Cardiology Second Opinion: When and Why to Seek an Expert Online

<p><i>Associate Professor </i><a href="https://www.medicusunion.com/doctors/Ass.-Prof.-Dr.-Irene-Kuehrer-50/profile"><i>Dr. Irene Kürer</i></a><i> is a senior physician at Vienna’s University Hospital (AKH), specializing in general oncology, hematology and internal medicine; she leads the tumor board and co-founded the European Federation for Colorectal Cancer.</i></p><figure class="media"><div data-oembed-url="https://www.youtube.com/watch?v=ugUPDXu6k8w"><div style="position: relative; padding-bottom: 100%; height: 0; padding-bottom: 56.2493%;"><iframe src="https://www.youtube.com/embed/ugUPDXu6k8w" style="position: absolute; width: 100%; height: 100%; top: 0; left: 0;" frameborder="0" allow="autoplay; encrypted-media" allowfullscreen=""></iframe></div></div></figure><h3><strong>How have cancer diagnosis and treatment evolved in recent years, and what major advances have contributed to better outcomes for patients?</strong></h3><p>Yes, so I think that in just the last few years we have seen a real quantum leap in the treatment of cancers, both in hematologic diseases and in solid tumors, and this has happened mainly because of the introduction of immunotherapyon the one hand, and on the other hand because we now have much better molecular-genetic diagnostics, which allow us to recognize specific markers and develop targeted, personalized therapies for each individual patient, and through this the therapy results have become significantly better.</p><h3><br><strong>Are there specific types of cancer that are becoming more or less common today? What factors—genetic, environmental, or lifestyle-related—are driving these trends?</strong></h3><p>Yes, so that is a very interesting question. The fact is that colorectal cancer in particular is now increasing noticeably in younger people, and that was not the case before. Earlier, this was a disease that usually appeared at the age of 60 to 65, and now we already have affected patients who are 35 years old, and not only when there are family cases. And this development has led to the situation here in Austria where the age for the first colonoscopy—the first examination to see how the bowel looks—has been reduced to 40.</p><p>What are the causes? Too little physical activity, a lot of animal fat in the diet, and various genetic factors that are still being researched. But the important point is that young people can also develop colorectal cancer, and what is especially important is that many doctors, both general practitioners and even specialists, often do not think that it could be cancer at all in a young person. They examine for food intolerances, they look for other explanations, and that is why it is very, very important that in any case of intestinal problems at a young age, a colonoscopy should be carried out. That is absolutely clear.</p><p>&nbsp;</p><h3><strong>How critical is early detection in improving cancer survival rates, and which screening methods are currently recommended for different age groups or risk categories?</strong></h3><p>Yes, so early detection is extremely important, and this can be seen very clearly with breast cancer, where regular mammography—especially when started early—allows cases to be recognized sooner, and the cure rate has clearly increased dramatically. But this applies to all examinations.</p><p>What can we screen? We can screen the skin, which is very important, because with strong sun exposure the rate of melanoma continues to rise, so the skin should always be checked.<br>The gastrointestinal tract can be screened with a simple colonoscopy or gastroscopy.<br>For women, the full range of gynecological examinations is very important.<br>For men, regular prostate examinations should be performed at specific intervals by the urologist.</p><p>These are the most important screening examinations. And one thing still seems very important to me: when someone suddenly has a loss of performance, when they no longer feel the way they did before and there is no explanation for it at all, or when an iron deficiency is found in the laboratory, then a more intensive examination should be carried out and one should not avoid it. That means, for example, doing a chest X-ray, doing a mammography as already mentioned, performing a gastroscopy, a colonoscopy, a gynecological check-up, and also examinations of the breasts or even the bladder, depending on the situation.</p><p>&nbsp;</p><h3><strong>What signs or symptoms should prompt patients to consult a specialist, and what is the best way for them to seek specialist care?