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Posts Tagged ‘ prevention ’

A Snapshot of Current Efforts to Grow and Support Family Medicine

October 2, 2011

I attended a Payment Reform Summit sponsored by the Texas Academy of Family Physicians this past weekend. It was a good conference and provided a snapshot of current views and attempts to grow family medicine and pay for it. There were some emotional ups and downs for me as I listened...
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More on the Harms of the POEM Assumptions — the CA-125 Test

June 19, 2011

I received a heartfelt response to one of my posts about Dr. Oz. The response is a reply to that post and I re-post it here in its entirety. First, the thoughts of the writer, Mr. Graham; then, my response. From Mr. Graham: My wife died December 2, 2010 at our...
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Early Detection Doesn’t Necessarily Prevent Bad Outcomes–Colonoscopies

December 11, 2010

A colleague of mine who is a family physician in Arlington, Texas, let’s call him Dr. Smith, was sued several years ago for medical malpractice. His patient had reached the age where routine screening for colorectal cancer is recommended. Dr. Smith performed flexible sigmoidoscopies (flex sigs) in his office, which is...
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An Ounce of Prevention Costs a Ton of Money-Preparticipation Screening of Young Athletes

December 5, 2010

A young man streaks down the basketball court with only one man to beat. A subtle head fake to the right causes his opponent’s weight to shift ever so slightly. The dribbler crosses the ball from his right hand to his left, dips his shoulder just past his opponent’s, and pushes...
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Prevent versus Delay

October 23, 2010

A commenter (I believe a physician) on one of my posts wrote the following: I can prevent heart attacks and strokes (caused by atherosclerosis – “blockage”) in people (minimal cost) who have NO symptoms. If I wait for their heart attack or stroke – it costs a WHOLE lot more. The...
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