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MyConsult Online Medical Second Opinion

Following a thorough review of your medical records and diagnostic tests, our physician specialists render a second opinion that can be shared with your doctor.

Access Cleveland Clinic Expertise from Anywhere in the World

Connect with world-renowned physicians
who review your individual situation,
answer questions & provide a
comprehensive report.

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Request an Opinion

There are five steps in the process of requesting a second opinion. We anticipate the steps will take you about 30-65 minutes to complete. A helpful hint that we recommend:

  • Have your medical records or those of your loved one on hand as you fill out the medical history questionnaire portion of the online process.
  • The medical history questionnaire is detailed so having medical records to quickly reference will help make the process more efficient.

Below is a brief description of the information being requested in each step of the online process:

To request an online second opinion from Cleveland Clinic, you will first need to select a condition from the Search Conditions section of the MyConsult website. Once you've selected a condition, you will then be asked to register to use our secure site, establishing a secure username and password for the MyConsult website.

Requestor & Patient Information

This step we ask for information about the requestor and the patient. If the requestor is not the patient or the parent of a patient under the age of 18, the patient is required to submit a Proxy Consent Form.

Medical History Questionnaires

You will need to complete two medical questionnaires: one regarding the patient's general medical history, and another specific to the selected diagnosis. It will be helpful to have the patient's medical records on hand when completing this step.

Submit Medical Records and Required Documents

The Materials Checklist outlines the medical records, test results, images, and required consent forms specific to the selected diagnosis, and provides instructions on submitting them.

Payment of Online Consultation

We accept payment by most major credit cards or certified U.S. bank check or money order.

Review and Submit

Once you submit, you will not be able to cancel the request and are responsible for payment.

Begin Registration

Cost

The cost to receive an online medical second opinion is $565.00. If a pathology review (reading) is required to complete your online medical second opinion (as is the case with most cancer-related diagnoses), there will be an additional charge of $180.00 for that review for a total cost of $745.00 for the second opinion and the reading.

Cleveland Clinic MyConsult Online Medical Second Opinion service is not covered by Medicare and we are unable to accept insurance payments or Workman’s Compensation cases.

Diagnosis

During the process, you will be asked to enter the diagnosis provided for your first opinion. Below is a list of diagnoses categories that will help you in choosing your appropriate diagnosis:

  • Brain Tumors and Neurological Diseases
  • Digestive Diseases and Cancers
  • Eye Diseases
  • Geriatric Conditions
  • Head and Neck Diseases and Cancers
  • Heart and Valve Diseases
  • Hematologic Blood Disorders
  • Kidney and Urological Diseases and Cancers
  • Lung Diseases and Cancers
  • Obstetrics & Gynecological Disorders and Cancers
  • Orthopaedic Injuries and Diseases
  • Pediatric Cancers and Diseases
  • Rheumatologic Disorders
  • Skin Disorders
  • Spine Disorders
  • Thyroid and Metabolism Diseases and Cancers

If you are unsure, you can search for your condition by entering a general term and then selecting the best condition. This is a significant step in your pursuit of an online medical second opinion from Cleveland Clinic. Subsequent steps depend upon this information to complete your opinion request, thus once a condition has been selected you may not change it.

If you have any questions about your diagnoses, you may contact us at 216.444.3223 or 800.223.2273 ext 43223.

Sample Consult

Dear Mr. Doe,
Thank you for your recent request for a second opinion consultation from Cleveland Clinic. Please find below the second opinion consultation written by Dr. Joe Cardiology, Department of Cardiovascular Medicine. You will be contacted by a MyConsult nurse via email within the next 2-3 days to ensure that you have received your second opinion report and determine if you have any questions.

Feel free to contact a Cleveland Clinic MyConsult nurse at 216.444.3223 or 800.223.2273 ext 43223, 8 a.m. - 5 p.m., EST, Monday through Friday, should you have additional questions or concerns.

