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Diagnosis of low ABG, recurring lung infections, chest pain?

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Practicing since : 2005
Answered : 62 Questions
Hello, I have three questions. 1/ I have had ongoing progressing medical mystery illness for nearly 8 years, for some reason, the many Doctors have never been able to work out what the issue is, I have; - Worsening O2 Sats - 92% - Low ABG - Borderline Hypoxic - Recurring Lung Infections - Chest Pain - Blood on Pillow Reach Morning - Proven Shunt (Shunt Study) but cant find the location. I would like to know if there is anywhere OS I can mail my scans/cd's/reports to and get another opinion - i do not care about cost as I have already spent $180,000 Question 2 - My Doctors want yet another CT scan - but from the list below you can see I have had far too many already, my disease has progressed so they want to see if anything shows now. I realise that each test has different radiation amounts and that different machines and settings affect those amounts, however I would like your opinion as a rough guide and best guess to know how much exposure I have had in total and if that is considered safe - Below is a chart (I hope) of all the tests I have had done - i have included MRI's even though I am aware that MRI's are not nuclear radiation - I only inclded them because of the contrast which I also know is not nuclear but wondered if it may affect health. Could you total (roughly I know) the amount of SV I have been exposed to? Date Test Contrast or Isotope 15/09/2005 CT L Ankle and US 4/11/2009 Cervical Spine Xray 8/12/2009 CTPA CT Injection 2/02/2010 CT Chest CT Injection 6/07/2010 Chest Xray 12/07/2010 Chest Xray 19/08/2010 CT Thorax CT injection 3/10/2010 Elbow Xray 7/10/2010 Chest Xray 8/10/2010 Chest Xray 6/01/2011 Gallium Scan Isotope 15/01/2011 CT Spine 15/01/2011 CT Head 14/09/2011 MRI Chest Wall and SI Joints Contrast 30/01/2012 Xray R Wrist and Hand 8/06/2012 CT Angiogram CT Injection 9/04/2012 Ct Abdo and Pelvis Contrast 8/05/2012 Chest Xray 16/01/2013 MRI Chest 8/03/2013 Chest Xray 16/03/2013 MRI Brain 9/05/2013 CT Head 9/05/2013 RA Chest 30/07/2013 MRI Liver Gandolidium 31/07/2013 Chest Xray 2/08/2013 Barrium Swallow Contrast 5/08/2013 Cardiac MRI Contrast 20/08/2013 MRI L Hand 21/08/2013 MRI Abdo Gandolidium 15/10/2013 MRI L Ankle 19/10/2013 MRI R Ankle 6/11/2013 Flueroscopy 24/12/2013 MRI Spine and Chest wall Contrast 15/01/2014 MRI Right Wrist
Posted Tue, 11 Mar 2014 in X-ray, Lab tests and Scans
Answered by Dr. Ilirian Laci 29 hours later
Brief Answer: Chronic pulmonary disease more likely Detailed Answer: Hi ! I read carefully your query and understand your concerns. I think you have done so much exams because you needed them. In my view, you most likely have Chronic pulmonary disease which causes low O2 saturation. You need CT with contrast because you may have arterial pulmonary embolism and your heart may be damaged as a result of chronic cor pulmonale which causea cardiomyopathy. You could mail me the reports/images on this email address - YYYY@YYYY with subject as "attention to Dr. Ilirian Laci". Alternatively, you can upload a few reports on the right side of this query page as well. You have a feature for the same. You may want to utilize it. You would definitely need treatment for the same in consultation with pulmonologist and cardiologist. I wish you fast recovery. Dr Ilirian Laci
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