Positive tests

Maureen Cahill MCahill at NCSBN.ORG
Mon Mar 9 21:13:22 UTC 2015


As a patient, I much prefer the electronic access and follow up with my provider.
Maureen

Maureen Cahill [Associate] 312.525.3646 (D) mcahill at ncsbn.org<mailto:mcahill at ncsbn.org>
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From: Vic Nicholls [mailto:nichollsvi2 at GMAIL.COM]
Sent: Monday, March 9, 2015 2:42 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Positive tests

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 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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Peggy Zuckerman
www.peggyRCC.com<http://www.peggyRCC.com>

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