ANA Discussion Forum
General Category => AN Issues => Topic started by: Crazycat on October 07, 2010, 12:05:48 am
-
Hi,
My yearly MRI "sanity check" has been scheduled for November 5th.
Given that I've been staving-off any regrowth so far, have been feeling good and that there do not appear to be any issues, I was wondering if it would be prudent to skip a year?
There has been talk that the contrast dye used in MRI procedures, "Gadolinium", is nasty stuff and has been linked with kidney problems in certain individuals. The less toxins
I can get away with putting in my body the better. My kidneys are in good shape and I'd like to keep them that way!
I'd appreciate your input. Thanks!
-
I had post AN MRI the 1st & 2nd year.
I had a reaction to the gandolinium the 1st one, so now it's done without contrast.
I don't know if I'm going to have anymore. The docs said they got the whole tumor (well yeah, along with my facial nerve).
I just don't want to think about MRIs anymore. I know this is stupid but it's what I've been thinking.
Good luck with your decision, always good thoughts, Nancy
-
I had the contrast and I did not have a reaction to it. I don't have any prior kidney issues. I felt fine, but I must admit I was nervous. The first time I was oblivious that there could be side effects. Now that I've had the post op MRI, I don't believe I'll ever (fingers crossed) need the contrast again. MRI yes, contrast no. The only 'side effect' I had was I had trouble focusing on fine print for about 2 hours after.
Good luck in the Tube!!
-
The first time I had the Gadolinium dye, I was very carefully instructed to drink at least one full glass of water upon leaving the imaging facility. I have a previous history of a blocked kidney so I have always followed that advice and have had no problems thus far! I've had at least 5 MRIs with contrast (lost count ???).
I figure it is one of those things where they have to state this because in some individuals their kidneys do not filter as quickly as most people and it could create a problem. The imaging facilities would be open to lawsuits if they had not stated the warning.
In my mind, the benefits of the MRI outweigh the risks ...... but that must be an individual decision based on medical history/knowledge.
Clarice
-
I've been at this a while so they didn't even know those risks when I started getting MRI's!! I don't even know for sure HOW many MRI's I have had - I'm sure I could figure it out if I tried real hard but don't have that much time to devote to it!! ;) I have never had any trouble. I agree with Clarice, it is just one of those things that they have to include...just like everything states you could die - well, you COULD...you also get hit by a truck crossing the street!! ;D
FWW, I had one for 5 years and then was told that I didn't have to have any more, however, I have one about every 5 years for my own piece of mind!
K
-
I have read that it is if you have some type of kidney disease then the contrast can cause the problem. I have had several MRIs since my first in 2001 and the kidneys are still fine. Univ of Iowa is now doing the blood work only if you have no history of kidney disease, are not diabetic and under a certain age and think one more factor so the last time I did not have to do bloodwork. I know my labs are ok since is checked when do a physical. Cheryl R
-
Paul ~
You have a few options with your scheduled MRI scan.
You can, of course, skip it this year. Considering that you're now 5 years post-op with no symptoms, that option might not be all that risky.
You can undergo the MRI as scheduled - but skip the Gadolinium contrast dye this time.
You can have the MRI with contrast, as scheduled, drink lots of water afterward and refuse to worry about the dye affecting your kidneys - because it probably won't.
It's axiomatic that this is a decision only you can make. I know you'll give it thought and do what is best for you.
Jim
-
The last MRI I had they had to lab work first to check my creatinine levels. At first I didn't know why and then they said because of the dye. I'm on a water pill and they needed to make sure my kidneys were fine first. I did the dye and didn't have any problems afterwards. Have they said anything about getting lab work done before the test?
I would just ask the doctor questions and go with your gut.
Good luck,
Susan
-
Thanks for running it down for me everyone!
I still have a few weeks to mull this over.
-
From what I've heard and read there is only concern with patients having MRI's and Gadolinium dye IF you have had any kidney problems in the past. If you are uncertain, they do blood tests ahead of time. There is no data at this point with Gadolinium causing problems in people with healthy kidneys.
I had an MRI last week and after many, many head MRI's I was asked NOT to take any Advil for 24 hours before (I take it daily for aches and pains). I figured it had something to do with thinning the blood and the I.V. insertion. I asked and was told it had to do with Advil affecting the kidneys. I had heard that lots of it isn't good for the kidneys as lots of Tylenol isn't good for the liver. Ever since my first head MRI in November of 2001, more and different questions are asked - interesting isn't it?
Sheryl
-
True Sheryl. That's what I've come to believe.
