Heather Wolfe published a Teachable Moment in JAMA Internal Medicine today. She presents a woman with clinical early stage- breast cancer who received needless staging imaging, and was found to have an adrenal incidentaloma. This led to a ‘diagnostic cascade’ of further imaging, biochemical testing and patient anxiety regarding the possibility of metastatic disease. This case highlights the harms that can result from ‘well intentioned’ seemingly benign steps such as unnecessary imaging.
The idea for this manuscript came up while going through the Choosing Wisely Recommendations- this is a great resource for ideas for future manuscripts. Co-authors include Arjun Gupta and primary mentor Dr. Navid Sadeghi.
Congratulations Heather !! 🙂