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Medical Forum / General / Laboratory / February 2005

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Direct access to lab services without a Doctor's visit

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DirectLabs.com - 15 Feb 2005 22:27 GMT
Consumers can now go directly to the major labs without a Dr's appt.
DirectLabs visualizes a future where informed consumers will choose
early detection and prevention over crisis-driven medical care.  Our
service empowers people to obtain essential medical information to take
the earliest action against severe health problems. Our goal is to
provide low cost, high quality screening services directly and
confidentially to you, the consumer.

All blood tests offered at a savings of up to 70% off typical
laboratory costs. The tests available are the same lab tests ordered by
physicians, and are analyzed by the same CLIA-certified, accredited
clinical laboratories.
Manky Badger - 15 Feb 2005 23:04 GMT
> Consumers can now go directly to the major labs without a Dr's appt.
> DirectLabs visualizes a future where informed consumers will choose
[quoted text clipped - 8 lines]
> physicians, and are analyzed by the same CLIA-certified, accredited
> clinical laboratories.

How "informed" will the "consumers" be?
And when "informed consumers" find that, for example, their mean corpuscular
volume is 105 fl, what will they do with that information?
Robert - 16 Feb 2005 07:16 GMT
> > Consumers can now go directly to the major labs without a Dr's appt.
> > DirectLabs visualizes a future where informed consumers will choose
[quoted text clipped - 12 lines]
> And when "informed consumers" find that, for example, their mean corpuscular
> volume is 105 fl, what will they do with that information?

Who will pay for the lab work in order to have an informed consumer?
DirectLabs.com - 16 Feb 2005 14:57 GMT
The consumer will pay, a fee which is considerably less than the amount
that would be billed by the same lab for the same test.  We have over
300 physicians that refer their patients without insurance or with high
deductibles.  Many are also interested in "wellness" tests (lipids,
thyroid, glucose, PSA, etc.) that is not covered under their policy
unless there is a symptom for the disease rather than routine
prevention.
slenon - 16 Feb 2005 15:35 GMT
>The consumer will pay, a fee which is considerably less than the amount
>that would be billed by the same lab for the same test.  We have over
[quoted text clipped - 3 lines]
>unless there is a symptom for the disease rather than routine
>prevention.

Over 300 physicians!  I'd be very curious as to what percentage of that
number are chiropracters, not real physicians by any stretch of the
imagination.

Wellness tests are largely a scam.  The average consumer has no more
capability to interpret a multiphasic panel, a random glucose, a non-fasting
lipid panel, correctly than I have of building a 50 story building.  Or, do
you turn away "consumers" who present to have lipids, glucose, iron studies,
and other such "wellness screening tests" performed in a non-fasting status?

I don't think I'd care to have any studies performed by your facility.  Nor
would I care to work in such a facility.

Signature

Stev Lenon 91B20 '68-'69
When the dawn came up like thunder
slenon@tampabay.rr.com
http://web.tampabay.rr.com/stevglo/index.html/slhomepage92kword.htm

DirectLabs.com - 16 Feb 2005 14:59 GMT
The recommended reference range is given for each test with their
results.  We recommend they see their healthcare provider for any
results out of that range.
slenon - 16 Feb 2005 15:37 GMT
>The recommended reference range is given for each test with their
>results.  We recommend they see their healthcare provider for any
>results out of that range.

Somewhat akin to putting the proper tire inflation ranges on the doorposts
of cars.

Signature

Stev Lenon 91B20 '68-'69
When the dawn came up like thunder
slenon@tampabay.rr.com
http://web.tampabay.rr.com/stevglo/index.html/slhomepage92kword.htm

Robert - 16 Feb 2005 19:03 GMT
> The recommended reference range is given for each test with their
> results.  We recommend they see their healthcare provider for any
> results out of that range.

Who determines what to order in the first place?
One of the reasons why a doctors order is needed is to avoid scam and fraud
on behalf of labs promoting their work.
More tests are better aren't they? The more tests done then the more money
the lab makes.
In the long run it generates more work for certain labs and if the patient
goes to a health professional with that report of an abnormal result then it
is generally repeated or worked up with more expensive tests thus generating
more expense where none would have been done.
In general when more tests are done then the chance of having one abnormal
result is increased. The common practice by doctors is to order only those
tests necessary for proper interpretation of the clinical situation. It is
the clinical situation that dictates the labs to be ordered and not the
other way around.
I don't see any advantage for the patient and I am suspicious as to why it
would be cheaper to perform a lab test without a doctors order vs one with a
doctors order. What is the reason for that?
It is considered a kick back to doctors who are associated with that lab
practice.
 
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