The Value of a Second Opinion at the Mayo Clinic

Dwight Oxley oxley.dwight at GMAIL.COM
Wed Apr 5 21:47:30 UTC 2017


As an old timer I would say that Mayo has a great record. When I was a medical student, internists taught that all patients with fatty  and fibrotic livers were alcoholics, even though some patients vehemently denied it. Mayo’s did a large definitive study showing that NASH is a real entity.

Mayo also pioneered the use of frozen section diagnosis during surgery. I think that was a great advance at that time, although it is much less important now that biopsied lesions are frequently too small for this technique.

I believe that few organizations have done more to advance accurate diagnosis.

Dwight Oxley MD
> On Apr 5, 2017, at 12:58 PM, Ted.E.Palen at KP.ORG wrote:
> 
> Hi all 
> I think this study lacks a lot.   
> Who is to say that the Mayo diagnosis is the gold standard? 
> Have they validated that their diagnoses are correct? 
> I would like to see what percent of their diagnoses are wrong. 
> 
> I cannot believe this got published due to the poor methodology employed, and not adjusting for bias, confounders. 
> 
> I believe Mayo may be blinded by their own status. 
> 
> 
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> From:        Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.ORG> 
> To:        IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG 
> Date:        04/04/2017 04:25 PM 
> Subject:        [IMPROVEDX] The Value of a Second Opinion at the Mayo Clinic 
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> 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 
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


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