Medical Specialists

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AWCM
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Joined: Mon Jun 26, 2017 9:22 am

Medical Specialists

Post by AWCM »

Trying to figure out where my wife should go for treatment. She has had ultrasounds and an MRI and has multiple cysts on her liver, kidneys and pancreas. Largest is on the liver. All appear to be non cancer so her primary doctor wants to wait and re-scan in 12 months. She is having significant discomfort so we want another opinion.

Question is which specialist? Urology, Phonology, Gastroenterology or maybe just internal medicine. Really hard to find good doctors.

Thoughts please.
SevenBridgesRoad
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Re: Medical Specialists

Post by SevenBridgesRoad »

Gastroenterologist with an interest in hepatology.
penumbra
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Re: Medical Specialists

Post by penumbra »

Physician here. Gastroenterologist. Simple cysts are common, and usually painless. See a good gastroenterologist.
Topic Author
AWCM
Posts: 42
Joined: Mon Jun 26, 2017 9:22 am

Re: Medical Specialists

Post by AWCM »

Anyone know of o good Gastroenterologist near Fredericksburg, Virginia?
SevenBridgesRoad
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Re: Medical Specialists

Post by SevenBridgesRoad »

No personal knowledge, but I see that you have ten or eleven GI docs in town with the Mary Washington Hospital system. That's a pretty big department. Check around with friends, family and your PCP. Surely one or more of these is a good GI doc for your wife and her cystic condition.

https://health.usnews.com/best-hospital ... pital-main
UpperNwGuy
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Re: Medical Specialists

Post by UpperNwGuy »

Most hospitals now have a feature on their websites where you can "find a doctor." I'm guessing that the hospitals in Fredericksburg have such a feature. If not, check the hospitals in Washington DC and Northern Virginia. They all have that feature on their websites.
Topic Author
AWCM
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Joined: Mon Jun 26, 2017 9:22 am

Re: Medical Specialists

Post by AWCM »

Thanks all. Several Gastroenterologist's in the area but most get poor reviews. Of course reviews online are not a good indication and most are old. Might have to look farther away like towards DC or Richmond.
doctorjdmoney
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Re: Medical Specialists

Post by doctorjdmoney »

I wouldn't put much stock in poor reviews online, unless they are numerous. Patients who have bad experiences, for one reason or another, are more likely to submit negative reviews than those who had good experiences. I agree with another poster who mentioned asking friends/family/PCP
zlandar
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Re: Medical Specialists

Post by zlandar »

Simple hepatic and renal cysts are common and are not precancerous. If they are simple they are benign and left alone. Occasionally someone will inject pure alcohol in an attempt to shrink one (renal) if it is deemed to be a persistent cause of pain.

Pancreatic cysts are different because there is overlap between simple and mucin-producing tumors which can look like cysts. Follow-up is a complicated algorithm based on a patient's age, size of the cyst, and other factors. Follow-up can go on for years because the mucin tumors can exhibit extremely slow growth.

GI doc would be the best person to do the evaluation and follow-up. I would go to the same location for your MRIs as you don't want your imaging done at multiple sites and different radiologists not have all your prior studies on hand to compare to.

Online reviews are meh. The majority of the people doing the reviews are the ones with an axe to grind. If you trust your primary doc ask him or her: who would you go to?
Shady
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Re: Medical Specialists

Post by Shady »

Speaking in generality and not offering medical advice but cysts on the liver, pancreas, and kidneys can be seen in patients with ADPKD. Even though these are benign cysts in their respective organs it’s a diagnosis you wouldn’t want to overlook. Far more likely to just be incidental cysts but ADPKD is within the differential.
toofache32
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Re: Medical Specialists

Post by toofache32 »

Oh wow, so we are now offering medical advice on bogleheads?
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oldcomputerguy
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Re: Medical Specialists

Post by oldcomputerguy »

No, we are not.

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