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

5 situations when you should get a second opinion

Miles J. Varn, MD
Physician
October 10, 2020
Share
Tweet
Share

A second opinion can be a powerful tool. It can help lower your risk of experiencing a medical error or misdiagnosis, allow you to explore all treatment options and their benefits and risks, connect you with physicians who have experience and success treating people with your diagnosis, and provide peace of that mind that your diagnosis and treatment plan are appropriate.

Research from the Mayo Clinic highlights the value of second opinions. The researchers found that approximately 88 percent of people who sought a second opinion for a complex medical condition at the Mayo Clinic received a new or refined diagnosis that changed their treatment plan. Within that group of patients, 21 percent of the diagnoses were completely changed by the second opinion. In contrast, only 12 percent of patients included in the study received confirmation that their diagnosis was correct and complete.

Despite the potential value a second opinion could yield, many people never even consider seeking one. Some people worry about delaying treatment, especially when they’ve been diagnosed with a condition like cancer. In most cases, however, there is no need to start treatment immediately after diagnosis. Others are concerned that seeking a second opinion will offend their physician. In fact, most healthcare providers welcome a second opinion. If your doctor actively discourages you from seeking one, that can be an indication that you should consider finding a new physician.

When should you seek a second opinion?

While you can seek a second opinion for any condition, there are five situations when it can be especially valuable:

1. Your physician cannot provide a definitive diagnosis. Many diseases and conditions share similar symptoms. In some cases, that can make it difficult for your physician to diagnose your condition with certainty. Seeking a second opinion can help you tap the expertise of other specialists who may recommend additional testing to narrow down potential diagnoses.

2. You are diagnosed with a complex or rare health problem. Rare diseases affect fewer than 200,000 Americans, which means very few physicians, including specialists, are familiar with the symptoms. That can lead to your condition being misdiagnosed or the inability to reach a diagnosis. Complex health problems, such as advanced cancer or the need for an organ transplant, can also be difficult for many physicians to manage. These conditions require physicians who have extensive experience treating the condition, as well as a coordinated team approach to care, since the treatment team may need to include specialists from several disciplines.

3. Your physician recommends surgery. Even if you do choose to undergo the operation in the end, when you receive a recommendation for surgery, it’s wise to seek a second opinion. In most cases, surgery should not be the first treatment you try. Seeking a second opinion can provide you with other treatment options to consider, such a physical therapy, lifestyle changes, including weight loss or changes to your diet, or medications.

4. You are diagnosed with cancer. A second opinion for people diagnosed with cancer may include a review of the pathology, which is part of the determination of the stage of cancer and can affect your treatment recommendations and lower your risk of being over or undertreated. Having another oncologist review your case may also lead to other treatment options or access to clinical trials. In addition, if your first opinion is from a physician at your community hospital, a second opinion from a specialist at an academic medical center may provide access to physicians who have more experience treating your condition, as well as access to cutting-edge treatments and technologies.

5. You and your physician are not a good fit. Your physician can be technically experienced and skilled, but if you are uncomfortable talking with her or him or feel that your concerns and questions are not being taken seriously, getting a second opinion may help you connect with a physician with similar experience but whose temperament and communication style are more in sync with yours. Honest, open communication is an essential part of your relationship with your physician, so you need someone you trust, who is willing to take time to answer questions and educate you about your condition and your treatment options.

Miles J. Varn is chief executive officer, PinnacleCare, and can be reached on LinkedIn.

Image credit: Shutterstock.com

Prev

A young doctor's thoughts on our disaster response system, and why we need to change it 

October 10, 2020 Kevin 1
…
Next

Thank a health care worker. Get a flu shot.

October 10, 2020 Kevin 2
…

ADVERTISEMENT

Tagged as: Hospital-Based Medicine, Primary Care

Post navigation

< Previous Post
A young doctor's thoughts on our disaster response system, and why we need to change it 
Next Post >
Thank a health care worker. Get a flu shot.

ADVERTISEMENT

More by Miles J. Varn, MD

  • Why sharing your complete medical history with your clinicians is important

    Miles J. Varn, MD
  • Managing key risk factors may lower your dementia risk

    Miles J. Varn, MD
  • Caregiver? Learn how to support older relatives at doctor’s appointments.

    Miles J. Varn, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • Why and how to get a second opinion [PODCAST]

    The Podcast by KevinMD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • The black physician’s burden

    Naomi Tweyo Nkinsi
  • Why this physician supports Medicare for all

    Thad Salmon, MD

More in Physician

  • Why billionaires dress like college students

    Osmund Agbo, MD
  • Reclaiming physician agency in a broken system

    Christie Mulholland, MD
  • What burnout does to your executive function

    Seleipiri Akobo, MD, MPH, MBA
  • Dealing with physician negative feedback

    Jessie Mahoney, MD
  • Why CPT coding ambiguity harms doctors

    Muhamad Aly Rifai, MD
  • Moral injury, toxic shame, and the new DSM Z code

    Brian Lynch, MD
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast
    • Advance directives not honored: a wife’s story

      Susan Hatch | Conditions
    • Why billionaires dress like college students

      Osmund Agbo, MD | Physician
    • The therapy memory recall crisis

      Ronke Lawal | Conditions
    • A urologist explains premature ejaculation

      Martina Ambardjieva, MD, PhD | Conditions
    • Why medical organizations must end their silence

      Marilyn Uzdavines, JD & Vijay Rajput, MD | Policy

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

Leave a Comment

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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast
    • Advance directives not honored: a wife’s story

      Susan Hatch | Conditions
    • Why billionaires dress like college students

      Osmund Agbo, MD | Physician
    • The therapy memory recall crisis

      Ronke Lawal | Conditions
    • A urologist explains premature ejaculation

      Martina Ambardjieva, MD, PhD | Conditions
    • Why medical organizations must end their silence

      Marilyn Uzdavines, JD & Vijay Rajput, MD | Policy

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

Leave a Comment

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

Loading Comments...