Category Archives: Medical Second Opinions

Stroke Awareness

5/22/2023

Stroke is a serious medical emergency that occurs when blood flow to the brain is interrupted, either by a blood clot or a ruptured blood vessel. Without enough blood flow, brain cells can die, leading to permanent brain damage or even death.

It is important to be aware of the signs and symptoms of stroke so that medical help can be sought immediately. The most common signs of stroke include:

  1. Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body
  2. Sudden confusion or trouble speaking or understanding speech
  3. Sudden trouble seeing in one or both eyes
  4. Sudden trouble walking, dizziness, or loss of balance or coordination
  5. Sudden severe headache with no known cause

If you or someone around you is experiencing any of these symptoms, it is important to call emergency services immediately. Time is critical in treating stroke, and the faster treatment is received, the better the chances of recovery.

There are several risk factors for stroke, including high blood pressure, high cholesterol, smoking, diabetes, and a family history of stroke. Managing these risk factors through lifestyle changes and medication can help reduce the risk of stroke.

In addition, there are several lifestyle changes that can help reduce the risk of stroke, including regular exercise, a healthy diet, limiting alcohol consumption, and not smoking. It is important to talk to a healthcare provider about ways to reduce the risk of stroke and to receive regular check-ups to monitor blood pressure and other risk factors.

Sinusitis

5/15/2023

Sinusitis, also known as a sinus infection, is a common condition that occurs when the sinuses become inflamed or infected. The sinuses are air-filled cavities located in the skull, and they are lined with mucous membranes that produce mucus to help trap dirt, dust, and other particles.

Symptoms of sinusitis may include facial pain or pressure, nasal congestion, headache, cough, and a thick yellow or green nasal discharge. Other symptoms may include fever, fatigue, and a reduced sense of smell or taste.

Sinusitis can be caused by a variety of factors, including bacterial, viral, or fungal infections, allergies, or structural abnormalities of the nose and sinuses. Treatment for sinusitis typically involves medications to relieve symptoms and treat the underlying cause of the infection.

Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may be recommended to relieve facial pain and headaches. Decongestants, such as pseudoephedrine or phenylephrine, may help to relieve nasal congestion. In some cases, nasal corticosteroid sprays may be prescribed to reduce inflammation and improve breathing.

Antibiotics may be prescribed for bacterial sinus infections, but they are not effective for viral or fungal infections. In some cases, surgery may be necessary to correct structural abnormalities or remove nasal polyps.

Prevention of sinusitis can be achieved through good hygiene practices, such as washing hands regularly and avoiding close contact with people who are sick. It is also important to manage allergies and avoid exposure to irritants, such as smoke and pollutants, that can irritate the nasal passages and sinuses.

Celebrity Diagnoses Shine a Spotlight on Colon Cancer

5/12/2023

Singer Taylor Dayne shined in the 1980s music spotlight with hits such as “Tell It To My Heart.” Now, she’s also in the spotlight telling women to keep on top of their routine health screenings. She was diagnosed with colon cancer at age 60, and thanks to regular colonoscopies, the cancer was caught early and removed quickly with surgery. Due to previous benign polyps, Dayne undergoes a colonoscopy two times per year. Staying on top of her recommended screenings helped to initially catch her polyps, and in turn the frequently scheduled colonoscopies helped to catch her cancer early – significantly improving her prognosis.

Several weeks after Dayne’s announcement, the shocking death of actress Kirstie Alley continued the conversation about colon cancer and the importance of screenings. Her family said in a statement that the disease had only recently been discovered.

Dr. Paula Denoya, director of the Colorectal Surgery Residency Program at Stony Brook Medicine, explains, “Unfortunately, colon cancer doesn’t have a lot of symptoms until it’s advanced, which is why screening is so important.” Symptoms can overlap with common conditions such as irritable bowel syndrome, making colon cancer difficult to diagnose.

Colon cancer is the third most common cancer diagnosed in the U.S., and 20% of patients have a family history of the disease. Incidence rates have fallen in older adults in recent years but have risen in all age groups under 65.

