Gorillacillin and the Tragedy of the Commons
Was I right to prescribe an inferior medication to my patient?
(Read the rest and view comments at Critical Decisions)
Was I right to prescribe an inferior medication to my patient?
(Read the rest and view comments at Critical Decisions)
Healthcare markets are complex and confusing places. But one fact is simple and straightforward: all else equal, hospitals and emergency departments are a lot more expensive than outpatient clinics. Which makes it all the more bewildering that so many low income patients prefer hospitals over primary care clinics. Bewildering until now. Shreya Kangovi and colleagues…
She didn’t talk like a stroke victim. “I…I…I…k…kkk…can…can…can’t…t…t…t…talk.” She struggled with her words, struggling on early syllables, only to then spurt out full and correct words. “N…N…N…No.” Recognizing this unusual speech pattern, the neurologist Allan Ropper, author of Reaching Down the Rabbit Hole, expertly queried the patient and her loved ones, and determined she had…
When it comes to healthcare spending, the U.S. is without peer. Consider the 20 countries making up the Organization for Economic Cooperation and Development (called the OECD by the cool kids). The organization includes countries like Australia, Austria, Belgium, Canada, Chile, and the Czech Republic. Oh also Finland, France, Germany…you get the idea. It also…
When patients with diabetes come to the doctor’s office, it is important for their clinicians to take a look at their feet. Many, if not most, foot amputations among people with diabetes would be prevented with this simple exam, an exam that will identify problems early enough to prevent them from progressing. But us busy…
On May 8th, the makers of the oncotype DX Prostate Cancer Test presented results of a large study demonstrating that their test can help men decide whether their prostate cancer carries a low enough risk of progression to forgo surgical or radiation therapy, two treatments that typically eradicate prostate cancers but also cause most men to…
I spoke the other day to Melissa Dahl, a writer for New York Magazine. She wrote a really nice piece on what medical professionals call “contralateral prophylactic mastectomy” – when a woman with breast cancer chooses not only to remove the affected breast, but also the unaffected breast in order to reduce the chance of…