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  1. #1
    LB CaLi gUy is offline Member 520 points
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    Question: Phone call diagnosis

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    I have kaplan and first aid and can't find this issue in either one.

    I had a question where the results of a PSA exam came back slightly negative. They indicated the patient had bph and not cancer, which was good news as the question stem implied. It asked "what should the dr. should do next?".

    Without going into too much detail, it was between telling the patient over the phone or not. I answered to schedule an appointment with the patient face-to-face and discuss further lifestyle changes without giving him the diagnosis over the phone. The answer was, tell the patient the results over the phone and schedule a follow-up.

    I don't remember where i read this, but i thought you shouldn't give diagnosis over the phone especially if you don't know who you are talking to. What if the results would've come back positive for cancer?

    Can somebody clear this up for me? TIA

  2. #2
    Doc_Rox@msn.com is offline Newbie 510 points
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    In this day and age of minimal medical contact bph is a pretty good diagnosis. By telling the person he has bph and no cancer over the phone he gets releived quicker and easier of his worries and you get a guanteed follow up for the treatment of bph. THe HIPPA requirements of securing a confident ID of the patient are in effect when talking over the phone. And you should never give bad news over the phone without ensuring some kind of support is available for the patient.

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