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This is pretty interesting go to the doctor because you get some tests and field as a patient you really want them but there's -- -- debate now among some doctors they say all that testing is unnecessary.
A panel of medical panel came out with that -- list of routine practices they say those practices are wasteful and profit driven.
Even including actuaries and EKG's and antibiotics.
After -- -- ominous a patient.
You want this stuff but are you guys prescribing too much.
Personable yes we have about 30% more tests and we need to be ordering in treatment so we're starting from that.
This thing is called choosing wisely and -- comes from the American board of internal medicine which is my board.
And actually consumer reports and they put putting together panelists and all specialties to decide whether the tests are being -- done.
Now on the surface that's a great idea I'll tell you -- the problem comes and it's and actually doing it.
I looked over some of the tests and American College of Physicians which I belong to and -- a fellow.
And I found that only a little out of this they're saying no routine chest X ray before surgery will sometimes if you gonna go on a respirator you might need -- -- picture.
And EKG for regular visit I like a baseline.
If you have back pain they're saying no imaging studies well that may actually be true but Eric.
We're in a world of liability here in malpractice I mean if you're gonna cut down on the amount of tests doctors order and have some panel rule on.
And then if we don't -- and then something happens to the patient we can get so it's still so I say there's got to be tort reform.
As part of this and I also don't fit and it also I'm worried about the information getting to insurance companies at a time of regulation.
And I you know I practiced -- we practice the art of medicine.
Where one treatment isn't always better than another where one test works for one patient and not for another if they cut down on us too much.
We're not gonna have those options.
Yes you do and doctors money do you see danger pay attention to the credit gulf symington covering your patience -- the stuff -- -- you know I think the bigger question is why is this happening now.
Why are we talking about all of this today -- president twelfth.
And it's a very simple formula the fact is -- financially.
-- heard them the sources -- limited you have to a trillion.
Dollars being spent on health care.
And almost a third of these tests and ends -- -- cases comes from this to the question is.
What do we need to do and what this opens up is a great communication between doctors and patients.
He basically you know there's a perception from the patience that the -- and order or there's more tests.
Is it written a better doctor so I think mark's point is well taken but we have to be really careful talk -- doctor and say do I really need this test.
On what is it going to do for me so.
In medicine in general -- -- I practice medicine is always look at opposing cause.
And it -- benefit outweighs the risk then I think that's a good one for the for the patient are we over testing yes.
-- you know but the thing is if you missed that patient that has a very aggressive prostate cancer or lung cancer.
You know then then your thoughts and it's a very -- going.
Between taking care of your patience making sure as a doctor -- emotions are intact and then really being sincere -- -- pitches but not overdoing it.
Let me mention you mention tort reform and you know you mentioned something that I think is ski board certified.
Perhaps go to the doctor that has the better qualifications.
And the doctor will be able to recognize some of the centers.
With some tests that may not be necessary and having to happen or paid for that would bring the costs down he wouldn't have to worry about getting -- That's such a great point you know that the point here Jamie is like it if you're having sinus infections -- your -- is always giving you antibiotics actually the -- this experts weigh in and -- 95% of the time.
They're not needed and we've actually talked about that so you have to go to the right expert.
And that the David's point about opening the line of communication between doctor and patient is good -- -- -- long does the information is of misuse.
Did -- there are some doctors out there that they're really afraid and they've practiced defensive medicine and end with a sore right or wrong that's a whole different debate.
But I truly believe that there are sincere doctors that are trying to do the best for their patients.
And if they really see what this is the right -- -- have to be able to do it now these recommendations are great because it's based on -- this space medicine there are a lot of specialties involved.
Thousands of doctors are involved which is a great -- But you have to make sure that this has it become a real guidelines so we need to get a test now you have to throw.
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