There’s something about getting a second opinion for a medical problem that challenges our sense of trust in doctors.
Most physicians agree it’s foolish for consumers not to seek as much advice and wisdom as they can when it comes to their health.
But will my doctor get angry, you wonder? Will that unspoken pact of trust be broken if I want a second opinion?
If your doctor reacts in this manner, it’s definitely time to consider getting a new one.
Doctors know they’re not infallible and, besides, many third-party payers now require a second opinion anyway.
Second opinions should be considered when you are having elective surgery or some type of major medical treatment. However, emergencies, when time is of the essence and lives are at stake, do not lend themselves to second-opinion status.
Because of changing insurance requirements, it’s extremely important to take an active role in your health care decisions. Know your insurance company’s policy regarding second opinions, or you could be held financially responsible for your medical expenses. Remember that many third-party payers will not reimburse if a second opinion is not obtained.
Definitely get another opinion if treatment involves a risk or great expense; if there is some confusion in the diagnosis or when you do not understand your medical problem; when your physician admits he or she is unsure; or at any time you wish.
You can ask your doctor to recommend someone. And don’t be afraid he or she will only pick someone who agrees with him or her. Doctors know such an action would be unethical.
You can also ask your insurance company. Many times, it may even specify who you should see or supply a list of preferred physicians, depending upon your insurance plan. You can also contact your local medical society to check credentials.
Physicians who give a second opinion generally agree not to “steal” the patient, but you have the right to choose any doctor you want.
Many times, your insurance company will pay if it requires another opinion. If you have to pay, it’s probably worth the extra money, just to have peace of mind that you have aggressively sought the best solution to your health problem.
What do you do when the second opinion differs from the first? There is something called a third opinion, but that’s for another column.
Dr. Michael M. Warren is Ashbel Smith professor of surgery at University of Texas Medical Branch Division of Urology.
