Health News Review

Wikio.com once again has shared with me a sneak preview of their new September health blog rankings – soon to be posted on the Wikio site but here’s your early look:

1 Well
2 Kevin, M.D. – Medical Weblog
3 Science-Based Medicine
4 Respectful Insolence
5 Pharmalot
6 Health Beat
7 In the Pipeline
8 John Goodman’s Health Policy Blog
9 Gary Schwitzer’s HealthNewsReview Blog
10 Managed Care Matters
11 Age of Autism
12 The Health Care Blog
13 The Last Psychiatrist
14 Better Health
15 Dr. Wes
16 Running a hospital
17 Healthcare Economist
18 Health Business Blog
19 The Covert Rationing Blog
20 The Happy Hospitalist
21 White Coat Underground
22 Diabetes Mine
23 Shrink Rap
24 Movin’ Meat
25 The Carlat Psychiatry Blog
26 Weighty Matters
27 Disease Management Care Blog
28 InsureBlog
29 Brain Blogger
30 ScienceRoll

Ranking made by Wikio

So this blog is now – as of today – ranked in the top 10 health blogs by Wikio (soon to be re-named Ebuzzing, I’m told) and by Technorati. That’s a first. Thank you for your interest and support. (Note: Technorati’s rankings change quickly. This blog was #7 among health blogs when I posted this.)

And thanks to recent guest bloggers who have helped bring more perspectives to this site – Ivan Oransky, Harry DeMonaco, Kevin Lomangino, Steve Miles.

Comments

Gregory D. Pawelski posted on September 2, 2011 at 4:39 pm

Good job Gary. You make the blog informative, interesting and thought provoking. I take notice that three of the top ten (Pharmalot, Health Beat and HealthNewsReview) all are top notch blogs.

Sherry S. Galloway, R.N. posted on September 5, 2011 at 12:23 am

In response to your article about prostate cancer screening, Jamie Bearse’s response and the dialogue that follows:
In April of 2006, my son, Jeremy was hospitalized for extreme anemia. A less fit man would have not been walking, but Jeremy had just returned from Burma, where he led nine people into the jungle to bring medicines to the Karin people. He had been treated unsuccessfully for back and hip pain for some time and had gone to an immunologist to see if maybe he had caught a disease during his travels as an environmental and human rights activist. He underwent several bone biopsies before the doctors finally did a PSA because the biopsy cells kept looking like prostate cancer cells. His PSA was 441. His CT scan showed tumor throughout his pelvis, spine and shoulders with spots on his skull. He was diagnosed with advanced metastatic prostate cancer. Genetic testing showing no reason for his disease; nor did any other recognizable factors. This did not stop him from dying 18 agonizing months later from this horrible disease. He was 36. I am a board member of ZERO-The Project to End Prostate Cancer. You can read my 2009 testimony to the DOD on their web site or the Prostate Cancer Foundation web site, if you’re interested. Every day I get postings from men, mostly in their 40s, with prostate cancer. I hear from widows of young men with prostate cancer. DO NOT EVER suggest that early screening, especially with the PSA until there is a better test, is a waste of time. Brawley is incorrect. Early screening and detection saves lives! I’ve had the good fortune of hearing from men who are alive because they insisted on a PSA or accidentally got one done. Have the experience and then see how you feel. Lose your only child after watching them slowly disintegrate before your eyes. Hold him when he sobs in pain; help him when he is vomiting repeatedly so that he can barely take a breath; clean him when he becomes incontinent; sit in the E.R. all night while he writhes in pain. Then you will have the right to your opinion about this. Until then, I think you are misinformed and thus misinforming others. 36. My son died needlessly at 36 because no one thought to do a PSA and his annual DRE was always negative. 36. How old are you?

Gary Schwitzer posted on September 5, 2011 at 9:34 am

Sherry,
Thank you for your comment.
I am sorry for your loss.
But nothing on my blog states that PSA is a “waste of time” – so you are making a straw man argument.
You also imply that anyone who raises questions about the evidence for prostate cancer screening is not entitled to their “opinion.” You state that the chief medical officer of the American Cancer Society is incorrect.
I don’t think that anyone needs to experience something in order to “have a right” to an opinion, as you state. And I don’t think that experiencing loss entitles one to a right to their own facts.
The US Preventive Services Task Force states: “For men younger than age 75 years, evidence is inadequate to determine whether screening improves health outcomes.”
This is why they and the American Cancer Society encourage informed, shared decision-making.
These are not willy-nilly, off-the-cuff recommendations. The supporting evidence statements are all clearly posted on the USPSTF website – http://www.uspreventiveservicestaskforce.org/uspstf/uspsprca.htm.

Gregory D. Pawelski posted on September 5, 2011 at 11:18 am

This is not meant to dilute the emotional story above and I am sorry for your loss, but there are examples of the other side of the issue.
There is no talk about all the men who are incontinent of urine, can’t have sex, or even died as a result of the treatment for a cancer that may never have caused a problem during the rest of their lifetime. Those stories somehow don’t get told.
The truth is, this does happen, but no one emphasizes that point. If you have an indolent cancer diagnosed (meaning it doesn’t grow fast and won’t cause a problem), elect to be treated, and die as a result, then you may have lost many years of enjoyable life.
I totally support the issue that the family practitioner should “offer” (not recommend) the PSA test while discussing the risks and benefits of prostate cancer screening with the patient. But many elderly men are undergoing unnecessary PSA screenings.
The longest study yet on prostate cancer testing provides more evidence that getting screened doesn’t cut the chances of dying from the disease.
I have experienced the issue, “what if unnecessary treatment from an unnecessary PSA screening killed you?” An indolent cancer was diagnosed, patient was scared into treatment, and died as a result (a slow, agganizing death). He had permanent radiation seed implants. I’ve lost many years of enjoyable friendship with a loved-one.
Urologists can hardly hold themselves back and are out with all sorts of treatments. Sometimes, while a life may be saved, a life may be taken. I have experienced the issue. It does happen, but no one emphasizes that point.
Dr. Brawley did a good job of summarizing and applying logic to the confusing and sometimes contradictory opinions on this topic. Prostate treatment has become such a huge industry with immense cash flow. It feeds on some of our worst fears.