Gorillacillin and the Tragedy of the Commons
Was I right to prescribe an inferior medication to my patient?
(Read the rest and view comments at Critical Decisions)
Was I right to prescribe an inferior medication to my patient?
(Read the rest and view comments at Critical Decisions)

There is a good debate starting up on a website called Prepared Patient Forum, about how much information patients should get when facing important medical decisions. You might want to click on this link and join in.
Six-year old Kimmy Merrill fell into an abandoned well outside of Oswega, Pennsylvania, her cries unnoticed in the remote countryside until her mother Susan wandered within earshot of the well. Unable to save Kimmy even with the help of local firefighters, Susan pleaded for rescue workers to dig a hole parallel to the well. Desperate…
During his campaign, President Trump promised to “end inflation and make America affordable again, to bring down the prices of all goods.” In honor of that promise, Dr. Mehmet Oz, head of the Medicare program, should address the enormous increase in what Medicare patients are being asked to pay for drugs. Medicare drug coverage is…
“I can fix this.” The neurosurgeon was nothing if not confident. “The cyst is pushing on your spinal cord. If it continues to expand, it will damage your nerves and you may lose the ability to walk. But I can remove the cyst, and cure you.” The patient was a business school professor, a man…
Put simply, shared decision making is the gold standard — the sine qua non* — for how medical decisions ought to be made. The pipe medical choice is rarely a function of medical facts alone. Tough decisions require value judgments, and it is the patient’s valuesthat often determine which choice is best. An operation cannot…
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Brian Zikmund-Fisher took the lead on a study published this week in which we found evidence that when people face tough decisions, it helps for them to break the decision into smaller pieces, and take it one step at a time. Here is a link to some media coverage in India.