tag:blogger.com,1999:blog-18943510.post5061990691003477359..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Shaking Things UpDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-18943510.post-39908850472258628302008-02-12T23:23:00.000-06:002008-02-12T23:23:00.000-06:00Jay,I don't actually agree that patients who seek ...Jay,<BR/>I don't actually agree that patients who seek second opinions are treated differently. I actively encourage my patients to seek second opinions frequently. That may be a byproduct of the type of medicine I practice (pediatric oncology), though, I'll concede that. We're a small community, so I almost always know who the second opinion is coming from, and I often point the patients Doctor Davidhttps://www.blogger.com/profile/05561641468831789428noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-72046293086533291692008-02-12T21:41:00.000-06:002008-02-12T21:41:00.000-06:00For Dr. David,I actually agree essentially with al...For Dr. David,<BR/><BR/>I actually agree essentially with all written above. Recognize, however, that a true face to face second opinion is likely to be far more time consuming to the patient and very politically charged. I'm sure you'll agree (assuming you are a practicing clinician) that a patient that seeks a second opinion is treated differently than others. In addition, a patient who Jayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-18751671816658755842008-02-12T20:13:00.000-06:002008-02-12T20:13:00.000-06:00I'm a little concerned about these ideas, too. Th...I'm a little concerned about these ideas, too. The fault with the carol.com approach is exactly what Jay originally brought up... there is no objective way for a patient to evaluate the quality of their medical care, especially when it's advertised on a website. Cost is the least important factor here. Appropriateness of evaluation, thoroughness, the correct interpretation of tests, an Doctor Davidhttps://www.blogger.com/profile/05561641468831789428noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-74259557494449374262008-02-12T18:03:00.000-06:002008-02-12T18:03:00.000-06:00I started to comment and it morphed into a post.Ne...I started to comment and it morphed into a <A HREF="http://dinosaurmusings.blogspot.com/2008/02/nothing-new-under-sun.html" REL="nofollow">post</A>.<BR/><BR/>Needless to say, this won't work.#1 Dinosaurhttps://www.blogger.com/profile/01357845504444464397noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-49113163986408502122008-02-12T17:41:00.000-06:002008-02-12T17:41:00.000-06:00Thanks for your comments, Wes.A few points require...Thanks for your comments, Wes.<BR/><BR/>A few points require clarification.<BR/><BR/>The system would be entirely remote (web, delivered records, and phone). There would be no need for geographic referrals on this basis. Not being geographic has the obvious economies of scale and would also cut back on the local political fallout. <BR/><BR/>The reviewing physician would not enter into a true Jayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-31046729269924108222008-02-12T16:02:00.000-06:002008-02-12T16:02:00.000-06:00Jay - Great to hear from you! Your idea has great...Jay - <BR/>Great to hear from you! Your idea has great merit, but the challenge would be the need to constantly be recruiting doctors in enough geographic locales to make this work effectively. Perhaps this idea could be paired w/a site like Carol.com - I mean they're going to have to establish multiple geographic relationships w/health services. Then again, a Wikipedia-type service that DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-87491043793630510252008-02-12T11:01:00.000-06:002008-02-12T11:01:00.000-06:00Wes,Jay Schloss here. Flashback from your days in...Wes,<BR/><BR/>Jay Schloss here. Flashback from your days in Cincinnati. <BR/><BR/>I've enjoyed lurking on your blog for the last couple of months. I find all of your posts interesting (and some I actually agree with !!)<BR/><BR/>Your last two posts brings to mind an idea I had a year or so ago. <BR/><BR/>I too agree that increased consumer involvement in health care will be essential to bringJayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.com