Great Piece on Critical Decisions
Here is a well-written piece by The Global Mail discussing Critical Decisions. Take a look.
The urologist broke the news: “Out of 12 cores, three were positive for cancer, so you have a small amount of cancer.” He would soon explain the treatment choices—surgery, radiation, or active surveillance (watching the cancer closely with blood tests and biopsies). He described each option in elaborate detail, because he knew that the “right…
Here is a link to an article I co-authored in the New England Journal this week, with Yousuf Zafar and Amy Abernethy. In the article, we urge physicians to talk about out-of-pocket costs with patients, given that these costs can sometimes have a bigger negative impact on their lives than the kind of treatment side…
You have metastatic cancer and must decide upon a chemotherapy. Here are your options, drawn from real clinical trial data. Chemo 1: Will increase your life expectancy from 12 to 15 months. Chemo 2: Increases your chance of being alive at one year by 12%. In other words, one out of every eight patients receiving…
Andrews was easily the most anxious patient I took care of that month, a gray Michigan February (is there any other kind?) which I spent in the hospital caring for patients admitted to the general medical ward at the Ann Arbor Veterans Affairs Medical Center. (Andrews is a pseudonym, as are all the patients I blog about, unless…
I thought I would pass along this hilarious cartoon, suggesting a new way to “nudge” patients to use fewer antibiotics. Of course that nudge requires your doctor to be Batman, and Batman to be a pretty assertive type of physician: (Click here to view comments)
In my previous post, I showed a powerful picture (from the Kaiser Family Foundation) of the growth in high deductible insurance plans. Here is another picture from that same report, showing that the high end of these high ends is getting really high. (Click here to view comments)