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PDF Editor FAQ

I have to go for a CT Scan. I am on clarithromycin. Can I get my blood drawn to see if my kidneys can handle the CT Scan?

eGFR is the laboratory test that assesses renal function. Iodinated contrast used in some CT scanning can damage the kidneys especially if the kidneys are already damaged. Most imaging departments will have a policy for when they test the eGFR before giving contrast. There are six questions (the 'Choyke' questionnaire) that is the basis for many questionnaires to do this:Do you have:Pre-existing renal diseaseProteinuriaPrior kidney surgeryHypertensionGoutDiabetesAnd are you taking certain drugs.If you answer no to all of these, the chance of having significant renal disease is very low. Most institutions, in this case, would give otherwise normal outpatients contrast without testing. If you answer yes to any question most would test you or look for a recent test before giving contrast.Of course, if you are particularly concerned, just ask your doctor. The eGFR test is fast and easy and relatively cheap.

Is it right that doctors receptionists have now been trained, to tell us we can’t see the doctor?

I can only answer from the point of view of the private practices I work at as a radiologist (Eastern Europe).At one of them I perform ultrasound exams, in which, obviously, the patient is with me in the room, and give written interpretations to x-rays, mammograms, CT scans and osteodensitometry exams, for which I only need the images. At the other practice, I interpret MRI scans and again I only need the images.However, I might ask to see the patient either to clarify some things from their history which they might have forgotten to put in the questionnaire (or deliberately withheld) or to give them the result personally and discuss the therapeutic options with them.If a patient comes to either clinic and wants to see a doctor regarding which imaging options might be better in their case, or to ask for classifications on a report, or maybe ask for a second opinion, the receptionists will bring them in, either straight away or after a short wait if I'm in the middle of something (performing an ultrasound exam, or supervising a CT/MRI exam in some particular cases).I don't know what happens in other practices or hospitals, with other specialties and especially in other countries, but my opinion is if the receptionist tells you the doctor isn't available, he / she either is with another patient, or in the middle of something else work related that can't be interrupted. After all, we're paid only for the patients we see and not for drinking coffee and socialising.

Do doctors actually read the forms that patients are required to fill out (medical history, known allergies, etc.)?

Yes, we read those forms all the time. With me, when I see a patient for the first time, I actually pull out that health history form and then go through it with them, line by line, to make sure everything is accurate. It sounds like it would take a long time for me to do that, but it only takes a minute. And if you don't fill it out, then we go through it line by line during the visit and fill it out together. As I've grown in my career, I've found that accuracy and attention to detail in the health history is vitally important. Knowing that you smoke 2 packs of cigarettes per day lets me know that I should pay more attention to that "little cough" that you have. Knowing that you have an iodine allergy clues to in to pre medicate you prior to getting a CT scan so you don't get a rash all over your body.Being completely honest with the health history is necessary for me to do my job, and it also protects you from harm.

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