Positive tests

Vic Nicholls nichollsvi2 at GMAIL.COM
Mon Mar 9 19:42:21 UTC 2015


I'll take the EHR. I would prefer to download to Excel and then I can
extrapolate the data. Makes it easier when I present to my teaching MD.

Vic

On 3/9/2015 12:05 PM, Peggy Zuckerman wrote:
> 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
> <mailto: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 EpidemiologyUniversity 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
>
>
>
>     Sent with Good (www.good.com <http://www.good.com>)
>
>
>     -----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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> --
> Peggy Zuckerman
> www.peggyRCC.com <http://www.peggyRCC.com>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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