Second Opinions

There are several reasons why getting a second opinion matters when it comes to your health. Being diagnosed with a severe illness or a terminal disease such as cancer is a life-altering moment. You may also be faced with treatment options that do not fit your beliefs or your lifestyle, such as being prescribed medications or surgery, which can be associated with many side effects and other serious risks. Conditions may sometimes get misdiagnosed. Often, treatment options vary based on type, severity, and cause of illnesses. Not all physicians have the same background and training and, therefore, may form different opinions based on your presenting symptoms and medical history. Certainly, each person is different just as is each physician. Hearing an alternative evaluation and explanation of possible treatment options enables you to make what we healthcare professionals call an “informed decision”. The more you know, the more in-control you are of your health and future.

Some of my patients have found themselves feeling hopeless or mistrustful of the healthcare system, vowing never to return. They recalled experiences in which they were cut off while describing their symptoms, dismissed that what they were feeling was not real, or offered little to no practical treatment options. Sadly, some were so disheartened and fearful of returning to their provider that their illness progressed to a point where it was already too late. These are preventable outcomes as, often, it could simply be due to a mismatch or a clash between personalities. Seeing another provider for a second opinion could give that person a chance to find someone who is better suited for their personality and allow them to feel more comfortable within that environment.  I always encourage everyone to read the online reviews whenever making an appointment with a new provider to get a glimpse into what that person is like based on others’ comments and experiences. This will hopefully lead you to the hands of someone you can trust.

Patients can be fearful when it comes to getting a second opinion. Some have expressed concern that they would hurt the feelings of their current provider. One of my patients even apologized to the clinic when they told them they would not need to make a future appointment because they found another provider. I recall with a smile on my face how the medical assistant responded, ”There is no reason to apologize. It’s your body and only you get to say who treats it.” Individuals are under no obligation to continue seeing the same provider unless it is their choice. Health care should be collaborative and not hierarchical in nature, as is a parent-child relationship. Patients should feel involved with their care team and empowered to make decisions impacting their future.

This brings me to my last topic of discussion regarding second opinions and that is patients’ right to their medical records. One of the most important things you can do when going to see a new provider is bring a physical copy of your medical records, including lab results. Particularly when it comes to imaging tests such as x-rays, CT scans, or MRIs, it is imperative to request a CD of the scan, not just a radiologist’s report. Your doctor should review the actual visual scan to form the most secure professional opinion. Most facilities can provide patients with the CD right after the procedure and remembering to ask for it can help minimize any waiting times when it comes to scheduling future appointments with another provider and can prevent from having to get them done all over again.  

I recently had a patient who requested to have a paper copy of her medical records and laboratory tests as she was unable to view her results online. The clinic advised her that they only used the web portal for sending and receiving messages and other medical information and would not give her a paper copy of her results. I provided this patient with information regarding the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and her right to access her protected health information (PHI). Individuals may request their records in electronic or paper format and it is unreasonable for entities to only offer web portal access of medical records as not all individuals have access to or can use a computer (1). She was able to call and request her records be mailed to her and was pleased with the outcome.

Seeking care should never be burdensome or cause feelings of uneasiness. If you or a loved one have found yourself dissatisfied with a provider or wonder about alternative treatment possibilities, take control by getting a second opinion…”you have nothing to lose and everything to gain” (2). Become empowered by learning more about your condition and treatment options. Gain confidence in knowing that you are making the best decisions based on your situation. Find a doctor whom you like and one who also encourages second opinions. When you feel comfortable with your provider and know that both sides are open and honest, you will give yourself the greatest chance for a positive outcome.

References

1.      U.S. Department of Health and Human Services. (January 5, 2024). Individuals’ right under HIPAA to access their health information 45 CFR § 164.524. Retrieved on January 23, 2024 from  https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html#maximumflatfee

2.      Patient Advocate Foundation. It matters empowerment pathways: Second opinions. Retrieved on January 23, 2024 from https://www.patientadvocate.org/cardio-it-matters-sheets/second-opinions/