The good news is that death rates are dropping due to polyps being found and removed more often before developing into cancer. Colorectal cancer itself is also being found earlier, making it easier to treat. Doctors recommend a colonoscopy every 10 years for people 45 and older, with the possibility of more frequent screenings due to personal or family history. SecondOpinions.com can review colonoscopy findings to help ensure you’re screened and treated based on your personal needs.

Screenings are important for everyone, but women in particular often care for others at the expense of their own health. Taylor Dayne’s wish is for all women to “find a doctor that will tell you the truth. Be a warrior for yourself.”

Doctors Missed Kylie Minogue’s Breast Cancer

5/10/2023

Grammy winning pop star Kylie Minogue is another celebrity example of someone who was successfully treated for breast cancer with no lasting health impact – and another celebrity example of someone diagnosed through a second opinion.

The Australian-British singer had a routine screening at age 36 and left with a clean bill of health, but Minogue couldn’t shake the feeling that something was wrong. Several weeks later she sought out a second opinion and discovered she did, in fact, have a small tumor in her breast. She put performing on hold while she was treated with a lumpectomy, chemotherapy and radiation.

Minogue fully recovered within eight months. Since going public with her story, she has taken every opportunity to remind women to keep up with mammograms and encourage them to advocate for their own health. Her most pressing advice? Trust your gut if you think something is wrong. Minogue emphasizes, “If you have any doubt, go back again.”

Getting regular mammograms is the most effective way to catch breast cancer early and minimize the treatment required. It’s also important to know your family medical history, as that puts you at risk and can influence the age to start screenings.

However, mammography is not perfect. The American Cancer Society reports that screening mammograms miss about 1 in 8 breast cancers for a variety of reasons including poor technique, incorrect interpretation and slow tumor growth.

Fortunately, there are increasing options to screen for and diagnose breast cancer. Ultrasound can be helpful, especially for women with dense breast tissue. It’s also important to be aware of new breast symptoms detectable externally, such as skin changes or pain.

SecondOpinions.com wants to help you advocate for yourself or a loved one. Contact us whenever a medical diagnosis – or lack thereof – raises doubt.

Difference between an MRI and CT

4/28/2023

Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans are both medical imaging techniques used to visualize the internal structures of the body, but there are several key differences between the two:

  1. Radiation exposure: CT scans use X-rays to produce images, and thus expose the patient to ionizing radiation. MRI, on the other hand, does not use ionizing radiation, but instead uses strong magnetic fields and radio waves to produce images.
  2. Image quality: CT scans are typically better at detecting bone fractures and other injuries, while MRI scans provide higher-resolution images of soft tissues, such as muscles, ligaments, and nerves.
  3. Scanning time: CT scans are generally faster, taking only a few minutes to complete, while MRI scans can take anywhere from 30 minutes to an hour or more.
  4.  Patient comfort: CT scans involve lying still on a hard table while the scan is performed, which can be uncomfortable for some people. MRI scans, on the other hand, involve lying still in a narrow tube-like machine, which can be uncomfortable for people with a fear of enclosed spaces.
  5. Contraindications: CT scans are not recommended for patients with kidney problems, as the contrast material used in the scan can cause further damage to the kidneys. MRI scans, on the other hand, are generally safe for most patients, but can be contraindicated for people with certain types of metal implants, such as pacemakers, as the strong magnetic fields used in the scan can interfere with the function of the implant.

In summary, the choice between an MRI and a CT scan typically depends on the specific clinical question being addressed, as well as the individual patient’s needs

Second Opinion Reveals Sharon Stone Has Large Fibroid Tumor

4/26/2023

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Sharon Stone announced in a social media post that she was diagnosed with a large uterine fibroid and would need surgery to remove it. The award-winning actress had been experiencing increasing pain and had even undergone an incorrect procedure with a double epidural to try to resolve her symptoms. Only after a second opinion did she realize she had been misdiagnosed.

A uterine fibroid, also known as a fibroid tumor or mass, is a noncancerous growth. The size of fibroid tumors can vary widely from nearly undetectable to “bulky masses that can distort and enlarge the uterus.” Symptoms of fibroids include:

  • Pelvic pain and pressure
  • Unusually heavy or long menstrual periods
  • Leg or back pain
  • Elimination problems, including constipation, frequent urination and difficulty emptying the bladder

Fibroids are also linked to infertility, miscarriage and premature labor.

