Prior to your surgery
If, after your evaluation by and consultation with the Woman’s Cancer Center surgeons, it has been decided that surgery is necessary you will meet with our Surgical Scheduling Coordinators.
They will give you a date of surgery, hospital location and give any pre-operative testing that you will require. These may include, EKG, Chest X-ray, blood and other laboratory testing. You will be given a telephone number for pre admission testing, and a date prior to your surgery to pre register.
You will be informed of anything you must do prior to your surgery and the time you need to arrive at the hospital the day of your surgery. The Surgery Coordinators will give you an information packet that will contain any information you need to know regarding your hospital stay.
The Surgery Coordinators are also available by telephone to answer any questions you may have after you leave the Woman’s Cancer Center.
After the surgery
Following surgery, while hospitalized, you may be seen by one or more of our physicians or physicians assistants. Our inpatient rounds are scheduled according to staff availability to ensure you receive 24-hour service during this critical time. Your surgeon will usually be by to see you, but, in some cases, an emergency or a scheduling conflict makes this impossible. Rest assured, your surgeon will be apprised of your status daily, and you or your family should feel free to contact him or her if you have questions.
Generally speaking, you will need a few weeks to recover prior to undergoing any additional therapy (if needed). At this point, your pathology and other pertinent test results will be available. You will then have the opportunity to completely discuss your situation and explore any further treatment or surveillance options with your doctor.
Do NOT use this site to contact your physician if you are having a medical emergency.
In a true emergency it is best to go to the Emergency Department at the nearest hospital for treatment. The Emergency physician on duty will contact your physician at the Women’s Cancer Center who will coordinate any further treatment or admission that may be indicated.
Reaching Your Physician
You may call the offices at any time you have questions regarding your condition, treatment, and medication. If your question is urgent, either your physician or another staff member will return your call promptly. If your problem is not urgent, your call will usually be returned within 24 to 48 hours. Our staff is fully qualified to answer your questions and arrange prescription refills. If you need to speak with the advice nurse, she can be reached at the office during regular office hours.
The Women’s Cancer Center of Nevada is contracted with many insurance companies and HMOs/PPOs. If we are not listed as a provider on your plan, we will make every effort to work out something with your insurer. Still, it is in your best interest to familiarize yourself with the requirements of your medical insurance plan and to make sure they are complied with appropriately.
If you are an HMO/PPO member, please tell us at the time you make your first appointment. Frequently, HMO/PPO authorization for your referral must be arranged through a primary care physician.
Although our charges are competitive with other specialists in the area, due to the nature of our practice, they may exceed what some insurance carriers describe as “usual or customary.” Our office requires payment at the time of office visits, consultations and office procedures. If you have insurance, we will give you the forms you need to complete your office visit claim.
For both outpatient and inpatient surgery, we will submit your insurance claims and will respond promptly to any requests for information from you or your carrier. Insurance plans vary and may not pay 100% of your surgical costs. You are responsible for any amount not covered by your plan. Unless you are a member of a contracted HMO/PPO, 20% of your estimated surgical fee will be due prior to your scheduled surgery.
We will do everything we can to follow up on your insurance claim for two months (60 days). After this time, you will be responsible for further follow-up, as well as any unpaid balance. You should note that two months after your claim has been submitted, the balance will accrue interest of one percent per month.
Please contact our billing staff at (702) 588-7440 if you have any questions, or would like to arrange a payment plan.
Our staff can answer your questions and arrange prescription refills. Some refills require special arrangements, so please call several days in advance.
Prescription refills on weekends or holidays generate a $25 fee.
Grace Y. – In 1994 I received devastating news that I had stage 3 cervical cancer. I had arrived in the United States six years prior and my English was not very good. Immediately, I began searching for a doctor I could trust. After visiting many doctors I decided to have Dr. Spirtos and his team help fight my cancer. He made me feel very confident that he would treat me as he would a family member. Also, I was impressed that Dr. Spirtos used the most advanced surgical methods available at the time. His passion for medicine was obvious, as he deliberated and studied the various options and procedures available for me. Upon visiting the office, I felt at home. Every small detail had been thought of to make me feel comfortable and confident. To conclude, I feel as though I owe my life to the excellent care I received from Dr. Spirtos. I am cancer free for 14+ years. I continue to travel from CA to NV for my checkups with Dr. Spirtos. I feel very grateful to have him as my doctor.
