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Seattle Nuclear Medicine
Seattle, WA
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Practice website
Office
Seattle, WA
About
Bio
After his undergraduate studies, Dr. Djang volunteered for two years service in the Peace Corps where he taught science to high school students in Malawi, Africa. He returned home and completed medical school at UT Southwestern before going to the University of Washington for Nuclear Medicine residency. He has been working at Swedish Medical Center in downtown Seattle since 2003.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Nuclear Medicine
Doctor Q&A
74 Answers
53 Agrees
The number of answers this doctor has agreed with.
A 42-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
It depends.: It depends on the problem/concern. Pet scans are very accurate for diagnosing most types of cancer, and also have certain applications in cardiology a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Essentially never.: People in their 20s essentially never get alzheimer's.
If your forgetfulness is minor, it's probably just normal and/or your life is getting more ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 20-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
No radioiodine.: You cannot have radioiodine i-131 treatment if you are pregnant or breastfeeding.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 38-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Hrng loss = prob not: Thyroid cancer would probably not be the cause of slight hearing loss.
There is definitely a chance of spread beyond your lymph nodes, in which cas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 31-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
??: Not sure if i understand. In the first hour of a solid-phase gastric emptying study, 43% emptying would be considered normal.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Separate problems.: Separate issues there. Make sure your graves' dz is receiving appropriate therapy, or seek out i-131 ablation. Also, take care of your bronchitis. Lim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Depends: Depends on the type of scan you are receiving. For most, you may simply have to "pump and dump" your breastmilk for a day or two. You should let the n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 81-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Not necessarily.: Having elevated tg antibodies primarily means that the more important tg test itself will be falsely lower than its true value. (no conversion formula... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 53-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Nothing specific.: Keeping the graves' disease under good control would be most important. For the diet, i would suggest the same healthy choices as for anyone, includin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 27-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Thrush?: Hard to say without being able to see it or knowing much about his general health, but white bumps in the mouth could certainly be thrush. He should s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 30-year-old male asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Pedi visit: It's out of my area of specialty, but if it were my child, i would be concerned enough that i would take him to our pediatrician.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 28-year-old male asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Sleep specialist: It can be hard to live a full and happy life if you cannot sleep well. There are simple things you could do like try not to have any coffee after, say... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A male asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
No.: Based on the information you have provided, it would be basically impossible for you to have hiv. I would still suggest going to your doctor to find o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 53-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Not really.: Diet wouldn't matter much for graves'. Just seek appropriate therapy with i-131 or an anti-thyroid medication (ptu, methimazole).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Probably.: Probably, but be sure to talk to your surgeon and then the anesthesiologist about it. They can help you weigh any pros and cons of delaying the surger... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
The "On" button: The "on" button on the thyroid cells won't turn "off." normally your body tries to keep everything in balance, but in graves' disease, the thyroid cel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Yes.: Yes, it is possible. Fortunately, it is uncommon.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Yes.: A woman who is pregnant or breastfeeding should notify the clinic before receiving the radiotracer injection, but there are no restrictions for sexual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Generally not.: Blood clots in the lungs (pulmonary emboli) will generally not show up on an xray at all. A VQ scan (nuclear medicine) or a ct scan would be the scans... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
None.: There are no herbs that would stop or decrease the anti-nuclear antibody.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 47-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
No problem.: Good example: radioactive iodine has been used since for over 60 years to cure people of thyroid cancer and graves' disease.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Typically not.: A bone scan will rarely show an abnormality related to leukemia, but it is not considered accurate for making a diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 30-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
ENT: Find an ENT (ear nose throat physician) to evaluate you. An ultrasound would be the most common first step, but since you say you are worried that you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 50-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Probably so.: Assuming it was a 3cm papillary or follicular thyroid cancer, most physicians would advise you to have rai (i-131) at this point, as it will improve y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 29-year-old male asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Yes.: A "whole body" pet scan should be exactly that: the whole body.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 23-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
No: Long-term excessive drinking (of alcohol, presumably) causes many problems, but parkinson's disease is not one of them.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 50-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
