Think you and your doctor can access the latest expert knowledge about your medical condition? Think again. Imagine you have cancer and receive chemotherapy. You develop a complication--a life-threatening blood clot, the second leading cause of death in cancer patients after the cancer itself. You’re frightened. What should your doctor do to save your life?… Continue reading Why are medical care guidelines kept behind journal paywalls?
We tend to think of health care as complicated. Here’s a little secret: it’s not. It’s only evolved to be a complex system because we’ve made it that way. When a physician sees a Medicare patient, an estimated 130,000 pages of rules and regulations influence that relationship. The Affordable Care Act and it’s supporting regulations… Continue reading Pre-existing condition: a palatable term for government sanctioned discrimination
We love penguins. We make blockbuster movies about them--Happy Feet, March of the Penguins, Madagascar Penguins, Mr Popper's Penguins. And the penguin related merchandise...wow. But vultures? Not so much. When a vulture makes an appearance in a movie, they add a sense of foreboding...something bad's looming about. Grant it, vultures might not have the… Continue reading How one bird improves public health
On April 6, 2017, the FDA approved marketing of 23andMe Personal Genome Service Genetic Health Risk tests for 10 diseases or conditions.(FDA Press Release 4-6-17) No prescription or physician needed. These are the first direct-to-consumer tests authorized by the FDA that provide information on an individual’s genetic predisposition to certain medical conditions. Among them, hereditary… Continue reading Direct to consumer thrombophilia testing approved–a good thing?
There's a big loophole in the laws governing the reporting of payments by drug companies to clinicians. How it is influencing care for those taking the #1 medication causing adverse drug events.