</strong></h3><p>The point is that as soon as a cancer diagnosis is made, it is important to visit a specialist even before surgery, unless it is an emergency operation, because with the diagnosis the further course and the future fate of the patient are actually determined. The right therapy, the correct sequence of neoadjuvant chemotherapy, immunotherapy, radiation therapy, or surgery—since we now have so many different options—decides the outcome, meaning the final result for the patient. For example, in end-stage cancer, if the correct sequence is not selected, the crucial chance can be lost, and this also applies to other diseases. So with the diagnosis, a specialist must be involved, someone multidisciplinary, someone connected with other specialties, who can determine which therapy begins and to which therapy the treatment continues.<br>&nbsp;</p><h3><strong>Which preventive measures or lifestyle habits are particularly important today for reducing the overall risk of developing cancer?</strong></h3><p>So you can say that some cancers are diseases that unfortunately belong to our time, especially because of nutrition, the diet contaminated with animal fats, the low-fiber diet, and alcohol consumption, which has many effects not only on the mouth, pharynx, esophagus, stomach, and pancreas, but really on all these organs that are affected by increased alcohol intake and the higher cancer risk associated with it. And what else can you do preventively? Go to the regular examinations, do laboratory tests, and it must also be said that there are cancer families. That means there is hereditary, inherited cancer, so if someone in the family has cancer, all other family members should also be examined. You can then create a family tree like this, and there are corresponding genetic studies, meaning blood tests, to determine the individual cancer risk.<br>&nbsp;</p><h3><strong>What steps should patients take if they suspect they may need to see a cancer specialist, or if they have already been referred to one?</strong></h3><p>So it is very, very important when patients now go from one center to another, to have a second opinion or to have therapy performed there, that all findings, even those that at first may seem not at all important, are collected, and ideally also all image material such as computed tomography or X-rays or whatever is available, and that they also know what medication they are taking, because not all patients know that when they come to me, and with this detailed specification of the anamnesis, as we call it, this previous history, you can then ask questions in a very focused way, either online or also in the personal conversation, and with that you save yourself double examinations and come faster to a result.</p><h3><br><strong>And the last question, what makes Austria a good place for cancer diagnosis and cancer treatment?</strong></h3><p>In Austria we have a very broadly established health-care system and also a research system, that is, we have all possibilities to use the latest research results and approved drugs; just as in America they have the FDA, we have the EMA, so the range of approved drugs is very broad, and all examination methods that are currently established worldwide are available here, partly also supported by AI, that is, with artificial intelligence, for example you can evaluate a prostate MRI much more precisely.</p>

Interview with an Oncologist: How Cancer Diagnosis and Treatment Are Evolving

<p>This is why more patients seek a second opinion from oncologists to confirm whether their prescribed therapy is correct or explore alternative options. This is not a sign of distrust in their treating physician, but rather a safeguard against potential errors and an opportunity to learn about other available treatments.</p><p>Modern technology has simplified access to expert evaluations. Patients no longer need to travel abroad to consult with world-renowned specialists. An online oncology consultation allows them to receive opinions from leading global clinics without leaving home. This article explains how online second opinions in oncology work, what to expect, and why this step could be pivotal on the path to recovery.</p><p>&nbsp;</p><h3><strong>Why a Second Opinion Is Crucial in Oncology</strong></h3><p>Oncology is one of the most complex and rapidly evolving fields in medicine. Even experienced specialists may encounter rare cases requiring additional expertise. Here’s why a second opinion in oncology is particularly important:</p><p>&nbsp;</p><h4><strong>Risk of Mistakes in Initial Diagnosis</strong></h4><p>A 2024 review published in Frontiers in Public Health found that diagnostic mistakes in oncology can reach 10–30%, depending on the tumor type and case complexity. This doesn’t necessarily indicate the physician's incompetence—often, it involves rare cancer forms, a typical clinical picture, or limited experience with specific tumors.