Positive tests

Vic Nicholls nichollsvi2 at GMAIL.COM
Sun Mar 8 20:42:17 UTC 2015


I had this happen just recently. However, the doc knew I'd read the
research and get back to him. As a former medical school teacher, he's
ok with my sources of UpToDate, Clinical Key, AACC type stuff, StatRef!,
the magazines.

This is what is true partnership. If someone is willing and able to be
coached on that, they'll do a lot better. What I see is a repeat test in
a couple of months. Works for me. I'm reassured, and the doc doesn't
have to do the work because this is not your standard PCP. Let the doc
focus on those who need it.

I think you could probably have enough people who are interested in
learning, in being taught, to help docs out. That would take part of the
burden off docs, and get patients to work in their own best interests.
Not everyone is here to sue, many of us are simply curious nerds.  :)

Vic

On 3/8/2015 1:52 PM, Peggy Zuckerman wrote:
> There are studies which show that up to 15% of labs which indicate
> abnormal findings are not conveyed to the patient.  One hopes that
> this info is not always critical.
>
> On a larger scale, when the patient never receives a copy of the labs,
> there is no reason for that patient to feel at all responsible for the
> numbers!  In effect, this teaches the patient that he is not
> responsible for his own healthcare, with often disastrous consequences.
>
> Of course, a patient who can compare lab results over a period of time
> may note trends that are missed by the doctor's review, or note
> something else that was not initially of concern during the previous
> appointment. Could be cholesterol, WBC, or platelets, when the
> appointment was about blood pressure issues.
>
> Not only should blood labs be given to patients, so should radiology
> reports.  Cannot tell you how many times patients in my kidney cancer
> group indicate that there was a tumor noted on a report, but never
> mentioned by the doctor. Perhaps a too-cursory look by the doctor, but
> such a finding would be noted by the patient, questioned and lead to
> an earlier diagnosis.
>
> Peggy Z
>
>
> On Sun, Mar 8, 2015 at 8:46 AM, Robert Bell <rmsbell at esedona.net
> <mailto:rmsbell at esedona.net>> wrote:
>
>     Many doctor's offices only call or mention to patients positive
>     test results that have been undertaken (particularly lab tests).
>     Is that a good thing and does it in any way impact diagnosis?
>
>     Also, what are the effects of the new electronic portals on
>     diagnosis. It is a big change in medicine.
>
>     Rob Bell
>
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> Peggy Zuckerman
> www.peggyRCC.com <http://www.peggyRCC.com>
>
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