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Wrong Shawn Aaron?

Dr. Shawn Aaron

Respiratory Specialist

The Ottawa Hospital

HQ Phone: (613) 722-7000

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The Ottawa Hospital

1053 Carling Avenue

Ottawa, Ontario K1Y 4E9

Canada

Company Description

The Ottawa Hospital is a compassionate provider of patient-centred care with an emphasis on tertiary-level and specialty care, primarily for residents of Eastern Ontario. The Ottawa Hospital educates future health-care professionals in partnership with th ... more

Find other employees at this company (7,514)

Background Information

Education

M.D.

Web References (3 Total References)


There were some cases where people ...

www.coscny.com [cached]

There were some cases where people obviously had asthma when they were diagnosed, said lead researcher Dr. Shawn Aaron, a respiratory specialist at Ottawa Hospital, in Canada. But their symptoms later went into remission.

In most cases, though, it could not be determined whether the patient's asthma had gone away or been misdiagnosed from the start, Aaron said.
What was clear, he said, is that many patients were told they had asthma without any objective testing.
Almost half had been diagnosed based only on their symptoms and their doctor's evaluation.
And that's a problem, according to Aaron. He said it's "bizarre" that doctors would diagnose a chronic disease without the available objective tests.
"If someone had possible symptoms of diabetes, a doctor wouldn't say, 'Oh, you have diabetes, here's some insulin,'" Aaron said. "They would order a test of the patient's blood sugar levels."
To help diagnose asthma, doctors use a spirometer -- a device that measures how well a patient can inhale and exhale.
Aaron could not say why so many doctors may be skipping spirometry. (Primary care doctors can do it themselves, without referring patients to a specialist, he noted.)
But Aaron speculated that some doctors might not be comfortable with spirometry. "Some primary care providers may feel they don't have the expertise, or the time, to do it," he suggested.
...
In fact, Aaron pointed out, guidelines suggest that patients have their treatment "stepped down" if their symptoms have been under good control for three months.
The new findings, published in the Jan. 17 issue of the Journal of the American Medical Association, are not completely unexpected.
Past studies had hinted that many adults with an asthma diagnosis might not really have the disease. But the current study was more rigorously done, Aaron said.
...
A small number of people had serious medical conditions that were misdiagnosed as asthma, Aaron said: 2 percent had conditions such as heart disease and chronic lung diseases other than asthma.
...
Aaron had this advice: If your doctor says you have asthma, ask for a spirometry test to confirm it.
"If you insist on the right testing," he said, "you'll get it."
The same goes for adults who think they've been misdiagnosed with asthma, or believe their asthma has remitted, he said.
"Do work with your doctor," Aaron advised.


Health

www.blackriverfalls.com [cached]

There were some cases where people obviously had when they were diagnosed, said lead researcher Dr. Shawn Aaron, a respiratory specialist at Ottawa Hospital, in Canada. But their symptoms later went into .

In most cases, though, it could not be determined whether the patient's asthma had gone away or been misdiagnosed from the start, Aaron said.


There were some cases where people ...

gradyhealth.staywellsolutionsonline.com [cached]

There were some cases where people obviously had asthma when they were diagnosed, said lead researcher Dr. Shawn Aaron, a respiratory specialist at Ottawa Hospital, in Canada. But their symptoms later went into remission.

In most cases, though, it could not be determined whether the patient's asthma had gone away or been misdiagnosed from the start, Aaron said.
What was clear, he said, is that many patients were told they had asthma without any objective testing.
Almost half had been diagnosed based only on their symptoms and their doctor's evaluation.
And that's a problem, according to Aaron. He said it's "bizarre" that doctors would diagnose a chronic disease without the available objective tests.
"If someone had possible symptoms of diabetes, a doctor wouldn't say, 'Oh, you have diabetes, here's some insulin,'" Aaron said. "They would order a test of the patient's blood sugar levels."
To help diagnose asthma, doctors use a spirometer -- a device that measures how well a patient can inhale and exhale.
Aaron could not say why so many doctors may be skipping spirometry. (Primary care doctors can do it themselves, without referring patients to a specialist, he noted.)
But Aaron speculated that some doctors might not be comfortable with spirometry. "Some primary care providers may feel they don't have the expertise, or the time, to do it," he suggested.
...
In fact, Aaron pointed out, guidelines suggest that patients have their treatment "stepped down" if their symptoms have been under good control for three months.
The new findings, published in the Jan. 17 issue of the Journal of the American Medical Association, are not completely unexpected.
Past studies had hinted that many adults with an asthma diagnosis might not really have the disease. But the current study was more rigorously done, Aaron said.
...
A small number of people had serious medical conditions that were misdiagnosed as asthma, Aaron said: 2 percent had conditions such as heart disease and chronic lung diseases other than asthma.
...
Aaron had this advice: If your doctor says you have asthma, ask for a spirometry test to confirm it.
"If you insist on the right testing," he said, "you'll get it."
The same goes for adults who think they've been misdiagnosed with asthma, or believe their asthma has remitted, he said.
"Do work with your doctor," Aaron advised.
...
SOURCES: Shawn Aaron, M.D., senior scientist and respirologist, Ottawa Hospital, and professor, University of Ottawa, Ottawa, Canada; Brian Christman, M.D., professor, medicine, Vanderbilt University Medical Center, Nashville, Tenn.; Jan. 17, 2017, Journal of the American Medical Association

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