Second Opinions in Canada

Another question I've always wondered about in Canada, is how people go about seeking a second opinion from a specialist. I don't know of anyone who has done this or even if it would be permitted, and if it were, would that person have to wait many months? Or would the patient have to pay for the second opinion? Are second opinions of any value anyway? I mean, wouldn't the second doctor simply agree with the first as a general rule to ensure that no doctor would try to make another look worse?

It's simply a matter of

It's simply a matter of asking the first specialist or your GP. You are afforded a second opinion on virtually any medical or surgical issue. The waiting time is no longer than that for the first specialist consult and usually less, as the second specialist often needs only review charts and reports without booking slots for various tests.

If you have suspicions that one doctor may simply rubber stamp another's opinion (I've had this happen), ask your GP to obtain the first specialist's records, arrange for a second specialist with a different group (admitting privileges at another hospital) and have an appointment arranged with him or her with your records forwarded.

If you feel you have a problem which has a history of misdiagnosis across the patient population, ask for a specialist at a university medical school facility. Sometimes that will result in a number of physicians or surgeons looking at your chart.

Hi Rtrp9, a second opinion

Hi Rtrp9,

a second opinion is needed when we do not trust the first Doctor. I am going through this same issue. I have cyst in both my ovaries. And the specialist I saw wanted to remove my ovaries and my tubes. My Question was, why my tubes and ovaries? I have cyst, why not remove the cyst and leave my healthy & functioning ovaries and my tubes alone. He said no it does not work that way. So I went back to my family doctor and told him that I want to keep my ovaries and my tubes. I asked my family Doctor, why not remove my cyst alone? My family Doctor said it is easier and safer to remove all of it because it could be cancerous. I wish my Specialist had explained this to me. I asked my family doctor for a 2nd opinion and he agreed to give me a second opinion and this appointment is not until the end of this year. So, I have to wait until the end of this year but I am taking some homeopathy treatment hoping the cyst will resolve. I am truly blessed to have a very knowledgeable Family Doctor who takes very good care of me like a son would take care of a mother.

Answers to your question below:

1) Yes second opinion is permitted @ no charge.
2) Yes I have to wait for almost 6 months.
3) Yes second opinion is very important if we loose trust in the Specialist we saw first.
4) I will keep you posted if my 2nd opinion is any worth or not. I hope it is worth-it.

Honestly Rtrp9, I want to hold on to all my organs, I am trying homeopathy treatment (very expensive)hoping my cyst will dissolve by its own and I will be free from all the worries.

perfect wrote: 1) Yes second

perfect wrote:

1) Yes second opinion is permitted @ no charge.
2) Yes I have to wait for almost 6 months.
3) Yes second opinion is very important if we loose trust in the Specialist we saw first.
4) I will keep you posted if my 2nd opinion is any worth or not. I hope it is worth-it.

Patients need to be encouraged to get a second independent opinion, and should be given a priority appointment when the first doctor thinks it is something serious, or the patient's mental health is being affected because they think it is serious and the doctor does not.

The patient needs to have faith in themselves; they must trust in themselves, and trust in God, and listen to what that little voice inside is telling them. That little voice matters.

Does your family doctor think you should follow the first specialist's advice? If so, I think it's important that you try to get on a cancellation list for the second opinion. But even more importantly it's important to have faith in your decisions and that comes from having faith in yourself and faith in God.

Hi wishandaprayer, Thank you

Hi wishandaprayer,

Thank you for your concern, I was also thinking that I should not wait until the end of this year for a second opinion. But this is Canada and this is the medical system here. Got to wait and wait. Maybe things might get better or worse. I have left it under God's hand to protect me.

Yes, my family Doctor thinks that Ovarian Cyst could be dangerous to ignore. But I do not think that my OBGYN cares or have the time to answer all my question. I am bloated and I asked this OBGYN.... Doctor, why am I bloated? He said "I do not know why you are bloating, I cannot help you in this bloated stomach". He did not even bother to examine my bloated stomach. So how can I accept this kind of an answer, and to be under a knife with this doctor? I do not know if I have faith in my decision BUT I have faith in GOD and I will leave this under GOD's hand.
Thanks again.

