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When the evidence says no but doctors say yes
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Has Achieved Nirvana
Picture of wtg
posted 03 June 2019 05:57 PM
quote:
Long after research contradicts common medical practices, patients continue to demand them and physicians continue to deliver. The result is an epidemic of unnecessary and unhelpful treatments.


https://getpocket.com/explore/...source=pocket-newtab


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When the world wearies and society ceases to satisfy, there is always the garden - Minnie Aumônier

 
Posts: 38235 | Location: Somewhere in the middle | Registered: 19 January 2010Reply With QuoteReport This Post
Minor Deity
Picture of Doug
posted 03 June 2019 07:15 PMHide Post
quote:
Originally posted by wtg:
quote:
Long after research contradicts common medical practices, patients continue to demand them and physicians continue to deliver. The result is an epidemic of unnecessary and unhelpful treatments.


https://getpocket.com/explore/...source=pocket-newtab


This lines up rather too well with all of my phobias and biases about the medical profession…
 
Posts: 10347 | Registered: 20 April 2005Reply With QuoteReport This Post
Minor Deity
Picture of Doug
posted 03 June 2019 07:15 PMHide Post
quote:
Originally posted by Doug:
quote:
Originally posted by wtg:
quote:
Long after research contradicts common medical practices, patients continue to demand them and physicians continue to deliver. The result is an epidemic of unnecessary and unhelpful treatments.


https://getpocket.com/explore/...source=pocket-newtab


This lines up rather too well with all of my phobias and biases about the medical profession…


I hope my tinfoil hat still works…
 
Posts: 10347 | Registered: 20 April 2005Reply With QuoteReport This Post
Has Achieved Nirvana
Picture of wtg
posted 03 June 2019 07:17 PMHide Post
quote:
Originally posted by Doug:
quote:
Originally posted by Doug:
quote:
Originally posted by wtg:
quote:
Long after research contradicts common medical practices, patients continue to demand them and physicians continue to deliver. The result is an epidemic of unnecessary and unhelpful treatments.


https://getpocket.com/explore/...source=pocket-newtab


This lines up rather too well with all of my phobias and biases about the medical profession…


I hope my tinfoil hat still works…


Early studies said they work, but subsequent research refutes that....


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When the world wearies and society ceases to satisfy, there is always the garden - Minnie Aumônier

 
Posts: 38235 | Location: Somewhere in the middle | Registered: 19 January 2010Reply With QuoteReport This Post
(self-titled) semi-posting lurker
Minor Deity
Picture of ShiroKuro
posted 03 June 2019 07:31 PMHide Post
From the article

quote:
stents for stable patients prevent zero heart attacks and extend the lives of patients a grand total of not at all.


Jeezus.

quote:
To that end, one of the president’s top candidates to head the FDA, tech investor Jim O’Neill, has openly advocated for drugs to be approved before they’re shown to work. “Let people start using them at their own risk,” O’Neill has argued.


Also Jeezus.

I've also read about this:
quote:
it took 10 years for large swaths of the medical community to stop referencing popular practices after their efficacy was unequivocally vanquished by science.


It's pretty frustrating to think that you might want to second-guess the experts you rely on to guide your medical care.

Also this
quote:
scheduling “emergencies-by-appointment” for patients to get stents, because, the report said, insurance is more likely to cover the procedure in an emergency situation.


is super frustrating.


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My piano recordings at Box.Net: https://app.box.com/s/j4rgyhn72uvluemg1m6u

 
Posts: 18861 | Location: not in Japan any more | Registered: 20 April 2005Reply With QuoteReport This Post
Has Achieved Nirvana
Picture of QuirtEvans
posted 03 June 2019 09:01 PMHide Post
The latest that I've read about is that it's no longer recommended that patients fast before blood tests. The only number affected by fasting, it turns out, is triglycerides.

Have practices changed? They have not. My doctor's office still wants me to fast before blood tests.
 
Posts: 45838 | Registered: 20 April 2005Reply With QuoteReport This Post
Does This Avatar Make My Butt Look Big?

Minor Deity
Picture of Cindysphinx
posted 03 June 2019 09:48 PMHide Post
The moral of the story is . . . .

If there is any way to avoid a drug or a procedure, avoid it.

And do your homework.
 
Posts: 19833 | Location: A cluttered house in Metro D.C. | Registered: 20 April 2005Reply With QuoteReport This Post
Has Achieved Nirvana
Picture of Steve Miller
posted 04 June 2019 01:45 AMHide Post
I went to a doc in the box for the beginnings of a sinus infection. Told her that sometimes Flonase will knock it out but if I wait too long it takes a month to get rid of. I thought her approach was brilliant.

Wait a week, try the Flonase and if it doesn’t work fill the prescription. She left it up to me.

Flonase worked. I’m good.


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Life is short. Play with your dog.

 
Posts: 35084 | Location: Hooterville, OH | Registered: 23 April 2005Reply With QuoteReport This Post
"One half of me is a hopeless romantic, the other half is so damn realistic."
Beatification Candidate
Picture of rustyfingers
posted 04 June 2019 01:51 AMHide Post
I've had this experience a couple of times too for both me and the kids. Here's a script so you don't have to come back, but don't fill it unless you need to.

I generally don't.

