ct scan shows interstitial fibrosis from coal dust the lung doctor dosen' believe it who to believe?
2006-12-25 09:02:17 · 12 answers · asked by jesseglawson 1 in Science & Mathematics ➔ Medicine
Okay for clarification I will say the following, the person performing the test is usually a technician. This person 'usually' has no qualifications to 'read' a test. Now once the CT scan is completed the images will be handed over to a Radiologist (who is an MD) who will then 'read' the results and pass his findings to your regular doctor.
Now what I might suggest would be to get a second opinion. Get a copy of your CT scan and take them to an independent doctor/radiologist. See what they say.
2006-12-25 09:06:11 · answer #1 · answered by ~Just A Girl~ 3 · 3⤊ 0⤋
TAKE IT FROM EXPERIENCE..... A CT scan reading could vary depending on who the radiologist is. It could be read by a DO or MD radiologist so therefore would the DO or MD radiologist be more credible and reliable???? It is always a good idea to get a copy of the CT scan on a CD disk and sent it off to a neutral radiologist if you have any doubts. Sometimes doctors don't even know what the radiologist is trying to state - so do your own research. Also, CT scan & MRI's with contrast/injection are more credible/reliable than those without injection. Make sure the radiology center is straight with all ducks and reading the ct scan correctly and following the doctor's prescription on what body parts to scan and if the doctor ordered contrast or not because sometimes the radiologist centers do not follow the doctor's prescription and if you enter into the radiology center with a reasonable expectation of having a ct scan done on a certain area and consent to those areas then services need to be rendered or else they should not charge you for the ct scan or the insurance because if they do that is classified as insurance fraud. Contact various radiology centers and request for them to review your disk - they usually charge or some will do it just for educational purposes. Also, is this due a malpractice case or work injury, if this is the issue there is a strong possiblity that the doctor will not side with you due to fear of becoming involve and serving as an "EXPERT." Doctors fear this and unfortunately it is at the patient's well-being expense. Ask your doctor why he doesn't believe this and if this is the issue that he doesn't believe it ask him for a more detailed exam which would provide better clarity such as an MRI with contrast. However, I doubt it if he gives it to you. Ask him what are his "Sources" for not believing the radiologist? And, ask your doctor if he is also Board Certified as a "Radiologist" if not ask him to please list his sources.
2006-12-25 11:45:01 · answer #2 · answered by talefairy 2 · 0⤊ 0⤋
I would contact an independent 2nd opinion. Even if you have to pay for the intital visit - your peace of mind is priceless.
No idea why this site lists CT Scan at #4 & #8 but it did so maybe there is a need for further testing down the road......
Diagnostic Tests That May Be Used to Identify Pulmonary Fibrosis or Interstitial Lung Disease
1. Blood Tests
2. Pulmonary Function Tests
3. Chest X-ray
4. CT Scan
5. Bronchoscopy
6. Bronchoalveolar Lavage
7. Lung Biopsy
8. CT Scan
Good Luck to you.
2006-12-25 09:28:09 · answer #3 · answered by Akkita 6 · 0⤊ 0⤋
You should believe in MD. The Doctor must be finding the other complications associated with this fibrosis. Some times it may happen that ct scan is wrong due to some technical error. Show this CT scan to your Doctor and ask his advice. Get another ct scan done. Confirm it with the other Doctor.
2006-12-25 09:15:36 · answer #4 · answered by Pramod 3 · 0⤊ 0⤋
well...a ct scanner is never trying to lie to you...it IS prvoen that if you have an HMO or Medicare, your plan actually pays off your doctor not to test. Basically, if the doctors think you have something, they'll try to test you, but it's expensive, so an HMO plan will give the doctor not to test for that so the HMO will actually save more money. A ct scan will is not able to be paid off, and they won't try to lie for money, it's a computer, it doesn't need it.
My suggestion: Get a second opinion, go with the ct scan becuase it might be better to be safe. Diseases are treatable only when it is treated early.
2006-12-25 09:07:13 · answer #5 · answered by scopetu 2 · 0⤊ 0⤋
The "ct reader" is a radiologist, and a radiologist is an MD. So is the pulmonologist that you are seeing.
There are probably other tests that can be done to confirm/deny youre diagnosis, so talk with your pulmonologist before seeking a second opinion.
But you are entitled to a second opinion. That would be a second opinion from another pulmonologist. A radiologist doesn't give diagnostic opinions.
If you do end up seeking a second opinion, make sure that it is from a pulmonologist who is familiar with the health problems of miners. Not all of them are.
2006-12-25 12:41:54 · answer #6 · answered by Anonymous · 0⤊ 0⤋
If the CT scan tech told you that you can sue him for medical malpractice and practicing medicine without a license. They are not trained to make diagnosis only MD can do that. See what happens? He did and now you're paranoid about something that probably isn't even there.
2006-12-25 09:05:32 · answer #7 · answered by sixcannonballs 5 · 1⤊ 0⤋
If it was me or someone I loved, I'd go and get a second opinion from another MD. If two or three MD's come back saying the same thing then it's probably a case of "jumping to conclusions" by the technician.
Never be hesitant to get a second opinion...especially when dealing with your life!
2006-12-25 09:05:04 · answer #8 · answered by dg 2 · 1⤊ 0⤋
unless that ct scan reader is a certified radiologist, "an expert", I would go with the md.........and a second, third , or more opinion
2006-12-25 11:58:54 · answer #9 · answered by filch_felonious 3 · 0⤊ 0⤋
I know it's inconvienient, but seek out a third opinion. Perhaps an internist.
2006-12-25 09:04:04 · answer #10 · answered by strunkitup 2 · 0⤊ 0⤋