Sue M. – When I was diagnosed with Ovarian cancer, I met with several doctors and chose Dr. Spirtos to treat me. I believe that he is very skilled and aggressive in his treatment approach. I also feel that he works very hard for the best outcome for his patients. Whenever I came in to see him, he took all the time that was needed to go through all my issues in spite of his busy schedule. It’s almost 10 years since I was treated and I’m active and healthy. I’m not sure I would be able to say that without the treatment I received from Dr. Spirtos.
Nancy M. – I first met Dr Spirtos when he was practicing in California, 10 years ago. I was diagnosed with Stage 3C ovarian cancer and I never thought I’d have the pleasure of posting a testimonial for anyone 10 years later! Over the past several years, Dr Spirtos has successfully guided me through six occurrences – with multiple surgeries and chemo treatments. One of the first things Dr Spirtos told me was to NOT get caught up in statistics, and I’m so glad I took his advice – I could have driven myself crazy with worry if I hadn’t. He’s always so pragmatic (which I appreciate), but yet positive; that attitude has kept me optimistic for many years. I feel like if there is a way, he will find it. Through it all I felt like I was his most important mission. I’ve heard the same from almost all of the other women sitting in his waiting room. I truly believe I would not be here today if it weren’t for Dr. Spirtos
Ann in NY – To me, Dr. Spirtos epitomizes the very best in medicine. When I experienced a massive recurrence of my ovarian cancer in 2006, my doctors in New York suggested chemotherapy, with the hope I might gain another remission. My husband and I searched through medical literature. Dr. Spirtos and colleagues had published the earliest results that strongly suggested a secondary surgery could be quite beneficial. We were greatly impressed by his reputation as a skilled surgeon, innovator and mentor to other surgeons. We contacted the Women’s Cancer Center of Nevada from our home in New York and he agreed to perform my secondary surgery. Three days later we were in Las Vegas and I had a successful surgery that week. I was truly impressed by the skill and caring of Dr. Spirtos. He even stopped by the hospital to check up on me on Thanksgiving Day. Since then, he continues to work with me to advise on treatment approaches as I deal with other less serious recurrences. I give him credit for giving me the last four years of my life and hopefully many more. He has fostered an attitude of caring, including the program to provide chemotherapy for underinsured and uninsured cancer patients in the Las Vegas area. The Women’s Cancer Center is truly a special place.
Anne Maree S. – I do not imagine that you would believe that there are gods among us, but I promise you there are and indeed Dr Spirtos is. After many tests, delays and accusations, that even if I had endometrial cancer I should not be in pain (and I WAS!) I was diagnosed with uterine MMMT. Subsequently, I had a radical hysterectomy and was staged IIIC. I had no comorbidities and did not have a serious illness. Five months later, I had a recurrence, again my symptoms were dismissed, and after many delays I was diagnosed with a para aortic lymph node recurrence. I was told that it was inoperable, and that my only hope was to receive radiation but that “you will probably not survive this”. My daughter found Dr. Spirtos on the Internet as a pioneer of surgery for removal of para aortic recurrences and E-Mailed him with a brief synopsis of my condition. He called me several days later and said, “Call my office and make an appointment for this week if you can, send all your records and get here. I think I can do this.” When I arrived in Las Vegas, Dr. Spirtos said that I had 2-3 months left to live without surgery. Dr. Spirtos performed ultra radical surgery and advised my local MD that I was to have chemo and then radiation when I returned home. My recurrence and ultra radical surgery were almost 5 years ago. I have defied the odds given me only because of Dr. Spirtos, his staff and his complete and utter dedication to his profession. My hometown gyn/onc labeled Dr. Nick (I have it in writing) a maverick, but I personally know that he is, as I previously stated, a god among us.