Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

advertisement

Quick Start Forum Video Tutorial

    Forum-Tutorial-Screenshot
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

Notice
All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

The main site has all the formal medical articles and videos for you to research on.
advertisement

I seriously have no more trust in radiologists...

Well I've been away from the forums for a short bit while waiting for some more info to share from new testing....

I just got my new MRIs done. I had two cervical MRIs done, in August and September of last year. They were determined to be normal, and after extensive self-review and research I felt that the radiologists had missed signs of foraminal narrowing on the right side at C6-7.

So long story short eventually I got to see a neurosurgeon and was able to get him to send me for a new cervical MRI. He also had me get a brachial plexus MRI to rule out problems there as well.

Well he sent me for a consult with a neurologist to go over the brachial plexus area, and so she had the MRI results for me to see. I don't follow up with the neurosurgeon until Wednesday. My goodness finally a radiologist has seen the narrowing. Problem is...on the report they wrote it was at C7-T1. I had already gone over the images from the new MRIs and seen that the narrowing is looking a bit worse, it is definitely at C6-7, and they didn't even do axial imaging for C7-T1 which is the best way to see foraminal narrowing. My assumption is that the radiologist just noted that it was at the last level reviewed and wrote C7-T1 since it should be the last level imaged? I'm so tired of it though...they finally acknowledge what is wrong with me and now this...

It is really quite terrifying the carelessness that is happening here...
Microlaminectomy and discectomy at C7-T1 on April 26th.
advertisement
1

Comments

  • alexhurtingaalexhurting Posts: 1,991
    edited 02/11/2013 - 4:52 AM
    I don't trust Doctors, Radiologists,Lawyers, and above all i don't trust woman ! Lol

    May I ask what line of work you are in ?

    I have seen many diferent spine specialists and it seems to me most spine specialists yes give the radiologist report a fast read over but they don't realy base there opinion off that report,
    They put in the MRI cd and view it frame by frame and they base there opinion from there years of dealing with this hands on and make a decision if this is serious enough to open this person up to perform surgery with all risks involved,

    The radiologist report will list everything from what I read on my own report and it's a list of things so long that many specialists know many things on the report is not significant ,

    So I guess at the end of the day I have to leave the decision to my doctor simply as I have to trust him more then the radiologist who just reads his findings off the MRI but does not do surgery vs doctor knows if this is bad enough to do surgery on or not,

    Or at least we hope so ,

    Best of luck, with some luck they can resolve your problem but we all know this is never an easy fix even in this day and age, Some don't realize how fortunate they realy are when they find the cause in a short time and fix it and they are back to normal life,

    Best wishes,
    Flexicore ADR 2004 resulting nerve damage l4l5 Fusion 2006 same level, 2009 hardware removal with lami !
    2012 scs implant ,
  • My first spine specialist, and orthopedic spine surgeon, did not give me the impression that he'd looked at the images. He came across as having just looked at the report. I don't know if maybe it's because the report said 'normal' and listed no abnormalities, maybe he thought no need to look.

    None of my reports have listed anything until this most recent one which discusses the foraminal narrowing from a bulging disc. No long list at all, my neck is quite healthy looking.

    The neurosurgeon I am seeing now did seem to have taken the time to actually look at my films, so I am hoping he will also take the time to look the new ones over with me, and discuss the error on the report.

    It is listed as mild narrowing, but it is certainly not effecting me in a mild way. If only the doctors would understand that.

    Oh and to answer your question, I work in accounting. I will also say that I am very intelligent. I graduated high school early, and I am currently working on my second college degree. I learn quickly and retain the information well. I have been studying and researching c-spine issues and c-spine radiology since fall. Not to be egotistical but to point out why I feel confident about the things I am saying when it comes to my imaging. I didn't just look at it and go "ooh I think this looks messed up".
    Microlaminectomy and discectomy at C7-T1 on April 26th.
  • advertisement
  • Lol ok got it , I understand, Yep that's good new doctor is taking the time to look at the film,
    If they don't take the time to look at the film I don't think they are taking interest in the person ,

    Almost every doctor I seen always looked at the image off the cd , After my last surgery he viewed it right there with me and my gf as he kept talking about how fusion looks good and artificial disc is ok and everything looks good as I am saying dude I am ready to pass out from the nerve pain !

