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Latest Posts

A “Decision Tree” For Personalized Medicine

ImagesWhat’s amazing is that despite the vocal movement to empower patients, no one has put together a well-referenced, readable book to help patients understand how they should use personalized medicine to influence their health — until now.

Enter The Decision Tree: Taking Control of Your Health in the New Era of Personalized Medicine (Rodale 2010), something of a blueprint of patient liberation written by Thomas Goetz, executive editor of Wired magazine. It offers constructive narrative not only about the importance of the decisions we make but how to apply the concept of an old-fashioned decision tree in making those decisions. Read more »

*This blog post was originally published at 33 Charts*

Unnecessary Medical Care: Consumers Are A “Powerful Force,” Too

One of the points of contention in healthcare reform is whether it will do enough to control costs. Forget about the Congressional Budget Office’s optimistic outlook, as it discounts the Medicare “doc fix,” which, when factored in, will erase any supposed deficit reduction.

Reform doesn’t do very much to change the underlying structure of our health system, which continues to pay more for quantity of medical services, rather than shift the focus to value and quality.

Sharon Begley, writing in Newsweek, offers some sensible suggestions on what we can do control costs. Better incorporating the best clinical evidence into their medical decisions would help. She cites the continued, and possibly unnecessary, use of back surgery, knee surgery, vertebroplasties, and angioplasties, despite mounting evidence that they’re being overused. Read more »

*This blog post was originally published at KevinMD.com*

Beware Of “Top Doctor” Rankings And Online Physicians Ratings

I’m sure you’ve read through “top doctor” rankings and online physician ratings. It is only human to seek perceived leaders. But as sometimes seen in politics, those who have reached the pinnacles are often motivated by ambition, charisma, and gamesmanship instead of altruism, sincerity, and merit.

Beware the top doctors issues found in magazines and newspapers. Some of these doctors are excellent, but many are simply “notable.” They may be well-connected, in leadership positions, or presidents of this or that society. Many are excellent self-promoters, branding themselves through the name brand institutions they work for and the billboards that increasingly advertise their faces. Many are simply well-known or popular among their peers. Read more »

*This blog post was originally published at The Examining Room of Dr. Charles*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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