a 30% mortality or coma rate. I've asked Dr. Theo, who is a member of the European society of medicine (he is from Greece originally) if he knows of anyone who is close to Romania who might be able to perform such a procedure, or who at least could give you another opinion. The paralysis statistics are not entirely unusual- based on where the tumor is and how close it is to the motor strip. I'm hoping he'll contact his staff between cases today and we can get you some additional information quickly. Thanks, Candice Candice C. Young Operations Site Manager Mayfield Clinic 513-569-5243 513-475-7250 www.mayfieldclinic.com