I’m not telling you anything you didn’t know when I recommend seeking medical second opinions. As studies point out, up to 60 percent of original diagnoses are either contradicted or further refined when a second opinion is sought. And many second opinions related to the best way to treat a condition are also contradicted. But what may be confusing is when, where, and how to make sure you are getting the best second opinion possible.

When to seek a second opinion

There are many reasons to seek a second opinion:

  • You’ve been diagnosed with a rare, exotic, or life-threatening condition.
  • You feel uncomfortable with the doctor or feel he or she lacks experience.
  • You question the diagnosis and/or the proposed treatment.
  • You are told that there is nothing that can be done about your condition.

The reason is totally up to you. Seeking a second opinion is totally within your rights and that most second opinions are covered by your health insurance. Special note: Don’t worry about offending your doctor because you want a second opinion. Good physicians encourage their patients to seek them out.

Where to get the best second opinions

Knowing you want or need a second opinion is easy compared to finding the best doctor or facility to review your situation. Start by telling your current doctor or treatment team that you are going to get a second opinion. Ask for a copy of your medical records including copies of x-rays, scans, or other tests performed. Federal and state laws give you a right to copies of your medical records.

Next, do some research to find out if there are any similar specialists in your area who diagnose and treat the condition you might have. Are there any major teaching hospitals (hospitals affiliated with a medical school) in your area that specialize in your condition or treatment? Widen your search by going online or going to your local library and asking the reference librarian to help you research doctors and medical centers that specialize in your condition.

Think nationally, not just locally. These days, major medical centers offer virtual second opinion services, eliminating the need to physically travel for your review.

Check out disease-related organizations such as the American Cancer Society, American Heart Association, or advocacy groups focused on your specific problem. These organizations have a large volume of information, often including names of doctors or hospitals that specialize in the condition.

Special note: Try to avoid asking your current doctor to recommend where to seek a second opinion. Because medicine is very much a referral business, studies have found that physicians often refer patients to their friends. As a result, out of fear of losing referrals, the second opinion doctors tend to agree with the referring doctor, even if other alternatives are available. 

How to get the appointment

If you know the specific doctor or facility you want to see, call them directly. Explain your situation, indicating that time may be of the essence. Most specialists or facilities can accommodate second opinions. In some instances, they can refer you to another expert if an appointment is not readily available.

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