when to reconsider a diagnosis

Vic Nicholls nichollsvi2 at GMAIL.COM
Mon Jan 20 21:56:46 UTC 2014

Dr. Gordon,

Quite an excellent point. One question for the MD's: how long before a
treatment doesn't work are you willing to consider something else? This
was a problem I had. The doctor told me to keep taking these pills, just
take more of them. The side effects were an issue. I self referred to a
specialist and we got the ball rolling. We fixed one problem and proved
that there is another underlying problem (the one I said was the issue
all along). I never told the original doctor. I will thru his admin
though. After 6-7 months of not improving, I was fed up. How do you all
deal with this issue?


> On 1/20/2014 12:54 PM, David Gordon, M.D. wrote:
>> Bob,
>> This may be different for chronic complaints or symptoms that have
>> defied diagnosis despite repeat health care visits. In that scenario,
>> I do believe that patients pursuing their own research and forcing
>> physicians to consider diagnoses that haven't been considered or
>> reconsider diagnoses perhaps too easily dismissed could be important.
>> -David
>> David Gordon, MD
>> Associate Professor
>> Undergraduate Education Director
>> Division of Emergency Medicine
>> Duke University

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