Doctor insights on:
Does Everyone With Pleurisy Have To Have Thoracentesis
When a patient has fluid around the lungs, sometimes we need to find out what caused it, other times we want to remove the fluid so the patient can breath easier. It takes place under sterile conditions by placing a needle into the chest wall from the back and connecting the needle with a catheter to a suction bottle which collects the fluid. Fluid is ...Read more
Pleurisy, no: But pleural effusions usually should be investigated by a thoracentesis unless the cause is obviously heart failure. Even then, an initial thoracentesis should be done to confirm the cause. If you argue that not all effusions require a thoracentesis, then i need to know if you'll defend me if/when i get sued for missing an empyema or mesothelioma. ...Read more
Pneumonia: The diagnosis of pneumonia is typically made on the basis of symptoms (cough with mucus, fever, chest discomfort, etc), lung examination such as auscultation with a stethoscope and at times confirmed with a chest x-ray. If these were not done, consider obtaining a second opinion. ...Read moreSee 1 more doctor answer
Several places: Usually the procedure is performed by a interventional radiologist either at the hospital or at a free standing ct center. ...Read more
Can you have bronchitis but with no cough?Went to hospital and diagnosed with it but I hardly have a cough.Weird?
Possibly: If there is wheezing and a history consistent with bronchitis then you may have it. Probably if it is left untreated for another week or so you will develop the cough. I usually do not make the diagnosis without wheezing and cough but medicine is an "art" and we all have our own way of doing things! ...Read moreSee 1 more doctor answer
CF/tx: CF patients who are not able to be managed with medical therapy can be considered for lung transplantation. The decision is complex and consists of an assessment of survival benefit as well as whether the candidate is a good patient for the lung transplantation and follow up care. ...Read moreSee 2 more doctor answers
Is it true that when you have a lung transplant for cystic fibrosis you have to have a heart transplant as well?
No: Patients with cystic fibrosis often will have a double lung transplant. Heart transplant is only required if pulmonary hypertension is so severe in cystic fibrosis that it has affected the function of the heart. Thus, CF patients do not require heart transplant when they have lung transplant (the great majority of the time). ...Read moreSee 2 more doctor answers
What is causing bullae to appear on lung, except smoking? And does someone in family need to have it previously in order for you to be born with it?
What are u tx: What condition is being treated. What are the numbers. Need specifics to give medical opinion. ...Read more
Can you have an intermttant heart murmur? Some drs hear it and some don't so i never know whether to mention it. I have an autoimmune condition.
A person asked a pcp if they see lot of people with chronic pancreatitis. He said yes but most don't recognize it. What does he mean by that answer?
Do people with rhinosinusitis have to live with it forever? Or they may be permanently cured soon? I had it since 2010 and manage it with an ENT.
I have been dx w scleredema. Does anyone know of a doctor close to Seattle that treats scleredema. .not scleroderma.
Rare disease: whose origins can relate to diabetes, infection, or rheumatic disease. Clearly you have a physician treating you for psoriatic arthritis, are on several meds and have some sensitivity to medications, so you need to be very careful. Ask the physician who is already treating you/or who made the diagnosis, how to find the right physician. In Seattle, there might be a referral service from Swedish. ...Read more
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