It's tough to ask for a

It's tough to ask for a second opinion, especially when surgeons in a specific field are scarce. You're afraid of offending the first surgeon, in particular, especially when you had already seen a different surgeon a few years earlier. (Change in surgeons). In most cities I don't think there is more than one surgeon to do some jobs anyway.

I had a situation a number of years ago where I had a pituitary tumour that was only 3mm. At that point already it was causing such serious problems that my menstruation had stopped (wasn't yet menopausal according to tests) & I lost cognition for a number of years. Most of the American endocrinologist websites I read suggested that those tumours should be taken out when small, but they said it was dangerous here, so mine had to keep growing, and that it did, every time I had another MRI. Most of the American endocrinologist web sites I read also said that standard glucose tests weren't stable for this type of disease so the longer glucose tests should be taken, but doctors didn't want to do that because of the costs.

The tumour is now macro adenoma and I believe it's now too late to take out so I will have to take medicine for the rest of my life. I also had serious acromegaly growth (but no growth factor for some reason) although in 10 years I only got the IGF-1 and growth factor tested twice. Had to beg really hard for the second one because of the costs. I was only allowed to see an endocrinologist on the average of once very four years or so too, to keep the costs down I think.

I don't understand why two aquaintances in another province had their tumours removed right away and I had to let mine grow. That was probably about cost too. The medicine won't shrink the tumour but helps keep the prolactin down. When the prolactin rises, there are really serious problems. I even got breast cancer.

Now I don't want gadolinium again because a kidney sometimes hurts and my muscles feel as though they have all shrunk. I was planning to go to the USA for treatment but they wouldn't accept the tests without contrast. I had refused last time fearing neurofibromatosis from the gadolinium. While that makes doctors laugh I did fear it, especially with all the cafe au laite spots and skin and lung changes. I also refused the Tesla 3 machine in favour of the 1.5. (They hate patients like me.)

A few months ago the muscles in one knee tore for no reason. Could've been torn earlier maybe, because I haven't been able to squat or sit on the ground for a few years. But in May of this year the back of the knee just started swelling for no reason whatsoever!

An Xray showed calcifications but the MRI said:
________

"Minimally depressed fracture involving the posterior aspect of the liberal tibea plateau of the adjacent post traumatic fissuring tibial articular cartilage. Complete avulsion and tear related to the anterior root attachment of the anterior horn of the lateral meniscus resulting in prominent extrusion of the body along the lateral joint line.

There is an associated HIGH GRADE and possibly COMPLETE tear related to the distal tibial insertion of the ACL. lARGE joint effusion and LARGE Baker’s cyst, both containing evidence for synovitis. A probably intra-articulate body or meniscal fragment is present along the anterior mid joint line. Findings in keeping with a small metallic foreign body in the subcutaneous soft tissues of the anterolateral intrapatellar knee. and possibly a complete tear related to the cistal tibia insertion of the ACL. Large joint effusion and large Baker’s cyst, both containing evidence for synovitis. A probably intra-articulate body or meniscal fragment is present along the anterior mid joint line.
_______

A new muscle now appears to have taken over ON TOP of the knee and is holding it in place but of course I still can't squat and have to be careful when going down stairs. The new muscle had to be gradually stretched because it was too tight at first But now my elbows are getting tight too, and maybe that's also what's causing the sore liver even. Now I fear that many more muscle tears may lie ahead. Should be able to see a specialist in a few months but don't know how successful a knee operation would be at this point if I've turned half to stone.

Wish I had gone to the USA when the tumour was small because now I don't know what to do anymore other than keep taking that deadly drug for the rest of my life and keep refusing gadolinium. The pituitary drug is also of concern because I believe Cabergoline has cobalt in it and now with our skies filling with radiation, I'm not crazy about the cobalt.

Then again -- SICK SNICKER -- with the oceans now boiling in Japan, hundreds of whales dying, radiation burning into the earth which is turning into quicksand under Japan, and with higher than normal deaths along the Canadian and American West costs, there might be nothing to worry about in 3 years anyway. (Misery loves company huh)

Wow Rtrp9, It is too bad that

Wow Rtrp9,

It is too bad that you are going through all this health issues. 15 years ago I had elevated prolactin and I had a small tumor in my pituitary gland. BUT was treated very successfully with the help of my OBGYN who referred me to a Endocrine Doctor. I was monitored every month for almost 1 year and now I am free from the tumor but my prolactin still keeps acting up on me every now and then.

