Last week I discussed my worry that doctors would no longer have relationships with patients, but rather would plug us into pre-determined screening, diagnostic and treatment “pathways” without much regard for our personal stories.
Then I read the book When Doctors Don’t Listen: How to Avoid Misdiagnoses and Unnecessary Tests by two ER physicians, Leana Wen, MD, and Joshua Kosowsky, MD.
And they agree “cookbook” medicine is a problem. They see it all the time in the emergency rooms.
Medicine has morphed from thoughtful engagement between doctors and patients to cookie-cutter recipes that regard all individuals alike…this cookbook
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I don’t consider myself old, but we are all aging, aren’t we?
One of my personal irritations with our for-profit health care system—and the main reason I started this blog—is its predilection to market and sell screening tests and prescription medications of questionable value to the aging population.
In his book Rethinking Aging: Growing Old and Living Well in an Overtreated Society, Dr. Nortin Hadler scrutinizes some of the most over treated aspects of aging, and rigorously reviews the scientific literature that does—or doesn’t—support those treatments.
Like many doctors that are thankfully pushing back against the current … Continue reading
No, it’s not a new main dish like the turducken or tofurkey.
A churkendoose is the imaginary barnyard creature created for a children’s story by Ben Ross Berenberg in 1946. A definite oddball, it’s part chicken, turkey, duck and goose.
Sadly out of print, The Churkendoose was a popular Golden Book and 45-rpm record that delighted several generations of children and their parents. Beautifully orchestrated, the 9-minute recording (1947) features Ray Bolger (the scarecrow in The Wizard of Oz) singing the title role:
I have a head like a chicken and legs like a duck; instead
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The canary in the coal mine
Late last week I read the troubling story about a recent polio outbreak in Syria. Although polio, thanks to the vaccine, has been almost eradicated in most parts of the world, it is still present in several middle eastern countries.
Because of political unrest and the huge numbers of refugees fleeing to Europe, world public health officials worry about more widespread outbreaks of this crippling, and deadly, disease.
Outbreaks of highly contagious, but preventable, diseases have become more common because of the anti-vaccination movement. And as these like-minded individuals tend to settle … Continue reading
Know some resources and use them
Triage is a commonly used word in medicine, especially in overcrowded emergency departments as staff do their best to determine which patients are sickest (will soon die unless treated) and which can wait. This process of prioritizing patients for treatment is known as triage.
But triage has a broader definition: The principle or practice of allocating limited resources.
And for most of us, money is definitely a limited resource!
In 2014 more health insurance policies will come with huge deductibles, and I think this trend will continue. Health care costs are not going to … Continue reading
Supermarkets can be scary
Today is Halloween, and I just watched the most terrifying movie! 😯
No, it wasn’t Carrie or Paranormal Activity 4. It was Food, Inc., an exposé of America’s food industry—the multinational, fast-food and junk-food-supporting, animal-abusing, politically-subsidized conglomerations that produce the majority of our food products.
The film maker, Robert Kenner, points out that the average supermarket contains 47,000 items, but most are made by just a handful of giant corporations, such as Coca Cola, Tyson or Proctor & Gamble.
These megacompanies keep hidden some pretty nauseating industry practices. Perhaps they think we are too ignorant … Continue reading
The problem of too many antibiotics
For at least three decades, doctors have been aware that they over prescribe antibiotics, a practice that raises the risk of antibiotic-resistant bacteria. Like the well-known MRSA (mersa), methycillin-resistant staphylococcus aureus.
But they still do it.
A recent report from researchers at Brigham and Women’s Hospital in Boston shows that between 2000 and 2010, doctors wrote antibiotic prescriptions for 60% of sore throats, even though they were only appropriate—for strep throat— about 10% of the time.
Antibiotics were also prescribed for bronchitis (cough) in 73% of cases; antibiotics never help bronchitis, a condition caused … Continue reading
Medicine’s code of silence
I remember I was a very new and young nurse when I realized most patients haven’t a clue what goes on behind the privacy curtain of medical care in a hospital.
Working in the operating room, I quickly learned who were the best—and the worst—surgeons. The best had skill and good judgement, and I would enthusiastically refer my family and friends, if needed.
And the worst? “Why do these docs still get patient referrals?” I used to wonder. “Why doesn’t the hospital do something? How are patients supposed to know?”
I still ask myself these questions.… Continue reading
Even doctors are afraid of hospitals
One of my best friends is a physician, and we have an agreement: if either of us needs to go into the hospital for surgery, the other will be there to make sure everything is done right.
Hospitals are scary places, even for–especially for–health care professionals.
Dr. Laura Nathanson’s husband died as a result of incorrect diagnosis and delayed treatment due to poor communication between his doctors. To help inform and guide other families, she wrote a book, What You Don’t Know Can Kill You: A Physician’s Radical Guide to Conquering the Obstacles to … Continue reading
One woman’s unwitting contribution to medicine
I’m always interested in medical ethics news, and a few days ago I saw Henrietta Lacks’s name mentioned.
Who is Henrietta Lacks?
She was a poor, African-American woman who, in 1951, died at the very young age of 31 from an aggressive form of cervical cancer. Sadly, she left behind five young children.
A research team at Johns Hopkins, where she was treated, collected some of her cervical cells. Mrs. Lacks was never informed or asked for consent; it was 1951, after all, and the concepts of patient rights and privacy were basically non-existent.… Continue reading