In addition to her local oncologist, Mary has decided to seek a second opinion and treatment from a multiple myeloma specialist at a larger academic center, which requires travel. Her local oncologist still provides care, but under the guidance of, and in consultation with, the multiple myeloma expert. She monitors her condition by having her labs drawn locally, and the results are shared with both physicians, both of whom keep her informed of the latest updates in the treatment landscape while keeping in mind her desire to treat her myeloma aggressively.
Mary lives in an area where she has access to a multiple myeloma specialist, but that is not always the case. While about 80% of myeloma patients see a community oncologist,7 many also seek a multiple myeloma specialist who may have greater access to clinical trials.