November 18th, 2009 by Dr. Val Jones in Audio, Expert Interviews, News, Research
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Dr. Avrum Bluming is a medical oncologist and clinical professor of medicine at the University of Southern California. He is also a dear friend, scientist, and careful analyzer of data. I asked him to help me understand the current mammogram guidelines debate, and what women (now faced with conflicting recommendations) should do about breast cancer screening. Please listen to his fascinating discussion captured here:
[audio:https://getbetterhealth.com/wp-content/uploads/2009/11/mammogrambluming.mp3]
What I learned is that the guidelines must be tailored to each woman’s unique situation. The variables that must be considered are incredibly complex, as breast cancer risk factors include everything from when and if one has given birth, to a history of smoking, drinking, overweight, breast cancer in the family and even the age of your parents when you were born. Beyond risk factors, new research suggests that some breast cancers spontaneously resolve without treatment, but our technology is not advanced enough to distinguish those from others that will go on to become life-threatening tumors – so we treat all cancers the same. Read more »
November 7th, 2009 by Toni Brayer, M.D. in Better Health Network, True Stories
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I took my son to the ER for a broken thumb. It was a minor injury but the thumb is the most important digit on the hand. The ER care was just fine…a quick look, an Xray and a small splint. We didn’t have to wait long and everyone was courteous.
Imagine my surprise to receive the bill from the hospital. Yes, I have insurance. My out of pocket expense was minimal but here is what the insurance company was charged:
- Hospital Misc.- $56.00 (could this be the splint?)
- Diagnostic Xray – $342.00
- Emergency Care- $952.00
- Surgery – $570.00
- Total $1920.00
Take a look…surgery? There was so surgery, no procedure. There was no break in the skin. The doctor component of the visit was about 7 minutes (mainly because I knew the doc and we chatted about politics)
This bill is unreal and is comprised of unreal health care costs. Read more »
*This blog post was originally published at EverythingHealth*
October 31st, 2009 by Shadowfax in Better Health Network, Opinion
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What Shari Welch Said.
Ultrasound is a neat toy, and I’m all about toys. I found two opportunities to play with enhance patient care with our ultrasound today on my shift. But it doesn’t have the bang for the buck that the enthusiasts think it does. It has very narrow, but real, utility, and does nothing to generate revenue. It does in some cases enhance patient turnaround, and it certainly enhances patient satisfaction (they love cool toys as much as we do — and extra face time with the doctor to boot!). But that’s a small return on a machine costing tens of thousands of dollars. Read more »
*This blog post was originally published at Movin' Meat*
October 26th, 2009 by Medgadget in Better Health Network, News
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As we wrote yesterday, GE released a handheld ultrasound system unlike any other. Yesterday, at a GE press conference in New York, we saw the device first hand and we brought a video back of a company rep demonstrating its use. At 3 inches wide, 5.3 inches long, and about an inch high, the device already has FDA and European approval. GE plans to first conduct a real world study of how the Vscan will be used by clinicians before releasing it to the general market. Read more »
*This blog post was originally published at Medgadget*
