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)
Medicine, today, is supposed to be “patient-centered.” But sometimes the patients feel a little off balance. What can they do when everyone seems to be trying to push aggressive, expensive treatments on them? One solution — or a partial solution — is known as shared decision making, in which patients are given specific tools, such…
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Brian Zikmund-Fisher took the lead on a study published this week in which we found evidence that when people face tough decisions, it helps for them to break the decision into smaller pieces, and take it one step at a time. Here is a link to some media coverage in India.

Paul Kostick’s DNA was under attack and his fate was sealed. Forces beyond his control were hacking large pieces of genetic material off the ends of his chromosomes. Should his doctor tell him how long he has to live?

Carol Jefferson’s right lung x-ray looked the color of a February storm in Northern Minnesota—a blizzard of white making bone and lung invisible. Her lung was “whited out” because she was experiencing a dangerous combination of tumor and infection.
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Nine to twelve years. That’s about how long most drug companies have to make serious money on new products before their patent protection ends. Then, generic companies enter the fray and prices, typically, plummet. Yet, two decades after coming to market, Herceptin (a drug used to treat breast and stomach cancer) was still priced at…
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…