Second opinion on pulmonology

Expert opinion and online consultations on a wide range of diseases and conditions available on your computer or any mobile device.

Remote consultations in pulmonology are carried out in order to obtain a second opinion on the established or presumptive diagnosis of respiratory and pleural disease, clarify the stage of the disease, confirm and / or correct the previously prescribed therapy, receive recommendations for prevention of the disease exacerbations. The main range of problems when this form of medical consultation is advisable and technically feasible, covers the following diseases: chronic diseases of the bronchial-pulmonary system, such as bronchial asthma, chronic bronchitis and chronic obstructive bronchitis, chronic obstructive pulmonary disease, pulmonary emphysema, pulmonary hypertension, cystic fibrosis.In case of suspicion of a malignant pulmonological disease, a consultation is carried out by an onco-pulmonologist, and, if necessary, with a thoracic surgeon. Remote consultation involves the analysis of clinical data provided by the patient (complaints, subjective symptoms, anamnesis), laboratory blood tests results (inflammation markers, blood picture, tumor markers, results of allergological blood testing, skin allergy testing, blood gas analysis, etc.) , possible instrumental (study of lung function, whole body plethysmography), radiological (radiography, computed tomography), endoscopic (bronchoscopy), histological (study of bronchoscopy), microbiological (sowing of bronchial secretions, etc.).

A pulmonologist or oncologist, involved in giving a second opinion, makes a conclusion about the agreement with the previous diagnosis, implemented tratment tactics, or questions its correctness on the basis of incomplete examination or different interpretation of its results. In the latter case are to be given the proposals for further diagnostic measures. An important aspect of the remote second opinion procedure is the assessment of therapeutic options and suggestions for the further treatment and observation tactics. The consulting doctor gives an opinion on the conservative or surgical treatment advisability (minimally invasive or other methods). He can also, by the presence of a complete diagnostic picture, recommend a scheme of surgical, drug, physiotherapeutic or rehabilitation treatment, give advice on diet and lifestyle.

The possibilities of getting a second opinion may be limited by the patients with acute inflammatory processes of the bronchial-pulmonary system and pleura (abscesses, acute pneumonia of various origins, acute pulmonary embolism), in a coma and by the exhausted possibilities of oncological therapy.

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