The institute notes that each year about one in 20 adults experiences a diagnostic error. Gail M. Horvath, MSN, RN, CNOR, CRCST, patient safety analyst for the ECRI Institute, writes in a press release that even some hospital errors said to be caused by the natural progression of disease "may have been the result of diagnostic error."
Diagnostic Errors Tops New List of Patient Safety Concerns
by Marcia Frellick
There is suggestion how to avoid this errors, and how to provide safe treatment for patients. It is easy to understand that some diagnoses difficult to decaffeinate:the symptoms are the same, and the many tests can be close to each other. This is big concern for professionals.March 13, 2018
I do not know about diagnostic. Still, as patient, too disposed to clinical errors, I try to make sure, diagnose I do have is real, not simple error. And what? I ask doctor:
how doctor diagnose diabetes type 2?
- 'what are you so worry about diagnose of type of diabetes? The treatment for diabetes is the same.'
The treatment is far away to be the same. No one diagnosed with diabetes type 1 has first line treatment as "Life style modifications" Every one start treatment with Insulin in injections. In contrary all treatment which Rx for diabetics type 2 as as Invokana or Glipizide, is not for diabetics type 1, but for diabetics type 2 only. So, if diagnose of type of diabetes wrong then it stick for the rest of our shorten by treatment lives. This is why I am very concern, if my diagnose, "diabetes type 2", right? What if diagnose is wrong? If so then I never do have right treatment and wrong treatment will lead to faster progression to the fatal end.
Doctors never were able to answer to my question, really simple and very important, how I am diagnosed as diabetic type 2? What if it is LADA wrongly diagnosed as type 2 diabetes? What if it is type 1 diabetes which was not diagnosed in my childhood when I was in coma? Wha if .... ?
So, I try to find answers, what really Insulin Resistance and how it is diagnosed?
How diagnosed insulin resistance and differentiated this diagnosed from Insulin Dependency?
What if I am not Insulin Resistant but Insulin Dependent Diabetics?
One day I finally found it. Dr. Joslin identified Insulin Resistance as type of diabetes when dose of injected Insulin is higher then 200 units. WOW! So, I am really Insulin Dependent Insulin Resistant diabetic. I need more then 300 units of Insulin in injections. Right now I inject 610 units daily.
There are can be many speculations how diagnose one medical condition and differentiate it from another. In diabetes type 2 errors start from the first visit and first blood draw.
For blood test patient must come to clinic Fasting. Why fasting? According to definition diabetes is the medical condition when carbohydrates, proteins and fats cannot be processed. In fasting state there is nothing to process, so level of sugar will be lowest. If after first sample of blood there would be meal and another sample of blood taken one time after another till sugar in blood started to go down. Then of cause we can see if carbs proteins and fats abnormally slow in processing.
Now there is another issue. After sample of blood was tested, how the blood sugar reading were interpreted? Level of sugar in blood to diagnose diabetes is above 120 mg/dl. What if this level 700 mg/dl? If patient was in this clinic of hospital then this patient can be diagnosed as diabetic type 1. If patient is already diagnosed as diabetic type 2 then this diagnose will be confirm, patient diagnosed as diabetic type 2. When error happened, at first time when patient was diagnosed as diabetic type 2, or right now when patient diagnosed as type 2 diabetic?
Probably I would not pay so much attention to diagnose what type of diabetes I am diagnosed. Really, it does not matter if I take insulin. The problem is, I am diabetic type 2 by diagnose. Every time I do have mocking from MD that I do not need Insulin. My blood sugar is good, and really I do not have diabetes, ether type of it. If I do not have diabetes then I do not need Insulin. The end of the story. This story repeat itself one time after another. Insulin supply stopped one time after another. Now every time before Insulin delivery I am in deep stress, will delivery come or I will have notification that Pharmacy cannot process this medicine for one reason or another.
Every year 80,000 Americans die due to Diabetes type 2, type of diabetes no one MD can diagnose or identify. At the same time millions of Americans do have treatment for Diabetes type 2, medicine which kill millions of Americans, but treat no one. This medicine leads to heart attacks, strokes, and many other complications, amputation including. Simple analyze what lead to improving health of millions of diabetics type 2 will show, it is not Invokana or life style modifications. But no one interesting to analyze any treatment, if it work or it is not. Money still flow regardless treatment effective or not. More patients, more money. Who is interesting to reduce medical errors? No one.
It is easy to see, what list will be good to reduce errors in medical diagnostic? List!!!!!!!!!!!!! So, medical diagnostic errors is not simple accidents. It is how diagnostic works. The right diagnose can be accidental. But wrong diagnose is just as it is, common. In all medical conditions, in every one, regardless it is flu or cold, heart attack or MI. Does not matter. Asthma and COPD really can be difficult to differentiate. They respond the same to the same treatment, Symbicort and Spiriva. Type of diabetes is respond perfectly to the same treatment, Insulin, but it is not initial treatment for many types of diabetes. So, 5% of diabetics population treated with Insulin. 95% of diabetics population treated with Junk Medicine. Diabetes is number 7 cause of Death. These Deaths are 100% preventable if Insulin applied timely. Insulin replaced by SU and Invokana, and many other trash medical pills. We pay the ultimate price.
via Ravenvoron
No comments:
Post a Comment