Ideas on improving rates of missed/delayed diagnoses in PCP type visits.

Vic Nicholls nichollsvi2 at GMAIL.COM
Tue Jan 14 02:14:19 UTC 2014

On 1/12/2014 7:12 PM, robert bell wrote:
> But who wants to tell the patient that you do not know what is going
> on, that the computer knows more than you, and on top of that the
> differential diagnosis will take half an hour to explain and likely
> scare the patient to the extreme!

ME ME ME ME ME and a bunch of people I know. A few hundred to be
precise! No human being can know everything. Any one with the gumption
to look things up has our vote. It means they don't have an ego to
bruise and are willing to research and make sure they got the right
thing before blowing our money and time and health on a potential wild
goose chase of a treatment.

I actually had an MD PhD tell me this today. He knew to a certain point
some stuff, and that was all he could do. I have 0 problem with him.
He's helped in several ways, the way his expertise is. He's tried. Beats
doing nothing.

> So we often resort to "half-truths" and "subtle secrecy" to protect
> our positions, and to shield the patient from any stress, real or
> imagined.
> I presume this all has to change as patients become more informed with
> their own research and use of computers prior to seeing physicians.
> Robert Bell

Yes, get us to do some stinking research. That's how I've been able to
narrow things down and make sure I "present" everything to my doctors.
They may not get it but I have info to help them out with.

A computer is a tool. No different than a stethoscope or thermometer.


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