Second opinion, right can save you!

Health DenNorske August 8, 2016 7 4
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If you have doubts about any medication, your doctor will take you seriously, you're facing a radical choice of any doctor says something else? Sometimes you do not agree with the diagnosis, you get too little information or you are almost self expert on what you read online. In all cases it is still difficult to have confidence in your doctor. Did he not have the time or inclination? You deserve better! Fortunately, there is the option 'Second Opinion'. Make use of it. It is your right and your body!

Second opinion

Patients are becoming more assertive and increasingly afraid to seek a second opinion. A second opinion literally means "second opinion." When you question the judgment of your physician or no confidence in his or her opinion, you can make use of the second opinion. This independent opinion then you will receive another doctor who has at least the same level of expertise as the first consultant physician. The doctor should also be working in the same specialism / discipline as the initial doctor. A judgment of an alternative healer about the diagnosis and treatment of a regular doctor is not covered second opinions. In practice, most second opinions are given a diagnosis, a treatment plan or sometimes a treatment that has already occurred. In most cases these surgeries, chronic and / or severe illnesses.

Second opinion, referral?

A second opinion is not quite the same as a reference. Your doctor may refer you to another hospital, another specialist, an even more specialized doctor, etc. Sometimes he wants once hear the opinion of another doctor, and this is called an 'extended opinion', which is part of the total 'first opinion'. Do you want to speak refer yourself, then you take the initiative to do so and this is what we call a 'second opinion'. However, it does not mean that the doctor of your choice treatment then also takes over. This depends on what it represents the second doctor. Basically, you can always return 'sent back' to your doctor first. Find always good to whom you can turn the best for a second opinion. Some hospitals specialize in particular issues or techniques and have gained a lot of experience. On the Internet, you can sift through it yourself. You will not get out, get some advice from your GP or specialist.

Second opinion is your right

Sometimes there is a second opinion still require a referral, especially if you are not additionally insured. Otherwise you take the risk of paying the costs yourself. Want your doctor - a specialist - do not involve your desire for a second opinion, you can request one through your GP. The chance that a second opinion is advised properly, or even find your doctor is a good idea. In all cases, a second opinion is your right. The right to a second opinion is certainly not enshrined in law, but the Dutch general practitioners and specialists, together with the Dutch Patient Consumer Federation drafted a model agreement Doctor-Patient. Here is the right to a second opinion included. Permission for a second opinion, you do not need! Does the doctor give any assistance please consult your insurance and ask if you are on your own you can go to another doctor.

How medical decisions are

Second opinion represents equation. The purpose of a second opinion is factually correct any deficiencies in the judgment of the physician by comparing it with the opinion of another doctor. Watching multiple doctors for the same problem, then they will be in ten to twenty percent of the cases differ with each other feels. Sometimes they also differ with themselves think! Documented evidence is needed to arrive at a just decision but that is precisely what a large part of the medical act is missing. It is often relied on personal experience of the physician. But there are caveats to: Lack of experience, no control groups, incomplete and short follow-up, as well as a selective memory. Logical that a medical decision is often so misleading as to the poor accuracy. This data is not swept aside by a second opinion, but contributes to decision-making as carefully as possible.

When a second opinion?

A second opinion is useful in the following cases:
  • You're with your doctor first, but want more security.
  • You will find the 'first opinion' unclear, muddled and vague.
  • You will not fit the diagnosis of your symptoms and are therefore not agree with the diagnosis.
  • There is no cause for your symptoms, and / or you find that you are not fully investigated.
  • There is a proposal to deal with, but this treatment you will drastically.
  • There is a proposal to deal with, but you believe that you are more suitable treatments.
  • There is a proposal to deal with, but you wonder whether it is not better to take place at a later date.
  • There are various treatment proposals you made where you can choose not to.
  • You doubt whether you should carry out a treatment performed.
  • You have undergone a treatment that has nothing helped.
  • You will undergo a treatment that is very heavy.
  • You feel that your doctor is withholding information.
  • You are the 'pillar to post' controlled and not made any progress.
  • You've spoken several physicians within a hospital and they all say something different.
  • Your doctor will send you away with the message that your complaint goes away by itself, but you do not think so.
  • Your doctor will send you away with the message that he / she can do anything for you.
  • You feel that your doctor does not believe or do not feel taken seriously.
  • You have the feeling that you know more than your doctor and / or you feel that your doctor is not up to date 'in terms of knowledge and expertise.

