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Aspirin for primary prevention shows the need for rigorous collaborative medical decisions.
A large and rigorous study to look an the question of whether aspirin makes sense for older people to prevent cardiovascular events raises serious questions about its benefits and risks. The study showed more risk than benefit, and found more death from cancer in...
Another example of an “unknown” side effect revealed after FDA approval of a marginally beneficial drug.
Many people have developed type 2 Diabetes Mellitus (the kind that does not usually need insulin). The best treatment for it is weight loss through diet and exercise. The mainstays of drug treatment over the past decade or so have been Metformin to improve insulin...
Don’t let your caregivers bully you with their guidelines
As a practicing physician educator and health system administrator this Story about brusque care blindly following controversial guidelines without shared decisions deeply saddens me. The behavior of many of the caregivers described is clearly not compassionate, or...
How doctors can inadvertently create badly biased medical decisions.
This Story from NPR about a risky and not fully tested medical procedure approved by the FDA but marketed using the "sexy" title of "vaginal rejuvenation procedure" provides a great example of why it is important to take charge of your own health decisions. It’s...
Screening for cancer is a complex decision
The decision to screen for cancer is not as easy as just wanting to find cancer early. The screening test must be followed by more definitive tests, which have some risks. As with all medical decisions, you should discuss the benefits, risks, alternatives and unknowns...
Knowledge is important, but taking charge of our health through collaboration is more important: the example of fibromyalgia.
A recent study published in the British medical journal reveals why strong collaboration is so critical to good healthcare. The authors tried to compare aerobic exercise and Tai Chi for treating fibromyalgia. Both are known to be effective for some patients; so the...