Last week, I cancelled my 2nd OBGYN's opinion from the waiting list for the end of this year and I went back to see my very own OBGYN who helped me 15 years ago and am been very well taken care off. This is the same OBGYN helped me through my difficult times 15 years ago. Since I had no major issues I had not seen him for 12 years and NOW I have returned to him for HELP. It is a bit of travelling but it is worth-it. Honestly, I feel very secure and protected under this Doctor's care. I think that, ALL Doctors should and must be sincere with their patients and they should and must not ignore any of their patients concerns. We, the patients are not going to see the Doctors because we want to waste their time and our time. I have not seen any Doctors for almost 5 years, and now I think with my aging process everything gets worn out.

Take care and I hope you will get the best treatment you need.

Did you get rid of your

Did you get rid of your tumour? Mine will never go away so have to always take those pills for life now, and I think they are Cobalt based so hate taking them with all the Cesium 137 being released into the air, and then on top always having had those gadolinium injections which I will refuse from now on.

You should've seen what breast cancer radiation did to my mother's body! What a horrific sight her angiosarcoma was! I think radiation is far more of a killer than anyone will admit, which is why no one in Canada will tell you what the reading is. (I did try very hard to find out at one time). I fear that like most environmental damage, the real damage may be 1000 times higher than anyone will ever admit, so hate pumping so much of it into my body and being forced to do that for the rest of my life.

I also fear though, that if I try Bromocriptine again, and it causes problems a second time, they might not allow me to return to the Cabergoline again after that, because people have to fight for that drug because it's restricted.

I even had so much bone growth -- feet, hands, nose, nose bridge, forehead, and tooth spacing but no growth factor that they could ever detect in the two tests I had in all those years, so they claimed it wasn't acromegaly. (The tests are expensive because they have to sent away so they don;t like doing them more than once every several years). I developed horrid heat intolerance and left ventricular hypertrophy after that.

I even got cancer from what I believed was the prolonged high prolactin and fear now that it will cause that cancer to spread through the lymph nodes as it has a reputation for doing. Actually I won't go on here because I actually developed every extremely severe and deadly illness under the sun. That was just the beginning of really deadly body changes that continued. My underarms have been swollen for the past year and one nodule under one arm keeps getting hard and soft again and my blood platelets were down to 100 (from original 145). I have petechia (sp?) on my legs too. They said not to worry because they will pump up the platelets if they get down to 50.

Looks like you might have a naturopath now? So do I. Making a fair bit of progress there. If I have to go to doctors I now go to a different one every time so one alone won't catch super hell from the costs. I could definitely see the ultra high tension and outrage from their frustration from time to time, as well as mine.

I'm still FORCED to go to doctors every 3 months to get the prescription and blood tests for now, but if pharmacists start renewing them and nurses start taking blood then I won't have to.

Hi Rtrp9, Oh yes my tumor in

Hi Rtrp9,

Oh yes my tumor in my pituitary gland did shrink and gone completely. I was very lucky with this OBGYN, (who is now taking care of my Ovarian cyst problems) He did a prolactin test because my breast was discharging and I did not know why. As soon as I told him that I am having this problem he ordered a prolactin test and found out that my Prolactin is high he ordered a brain CT scan. All this done within 2 weeks. My doctor called me in to his office and said "you have a tumor and I have made an appointment for you to see an Endocrine Doctor. He got me in as fast as he could just within a few weeks I was able to get the treatment I needed for my tumor. I would say without this Blessed Doctor I would have been in a big mess maybe, I might not be here typing this post.

I am so happy this Doctor is taking care of me after 12 years I count myself extremely blessed.

I am also taking some Homeopathy medicine which is so expensive but I have no choice. My health is worth-it.

