Re: [MOL] June [01984] Medicine On Line


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Re: [MOL] June



 this sounds like i'm joking, but I'm deadly serious: ask for a note.

This has become my modus operandi when a doctor won't listen to me. I ask for a note stating that i have nothing to worry about and no tests are necessary. I say it's "so I can explain to my kids why they shouldn't worry about me."

When I say "my kids worry" the doctor thinks "post mortem lawsuit" and listens to my complaint, ordering the necessary tests - this is how my cancer was eventually found.

these days, doctors have to err on the side of economy in order to work with hmo's. some hmo's actually work on a point system where the doc's rate of pay depends on their rate of tests and referrals. No kidding.

it's your life - Kick butt! -sharon
 
 

Lillian wrote:

Hi Crazy !  Boy do I ever know the feeling, of when something is hurting you
and they don't seem to know what it is and you think your crazy.  But
girlfriend don't be a 90 pound weakling like I was and insist they get to
the bottom of it.  I kept begging for help, didn't get it until I landed in
a coma, with body shut down that has left me pernmently  disabled.  So trust
that body of yours.  I was just trying to make you feel good when I said 90
pounds!  .  Your friend, lillian
-----Original Message-----
From: Argila, June <ARGILA@telephonics.com>
To: 'mol-cancer@lists.meds.com' <mol-cancer@lists.meds.com>
Date: Thursday, May 27, 1999 5:03 AM
Subject: RE: [MOL] Pet Scan - Al Larson

>Hi:  I know what the differences of the scans are.  My question was would
>(1) one PET Scan take the place of a (CT Scan lung - CT Scan Abdomen & Rib
>Xray).  The tumor in my rt. lung is 2 cm so you could see that for sure.
It
>just seems if the insurance co. is going to pay for the other 3 tests
which
>they will - wouldn't paying for 1 PET Scan make more sense if it's
feasible.
>The real plus of that would be you could see if there were any new tumors
>under the size of 2 cm. and maybe see where my rib pain is coming from.
The
>last bone scan I had last month didn't show anything - but the pain is
>coming from somewhere....sometimes I begin to think I'm crazy.
>
>Thanks for getting back to me.
>
>> -----Original Message-----
>> From: Alvin Larson [SMTP:arl@swcp.com]
>> Sent: Wednesday, May 26, 1999 7:32 PM
>> To: mol-cancer@lists.meds.com
>> Subject: Re: [MOL] Pet Scan
>>
>> Argila, June wrote:
>> >
>> > Hi Anyone:  I have a question.  I have to set up an appt. for a CT Scan
>> of
>> > Lung, CT Scan of Abdomen and Xray of ribs.  If I were to have a Pet
Scan
>> -
>> > would that test cover the other three (3) tests?  Anyone?
>> >
>> ------------------------------------------------------------------------
>> The PET scan is done by injecting radio-active glucose into
>> a vein and waiting for it the collect in the tumors (tumors
>> like glucose). The radio-active source produces positrons,
>> which are captured very near the tumor, the positrons produce
>> gamma rays which leave the body and are collected by a group
>> of detectors.  Information from the detectors is processed by
>> a computer to produce an image.
>>
>> The PET scan has about a 5 times better resolution than
>> CT scans and X-rays, which cannot see tumors less than
>> 1-cm in size.  Not only does the PET scan see much
>> smaller tumors than CT scans, it can cover the whole
>> body to see metastasis that may be in the bones, brain, or
>> whatever.  The PET is very good for staging the disease and
>> can be used to follow the progression. It is rather expensive
>> so works best with another marker, such as a blood antigen test,
>> if the tumor is too small to see on a CT scan.
>>
>> The PET is a functional process while the CT scan is a direct
>> image process so they work well together if the tumor is big
>> enough to see on a CT scan.
>>
>> Hope this helps......Al Larson
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