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Private Nuclear Medicine Clinic / Scintigraphy

Started by Casey Palmer5 · · 👁 4 views · 8 replies

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Participants Casey Palmer5Scott Allen10rapidranger79granitebadger25John Adams4
Casey Palmer5 Casey Palmer5 RegularOP
470 messages
joined Jan 2016
#1 ·
I'm trying to figure out where I can go in Washington, D.C. to get a private thyroid scintigraphy done. So far, the only place I've managed to track down while digging around online is Diagnostic 2000.

Thanks so much for any info or recommendations you guys might have!
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#2 ·
Honestly, setting up a gamma camera, sourcing radioisotopes, and getting all that high-end computerized scintigraphy gear isn't exactly a cheap hobby, so I highly doubt anyone's just running that setup out of their basement at home.
You might be better off hitting up a major hospital instead, since scintigraphy is really just one piece of the diagnostic puzzle, and if you go the private route, you’ll probably end up shelling out a ton more for all the extra tests they'll inevitably run.
I've heard decent things about the Nuclear department over at Oakland, though I haven't actually been there myself to see how they handle things.
Casey Palmer5 Casey Palmer5 RegularOP
470 messages
joined Jan 2016
#3 ·
In my family lately, time has unfortunately become way more valuable than money.

So, we’re planning to get most of the test results gathered before the appointment at Rebro on November 5th... just so we don't end up stuck waiting months for an opening, which happens all too often around here.
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#4 ·
Yeah, that’s just how things work around here. I should probably mention though, if an emergency scintigraphy is ordered, it HAS to happen right away without any extra paperwork. Of course, it all comes down to whether the Nuclear medicine department decides it's actually urgent or not—if you can somehow charm them into bumping a non-urgent case up to priority status, then boom, you’re getting that scan done today or tomorrow.
Honestly, no joke, if the chart says URGENT, they perform the scan immediately.
The other thing is having a connection over at Nuclear medicine. If you know someone there, you can usually find a decent slot for the imaging without much trouble. Especially for a thyroid scintigraphy where they give you the isotope via IV and then run the scan about 10 minutes later; the whole thing usually only takes about 10 to 15 minutes tops.
rapidranger79 rapidranger79 Member
49 messages
joined Sep 2006
#5 ·
I don't think you'll find anything like this in the States. It isn't just about how much these machines cost, but the whole process of prepping isotopes and everything else involved.
Why not try reaching out to a place in Vienna? I'm not talking about a private clinic, but rather a major hospital like Massachusetts General Hospital where you can pay for services.
The people who were in a real bind—you know, needing surgery right this second instead of waiting months here at home—they all got it sorted out perfectly over at Massachusetts General Hospital.
granitebadger25 granitebadger25 Member
46 messages
joined Mar 2004
#6 ·
Casey Palmer5

You have a few different options in Washington, D.C. for a thyroid scintigraphy (Vinogradski, Rebro, or Oakland), so just go see which one can get you in earliest. I'm not entirely certain, but I believe wait times at Rebro and Oakland aren't too bad for this specific test, though I can't speak for Vinogradski.

I doubt you'll find much of a shortcut by heading to Vienna. A thyroid scintigraphy isn't considered an emergency procedure—that "urgency" someone mentioned earlier refers to lung scintigraphy, not thyroid issues.

Regardless, given those elevated thyroid hormone levels, your best move is to contact a nuclear medicine specialist at one of those hospitals immediately. Once they review your results, they’ll be the ones to order the necessary tests and typically schedule the appointments for you (you'll likely need a thyroid ultrasound as well if you haven't had one yet). Plus, they handle the treatment itself... which is why, in my opinion, a nuclear specialist is a better choice than an endocrinologist in this situation.
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#7 ·
Because a thyroid scan isn't exactly an emergency procedure—I think whoever was talking about urgency earlier was actually referring to lung scans, not the thyroid.

From what I’ve seen, if a Nuclear specialist decides things are urgent and marks it "STAT!", you'll be getting that scan done immediately or by tomorrow at the latest.
... which is why I feel like a Nuclear specialist is a better bet than an endocrinologist when dealing with the thyroid.

I'm totally on board with that. When it comes to thyroid issues, you really want a specialist in Nuclear medicine handling it.
Casey Palmer5 Casey Palmer5 RegularOP
470 messages
joined Jan 2016
#8 ·
Thanks for all the advice, everyone. Fingers crossed everything turns out okay 🙂

It’s Graves' disease—my thyroid is pretty much enlarged everywhere. I've already had a private ultrasound done to confirm.

We'll go ahead and get the scintigraphy done at Rebro since we already have an appointment scheduled there for the Nuclear medicine scan.

On the bright side, if these results aren't mine, at least I have the right "family history" to pass this on to someone else one day...
John Adams4 John Adams4 Member
13 messages
joined Jul 2010
#9 ·
I personally deal with Graves' disease—I actually found out while I was vacationing in Florida. After an ER visit (my heart rate was hitting 120–140 bpm), they sent me straight for blood work and a scintigraphy scan.
Here were my initial lab results:
T3 7.63 nmol/l 1.29-2.60 nmol/l
T4 201.1 nmol/l 71.2-161.0 nmol/l
TSH 0.016 mlU/l 0.465-4.68 mlUl
For about a year, I was on methimazole—which essentially blocks the thyroid from producing hormones—and levothyroxine, just to maintain some semblance of normalcy.

My first scan didn't show much, aside from an enlarged right lobe. On the second one, they spotted two benign nodules, measuring 2 and 4 mm.
I’ve been off medication for four months now, and I feel significantly better—my hormone levels have stabilized within the normal range. I still get blood work done every three months; the eye issues have subsided, though they haven't entirely disappeared yet.

If you have any questions, please feel free to ask—or just send me a DM.

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