Doctor insights on:
Pathology And Immunology
What are the differences between medical microbiologists, infectious disease specialists, immunologists, and rheumatologists?
The medical team: The great thing about Medicine, is there are many interesting areas to focus on. Just like a team sport with a quarter back, running backs, receivers etc - within Medicine there are interesting roles that you can explore if you find particular interest in a certain area. I know docs who only work on HIV for example. I'm an ID doc and I think I have the best job in the world! Follow your interests. ...Read more
Immunology is a field of study in which a person studies the components of the immune system (such as lymph nodes, white blood cells, and antibodies), their functions, and their diseases. Because allergies are a reaction by a person's immune system, immunology usually includes the study of allergies. A doctor who specializes in problems of the immune system ...Read more
Different focus: Hospital autopsies performed by non-forensic pathologists are performed for documenting medical diseases and the extent of their involvement. This helps with teaching and quality control. Forensic autopsies concentrate on the cause of death and include more extensive exams including toxicology and other testing not usually performed in a hospital. ...Read moreSee 2 more doctor answers
What pathology results, observations and symptoms help to differentiate between immune thrombocytopenia and a low PLT caused by an infection?
Are virologists a type of doctor, or are they only scientists? And what are some fields related to immunology and virology?
Scientist: There is no recognized board of virology but it can best be fitted into the sub-specialty of Infectious Disease (under Internal Medicine). As for immunology, the specialty board I know of is the American Board of Allergy and Immunology. However most specialists would practice primarily clinical allergy or immunology with some cross-over. Most immunologists are more geared towards research. ...Read more
The basics: Patient identifying data, site from which the tissue was taken, a description of what was received by the pathologist and if so what type of preservative / fixative if any. On resected specimens, the description showcases the pathologist's sharp eyes. Almost always there will be a microscopic description of some portion stained in some way, unless it's orthopedic hardware or something similar. ...Read moreSee 1 more doctor answer
I had a brain MRI completed to identify any organic damage, viruses, and endocrine tumors, who is the most qualified DR to request for interpretation?
Neuroradiologist: Hi. You needn't worry. Whichever doctor ordered it, it will be read by a qualified radiologist. You don't need to request anything. Of course you can't see a virus with anything less than an electron microscope, but you mean lesions that could be caused by viruses. Good luck! ...Read more
I need to see a TEAM of specialists preferably in a hospital type facility geared toward people with o/l autoimmune and UCTD. BlueCare TN. Losing IT.
Will a cystoscopy with bladder stretching and tissue biopsy include testing for candida fungi and Lyme spirochetes in bladder? I have both conditions
Discuss with doctor: The individual performing endoscopy is the person to discuss the nature of the testing they plan to perform. I am not aware of anybody who examines for the presence of spirochaetes in the bladder, although if you insist upon this there are specialty labs which may perform this. It is not by any means a standard test, nor is it likely to be of any benefit in the management of your condition. ...Read more
No: MS is GENERALLY misdiagnosed while the pattern is developing for years prior to the diagnosis. The diagnosis is by pattern of findings not by any one finding or test. IF the MRI or the neuro test or the eye exam or spinal fluid finds the really odd stuff of MS (myelin breakdown) it's gotta be MS. but they cannot rule it out unless they find another explaination. ...Read more
Can someone assist me in locating or compiling a comprehensive list of all the classifications of pain. Ie (neuropathic, musculoskeletal & ect)?
Pain: In pain management, rao is considered the bible. This well-written without seeming like an encyclopedia. There are also some very excellent books which are published by asipp, although those books can only be obtained on asipps website. Rao's book can be ordered on amazon. Medtronic also has a good listing of pains that are purely neuropathic purely somatic and pains which overlap. ...Read more
Got gene tests from pathway genomics as part of research study. Are results relevant to my pcp? How should I present them?
Relevant - yes: Share them with the doc in advance so they can pre-read. Realize the vast majority of doctors graduated medical school well before the human genome was published, so they may be slow on the uptake. But even better, feel free to call pathway directly and speak with a counselor for free. Also, search out a doctor who is comfortable with the data. Pathway or 23andme can likely point you to docs. ...Read moreSee 2 more doctor answers
Are vascular surgeons familiar with infectious causes of vascular issues? My infectious disease doc was of no help.
Yes: As part of vascular training, infectious etiologies of the vascular tree are covered. There are a number of vascular disorders that are cause by infections and some feel atherosclerosis in some part can be cause by an infectious agent. Arterial aneurysms can develop due to infections as well a pseudo aneurysms. Infections of arterial grafts are a major problem and are treated primarily by surgery. ...Read moreSee 1 more doctor answer
What type of specialist do I need to see? Lab results from annual physical and it shows several areas of high risk: hs-CRP, Fibrinogen, and insulin.
Your own physician: As a pathologist, I'm skeptical of these new labs that are being ordered supposedly to identify people at increased coronary risk. Nobody really knows what to do with the numbers, or with the fear that they generate. I'd suggest you continue to pursue a healthy, fitness-focused lifestyle, consider any Rx's your own doctor recommends, and remember you're a person, not a bunch of numbers and "risks" ...Read more
Post VTE and extensive testing the only abnormal result is a highly elevated b2glycoprotein IGA. Lupus and other diseases have been ruled out. Cause?
Sometimes : We never know. Some people for some reason just get them . ...Read more
Diagnostic imaging in 2009: update on evidence-based practice of pediatric imaging. What is the role of imaging in sinusitis?
Complicated but: Imaging indicated in sinusitis for chronic infections (>90 days), recurrent infections, concern for complications of sinusitis (e.g. Periorbital cellulitis, brain abscess), or preoperatively before sinus surgery. Ct scans are almost always done, but mris are helpful for intracranial or orbital extension. Threshold to image is higher in pediatric population in order to avoid unnecessary radiation. ...Read more
The journal of clinical immunology
Volume 2013 (2013), Article ID 535738, 9 -Epstein-Barr Systemic Autoimmune Diseases What is your opinion?
Definite possiblity: Therea re alot of papers that indicate the possibility of a latent (hidden) Epstein Barr infection as a cause of autoimmunity as well as the possility that these individuals with autoimmune disease have a relatively imbalanced immune system that could contribute to reactivation of the virus and/or incomplete resolution of the infection. Nadia Ali, M.D, M.B;B.S, MPH, ABHIM, FACP ...Read more
Are rheumatologists familiar with the diagnosis and treatment of Lyme disease and its co-infections? If not, who treats these tick-borne infections?
Infectious Diseases: Certainly a rheumatologist can treat lyme, but in complex situations, not only can a board certified infectious disease specialist an treat lyme, they can order appropriate tests to diagnose and then treat co-infections such as anaplasmosis, babesiosis, and erlichiosis. In addition, they may be able to determine if the illness you is due to something other than a tick-borne illness. ...Read moreSee 1 more doctor answer
What type of m.D. Would be certified to complete functional capacity exam & residual functional capacity report for ssdi case? Physiatrist?
Occupational : Medicine is another option.Get a more detailed answer ›