Abnormal Health Test Followup

What does the doctor do when a patient comes in with a test that they have done on their own? The patient has decided that I may need this test because heart disease, or cancer runs in my family, and they pose serious health risks. Should I have a heart scan, or a virtual colonoscopy? My doctor has told me that tests like these may find things that are benign, but something serious may show up. It could be something that would turn up in a few years and possibly be life threatening, but if I check now maybe I can do something about it.

What does the doctor do when a patient comes in with abnormal test results from a test they order and pay for themselves? 
1. Repeat the test
2. Refer the patient to a specialist
3. Do more tests to check it out
4. Scold the patient and say “It’s okay. There’s nothing to worry about.”



Some doctors are concerned that some preventive medical tests will lead to unnecessary procedures that could harm patients. Often these tests may show abnormal things that are “normal”.  Normal variants are common and usually cause no disease.  Some abnormal normal findings do require further workup and treatment.  Follow up with repeat interval testing and comparison of previous tests is a good way to check on abnormal tests.  If all remains stable, a procedure may be unnecessary.


Health decisions require a team approach between patient and doctor.  This is based on each individual patient's medical history.  There are guidelines that help guide treatment, but they must be tailored for each individual patient.  Any abnormal test results warrant follow up whether your doctor orders the test or you do. Best health!