First Appointment

If you have been diagnosed with brain or spinal cord metastasis, our neuro-oncology team at Fred Hutch Cancer Center is here for you. Our experts care for people just like you — all day, every day. We’re ready to provide our expertise, treatment and support to you and your family. 

Your First Appointment

Bring any records that you may have from your other physicians and hospitals, including: 

• MRI and CT scans
• Pathology slides
• Written summaries of your treatments and progress

During your first visit to the Fred Hutch Neuro-Oncology and Brain Metastases Clinic, which will take about one hour, you can expect to:

• Listen to your physician’s recommendations
• Discuss any questions you may have
• Meet members of your care team, including your physician and nurse
• Meet with a member of the research team (if you are interested and if a clinical trial is an option for your care)
• Leave with a clear understanding of your brain or spinal cord metastases, treatment plan and prognosis

It can be helpful to ask a friend or family member to join you at this first appointment. This person can help you get to and from appointments, take notes, help you remember to ask questions and write down your physician's answers,  and offer emotional support.

Where You Will Be Treated

• Patients with brain and spinal cord metastases work with neuro-oncologists and neurosurgeons from the Fred Hutch Neuro-Oncology and Brain Metastases Clinic at South Lake Union and UW Medical Center - Montlake.
• Patients with primary brain or spinal cord cancers work with neuro-oncologists and neurosurgeons from the Alvord Brain Tumor Center at UW Medical Center - Montlake.
• Patients who are receiving gamma knife treatment are treated at Harborview Medical Center.

Getting the Support You Need

If you or someone you know has been diagnosed with a brain or spinal cord metastasis, we have a number of resources available to support you.

• Your care team includes a clinic nurse, who is available during clinic visits and by phone. Your nurse can answer questions and help you manage any side effects you may experience.
• Social workers can help you with the emotional and practical aspects of coping with illness.
• Many other support services are available through Fred Hutch, such as help with insurance and billing, transportation services, nutrition support and more.

Learn About Our Supportive Care Services