Take care Rtrp9. Stay well and I will keep you in my prayers for your good health.

perfect wrote: Hi Rtrp9, Oh

perfect wrote:

Hi Rtrp9,
Oh yes my tumor in my pituitary gland did shrink and gone completely. I was very lucky with this OBGYN, (who is now taking care of my Ovarian cyst problems) He did a prolactin test because my breast was discharging and I did not know why. As soon as I told him that I am having this problem he ordered a prolactin test and found out that my Prolactin is high he ordered a brain CT scan. All this done within 2 weeks. My doctor called me in to his office and said "you have a tumor and I have made an appointment for you to see an Endocrine Doctor. He got me in as fast as he could just within a few weeks I was able to get the treatment I needed for my tumor. I would say without this Blessed Doctor I would have been in a big mess maybe, I might not be here typing this post.

I am so happy this Doctor is taking care of me after 12 years I count myself extremely blessed.
I am also taking some Homeopathy medicine which is so expensive but I have no choice. My health is worth-it.

Take care Rtrp9. Stay well and I will keep you in my prayers for your good health.

What a great doctor! Probably saved your life! A stitch in times saves nine, that's for sure. I pray for you too, even though yours may never come back again. You're clearly on the right path.

I'm curious though. What level did your prolactin reach and did it affect you in any other way? Also, did you or any of your parents get a polio shot in the late 1950's or early 1960's?

Yes My dear Rtrp9, I strongly

Yes My dear Rtrp9, I strongly believe that this is a great Doctor to take very good care of his patients. He is very careful and very caring. I can feel that he cares and he is a very sincere Doctor.

1) My tumor was non cancerous and it was the very beginning @ a level of 29. I am not sure though if it would return or not because I still have this prolactin acting up on me now and then.

2) My only symptom was, both my breast was so painful with lots and lots of milk discharging which was so embarrassing. I had to use nursing pads which could not last for a long day at work. Since, I have no medical knowledge I did not know why and what was going on with me. That is when I had to bring it out to my Doctor's attention. Other than that I had no any other symptoms.

3) I am in my early 50's now and YES, I did get the polio vaccine. Not sure about my parents though. They are not around.

Take care Rtrp9, Thank you for keeping me in your prayers too.

perfect wrote: Yes My dear

perfect wrote:

Yes My dear Rtrp9, I strongly believe that this is a great Doctor to take very good care of his patients. He is very careful and very caring. I can feel that he cares and he is a very sincere Doctor.
I am in my early 50's now and YES, I did get the polio vaccine. Not sure about my parents though. They are not around.
Take care Rtrp9, Thank you for keeping me in your prayers too.

So your shot was in fact received in the late 50's or early 60's? Mine too.

Rtrp9 wrote: perfect

Rtrp9 wrote:
perfect wrote:

Yes My dear Rtrp9, I strongly believe that this is a great Doctor to take very good care of his patients. He is very careful and very caring. I can feel that he cares and he is a very sincere Doctor.
I am in my early 50's now and YES, I did get the polio vaccine. Not sure about my parents though. They are not around.
Take care Rtrp9, Thank you for keeping me in your prayers too.

So your shot was in fact received in the late 50's or early 60's? Mine too.

Are you saying there may be a connection between the injected polio vaccine and your health problems?

Best to research that data

Best to research that data yourself because anything I say will be contradicted. Go to You Tube and then type in, SV40 polio pituitary Merck in one line. Then look up the same on Google but delete Merck.

Rtrp9 wrote: Best to research

Rtrp9 wrote:

Best to research that data yourself because anything I say will be contradicted. Go to You Tube and then type in, SV40 polio pituitary Merck in one line. Then look up the same on Google but delete Merck.

Save yourself some time and just go to http://scienceblogs.com/erv/2011/02/16/the-undead-undead-virus-myth.

Personally, I like the cookie controversy better. Smiling

MicOnTheNorthShore

MicOnTheNorthShore wrote:
Rtrp9 wrote:

Best to research that data yourself because anything I say will be contradicted. Go to You Tube and then type in, SV40 polio pituitary Merck in one line. Then look up the same on Google but delete Merck.

Save yourself some time and just go to http://scienceblogs.com/erv/2011/02/16/the-undead-undead-virus-myth.