MyConsult Office H2-260
Cleveland Clinic
9500 Euclid Avenue
Cleveland, OH. 44195
U.S.A.
Tel: 216.444.3223 or 800.223.2273 ext 43223
Fax: 216.445.6911
E-mail:eClevelandClinic@ccf.org

Date: August 26, 2009
Patient Name: Mr. John Doe
Physician's name: Joe Cardiologist, M.D.
Department: Cardiovascular Medicine
CCF#: (MRN) 1-234-567-8
Date of Birth: 2/19/1943
Patient Address:
555 Main Street
Anywhere, AK 12345

A MyConsult Online Medical Second Opinion also includes:

Diagnosis / Reason for Consultation

In your preliminary materials provided, you asked three specific questions. These include:

  1. What treatment options can Cleveland Clinic offer us given that our current cardiologist has advised us that he considers the Ramus to be too small for angioplasty/stenting at our current medical facility (CABG was also ruled out as an option leaving only medical treatment)?
  2. What is the long-term prognosis if we continue on the current treatment plan versus what might be available at a more advanced level of care facility?
  3. Given that the patient has suffered 3 or 4 "coronary events" without any demonstrable damage to his cardiac muscle tissue, what kind of limitations or decrease in his quality of life might we anticipate in the future?
Diagnostic Summary / Treatment Summary

Upon review of your records, you are a 59-year-old gentleman and with the exception of your coronary artery obstructive disease, remain quite healthy. Your cardiac history dates back to 2001 at which time you demonstrated multiple episodes of severe chest pain. This culminated in a three-vessel coronary artery bypass grafting procedure performed at Providence Alaska Medical Center in September 2001. This involved a left internal mammary artery bypass graft to the first diagonal branch of your left anterior descending coronary artery and a free right radial artery graft sequentially grafted to the right ventricular marginal branch and distal right coronary artery. In the year 2002, your severe chest pain recurred and in March you underwent a balloon angioplasty to the left internal mammary artery graft. Unfortunately, your severe chest pain recurred in April 2002 and an intracoronary stent was placed to the insertion site of the left internal mammary artery graft into the first diagonal branch. You presented once again in August 2002 with recurrent severe chest pain post angioplasty and stent placement. At the time of this catheterization, similar to prior catheterizations, your heart function remained normal without evidence of prior heart damage or myocardial infarction. Your native coronary circulation again remained relatively unchanged, fortunately only demonstrating mild obstruction in your left anterior descending coronary artery. The circumflex coronary also, had at most, mild to moderate obstruction but nothing flow limiting. The right coronary artery had severe native disease but continued to be served well by a patent right radial artery graft sequentially placed. The left internal mammary artery graft was also widely patent and demonstrated prompt flow to the diagonal branch. There was at most modest in stent re-stenosis. The native diagonal branch, which was located close to the distal or terminal aspect of the left main coronary artery demonstrated a subtotal blockage near 100% with very slow antegrade or forward filling of this vessel. In addition, no retrograde flow from the left internal mammary artery graft was seen into this vessel. Therefore, while the predominant portion of the first diagonal branching system was adequately perfused and subserved by the patent left internal mammary artery graft, a portion of the native vessel remained compromised at the time of the August 14, 2002 catheterization due to the antegrade stenosis and lack of retrograde filling via the left internal mammary artery graft.

It should be mentioned that serial nuclear perfusion tests have demonstrated an excellent workload without evidence of inducible myocardial ischemia. Additionally, lipid values have remained satisfactory with the most recent total cholesterol being 158.

Your current medications include Diltiazem in an extended release form at 120mg daily, Protonix 40mg twice daily, Imdur 60mg daily, Folic Acid 800mcg daily, Ecotrin 325mg daily, Atenolol 25mg daily, Plavix 75mg and Lipitor 20mg daily.

Second Opinion Recommendations

Mr. Doe, it is apparent to me that you have received both excellent and thoughtful care locally. Cardiac catheterizations and percutaneous interventions in the form of angioplasty and subsequently an intracoronary stent have been appropriately applied in your situation. The chest discomfort that you continue to experience on an intermittent basis is most likely secondary to the high branching first diagonal coronary artery, which is in close proximity to the left main coronary artery. This is an extremely small vessel but can provide symptoms of myocardial ischemia in circumstances where oxygen supply does not meet oxygen demand.

