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Re: puzzling case From: Gail Waldby (gwaldby@willinet.net) Sat Feb 15 08:35:54 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "tb testing" Previous message: RModugno@aol.com: "Re: Puzzling case - longish" Maybe in reply to: JOshea1770@aol.com: "puzzling case" Next in thread: RModugno@aol.com: "Re: puzzling case" Robert et al, our Pathologist doesn't use the Mayo Clinic for Path second opinions because they often actually have someone such as a resident or fellow do the second opinion. He sends strange tumors to the Cleveland Clinic--some super specialist Pathologist for these. I don't know where he would have sent a lung biopsy, though. The Armed Forces Institute of Path does a lot of second opinions for tumors, also, but they are slower, up to 6 weeks wait. I am not sure whether they look at lung biopsies. They do have a critical care unit though, so probably do some super-specialty lung path. Gail Waldby, MD Huron Clinic SD RModugno@aol.com wrote: > In a message dated 2/14/2003 5:26:46 PM Eastern Standard Time, JOshea1770 writes: > >>??Drug reaction to Macrobid - frequently pulmonary >> >>John O'Shea, MD >> >>State College > > Yeah, John, I was looking through the PDR about the drugs she had received prior to this episode - macrobid, indocin and steroids - when I came across the bit about acute and chronic lung reactions - I actually was aware about nitrofurantoin and pulmonary fibrosis - I always thought this was associated with older patients and chronic use. It's strange that if this was an acute reaction that she has not responded to steroids - the pulmonologist is aware of this and thinks it may be a long shot - but heck - this whole case is very bizarre. She has made the pulmonary pathologist at Mayo aware of the history of macrobid use. We are waiting to hear what his take on this is after he reviews the lung biopsy slides. > > Macrobid is used very frequently during pregnancy - probably is the preferred drug for cystitis. > > Thanks for your thoughts. > > Robert Modugno MD MBA FACOG > Marietta, GA > http://www.novaobgyn.yourmd.com > Next message: Charlie Chambers: "tb testing" Previous message: RModugno@aol.com: "Re: Puzzling case - longish" Maybe in reply to: JOshea1770@aol.com: "puzzling case" Next in thread: RModugno@aol.com: "Re: puzzling case"

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