Commonest error in medicine
peggyzuckerman at GMAIL.COM
Sat Dec 6 20:27:20 UTC 2014
Dear Robert and All,
This discussion is so critical to patients, who are always at the losing
end of the late, missed or erroneous diagnosis. They SHOULD be more
involved in this process, and learn that diagnosing is not a product but a
process. There will be dynamics and uncertainty in play for all which
patients rarely understand. This discussion reflects that!
However , I had hoped that I would see a list emerge which could guide
patients as they participate in this process, along the lines of the
Patient ToolKit offered on the site. That is to prep the patient, and
implicitly recognizes their responsibility to get their story to the doctor.
I think of the early public service ads about "ten signs of cancer" or
"early warning re diabetes" or similar, and think that such a list can be
developed for patients. Getting referred by the GP to the right specialist
is no guarantee, and may limit the type of review given the patient. Would
an oncologist react differently to a very low, unexplained hemoglobin as
the internist and so on.
Attaching the PDF of the Patient Toolkit, available freely for re-use, of
On Sat, Dec 6, 2014 at 8:21 AM, Robert Bell <
0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:
> Dear all,
> I had the idea that instead of talking and sharing thoughts on a list
> server that some of the good will, and the time of the contributors could
> be used to actually DO something useful. Be it a resolution sent to the
> organizers of the list on a particular issue, or the basis for an
> article/publication. This, and perhaps a little naively, considering that
> the most successful technology companies operate on the basis of creativity
> and inclusiveness being intertwined. And this list had an amazing cross
> section of talent and diversity. Somehow I had the idea that we could
> miraculously DO something to help with the apperent lack of progress in the
> last 15 years since the IOM report on Errors.
> But I think the hurdles of confidentiality, available tIme of
> contributors, differing society aims, competing projects, differing
> individual aims, patent considerations, litigation issues, and institute
> affiliations, etc., etc, are likely to make this all too great of an uphill
> Thank you for all being so gracious, to at least try to move the idea
> Robert Bell, M.D.
> Sent from my iPad
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
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