The Value of a Second Opinion at the Mayo Clinic

HM Epstein hmepstein at GMAIL.COM
Wed Apr 5 13:42:52 UTC 2017


Tom:
Am I understanding this correctly? Are you saying that the patients who are not satisfied with their diagnosis at the Mayo Clinic are told to come and see you for a second or third opinion? If so, do you keep your own stats on that?
Best,
Helene

Sent from my iPhone

On Apr 5, 2017, at 9:33 AM, Tom Benzoni <benzonit at GMAIL.COM> wrote:

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 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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