Archive for the ‘Decision Support’ Category

Success is a Lousy Teacher

Monday, November 28th, 2011

By Evan Falchuk

Bill Gates once said:

Success is a lousy teacher. It seduces smart people into thinking they can’t lose.

It’s clever, and it seems right.  Now there is science to prove it.

In a study published last week, scientists studied special imaging scans of doctors brains as they made simulated medical decisions.  Those doctors who paid attention to their mistakes made better decisions than those who were more interested in their successes:

“These findings underscore the dangers of disregarding past failures when making high-stakes decisions,” Montague said in a statement. “‘Success-chasing’ not only can lead doctors to make flawed decisions in diagnosing and treating patients, but it can also distort the thinking of other high-stakes decision-makers, such as military and political strategists, stock market investors and venture capitalists.”

This is just the latest proof of how important it is to interrupt your doctor’s decision-making process.  Leading researchers in the field of medical decision-making have emphasized how easy it is for “overconfidence” to get in the way.  Doctors are neither immune to disease nor the pitfalls of decision-making that plague the rest of us.

The “CSI Effect” Hits Medicine

Sunday, August 28th, 2011

By Evan Falchuk

I’m in Israel, home to some of the most innovative care in the world.  Doctors here wanted to know if the high-tech tests that are an increasing part of their work help.  A couple of weeks ago, they published their results.

It turns out that in about 90% of cases, it didn’t matter.

(more…)

Empowered Patients Get Better Care

Monday, July 25th, 2011

By Evan Falchuk

Sometimes you need a published study to tell you what should be obvious in the first place.

This time, researchers have discovered that:

When physicians have more personalized discussions with their patients and encourage them to take a more active role in their health, both doctor and patient have more confidence that they reached a correct diagnosis and a good strategy to improve the patient’s health.

Really?

But wait, there’s more.

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My Speech on the Intrepid

Thursday, June 2nd, 2011

By Evan Falchuk

Last night, aboard the U.S.S. Intrepid in New York, a client of ours, Ogilvy, held a moving charitable gala to support their foundation.  It’s called Ogilvy Cares, and the night raised money for a remarkable organization called CancerCare, which helps people cope with the realities of life with cancer.  Best Doctors was honored at this event for our work against cancer.

The event featured a mini-concert by Jordin Sparks – who was awesome.  There was also a performance by a band called N.E.D. (No Evidence of Disease), which is made up of leading gynecologic cancer surgeons from across the country.  They rock – and are an amazing story of the power of music to raise awareness of gynecologic cancers.

Below the fold you can read the text of what I said last night.

It reveals a secret: how each of us has the power to fight cancer.

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Third Place Health Care

Sunday, February 27th, 2011

By Evan Falchuk

Media reports on misdiagnosis continue to mount.

A recent study on patients with Alzheimer’s found that half had been misdiagnosed.  Half.

Another headline blared “4 out of 10 patients being misdiagnosed.”  The article encouraged patients to “see another doctor” if they are worried about their diagnosis.

You know what it makes me think about?

Starbucks.

(more…)

A Patient is Not a Shunt

Friday, February 4th, 2011

By Evan Falchuk

Some people may tell you that health care IT will solve many of the quality and cost problems in health care.

I don’t believe them.

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Best Doctors: Fast Company

Thursday, January 20th, 2011

By Evan Falchuk

Kaihan Krippendorff of Fast Company magazine has written two interesting profiles of Best Doctors for Fast Company.

Kaihan is an expert in business strategy, keenly interested in what it takes to build a successful business.   We talked about how the work we do at Best Doctors impacts people’s lives, and how those stories inspire us to make a great company.

One of those stories was the woman I talked about in the article.  She was one of the first cases I learned about when I joined Best Doctors.

She was in her 30s, and over the course of a few months, she started to lose her vision.  Specialists diagnosed her with a brain tumor.   It seemed that a tumor had grown in an area of her brain that was pressing on the optic nerve.  As it grew, her vision got worse.  She was scheduled for surgery to remove the tumor.

She had Best Doctors as a benefit of her job, and called for help, asking the questions many people ask us.  Is this the right treatment for me?  Are there other alternatives?

