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What diseases are often misdiagnosed?

Here's what patients can do. Colorectal cancer, lung cancer and breast cancer are the three most frequently missed diagnoses in outpatient clinics and academic medical centers, a recent study published in JAMA Network Open found. Heart attack and prostate cancer round out the top five.

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“If the doctor gets kind of a nice, one-page executive summary or whatever you want to call it, then they’re going to spend more time thinking about the problem and less time gathering the information,” Newman-Toker says. 2. Ask questions. It’s important to ask probing questions about the diagnosis you’re given and why other conditions were ruled out. For example, if bad headaches bring you in and your doctor diagnoses you with cluster headaches, ask why that’s the case and why it’s not a migraine. “What you’re looking for is a reasonable set of answers to those questions,” Newman-Toker says. “You’re looking for a thoughtful explanation, not defensiveness.” 3. Follow up. Finally, keep track of your progress after a treatment plan is prescribed, and stay in touch with your doctor if things don’t get better. If symptoms persist, it’s common for a patient to assume that the treatment is to blame, not the diagnosis, Newman-Toker says. And if the patient calls the doctor’s office and asks for a medication change or a higher dose, “the doctor won’t rethink the case.” To get a second look, call the doctor and say, “I’m not getting better. Are we sure that I’ve got the right diagnosis?” “I think people don’t realize how important patients’ voices are in a diagnostic process,” adds Singh, who is also a coauthor on the latest JAMA study. “Because it really helps us not only make the original diagnosis … but also to question the diagnosis later if things don’t get better.” Flowers & Gifts Proflowers 25% off sitewide and 30% off select items View Details See All Benefits See more Flowers & Gifts offers > {"hideCategory":false,"useAlternateLanguage":false,"headlineIconAltText":"","listItems":[{"categoryTitle":"Flowers u0026 Gifts","categoryUrl":"/benefits-discounts/?categoryu003dshoppingandgroceries-flowersandgifts","categoryDeeplinkParam":"shoppingandgroceries-flowersandgifts","isLimitedTimeOffer":false,"offerJson":{"offer_id":"","offer_title":"25% Off Flowers, Plants u0026 Gifts","offer_short_title":"","offer_short_description":"25% off sitewide and 30% off select items","featured_offer":"","last_updated_by":"","offer_description":"u003cpu003eAs an AARP member, you automatically save 25% sitewide or you can save 30% on select items with promo code AARP30. 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Also, keep your own records of test results, referrals and hospital admissions.

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When to get a second opinion

If things don’t get better, or if you are suspicious of a diagnosis and want to confirm it, consider getting a second opinion from another physician, perhaps a specialist. Your doctor may even recommend it. When asking for a second opinion, be as “direct and unemotional as possible,” the experts at Columbia Surgery in New York City, recommend. Some patients find this part difficult, especially if they have an established relationship with their doctor, Singh acknowledges. “But there are ways that you can express concerns assertively to the clinician, so that they understand what your concerns are,” he says. “And that could be, ‘This is a life-changing diagnosis. I’d like to see a second opinion to make sure we’re on the right track, and I’ll come back to you once I’m able to confirm that.’ ” When the appointment for your second opinion rolls around, be sure to bring all the details from your previous diagnosis, including test results and recommended treatment plans. Rachel Nania writes about health care and health policy for AARP. Previously she was a reporter and editor for WTOP Radio in Washington, D.C. A recipient of a Gracie Award and a regional Edward R. Murrow Award, she also participated in a dementia fellowship with the National Press Foundation.

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