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By Elaine Schattner, MD, on November 29th, 2010
Over the long weekend I caught up on some reading. One article stands out. It’s on informed consent, and the stunning disconnect between physicians’ and patients’ understanding of a procedure’s value.
The study used survey methods to evaluate 153 cardiology patients’ understanding of the potential benefit of percutaneous coronary intervention (PCI, or angioplasty)…
See more Informed Consent on Paper, but Not in Reality
By Elaine Schattner, MD, on November 26th, 2010
Yesterday the author of ML wasn’t feeling too well. She had (and has) what’s probably a recurrent bout of diverticulitis, a condition when a little pouch stemming from the colon becomes inflamed and causes pain and fever. This can be serious if infection of the colon’s wall progresses, or catastrophic if the colon ruptures.
So I’m thankful, today, among other things that I’m feeling better with antibiotics, extra fluids by mouth and a good dose of rest. I’m glad, also, that I avoided the hospital for evaluation and treatment, as were de rigueur for this ailment 20 years ago. I’m lucky that, so far, I’m doing OK. And I’m reminded that illness is not a metaphor for anything.
Really it’s a crapshoot — hard to know sometimes when it’s worth going to the ER or staying home and enjoying Thanksgiving with your family, as I did.
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Related Posts:Blood and Hip Surgery: New Study Supports Fewer TransfusionsTwo Minds on Medical ThinkingThoughts on the Death of Amy WinehouseThe Trouble With PlacebosLooking Back on ‘The Normal Heart,’ and Patients’ Activisim
By Elaine Schattner, MD, on November 24th, 2010
When I practiced oncology, I relished time talking with patients and their loved ones about tough decisions – when an indolent condition accelerated and it seemed time to bite the bullet and start treatment, or when a cancer stopped responding to treatment and it seemed right to shift gears and, perhaps, emphasize palliation instead of more chemo, and at every value-loaded decision checkpoint in between.
These conversations weren’t easy; speaking of levels of care, palliation and end-of-life wishes are discussions that many doctors, even oncologists, still avoid.
See more Engage with Grace: Talking About the Hard Stuff
By Elaine Schattner, MD, on November 23rd, 2010
I’ll be staying near my home in Manhattan this week. But if I did have plans to travel by airplane for the holiday, I think I’d be apprehensive about the new screening procedures implemented by the Transportation Safety Authority (TSA).
My concern is not so much with the scanners…Rather, I’m worried about screening errors — false positive and false negative results, and about harms – physical and/or emotional, that patients and people with disability may experience during the screening process.
See more The Transportation Safety Authority Screens Travelers Inside and Out
By Elaine Schattner, MD, on November 22nd, 2010
 “I don’t want to get sicker trying to get better and then just end up dying anyway” – Cathy, the 42 year old protagonist, with advanced melanoma, on the Big C.
Spoiler alert: Don’t read this post if you don’t want to know what happens to Cathy in the Big C…After months of unusual and comfort zone-breaking behavior, Cathy
See more Does Cathy Make the Right Cancer Treatment Decision in the Big C?
By Elaine Schattner, MD, on November 19th, 2010
I’m a bit puzzled by all the excitement about Merck’s new drug, Anacetrapib (MK-0859), that’s said to lower risk for cardiovascular disease by lowering bad cholesterol. Earlier this week at the annual meeting of the American Heart Association, researchers presented promising findings on the drug, including results from the phase III DEFINE trial. The list of disclosures for that abstract is long and fairly shocking. On Wednesday, the results were published on-line in the NEJM.*
The new drug interests me, as an oncologist, because it’s an enzyme inhibitor …
See more Lots of Excitement about Anaceptrapib, a Cholesterol-Lowering Drug
By Elaine Schattner, MD, on November 17th, 2010
Today Medical Lessons is one year old. That’s an important milestone in any blog’s life, as I suppose it is in this author’s.
Why blog, a mother in medicine might ask me. I’m having fun with this project, for starters. Since November 17, 2009, I’ve taught myself how to use WordPress, learned the ins and outs of website hosting companies and faulty servers, experimented with Twitter – on which I’m now hooked and, best of all, engaged a growing on-line group of interesting people.
What I like best, I think, is the freedom of modern penmanship in this strange, new mode. “It’s my blog and I’ll write what I want” is my motto in this ongoing real life-segment. How cool is that?
Where ML is headed, I’m not entirely sure. It’s been picked up by the ACP Internist blog and, as of today, the Get Better Health network. I’m a firm believer in the concept that anything
See more Medical Lessons is One Year Old!
By Elaine Schattner, MD, on November 16th, 2010
 Last night I stayed up late to see the season finale of the Big C. For the first time in watching this series about a 42 year old woman with advanced melanoma, in a near-final scene involving the protagonist Cathy’s teenage son, I cried.
The storyline is moving, finally, in a real and not necessarily happy direction.
See more First Season Ending of the Big C
By Elaine Schattner, MD, on November 15th, 2010
This post is intended mainly for medical bloggers, but it has applications elsewhere. It’s about links and uniform resource locators (URLs), terms that I didn’t fully appreciate until the last year or so. That’s because like most of my colleagues and readers, I grew up reading printed books, newspapers and magazines. Now, perhaps as much as 90 percent of the non-fiction I read is on-line. The Web has a lot of advantages for readers – you can see multimedia presentations, or double-click to enlarge a graph of interest. What I think is best, though, is the third
See more Links Add Value to On-Line Reading and Medical Blog Content
By Elaine Schattner, MD, on November 14th, 2010
The November AARP Bulletin highlights a promising development in hospital couture: trendsetter Diane von Furstenberg has designed new, unisex gowns ready for wearing in hospitals. The new gowns provide style and full coverage, with options for opening in front or back according to the bulletin. A trial is underway at the Cleveland Clinic.
See more Hospital Fashion News from AARP and the Cleveland Clinic
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