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Cancer - The Lost Follow-Up | Episode 84
Episode four of the diagnostic delay series is cancer, where the record is spread across a primary care office, an imaging center, a specialist, a pathology lab, and a hospital, and the delay usually lives in the gap between two of them.
Michelle Carroll opens with the single largest category of cancer delay: the incidental finding. A CT ordered for kidney stones or a car accident, a radiologist who notes a lung nodule in the final paragraph and recommends follow-up, and an ordering physician focused on the kidney stone. The report sits unopened until the patient returns with a mass.
She…
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