10 doctors weighed in:
I am overseas and have a diagnosis of COPD and pulmonary fibrosis by two doctors in the same clinic withct scan, X-ray and spirometry. Should I take a secondopinion in the us?
10 doctors weighed in

Dr. Sue Ferranti
Internal Medicine
3 doctors agree
In brief: Treatment...
Both COPD and pulmonary fibrosis can be diagnosed by the doctors via the tests that you describe.
So, the diagnosis is likely correct and is unlikely to change by having these tests repeated in the us. The etiology of the pulmonary fibrosis should be sought, if possible, so it can be treated before more scarring occurs, if possible. COPD treatment, including smoking cessation, is also needed.

In brief: Treatment...
Both COPD and pulmonary fibrosis can be diagnosed by the doctors via the tests that you describe.
So, the diagnosis is likely correct and is unlikely to change by having these tests repeated in the us. The etiology of the pulmonary fibrosis should be sought, if possible, so it can be treated before more scarring occurs, if possible. COPD treatment, including smoking cessation, is also needed.
Dr. Sue Ferranti
Dr. Sue Ferranti
Thank
Dr. Garry Choy
Radiology
2 doctors agree
In brief: Potentially
Sounds like that there is already a consensus behind the diagnosis from two doctors but second opinions are always helpful particularly if there is a treatment change that can result.
A second opinion always has some value - if you'd like we at mgh can take a look at your imaging (ct, x-ray) - massgeneralimaging.Org/secondopinion.

In brief: Potentially
Sounds like that there is already a consensus behind the diagnosis from two doctors but second opinions are always helpful particularly if there is a treatment change that can result.
A second opinion always has some value - if you'd like we at mgh can take a look at your imaging (ct, x-ray) - massgeneralimaging.Org/secondopinion.
Dr. Garry Choy
Dr. Garry Choy
Thank
Dr. Gary Birnbaum
Internal Medicine
2 doctors agree
In brief: Difficult to say
You do not indicate where you are overseas and whether there are reputable doctors.
It would be worth your while to see a pulmonary doctor who specializes in pulmonary fibrosis. There are many causes for this condition and sometimes a lung biopsy is indicated. Since pulmonary fibrosis can be a serious condition, be sure to see a doctor who specializes in diagnosing and treating this condition.

In brief: Difficult to say
You do not indicate where you are overseas and whether there are reputable doctors.
It would be worth your while to see a pulmonary doctor who specializes in pulmonary fibrosis. There are many causes for this condition and sometimes a lung biopsy is indicated. Since pulmonary fibrosis can be a serious condition, be sure to see a doctor who specializes in diagnosing and treating this condition.
Dr. Gary Birnbaum
Dr. Gary Birnbaum
Thank
1 comment
Dr. Bennett Werner
You are right: COPD and Pulmonary fibrosis are entirely different. One of your pulmonary doctors is wrong. You need a definitive opinion. Before getting a bx, your pulmonary function tests and CT scan should be reviewed. Your meds, past history, and occupation should be considered. The cause may be obvious.
Dr. Dennis Clifford
Internal Medicine - Pulmonary Critical Care
1 doctor agrees
In brief: Maybe
The tests you have received are capable of diagnosing COPD and pulmonary fibrosis in most cases, and those aren't difficult diagnoses to make.
Treatment options can depend on many things. If you feel uncertain it never hurts to get a second opinion.

In brief: Maybe
The tests you have received are capable of diagnosing COPD and pulmonary fibrosis in most cases, and those aren't difficult diagnoses to make.
Treatment options can depend on many things. If you feel uncertain it never hurts to get a second opinion.
Dr. Dennis Clifford
Dr. Dennis Clifford
Thank
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