At the present juncture, I see the risk to benefit ratio favoring medical therapy. Angioplasty and stenting of this native high branching diagonal coronary artery I believe, would be rather high risk as it is a small vessel and also, it's proximity to the left main coronary artery is of significant concern. A retrograde complication into the left main coronary artery could be very serious and life threatening. I should also add and emphasize that this diagonal branch subserves a small proportion of your heart muscle or myocardium. While responsible for intermittent symptoms of angina pectoris (cardiac chest discomfort), I do not believe that this small artery is prognostically significant and will not adversely affect your future health. I agree with your local physicians that bypass surgery would not be worth the risk and also, the likelihood of maintaining a patent graft to such a small native coronary artery branch, would be on the lower side. Thus, continued medical treatment seems best.

To mitigate your symptoms, reducing oxygen demand in the setting of reduced oxygen supply is best. While the Diltiazem medicine was appropriately prescribed initially in the postoperative period to prevent spasm of your radial artery graft, I believe this is a medication that should be limited. Reduction of your Diltiazem dose and potentially discontinuing it will allow your local doctors to increase the beta-blocker dose in the form of Atenolol. Beta-blockers such as Atenolol have been proven to extend life and prevent re-infarction in patients with coronary artery disease. The same cannot be said for a calcium channel blocker such as Diltiazem. I would actually favor that your local doctors switch your Atenolol to a longer acting form of Metoprolol such as Toprol XL. The target dose would be at least 100mg daily. I believe this would be attainable in the setting of a reduced and possibly discontinuing Diltiazem.

In addition, a program of regular exercise and dietary discretion is highly recommended. I have noted your height and weight and I presume you are of appropriate weight. I suspect you could lose approximately 5-10 pounds through an even more active exercise program and a program of dietary discretion. However, based on the numbers, your weight seems quite appropriate.

Goal lipid values should include a total cholesterol of less than 150, an HDL cholesterol greater than 45, an LDL cholesterol less than 100 and a triglyceride value less than 150. If you are not at these goals, further dietary modification is in order. The Folic Acid and Imdur medications seem most appropriate. I also agree with the long term Plavix. I believe your aspirin could be reduced to 162mg maximally as the Plavix and higher dose aspirin are felt to expose you to a higher bleeding risk but without significant therapeutic gain from the higher dose aspirin.

Thus, in summary, I concur with your local physicians that medical therapy is best. I suggest you approach your local doctors about adjusting your medications as I have outlined. Achieving your cholesterol and triglyceride goals may involve further dietary discretion and increased exercise. I should also add that your local doctors should check a rather new blood test termed an ultrasensitive CRP. CRP stands for C-reactive protein. If this is elevated, increasing your Lipitor (Atorvastatin) dose is appropriate.

In addition, you are not on a medication of the ACE inhibitor class. In patients with coronary artery obstructive disease, this is felt to be a helpful medication to reduce the likelihood of repeat heart attacks and sudden death in patients with coronary disease. I would encourage you to do some research on the Internet if you are so inclined. This would involve searching the HOPE Study findings, which involved a medication called Altace, also known as Ramipril. Approaching your doctors about this type of medication is appropriate. If you take the above lifestyle modification measures and continue with your medications, I suspect your future prognosis is excellent. I also think your quality of life will be very acceptable and above average. Particularly, given the lack of heart muscle damage, your ability to exercise and remain active should remain optimal.

We appreciate the opportunity to provide you with a second opinion consultation through the Cleveland Clinic MyConsult program. We hope that you find it informative and helpful.

Sincerely yours,

Joe Cardiologist, M.D.

