The Patient Paradox Why sexedup medicine is bad for your health edition by Margaret McCartney Health Fitness Dieting eBooks
Download As PDF : The Patient Paradox Why sexedup medicine is bad for your health edition by Margaret McCartney Health Fitness Dieting eBooks 
Welcome to the world of sexed-up medicine, where patients have been turned into customers, and clinics and waiting rooms are jammed with healthy people, lured in to have their blood pressure taken and cholesterol, smear test, bowel or breast screening done.
In the world of sexed-up medicine pharmaceutical companies gloss over research they don’t like and charities often use dubious science and dodgy PR to 'raise awareness' of their disease, leaving a legacy of misinformation in their wake. Our obsession with screening swallows up the time of NHS staff and the money of healthy people who pay thousands to private companies for tests they don’t need. Meanwhile, the truly sick are left to wrestle with disjointed services and confusing options.
Explaining the truth behind the screening statistics and investigating the evidence behind the hype, Margaret McCartney, an award-winning writer and doctor, argues that this patient paradox – too much testing of well people and not enough care for the sick – worsens health inequalities and drains professionalism, harming both those who need treatment and those who don't.
The Patient Paradox Why sexedup medicine is bad for your health edition by Margaret McCartney Health Fitness Dieting eBooks
As a retired health professional, The Patient Paradox didn’t just make good sense, it dramatically changed my way of thinking.Dr Margaret McCartney, a highly experienced and award winning writer and General Practitioner has produced a significant contribution to understanding problems in modern medicine practice. It will be of value to doctors and the lay public.
A cornerstone Dr McCartney’s book is the extent to which evidence based research is guiding current medical practice. She takes us into a world where patients are encouraged to become customers; those with vested interests are such as pharmaceutical companies are economical with research outcomes; and charities use selective research finding and questionable PR to promote their best interests. Time and again we are reminded of the patient paradox – too much unnecessary testing/screening of well people leading to a diminution of resources to care for the sick.
Dr McCartney explains and clarifies the statistics used to’ justify’ screening of healthy patients, and strips away the excessive positive claims of health advertising. If like me you have forgotten more statistics than you learned, don’t worry. The explanations given in this book are crystal clear.
Chapter headings are well organised and you are treated to exhaustive glossary, references and index sections.
A word of warning: don’t leave this book on view when friends come calling as it will be eagerly ‘borrowed’ and you will be buying another copy from Amazon.
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The Patient Paradox Why sexedup medicine is bad for your health edition by Margaret McCartney Health Fitness Dieting eBooks Reviews
Margaret MCartney nails the problems in 21st century medicine - an overemphasis on screening tests (which makes us get "treatment" for something which never would have harmed us anyway), a terrible lack of concern over helping impoverished people get into a healthy state, and the ongoing loss of medical professionalism.
Anyone in the health care field, in any country, would find this book thought-provoking. But the most important audience for this polemical book is laypeople. Read it, get angry, then act by helping to change the system, bit-by-bit.
I found this compulsive reading and it raised some interesting questions in my mind about healthcare today. Do screening programmes really work? It almost seems heresy to question whether they are really a good thing but this is what this book does. The disadvantages and risks of taking part in screening programmes are detailed in this fascinating book and you can compare those with the bright and cheerful leaflets you receive when your latest appointment appears in the post.
For many years I have not even thought to question why I am attending these appointments. In the last couple of years I have started to wonder what the point was and what the risks are. Breast cancer screening carries risks and does not actually identify that many cases. The author discusses the effect of anxiety and distress on women when they receive a recall letter. If it is a genuine case of early cancer being diagnosed by the mammogram then the distress may be worthwhile as the cancer can be treated. But what if it is a false positive and the woman concerned goes through invasive procedures and an anxious few weeks before she is told it was a benign condition? What effect does the stress have on her health? Is it possible that the risks outweigh the advantages for many people and shouldn't we be provided with as much information about the downside as well?
The author believes that patients should be given all the information they need to make informed choices about their treatment. They should not be worried about whether their doctor is going to make money out of their treatment. Most doctors are ethical in what they do and genuinely want to provide the best possible treatment for their patients regardless of cost. Government targets to do with not smoking, drinking alcohol in moderation, losing weight etc can overshadow every doctor patient consultation often to the detriment of the patient. Preventive medicine and screening the worried well is fine in an ideal world but when resources are limited most money should be spent on those who are sick and who have illnesses and conditions which need treating.
I was surprised to read about the effects of the two week referral window for suspected cancer cases. According to analysis of cases it seems that fewer cases are picked up from the two week urgent referrals than there are picked up from the eighteen week routine referrals. Doctors have even had it suggested to them that they should refer all cases through the two week process. The reason for these results are complex and partly related to the fact that the human body can only produce a certain number of symptoms and there may be common to several serious conditions and a much larger number of trivial conditions. It is impossible for doctors to decide which is which without further testing but they have to make some sort of judgement before they can refer their patients for further testing. This is putting the cart before the horse in my opinion.
This well written and interesting book will make you questions whether the NHS has got its priorities right. There are plenty of references to the sources of the facts and figures the author quotes in the text and an index. Maybe the NHS should stop spending large chunks of its money on the worried well and on people who have no symptoms of serious illness but who might have in the future. Isn't it better to spend the money on the people who need treatment rather than force feeding people statins which might protect some people - no one knows which people - from heart attacks and strokes in future? Healthcare should be for the sick and not for the worried well and it should not be about targets.
A really important book for all of us in healthcare, especially in outpatient services. A return to the basics, but with all the modernness of evidence-based practice!
Lots of good discussion about modern medicine.
Especially good on the pluses and minuses (mostly the latter) of scanning for medical problems.
It seemed to me, though, that the writer did overstate her case in the final chapters.
And I am not really sure what "sexed up medicine" is.
Still, highly recommended.
As a retired health professional, The Patient Paradox didn’t just make good sense, it dramatically changed my way of thinking.
Dr Margaret McCartney, a highly experienced and award winning writer and General Practitioner has produced a significant contribution to understanding problems in modern medicine practice. It will be of value to doctors and the lay public.
A cornerstone Dr McCartney’s book is the extent to which evidence based research is guiding current medical practice. She takes us into a world where patients are encouraged to become customers; those with vested interests are such as pharmaceutical companies are economical with research outcomes; and charities use selective research finding and questionable PR to promote their best interests. Time and again we are reminded of the patient paradox – too much unnecessary testing/screening of well people leading to a diminution of resources to care for the sick.
Dr McCartney explains and clarifies the statistics used to’ justify’ screening of healthy patients, and strips away the excessive positive claims of health advertising. If like me you have forgotten more statistics than you learned, don’t worry. The explanations given in this book are crystal clear.
Chapter headings are well organised and you are treated to exhaustive glossary, references and index sections.
A word of warning don’t leave this book on view when friends come calling as it will be eagerly ‘borrowed’ and you will be buying another copy from .
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