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[quote=Anonymous]I am a patient and I can absolutely think of such a scenario—more than one, in fact. Providers are not free of bias. They have been shown repeatedly (in peer-reviewed research) to make bad judgment calls based on bias. This includes bias about things like STI status, prior recreational drug use, prior abortions, and lots of other things that may not be related to today’s visit.

If the patient withholds info and it turned out to be relevant, that is on them. But if the patient has no control over what information you get, they are at your mercy. That’s not inevitably beneficial.[/quote]

It is not “on them”. I make clinical decisions and prescribe medicines that can have interactions that can lead to significant side effects.

For example:

1) The patient is taking a compounded GLP-1 that I don’t know about. I order a colonoscopy, the patient doesn’t hold the GLP-1 and aspirates during the procedure.

2) The patient is taking a medicine for anxiety/depression and I prescribe a similar medicine for a pain syndrome and they develop abnormal electrolytes or serotonin syndrome.

3) I order imaging for a patient that recently had imaging and the patient is getting exposed to unnecessary radiation.

4) A patient has been treated with multiple courses of antibiotics a

I am not dismissing your concerns. I am saying that it is not on the patient. We are responsible when things go wrong. 
[/quote]

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