“I can fix this.” The neurosurgeon was nothing if not confident. “The cyst is pushing on your spinal cord. If it continues to expand, it will damage your nerves and you may lose the ability to walk. But I can remove the cyst, and cure you.” The patient was a business school professor, a man…
An interesting article by Peter Schwartz in the latest Hastings Center Report on whether patients, facing difficult medical decisions, ought to get precise numbers on the risks and benefits of their alternatives. I contributed a commentary, urging researchers to keep developing better ways to help patients make rational use of the numbers.
Risk isn’t all it is cracked up to be, as Amanda Dillard argues (with me as a co-author) in a new paper available on line at the Annals of Behavioral Medicine. At high risk for breast cancer? May not matter, in terms of getting you interested in taking a pill to reduce that risk. But FEELING at high risk? That is a different story. As Amanda shows quite persuasively, after you control (statistically speaking) for women’s actual risk, it is the way they feel about that risk that determines their behavior.
Here is a link to an article I co-authored in the New England Journal this week, with Yousuf Zafar and Amy Abernethy. In the article, we urge physicians to talk about out-of-pocket costs with patients, given that these costs can sometimes have a bigger negative impact on their lives than the kind of treatment side…
Here is the opening of a recent media story, reporting on a noble attempt researchers made to promote colon cancer screening by telling people when their genetic risk of such cancer was elevated: People at average-risk for colorectal cancer (CRC) who underwent genetic and environmental risk assessment (GERA) to evaluate their risk for CRC were…
In 2008, the state legislature of Washington passed what was called the Death with Dignity Act, a law that legalized physician assisted suicide. Under the law, terminally ill patients (predicted to have less than six months to live) can request prescriptions for lethal medications from their physicians, under a series of safeguards: multiple requests for example,…