Cleveland Clinic MyConsult Disclaimer

By using this MyConsult: Online Medical Second Opinion service, you agree to abide by the Terms and Conditions posted at our Second Opinion Web Site, including particularly the Terms and Conditions described below:

Diagnostic Service

The service provided through our Web site is different from the diagnostic services typically provided by a physician. The Cleveland Clinic Foundation (CCF) physicians providing this service will not have the benefit of information that would be obtained by examining you in person and observing your physical condition. Therefore, the physician may not be aware of facts or information that would affect his or her opinion of your diagnosis. TO REDUCE THE RISK TO YOU OF THIS LIMITATION, CCF STRONGLY ENCOURAGES YOU TO SHARE THE SECOND OPINION WITH YOUR PHYSICIAN. BY DECIDING TO ENGAGE THIS SERVICE, YOU ACKNOWLEDGE AND AGREE THAT YOU ARE AWARE OF THIS LIMITATION AND AGREE TO ASSUME THE RISK OF THIS LIMITATION.

BY REQUESTING A SECOND OPINION PURSUANT TO THIS WEB SITE, YOU ACKNOWLEDGE AND AGREE THAT:

  • THE DIAGNOSIS THAT YOU WILL RECEIVE IS LIMITED AND PROVISIONAL;
  • THE SECOND OPINION IS NOT INTENDED TO REPLACE A FULL MEDICAL EVALUATION OR A FACE-TO-FACE VISIT WITH A PHYSICIAN;
  • THE PHYSICIAN DOES NOT HAVE IMPORTANT INFORMATION THAT IS USUALLY OBTAINED THROUGH A PHYSICAL EXAMINATION;
  • THE ABSENCE OF A PHYSICAL EXAMINATION MAY AFFECT THE PHYSICIAN'S ABILITY TO DIAGNOSIS YOUR CONDITION, DISEASE OR INJURY;

BY ENGAGING OUR SERVICES, YOU ACKNOWLEDGE AND AGREE TO ASSUME THE RISK OF THESE LIMITATIONS. YOU FURTHER UNDERSTAND THAT NO WARRANTY OR GUARANTEE HAS BEEN MADE TO ME CONCERNING ANY PARTICULAR RESULT OR CURE OF MY CONDITION.

Testimonials

Heart Patient John Williams Seeks a MyConsult Online Medical Second Opinion for a Potentially Fractured Pacemaker Lead

John Williams, an active pacemaker recipient, says he was dismayed to learn that one of his pacemaker leads may be broken and that he may require immediate surgery to have it replaced. Given his relatively young age and good physical condition, John didn’t want to make any decisions without first obtaining a second opinion. So, at the advice of a good friend, he reached out to Cleveland Clinic from his home in New Hampshire to seek some expert advice. Cleveland Clinic has been ranked number one in the United States for cardiology and heart surgery since 1995 by U.S. News & World Report.

John received his pacemaker at the age of 40 for intractable neurocardiogenic syncope. He was 59 last year when his local cardiologist let him know that a recent evaluation indicated that one of his leads may be fractured, and immediate surgery was recommended. “I have a friend who has also had a pacemaker for more than 19 years,” says John. “He had a very positive experience with Cleveland Clinic and recommended that I contact the office of Dr. Bruce Wilkoff for advice.” Dr. Wilkoff is a renowned cardiologist at Cleveland Clinic who specializes in pacemaker implantation, repair and extraction. “When I contacted Dr. Wilkoff’s office, I was very pleased that his staff was very receptive to the situation and interested in being helpful. They referred me to the MyConsult Online Medical Second Opinion program in order to get the formal second opinion process underway.”

Cleveland Clinic’s MyConsult® Online Medical Second Opinion program is a sophisticated, Web-based extension of Cleveland Clinic’s 90-plus-year role as one of America’s most respected referral institutions. The secure, online program provides medical second opinions from Cleveland Clinic specialists for more than 1,200 life-threatening and life-changing diagnoses. 

