Diagnosis: asbestos

Commenting on the recent legal action (see Sept. 21) charging a cardiologist with having run a diagnosis mill providing dubious certification of heart damage for thousands of fen-phen claimants, Sydney Smith (Medpundit) is reminded of a problem from her own practice (Sept. 19, scroll down): “Making dubious diagnoses for class action suits is becoming a […]

Commenting on the recent legal action (see Sept. 21) charging a cardiologist with having run a diagnosis mill providing dubious certification of heart damage for thousands of fen-phen claimants, Sydney Smith (Medpundit) is reminded of a problem from her own practice (Sept. 19, scroll down): “Making dubious diagnoses for class action suits is becoming a bit of a cottage industry in medicine. Asbestos is the [worst]. Several of my patients have come in saying that they’ve been diagnosed with asbestosis by ‘the union’s lawyer’s doctor.’ Needless to say, neither the union, nor the lawyer, nor the doctor ever share their findings with me, even when asked. And not one case has been confirmed by our local pulmonologist when I’ve referred them on. That is if they’ll let me. Some of them don’t want to have a second opinion — don’t want to miss that payout. (That’s not to say I haven’t had cases of asbestosis. But curiously, all of my asbestosis cases were not diagnosed by lawyers.)”.

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