Medical file

Do or do you want an open relationship with your current doctor than he or she can help you with the application for a second opinion. This can, if necessary, send a letter and / or relevant medical information in your file by sending or faxing. Sometimes, the doctor from whom you second opinion will have themselves to this information. You can make copies of your medical records always ask so you can possibly bring yourself this when you visit. Cause: You are entitled to inspect your medical records. Completely carry no information is otherwise not so wrong. You are then there assured that the second opinion really will be independent. However, it makes sense to discuss results of already conducted research, so some studies, eg. X-rays, need not be done again.

Right to full information

Asking for a second opinion is not always a confidence vote. You are entitled to full information about your disease, treatment options, risks, side effects and success rates. But all this information can often not be provided within ten minutes, sometimes the doctor is also clear that not in such sense. And you leave the doctor's office full of questions ... Openness and clarity between doctor and patient is always beneficial, but if you feel your doctor in giving information was incomplete, then it is obvious that you do not feel the need to reverse your doctor to inform about your plans for a second opinion. In local hospitals, people are often not aware of the latest treatment methods in teaching hospitals. But diagnosis and treatment involves getting to your own body! Decisions can have major consequences. Therefore it is always good to gather as much information as possible.

Second opinion, not for fun

In addition to the information from your doctor you obtain information on eg. The Internet, a patient or your own GP. Find your doctor's crazy that you go get information elsewhere, then that proves once again that you are with the desire for a second opinion on the right track. No one is going to be fun along multiple hospitals or doctors. Second opinion request can be prevented to a large extent through full disclosure of the treating physician. This means open communication, so a good relationship between doctor and patient. Once those points are not met, the patient will need to seek his fortune elsewhere. The best doctors are in that sense the caregivers that the patient is at this stage to point out that he can always seek a second opinion. At the time, he says, has already won the trust. But the reality is sadly different.

Preparing for second opinion

Repeat good for yourself why you want the second opinion and what it hopes to accomplish. Write down your questions in advance, and make sure that they are all answered during the call. Because it is often all soon it may be useful to take a family member or close acquaintance with it. Two hearing more than one. Say it like you do not understand something and ask for clarification if necessary. Sometimes, something is only clear when the doctor explains his texts with a drawing. Make sure you have the conversation if it were to summarize, so put the most important points at the end of the conversation once more in a row. Ask your doctor whether you have understood so well and inquire about the possibility for a later telephone conversation with the doctor.

Third opinion?

Mostly, it's not until the third or fourth opinion. In some countries it is very common to do so, but not in the Netherlands. Yet it may be, provided the doctor cooperates and you refer. But that's also the point: Many doctors will not need to understand and do not cooperate. And so the reference phenomenon acts as a brake on this system, especially when it comes to getting the same request for help. In America, all is something else: It has been found that if the first and second expert gave a negative opinion regarding operation, a quarter of the patients are still allowed to operate by a third doctor. Play so there other factors that affect the decision making. Incidentally shopping along many doctors are not always in your favor. The greatest danger is that doubts will only increase and confidence in doctors generally lost.

Second opinion, conclusion

How a second opinion will turn out is impossible to predict in advance. Sometimes it takes very different than you can imagine in advance. A second opinion is a fresh look at your situation. Once enriched with the second opinion may be that you feel better informed, though, the second physician to the same conclusions. When you have received assurance, the second opinion visit has been worthwhile. You are strong in your decisions and get confidence in your own doctor back. You now know that you are on the right track, there are no remaining questions.
But: It is possible that the second doctor comes up with a different conclusion, sometimes after multiple investigations. In America, the probability of a different conclusion as much as 25%, the Dutch figures are not known. If this happens to you, you must make a choice with whom you want to get treatment. Added to questions such as how much discomfort gives a treatment, what are the chances of success, how much experience to date, and what techniques are used. Then there is also the duration of the treatment, and the further course. Do you trust the doctor and his second method, you can continue using this doctor treating him or possibly wait.
'There are as many opinions as there are experts. " ~ Franklin Delano Roosevelt
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