摘要：id/173874/page/1 When Vo Clark learned that his wife, Marilyn, had a rare form of cancer, he did what millions of other Americans do when they want to learn more about health options-he turned to the Internet. During one of his searches, Clark came across a Web site which offered an online second-opinion service. Since Marilyn's doctors had admitted they didn't have much experience with treating her disease, the web site was a welcome find. Clearly, it is a move toward greater consumer convenience and consumer control. But experts don't come cheap. Second opinions done the old-fashioned way are normally covered by medical insurance. The online second opinion, however, is still largely an out-of-pocket expense. Though the services which online second opinion clinics are all in the business of giving second opinions, they do operate somewhat differently. The Cleveland Clinic, for example, does not require a referring physician and will send recommendations directly to a patient and his local doctor, if requested. The service of the Partner Clinic, another famous online second opinion clinic is more physician-to-physician, requiring a referral. While it is attractive, the process can be awkward. It's important to provide the consulting physician with all details she needs to assess your case, and gathering the necessary medical records can involve calls and visits to several of your providers' offices. Typically, you'll get an opinion from your online doc in about 10 business days. But just because you get an opinion from an online doc doesn't mean you become that doctor's patient. The consulting docs most often recommend changes in treatment plans, such as medication increases, or no surgery at all. Doctors seem to enjoy the process, too. Not only is it sometimes more efficient than an office visit, but it also helps them reach more patients in need. "As a physician, you want to help as many people as you can," says Dr. George Demetri. "Now [with Partners Online Specialty Consultations] we have a controlled way to provide our skills to patients and their doctors no matter where they are. It just makes good sense." Title: Second opinion online clinics Introduction Americans will seek second opinion online when their doctors haven’t much (1) with treating their diseases. Pros and (2) of second opinion online ▲Patients who have control over their illnesses also find it more (3) . ▲Patients will spend much (4) and cannot use medical insurance. Different ways of (5)operation ▲Referring physicians are (6) in some clinics while not in others. ▲Some send (7) while others are physician-to-physician. Its awkward (8) ▲You need to: 1. Offer the consulting physician everything in detail. 2. (9) the necessary medical records. ▲The consulting docs tend to recommend changes in treatment plans. Its effects on doctors It is more (10) than an office visit and they can reach more patients in need. consmoneyrequired(7)recommendations Gather (10)efficient

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