So John gathered all of his medical records and sent them to Cleveland Clinic for triage by the MyConsult nursing team. “The main questions I wanted to have answered were if I needed immediate surgery and if so, should I consider removal of the pacemaker lead should it turn out to be fractured, in contrast to just adding another,” says John. “I’m very physically active and plan to stay that way for at least 20 more years. So if more wires are placed in veins that return to my heart, could that restrict my blood flow and limit my ability to be active going forward? I wanted Dr. Wilkoff’s medical opinion, but I also hoped he would take into consideration my age and lifestyle.”

Dr. Wilkoff reviewed John’s medical information and provided a detailed response in a comprehensive report. “Dr. Wilkoff’s response was truly profound,” says John. “He recommended that because I’m a healthy, active individual and because my current pacemaker has at least two years of battery life remaining, there didn’t seem to be any compelling reason to go into surgery immediately. Instead, I could wait until my battery needs to be replaced to evaluate if my lead is truly fractured. If it is, he’d recommend lead extraction once the new lead has been inserted.  It was a huge relief. Not only that I could wait for surgery but also that Dr. Wilkoff’s approach was to do what’s best for my specific circumstances.”

If fact, John was so grateful he wrote a letter to the MyConsult team and Dr. Wilkoff expressing his appreciation. The following is an excerpt:

I wish to extend my sincere gratitude to Dr. Bruce Wilkoff for his well-considered report on the topic to consider removal of pace maker leads. The detailed review comments have had a most profound, positive effect on me and my partner. It is hard to express the great level of relief and encouragement that this alternate opinion has given. The assessment, which provided a differing opinion and possible explanation for a determination of a faulty lead, has opened the doors to consider review of the diagnosis and an alternate direction of treatment. I most appreciate the honest and heartfelt opinions which seem to value the life style considerations which are very important to this patient.

John says he would absolutely recommend the MyConsult Online Medical Second Opinion program to those seeking a second opinion. “I’m extremely grateful that Cleveland Clinic offers a service like MyConsult to make experts like Dr. Wilkoff available to any patient, anytime, from wherever they may be,” says John. “The time, care and consideration that Dr. Wilkoff gave me brought tears of joy to me and my partner. This experience has made a huge difference in my life.”

Heart Patient Monte Riley Seeks a MyConsult Second Opinion for a Complicated Heart Condition, Before Travelling to Cleveland Clinic for Surgery

According to U.S. News & World Report, Cleveland Clinic’s Heart & Vascular Institute is ranked number one in the United States for cardiology and heart surgery, making it an exceptionally attractive option for patients across the world seeking treatment for serious heart conditions. Such was the case for Monte Riley, 51. Monte and his wife Sandi, residents of Oklahoma, say they decided to explore their options at Cleveland Clinic after Monte’s heart murmur was no longer asymptomatic.

Originally, Monte’s doctor detected a heart murmur four years earlier at his yearly physical exam. "I didn’t have any symptoms at all that I was aware of," says Monte. "But I was having a routine check-up when my doctor said, ‘You have to see a cardiologist right away.’ I ended up seeing a local cardiologist who did an echocardiogram and told me I needed a new mitral valve and aortic valve immediately." Monte didn’t feel comfortable undergoing such an invasive treatment without learning more, so he and Sandi decided to seek some additional opinions.

Luckily, Sandi was friends with a nurse practitioner who worked for another amazing cardiologist. Monte and Sandi scheduled an appointment with him, and based on his recommendations, were able to postpone surgery for about four years by "watchful waiting". Monte started taking heart medications and blood thinner. He also received an echocardiogram every six months to ensure his heart was functioning properly. When Monte began experiencing symptoms, their doctor let them know it was time to act.

"Because no one in Oklahoma had experience with the extensive combination surgery Monte required, which included not only his heart valve repairs but also included repairing his pectus excavatum, we started looking around the country at our options," says Sandi. "I worked in the healthcare industry for a number of years and knew Cleveland Clinic was highly renowned. After doing some research, I came across the MyConsult website and told Monte, ‘I think we can actually get you a consult without having to fly all the way to Cleveland.’ We knew any one of the doctors there would be brilliant, so it seemed like a really great option."

