Mortgaging Your Womb
I recently participated in a conversation on HuffPo Live about whether fertility finance companies are preying on families desperate to have children. Watch the segment here.
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My Take on Shared Decision Making
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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Beware Overreaching Government Efforts to Detect Breast Cancer
JoAnn Pushkin’s breast cancer was diagnosed at an advanced stage because the density of her breasts obscured the tumor on her mammograms. That was shocking news to Pushkin, who only learned that her breasts were radiologically dense at the time of her diagnosis. Activated by this revelation, she has become a leading advocate of legislation,…
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Autographed Copies of Critical Decisions Available
I’m happy to say that my favorite independent bookstore, Flyleaf Books, is working with me to make autographed copies of Critical Decisions available to anyone who orders through them. You can order on their website: www.flyleafbooks.com If you do, add a note to your order asking for an autographed copy Or you can order the…
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Is It Wrong for Medical Students to "Tattle" on Their Supervisors?
Alex, a third-year medical student, is in the middle of his surgery rotation. He frequently finds himself rather shocked by some of the unseemly remarks that his attending, Dr. Tate, makes during surgery and between seeing patients on rounds. A highly respected surgeon, Dr. Tate is personable with patients and well liked by them, but…
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Are Rare Diseases Too Expensive to Treat?
See this great piece by a reporter at Forbes discussing why rare disease treatments can cost as much as $400,000 per patient, per year. You will get a glimpse of my take on this topic too, but I plan on writing more about it in the future.
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Physicians, Psychopaths, and Reality T.V. Stars
Charlotte Scott had an eye for madness—for just the right amount of madness. As a booker for The Springer Show, her job was to find—and forgive me if I’m getting too technical here—minor nut jobs, the kind of people who were just unbalanced enough to make for entertaining T.V. but not so wacky that they would…
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When Americans Rejected Small Pox Vaccines
When I lived in Ann Arbor, my children attended a public school where upwards of 15% of kids were not vaccinated for mumps because their left-wing parents didn’t trust the vaccine industry. Meanwhile on the right end of the political spectrum, Tea Party heart throb Michelle Bachman famously accused vaccines of causing… (Read more and…
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Video Introduction to Critical Decisions
Want a sneak peak into why I wrote Critical Decisions? Take a look at this 5 minute video. Feel free to send links to all your friends, so they won’t fall behind the times!
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Critical Decisions is Finally Available for Public Consumption!
At long last, my new book Critical Decisions is out there, ready to reach (fingers crossed!) a wide and appreciative audience. I’m really excited about this book. It pulls together ideas that have been smoldering in my brain for two decades — research, reflections and experiences (AKA “stories”). In the book, I relate the fascinating…