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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…
A Drug to Treat Cancer and Heart Disease (Miracle Cure or Media Hype?)
ByadminIn a recent New York Times article, physician-author Siddhartha Mukherjee wrote about a clinical trial that he characterized as “beautiful,” for potentially illuminating a surprising connection between heart disease and cancer. Mukherjee is a justifiably acclaimed writer, who publishes regularly in The New Yorkerand The New York Times, and who won a Pulitzer for his bestselling book The Emperor of All Maladies. But…
Hugs, Tweets, and Physician Reimbursement — A Problem for Pay-For-Performance
ByadminAccording to recent research, a hug a day could keep the doctor away. According to another study, twitter can predict the chance that people will experience heart attacks. A normal blogger would look at these two findings and tell a story about the relationship between stress and health. I’m not normal. I looked at these…
Fact-checking COVID-19 Stats
ByadminA U.S. Senator mistakenly tweeted that 14% of UNC students have COVID-19. A local news station fact-checked that tweet, explained the math, and the Senator didn’t back down. Sigh… The University of North Carolina made national news after reporting a coronavirus outbreak shortly after students returned to campus. Before students could even get their first…
How Well Do Americans Meet Dietary Requirements?
ByadminA JAMA study shows that even though Americans are eating more nuts and whole grains than they used to (see previous post), they aren’t coming CLOSE to meeting dietary requirements: Changing what people eat takes a long time!
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…

