I’m all about high-value, evidence-based healthcare.
I’ve written a lot of posts about the problems, including high costs, of overscreening and overtreating. (We spend hundreds of billions of dollars every year on unnecessary healthcare!)
So I love this video by Andrew Lazris, MD, and Erik Rifkin, PhD. They use the visual of 1000 women sitting in a theater to illustrate why screening mammograms are not the life savers many women think they are.
A picture (or video) is worth a thousand words, isn’t it?
I understand Lazris and Rifkin want to create more videos to … Continue reading
I first posted about Life Line screenings two years ago. I’m re-posting today as this post still gets a lot of traffic and I wanted to reopen the comments.
I just received an invitation in the mail!
Not to a party or a wedding or anything fun, but to a Life Line Screening event being held at a local church. The letter says they’re holding a spot for me on this particular date, but I must call NOW to confirm and register, because spaces are LIMITED!
“These aren’t just routine medical procedures—they can help save your life”
Oh, … Continue reading
Last week I posted that you should always ask for a copy of your medical reports.
One of the downsides, of course, is that those reports are often written in medical language that can be confusing or alarming.
But in response to a more savvy patient population, the College of American Pathologists has made a video to explain how the system works and to encourage patients to be involved in obtaining and understanding their pathology reports.
You can watch the video here on the medical website KevinMD.
They also created a two-page educational brochure to guide a patient through … Continue reading
An error of omission
A few weeks ago there was a lot of news about how medical mistakes are the third leading cause of death in the US, behind heart disease and cancer.
A medical error is defined as “an unintended act (either of omission or commission) or one that does not achieve its intended outcome.”
And now a Philadelphia paper is highlighting one very common mistake: when you and/or your doctor are not informed about a serious finding on a medical test.
The article explains that a well-known local musician (which is why this story is popular on … Continue reading
I’ve been a fan of Peggy Girshman’s science and healthcare writing for a long time, so it was with great sadness that I read about her death in March at the young age of 61.
But in tribute to her award-winning journalism career, which included long stints at both NPR and Kaiser Health News, she actually wrote her own eulogy!
She wanted to share a few simple lessons she had learned from her years on the job of reporting healthcare-related stories. Because they resonate with my own view that we need more health and less medicine, I wanted … Continue reading
The high lead levels in Flint, Michigan’s water supply have been news for several months. There’s been a lot of finger pointing and congressional hearings and such, but the bottom line is that because an agency didn’t do its job properly, the health of many kids was put at risk.
Lead poisoning is especially serious in infants and young children, as it interferes with brain development.
Sadly, the situation in Flint is not unique. Washington, DC, had a similar crisis a few years ago, and just last week my home state, Washington, reported that 34 water systems had lead … Continue reading
One of the great things about living in Seattle is that because we are home to so many biotech companies, I often hear about innovative devices before they’re on the market.
I like to see (sometimes) where health technology is taking us.
I just saw a news report on a new dental imaging x-ray that actually isn’t an x-ray because it doesn’t use radiation. Instead it uses ultrasound, and it’s called the S-RAY.
I’ve posted before about the dangers of too much radiation from imaging studies, including dental x-rays. Dentists frequently order x-rays every year, even though the American … Continue reading
PSA stands for Prostate-Specific Antigen. It’s a blood test used to screen for prostate cancer.
Doctors used to recommend an annual PSA test for men over 40. But now we know that the PSA is not a good screening tool. It results in a high number of false positives, and not all forms of prostate cancer need to be treated.
Too many men have received unpleasant, expensive treatment they didn’t need.
In an excellent YouTube video, Dr. Mike Evans explains more:
In 2012 the United States Preventive Services Task Force (USPSTF) recommended against … Continue reading
I read two articles yesterday that complemented each other:
In Kaiser Health News (KHN) Heavy Use Of CT Scans Raises Concerns About Patients’ Exposure To Radiation
And on KevinMD two radiologists posted The financial costs of treating CT-induced cancer
Each underscores the fact that CT scans are significantly overused in American healthcare.
Although CT scans are an essential diagnostic tool, the Food and Drug Administration reports that an estimated 30 to 50 percent of imaging tests are believed to be medically unnecessary.
Considering we spend tens of billions of dollars every year on diagnostic imaging, that’s a lot of wasted … Continue reading
When my son was about 10 years old he got an infected blister on his foot. I took him to the pediatrician to have the abscess drained, and then he was given a prescription for Augmentin, a fancy and expensive form of amoxicillin.
(If I knew then what I know now, of course, I would have 1) questioned whether an antibiotic was really necessary, and 2) wasn’t there a cheaper alternative to a brand name drug?)
Within 24 hours of taking the Augmentin, my son developed a terrible case of hives starting on his infected foot and eventually running up … Continue reading