The Value of a Second Opinion at the Mayo Clinic

Tom Benzoni benzonit at GMAIL.COM
Wed Apr 5 13:33:05 UTC 2017


As an ER doc practicing in Mayo's cachement region:
Diagnoses that come back from Mayo are wrong as shown by
time-course-analysis (tincture of time, letting things play out.)
This is a great difficulty, as the panache of the name is a large hurdle.
And the political efforts are even worse; using EMTALA, I now force into
the care the physician who often was regarded as not good enough for the
initial work but must now clean up a mess.
These patients are not directed by mayo to return (5 - 8 hours) but are
told to come see me.
These cases see no light.
tom

On Wed, Apr 5, 2017 at 2:49 AM, Bridget Kane <kaneb at tcd.ie> wrote:

> One of the questions for me is β€œare we assuming that the second opinion is
> the gold standard?”
> Or how can we identify the truth, i.e. the correct diagnosis?
>
> Is there a stronger placebo effect following a second opinion, I wonder?
>
> Does anyone have any research on this, by chance?
>
> Thanks
>
> Bridget
>
> On 4 Apr 2017, at 16:02, Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.ORG>
> wrote:
>
> Just coming out – this study from the Mayo Clinic
> <https://www.washingtonpost.com/national/health-science/20-percent-of-patients-with-serious-conditions-are-first-misdiagnosed-study-says/2017/04/03/e386982a-189f-11e7-9887-1a5314b56a08_story.html?utm_term=.11d4a1346899>
>  finds that 20% of referred patients end up with a very different
> diagnosis.  The findings are very similar to the results from the second
> opinion program at Best Doctors, as referenced in the Mayo Clinic article.
> In both cases, however, these are not randomly selected patients being
> studied – they are patients who were concerned enough about their initial
> diagnosis (or lack thereof) to seek out the second opinion.
>
> Mark
>
> Mark L Graber MD FACP
> President, SIDM
> Senior Fellow, RTI International
> Professor Emeritus, Stony Brook University
> <image001.png>
>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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