From time to time, I arrange diagnostic testing to ease patients’ minds. “Could you scope my esophagus? My boss was just diagnosed with esophageal cancer.” “I know I’m not due for my colonoscopy for another 2 years. But I’d like to do it now just to be on the safe side. My wife is worried.” “No, the abdominal pain hasn’t changed since I had a CAT scan for it months ago, but maybe I should have another scan now just in case something new developed?” When these requests are offered, I do not automatically acquiesce. I try to understand better the genesis of the anxiety. Is it rationale? Is it emotional? Is there a true medical indication to justify a diagnostic test? I interpret requests for tests as invitations for dialogue. Very often, the ensuing conversation can settle the issue entirely obviating the patient’s testing request. These patients don’t really want a test; they want to be reassured. Physicians use these skills every day. I can’t count h
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