<>I know 3. Me, my cousin, and a guy I worked with back in my pipeline days. I know quite a few others that are now pushing up daisies.
When I went into the ER with excruciating pain, the staff immediately jumped to the conclusion that it was gall stones. They told me to go see a gastro doc. I didn't because my wife ended up in the hospital and I had to deal with that for a month or so. Next time in the ER, they again said it was gall stones and sent me for an ultrasound. The young lady was brand spanking new at running the ultrasound and this was her first day working "solo". She poked around, got confused, left the room and brought someone in to help her. They sent me for a CT scan. I was sitting in the little room in the ER when 5 of the staff came in looking like someone killed their pet kitten. The doctor said, "Your gall bladder is fine. We found a tumor in your pancreas." I held up my hand to make him shut up, so that he wouldn't say any details in front of my wife. I said, "We both know the statistics. What's my next step?" That's when they turned me over to M.D. Anderson. I probably owe my life to that young technician who looked for gall stones in the wrong place.
One of the dead people I mentioned was diagnosed as having gall stones. He was on the table for laparoscopic surgery. They fired up whatever scanner they use to see inside you when they do that surgery and realized he had PC. They stopped the procedure and went out and told his wife. He didn't handle the whole thing well and had a miserable death, making his family miserable along the way. There but for the Grace of God......
You give a great example of why we are so insistent on not doing “single organ” exam studies.
The insurance companies want to pay only for minimums.
The standard every place I’ve worked or taught is to include the entire hepatobiliary system, pancreas, adrenals, & regional retroperitoneum on all requested “Gall Bladder Ultrasound” exams. The pericardium & pleura are also briefly checked.
Our U/S Techs have become so good that it is rare for someone like me to actually have to perform the studies.
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