According to Johns Hopkins Medicine: “An estimated 20% to 50% of women of reproductive age currently have fibroids, and up to 77% of women will develop fibroids sometime during their childbearing years. Only about one-third of these fibroids are large enough to be detected by a health care provider during a physical exam, so they are often undiagnosed.”

Uterine fibroids are often found by chance during a routine pelvic exam. For women experiencing pain and other symptoms, a doctor might suggest an ultrasound to confirm the diagnosis as well as the size and position of any tumors.

If ultrasound doesn’t provide enough information, other imaging options are available. An MRI (magnetic resonance imaging) exam can show more detailed measurements and locations, identify types of masses and help determine treatment. Hysterosonography, hysterosalpingography and hysteroscopy are additional uterine-specific exams that can address specific concerns including infertility caused by blocked fallopian tubes.

Uterine fibroids can have huge quality of life impacts for women of all ages. If you’re having trouble getting to the root of your pain, contact SecondOpinions.com for an unbiased review of your medical records and potentially imaging exams. As Sharon Stone advised: “Ladies in particular: Don’t get blown off…GET A SECOND OPINION… It can save our life.”

A Second Opinion Diagnosed Rita Wilson’s Breast Cancer

4/26/2023

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Hollywood actress and producer Rita Wilson has always kept a close eye on her breast health. For many years, she and her healthcare team monitored her diagnosis of lobular carcinoma in situ (LCIS) – a condition in which abnormal cells form in the milk glands – through yearly mammograms and breast MRIs. LCIS is not cancer, but women with LCIS have an increased risk of developing breast cancer.

Later, a suspicious finding in a scan prompted two surgical biopsies, and the initial diagnosis for Wilson was pleomorphic lobular carcinoma in situ (PLCIS) – a slightly riskier version of LCIS, but still not cancer. However, she couldn’t shake the feeling that something was off. “A friend who had had breast cancer suggested I get a second opinion on my pathology and my gut told me that was the thing to do,” Wilson explained. The next pathologist – and following that, yet another for good measure – found invasive lobular carcinoma, a type of actual breast cancer that originates in the milk glands.

Wilson was lucky to catch her breast cancer diagnosis early. She underwent a bilateral mastectomy and reconstruction and has since fully recovered. She felt it was important to publicize her story and concluded her statement with a strong recommendation:

“I share this to educate others that a second opinion is critical to your health. You have nothing to lose if both opinions match up for the good, and everything to gain if something that was missed is found, which does happen. Early diagnosis is key. I hope this will encourage others to get a second opinion and to trust their instincts if something doesn’t ‘feel’ right.”

If you have doubts about a recent medical diagnosis, please reach out to SecondOpinions.com. We have experts in multiple specialties who can review your case quickly and cost-effectively.

Alzheimer’s Disease: What You Need to Know about Diagnosis

4/12/2023

Alzheimer’s is a disease of the brain, characterized by issues with memory, thinking and behavior. It’s the most common cause of dementia – the general term for cognitive problems severe enough to interfere with daily life – accounting for 60-80% of dementia cases.

According to a 2022 report from the Alzheimer’s Association, in the U.S., 6.5 million people 65 and older have Alzheimer’s disease – equating to approximately 1 in 9 people in that age group. Alzheimer’s is a progressive disease that worsens over time and has no cure, yet there are approved medical treatments.

Below are early signs and symptoms of Alzheimer’s to watch for in loved ones:

  • Memory loss that interferes with normal life
  • Trouble with solving problems, following instructions or completing familiar tasks
  • Confusion with places, the passage of time and spatial perception
  • Difficulty having conversations, writing and remembering simple words; this can lead to withdrawal from social life
  • Putting things away incorrectly
  • Poor decision-making, often with money or personal grooming
  • Personality changes – becoming suspicious, fearful and easily upset

There is no single test to diagnose Alzheimer’s disease. Doctors, including neurologists, geriatricians, psychiatrists and more, use a variety of assessments to help make a differential diagnosis – essentially ruling out other possible causes of symptoms. Evaluations often include a medical history review, physical exam, neuropsychological testing and brain imaging scans.

