{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Leading medical groups say there are 90 more overused tests and treatments a patient should question if their doctor prescribes them.  Some may cost unnecessary time and money or do more harm than good.' data-url='/boclips/videos/5c54baa5d8eafeecae11f167' data-video-url='/boclips/videos/5c54baa5d8eafeecae11f167' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nLeading medical groups say there are 90 more overused tests and treatments a patient should question if their doctor prescribes them.  Some may cost unnecessary time and money or do more harm than good.\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eHEADLINE:  Doctors list tests patients should questionCAPTION:     Leading medical groups say there are 90 more overused tests and treatments a patient should question if their doctor prescribes them.  Some may cost unnecessary time and...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eHEADLINE:  Doctors list tests patients should question\u003cbr/\u003eCAPTION:     Leading medical groups say there are 90 more overused tests and treatments a patient should question if their doctor prescribes them.  Some may cost unnecessary time and money or do more harm than good.  (Feb. 21)\u003cbr/\u003eWashington DC - date unknown\u003cbr/\u003e1. Pan from a patient in an exam room to his doctor\u003cbr/\u003e2. Tight of doctor writing in chart\u003cbr/\u003e3. Mid of doctor talking to patient\u003cbr/\u003eWashington DC - February 21, 2013\u003cbr/\u003e4. SOUNDBITE: (English)  Dr. E. Blair Holladay, Executive Vice President, American Society for Clinical Pathology:\u003cbr/\u003e\"We're in the age of preventative medicine.  So, part of preventing medicine is not to test for things we don't need.  We're also in the age of being proactive about our health care choices, and patients are stepping forward and want to be more proactive.  You get a second opinion, don't you?\"\u003cbr/\u003edate and location unknown\u003cbr/\u003e4x3\u003cbr/\u003e5. Various of a nurse taking a patient's temperature\u003cbr/\u003e6. Doctor taking nasal swab of patient\u003cbr/\u003eWashington DC - February 21, 2013\u003cbr/\u003e7. SOUNDBITE: (English)  Dr. E. Blair Holladay, Executive Vice President, American Society for Clinical Pathology:\u003cbr/\u003e\"The importance of testing for it is probably really mute because the effectiveness with the relationship between Vitamin D and a disease is very, very weak and there is little empirical data to prove that in fact a Vitamin D deficiency is going to help manage a patient's clinical disease.\"\u003cbr/\u003eLos Angeles, California - date unknown\u003cbr/\u003e8. Wide of nurse calling a patient in clinic\u003cbr/\u003e9. Mid of nurse talking to patient about paperwork\u003cbr/\u003eWashington DC - February 21, 2013\u003cbr/\u003e10. SOUNDBITE: (English)  Dr. E. Blair Holladay, Executive Vice President, American Society for Clinical Pathology:\u003cbr/\u003e\"HPV tests per se, however, come in two different flavors.  One of them is a low risk test, and the other is a high risk test.  The low risk test that's been around for many, many years is still ordered by clinicians but has no relationship to the development of cervical cancer.\"\u003cbr/\u003eWashington DC - date unknown\u003cbr/\u003e11. Pan of exam room at an ob/gyn office\u003cbr/\u003e12.  Pull out from microscope in ob/gyn exam room\u003cbr/\u003eWashington DC - February 21, 2013\u003cbr/\u003e13. SOUNDBITE: (English)  Dr. E. Blair Holladay, Executive Vice President, American Society for Clinical Pathology:\u003cbr/\u003e\"We would rather focus on helping patients manage the right kinds of disease and the right cost at the right patient at the right time.\"\u003cbr/\u003eDallas, Texas - January 2013\u003cbr/\u003e14. Wide of a waiting room at an urgent care clinic\u003cbr/\u003e15. Mid of patient checking in at clinic\u003cbr/\u003e16. Mid of woman filling out paperwork in clinic waiting room\u003cbr/\u003eDon't be afraid to question your doctor and ask, \"Do I really need that?\"\u003cbr/\u003eThat's the advice from leading medical groups who came up with dozens of tests and treatments that physicians too often prescribe when they shouldn't.\u003cbr/\u003eDon't run a blood test to check Vitamin D levels when most people can combat any deficiencies with a little more sun exposure and an over-the-counter supplement.  \u003cbr/\u003eDon't test for high and low risk HPV cases when the low risk cases don't lead to cervical cancer or any other serious condition.\u003cbr/\u003eThese are examples of potentially needless care that not only can waste money and time, but sometimes can harm, says the warning issued Thursday by medical specialty groups that represent more than 350,000 doctors.\u003cbr/\u003e\"We're in the age of preventative medicine.  So, part of preventing medicine is not to test for things we don't need,\" said Dr. E. Blair Holladay, the Executive Vice President of the American Society for Clinical Pathology.  \u003cbr/\u003eThe ASCP contributed to the list, offering the Vitamin D and low-risk HPV test recommendations and three others. \u003cbr/\u003eHolladay says there is very little evidence that shows a Vitamin D deficiency on its own can lead to a serious medical condition.    \u003cbr/\u003eThe recommendations are part of a coalition called Choosing Wisely, formed by the American Board of Internal Medicine Foundation. \u003cbr/\u003eParticipating medical societies were asked to identify five tests or treatments that are commonly overused in their specialty. \u003cbr/\u003eThe list is aimed at doctors and includes references to published studies.\u003cbr/\u003e\"We would rather focus on helping patients manage the right kinds of disease and the right cost at the right patient at the right time,\" said Holladay.\u003cbr/\u003eConsumers Reports and other consumer groups are publicizing the information in more patient-friendly terms.\u003cbr/\u003eLast year, the coalition listed 45 overused tests and treatments. It included some of the best known examples, such as too much imaging for back pain and repeating colonoscopies too frequently.\u003cbr/\u003eThis year's list adds 90 more overused kinds of care. \u003cbr/\u003eSome other examples:\u003cbr/\u003e   _Don't use opioid painkillers for migraines except as a last resort, say the neurologists. There are better, more migraine-specific drugs available without the addictive risk of narcotics. Plus, frequent use of opioids actually can worsen migraines, a concept known as rebound headache.\u003cbr/\u003e   _Just because a pregnant woman misses her due date, don't race to induce labor if mom and baby are doing fine, say the obstetricians. Inducing before the cervix is ready often fails, leading to an unneeded C-section. \"Just being due by the calendar doesn't mean your body says you're due,\" Stream notes.\u003cbr/\u003e   _Don't automatically give a child a CT scan after a minor head injury, say the pediatricians. About half of children who go to the ER with head injuries get this radiation-heavy scan, and clinical observation first could help some who don't really need a CT avoid it.\u003cbr/\u003e   _And don't leave an implanted heart-zapping defibrillator turned on when a patient is near death, say the hospice providers. This technology clearly saves lives by guarding against an irregular heartbeat. But if someone is dying of something else, or is in the terminal stages of heart disease, it can issue repeated painful shocks, to no avail. Yet fewer than 10 percent of hospices have formal policies on when to switch off the implants.\u003cbr/\u003e(SUPER = File)\u003cbr/\u003e(SUPER = Dr. E. Blair Holladay, Executive Vice President, American Society for Clinical Pathology)\u003cbr/\u003e\"We're in the age of preventative medicine, so part of preventing medicine is not to test for things we don't need.\"\u003cbr/\u003e(SUPER = Dr. E. Blair Holladay, Executive Vice President, American Society for Clinical Pathology)\u003cbr/\u003e\"It happens to be an overutilized test and does cost the health care sector a fair amount of money each year.\"\u003cbr/\u003e(SUPER = Dr. E. 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