Cleveland Clinic’s MyConsult® Online Medical Second Opinion program is a sophisticated, Web-based extension of Cleveland Clinic’s 90-plus-year role as one of America’s most respected referral institutions. The secure, online program provides medical second opinions from Cleveland Clinic specialists for more than 1,200 life-threatening and life-changing diagnoses.

So Monte and Sandi began collecting all of the medical information needed for Monte’s second opinion consultation. "I must have called the nurses at the MyConsult office a billion times with questions," says Sandi. "It was a really stressful time in our lives. I’m sure they have thousands of patients each year from all over the world, yet they always made me feel as if we were the only patients. They were so prompt and helpful, I felt like we had our own personal care team throughout the process."

Once Monte and Sandi had gathered all of the necessary information, they mailed it to Cleveland Clinic where it was triaged by the MyConsult nursing team and forwarded to Stephanie Mick, MD, a cardiovascular surgeon in the Department of Thoracic and Cardiovascular Surgery. About two weeks later, Monte and Sandi received Dr. Mick’s MyConsult report.

"I thought it was great," says Monte. "I felt like her opinion was very comprehensive. When we sent our follow-up questions, she responded right away and answered as if we were sitting right there in her office. She knew exactly what needed to be done and who needed to be involved for my surgery, should I decide to go to Cleveland Clinic. We sought opinions from a few other healthcare systems, and I felt like many were trying to give us the answers we wanted to hear. However, Dr. Mick seemed to be telling us what would truly be best for me personally. Based on our experience with MyConsult, we felt confident that Cleveland Clinic was where we should go for my surgery." 

So Monte and Sandi flew to Cleveland where Monte underwent aortic and mitral valve replacements, tricuspid valve repair, and a rebuild of his chest wall to repair his pectus excavatum by Dr. Mick and Daniel Raymond, MD, also a thoracic surgeon in the Department of Thoracic and Cardiovascular Surgery. "I was extremely overwhelmed with emotion and started crying on the plane as soon as we arrived in Cleveland and saw Cleveland Clinic from the airplane window. It was such a sense of relief," says Sandi. "I said to Monte, ‘Finally, the people who can fix you. You are going to be okay now!’" 

Monte and Sandi say their experience at Cleveland Clinic far surpassed their expectations. "Monte’s surgeons have performed these procedures hundreds of times, so we knew we were in good hands," says Sandi. "Once his surgery was complete, his nurses were just amazing. We spent about two weeks at Cleveland Clinic while Monte recovered and they did everything they could to keep him stable and out of pain. I don’t know what we would have done without them." 

In addition to Monte’s care team, Monte and Sandi say the rapport they developed with the MyConsult nursing staff also greatly enhanced their experience. "While we were at Cleveland Clinic, we stopped in to meet the MyConsult nursing team and thank them for all they had done for us," says Sandi. "Although we had only spoken over the phone, we felt like we already knew them. Now that we’re back in Oklahoma, we keep in touch and send them regular updates on Monte’s progress." 

Monte says since his surgery, he’s been feeling great. He’s back at work now and is looking forward to being able to golf again soon. "I think the best part about obtaining a MyConsult Second Opinion is that this innovative program is putting world-renowned medical professionals right at your fingertips when you need them most," says Monte. "The support we received from the MyConsult team and all of the staff we encountered during our time at Cleveland Clinic was unprecedented. I can’t recommend it enough."

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Heart Patient Jim Burgess Seeks a MyConsult Online Medical Second Opinion Following Emergency Surgery for a Heart Aneurysm

The sobering reality is, health problems can happen to anyone, anytime, and anywhere, even to those who are in good physical condition. Such was the case for Jim Burgess, who suffered a heart aneurysm and subsequent aortic dissection in November 2013. Following an emergency surgery, while considering his post-surgery care needs, Jim utilized the MyConsult Online Medical Second Opinion program to seek the expert advice of a Thoracic and Cardiovascular Surgeon at Cleveland Clinic. Cleveland Clinic is ranked number one in the United States for cardiology and heart surgery since 1995 by U.S. News & World Report.

