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Trusteando • today at 10:15 PM • 3 replies • view on HN

If the first opinion is right and the second opinion is wrong you could end up receiving an unnecessary treatment that could hurt you. So I think you need to know for sure why the first opinion is incorrect, or at least avoid accepting the second opinion blindly, because the first doctor won't be there to push back. In any case, having two opinions or more data can be valuable, but only when whoever makes the final decision can actually use that information : detecting any bias and deciding with a good balance between risks and rewards.


Replies

daniel_iversen • today at 10:23 PM

Do you get a 3rd opinion and go with the consensus? Genuinely curious what people think.

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irjustin • today at 10:26 PM

If think for a moment I'm sure you can come up with a solution.

Spooky23 • today at 10:40 PM

The difference is going to a national cancer center.

My late wife was treated for metastatic melanoma at MSK. Their approach is to have clinical teams and a tumor board that are assigned patients with related cancers. They are seeing many patients and there’s a warm hand off between specialists. Your radiation oncologist, medical oncologist and surgery / neuro specialists are on a team and know each other and are often familiar with the cases. In my wife’s case the community oncologist was wonderful, but he was a sole practitioner for this particular cancer.

In the second opinion scenario, they get to use that experience and caseload to look at a case with some perspective. Your community oncologist likely works on a small team and may not have the luxury of time and exposure to trials, etc.

Think of it as a second set of eyes.