Today the ABIM foundation featured a blog post by a man that went to see a orthopedic surgeon for elbow pain, but didn't want to have a x-ray taken because of fear of malignancy due to radiation
" There is growing evidence of the danger of radiation exposure. (They were careful to place protection over my “family jewels” as they x-rayed my wrist.) It is not about just the one x-ray, it’s the accumulation of x-rays over 20 to 30 years and beyond that worries me. I think an x-ray was unnecessarily done “to” me in this instance and would have felt more comfortable refusing the x-ray for the sake of my long-term health. Others may chose otherwise but the evidence is clear that informed patients generally opt for less care rather than more and when given an opportunity, they “choose wisely.”
I strongly believe in engaged patients, but as I say every day, an engaged patient does his RESEARCH, if this man had done this, he would have realised that one elbow x ray equals three hours of just breathing (background radiation).
THREE HOURS OF JUST LIVING.
That won't add up to anything in the future.And he doesn't understand why they covered what he calls "family jewels", I am assuming he is talking about testicles?
Besides, many orthopedic surgeons ask for x rays, if you don't agree with the doctor, go to another one, how about a GP?
This is not a "choosing wisely" example, this is a confused knowledge example