"WE HAVE TO DO THE LIPIDS TEST". Whatever the results, I will still make my own decision in the end after careful thought. Your doctor must conduct his patient care along accepted practice guidelines. Even if he were to document your request in your records "patient requests no more lipid screenings during routine bloodwork" or words to that effect, he could still be held legally liable for malpractice at worst and benign neglect at best. So by including the orders for a lipid panel in your routine bloodwork, he's covering himself legally; it would be very stupid and short-sighted of him to do otherwise.
Once your lipid results are in, then and only then will he be informed enough to make his recommendations about treatment, and then and only then will you be in a position to make an informed decision about whether or not to accept his recommendations. When it comes to medical care, IMO it's not in anyone's best interests to operate in the dark from a position of ignorance, no matter what condition or treatment is being considered.
Fiddle. With a an absolute risk reduction of only about 1%, what difference does it make? My endo quit running lipids on me and lost no sleep. In fact, if you are insistent that they not be run, it would be a violation of law for them to run them anyway. You have a right to privacy, and that definitely means you have a right to refuse tests.
Friday, 12 June 2009
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