Doctor Talk: Technology and Modern Conversation
“Doctor Talk: Technology and Modern Conversation” – The American Journal of Medicine
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Why It’s Difficult For People With Chronic Pain To Gain Their Doctor’s Trust
Byadmin2Many people with chronic pain find themselves interacting with clinicians who do not seem to trust them. Why is it hard to establish a trusting relationship with your doctor? And what can you do about it? I have been on both sides of the exam table – as a physician caring for people with chronic…
Antibody tests might be deceptively dangerous. Blame the math.
Bypeter“Antibody tests might be deceptively dangerous. Blame the math.” – Washington Post
Rare Diseases Are Becoming Too Common. Sound Impossible? Here's Why It's Not
ByadminIt is hard to make money treating rare diseases. There simply aren’t enough customers to generate many profits. That’s why the U.S. government passed the Orphan Drug Act in 1983, a law which created a series of incentives to encourage drug companies to develop treatments for rare or “orphan” diseases – conditions affecting less than…
Is It Rational for Breast Cancer Patients to Have Bilateral Mastectomies?
ByadminWarning: I am not writing about Angelina Jolie. I am not asking whether women like Jolie, with a strong family histories of breast cancer and known genetic mutations, should consider having bilateral mastectomies. Women like Jolie face extremely high lifetime risks of breast cancer, and thus must make difficult decisions about whether to receive prophylactic…
Hurrah for Community Health Centers
ByadminThe U.S. healthcare system has an unsung hero – community health centers, which provide basic medical care for under-served communities. Even dental care! Right now 1 in 6 Medicaid enrollees receives care at one of these centers, a proportion that has been growing for decades: In some states, 1 in 3 enrollees use community health…
Copay Assistance – Good For Patients, Bad For Prices
ByadminPeter Bach and I have an essay in the Annals of Internal Medicine laying out some of the problems with pharmaceutical funded copay assistance programs. Check it out.