</p><p>Misinterpretation of biopsy, CT, or MRI results can lead to ineffective or excessive treatment. A second opinion helps confirm or refute the initial diagnosis with a fresh expert perspective.</p><p>&nbsp;</p><h4><strong>Complex and Rare Cases</strong></h4><p>Oncology frequently involves complex cases. Not all tumors fit standard patterns—some are rare, such as sarcomas or neuroendocrine tumors, where standard protocols may fail. Certain tumors are so uncommon that even skilled oncologists may encounter them only a few times in their careers.</p><p>In such cases, the expertise of specialists from major oncology centers—who focus on rare cancers, have access to cutting-edge diagnostics, and participate in clinical trials—is invaluable.</p><p>&nbsp;</p><h4><strong>Impact on Treatment Choices</strong></h4><p>Modern oncology offers multiple treatment approaches. Even with an accurate diagnosis, recommendations can vary. One specialist may suggest radical surgery, another may recommend starting with chemotherapy to shrink the tumor, and a third, identifying specific genetic mutations, may propose targeted or immunotherapy.</p><p>A second opinion helps determine whether the proposed treatment plan is optimal or if there are more effective, less invasive alternatives.</p><p>&nbsp;</p><h3><strong>The Online Oncology Consultation: How It Works</strong></h3><p>Many patients feel that an online format isn't suitable for a serious condition like cancer. A common question is, “How can a doctor advise me without seeing me in person?” In reality, 90% of second opinions in oncology are based on the analysis of medical documents, not a physical examination. Modern platforms like MedicusUnion have streamlined this process to be simple and transparent.</p><p>&nbsp;</p><h4><strong>What Documents and Data are Required?</strong></h4><p>For a high-quality online oncology consultation, the specialist will need all your medical records:</p><ul><li>Medical reports describing your symptoms and the examinations performed</li><li>Results of laboratory tests (complete blood count, biochemical profile, tumor markers, etc.)</li><li>Histology report (biopsy results)</li><li>CT, MRI, and PET-CT scans in DICOM format or as high-quality images</li><li>Ultrasound and other imaging</li><li>A description of any previous treatments (if applicable)</li></ul><p>You can read more about preparing your documents for an online consultation in this article.</p><p>&nbsp;</p><h4><strong>What is the Process?</strong></h4><p>On the MedicusUnion platform, the process is simple and clear for the patient:</p><p>Step1. Document Upload: You register for a personal account and upload all your available medical files and reports. Our coordinators help organize the information and, if necessary, arrange for translation into the required language.</p><p>Step 2. Physician Selection and Data Analysis: We match you with a specialist from a leading oncology clinic who focuses specifically on your type of cancer. The doctor thoroughly reviews all your documents and re-evaluates your radiological scans. In complex cases, a multidisciplinary team of related specialists—such as radiologists, pathologists, urologists, or surgical oncologists—may be involved.</p><p>Step 3. Video Consultation: At a scheduled time that you select during registration, you will have an online meeting with the doctor. They will discuss the diagnosis, answer your questions, and explain potential treatment options. The consultation is conducted with a professional medical interpreter to avoid any language barriers. You can ask all your questions and discuss the details.</p><p>Step 4. Written Report: Following the consultation, you will receive a detailed official report from the international expert in two languages (the original and a translation). This document will contain their professional opinion, confirming or revising the initial diagnosis, and providing a recommended treatment plan or suggestions for further diagnostic tests. You can share this medical report with your local doctor.</p><p>&nbsp;</p><h4><strong>The Role of a Radiological Re-Evaluation</strong></h4><p>It's worth noting that a key component of an online oncology second opinion is the independent review of your CT, MRI, or PET-CT scans. An experienced radiologist from a major cancer center may notice details that were overlooked in the initial report, such as the precise tumor size, if there are metastases, or if adjacent organs are affected. In many cases, a re-evaluation leads to a revised diagnosis and, consequently, a completely different treatment plan.