Posts Tagged ‘Diagnosis’

How Did My 2011 Predictions Turn Out?

Sunday, January 1st, 2012

By Evan Falchuk

Pretty well, actually.

As predicted last December, there was no big change to health care reform, doctors still didn’t have enough time with their patients, Microsoft made moves to create a “Windows” for electronic health records, and “ACO” became the hot buzzword in health care.  Some state governments started major redesigns of their benefits programs, saving money in the same ways private sector employers do.  Meanwhile, more than ever, private sector employers are penalizing employees who don’t take care of themselves.

Misdiagnosis finally started to be recognized as a public health problem.  At Best Doctors we got a great deal of press coverage in 2011 on this (for a few examples, go here, here, here, here and here).  I will sneak in a 2012 prediction and tell you that you will hear a lot more about this this year, and not just from us.

What did I get wrong?

Well, I said no major employer would drop their health benefits – and none did, so I didn’t really get this wrong.  But I was surprised to hear some very major employers quietly talking about their plans for dropping coverage in 2014.  It’s a bad idea – and I would have thought its badness would have been enough to keep it off the table.  For some employers, apparently not.

I also can’t point you to signs that the health insurance system is starting to take on the bad aspects of the workers compensation system.  Instead, many of the Fortune 100 employers we work with are trying to make their benefits plans simpler and easier to use.  I’m glad to be wrong about that so far.

Here are the two biggest misses.

First, I predicted a doctor would get sued for offering medical advice to a patient on line.  It didn’t happen in 2011.  Interestingly, there was (finally) a lawsuit claiming gag orders on posting reviews of medical providers on-line were unenforceable, something I thought would have happened a long time ago.

Second, I thought that health care reform would be more popular at the end of 2011 than it was at the beginning.  According to the Kaiser Health Tracking Poll for December 2011, in January, 41% of Americans had a “favorable” opinion of health care reform.  In December?  Forty-one percent.  A better prediction would have been that no one’s minds would be changed….

For my 11 predictions for 2011, I got 8 right.  Not bad, but I have to do better in 2012.

So, for 2012, I will make only one prediction – the world won’t end on December 21, 2012.

I feel good about this one- I’m wrong, no one will be here to see.

Five Steps to Avoid Misdiagnosis

Tuesday, November 29th, 2011

By Evan Falchuk

Sunday’s Milwaukee Journal Sentinel published an op-ed I wrote about how you can avoid misdiagnosis.

Published studies show that rates of misdiagnosis in America are a stunning 1 in 5.The good news is there are several steps you can take to protect yourself. They start with understanding why misdiagnosis happens, how you can work with your doctor to avoid it and, above all, playing an active role in your own health care.

Diagnostic errors happen much more often than most people realize. Even doctors are not immune. According to The New England Journal of Medicine, 35% of doctors have reported errors in their own care or that of a family member.

How can this be happening in a time of such great medical advances?

How indeed.  Go to the Journal Sentinel site and find out how you can protect yourself.

5 Ways You Can Avoid Being Misdiagnosed

Tuesday, August 30th, 2011

By Evan Falchuk

Billionaire Teddy Forstmann has apparently been diagnosed with a serious form of brain cancer.  There’s a tragic twist to the story: according to Fox Business News, Forstmann believes that for more than a year, he had been misdiagnosed with meningitis.

ABC News wonders:

How could such a misfortune befall a billionaire —- a man able to afford the best doctors, best technology and the most sophisticated diagnostic tests?

They’re missing the point.  Misdiagnosis happens with shocking regularity – as much as 44% of the time, depending on the illness.

I’m sure that, as with most things, being a billionaire is better.  But as a neurosurgeon quoted by ABC News points out, even for a billionaire, getting the right care is “still a bit of a crap shoot.”

So how can you improve your odds?  Here are 5 tips that work.

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Don’t Stop Medical Innovation

Tuesday, July 5th, 2011

By Evan Falchuk

The New York Times says “In Medicine, New Isn’t Always Improved.”

Who can argue with this?

“In Dining, New Restaurants Aren’t Always Better.”

Yes, that’s true, too.  But does it mean anything?

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Best Doctors Grilled on the Radio

Monday, June 20th, 2011

By Evan Falchuk

What’s Best Doctors all about?

The Mind Your Own Business radio show finds out.  Tune in to my recent interview where I’m talking about misdiagnosis, rising health care costs, and how important it is to bring the minds of the top 5% of medical experts to your employees and their families.

Listen to the recording here.

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…)

11 Predictions for 2011

Tuesday, December 14th, 2010

By Evan Falchuk

Here are eleven things that are absolutely going to happen** in 2011.

They are in no particular order….or are they?

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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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I Did it For You

Tuesday, August 3rd, 2010

By Evan Falchuk

How often do people get the wrong diagnosis?

Too often.

There are things you can do help protect yourself.  Things like, asking questions, being sure everything makes sense to you, not doing anything you’re not sure about.

At Best Doctors, helping people do this is what we do every day, and so I want to tell you a story.  It’s about my brother.

I want to tell it to you it because it will help you understand the important work we do here, and because of something very special that happened for him this weekend.

(more…)

Beware Pathology Results

Tuesday, April 20th, 2010

By Evan Falchuk

The Wall Street Journal’s Health Blog says that cancer lab tests “aren’t always right.

They report on reports issued by two professional societies that point out that as many as 20% of a certain kind of test are inaccurate.  According to the Health Blog the problem is the tests “aren’t black and white, and rely on a pathologist’s judgment.”

Now, judgment is a critical factor in most everything in medicine, but perhaps nowhere else are the consequences of incorrect judgment so serious as in pathology.  As Dr. William Osler famously observed: “As is your pathology, so goes your clinical practice.”

But how widespread is this problem?

(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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