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Ah, a perfect question for comparative effectiveness research. Surgeon Jeffrey Parks takes a look at a study looking at breast MRIs during the pre-operative workup of patients with breast cancer. Essentially, surgical outcomes were not improved, and worse, “leads to a higher rate of unnecessary mastectomy, and is extremely expensive (about $1600 a pop, out of pocket).” Although [...] Beginning this year, inhaled beta-agonist asthma medications had to switch to a more environmentally friendly form. MedPage Today has a special report on the issue, one where most primary care doctors were not well educated on. Apparently, the new inhalers, which use hydrofluoroalkane (HFA) as a propellant, have been attracting a litany of patient complaints, including that [...] You may have heard the story of anesthesiologist Scott Reuben, who allegedly fabricated the results of 21 medical studies. Orac, over at his blog Respectful Insolence, provides some perspective of the issue, saying, “Dr. Reuben’s fraud appears to eclipse even that of Andrew Wakefield [the disgraced researcher who wrongly linked autism to the MMR vaccine].” Apparently, the [...] Well, they’re going to give it a try. In a somewhat audacious initiative, Wal-Mart is entering the digital medical records fray. They’re proposing to bundle computers and equipment, along with a popular EMR program, to sell to doctors at an attractive price. They’re probably hoping that bulk purchases with help with the pricing. Will it [...] Patients still trust their doctors, despite what you may read in the newspapers and blogs. Bob Doherty points to a recent survey, showing broad public support for comparative effectiveness research, indicating that voters “trust their doctors and consistently support changes to help their doctors do their jobs.” Mr. Doherty interprets the findings to mean that organizations like [...] Fear can be stressful — whether you’re afraid of losing your job or afraid of spiders. Fear and anxiety can be even more stressful for children, who don’t necessarily know how to deal with these big emotions. When I was little, I developed an irrational fear of AIDS. Family doctors are doing less obstetric care these days. As reported by MedPage Today, a study shows that the number of prenatal visits seen by family physicians declined from 11.6% to 6.1% from 1994 to 2004, and perhaps of more concern, 38.6% to 12.9% in rural areas. It’s not a huge surprise, since these days, obstetricians have [...] We have all gone through it and what a shocker it was. Do you remember? Startling, wasn’t it? Were we ready for it? Probably not. We were still babies, but it came just the same. A normal part of life, puberty struck most of us around the ages of [...] Match Day in March often marks the climax of the years of training a medical student endures. This year, we apparently have more focus from the national media on the issue, thanks to the proliferation of health blogs that every newspaper seems to have. Pauline Chen writes about her experience with the rite (complete with a [...] |
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