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We are again.
How much is too much a new debate today over what some doctors are calling unnecessary medical testing and treatment when a debate that right now great panel doctor Marc Siegel Fox's.
Schumer and doctor Robert offs -- a cardiologist here in New York City doctor good morning she was well -- here's what happened there was that.
A group led by the American board of internal medicine foundation.
And consumer reports has a lot of medical advice coming -- from a lot of different areas and what they're saying basically is the cardiac stress -- not necessarily need it.
The chest X -- before minor surgery that got a thumbs down.
Other things like MRI -- some doctors even said that the antibiotics for mild sinusitis.
That is over prescribed as well it seems to be a major downscale.
And the amount of treatment that you gentlemen give a typical patient.
Mark on the surface doctor is a good idea or not.
Bill on the surface and they call -- choosing wisely it is a good idea to have doctors involved in weighing in on these things and I agree.
That we have too many tests and they're done excessively.
And I actually looked at my own panel which is the American College of Physicians which covers internist but when I started to look at the actual tests -- what they're saying I got concerned.
Because look if they say.
We're over imaging back -- fine but you know why doctors do that because they're afraid -- -- If they're saying we're doing too many routinely KG as well I'm worried that insurance companies to get a get a hold of that information and I won't be able to do the routinely -- I need as a baseline.
Going for surgery and -- -- -- well.
If -- -- to be on a respirator I think you do let me give you the baseline.
So I want to reserve the art of medicine to be able to choose when to do these tests are -- -- you know start winning an award you're disagreeing with that I'm disagreeing with this because I think it could be over interpreted and I think it has value but I think it has a big downside OK to -- Counterpart doctor -- -- -- Xeon or something.
One because points are very important that I think no one wants the art of medicine to be lost I think that this document is a very thoughtful and evidence based approach.
To helping us it.
Think more thoughtfully about using -- when we're not necessary.
It's very important to keep in mind.
That no test is perfect.
And each test has benefits and these tests has risks and we need to -- that very carefully.
When we think about appliance or -- -- as a doctor looking deeper into the human body if -- out without there's something you're missing I can understand that others would say you're doing it to be practice defensive medicine.
To prevent a potential for a lawsuit down the road would that -- now you're practicing defensive medicine.
-- to protect your own practice and others would suggest doctors see.
That this to be some sort of rationing perhaps or how much tied to the health care law do you see a connection there or is that.
Bill to your point.
In the current environment where we're looking you know Obama Caron and restricting of services of its days it in the -- -- -- without tort reform.
There's no way that this won't impact doctors -- -- lawsuits and yes we practice defensively.
But you can't then restrict our options and we still would be a better risk of lawsuits another thing.
Again the art of medicine is involved here and some of these choices I -- a problem -- you know.
Might it be who's actually gonna decide that one test is better than another they -- on one.
That if you could have a blood -- your leg there's a test called the dime -- which is a simple blood test I gotta tell you bill.
Given that as an example in clinical practice that is the wrong answer so the doctor gets out there it says use this -- not.
-- -- you know he's right in clinical practice it's an art and it changes from patient to patient.
And from -- to -- -- some excellent points doctor hospital what do you make of that if you could it potentially be viewed as rationing and does the health care debate that we've all engage in over the past two years have a part of this.
I don't believe that this is about rationing care at all I think that this is about choosing the optimal care.
For our patients.
And I don't believe anyone wants -- Documents or.
Governmental agency to to come between.
The patient and their doctors and very important decisions that they would make.
If you look if you scratched out into some of the details of this recommendation for example it's a cardiologist.
They're recommending to not perform.
Routine stress tests on asymptomatic patients -- -- -- a very sound and evidence based recommendations.
And get into the points.
This question of malpractice reform clearly that's a very important issue.
And I feel that's patients perhaps -- more likely two -- their position.
For not obtaining the test rather than obtaining the tasks well and it's possible that this kind of documents may actually shield the -- from -- that kind of suit.
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Hemmer foxnews.com is the email you wanna talk about this -- -- on Twitter -- -- have.
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