As I understand it there is a growing trade in repairing “subclinical” latent hernias privately particularly in sportspeople. It may be thought of as a way of heading off an epidemic of surgical requests to treat “proven but assymptomatic” hernias
There might be ways of framing the request that doesn’t mention hernias?
Tim
> On 15 Dec 2016, at 20:58, Dinesh Patel <[log in to unmask]> wrote:
>
> How odd. Direct to test is preferred to un-necessary clinic referrals.
>
> Dinesh.......
>
> On 15 Dec 2016, at 20:55, Paul Bromley <[log in to unmask]> wrote:
>
> Thoughts on this please. Patient presenting with a possible hernia, but you cannot definitely demonstrate one. I have always thought it reasonable to refer these for Ultrasound. Have had a number of rejections from one provider stating that these are clinically inappropriate. What should I therefore do and what modality do I request? Have written to them to see what is going on. Have also had a few bounced for other requests - one being a 50+ year old female complaining of bloating to rule out ovarian lesion . Getting rather 'cheesed off'! One way to get their referrals down. I am partly told this is due to an overzealous clinican at their end who is vetting all referrals.
>
> --
> Best Wishes
>
> Paul
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