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

I think expensive tests for symptoms that are not usually associated with the condition that they’re being checked for should not be ordered. Call that rationing or just being a good doctor. Whatever....

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By: Mary

I am sure it is much more complicated than this, but the bottom line is, we, as a nation, cannot afford to do everything medical, for everybody. Some difficult choices must be made, or the national...

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By: DensityDuck

“What’s the problem with taking suggestions on what tests could be avoided to save time/money” The problem is that when you don’t do a test and you miss a condition and a patient dies, “I was following...

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By: Dr Killpatient

From the ER standpoint, “unnecessary” is easy to define – that with little or no usefulness in the emergency setting – ie something not done to rule out something urgent or emergent. Er docs are...

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By: jennyct

Note that of the cost of $750 billion wasted, only 17% is from overuse of testing. The rest is as follows: excess administrative costs ($190 billion); inflated prices ($105 billion); prevention...

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By: WhiteCoat

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...

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By: Matt

Inevitable? Statements like that are nonsense.

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By: Nurse K

1. The patient in question said she would refuse any lab tests that were ordered because she didn’t like needles. 2. After talking to her, it turns out she had no BM x 5 days. Her pain was mid-abdomen...

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By: Nurse K

Indcidentally, she was very happy with the ODT Zofran and lack of lab draws.

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By: chadpdx

a bit late for comment I know but I think a response should be made to the statement by the author to let free market principles dictate use. Free market conditions do not exist in medicine. There are...

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By: Podcast #15: Choosing Wisely | The Skeptics Guide to Emergency Medicine

[...] White Coat’s Call Room [...]

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By: Mary

I am sure it is much more complicated than this, but the bottom line is, we, as a nation, cannot afford to do everything medical, for everybody. Some difficult choices must be made, or the national...

View Article

By: DensityDuck

“What’s the problem with taking suggestions on what tests could be avoided to save time/money” The problem is that when you don’t do a test and you miss a condition and a patient dies, “I was following...

View Article


By: Dr Killpatient

From the ER standpoint, “unnecessary” is easy to define – that with little or no usefulness in the emergency setting – ie something not done to rule out something urgent or emergent. Er docs are...

View Article

By: jennyct

Note that of the cost of $750 billion wasted, only 17% is from overuse of testing. The rest is as follows: excess administrative costs ($190 billion); inflated prices ($105 billion); prevention...

View Article


By: WhiteCoat

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...

View Article

By: Matt

Inevitable? Statements like that are nonsense.

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By: Nurse K

1. The patient in question said she would refuse any lab tests that were ordered because she didn’t like needles. 2. After talking to her, it turns out she had no BM x 5 days. Her pain was mid-abdomen...

View Article

By: Nurse K

Indcidentally, she was very happy with the ODT Zofran and lack of lab draws.

View Article

By: chadpdx

a bit late for comment I know but I think a response should be made to the statement by the author to let free market principles dictate use. Free market conditions do not exist in medicine. There are...

View Article
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