-
The way I understand it, you'd to have an awful lot of gadolinium over an awful lot of years for this to be an issue. Unless you have some major kidney "issues" already.
Most hospitals/medical facilities make patients have the BUN and creatine blood tests prior to having the gadolinium as a precaution, but most patients don't have a problem.
-
After taking near four MRI`s with gladinolium over the past four years and feeling a little weird on the last one, I think I`m going to pass on the next one. Just my opinion after being diognosed without it with the same deminsions. I`ll do it again if ever really necessary. One again just my opinion. Best wishes, Mickey
-
I'm always anxious whenever they put anything into me. My surgery was almost 6.5 years ago. I had an MRI at 1 year, 3 years, 5 years and now at 6.5. The doc says this is my last one for 5 years. Woo-hoo...
-
Again, thanks for the comments everyone!!
-
I'm of the mindset that you don't need it to spot one of these critters initially but do need contrast before treatment. At least it worked in my case with a 1.7X1.4 AN. Easy to see something this size according to the doctors I've consulted with. I am going to have one with contrast just before surgery with 1mm slices per the surgeons request. Not crazy about Gadolinium but with the blood test beforehand, the risk appears to be low. I have been getting junk e-mails from lawyers looking for patients injured by gadolinium. Makes you wonder though.
-
Hi,
It had come to my attention that some of the remarks made in this thread sparked a bit of controversy under the "We're Not Doctors" post.
First of all, I'd like to say that every bit of advise given to me here has been logical and nothing I hadn't considered at one time or another on my own. I just wanted to hear some consensual validation from my AN brethren to help me along with my decision.
I also want to mention something that I hadn't brought-up in my initial post here and that is that no one (none of my doctors) has been watch-dogging my treatment agenda. Every visit I make to my doctors and/or requests for exams and tests has always been up to me. I have to instigate the procedures by calling them. They never call or remind me that it is time for a recheck. The closest I come to that is for my yearly physical or lipid panel blood test with my primary care physician. Even then I have to occasionally suggest, "shouldn't we have a blood test first before I come in?", as a means of not putting the cart before the horse.
A good example is my last colonoscopy. I had my first one five years ago this coming December 5th.The results were exceptionally good with the recommendation that I have my next one in ten years. "Ten years?!" I thought. Isn't that stretching it a bit? It wasn't until I fed that information to my new PCP that he confirmed the initial prognosis. What they don't know is that my mother died from colon cancer when she was younger than I am right now! Anything can happen in ten years and I'm not going to take any chances with a condition that can afflict a person as gradually and insidiously as colon cancer.
I had discussed the results of my first colonoscopy over a year ago with my PCP. During my last visit with him, he asked (having forgotten our previous discussion) if I was due for one. I used that lapse as a means to reschedule another colonoscopy at the five year mark. In other words, I drove it. I had to make it happen. If I had only reminded him of the ten year prognosis he would have just gone along with that and I'd have to sweat out another five years wondering whether or not I was going to be in trouble. I'm not going to live like that if I can help it.
It's the same principle with the MRI. After surgery, my doctor never told me "You're going to need an MRI every year"; what he did say was, "You're going to need MRIs the rest of your life."
For my next scheduled MRI on November 8th, I had to call and schedule it. I had to rattle them. They didn't even know who I was. All they know is that I have the coverage. It's been so long since my surgery that my doctor's assistant who I was friendly with no longer works there.
This is not intended to slight the great surgeons I had whatsoever but just to say that it's a big world and it's very easy to get lost in the shuffle. You have to manage and drive your own health care.
-
http://en.wikipedia.org/wiki/Gadolinium
hmm, Not sure I'm as worried about Gadolinium as the chest X-Ray (front and side) and two CT scans of my head I got while at the hospital.
Thankx for the thread. I didn't even know there was a threat.
-
Paul ~
Thanks for the update. Yes, part of my reply to your original post was frowned upon by another member but I believe I was able to put my response into context for her in a later message. Old news, now.
Your point about having to be proactive in scheduling tests and so on is well taken. Many of us have had to do this and your comment about how a patient can get 'lost in the shuffle' is dead-on.
I trust your upcoming MRI will be uneventful (normal) and that your colonoscopy will prove likewise. Thanks for your contributions to our collective understanding regarding the intricacies of receiving proper medical care and follow-up, which is often dependent on our individual initiative.
Jim
-
Exactomundo Jim!!