Personally, I like the cookie controversy better. Smiling

Notice I don't direct people to a single blog written by a lady shooting off of the cuff, I direct them to places where they can read hundreds of subjects on the topic with well over 33,0000 references and use their own very brilliant minds to judge. While many people believe that if a couple of people call something a myth, that means it's a myth, truth has a tendency to prevail. Those who hear and see it come directly from the mouths of the people involved in the manufacturing of the shots specifically are best able to judge what's myth and what's not.

Here’s the article I chose to

Here’s the article I chose to read:

http://www.theatlantic.com/past/docs/issues/2000/02/002bookchin3.htm

It was written 13 years ago.

“The Atlanta-based Centers for Disease Control maintains a stance of neutrality with undertones of skepticism. In a four-page fact sheet called "Questions and Answers on Simian Virus 40 (SV40) and Polio Vaccine" the CDC notes that SV40 has been found in some tumors and adds that "more research is needed" to confirm a causative link with human disease."

In a nutshell: “Good science is ultimately about the exchange of ideas unfettered by presuppositions. Sometimes great breakthroughs come out of theories that at first seemed heretical or even nonsensical..”

All studies seemed to be fettered with presuppositions in my opinion, but I wouldn’t say that the possibility of a link is absurd by any means, unless there is more current research which I am not aware.

Rtrp9 wrote: Notice I don't

Rtrp9 wrote:

Notice I don't direct people to a single blog written by a lady shooting off of the cuff, I direct them to places where they can read hundreds of subjects on the topic with well over 33,0000 references and use their own very brilliant minds to judge. While many people believe that if a couple of people call something a myth, that means it's a myth, truth has a tendency to prevail. Those who hear and see it come directly from the mouths of the people involved in the manufacturing of the shots specifically are best able to judge what's myth and what's not.

I would have posted a number of reliable medical science sites, but it seems that the server's spam filter is limiting included URLs to one per post. There are thousands of "belief" and junk science sites; anyone can tell others to Google. If you're going to make a point, support it with a reference to a credible site.

However, if you'd like to read real scientific research and findings supporting the "lady shooting off of the cuff" (sic), you will find plenty at http://www.google.ca/url?sa=t&rct=j&q=&esrc=s&source=web&cd=10&ved=0CGcQFjAJ&url=http%3A%2F%2Fwww.vaxchoicevt.com%2Fwp-content%2Fuploads%2F2013%2F07%2FCDC-Concerns-Cancer-Simian-Virus-40-SV40-and-Polio-Vaccine-Fact-Sheet-Vaccine-Safety.pdf&ei=SvNCUqfxMqmiiQKq_YHwBw&usg=AFQjCNFFNcB5xat41GrCoRFgvyUGRkfzDw

The last time I looked, the US CDC is not in the business of supporting business.

who do you write to for

who do you write to for asking if you can get a second opinion. i have had a total knee replacement back in feb or this year. 2 weeks after the surgery i fell on cement and knew right away i had messed the knee up again. have seen the surgeon who did the surgery. but he says its normal to have the pain i am having. and that its scar tissue. but i get knife like pain to the left side of the knee and know i did something wrong. have tried ice, excercises, pain meds. walking if short distances. and most times am unable to even do that. the surgoen is saying to come back in march or next year and he will decide on what to do then. its been six months now. don't know if i can take another six. and also the time to redo the surgery if it has to be redone. have no idea on how to go about getting a second opinion. as most times you have to be reffered. not sure if the doctor is going to like that.

snoopy019591 wrote: who do

snoopy019591 wrote:

who do you write to for asking if you can get a second opinion.

Write your coverage provider (BC MSP, MSA, OHIP, Cu&C, Blue Cross, etc.), and be specific as to the specialty, reason for second opinion (diagnosis or treatment, etc.).

In BC, a person is not restricted on the number of opinions, although a GP may refuse to make the referrals after a couple of second opinions if they do not differ, as will BC MSP refuse to pay for more than a couple, usually. I saw dozens of surgeons in a sub-specialty every year for several years before I was asked about it. Then again, I was seeking a surgeon to perform an established procedure when none could be found who felt qualified, thus my multiple enquiries.

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