Doctor encounters a number of problems when making these decisions:
a) Doctor treating a patient is basically experimenting on that patient. Doctor really does not know until he has actually provided the treatment, whether the patient will benefit from such treatment; he only suspect that the patient will benefit.
b) Problems in evaluating new technology.
(1) There may be some lag time between the development of a device and the literature to the doctor and the acceptance of the community.
(2) Problems with over-diagnosing by radiologist.
(a) EX: MRI – radiologists may over read the x-ray and determine there is a ruptured disc b/c of defensive medicine.
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