</p><p>&nbsp;</p><h3><strong>What to Expect from an Online Second Opinion</strong></h3><p>The outcome of an online consultation is more than just a conversation. What exactly does the patient receive?</p><p>&nbsp;</p><h4><strong>Confirmation or Adjustment of Your Diagnosis</strong></h4><p>In a significant number of cases, a second opinion confirms the initial diagnosis and treatment plan. This provides peace of mind and confidence that you are on the right track before starting therapy.</p><p>However, for many patients, a second opinion refutes or adjusts the original diagnosis. For example, a specialist might clarify the tumor type or stage of the disease, or identify additional factors that influence the treatment strategy and prognosis.</p><p>&nbsp;</p><h4><strong>Alternative Treatment Options</strong></h4><p>Cancer treatment methods are constantly evolving. What was standard five years ago may have more effective alternatives today. Specialists at leading clinics are often the first to gain access to new protocols and clinical trials.</p><p>You will receive information on the most current treatment protocols used in top global clinics. This may include:</p><ul><li>Less invasive treatment methods with the same level of effectiveness</li><li>Targeted therapy based on the tumor's molecular genetic profile, which specifically targets cancer cells</li><li>Immunotherapy as an alternative or supplement to chemotherapy</li><li>Participation in clinical trials for new drugs</li><li>Organ-sparing surgeries instead of radical interventions</li></ul><p>&nbsp;</p><h4><strong>Prognosis and Recommendations</strong></h4><p>The expert will provide their assessment of the disease prognosis and create a specific, step-by-step action plan. This may include lifestyle and dietary recommendations during treatment, information on potential side effects and how to manage them, a follow-up monitoring plan, and advice on rehabilitation after completing the main course of treatment. With this document, you can return to your treating physician to discuss the proposed alternatives or, if you choose, continue treatment abroad. MedicusUnion can assist you with the full organization of your medical travel. Learn more in this guide.</p><p>&nbsp;</p><h3><strong>The Benefits of an Online Second Opinion in Oncology</strong></h3><p>Online consultations offer several significant advantages over traditional in-person visits abroad.</p><p>&nbsp;</p><h4><strong>Access to World-Class Cancer Centers</strong></h4><p>You no longer need to travel to get an opinion from a professor at Charité University Hospital (Berlin), Vienna General Hospital, or Hadassah Medical Center (Israel). Online consultation platforms like MedicusUnion provide access to doctors from leading clinics in Germany, Austria, and Israel—countries with the best cancer treatment outcomes in the world.</p><p>German oncology centers are known for their innovative approaches and strict quality standards. Israeli clinics are leaders in developing personalized treatment protocols. Austrian specialists combine high European standards with an individualized approach to each patient.</p><p>With a traditional approach, getting a consultation with such a specialist would involve long wait times and significant financial costs.</p><p>&nbsp;</p><h4><strong>Speed and No Travel Required</strong></h4><p>In oncology, time is critical—every week of delay can be crucial. An online consultation can be arranged in just 3–7 days, whereas traveling abroad requires weeks of preparation.</p><p>By using this service, you avoid the need to apply for visas, book flights, find accommodation in a foreign country, endure the physical strain of travel (which is especially important if the patient's condition is fragile), and handle logistical issues like finding a local medical interpreter.</p><p>You can do this from the comfort of your home, with the full support of the platform's coordinators.</p><p>&nbsp;</p><h4><strong>Significant Cost Savings</strong></h4><p>An online consultation is considerably more affordable than traveling abroad for an in-person visit. The average cost of an online second opinion is a few hundred euros, while a full trip abroad, including flights, accommodation, and consultations, can cost several thousand euros.</p><p>Yet, the quality of medical expertise remains at the same high level—you are being consulted by the same doctor who sees patients in the clinic.</p><p>&nbsp;</p><h3><strong>When to Seek a Second Opinion in Oncology</strong></h3><p>Getting a second opinion from an oncologist is a good step at almost any stage. However, there are situations where it is especially important.</p><ul><li>If Cancer is Suspected. If the diagnosis is not yet final, but test results are concerning, a second opinion can help find out if these suspicions are reasonable and what additional tests are needed.