Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

A physician’s experience with a false positive test result

Justin Reno, MD
Physician
July 14, 2015
Share
Tweet
Share

shutterstock_144659519

“Your wife has gestational diabetes.” My heart stopped when my wife’s physician called to tell me this. “I want you to tell her because it’ll be easier to give it some time and let it sink in. Tell her to call me if she has any questions.” But I had questions — about a million.

Let me give some background information. I’m a third-year resident physician at a family medicine residency program. My wife’s physician is a fantastic physician; he’s one of my attendings, one of my mentors. I’ve taken care of plenty of gestational diabetes during training, often with my wife’s physician as my supervisory physician.

But my wife is the epitome of health. She has run multiple half-marathons, she doesn’t drink sodas, she watches her weight, she drinks over a liter of water a day. She rarely eats sweets, limits her breads, and she was 5’7, 130 lbs prior to pregnancy. She’s 29 years old. She has no family history of diabetes. So if she has gestational diabetes, what else could be wrong? She’s obviously not as healthy as we all thought.

And so it began. I picked up a glucometer for her. We started checking her blood glucose. But something didn’t seem quite right. Her blood glucose measurements were amazing. It was ridiculous how good they were. My wife kept asking me questions — prior to this diagnosis, she thought she was healthy. She asked me what I thought was wrong with her. She asked me why her blood glucose seemed to be normal with the machine — was the glucometer broken? I discussed it with my friends, they all comforted me, said things like, “As long as the baby’s healthy, none of this will matter.” I’d talk about her normal glucose measurements, and they would say things like, “Good — tell her good job with her diabetes!”

I fought for her to get tested again. Turns out she doesn’t have gestational diabetes — not even close. In fact, her fasting blood glucose was actually flagged for being low. She’s as healthy as she initially thought. But for the time between the two tests, she questioned everything about her health.

We love tests — we’re a country enthralled with medical technology. With this love of tests comes the risk for false positives. That’s what my wife had. And they’re not uncommon. But what if she had a false positive mammogram leading to an unnecessary surgery? What if she would have developed a pulmonary embolism after that unnecessary surgery? The results of false positive screening tests can be catastrophic.

I’m not sure what the answer is. I do, however, know that screening low-risk individuals for a condition increases your risks for false positive test results. So maybe physicians need to risk stratify better. But, that would result in a lot more talking and a lot less testing: the exact opposite of where our medical world is headed.

Justin Reno is a family medicine resident.

Image credit: Shutterstock.com

Prev

Pediatric palliative care: We must do more

July 14, 2015 Kevin 0
…
Next

Thank you health care providers for being on call

July 14, 2015 Kevin 16
…

Tagged as: Diabetes, Endocrinology

Post navigation

< Previous Post
Pediatric palliative care: We must do more
Next Post >
Thank you health care providers for being on call

ADVERTISEMENT

More by Justin Reno, MD

  • I don’t know if this test will save your life

    Justin Reno, MD
  • If you’re obeying the law, you’re contributing to CEOs’ astronomical salaries

    Justin Reno, MD
  • What this family physician learned from his dog

    Justin Reno, MD

Related Posts

  • A physician shares her positive experience with social media

    Claudine J. Aguilera, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • A physician’s personal experience with gun violence

    Farah Karipineni, MD, MPH
  • Dirty jeans and a positive patient experience

    Patricia J. Rullo
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • A physician awakens to racism in America

    Jennifer Shaer, MD

More in Physician

  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • How to handle chronically late patients in your medical practice

    Neil Baum, MD
  • How early meetings and after-hours events penalize physician-mothers

    Samira Jeimy, MD, PhD and Menaka Pai, MD
  • Why medicine must evolve to support modern physicians

    Ryan Nadelson, MD
  • Why listening to parents’ intuition can save lives in pediatric care

    Tokunbo Akande, MD, MPH
  • Finding balance and meaning in medical practice: a holistic approach to professional fulfillment

    Dr. Saad S. Alshohaib
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Why doctors must stop ignoring unintentional weight loss in patients with obesity

      Samantha Malley, FNP-C | Conditions
    • Why more doctors are choosing direct care over traditional health care

      Grace Torres-Hodges, DPM, MBA | Physician
    • Why hospitals are quietly capping top doctors’ pay

      Dennis Hursh, Esq | Conditions
    • Why point-of-care ultrasound belongs in emergency department triage

      Resa E. Lewiss, MD and Courtney M. Smalley, MD | Conditions
    • Why point-of-care ultrasound belongs in every emergency department triage [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why PSA levels alone shouldn’t define your prostate cancer risk

      Martina Ambardjieva, MD, PhD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Why doctors must stop ignoring unintentional weight loss in patients with obesity

      Samantha Malley, FNP-C | Conditions
    • Why more doctors are choosing direct care over traditional health care

      Grace Torres-Hodges, DPM, MBA | Physician
    • Why hospitals are quietly capping top doctors’ pay

      Dennis Hursh, Esq | Conditions
    • Why point-of-care ultrasound belongs in emergency department triage

      Resa E. Lewiss, MD and Courtney M. Smalley, MD | Conditions
    • Why point-of-care ultrasound belongs in every emergency department triage [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why PSA levels alone shouldn’t define your prostate cancer risk

      Martina Ambardjieva, MD, PhD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A physician’s experience with a false positive test result
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...