I told the tale of the radiologist who failed to read my PET scan far enough south to find the obvious lesions in my femur a few posts ago (here) as I contemplated the emergent February pattern on my skeletal event horizon. To recap, there is lesion on my femur that was obviously visible in my December 2012 PET scan, providing the one looking actually looked.
The next time I saw my R.O. (Radiation Oncologist), Dr Z, she had the computer in the exam room, showing me the MRI I had done of the thoracic region right before my surgery. I asked her if she would pull up July's PET scan and see if the lesion in my femur had also been there in July.
YEP. There it was. Clear as day, if one but scrolled farther south through the slides.
If your brain isn't connecting the dots right now, let me help. The lesions that in December put me at risk of a femur fracture were also there in July. Also unreported. Had they been viewed and reported in July, would we have been able to stop those cancer cells in their tracks with some radiation, before more damage was done, and avoid this recent surgery and month of hell-pain and expense completely?
I have to think yes.
I saw my PCP/PA yesterday and she recounted to me her "chat" with the reading radiologist when she requested, over a month ago, that he take a re-look at the scan. Apparently, he was an arrogant prick (her words) to her on the phone, told her that if he had seen something he would have written it in the report (obviously he needs to be reminded that he won't see anything if he doesn't look), and that even though he didn't mention past evidences in the pelvis, since there was nothing new or active, no, he wasn't going to make an addendum.
Arrogant bastard. This was before Dr Z called him with evidence that he did, indeed, need to make an addendum, and that he had, indeed, failed to "see" and to "look". Again I hope she was her arrogant best on the phone with him.
When I see her next week, I will ask if she ever received that addendum.
I have cancer all over my bones. A PET Scan scans from mid-forehead to mid-thighs. I expect that whomever reads that scan looks through ALL of it, not just the areas where there was activity noted on the previous scan report. Cancer on the bones spreads. It grows. It travels. One of the reasons I have PET scans is to look for spread, growth and traveling.
While visiting with my PCP/PA yesterday, she confirmed that the same arrogant jerk read the December scan and July scan. My next move is to see if he read the one prior to that, and see if I can tell (by comparing to Dec and July) if the lesions were there, and how far back.
After I compile what I can discern from my reports and CD's that I always insist upon having, I plan to write a letter to the head of whatever practice this A-hole is with, and copy whatever board by whom he is certified. Or write to the board and copy the practice?
Suggestions on chain of command for writing this letter are appreciated.
What are your thoughts?
What other measures would you take?