By Alan Zelicoff, Michael Bellomo
Sufferers this present day anticipate their each final soreness and discomfort to be instantly cataloged and cured. they wish the capsule they only observed marketed, or the newest, maximum method. Many medical professionals, reluctant to inform sufferers that ready or doing not anything is usually higher, are all too prepared to deal with. accordingly, we're changing into a kingdom of over-diagnosed and over-treated humans. yet how do we know the way a lot drugs is nice drugs? and the way can we recognize which remedies could really paintings? In "More damage Than Good", Michael Bellomo and Dr. Alan Zelicoff provide a compelling examine treatment this present day and discover how universal stipulations like prostate melanoma, center disorder, and diabetes are being over-treated, losing billions of healthcare funds and generating under excellent, if no longer unsafe results.The authors arm readers with the proof and questions they should larger speak about concepts with their medical professionals, and view the best way medical professionals choose remedies within the first position. in response to strong clinical and scientific examine in addition to interviews with surgeons, internists, and normal practitioners, "More damage Than reliable" will empower readers to make higher well-being judgements. Revealing and impeccably researched, this can be a progressive ebook that may swap how we glance at being in poor health.
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Extra resources for More Harm Than Good: What Your Doctor May Not Tell You About Common Treatments and Procedures
3 Hip Fracture Knee Replacement Hip Replacement Back Surgery Figure 2-3. Rates of four orthopedic procedures among Medicare enrollees in 306 hospital referral regions (2002–2003). procedure (hip replacement) as a basis for comparison with all other medical procedures might be unfair—that is, something unique about orthopedic practice differentiates it from the rest of medicine. Yet that too turns out not to be the case. When hip replacement in the setting of hip fracture—an unavoidable choice on the part of the doctor and patient—is compared to elective orthopedic procedures—knee replacement for osteoarthritis, hip replacement for osteoarthritis, and back surgery (usually for chronic pain or degenerative changes in the disks of the back)—another staggering result emerges.
Eugene Braunwald, the famous Harvard cardiologist, and they were originally used for the treatment of high blood pressure. But it was observed that patients who had had a heart attack, for which obviously high blood pressure is one of the most common risk factors, seemed to do better in the long term if the blood pressure was controlled with a particular class of medications (hypertensive medications) than with other medications. It was observed that beta blockers, which slow down the heart rate a bit by decreasing the force with which the heart contracts, may also affect blood circulation.
However, we can postulate explanations—‘‘reasonable’’ on their face to most people—to see if those factors are correlated with the variance in medical expenditures. Bear in mind that statistical correlation is not the same as causation. But if the explanatory factors are plausibly connected to the outcome, then we may have a better understanding not only of why health care costs vary so much across the United States, but also of what to do about it. Let’s start with the doctors themselves. Perhaps, as is the case with the number of lawyers in a community, where one would expect that the number and length of lawsuits are related to the number of attorneys per capita, it may be the case that if there are lots of doctors around to do things, then more money would be spent on medical procedures.