Being a service member in Monterey, this is the place my primary medical care sent me to have an MRI done in September 2012, to have some images taken of my chronically problematic knee. For the 3 months prior to my visit, I had noticed swelling and a slight grinding sensation in my knee when walking up and down stairs. After my visit to Central Coast Diagnostic Radiology, the diagnostic imaging report written by Dr. Dan Braslau indicated a possible retorn meniscus as the only injury.
I have a relative on the east coast who is a radiologist, so I obtained a copy of the images and sent them to her as well. She looked thoroughly at my images and noted a focal injury to my articular cartilage, and mentioned that she was surprised that this went unnoticed in my report by Dr. Braslau.
Once my relative told me about the cartilage injury, I tried to contact Dr. Braslau at Central Coast Diagnostic to ask him to take another look at the images, and even had the specific image numbers for him to review. I really just wanted him to look and see if he concurred with what she saw, in order to get the cartilage defect officially denoted in his report, for my military medical record. However, upon calling the office, the receptionist informed me there was no way I could communicate with Dr. Braslau. I asked if I could write a letter to him at the office, and she said even if I did, it would not get to him. I explained that it was important to me and I just wanted him to reevaluate some images--she said I would have to first call my doctor, and the two doctors could communicate but there was no direct patient-to-doctor communication allowed. That was incredibly frustrating. Central Coast Diagnostic gets big business from the military members stationed in Monterey and it is a shame that they could not take a couple minutes to relay a message from one of the patients being treated there.
I'm so thankful that I had another radiologist take a look at my images, because had my orthopaedic surgeon just gone off of Dr. Braslau's report, there would have been no evidence of cartilage injury and there is a great probability my orthopaedic surgeon would not have performed the microfracture surgery to treat my knee. The surgeon said when he opened me up, he saw the cartilage was worn down completely to the bone in one area. I had the surgery in February 2013 and 5 months later I'm feeling much better, no more grinding sensations. During one of my post-op appointments with the surgeon I asked him what would have happened without the surgery, and he said the cartilage would have continued to deteriorate (because I would have maintained my moderately active lifestyle without knowing I had a cartilage injury). I asked him if the cartilage defect was something that should have been noticed in my initial MRI report, and he agreed that yes this definitely should have been noticed in my MRI images.
I don't know what happened as to why this critical injury was not observed in my report, maybe the doc(s) were too inundated with work and just went through the images quickly and missed it. However I think it ridiculous that I wasn't able to request the doctor reevaluate my case. With the M.D. degree comes responsibility and professionalism, and I was deeply disappointed by the service rendered to me at Central Coast Diagnostic. If you are having medical images taken here and the results just don't seem to fit your symptoms, I would highly suggest getting a second opinion; for me this made a dramatic difference to my health and quality of life. read more