See below.: Ct shows anatomy, making a MAP of different tissue densities (eg, bone is denser than lung). Mri shows a combination of anatomy and physiology, and in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Many things.: Depending on the indication, it can be demonstrate cancer, type of dementia, and the functional center of epileptogenesis (focal sources of seizures).... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
I-131 > meds > surg: Many people try the anti-thyroid meds first (ptu (propylthiouracil) or methimazole), but these only work long-term for a modest number of people. If s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Depends on how much.: A massive amount of radiation would cause death, but it is important to remember most scenarios have much less exposure than that. Even the workers at... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 55-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Probably not.: I would worry much more about the lung nodule than i would the quantity of scans.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Essentially not.: There is radiation with a bone scan, but it's reasonably low. Your drive to the clinic/hospital was probably more dangerous than the scan itself.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 56-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
RBC SPECT or MRI: A red blood cell (rbc) labeled spect with nuclear medicine, or an MRI would be the best test. A bone scan (whether traditional or with naf18 pet) woul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 30-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
No more tanning!: I would discourage anyone from using tanning beds, regardless of whether they have had ct scans or not.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 25-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
2 days is plenty: Switching you baby to formula for 2 days after the hida is plenty. Your body excretes the tracer faster than its actual half-life. After 2 days, you c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 62-year-old male asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Probably: Sounds like she may need to be on less synthroid, (thyroxine) but she should make an appointment with her physician first who can check blood levels a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Nothing.: There is no cure for alzheimer's disease at this time. Many, many centers are working to change that, but there is no magic bullet yet. A few medicine... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Caution.: I am not against natural or herbal remedies, but i would caution their use with parkinson's disease. Working with a neurologist will most likely provi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Briefly....: Briefly... Parkinson's is a neurodegenerative (progressive) disorder that stems from a lack of dopamine. Common symptoms are shaking, stiffness and sl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 20-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Not unusual.: The textbooks usually say that graves' causes weight loss. However, I have had many, many people with graves' guarantee me that they gained weight unc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 17-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Several things.: It's important to have nothing to eat or drink for (usually) 8 hours prior to the test. Also, certain medications can affect gastric emptying. Of the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Surgery then I-131: The first step is to have a thyroidectomy (ie, have a surgeon take it out). If the tumor is very small, you may be done at that point. If it is not sm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Potentially yes.: Being on too high of a dose of synthroid (thyroxine) would share some similarities with the symptoms of graves' disease.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
It depends.: Depends on the pattern and morphology of where the bone scan is hot. If it lights up in a focal fashion, it would be at least possible that a tumor co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Probably nothing.: I have read a few claims here and there that vitamin d or vitamin e can help in alzheimer's, but they never seem to hold up in the long run. My best o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Standard therapy.: I have nothing against naturopathic medicine, but not for graves' dz. It should be evaluated by an endocrinologist, and then there are several standar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 34-year-old member asked:
Can you please describe the body's responses to alzheimer's disease, linked with signs and symptoms?

Dr. David Djanganswered
Nuclear Medicine 25 years experience
No single symptom.: There's no single or consistent body response, sign or symptom connected with alzheimer's disease, which is one of the reasons that it is difficult to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Could be Graves': I know the textbooks generally say that graves' is associated with weight loss, but I have had many graves' patients tell me that they had actually ga... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 43-year-old female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
See below.: It means graves' disease is the cause of your hyperthyroidism. Hyperthyroidism just means you have too much thyroid hormone. There can be several reas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A female asked:

Dr. David Djanganswered
Nuclear Medicine 25 years experience
Probably not.: If you weren't on enough synthroid, (thyroxine) it would make you more likely to gain weight. But your doctor has probably been monitoring your level ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
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Recommendations
122
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Djang is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Djang is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I have an appointment coming up. I appreciate your answer. My dr doesn't always want to answer those questions. Thank you for responding
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Thank you, your answer was very helpful! Thank you
Education & Training
Medical/Graduate school
University of Texas Southwestern Medical School at Dallas
Graduated 1998MD
Residency
University of Washington Medical Center
Residency
University of Washington Medical Center
Awards
Top Doctor, Seattle Metropolitan Magazine
Top Nuclear Medicine Specialist, First Place, Washington - Winter
2013
Top Nuclear Medicine Specialist, Second Place, Washington - Summer
2013
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