Quote:
Originally Posted by scamp
I find it extremely frustrating when you go to a doctor for a check up, and they send you in for one diagnostic test, when that comes normal, other diagnostic, and if thats normal, so on.. and charge you for every visit, and most of hte time, still not find a cure or a cause... And whats pathetic is they will ask you to come in to get a referral and even charge you for that?? ***...
Ne other services, you dont get what you come for, you dont pay, but iwth medical service you get screwed and still dont get what u want most of the time..
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medical diagnosis is not easy otehrwise it wouldn't take years to try and learn it..if it was easy and straight forward then any mcdonalds university grad could play house m.d.
when you look at a patient you have a list of 3-5 most common things based on your experience and training and those 3-5 things will probably not be in the same order on anyones differential and you have to work through it
as far as diagnostic tests..the amount of diagnostic tests is partly a function of trying to acheive the diagnostic perfection you require by proving a definitive diagnosis before treatment..trouble is there is no one test for anything and everything which takes you back to your differentials and working through them...its a conundrum i know.
the other equation to this diagnostic test boom other than every patient demanding the newest and most expensive test of course is the CYA factor that you can thank our legal profession for making the practice of medicine less about physical diagnosis of pertinent positives and more of a "rule out" mentality in that in order to diagnose F you fisr have to rule out A,B,C, D, and E while also considering ruling out G through Z just in case the patient may have traveled to sub saharan africa and became infected with Kuru while on a cannibalistic binge