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Cancer Care Is Getting Personal. Local Doctors Can’t Keep Up.

PJ DiPentino felt uneasy about his local oncologist’s plan. DiPentino’s bladder cancer had returned in a lymph node, and the doctor was recommending he continue immunotherapy and wait to see if it spread.

DiPentino, 61 years old, who was being treated near his home in Livingston, Mont., contacted Dr. Bogdana Schmidt, the urologic oncologist at Huntsman Cancer Institute in Salt Lake City who had treated him in 2023. She and other specialists decided DiPentino should start radiation right away.

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