Positive tests

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Mon Mar 9 16:05:01 UTC 2015


Dear Mark,
In a busy primary practice, it is also very easy for those important tests
NOT to be communicated to a patient, and the patient has an absolute right
to that data.  The same patient
may also be see another doctor whose test results should be communicated
back to the primary doc,  or understand something about his family history
that is relevant to the testing.

Giving the patient the data which helps him to communicate with the his
physicians is simply the right thing to do, and the office system should be
created to do that efficiently.  Might even be as simple as to provide
stamped envelopes, ready to be self-addressed.

Peggy Zuckerman


On Sun, Mar 8, 2015 at 7:53 PM, Mark H Ebell <ebell at uga.edu> wrote:

>   While in an ideal world, that makes sense, in a busy primary care
> practice in the non-academic setting, communicating every negative result
> would impose a large cost on the practice. Someone has to call or mail or
> email every patient for every test ever ordered. I don’t think that’s
> realistic. Not that it wouldn’t be valuable, but in the real world it
> probably makes more sense to be selective in communicating negative
> findings, focusing on critical results (you don’t have cancer, your cath
> was normal, etc).
>
>  Best,
>
>  Mark
>
>>  Mark H. Ebell MD, MS
> Professor of Epidemiology University of Georgia
> Editor, *Essential Evidence* Deputy Editor, *American Family Physician*
> ebell at uga.edu
>
>
>   From: <Pauker>, Stephen
> Reply-To: Society to Improve Diagnosis in Medicine, "Pauker, Stephen"
> Date: Sunday, March 8, 2015 at 8:10 PM
> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG"
> Subject: Re: [IMPROVEDX] Positive tests
>
>  In my experience and writings , negative or normal test results can be
> quite important in making a diagnosis, so not communicating them to the
> patient can be withholding key information. All results positive or
> negative should be communicated. Further withholding them can sometimes
> lead to repeating the test
>
> Steve
>
>
>
> Sent with Good (www.good.com)
>
>
> -----Original Message-----
> *From: *Robert Bell [rmsbell at ESEDONA.NET]
> *Sent: *Sunday, March 08, 2015 01:33 PM Eastern Standard Time
> *To: *IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject: *[IMPROVEDX] Positive tests
>
> 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
>
> Sent from my iPad
>
>
>
>
>
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
> Medicine
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-- 
Peggy Zuckerman
www.peggyRCC.com






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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