-
Everyone, if they can, should be 100% proactive in regards to their health care. If unable, you should definitely have someone you trust be with you and help guide the way through the medical maze. I always request a copy of each and every medical test, MRI, x-ray, or office note for my own file and for my husband. This has proven extremely helpful when you see a new doctor - having everything right at hand. In our case, especially, moving twice a year between Florida and Massachusetts. There have been many cases when I have suggested something and the doctor would say that is a good idea and would order the test.
Sheryl
-
Five year MRI check successful. I did the Gadolinium. No problems.
There was a funny moment. As the technician was walking me to the tube, she was rapid-firing questions at me regarding claustrophobia, metallic objects, pacemakers and so on. I felt like Richard Dreyfess in the movie Close Encounters Of The Third Kind when he was being escorted onto the alien ship and they were asking him questions about his background in like-manner.
As this was happening, I remembered that I had reacted exactly the same way (made the same comparison) as I did last year. Then I realized all at once she was the same technician that walked me to the tube that I had said the same thing to the year before.
In mid-sentence I stopped myself as the memory came rushing back and said, "Wasn't it you that I said the same thing to last year?" It was and she remembered me. I had forgotten all about it. We had a good laugh!
Before they booted me up with the dye through the I.V., I expressed my concern regarding the dangers of Gadolinium. They responded by saying that it was true "IF" you already have kidney problems—which I definitely do not.
Being especially attuned the the potential perils of the substance, I felt the cold liquid enter into my bloodstream and travel up my arm into shoulder, neck, head and chest. Even though I've had this procedure done seven times in the past five years since my surgery, this time I felt it like I never had before.
But it really was all in my mind.
-
Just to chime in quickly: I've had 5 head MRIs with contrast so far and have not had any problems. I even forgot one time to drink a bunch of fluids immediately afterwards but suffered no ill effects.
Best wishes,
TW
-
This has been a very interesting discussion. I have never had a kidney problem and never had a reaction to the Gadolinium. I have had 5 MRIs (first one was in 2000 and last one was in 2008). I recently decided to check my toxic metal levels. I came out below average with the exception of one. Yep, I came out with very high levels of Gadolinium -- 40 times higher than average. My doc said that he was not surprised as the body retains a certain amount after every MRI. Once it is in the body, it goes throughout the body, particularly bone, soft tissue, etc. That's the reason that he checked the toxic levels at the cellular level. The doc is going to try chelation therapy on me, but even that is not too successful because the Gadolinium is chelated. I have since read an article in which the researcher said that for an average patient who has undergone numerous MRIs with a normal functioning kidney, it would probably take about 130 years for the Gadolinium to clear. Oh well, I guess I won't be around to have a Gadolinium-free body. Nothing to do about it now.
MaryAnne
-
Interesting MaryAnne!
-
For the gadolinium issue, see www.pathmax.com/dermweb, the website of the Internat.Center for NSF Research. The main point is the FDA has warned that patients who suffer from acute or chronic kidney disease should avoid gadolinium.
d*** B
-
Thanks for the link, rjbarker. I think I'll drink a lot more fluids the next time I have an MRI!
Best wishes,
TW
-
They just found mine (Sept) with no contrast on a weak 0.7 machine.
I'll do G once on a 1.5 open MRI, then see if I can find a Dr. that will check progress without G.
I spoke to a Dr. at the House Ear Institute and I don't think it is mandatory each year, he seemed flexible.
-
Interesting. Thanks for the info Gus!
-
I had one MRI before my surgery, one three months after then another a year after surgery, all with Gadolinium. I was assured that as I had no kidney problems there was no concern. Now I have noticed something. As a blood donor for many years I have been experiencing problems when I donate blood. They can find my vein without problem but the blood flows too slow.(when you donate blood if it flows too slow it can start to clot in the tubes). This has happened every time I gave blood since my surgery. The arm they usually go to is my left arm--same arm I got the Gadolinum 3 times. During a check up the nurse was trying to draw blood for a test and she stuck in the needle and nothing came out -- then she tried my right arm, no problem. Last time I gave blood I experienced the same issue - slow blood flow. I asked the tech to try my other arm, once again no problem--blood filled up the bag one-two-three. Everyone I asked about this, including my doctor could not explain why this happened. My blood test results are very good and there is no other issue. Now I wonder if the Gadolinum going into my left arm did something? Pretty strange, huh. I do plan to ask my neurologist on my next visit.
Neal
-
That's strange Neal. I suspect that it most likely unrelated to the Gadolinium. I've had seven MRIs since '05 and haven't had any problems like that. But then we're all put together differently so who knows?