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Channel: Comments on: Choosing Wisely – Good Medical Practice or Prelude to Rationing?
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By: WhiteCoat

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So you think workup of patients post gastric bypass and abdominal pain is “necessary” testing in Nurse K’s contest.
Another physician didn’t think so and discharged the patient home without any testing.
Who’s right?
And if you’re the patient on whom something is missed, how do you feel if a doctor missed the diagnosis because the testing to find the disease was labeled “unnecessary”?

Also, a head CT in a patient with a migraine headache may be intended to rule out an emergent brain bleed – even if that bleed has little chance of being present.
Necessary or unnecessary? After all, it was performed to rule out something urgent or emergent …
See my point?

But you’re right that many other outside influences affect whether tests are ordered.
Can you say “Press Ganey”?


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