The surgeon wants me to get an MRI, but I have to wait two months for an appointment. Is there another way to find out what is wrong with my knee?
There actually is specialized equipment that can provide a quick assessment in a doctor’s office. It is called a NanoScope and it’s essentially an imaging-chip sensor – or camera – on the tip of a needle.
The scope can be used only once because it’s not possible to resterilize between patients. “The gold standard to sterilize medical devices is through steam autoclave, which would destroy the inner workings and optics,” said Tim Laudel, director of operations for Tribe Medical Group, which distributes the device in Canada.
However, “to gain the true power of this tool, its use needs to be expanded to clinic settings where many patients are seen out of hospital,"said Dr. Vickas Khanna, an orthopedic surgeon and director of the orthopedic residency program at McMaster. In Ontario, for instance, patients who need a “rotator cuff” shoulder operation usually wait an average of seven months from the time they are referred to see an orthopedic surgeon until the day when they are wheeled into an operating room.
Meanwhile, the NanoScope has been eagerly embraced by many doctors in the United States where insurance sometimes covers the cost or patients pay for it themselves.the scope economically competitive with an MRI. What’s needed, he said, is a Canadian study. “Let’s see if it has an impact on wait-lists and actually accelerates the delivery of care. You can’t ask governments to open up their pockets to pay for this unless you have evidence.”
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