</li><li>Before Starting Chemotherapy or Radiation Therapy. These cancer treatments have a significant impact on your body. Before beginning, you should ensure that the optimal drugs have been selected for your tumor type, the dosages are calculated correctly, all alternatives have been considered, and the treatment plan aligns with modern international protocols.</li><li>Rare Tumors. With rare forms of cancer, it is crucial to get an opinion from a specialist who has experience with that specific disease. An online consultation provides access to highly specialized experts from dedicated centers.</li><li>If Complex or Extensive Surgery is Recommended. In such cases, a second opinion can help determine if the recommended scope of surgery is truly necessary or if there are less invasive options.</li><li>If Treatment Isn't Working as Expected. If therapy fails to improve your condition or the disease is progressing, a second opinion may offer alternative approaches or adjustments to the current treatment plan.</li><li>For Peace of Mind and Confidence. Even if there are no formal reasons to doubt the diagnosis, psychological comfort and confidence in your choices are a vital part of treatment. Having an independent expert confirm the diagnosis can give you the strength to move forward.</li></ul><p>&nbsp;</p><h3><strong>How MedicusUnion Helps Patients</strong></h3><p>MedicusUnion is a platform specializing in arranging online consultations with doctors from leading clinics in Germany, Austria, Israel, and other countries. We understand the challenges patients face and handle all the organizational aspects for you.</p><p>&nbsp;</p><h4><strong>Expert Oncologists from Top Clinics</strong></h4><p>We work exclusively with oncologists who have years of experience in leading cancer centers. They specialize in specific types of cancer, regularly participate in international conferences and scientific research, and utilize the most advanced protocols and innovative treatment methods. This ensures you receive a truly world-class expert opinion.</p><p>&nbsp;</p><h4><strong>Comprehensive Support at Every Step</strong></h4><p>The MedicusUnion team supports you from your initial inquiry until you receive the final report:</p><ul><li>We help you gather and organize your medical documentation.</li><li>We translate documents into the required language.</li><li>We select the best specialist for your specific case.</li><li>We organize the video consultation at a time that is convenient for you.</li><li>We provide a final written report translated into your language.</li><li>We keep in touch for any follow-up questions.</li></ul><p>You don't need to navigate complex medical terminology or worry about technical details—we handle all the organizational aspects for you.</p><p>&nbsp;</p><h3><strong>Conclusion</strong></h3><p>An online second opinion in oncology is not a luxury, but a smart step. It gives you confidence in your diagnosis, access to cutting-edge treatments, the chance to avoid unnecessary procedures, and peace of mind for you and your family.</p><p>With MedicusUnion, you receive world-class expertise without leaving your home. This is especially important when time and accuracy are of the essence.</p>

A Second Opinion in Oncology: What to Expect from an Online Consultation

Suspected Cancer — When to Seek a Second Opinion and Treatment Abroad

<blockquote><p>I want to express my deep gratitude to MedicusUnion for their professional approach. It’s important to note that they managed to find the best doctors from one of Europe’s top clinics in the shortest possible time.</p><p>They performed professional translations, organized online consultations in their own office located in the very center of Yerevan, and ensured the presence of an interpreter during the consultations.</p><p>The consultation was conducted using modern technical equipment and a flawless internet connection.</p><p>The hospitality and perfectly welcoming atmosphere are beyond words — everything was organized at the highest level.</p><p>You will not regret cooperating with this company for even a second!</p><p>I would also like to highlight another advantage — the reasonable prices, which are both important and pleasant.</p><p>I think few people in Armenia yet know about this wonderful platform.</p><p>However, many people face serious health challenges, and for them, this company is truly important and indispensable.</p></blockquote><p><img src="https://api.medicusunion.com/aws-s3/file/1760957915478-Screenshot_2025_10_20_at_14_57_44.png?size=150" width="659" height="395"></p>

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