1/23/2012

The Treatment Trap: How the Overuse of Medical Care Is Wrecking Your Health and What You Can Do to Prevent It Review

The Treatment Trap: How the Overuse of Medical Care Is Wrecking Your Health and What You Can Do to Prevent It
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I am a physician who specializes in geriatrics and palliative medicine. I work in a busy tertiary care teaching hospital where some of the world's best specialists practice. Miracles of cure and life prolongation occur every day- liver and heart transplants, for example. But much more common is patients caught up in a system- marketplace is a more accurate description- of interventions- interventions that our specialists spent years in training learning how to do, and that they strongly believe are beneficial to their patients; interventions that are generously compensated by insurers; interventions that are not coordinated with all the other interventions provided by all the other specialists; interventions that have not been studied in the patient groups who are being subjected to them; interventions with significant side effects and consequences for many of the patients receiving them. Yet the unexamined belief- almost an article of faith among doctors and their patients- is that it is always better to do something than nothing in health care. Paradoxically, the truth is often just the opposite. Much of the time it is better to follow a different set of assumptions- when uncertain "don't just do something-- stand there." The Treatment Trap brings this situation to life through stories of real people- real people and their well-intended and very well-trained doctors- all doing what they were taught was right. For patients- See a doctor- do what they recommend. For doctors- See a patient, do something to show the patient you care, to make your living, to keep your practice above water. Interestingly, in support of the thesis of this book- that overtreatment is hurting and killing us- an increasing body of research shows that patients who get palliative care and hospice actually live LONGER than control patients receiving usual care- the usual care that Gibson and Singh reveal by listening to patients and families who have been there.


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