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Thread: A Tragic Death Is A Reminder That Unnecessary Tests Have The Potential To Cause harm

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    Moderator Julieanne's Avatar
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    Default A Tragic Death Is A Reminder That Unnecessary Tests Have The Potential To Cause harm

    Ranjana Srivastava
    May 19 2021

    Everyone wants an easy way to preempt disease and its consequences. But patients could suffer from avoidable tests

    Between the end of my specialist oncology training and finding a proper job, I undertook a common rite of passage by earning an income as a locum doctor. A community practice was looking for a physician to supervise various forms of cardiac testing and welcomed my flexibility. A qualified technician did most of the work; my job was to ask brief questions and stand by for an emergency. I felt like the mundane attendant that I was paid to be.One day, a pleasant middle-aged man arrived.
    “Tell me why you’re here,” I began.
    “No idea, love.”
    At my frown, he added helpfully, “I guess my doctor would know.”
    The referral had no clinical details. Probing the man’s history revealed no significant risk factor. Yet, he was there, eager to be done and return to work. I felt I had no choice in the matter.After his uneventful test, he whistled and walked away, but even though I’d been only incidental in the decision-making chain, I nonetheless felt responsible. Every test had the potential to go wrong. Every test costs the taxpayer. Every test should have a clinical rationale.

    Read more: https://www.theguardian.com/commenti...CMP=GTUK_email
    Last edited by Julieanne; 4 Weeks Ago at 09:50 PM.

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    Veteran Member Maurya's Avatar
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    Default Re: A Tragic Death Is A Reminder That Unnecessary Tests Have The Potential To Cause h

    My own rationale for whether or not to have any of these "screening" tests is to ask myself (including doing some research and study, whenever necessary) what I would do if the test were to reveal some potential medical problem. So far, each of these set inquiries has indicated that I would not be going down the treatment pathway that would be recommended, so why bother digging around to try to find some trouble? This solution works for me alone, and I do understand that some people just want to find any potential problems, so that they can have the next latest and greatest medical treatment. Not so for me.

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    Administrator Islander's Avatar
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    Default Re: A Tragic Death Is A Reminder That Unnecessary Tests Have The Potential To Cause h

    The only screening I can think of was the mammogram, which I dropped out of at the age of 55 or so. I felt that it was uncomfortable and unnecessary. I already survived one round of cancer and did not expect to have to go through it again. There's no logic in that statement but I stand by it!
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    Default Re: A Tragic Death Is A Reminder That Unnecessary Tests Have The Potential To Cause h

    Maurya, I feel exactly the same way, and have reached the same conclusions. You said it way better than I could have.

    The only 'test' I've undergone in years was an x-ray. I don't like them, but my chiropractor couldn't treat some serious pain in my back until he knew whether I had (as he suspected) a broken or cracked rib. I asked him what the treatment would be if I had one, and he said, "Nothing, until it's healed." So I got the x-ray, as if my ribs were OK, he could have treated the back pain. As it turned out, I did have a cracked rib.

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