[No SPF Record] [IMPROVEDX] Does gender matter in Dx error?

Rory Jaffe rjaffe at CHPSO.ORG
Wed Oct 24 21:32:39 UTC 2018


And from the patient’s perspective, he/she may not know the answers to points 1 and 3. Information regarding diagnostic uncertainty and available research projects may not have been accurately communicated by the doctor.

That’s why from the patient’s perspective I’d recommend a second opinion when the choices consequent to the diagnosis have significant permanent effects on a person’s well-being.

If everyone followed this, there’d be a massive increase in patients seeking second opinions. A good thing, in my opinion.

--as an aside, while I believe that the article by Carvajal was wrong-headed in focusing on the doctor’s sex, I do agree with other commenters that there are gender issues in health care—but Carvajal’s story, at least as recounted in the article, is not a good example of a gender issue.

Rory Jaffe, MD MBA, Executive Director, CHPSO<http://www.chpso.org/>
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From: Edward Winslow <edbjwinslow at gmail.com>
Sent: Wednesday, October 24, 2018 11:49 AM
To: Society to Improve Diagnosis in Medicine <IMPROVEDX at list.improvediagnosis.org>; Rory Jaffe <rjaffe at chpso.org>
Subject: Re: [IMPROVEDX] [No SPF Record] [IMPROVEDX] Does gender matter in Dx error?

Agree with Rory. The 2nd oponion option is the way to go whenever:
     1. Diagnosis is not clear (often)
     2. Therapeutic choices are either difficult, or potentially invasive/painful or again not clear.  I used to use my compatriots often when I was less than 95% confident (quite often) - I would tell the patient to see a 2nd. I don't think I ever lost a patient through doing this.
     3. A research project was underway for the clinical condition I thought was operative.

Have I forgotten other reasons.  I suspect that the members of this list-serve would also agree with Rory.


On Wed, Oct 24, 2018, 11:12 AM Rory Jaffe <rjaffe at chpso.org<mailto:rjaffe at chpso.org>> wrote:
The comments after the article are quite perceptive. The gender question is click-bait and irrelevant to what happened. Bottom line, she was lucky enough to enroll in a research protocol that fortuitously happened, in her case, to work.  The only take-home from this story is that people should seek second opinions when faced with very serious diseases, and get that opinion from an expert in the field.

Rory

From: HM Epstein <hmepstein at GMAIL.COM<mailto:hmepstein at GMAIL.COM>>
Sent: Friday, October 12, 2018 1:26 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: [No SPF Record] [IMPROVEDX] Does gender matter in Dx error?

Great article by journalist Doreen Carvajal about her incurable peritoneal cancer that was cured. Her daughter asks the question if she'll ever see a male doctor again. What are the statistics on this? Do female doctors care for female patients better than male doctors do? Interestingly, my experience hasn't borne this out. Right now -- in my personal and my family's multiple dx error history -- we're about even.

"Male doctors said my ‘female’ cancer was incurable. Then a woman took command and gave me hope"
By DOREEN CARVAJAL OCTOBER 4, 2018
https://www.statnews.com/2018/10/04/peritoneal-cancer-women-men-doctors/<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.statnews.com_2018_10_04_peritoneal-2Dcancer-2Dwomen-2Dmen-2Ddoctors_&d=DwMFaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=ihci1Rk0SX-Qv0jQUZGk2TCjHYQMnHiTrrF2FpUEA6Y&s=iBJt9dr3f7Rr2NbawVpkTP4Kd76aGrIBeyxp7dG9Uvs&e=>?

Best,
Helene
[https://drive.google.com/uc?id=0BzqkjTYl6PKwNUhEU2NyZ2RsNW8&export=download]

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