Except for bronchitis. If I get bronchitis, the only thing that clears it up is an antibiotic. And the research now says that it doesn't help. I think I may be an outlier on this one...


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Problems are not the problem. Coping is the problem. --Virginia Satir


 
Posts: 8342 | Location: Massachusetts | Registered: 11 July 2007Reply With QuoteReport This Post
"I've got morons on my team."

Mitt Romney
Minor Deity
Picture of Piano*Dad
posted 04 June 2019 09:53 AMHide Post
quote:
Originally posted by Cindysphinx:
The moral of the story is . . . .

If there is any way to avoid a drug or a procedure, avoid it.

And do your homework.


What's more likely, the doctor is full of sh!t or in the drug company's pocket, or you and your Internet searches produce a nice confirmation-biased glow as you avoid helpful approaches in favor of avoiding a drug or procedure?

Yes, doing your homework is always a good idea because it helps you ask the right questions about costs/benefits and the literature. But for most people, the patient's understanding of the literature is weak and often very biased in comparison with their physician's understanding.
 
Posts: 12760 | Location: Williamsburg, VA | Registered: 19 July 2005Reply With QuoteReport This Post
Pinta & the Santa Maria
Has Achieved Nirvana
Picture of Nina
posted 04 June 2019 11:20 AMHide Post
Agreed, P*D. If you don't trust your doctor, get a new one. But don't assume that all doctors are charlatans out to line their pockets. That would be the drug companies.

I'll also plug the notion that you might want to have a few trusted medical websites that you go to. For me, it's Mayo Clinic. But I'm always surprised at the amount of garbage that's out on the internets on websites promoting things like "healthy living," that offer medical advice or random concoctions to the gullible. I'd also like to point out that even the most competent science journalist is frequently unable to write an error-free article or, if they are being honest, they have to write the equivalent of "more research is required," which then gets twisted into some version of "there's no proof that this works." (Italics to emphasize our fixation with proof, which is almost nonexistent in science).
 
Posts: 35428 | Location: West: North and South! | Registered: 20 April 2005Reply With QuoteReport This Post
Has Achieved Nirvana
Picture of QuirtEvans
posted 04 June 2019 01:16 PMHide Post
quote:
Originally posted by Piano*Dad:
quote:
Originally posted by Cindysphinx:
The moral of the story is . . . .

If there is any way to avoid a drug or a procedure, avoid it.

And do your homework.


What's more likely, the doctor is full of sh!t or in the drug company's pocket, or you and your Internet searches produce a nice confirmation-biased glow as you avoid helpful approaches in favor of avoiding a drug or procedure?

Yes, doing your homework is always a good idea because it helps you ask the right questions about costs/benefits and the literature. But for most people, the patient's understanding of the literature is weak and often very biased in comparison with their physician's understanding.


Where's that like button again?

quote:
Agreed, P*D. If you don't trust your doctor, get a new one.


I'm still looking for that like button.
 
Posts: 45838 | Registered: 20 April 2005Reply With QuoteReport This Post
Minor Deity
Picture of Amanda
posted 04 June 2019 07:09 PMHide Post
quote:
The man was an unusually self-possessed patient, so he asked the cardiologist about what he had found. The cardiologist was dismissive and told the man to “do more research.”


Wow!

I find this scenario most unusual in every regard, especially in how the patient was described - "dismissive". Furthermore, for a "dismissive doctor" to advise a patient to do more research! Haha, indeed!!

Au contraire, I have found that doctors up against a mystery patient tend to advise such patients to avoid the internet and their personal findings .

Speaking of Googling ones symptoms and diagnoses, I found to be an invitation to a contemptuous chuckle and shrug, eye rolling.


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The most dangerous word in the language is "obvious"

 
Posts: 14392 | Location: PA | Registered: 20 April 2005Reply With QuoteReport This Post
Does This Avatar Make My Butt Look Big?

Minor Deity
Picture of Cindysphinx
posted 05 June 2019 11:12 AMHide Post
I'm not suggesting rejecting medical advice for internet nonsense.

I'm suggesting that U.S. medicine in general leans heavily toward treating things aggressively. Every problem (and even things that are not problems) should be treated with a drug or a device or an operation.

In my experience, many things respond very well to lifestyle changes. Or waiting and letting your body sort it out.

I just think that the risks and benefits of many things (as presented to patients) focus too much on the possible benefits while the risks are given short shrift.

But hey, if you want to try the latest drug or device or treatment or operation, go for it. How else will I learn whether the thing is safe enough for me?

Cindy -- astounded that people will actually use a prescription drug on their eyes to get longer eyelashes
 
Posts: 19833 | Location: A cluttered house in Metro D.C. | Registered: 20 April 2005Reply With QuoteReport This Post
Has Achieved Nirvana
Picture of Steve Miller
posted 05 June 2019 12:29 PMHide Post
quote:
Originally posted by Piano*Dad:
What's more likely, the doctor is full of sh!t or in the drug company's pocket, or you and your Internet searches produce a nice confirmation-biased glow as you avoid helpful approaches in favor of avoiding a drug or procedure?


From what I can tell, this depends greatly on how old your doctor is.


--------------------------------
Life is short. Play with your dog.

 
Posts: 35084 | Location: Hooterville, OH | Registered: 23 April 2005Reply With QuoteReport This Post
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