Don’t be a victim of too much medical care

Too much testing = too much medicine

I just ran across an old doctor joke: What is a well person? Someone who hasn’t yet been thoroughly examined.

It’s not funny, of course, if you’re the patient and have suffered the harms—and the expense—of too much medical care.

In 2010, my husband was the victim of too much medical care. Because of complications and a string of medical errors he almost died. His care cost our insurance company over $100,000 and we were out of pocket for our $10,000 deductible.

Now he has no thyroid and has to take medication every … Continue reading

Turmeric for arthritis pain

turmeric for arthritisGood evidence for using turmeric to treat arthritis pain

I’m generally not a fan of supplements or herbal remedies.

There can be a lot of marketing hype behind these products, but not a lot of good science.

However…about a month ago I finally became so tired of living with chronic arthritis pain, mostly in my hands and neck, that I decided to research turmeric to see if there was any chance it could help me.

I wanted an alternative to ibuprofen (Advil, Motrin), which works great to control my pain, but it’s not only hard on my stomach, it’s a … Continue reading

Beware “miracle” cancer cures

miracle cancer curesFDA warns consumers

Nothing makes me angrier than unscrupulous companies (owned by unscrupulous individuals) marketing products advertised as “miracles” to cure illness.

These modern-day snake oil salespeople prey on fear and suffering by selling false hope. Worse, the products they sell can sometimes harm rather than heal.

The Food and Drug Administration (FDA) recently put out a new warning on their Consumer Updates page: Products claiming to “cure” cancer are a cruel deception

Frequently advertised as “natural” treatments and often falsely labeled as dietary supplements, such products may appear harmless, but may cause harm by delaying or interfering with proven,

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Is home genetic testing a good idea?

home genetic testingHow will you use the information?

Home genetic testing kits have been available for several years now.

With a drop of spit and a couple hundred bucks, you can learn a lot about your genetic ancestry and your risk for developing certain diseases.

Sort of.

Although I’d accept without question a report that told me which continent my ancestors hailed from, I’d be much less willing to make decisions about my health based on one of these home genetic testing kits.

Why? Isn’t all information good?

Only if you know what to do with it after you have it.

Dr. … Continue reading

HPV vaccine and 20-somethings

Younger is better, but…

The HPV vaccine protects against the most common types of viruses that not only cause cervical cancer, but mouth and throat cancers, as well.

It’s most effective when given before a child becomes sexually active.

But what about all the 20-somethings out there who didn’t have access to this vaccine? After all, it’s only been available since 2006, and before 2011 it was only offered to girls.

Is there any benefit, especially for young men, to getting vaccinated in your twenties?

I found an interesting article written by a journalist who asked the same question—because … Continue reading

Active surveillance for thyroid cancer

Papillary thyroid cancers are overtreated

In 2010 my husband almost died while being treated for a small papillary thyroid cancer.

Papillary tumors are by far the most common type of thyroid cancer, and are typically very slow growing. Most doctors I know say that if you have to get cancer, papillary thyroid cancer is the one to pick!

My husband didn’t choose to get thyroid cancer, of course, but once his primary care physician found the lump during a routine physical, he was put on a fast track to being overtreated.

Back then, we just didn’t know any better.

I … Continue reading

Teen athletes, screening ECGs, and AEDs

screening ecgsThe debate over screening ECGs

When my son was a teenager, he participated in several school sports, including track and field.

And it always freaked me out when I heard a news report about a young teen athlete suddenly dying on a track or a basketball court.

The stories were similar: young, seemingly healthy teenagers died because no one knew they had a problem with their hearts.

Every time I wondered if I should immediately take my son to his pediatrician and demand an (electrocardiogram) ECG to make sure his heart was OK.

I had to remind myself that these … Continue reading

Don’t use homeopathic remedies on children

homeopathic remediesHomeopathic remedies don’t cure, and they can harm

I’ve posted before about homeopathy and homeopathic remedies. In short, they don’t work. There is absolutely no sound scientific evidence that supports homeopathy.

