east coast doctors
Comments
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So sorry, fredntan, praying for a swift trip to NED, so sorry you're going through this. -
the amount of radiation from CT/PET scans is actually quite significant. One CT scan is equal to about 10 years of natural radiation. Far more than a mammogram or x-ray. It is equal to the amount that the Nuclear Regulatory Commission allows a worker at a nuclear facility for an entire year.
One study from the National Cancer Institute estimated there would be about 29,000 future cancers related to scans done in 2007 alone.
http://www.foxnews.com/health/2013/01/04/many-people-unaware-radiation-risk-from-ct-scans/ -
but why are other cancer patients getting yearly pet scans
why are at risk for lung cancer pts getting low dose ct scans
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Fran, How did you make the decision to go for more testing? I am wondering if you had a discussion with your local doctors, did you have to get a referral or did you just call and work it out yourself? I was diagnosed 2 days after you.
When I had my surgery I wanted a double mastectomy but my surgeon said that he wouldn't remove a healthy breast. My 1st 6 month mammogram I had 3 new lumps to be biopsied. He assured me if anything came up they would catch it early because I would alternate a mammogram and mri every 6 months. I am due for my mri in January and just learned they will only be scheduling mammograms every 6 months because the insurance won't pay for an mri. My original diagnosis didn't show up on a mammogram just months before. -
they refused any routine scanning. i even presented with hip pain to my new Mo. granted I was increasing activity for half marathon. i had no symptoms my insurance doesnt require referals. i had to travel to texas for routine scans. the ladies down here are shocked how it is in east
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fredntan sent you a PM -
I'm in Mass. and my doc doesn't scan. We go with if I have a symptom which initially I wasn't to happy with but I've learned to live with it and listen to my body. But the doc and I have developed a relationship such that if I do say I have a pain she would order the scans. Kinda crazy how each doctor is different. -
My Dr. in Phila is the same way. He said that an earlier diagnosis of mets, doesn't change the survival rate. To be honest I am very happy with this. I could not stand the total emotional turmoil I would be under, going in for scans. If I should have any symptoms, I will get tested then. I will know about a recurrence before they will. Going in for office visits are not stressful for me because If I feel good (which I always have), I cannot receive "bad" news. -
I see my MO (HUP, Phila) every 6 months. She orders scans only if warranted. I saw her two weeks ago and she was ready to send me for testing if I was still feeling fatigued. I had reported feeling wiped out at my last appointment. I'm feeling much better, so no scans for me. I'm fine with this. My MO listens carefully to my concerns and is willing to do testing if I'm worried about something. She also cited statistics that say early detection of mets doesn't seem to increase survival rates. I'm encouraged to keep track of any strange SE or symptom and call her if it lasts for more than two weeks. We will then meet to determine whether scans are needed.
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Sounds like the Phila Drs. think alike! -
i disagree.
my new MO recently found early bone mets on routine scan. he told me his survival rates are much better if caught early.
so if I hadnt went and found my bone mets, I probably would have eventually broken a hip or gotten compression fx on spine.
i know its damn scarey to have scans, but thats what xanax is for
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I guess I feel comfortable with my MO because she is willing to test further if I present with a concern or symptom. If I had complained of hip pain, as you did, she would have sent me for scans right away. While I don't really want to be subjected to unnecessary testing, I do want to be able to request testing that makes sense.
During my previous appointment my MO heard me cough. I was recovering from a chest cold so I was not worried. She ordered a chest x-ray just to be certain. We both knew that I had some slight lung damage from rads, which might make my cough more noticeable. However, for peace of mind (more hers than mine) she had it checked out. As I expected, my lungs are clear.
I guess we all have to find the treatment philosophy that works for us. This disease is so personal in so many ways. There is no 'one size fits all' approach and I feel that my team approaches me and my cancer as an individual case with its own set of requirements. I trust each of my drs and they have not let me down yet. I wish everyone could say the same, but I know that is not the case. I'm glad for you that you now have a team that is working for you.
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