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Tough decision? Take it piece by piece
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.
Should Doctors Give Medical Advice to Strangers over Email?
Recently I received an email from someone I have never met, who asked me the following: “Could you refer me to any current study results on Arimidex (Anastrozole)? My oncologist is not helpful. My oncotype dx said I have 9% chance of recurrence and with Arimidex for 5 years that is reduced to 4.5 %….
The True Immoral Acts Behind The First "Test Tube Baby"
The first test tube baby was born July 25th, 1978 in the north of England. Louise Brown was called the “baby of the century” by some and a “moral abomination” by others. It wasn’t Brown who critics accused of being immoral, of course. She was just a blameless infant. Instead, it was her doctors who…
The Question Isn't Whether We Are Overdiagnosing Cancer, But How Much
Medical experts now agree that as a result of aggressive screening programs, we have an epidemic of cancer overdiagnosis in the United States. With mammograms finding tiny cancers and PSA tests discovering unpalpable prostate cancers, we are now unearthing some cancers too early for our own good. What do experts mean by “overdiagnosis,” you ask?…
When It Comes to Cancer Screening, Are We All Nuts?
In a recent Health Affairs article, David Asch and I wrote about how hard it can be to stop screening aggressively for things like breast and prostate cancer even when the evidence suggests we are doing more harm than good. Well, journalist Steven Petrow has a nice piece in the Washington Post looking at the…
My Doctor Told Me The Cost Of The Appointment… Give Or Take $200!
My visit to this well-intentioned dermatologist illustrates one of the flaws of this idea of consumer empowerment.