In general Mohs surgery is a safe and effective technique with advantages (compared to standard excisional surgery) in less cosmetic defect w/ better healing and better removal of skin tumors. The anesthesia is local which is simple (as opposed to general anesthesia). It can be done in elderly patients. However, it can take time (a few hours typically) that requires cooperation and patience of the patient. In an elder with dementia (if emotionally labile or non-cooperative) that could be an issue.
Both of you should discuss your concerns with his dermatologist beforehand to make sure he is comfortable with the procedure. If you have further questions about this topic or others, feel free to contact me directly.
Best wishes, Vik Rajan, M.D.
DISCLAIMER The information provided above is FOR EDUCATIONAL USE ONLY, and DOES NOT CONSTITUTE MEDICAL ADVICE/OPINION, is not meant to diagnose or treat any illness or disease, and is not a substitute for the medical evaluation and advice of your (or your loved one’s) primary care physician or other medical professional. While striving to be factual and exact, no warranties are made with regards to the accuracy of the information provided above. You are always advised to talk with your (or your loved one’s) doctor about any health concerns that you have and about any of the information provided above. Sole reliance on the information provided above is not advised and would be solely at your own risk and liability.
Thank you Doctor Rajan. I made an appointment for a consultation before the surgery so the surgeon can talk to me and my dad. I am sure my dad wont understand too much. He is very weak also, so getting him around town is becoming difficult as well. I was told when making the appointment that the surgery does not take too long, its the waiting for the results to be read. Could be up to 2 hours. Of course I would be with him, but not sure what mood he will be in, or if he will become paranoid.
My 89-year-old dad had Moh's surgery last winter for 2 squamous skin cancer areas on his ear. We took a portable DVD player with us so Dad could watch his favorite TV shows during long waits. That plus his favorite treat for dessert (a Twinkie) seemed to help him pass the time and stay upbeat.
Thank you for your response. My dad never had the surgery as his doctor said it would not be wise. He passed away a little while after, so we made him as comfortable as possible. His body was deteriorating slowly so even his nurses said to let him be, don't put him thru anymore skin surgeries.
Thanks for sharing and am sorry you had to deal with this. I too, am facing a similar issue. My dad is 82 and has dementia and has been referred for MOHS for a squamous cell skin cancer. I am so concerned about it. I have an appointment set up to talk to the surgeon. Thanks again.
Both of you should discuss your concerns with his dermatologist beforehand to make sure he is comfortable with the procedure. If you have further questions about this topic or others, feel free to contact me directly.
Best wishes,
Vik Rajan, M.D.
DISCLAIMER
The information provided above is FOR EDUCATIONAL USE ONLY, and DOES NOT CONSTITUTE MEDICAL ADVICE/OPINION, is not meant to diagnose or treat any illness or disease, and is not a substitute for the medical evaluation and advice of your (or your loved one’s) primary care physician or other medical professional. While striving to be factual and exact, no warranties are made with regards to the accuracy of the information provided above. You are always advised to talk with your (or your loved one’s) doctor about any health concerns that you have and about any of the information provided above. Sole reliance on the information provided above is not advised and would be solely at your own risk and liability.