Misdiagnosing the live and the dead

autopsy

"One in six patients 'wrongly diagnosed by NHS doctors'," shouts the Daily Mail (via EvidenceMatters. This should not surprise us: Autopsies have been finding a similar percentage of misdiagnosis among the dead for decades. Doctors will always miss some diagnoses. Progress is a matter of ever narrowing the list of things doctors miss -- so the other problems can be diagnosed and treated, letting the patients live longer (till they did of something incurable -- or something we still haven't learned to diagnose. Learn to properly diagnose, say, appendicitis, and you can save the life of a10-year-old (as I was when I had my appendix out) and let him die decades later of old age, something incurable -- or something the doctor misses then.

Hard to accept that doctors miss things. They always will. The shame is that they so often miss things and then bury the mistakes -- as they do now about 10-15% of the time. Doing so removes the opportunity to learn from the mistake and save the patient from the same one.

More like this

This thread needed to be moved up for obvious reasons. Have at it. --PalMD I've been writing quite a bit about "questionable" illnesses, shameless quacks and the like, but there are reasons that people seek out odd diagnoses and cult doctors. They feel crappy, and they haven't yet found someone…
In his latest New Yorker article, Malcolm Gladwell profiles a group of shady entrepreneurs who claim to have devised an algorithm that can predict which movies will become blockbusters. They simply "interpret" the script, breaking it down into a discrete list of variables, and then plug those…
photo: Philip Todeldano for the New York Times Part of any real healthcare reform will be improving practices in hospitals, and -- as Obama's proposed commission on comparative effectiveness would do -- identifying what works and what doesn't. Knowing what works and why people get better or not…
I really have to turn off my Google Alerts for this topic. I'm going to pull out my hair if I don't. As you may recall, I've been posting about two young victims of the siren call of quackery who will most likely pay with their lives for their trust in quacks. The first, Katie Wernecke, rejected…