The President is Wrong

By Evan Falchuk

The New York Times interviews President Obama about health care:

I’m a pretty well-educated layperson when it comes to medical care; I know how to ask good questions of my doctor.  But ultimately he is the guy with the medical degree.  So, if he tells me, You know what, you’ve got such-and-such, I don’t go around arguing with him or go online to see if I can find a better opinion than his.

It’s shockingly bad advice.

Numerous studies show that patients get the wrong diagnosis as much as 20% of the time, and get the wrong treatment half of the time.  Thirty-five percent of doctors and 42% of patients report errors in their own care or that of a family member.  Studies show that most errors happen because of a failure to analyze the patient’s problem correctly.  Experts, like Dr. Jerome Groopman from Harvard, say that doctors, strapped for time and dealing with complicated problems, easily fall prey to cognitive pitfalls that create poor quality.

Ask questions, be skeptical, disrupt your doctor’s thought process.  Make sure the decisions about your care are right.

Above all, remember it is you, the patient, that are in charge, not the “guy with the medical degree.”

(h/t @epatientDave via twitter)

  • Bruce Sundquist

    Excellent, this is the tenent that must be pushed to the consumer, employer, the task is to provide guidence on what steps the consumer should do to manage their health proactively and stop being intimidated by MDs.

  • http://pediatricinc.wordpress.com Brandon

    I don’t think doctors mind patient getting information elsewhere and asking pertinent questions.

    However, they do frown upon patients getting information from unreliable sources and then wanting to argue with the doctor about how they’ve found a better treatment, or if such and such treatment isn’t really necessary.

    Patients need to remember that the doctor is ultimately offering advice. Under their judgment, they feel XYZ is the best course of action based on certain conditions or circumstances. If a patient doesn’t agree, they are in NO obligation to follow a doctors recommendation. If you don’t like the recommendation, find another doctor. Simple as that.

    But, if one decides to disregard their doctors recommendation, be prepared to take responsibility if the outcome was not positive.

  • Peggikaye

    I had 6 mis diagnosis’ and 2.5 years of searching before they gave me the diagnosis of Myasthenia Gravis. The *FIRST* neurologist …had a positive antibody & positive EMG, however, she was convinced I was goldbricking … told me to stop being a baby about being a new mother!

    If I’d taken her diagnosis (a rather rude way of saying post partum depression) I might be dead.

  • Trin

    I’ve been seriously impaired by fibromyalgia for many many years, and went for about 15 years of being told “you are just lazy”. (still haven’t been able to rule out Lupus due to inadequate insurance. for example)

    THEN I had a really bad flare up, I was tired, CONFUSED, and in pain, i was dropping things (important files) at work… went to WebMD and thought I had “hairy cell leukemia” or maybe “MS” which got me to go to the doctor my new insurance had assigned me to. Going On-line to get information got me to try ONE more doctor…

    I’d have probably killed myself from the depression from lack of treatment, lack of compassionate care.

    Sometimes someone needs the crap scared out of them on the internet to actually get someone to find out what IS wrong.

  • "Medicine is learned by the bedside and not in the class room. Let not your conception of manifestations of disease come from work heard in the lecture room or read from the book: see and then research, compare and control. But see first."
    - Sir William Osler, MD
    The Father of Modern Medicine
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