Posts Tagged ‘Quality Care’

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.

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.

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.

(more…)

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.

(more…)

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.

(more…)

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…)

Stop the Phony Quality Measures, Ctd

Friday, October 15th, 2010

By Evan Falchuk

Who do you think is likely to be a better doctor:

A board certified graduate of one of the top medical schools in America, or a non-certified doctor trained in a foreign country?

If your answer is “I have absolutely no idea,” then you’re probably spending a lot of time looking at the “report cards” that pass for measures of health care quality.  And you’re probably confused.

(more…)

“I was shocked”

Tuesday, July 27th, 2010

By Evan Falchuk

According to the Annals of Internal Medicine, doctors make the wrong medical decisions surprisingly often.

Using a “mystery patient” technique – in which actors pretended to be patients – researchers found that doctors made errors in complicated cases in 60% to 90% of cases.  Sixty to ninety percent. In uncomplicated cases, they made errors in nearly 30% of cases.

As one study participant put it, “I was shocked.”

(more…)

Docs: the Fix Isn’t In

Friday, June 18th, 2010

By Evan Falchuk

Yesterday, the Senate yesterday rejected the so-called “doc fix.”   This means that doctors taking Medicare patients will now get 21% less pay for their work.

How’s that getting involved in politics working out for you guys?

Not so good.

But there’s a larger issue here.  Why do we keep trying to control health care costs by just mandating that less money be spent?

It’s failed for decades.  But like a losing gambler that is convinced that if he just keeps doubling down, he’ll finally come out ahead, people keep trying.  (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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