http://www.kevinmd.com/blog/2008/11/how-many-more-scans-are-doctors.html medical blog Mon, 23 Nov 2009 01:35:28 -0500 http://wordpress.org/?v=2.8.4 hourly 1 http://www.kevinmd.com/blog/2008/11/how-many-more-scans-are-doctors.html/comment-page-1#comment-88147 Anonymous Fri, 14 Nov 2008 17:57:00 +0000 http://clients.emmense.com/kevinmd/2008/11/how-many-more-scans-are-doctors-ordering-today.html#comment-88147 As a PA in a hospital ER, I have come to learn that many patients are unsatisfied by a diagnosis made based only clinical findings. For every diagnosis you are willing to make, you have to prove it by specific lab work or advanced imaging. Also in a medical litigous environment, many scans and studies are done only for CYA purpose. As a PA in a hospital ER, I have come to learn that many patients are unsatisfied by a diagnosis made based only clinical findings. For every diagnosis you are willing to make, you have to prove it by specific lab work or advanced imaging. Also in a medical litigous environment, many scans and studies are done only for CYA purpose.

]]> http://www.kevinmd.com/blog/2008/11/how-many-more-scans-are-doctors.html/comment-page-1#comment-88078 Anonymous Wed, 12 Nov 2008 20:59:00 +0000 http://clients.emmense.com/kevinmd/2008/11/how-many-more-scans-are-doctors-ordering-today.html#comment-88078 Patients think that more is better. I often talk them out of a test and later find they have gone to another doctor and had more tests/imaging done. Patients think that more is better. I often talk them out of a test and later find they have gone to another doctor and had more tests/imaging done.

]]> http://www.kevinmd.com/blog/2008/11/how-many-more-scans-are-doctors.html/comment-page-1#comment-88072 Anonymous Wed, 12 Nov 2008 15:37:00 +0000 http://clients.emmense.com/kevinmd/2008/11/how-many-more-scans-are-doctors-ordering-today.html#comment-88072 It is such a mistake to blame only the patients.<br/>The tests are ordered by doctors. In my community, the local neurology group has their own MRI facility (how this does not violate Stark regulations, I don't know). Every headache patient they see not only gets a brain MRI, but also an MRA and MRV, not to mention an EEG and cervical imaging. My strategy as a pcp is to refer to neurology as little as possible. It is such a mistake to blame only the patients.
The tests are ordered by doctors. In my community, the local neurology group has their own MRI facility (how this does not violate Stark regulations, I don’t know). Every headache patient they see not only gets a brain MRI, but also an MRA and MRV, not to mention an EEG and cervical imaging. My strategy as a pcp is to refer to neurology as little as possible.

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