• 19
  • January
    2012

In our previous post, we began looking at the issue of diagnostic errors and the importance of getting a second opinion when serious conditions are involved. As we noted, evidence is growing that doing so can often result in significant changes in diagnosis or treatment. Knowing what you are dealing with is critical when fighting for your health.

Misdiagnoses can come about for a number of different reasons. Sometimes it is simply a matter of pathologists and radiologists misreading slides and scans or failing to make use of the latest tests or technology. Sometimes doctors get an idea in their head about what is going on and they fail to look at evidence that it may be something else. In such cases there is the possibility of negligent behavior leading to medical malpractice.

Interestingly, diagnostic centers are increasingly requiring an internal review of pathology reports to prevent misdiagnosis. In some of these centers, a third opinion is given if the second opinion differs significantly from the first. These programs attempt to get a consensus on the preferred course of treatment.

In some cases, it is absolutely crucial that a diagnosis is correct. One example is brain cancer, where treatment would require removal of brain tissue. If the diagnosis is really multiple sclerosis, you wouldn't want to unnecessarily remove brain tissue. On the other hand, a diagnosis of infection or stroke will not yield an adequate treatment if the condition is really brain cancer.

Misdiagnosis is a serious issue, one which doctors are increasingly becoming more mindful of. Patients, many of whom have limited resources, deserve adequate and accurate treatment. Sometimes a second opinion is necessary to get that treatment.

Source: Wall Street Journal, "What if the Doctor Is Wrong?," January 17, 2012.