Did anyone have a missed diagnosis of NSCLC?
Did anyone have a missed diagnosis of NSCLC? I had a routine chest Xray in the ER incidental to any lung issues. The radiologist saw a suspicious nodule and recommended a CT scan follow up. The hospital never gave me the report. 4 months later, I was diagnosed with lung cancer. The nodule had grown from 1.4 to 3 cm. Curious as to how unique this is.
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Whenever I need to have a test done outside of my own doctors (Mayo and my primary) I ask them to fax over results (actual scan also) so that the exams are in the same database location. It can be easier if you request at the time you are being seen there because otherwise when you call back to get it done, they may ask you to fill out permission forms etc., which is more work. Good idea to travel with the fax numbers of your doctors too.
In the past I have noticed that scans done at my doctor's will say "nothing to compare to", so good to have any previous ones in their database so they can see changes.
Big challenge to get all the medical information in one place. Sometimes they can look at another institution's records, but it depends. We can only hope for that day in the future where all our medical records will automatically be stored in one place.
Thank you. Very helpful.
Hi - I just want to share that Mayo is not infallible. I've had unfortunate incidents; one where a physician didn't read the entire report thus missing a crucial, unanticipated finding by the radiologist and the other when an oncologist neglected to fully read my lobectomy biopsy results and therefore informed me on the Wednesday before Thanksgiving at 3:00 pm that I needed chemotherapy immediately. He then called me on Thanksgiving to share that he'd consulted with a pathologist and had changed his mind about the chemo. (He never mentioned the initial conversation we had about chemo in his notes that are in my Mayo chart. Anyone really buy that he spoke with someone on the holiday?!?) I spoke with Patient Relations and my surgeon about the oncologist and got a second opinion from a well-respected oncologist. I didn't need chemo.
While I wouldn't consider going anywhere but Mayo for my health care, we all need to be aware that doctors are busy, often overwhelmed, and human. My surgeon and pulmonologist are beyond reproach and I would recommend them without hesitation. My husband's cardiologist at Mayo is outstanding as well. Oversights happen. We need to advocate for ourselves and, if we don't understand the report language, find someone who does.
Surprised that there was not a follow up with a biopsy and/or pet scan with contrast. I’m sorry this is happening to you. My nodule was just 3.1 cm and surgery to remove the lobe was the recommended course. Best of luck to you. And, yes, it’s probably pretty common in my opinion.
Yes! I’m trying to narrow all of my appointments with doctors to those that have access to and can submit to Epic, Mayo’s patient portal.
All my docs are at NW Medicine in Chicago, including all specialists, surgeons, etc. Portal works like a dream. We need laws governing medical records so there is a national database which has all your medical records in one place. People move, travel, go to different hospitals so we need to insure docs have acess to all records, not just the ones at one healthcare facility.
Amen. Any database person would say the same. The benefit is enormous. When there is a central database and information from tests is entered based on consistent proper segmentation, it is easy for the doc to pull up an historic perspective of your bloodwork or whatever and see any changes that would be insightful. Already some places allow you to compare test results over time. Unfortunately, they can't reflect same test in different organization. But it is something that can be done easily from technical perspective!!!!
I know it's off the topic of this thread but can I ask how things have been since the segmentectomy. This looks like the road I will be going down soon. Any info about what to expect and any tips for preparing would be greatly appreciated. Funny thing is a mistake by my doctor may have saved my life. He kept ignoring the signs of a precancerous colon polyp I kept giving him. I eventually went to urgent care where they did a CT scan that caught the lung nodule. Had he just called for a colonoscopy they never would have caught the lung nodule. They later did a pet scan for the lung nodule that caught the large precancerous colon polyp. It's been a wild ride. 🙂
Hi there! I’m truly sorry you're on this road but very Happy you found this web group! What I did to prepare was to try to get my lungs and heart in better shape. I have 16 stairs to my bottom floor and I would try to jog up and down them 5 times once a day. I also tried to walk at least 2 miles a day (after a full time work day). I had already started eating better but lots of salmon and fruits and vegetables. I was already at a low weight so I wasn't worried about that. I wanted to breathe as much fresh air as I could get. I was inly 58 (now 59) so I may have faired better than others in their 70’s. But I had VATS on my LUL, and really only a couple of weeks before I could walk my mile without breathing difficulties and could walk up and down my stairs just fine. Pain was not too bad. I was given Robaxin, Lyrica, Hydromorphone and Gabapentin. Stopped the Hydromorphone a few days after getting home. Then the Gabapentine, after a week the Robaxin and after 3 weeks of slowly cutting dosage, I stopped the Lyrica. Only took 800mg Ibuprofen and 500mg Tylenol. Was working from home 2 weeks after surgery and back in the office 6 weeks after surgery. I bought an inside exercise bike around Thanksgiving and I ride it 30 minutes about 3 or more times a week and still walk about 1 1/2 to 3 miles, weather permitting. I’m just starting back at sit ups which I haven't done in about 19 years. No matter what, walking is the BEST thing you can do before AND after. But also realizing that everyone is physically different you don't want to push it afterward because that will set you back big time. Do what is comfortable but do something. I wish you all the best! Always willing to answer questions. There are no stupid questions! Also I bought pre-made meals to make it easy on my husband and I have an adjustable bed which made sleeping so much better and getting out of bed SO much Easier! That will be a painful area, so that is one thing you need to address before you go in, have a good bed or a wedge and lots of pillows. My nerve pain is pretty much gone. But I do not like having to wear a bra now! Sits right on top of the most tender area, but thats my worst complaint. The nerve area now just gets that tickle tingly feeling when its touched. Again, I know that was a long response but I hope it is helpful to you. Think positive!
Cindy
I also should direct you to the Lung Cancer group discussions. Many different experiences and information! Best for you to be on seeking information.