Report: Missed diagnoses common in the doctor's office
Patients at risk of serious complications?
- Duration 3:53
- Date Mar 3, 2013
Patients at risk of serious complications?
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Welcome back everybody the doctors are still -- got a lot of great information this morning and now this.
There's a new study that has found that patients are at risk of serious complications and the reason why may be very disturbing to you because.
It's missed or incorrect diagnoses.
Coming from their primary care physicians.
Not our doctor -- -- of course.
Out -- however why is this happening.
Well I don't want to scare people have been a little more than they've found about point 1% or a 119 different -- diagnoses are problems in the primary care doctor's office.
But the study only looked at two weeks later and I got news for you a lot more occurs even later than that.
So this is a pretty common problem and it goes across the board from heart failure pneumonia -- urinary tract infections to missing prostate cancer.
Through to referring to proper specialists all over referring.
You know why it happens I think it's because doctors don't think outside the box because they say here's what I'm looking for.
You know you have chest pain I'm looking for your heart problem.
And they forget about doing a full screening of every patient that comes into their office -- and it didn't really have time -- -- -- -- well -- there's a basic examination you can do -- even with this contract you can listen everybody's -- you can listen everybody's -- you can examine everybody's -- you can take your history.
And patients can come in there and say hey duck.
Did you listen to me.
What exactly do you think I have what's your thought process -- patients need to averaging more those two questions can really make a difference I think so that it staff and doctors thinking OK here's a look I thought it was this today.
But tomorrow maybe I think it's this especially primary care doctors.
-- we need -- And if there will even be primary care doctors down the road not that many students going to -- -- here's what I wanna ask you -- -- on the one hand doctors are worried about malpractice and -- have to cover themselves by really doing a thorough exam on the other hand they have to book a lot of patience and ordered.
To make their monthly.
Well to answer well before we start.
Blaming the doctors for -- I think part of it is because medicine has become very complicated.
We're looking at diseases that have many many common symptoms somebody will come in we chest pain.
You know I'm short of breath what exactly is it is of heart disease is -- heart attack is it pneumonia.
-- -- bronchitis acid reflux acid reflux exactly right so we could be a triple a and they resemble the aorta so well a lot of diseases have common symptoms and the art of medicine is really work as a detective to narrow down so how does that work.
We used to have a better communications -- without patience and overtime exactly what Jamie said happen.
Times are getting shorter shorter than average time to -- doctors spending with a patient is seven minutes.
During that seven minutes you've got to go through our -- -- subjective -- objective assessment plan.
-- what we don't hold diagnosis -- this -- -- sitting in front of us that's waiting for three hours in the waiting room.
That's seven minutes in the office on top of that they come up with this whole electronic medical record you've heard of -- so.
V.s and pay attention to our patients everywhere these typing I'm not even -- -- -- interaction between everybody well in general this is the pressure on the doctors so that's the system I think what you should do is.
Patients should coming more prepared.
He should get all the forms ahead of time he should give the doctors all the information they need and asked the question is.
What is your concern doctor and have a communication that costs -- and -- his mistakes and -- One final point on this is one of the ways you do with a complex symptoms like Davis -- just -- developing something that can have a lot of problems possibilities -- -- -- -- your brain about what are the ones you worry about the most you wanna roll out the hard first of its chest pain.
It -- if it's the abdomen you wanna rule out something like and a surgical emergency you try to order in terms of biggest risk I like.
It's it's repeated two questions that you -- asked what do you think can document.
And what are you gonna do next to try to figure it out -- -- good point and go see your primary care of person at least once shares of the New York.
And -- the communication that's.