Well when you see a specialist usually they have some ideas of their own and will want to look at things the way they assess.
However since this is new the person may not have an idea about what to do specifically. Some people have had Dr Dake read their CT venography after the local person already gave them their opinion. Marc mentions that the standard reading on his was normal where when the scan was sent to Dr Dake he indicated that narrowing of the high jugs was a problem. Marc later mentioned that the initial radiologist did "not know to check the jugular veins" and later people he asked to look at the scans who were asked to comment specifically on the narrow jugulars that Dr Dake mentioned agreed there did seem to be narrowing of interest.
I do not know if Marc got any special instructions for his CT ahead of time From Dr Dake or if it was just a standard venogram CT.
Several people have done this "CT venogram somewhere other than stanford " arrangement, so maybe they will all come and say whether they had special instructions from Dr Dake ahead of time .
Dopplers as done by technicians in America have not proved to be very useful for people as they seem not to know how to interpret the data with the same skill as DR Zamboni's team.
My own doppler done at Stanford, just hours after the MRV showed a severe blockage, was completely "normal" according to US standards...
hopefully someone else will know more
ps if your vascular specialist wants to try the dopplers the technical methodology is in the research thread
http://www.bentham.org/cnr/openaccessar ... /006AG.pdf
my local university did try and did find reflux in my vertebral veins but would not treat or anything like that...
I'm not offering medical advice, I am just a patient too! Talk to your doctor about what is best for you...
http://www.thisisms.com/ftopic-7318-0.html This is my regimen thread
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