quick ?

Vic Nicholls nichollsvi2 at GMAIL.COM
Fri Apr 25 00:07:27 UTC 2014

Well, in my case November 2012 is when it would be recognized. Any 
doctor willing to move out from 1 to 5 years then the time that someone 
is missed/delayed dx if diagnoses evolve over time?

One other item, I had doctors put me on iron pills for 8 months before I 
self referred to a doctor and got iron infusions. It took 4-6 months for 
5 iron infusions to work, because as the doctor said, he believed it was 
due to the November 2012 diagnosis being correct in the first place.


On 4/24/2014 12:14 PM, Pauker, Stephen wrote:
> Patient care and diagnoses evolve over time as things are revealed.
> So labeling something as a diagnostic error depends on when in
> the patient's course it's measured. In the course of disease evolution,
> the primary diagnosis can change. So perhaps we should not make a diagnosis
> ever but say "At this moment I think the probability of X is P". Of course, the evolving issue is
> when to treat or test with what modalities.
> Steve
> Stephen G. Pauker, MD, MACP, FACC, ABMH
> Professor of Medicine and Psychiatry
> ===========================
> Please note new email address;
> spauker at tuftsmedicalcenter.org
> ===========================

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