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Helping Your Doctor Help You: An Interview with Project Millennial (Part 2)
ByadminKARAN: You referred to patient education earlier, not just in terms of treatment information but also the types of questions to be asking. But what about the former? Our generation is definitely comfortable using technology to look up health information, and we get a ton of information through news, magazines, and the general media. But…
Expanding the Role of Non-Physicians in Primary Care
ByadminI’m back to blogging again, and thought I’d return to a topic I have blogged about recently: expanding the role of non-physicians in primary care. A very talented journalist in North Carolina, Jason deBruyn, wrote a nice piece which I am indenting below, laying out some of the controversies. Debate settles in on costs versus…
When It Comes to Cancer Screening, Are We All Nuts?
ByadminIn 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…
Beware Overreaching Government Efforts to Detect Breast Cancer
ByadminJoAnn 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,…
Unnecessary Mastectomies Following Breast Cancer Diagnoses?
ByadminI spoke the other day to Melissa Dahl, a writer for New York Magazine. She wrote a really nice piece on what medical professionals call “contralateral prophylactic mastectomy” – when a woman with breast cancer chooses not only to remove the affected breast, but also the unaffected breast in order to reduce the chance of…
Inappropriate Medicare Incentives Lead to Unnecessary Subspecialty Procedures
ByadminSometimes people flat out need cameras shoved down into their stomachs. A long history of reflux disease, for example, could prompt a gastroenterologist to perform an “upper endoscopy”—to run a thin tube down the patient’s throat in order to view their esophagus and stomach and look for signs of serious illness. Medicare has correctly decided…