We reviewed all of her medical information.  It raised some important questions about the original diagnosis, and our team thought it was important to involve an expert in differentiating brain tumors from other kinds of problems.  He agreed something might not be right.

It was possible, he said, that what appeared to be a tumor was actually an inflammatory disease called sarcoidosis.  It’s a chronic illness that can create the kinds of problems the woman was facing.  His recommendation: before taking her into surgery, treat her with anti-inflammatory medication, and see what happens.  If it’s sarcoidosis, the “tumor” will shrink, and her vision will come back.  If not, then, you know the original diagnosis was correct.

We delivered this information to her and to her doctor.  They agreed to follow this recommendation – and in a short time, her sight started to come back.  A follow-up study confirmed the expert’s suspicion – she had sarcoidosis.

Now, she still had a disease needed treatment.  But she avoided an unnecessary surgery, that carried great risks, and a painful recovery.

It’s stories like these that inspire us, and it’s what Kaihn calls building “moral force:”

Stories like this move people. They give your employees a sense of meaning and pull the community to cheer for your success. They also show your clients that you exist for a bigger purpose than making profit.

I will be speaking with Kaihan on a free executive briefing, hosted by Fast Company on Monday, January 24 at noon ET.  Kaihan is a terrifically insightful person, so it promises to be an interesting conversation that you won’t want to miss.  

Click here to register and listen in.

UPDATE: Don’t miss Kaihan’s third piece on Best Doctors, which you can read here.

5 Tips For Diagnosing Yourself on the Web

Thursday, November 4th, 2010

By Evan Falchuk

What’s the highest peak in North America, Mt. McKinley or Denali?  This is a great question the web can answer for you.

“What is that lump on my neck?”  This is another great question – but not one you should rely on the web to solve.

Best Doctors recently conducted a Twitter-based poll to find out what channels of information people use to get health care advice.  It turns out, 54% of respondents use the web as their primary source of information.

Is this kind of do-it-yourself medicine a good idea?

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Control Your Care, Get Better Results

Tuesday, September 28th, 2010

By Evan Falchuk

I’m speaking this morning at the 23rd Annual Benefits Forum and Expo.  This is one of the premier events in the health care benefits industry, and it’s a thrill for me to be the opening speaker on the “Health Care” track.

I’m presenting along with Charlie Salter, the VP of Benefits of ConAgra, one of our customers at Best Doctors.  The talk Charlie and I will give is called “Real Results: When Individuals are in Control of their Health Care.”

As regular readers know, good things happen when people are in control of their care.  They have a chance to make sure they’re not one of the 20% of people that end up with an incorrect diagnosis, or the more than 60% of people that end up with the wrong treatment.  It’s the single most powerful thing you can do to make sure your health care experience is as good as it can possibly be.

It’s something that more and more highly innovative companies like ConAgra are making the core of their health care benefits programs.  Not only does it improve the quality of care for their employees, it also saves the company significant amounts of money – real dollars – by avoiding misguided care.

Visit back later, I’ll share some observations after the talk.

From Wall Street to Main Street: Misdiagnosed

Thursday, September 2nd, 2010

By Evan Falchuk

According to news reports actor Michael Douglas, perhaps most famous for his role of Gordon Gekko in Wall Street, is suffering from stage IV throat cancer.

He started complaining about symptoms to doctors earlier this year.  His doctors didn’t find anything to explain the problem until months later, when they discovered a walnut-sized tumor in his throat.  Even though doctors had originally told him they couldn’t find anything wrong, Douglas and his wife, actress Catherine Zeta-Jones were sure something wasn’t right.

Still, after months of feeling the pain creep up on him, of having a dry throat and hoarse voice, the news of his cancer came as little surprise to both Hollywood stars.

“It wasn’t a huge shock. I knew something was up. He knew something was up,” said Zeta-Jones.

It’s an all-too familiar story.  Being a rich and famous celebrity can make you special.  But when it comes to the right care, you’re as ordinary as the next guy.

(more…)

  • "Medicine is learned by the bedside and not in the class room. Let not your conception of manifestations of disease come from work heard in the lecture room or read from the book: see and then research, compare and control. But see first."
    - Sir William Osler, MD
    The Father of Modern Medicine
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