Related post: A homeopathic parody

At best they’re a waste of money; at worse, homeopathic remedies may be harmful, especially to infants and small children.

In recent months, certain homeopathic remedies for teething babies have been targeted by the Food and Drug Administration (FDA).

These products, Hyland’s Teething Tablets and Hyland’s Teething Gel, contain very small amounts of a well-known poison—belladonna or “deadly nightshade.”

How can poison be a … Continue reading

Soluble fiber and bad cholesterol

insoluble fiberCholesterol and diet

A few months ago I posted about my husband’s dilemma with his cholesterol, specifically his low-density (LDL) or “bad” cholesterol level.

His physician advised a statin, but my husband is understandably reluctant to start taking a daily pill for the next 30+ years.

Because he has no other heart disease risk factors, such as being overweight, a smoker, high blood pressure or a family history of heart disease, he and his physician made a plan to re-check his cholesterol level in 6 months.

A date which is rapidly approaching.

He’s exercising more and being more careful … Continue reading

We’re doing too many screening and diagnostic tests

More tests = more money

Anyone who has read my blog over the years knows this is a subject I come back to again and again: the overuse of screening and diagnostic tests.

It’s a problem in our healthcare system for a couple of reasons.

First, the majority of healthcare providers are paid based on volume. In other words, the more patients they see, the more tests they run, the more surgeries they perform, then the more they get paid. It doesn’t matter if the outcome is poor, because they still get paid. In fact, they make even more money … Continue reading

Choosing Wisely – Use less healthcare

My goal for 2017? Use as little healthcare as possible

How will healthcare change under a new president and political party?

That’s a question I can’t answer. As I wrote in my last post, both candidates had multiple-point plans to tweak/improve/repeal/replace the Affordable Care Act, aka the ACA or Obamacare.

But I don’t know what will change or when.

What I know for sure is that for 2017 my premiums will be 20% more expensive, my co-insurance and co-pays will be higher, and my current primary care doctor will no longer be in-network.

I can and will shop around … Continue reading

“Bridge Over Diagnosis”

I’m going with an overdiagnosis theme this week.

Here’s the latest healthcare parody video from pharmacy professor James McCormack, as he continues his much-appreciated effort to raise awareness of overscreening, overdiagnosis, and overtreatment in this country.

As usual, this video is full of supporting statistics and excerpts from leading healthcare journals, so take time to pause the video and really understand the information being shared.

As I said in a previous post, overdiagnosis and the resulting unnecessary treatments cost hundreds of billions of dollars every year.

Equally bad, if not worse, I think, is … Continue reading

Don’t reach for Life Line screenings

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. 

life line screeningsOvertreating, overspending

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

Parents – Don’t use FluMist this flu season

Kids need flu shots!

Pediatricians recommend all children over the age of 6 months get a yearly flu shot.

In previous years, a nasal spray version of the flu vaccine, FluMist, has been available to parents who wanted to avoid subjecting their children to another needle jab.

But for the last 3 years FluMist has not been nearly as effective as the standard flu shot. So for the 2016-2017 flu season, the Centers for Disease Control (CDC) and the American Academy of Pediatricians (AAP) are recommending against FluMist for flu prevention.

For the 2016-2017 flu season, the Advisory Committee on

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FDA finally bans triclosan, but only in soaps

triclosanTriclosan isn’t effective

Finally!

The Food and Drug Administration (FDA) began drafting guidelines for the use of the popular antibacterial, triclosan, about 40 years ago.

Two years ago they announced they were ready to implement some much-needed oversight of this chemical. They asked the manufacturers of soaps and body washes to provide more evidence of both its effectiveness and safety.

Well, those companies came up short. Last week the FDA made its final decision to ban triclosan and some other chemicals used in “antibacterial” soaps.

Manufacturers haven’t shown that these ingredients are any more effective than plain

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