Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Hyperbole In Medical News May Give Patients False Hope

Right off the top, let me be clear that I am NOT minimizing the importance of this week’s news about an experimental treatment for leukemia – one that has drawn much news attention.

It is an important finding.

What I am commenting on herein is the news coverage.

The ABC television piece itself wasn’t bad, with good perspective from Dr. Len Lichtenfeld of the American Cancer Society. But the lead-in and the ending, both involving anchor Diane Sawyer, were hyperbolic. The following screenshot was part of Sawyer’s lead-in. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

New York Times Piece About Plastic Surgery Gets People Talking

Monday’s New York Times tweeted a headline – “Never Too Old for Plastic Surgery” – about this story.

While I’m very happy for the 83-year old woman in the piece for her happiness over her “new” $8,000 breasts, the piece was framed like an expensive billboard for plastic surgeons – only it didn’t cost them anything. The Times gave away the advertising space.

The story states:

“There are as many reasons for getting plastic surgery as there are older patients, experts say”…and…”some are simply sick of slackened jowls, jiggly underarms and saggy eyelids.”

There are a few other perspectives in the middle of the piece:

“Some critics question whether the benefits are worth the risks, which may be underestimated.”

But it is often how you END a piece that determines readers’ takeaway messages – and it is often also a sign of the message the journalist really wanted to convey. And this one concludes with a Harvard prof’s comment: Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Anonymous Blogger Reviews The Lack Of Evidence For Robotic Surgery

The surgeon who blogs as Skeptical Scalpel writes that he (she?) is unable to contain him(her)self any longer and then lunges into a review of evidence (or lack thereof) for robotic surgery.

You may disagree with Skeptical Scalpel’s decision to be anonymous, but he/she explains:

Operating-Room.jpg“I’ve been a surgeon for almost 40 years and a surgical department chairman for over 23 of those years. During much of that time, conforming to the norms, rules and regulations of government agencies, accrediting bodies, hospitals, societies, and social convention was necessary for survival. I was always somewhat outspoken but in a controlled way most of the time. I now have a purely clinical surgery practice with no meetings, site visits or administrative hassles. I am free to speak my mind about medicine or anything else.”

On robotics, Skeptical Scalpel writes: Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

ACSM Recognizes These Ten Criteria For Responsible Health Reporting

For several years, I’ve been gently nudging various groups that communicate with the public about health care to adopt/endorse/promote the 10 criteria we use on HealthNewsReview.org in the same spirit in which we promote them: 10 things we think consumers need addressed in messages about health care interventions.

• What’s the total cost?
• How often do benefits occur?
• How often do harms occur?
• How strong is the evidence?
• Is this condition exaggerated?
• Are there alternative options?
• Is this really a new approach?
• Is it available to me?
• Who’s promoting this?
• Do they have a conflict of interest?

It may not be a perfect or complete list, but it’s not a bad starting point, and we now have data on more than 1,500 stories showing how these are – or are not – addressed in some of the public discussion.

I’ve urged the American Association of Medical Colleges, America’s Health Insurance Plans, news organizations, and news-release-writers, among others, to publish our criteria attached to their news releases or on their websites.

Many have been called. Many have nodded in agreement. None have responded.

Until now. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

The Rise In Cancer Rates May Not Mean More Cancer

Several newspapers in the UK reported this week that cancer rates have risen over the past two decades. That set into motion an analysis by the excellent “Behind the Headlines” service offered by the NHS Choices website. They found this in newspapers:

“Cancer rates in the middle-aged “have jumped by almost a fifth in a generation”, according to The Daily Telegraph, which says that the increase “is thought to be mainly due to better detection of cancers rather than people adopting more unhealthy lifestyles”. The Sun takes the alternate view, saying that doctors are “blaming the rise on obesity and home boozing”. The Daily Mail similarly suggests that lifestyle changes are to blame.”

You don’t have to live in the UK to learn from their analysis.

They wrote:

“One factor contributing to these increases is likely to be higher rates of detection due to the NHS breast cancer screening programme and the PSA test for prostate cancer. The raw data behind these stats also needs to be placed into context: these particular cancer diagnosis rates are drawn from the datasets for England from the Office of National Statistics and similar datasets from registries in Scotland, Northern Ireland and Wales. The ONS urges caution when interpreting its data, particularly when looking at trends across time, or differences across regions.

For example, Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

See all book reviews »

Commented - Most Popular Articles