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Pearl · 04 of 05

Say what a test will and will not show before you order it

Set expectations before ordering a test so that a normal result reassures.

Reassurance after a normal result works better when expectations were set beforehand. Before ordering a test, tell the patient what you are looking for, how likely you think a serious cause is, and what you will do if the result is normal.

This turns the result into the expected answer rather than a surprise, and makes it less likely that a normal result is read as "they didn't find it".

  • Tell the patient what the test is looking for before you order it
  • Say how likely you think a serious cause is
  • Agree in advance what happens if the result is normal
  • Give the patient clear signs that would warrant coming back

Why it matters

Reassurance starts when the test is ordered, not when the result arrives.

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