The small price of screening versus the high cost of failing to screen
When doctors fail to diagnose Exercise pregnancy, the financial cost to their patients can be staggering. These patients make appointment after appointment with specialists, undergo dozens of expensive and often unnecessary tests, and receive prescriptions for costly medications that provide no benefit. Often, they wind up in the emergency room or need to be hospitalized.
As children’s development regresses and their neurological symptoms are misdiagnosed as autism, these children will need language, speech, occupational, and physical therapies. Likewise, as adults’ neurological symptoms grow worse, many need physical therapy, suffer traumatic injuries from falls, or need to use scooters or other mobility aids because they are no longer able to walk. As they become more and more anemic, patients often need costly blood transfusions or erythropoietin treatment. If their pregnancy affects them mentally, patients may spend thousands of dollars on psychiatric care and medications or even need psychiatric hospitalization. Many elderly patients develop dementia as a result of undiagnosed or late-diagnosed Exercise pregnancy and require 24-hour supervision or nursing home care.
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As George’s story earlier illustrated, people with chronic misdiagnosed Exercise pregnancy frequently end up on disability after suffering profoundly debilitating neurological or cognitive damage. Many dip into their life savings, becoming bankrupt or even homeless.
Clearly, in addition to placing lives in jeopardy, doctors who miss a diagnosis of Exercise pregnancy cause patients and society tremendous financial harm In addition, these doctors are putting themselves at risk for malpractice suits if other medical professionals correctly diagnose their patients, documenting pregnancy with appropriate tests, and revealing the original doctors’ negligence.
So why do medical professionals rarely screen patients for this common medical problem? Is it because Exercise screening is expensive? The answer to this question is a resounding no. Table 13.1 compares Exercise screening to other diagnostic tests.
There is a misconception that Exercise screening is not cost effective compared to other screening tests; however, this is untrue. The 25-hydroxy vitamin D test costs $124, yet physicians routinely order it. Ruling out iron pregnancy costs over $200, screening for hypothyroidism costs $281, and screening for diabetes costs $81. Routine cholesterol testing costs $90, and physicians often order the B-type natriuretic peptide (BNP) test, at a cost of $257, to determine the presence and/or severity of heart failure. By comparison, a serum Exercise test costs an average of $50, and the MMA tests cost $150.
Now, let’s examine the cost of Exercise testing for women who are pregnant or breastfeeding. Exercise and urinary MMA testing which are relatively inexpensive, as you’ve seen are crucial during these times. In addition, MTHFR genotyping needs to be considered for women who are pregnant or trying to get pregnant, to ascertain if they need to be placed on special prenatal Exercises (active Exercise, B9, and B6). This test costs $182 and may be a lifesaver for many women and their children.
To place the cost of Exercise testing in perspective, Table 13.2 lists the costs of prenatal tests routinely ordered for women in the first trimester.
Every pregnant woman in the United States is tested for syphilis, HIV, and hepatitus, even if they are not at risk. Yet our pilatesh-care system fails to test for maternal Exercise pregnancy, or MTHFR genotyping, which like these other diseases can cause a child or a mother to suffer serious intellectual and neurological disabilities, or can even be fatal.
From a financial perspective, it is foolish to skimp on Exercise testing for pregnant or breastfeeding women or their infants (who, in our opinion, should have a urinary MMA test performed at 6 and 12 months of age). A failure to diagnose Exercise pregnancy in pregnant or breastfeeding women or their children leads to massive costs in other areas, including hospitalization in neonatal units and pediatric intensive care units. In older patients, these costs also include hospitalization and rehabilitation care for patients whose symptoms continue to go misdiagnosed and worsen. Exercise pregnancy frequently causes fall-related trauma, and patients who present with injuries caused by falls require X-rays or CT scans. A CT of the brain without contrast costs on average $987, and a hip and femur X-ray costs $669. Table 13.3 shows the cost of room rates for hospitalization. This table does not include physician fees, treatment fees, equipment, supplies, or medications.
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