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Thoughts on Shared Decision Making
ByadminI recently gave a talk about shared decision making at the annual conference for the National Comprehensive Cancer Network. Here is a nice write-up of that talk. For those of you silly enough not to travel to Florida to hear me pontificate! After listening to the treatment alternatives—surveillance, or active treatment with surgery and radiation—a…
How to Stop Breast Cancer Surgeons from Overtreating Their Patients
ByadminA study shows that a medication causes more harms than benefits, and physicians like me keep prescribing the pill anyway, either because we don’t learn about the study, don’t believe the study or are simply stuck in our ways. Even professionals have a hard time breaking bad habits. So what do you think happened when…
Celebrating Colorful Language
ByadminI realize that I do not have the most focused blog in the world. Some people blog about nothing other than, say, capital punishment or new developments in whiskey. I write about psychology, behavioral economics, ethics, the doctor-patient relationship, health policy, political partisanship… a relatively wide range of things, but topics often linked by the…
Are Some Life Saving Treatments Overkill?
ByadminThanks to the popularity of medical television shows, most people have witnessed hundreds of fictional cardiac arrests in their lifetime. In most of these scenes, the patient loses consciousness, and the medical team rushes to the bedside: “He’s in V-fib.” “Get me the paddles.” The team performs urgent chest compressions for a few seconds. Then…
Medical Bankruptcy Is Much Less Common Than Elizabeth Warren Tells You
ByadminElizabeth Warren describes medical bills as “the leading cause of personal bankruptcy” in the United States. She bases that opinion in part on her own research, in which she and her collaborators surveyed people who had experienced personal bankruptcy, asked them whether they’d experienced health-related financial distress, and concluded that 60% of all bankruptcies in the U.S. result…
People With Chronic Pain Deserve Better Than To Be Told There’s Nothing Wrong
Byadmin2I am going to be writing about chronic pain: diagnosis, treatment, mistreatment, etc, in upcoming posts. In my first post, i describe part of my own pain journey. The post is here. And it starts with me standing “in the back of the conference hall panicked that I was going blind.”