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’ve posted before about the limitations of Life Line Screening.
The screening tests they offer in their basic “wellness” package are either not recommended at all because they aren’t effective screening tools (carotid ultrasound), or are not recommended for the general public (abdominal aortic aneurysm ultrasound). Please read my previous post for more information on that: Don’t reach for Life Line Screenings
Screening tests are best discussed with your primary care physician. He or she will help you know which tests are right for you—based on your age, health history and family history—as well as how often they … 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
I think it was a mistake to allow prescription drug commercials on TV. In my humble opinion, at least.
But I’m not alone in disliking these commercials, or direct-to-consumer (DTC) ads, as they’re called.
The news website Vox recently released a video that explains more about how DTC ads came to be ever present on our TVs. They attempt to be fair and present both sides of the debate, but it seems to me they lean negative. What do you think?
One of my objections to DTC ads is that these multi-billion dollar campaigns are … Continue reading
They say a picture is worth a thousand words, and the online news site Vox recently sought to open Americans’ eyes as to how much more we pay for healthcare compared to other countries.
America’s healthcare prices are out of control. These 11 charts prove it.
I can’t copy their charts, but basically they are bar graphs. The bar that shows how much patients in the US pay for similar drugs and services towers over the others like a skyscraper over a neighborhood of single-family homes. Like this:
Vox got its information from the International Federation of Health Plans (IFHP)… Continue reading
As a nurse who worked for a surgeon, I had to spend a lot of time talking to patients and educating them about their proposed surgeries.
The surgeon talked to them first, of course, but often patients don’t remember everything the surgeon said. Or they think of questions after the consult.
If I couldn’t answer a question, or if I thought the patient really didn’t understand what the surgery entailed—why it was being done, other options to surgery, recovery time, etc.—I would ask the surgeon to please speak with the patient again.
If I was going to sign my name … 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
Knowledge is king
That’s the take home message from Professor (of pharmacy) James McCormack’s latest parody video, End of the Line, which takes a whack at healthcare’s increasingly pervasive and rigid medical guidelines.
If followed to the letter, these guidelines (often based on research funded by drug companies) would have everyone diagnosed with a disease and taking one or more medications. Medical guidelines may be great for the drug business, but not so much for individualized, patient-centric care and shared decision-making.
Chronic disease state guidelines (blood pressure/lipids/glucose/bone density) do not provide clinicians with
… Continue reading
Shared decision-making makes better informed patients, and better informed patients use less health care.
…as many as 20% of patients who participate in shared decision making choose less invasive surgical options and more conservative treatment than do patients who do not use decision aids.
Which lowers health care costs.
…a 2012 study…showed that providing decision aids to patients eligible for hip and knee replacements substantially reduced both surgery rates and costs — with up to 38% fewer surgeries and savings of 12 to 21% over 6 months.
[It’s] estimated that implementing shared decision making for just 11 procedures would
… Continue reading
I don’t think anyone would be surprised to know that Americans are popping more pills than ever.
About 60% take at least one prescription medication. Even more take daily dietary supplements, herbal remedies or other over-the-counter drugs.
And the more drugs you take, the higher the risk of dangerous drug interactions.
A new study published this month in JAMA reports that close to 88% of older Americans over the age of 62 take at least one drug. Of those, the report estimates, 15% are at high risk of suffering from a major drug-drug interaction.
I read Dr. Richard Lehman’s response … Continue reading