Comments on: Radiation fears as a testing deterrent? http://www.kevinmd.com/blog/2008/03/radiation-fears-as-testing-deterrent.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2008/03/radiation-fears-as-testing-deterrent.html#comment-84285 Anonymous Tue, 18 Mar 2008 17:04:00 +0000 http://clients.emmense.com/kevinmd/2008/03/radiation-fears-as-a-testing-deterrent.html#comment-84285 Ian, surely the patient has a right to know the odds and decide?<br/><br/>It is one thing when you plan to order a CT scan for symptoms when benefit greater than risk or at least comparable, although the patient still has a LEGAL right to know the risks. But there are plenty of CT scans ordered when risks outweight the benefit.<br/><br/>Especially, if you consider all the ads by radiology labs trying to convince symptomless (!) people to have a CT scan to rule out things they might have - e.g. cardiac imaging, or lung scans. Providing information about risks of CT scans can dissuade the patients from demanding CT scans. It could even answer a jury question "what harm it'd have been in ordering a CT scan?". Ian, surely the patient has a right to know the odds and decide?

It is one thing when you plan to order a CT scan for symptoms when benefit greater than risk or at least comparable, although the patient still has a LEGAL right to know the risks. But there are plenty of CT scans ordered when risks outweight the benefit.

Especially, if you consider all the ads by radiology labs trying to convince symptomless (!) people to have a CT scan to rule out things they might have – e.g. cardiac imaging, or lung scans. Providing information about risks of CT scans can dissuade the patients from demanding CT scans. It could even answer a jury question “what harm it’d have been in ordering a CT scan?”.

]]> By: Ian Fursthttp://www.kevinmd.com/blog/2008/03/radiation-fears-as-testing-deterrent.html#comment-84270 Ian Furst Mon, 17 Mar 2008 19:16:00 +0000 http://clients.emmense.com/kevinmd/2008/03/radiation-fears-as-a-testing-deterrent.html#comment-84270 Tough call but easy enough to discuss assuming you're not doing dozens of different scans. Or do you leave it to the radiologist to discus who is usually nowhere near the scanner when it's being done? We've all had patients with vague complaints and the only way to rule out a mass lesion is a CT. How can you reliably/accurately estimate the risk of cancer from the CT vs a missed diagnosis from vague symptoms? Each will be 1% or less so you're estimate is inaccurate either way.<br/><a HREF="http://www.waittimes.blogspot.com/" REL="nofollow">www.waittimes.blogspot.com</a> Tough call but easy enough to discuss assuming you’re not doing dozens of different scans. Or do you leave it to the radiologist to discus who is usually nowhere near the scanner when it’s being done? We’ve all had patients with vague complaints and the only way to rule out a mass lesion is a CT. How can you reliably/accurately estimate the risk of cancer from the CT vs a missed diagnosis from vague symptoms? Each will be 1% or less so you’re estimate is inaccurate either way.
http://www.waittimes.blogspot.com

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