Seeking a second opinion

When you or a loved one receives a life-changing diagnosis or needs a major surgery, it’s natural to have questions. You want to ensure your treatment plan gives you the best shot at the longest, healthiest life possible.

That’s why second opinions are so crucial; they provide an additional perspective on the diagnosis and care plan, giving patients the power to decide which treatments to pursue.

Kabir Yousuf, MD, FACC, a cardiologist with Baptist Heart Specialists, and George Filosa, MD, colon and rectal surgeon with Baptist MD Anderson Cancer Center, answered common questions about second opinions and when they may be helpful.

When should someone get a second opinion?

A second opinion is useful when someone must make complex decisions. This could include a person who is:

• Deciding whether to move forward with a major surgery or procedure.
• Exploring treatment options.
• Trying to understand or confirm a complex diagnosis or treatment plan.
• Evaluating differing recommendations from doctors.
• Living with symptoms that haven’t improved despite treatment.
• Looking for reassurance before taking the next step.

“It’s not unreasonable for a patient to say, ‘Hey, do I really need this procedure? Is this the best approach? Are there alternatives?’” said Dr. Yousuf.

Dr. Filosa noted that people seek multiple opinions in everyday life, whether it’s reading restaurant reviews or shopping around for a new car.

“When a patient is reaching a major treatment decision, an alternate source of information can be valuable, even if it’s just reassuring them everything is being done correctly,” he said.

The most important thing, both doctors emphasized, is that the patient gets peace of mind and confidence in their treatment plan.

What happens during a second opinion appointment?

Prior to the appointment, the physician providing the second opinion will gather all relevant medical records for the patient, including previous testing, treatments and diagnoses.

“This allows me a full, comprehensive view of the issue,” said Dr. Filosa. “I then review the treatment decisions that have been made. In the end, I let the patient know my opinion and encourage them to continue their journey with whom they feel most comfortable.”

“My approach is always informational and educational; there’s no pressure for a patient to take my care plan or stay under my care,” said Dr. Yousuf. “Sometimes I do tell them that their original doctor’s plan was appropriate, and I think the treatment strategy is sound. Other times, I’ll make a different recommendation for the patient to consider.”

Will my doctor be offended if I request a second opinion?

Both Drs. Yousuf and Filosa agreed that second opinions are standard practice in medicine. Your doctor likely won’t mind if you request one, and in some cases, may even encourage it.

“All of us want what’s best for the patient, and there are no personal feelings involved,” said Dr. Yousuf. “Your provider won’t be offended if you want a second opinion. We want you to be comfortable with our treatment plan.”

Dr. Filosa added, “I believe the strength of a second opinion has more to do with a patient’s confidence in the approach being taken, rather than a radical change. I would always encourage patients to get a second opinion – or as many opinions as they’d like – to make sure they’re comfortable with their care.”

A second opinion can provide you with peace of mind that you’re getting the right care for your individual case. You can request a cardiology second opinion online or learn more about oncology second opinions at Baptist MD Anderson Cancer Center.