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A recent report from the Mayo Clinic states that as many as 88% of all medical diagnosis are wrong! Let that sink in. That means that if you've only seen one doctor, the chances are almost nine out of ten that you may end up being treated for the wrong condition!
Personally, I'm not surprised, in fact more surprised that people simply accept what their doctors tell them at face value after sometime no more than an exam that lasts minutes.
The recommendation, and pure common sense, is to get a second opinion for at least any significant diagnosis that can impact your life such as bph/luts with most of us here.
In general, the best place for a second opinion is a major medical center where the doctor who made your initial diagnosis is not affilited with. If you get a second opinion within the same organization, or with a doctor affiliated with your doctor's hospital, the second opinion can often be tainted by medical politics or peer influence.
Related, second opinions are also very important in terms of radiological findings. Recently here, a well well respected interventional radiologist diagnosed tumors from a 3T MRI Scan only to change his mind after the scan was reviewed by another radiologist. Had there not been two opinions, an unecessary operation might have been performed. This happens all the time. And if it were me, I'd probably get a third opinion in this instance from one of the second opinion radiology services such as the one Mayo has. You just send them the scans, no need to travel or see a doctor as I understand it.
Most people here are diagnosed with BPH because of lower urinary tract symptons (LUTS). But in fact many cases of LUTS may have nothing to do with BPH. For one example is that it could be a problem with your bladder. And yet, doctors all too often group the two together (BPH and LUTS) and reflexively offer a surgical solution if medications don't work.
I will post a link to the Mayo report in my next post, but it will probably take a day or two for it to go through the moderation process. For those who want to see the report sooner, google "Mayo Clinic researchers demonstrate value of second opinions".
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