Positive tests

Knapp, Lucy LKnapp at PEACEHEALTHLABS.ORG
Mon Mar 9 16:58:18 UTC 2015


This is the advantage of the patient portals – everything negative and positive is available to the patient. The doctor can focus on the problems, the patient can see all the results and ask if they need to.

Lucy

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Lucy Knapp
Technical Specialist, Chemistry
Vancouver Laboratory

360-514-2732 Phone

lknapp at peacehealthlabs.org<mailto:lknapp at peacehealthlabs.org>
www.peacehealthlabs.org<http://www.peacehealthlabs.org/>
400 NE Mother Joseph Place
Vancouver,WA 98664

From: Mark H Ebell [mailto:ebell at UGA.EDU]
Sent: Sunday, March 08, 2015 7:53 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Positive tests

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<mailto: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<mailto: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



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-----Original Message-----
From: Robert Bell [rmsbell at ESEDONA.NET<mailto:rmsbell at ESEDONA.NET>]
Sent: Sunday, March 08, 2015 01:33 PM Eastern Standard Time
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto: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

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