It’s Not About the Money

If physicians’ potential profit motives cloud the mammography debate, as the authors contend, that doesn’t mean that mammography is ineffective. Rather it signifies that doctors and scientists should analyze data and make clinical decisions in the absence of financial or other conflicts of interest.

Posted in Breast Cancer, cancer screening, health care costs, health care delivery, Medical Ethics, Oncology (cancer), PolicyTagged , , , , , , , , , Leave a Comment on It’s Not About the Money

News, and Thoughts, on Comparative Effectiveness Research

What is comparative effectiveness research and why does it matter? The idea, basically, is to inform medical decisions with relevant data derived from well-designed clinical trials. This sort of research will provide the foundation for evidence-based medicine (EBM).

Posted in Future of Medicine, health care costs, health care delivery, Medical Ethics, Policy, Public HealthTagged , , , Leave a Comment on News, and Thoughts, on Comparative Effectiveness Research

What’s Missing in the Recent Mammography Value Study

I’d say the oppo­site is true: It’s pre­cisely because there are effec­tive treat­ments for early-stage dis­ease that it’s worth find­ing breast can­cer early. Oth­er­wise, what would be the point?

Metasta­tic breast can­cer is quite costly to treat and, even with some avail­able tar­geted ther­a­pies, remains

Posted in Breast Cancer, cancer awareness, cancer screening, cancer survival, Diagnosis, Medical News, Oncology (cancer)Tagged , , , , , , Leave a Comment on What’s Missing in the Recent Mammography Value Study

Stepping Back, and Thinking Forward to October

A question central to today’s discussion – which does at least acknowledge the decline in breast cancer mortality – is the extent to which mammography is responsible for this trend, as opposed to other factors such as increased awareness about cancer, better cancer treatments and other variables.

Posted in Breast Cancer, cancer awareness, cancer screening, clinical trials, health care costs, Medical News, Oncology (cancer)Tagged , , , , Leave a Comment on Stepping Back, and Thinking Forward to October

No More Clipboards

“This caught my interest because it doesn’t diminish physicians’ autonomy,” Blumenthal said. It just enables them to make decisions for their patients in the context of additional, current information. “The end goal is not to adopt technology, but to improve care.”

Posted in Communication, Future of Medicine, health care costs, health care delivery, Health IT, Policy, Public HealthTagged , , , , , , , Leave a Comment on No More Clipboards

A Walk, or Race, for the Cure

“You can get discomboobulated in this place,” a NYC police officer told me today.

This morning, some 25,000 or so men, women and children converged on Central Park for the Susan G. Komen Foundation’s 20th annual Race for the Cure. It was my first time witnessing the event:

Posted in Annals of Pink, Breast Cancer, cancer awareness, cancer survival, Life as a Patient, Life in NYCTagged , , , , , , 2 Comments on A Walk, or Race, for the Cure

Perspective on Screening for Sickle Cell Trait in Student Athletes

In some ways this seems like a pro-active, well-intentioned policy that could save lives. On the other hand, as discussed in the NEJM piece, the new screening policy raises a host of challenging issues:

* how will colleges inform minor players’ parents about results?
* how will the schools handle players’ privacy?…

Posted in Diagnosis, Genetics, Hematology (blood), Medical News, Under the RadarTagged , , , , , , , 2 Comments on Perspective on Screening for Sickle Cell Trait in Student Athletes

A Visit to Suffragette City

For two days I’ve been traveling on a short road-trip with my family in Upstate New York. As far as this turning to a medical lesson, all I can say is that for the first time in my life I witnessed, first-hand, the vaguely digital, elongate and eponymous geography of the fine Finger Lakes…

Posted in Medical History, Travel, Women's HealthTagged , , , , , , Leave a Comment on A Visit to Suffragette City

Why Physicians Shouldn’t Tweet About Their Patients Or O.R. Cases

As a patient who’s been there, under anesthesia more times than I care to remember, I can’t imagine anything much worse than knowing while I’m unconscious my doctor might be on-line or even just dictating tweets instead of concentrating on me, my arteries and veins and spine and…

Posted in Communication, Health IT, Life as a Doctor, Medical Ethics, Privacy, Social MediaTagged , , , , , 6 Comments on Why Physicians Shouldn’t Tweet About Their Patients Or O.R. Cases
newsletter software