Two more “more is not always better” reminders

I know I’m late on both of these, as both were published a week ago. Late or not, I like to catch up so that I can archive good stuff on my site.

An analysis by the Nordic Cochrane Center in Copenhagen led to this conclusion:

“General health checks did not reduce morbidity or mortality, neither overall nor for cardiovascular or cancer causes, although the number of new diagnoses was increased.”

And on Zocalo Public Square, Heather Boerner asks, “How About Ice Cream Without the Tonsillectomy?  Subtitle: “We Keep Wanting More Care Without Knowing If It’s Better Care.”

Comments (2)

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Greg Pawelski

October 25, 2012 at 11:35 pm

This stuff is pretty well-known already by my PCP. In an ideal world, the annual physical could be manipulated to be more appropriate. However, there has to be patient’s expectations as well as the patient’s attorneys expectations. He has a hard time convincing his patients that they do not need PSA done every year. At my initial Welcome to Medicare physical, I consented to having my very first colonoscopy that he’s been trying to get me to have over the last ten years. When it came to talking about the PSA test (and he knows how I feel about it), he asked a few questions to which I answered “no” to each one, and that was it. End of discussion.

Greg Pawelski

October 25, 2012 at 11:35 pm

This stuff is pretty well-known already by my PCP. In an ideal world, the annual physical could be manipulated to be more appropriate. However, there has to be patient’s expectations as well as the patient’s attorneys expectations. He has a hard time convincing his patients that they do not need PSA done every year. At my initial Welcome to Medicare physical, I consented to having my very first colonoscopy that he’s been trying to get me to have over the last ten years. When it came to talking about the PSA test (and he knows how I feel about it), he asked a few questions to which I answered “no” to each one, and that was it. End of discussion.