How a clinician’s desire to be thorough can cause a harmful spiral of unnecessary care

How a clinician’s desire to be thorough can cause a harmful spiral of unnecessary care

Dr. Meredith Niess saw her patient was scared. He’d come to the Veterans Affairs clinic in Denver with a painful hernia near his stomach. Niess, a primary care resident at the time, knew he needed surgery right away. But another doctor had ordered a chest X-ray instead. The test results revealed a mass in the…