Positive tests

robert bell rmsbell200 at YAHOO.COM
Sun Mar 8 19:27:52 UTC 2015


Great Post Peggy,

Do you think the Portal internet revolution will change anything for the better or worse? Also, Dr. Pronovost first did a study at Johns Hopkins with his catheter infection study before it was expanded to save so many lives. Do we know if studies were done with the new Portal initiative prior to going public/nationwide to work out any kinks? 

Brings up the issue of what level of study needs to be done to recommend anything to prevent errors in diagnosis (or for that matter all errors in medicine). Can you recommend to all something which just seems common sense without studies? 

Rob B

Brings up the issue that I have mentioned before regarding standardizing procedures and building in double checks etc. Theoretically, that could be done tomorrow.
> On Mar 8, 2015, at 10:52 AM, Peggy Zuckerman <peggyzuckerman at GMAIL.COM> 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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