Jim, 83, a resident of Georgia, says because he had been in good health prior to this event, he was completely taken by surprise when he experienced the aneurysm. “Frankly, it just hit me unexpectedly. I was out behind our home giving my daughter a golf lesson when all of a sudden; I felt excruciating pain,” he says. “We called 9-1-1 and an ambulance took me to a local hospital. They performed a CT scan and determined that my condition was very serious, so a helicopter flew me to Atlanta where I underwent surgery for a DeBakey Type I acute aortic dissection.” The dissection in Jim’s ascending aorta was fixed at this time. However, the dissection in his descending aorta was not addressed because Jim’s surgeon determined that was too big a surgery to safely complete all at once. 

Jim recovered from his surgery quickly and was back to work at his law practice within a few months. However, he wanted another opinion to determine next steps for addressing the dissection in his descending aorta and how safe and successful that surgery would be, so he traveled to a nearby hospital to discuss his treatment options. After a thorough review, Jim’s specialist recommended that with his good physical condition he should simply watch and wait without opting for additional procedures. 

Understandably, Jim had some concerns about not addressing his condition right away for such as serious issue. “I was really hoping I could just get this thing fixed and not have to worry about it anymore,” he says. “It’s something that’s constantly on your mind: ‘Is it going to just erupt out of the blue one day?’” 

So Jim began to investigate his options for another opinion. Familiar with Cleveland Clinic’s outstanding reputation for cardiology and heart surgery, Jim visited the organization’s website where he discovered a video by Eric Roselli, MD, Director of the Aorta Center and a Staff Surgeon in the Department of Thoracic and Cardiovascular Surgery, providing a detailed description of endovascular repair for an aortic dissection. Jim wondered if it could be a viable option for his situation, so he decided to submit a consultation request to Cleveland Clinic’s MyConsult Online Medical Second Opinion program to see if he might be a candidate for this type of repair. 

Cleveland Clinic’s MyConsult® Online Medical Second Opinion program is a sophisticated, Web-based extension of Cleveland Clinic’s 90-plus-year role as one of America’s most respected referral institutions. The secure, online program provides medical second opinions from Cleveland Clinic specialists for more than 1,200 life-threatening and life-changing diagnoses. 

Once Jim had gathered all of the necessary medical information, he mailed it to Cleveland Clinic where it was triaged by the MyConsult nursing team and forwarded to Dr. Roselli. Next, Jim received Dr. Roselli’s recommendations. “I felt that Dr. Roselli’s consultation was very comprehensive and fully described my situation,” Jim says. “He confirmed that surgery of any kind was not appropriate at this time, and that we should continue to monitor my situation and wait. However, if my dissection grew in excess of 5.5 centimeters, he would recommend intervention through open surgery. Although part of me wanted to just address this right away, Dr. Roselli’s report made me feel confident that the course I am taking is the best route for my situation.” In fact, Jim was so pleased with his experience; he wrote Dr. Roselli a letter to express his appreciation for the responsiveness of the MyConsult nursing team as well as Dr. Roselli’s opinion and the thoughtful way in which he had expressed it.    

Over two years since his surgery, Jim says he’s working out every day, eating a proper diet and feeling great. He says he’d absolutely recommend MyConsult to anyone seeking a medical second opinion. “I was extremely impressed with my experience with Cleveland Clinic, the nurses who assisted me and Dr. Roselli himself. They truly provided excellent customer service,” concludes Jim. “Thanks to this gracious team I now have peace of mind that I’m in the perfect place and doing all the right things to manage this difficult condition.”

Contact MyConsult

Have questions about MyConsult? We’re here to help. Call us Monday - Friday, 8 a.m. - 5 p.m. (ET). You may leave a voice mail any time, which we will return on the next business day.

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Phone: 216.444.3223 or 800.223.2273, ext. 43223
Fax: 216.445.6911
myconsult@ccf.org

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Cleveland Clinic MyConsult Clinical Operations
9500 Euclid Avenue / H2-260
Cleveland, OH 44195
U.S.A.