According to neurologist Aimee Chagnon, MD, people worry about offending their doctors by bringing up second opinions. However, good doctors won’t feel insulted. Dr. Chagnon notes, “I don’t want anyone to have any kind of lingering doubt or question whether they could have done something different.”

Additionally, different types of dementia often look the same on the surface. Symptoms similar to Alzheimer’s can appear with Lewy body dementia, Parkinson’s, hydrocephalus, psychiatric issues, thyroid problems, vitamin deficiency, tumors and Lyme disease.

In short, it’s smart to seek a second opinion regarding any serious medical condition. Contact us if you’re concerned about a recent brain health diagnosis for yourself or a family member.

For 24 Hours, Kelly Clarkson Thought She Had Cancer

4/10/2023

Hours before Kelly Clarkson’s first Grammy Awards, she received devastating news following a recent medical test. The results had come back showing she had cancer. That evening the singer won Best Female Pop Vocal Performance and Best Pop Vocal Album, but the celebration was overshadowed by looming thoughts of an uncertain future. She was only 23 years old at the time and in complete disbelief.

The next day, Clarkson’s doctor told her the results were inaccurate; she had been misdiagnosed. Fortunately, this instance was in her favor, and the mistake was caught quickly. But if the mistake hadn’t been caught right away, how long would she have had to endure the fear and stress of a cancer diagnosis? Potentially she might have embarked on treatment – possibly including surgery or chemotherapy – before the misdiagnosis became clear.

In fact, misdiagnoses of cancer and other diseases are not uncommon. The BMJ, published by the British Medical Association, found that 12 million U.S. adults – or one in 20 – are misdiagnosed while seeking outpatient medical care. The Journal of the American Medical Association published research finding that pathologists incorrectly diagnose one in four breast biopsies. Why does this happen so frequently? Common factors in misdiagnosis include:

  • Overscheduling leading to a rushed medical appointment
  • Patients not providing detailed medical history
  • Incorrect interpretation
  • False positive biopsy results

Additionally, misunderstanding of terminology can lead to an incorrect interpretation of a diagnosis. If a routine test such as a Pap or mammogram comes back abnormal, a patient might assume the worst and think they have cancer, even though the abnormality is actually something much less life-altering.

Any serious medical diagnosis deserves a second opinion – especially if it doesn’t seem right. “It is always acceptable to obtain a second opinion, and in the case of a serious diagnosis like cancer, it is recommended,” says Jennifer Haythe, M.D., assistant professor of medicine at Columbia University Medical Center. “You should question any doctor that tries to dissuade you from getting a second opinion.”

Doctors and other medical professionals are well-trained and qualified, but as with any other profession, mistakes are possible. If you’re seeking peace of mind regarding your diagnosis, contact us at SecondOpinions.com for a straightforward review of your records.

 

Radiology Second Opinion

4/5/2023

Getting a second opinion on a radiology study is important for several reasons:

Accuracy: Radiology is a highly specialized field and sometimes, even experienced radiologists can interpret images differently. Getting a second opinion can help confirm or rule out a diagnosis and ensure that the interpretation of the images is accurate.
Confidence in diagnosis: If a patient has a serious condition, a second opinion can provide additional reassurance and help them feel more confident about their diagnosis.
Alternative perspectives: A second radiologist may have different training or expertise and may be able to provide a new perspective on the images. They may also have access to newer technology or different imaging techniques that the first radiologist did not use.
Avoiding unnecessary procedures: In some cases, a second opinion may reveal that a proposed procedure is not necessary, saving the patient both time and money.
Improved patient outcomes: By ensuring the accuracy of a diagnosis and avoiding unnecessary procedures, getting a second opinion can ultimately lead to improved patient outcomes.

It’s important to note that getting a second opinion is not a sign of distrust in the first radiologist, but rather a way to ensure the best possible care for the patient.