    So it can get frustrating when they simply don't see anything obvious, But then again I know nerve damage don't show up on MRI image so I realized he can't help me any longer,

    Keep your fingers crossed your doctor is good and he can get you fixed up so you don't have to deal with this much longer,
    If he find the problem and recomends something now you can still get another doctors opinion to make sure of the best option, But you already know that I am sure, You graduated highschool early and have a college degree !

    Lol. Sorry just messing with ya ! Best of luck, Keep us updated ,
    Flexicore ADR 2004 resulting nerve damage l4l5 Fusion 2006 same level, 2009 hardware removal with lami !
    2012 scs implant ,
  • Goes frame by frame of all reports infront of my husband and I discussing what he finds. He never even mentions the findings of the radiologist.
    33yo mom of two. My surgical history...preadolescence scoliosis, kyphosis, and a hot mess.... 5 spine surgeries and lots of items added I wasn't born with (titanium, peek, surgical steel). Guess cremation is out. TSA loves me.
  • When it comes to back specialists, both my surgeon and physical medicine doctors did their own evaluations of my images. After my first fusion failed, my surgeon told me that he went over all my pictures with a fine tooth comb. As far as I can tell, neither specialist paid any attention to the radiologist's report.
    Disability retirement
  • advertisement
  • dilaurodilauro ConnecticutPosts: 13,584
    Its always a two way street.

    We all just have to make sure they we dont take any detours finding those street paths.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • quicksilver said:
    When it comes to back specialists, both my surgeon and physical medicine doctors did their own evaluations of my images. After my first fusion failed, my surgeon told me that he went over all my pictures with a fine tooth comb. As far as I can tell, neither specialist paid any attention to the radiologist's report.
    I'm finding the more specialists I see always want me to bring my MRI images, and they do look at them, but they don't even care what the MRI "report" says. I appreciate them wanting to form their own opinions by viewing the images first-hand, but I thought radiologists are specifically trained to see every little intricacy of what's in the pictures, so I'm not sure why these specialists don't give a [you know what] about THEIR findings.
  • dilaurodilauro ConnecticutPosts: 13,584
    edited 02/13/2013 - 5:26 AM
    instead of reading the reports. Words can have many different meanings and depending on how someone interprets things, their written reports can be affected.
    I know many radiologists that view the image and create the reports. They do so based on all the schooling and practical experiences they have.

    Now, when a Doctor looks at the situation.... 1) I hope they do not look at the report first 2) Look at the MRI image to come up with their own evaluation. A surgeon is going to view a MRI film perhaps just differently than a Pain Mgt doctor who does not surgery.

    Then, I sure hope the doctor compares their findings in what the radiologist report indicates. If they are in synch, then you pretty well know you have an agreed to situation. Now, if the doctor sees something different from what the radilogst saw, you want to know why.

    And since we all have rights to the written reports, we can look at them (maybe not make a lot of sense of some of the words), but hopefully compare this to what the doctor is seeing in the film.

    Remember, the Movie File can many times be different than the Actual Book.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • and he looks at my films. I have found more often than not that it's the radiologist that "over reads" the MRI. In my opinion if your surgeon is not looking at your films in depth, time to find a new surgeon. The surgeon is the guy who will hold your fate in his hands if you need surgery so it means nothing what radiologist says (in my opinion). You MUST be diligent in your own care and in choosing a surgeon if you need surgery. I hope you dont, its NO FUN! Peace, Ellen
    3 level fusion L3-S1 July 23, 2012
  • dilauro said:
    I sure hope the doctor compares their findings in what the radiologist report indicates. If they are in synch, then you pretty well know you have an agreed to situation. Now, if the doctor sees something different from what the radilogst saw, you want to know why.
    That's all I ask for, is the MD to at least look at the report to see how his/her findings based on the images, match (or don't match up) with what the report says.
advertisement
Sign In or Register to comment.