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January 8, 1988

A Second-Opinion Program for Coronary Artery Bypass Graft Surgery

Author Affiliations

Kaiser Permanente Panorama City, Calif

Kaiser Permanente Panorama City, Calif

JAMA. 1988;259(2):214. doi:10.1001/jama.1988.03720020016011

To the Editor.  —The study by Graboys et al1 and the accompanying editorial in the same issue of JAMA by McIntosh2 do not analyze the reactions and actions of the patient facing a second opinion contradictory to the first opinion. The study's authors write of the difficulties confronting a physician providing a second opinion, which, "to date, have not been resolved." The editorial's author also comments on the difficulties encountered by the physician rendering a second opinion, adding that "this study by Graboys et al should encourage the public to ask more frequently for a second opinion."It has been my practice for years, as a result of observing the bitter trials experienced by some patients receiving contradictory opinions, whenever I see a patient for a second opinion to preface the medical care activity by a discussion with the patient of the potential dilemma to be faced in