Ear, nose and throat docs weigh in on controversial test
Source: commonhealth.wbur.org Author: Rachel Zimmerman Last week, WBUR’s Martha Bebinger wrote a story about doctors at Beth Israel Deaconess Medical Center who, for the first time, got access to a list of prices for common tests and procedures. The piece triggered a minor uprising among some ENT specialists, who offered impassioned comments on the story. Martha explains the controversy: One primary care doctor, David Ives, the medical director of Affiliated Physicians Group, the largest group of private doctors that admits patients to Beth Israel, reacted to the price of a nasal endoscopy and said he thinks the procedure is used too often when a physical exam would suffice. This comment angered many Ear, Nose and Throat specialists who say the development and use of this scope is one of the most important diagnostic tools in their field in recent history. Before filing the story, I searched for medical literature comparing either the cost effectiveness or the outcomes of a nasal endoscopy vs. a physical exam. I didn’t find anything. I did not call a representative of the American Academy of Otolaryngology for their views on nasal endoscopy. We offer that now. Wendy Stern is the chair elect of the Public Relations committee for the American Academy of Otolaryngology/Head and Neck Surgery, a former president of the Massachusetts Society of Otolaryngology. Dr. Stern says nasal endoscopy allows the physician to look for signs of bacterial infection, structural changes, polyps or tumors that would not be visible without this tool. Not using [...]