Positive tests

David Lawrance david.lawrance at GMAIL.COM
Mon Mar 9 18:08:47 UTC 2015


No news means no news, I think.

I communicate all lab results to my patients through a secure portal.
It takes a few minutes a day.

David

On Mon, Mar 9, 2015 at 8:54 AM, Hoffer, Edward P.,M.D.
<EHOFFER at mgh.harvard.edu> wrote:
> I would respectfully disagree. I tell my patients that while MOST of the
> time, no news = good news, in a small percentage of situations, no news =
> the test got lost, the report was misfiled, the specimen was never received,
> etc. I doubt many doctors intentionally do not tell patients about abnormal
> findings, I do believe that a test that never gets reported is easy to lose
> sight of.  So, closed loop = better. It is not much effort to write “good
> news” on a report and mail a copy to the patient if you do not have a
> portal.
>
> Ed
>
> Edward P Hoffer MD
>
>
>
> From: Mark H Ebell [mailto:ebell at UGA.EDU]
> Sent: Sunday, March 08, 2015 10:53 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
>
>
>
>
>
> 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
>
>
>
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine




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