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)
A very disturbing new study was just published, in which physicians viewed a video of a patient with back pain asking for OxyContin. Twenty percent of docs said they would prescribe that med under that circumstance: …Too often, doctors prescribe potentially dangerous medications to patients who shouldn’t be getting them, and what they prescribe is…
Multiple sclerosis (MS) is the number one cause of non-traumatic disability among young adults. MS is a chronic, incurable illness that destroys some of the body’s most basic neurological functions. Fortunately, there are now a slew of amazing medicines that often slow the disease considerably. These medicines can be the difference between whether or not a person…
Okay, worst blog post title of the year. But just trying to grab your attention and point you towards a nice USA Today article on doctors and emotional intelligence. “Tamir Mosharrafa, a plastic surgeon in Phoenix, recalls the 20-something woman who came in for liposuction. “Dani” was very lean and very pretty – and “absolutely…
You wake up in the post-operative recovery area, still groggy, the full effects of the procedure obscured by an anesthetic haze. You begin to ponder several questions: Was the surgery a success? Did the surgeon find anything unexpected? How quickly will the procedure make you feel better?
There’s another question you might ask yourself. A few weeks from now, is anyone involved in your care going to send you a surprise bill?
Here is a news article discussing a paper I wrote with Michael Volk, in which we try to find ways to keep doctors from harming patients by finding and then getting all worked up over what we in medicine call incidentalomas–unexpected and ultimately benign findings that show up with unnecessary tests. The article is in the Archives of Internal Medicine this week.
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…