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What’s Making Us Sick Is an Epidemic of Diagnoses
New York Times ^ | 2 January 2007 | By H. GILBERT WELCH, LISA SCHWARTZ and STEVEN WOLOSHIN

Posted on 01/07/2007 7:32:51 AM PST by shrinkermd

For most Americans, the biggest health threat is not avian flu, West Nile or mad cow disease. It’s our health-care system.

You might think this is because doctors make mistakes (we do make mistakes). But you can’t be a victim of medical error if you are not in the system. The larger threat posed by American medicine is that more and more of us are being drawn into the system not because of an epidemic of disease, but because of an epidemic of diagnoses.

Americans live longer than ever, yet more of us are told we are sick.

How can this be? One reason is that we devote more resources to medical care than any other country. Some of this investment is productive, curing disease and alleviating suffering. But it also leads to more diagnoses, a trend that has become an epidemic.

This epidemic is a threat to your health. It has two distinct sources. One is the medicalization of everyday life. Most of us experience physical or emotional sensations we don’t like, and in the past, this was considered a part of life. Increasingly, however, such sensations are considered symptoms of disease. Everyday experiences like insomnia, sadness, twitchy legs and impaired sex drive now become diagnoses: sleep disorder, depression, restless leg syndrome and sexual dysfunction

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Editorial; Unclassified
KEYWORDS: diagnoses; healthcare; surfeit; us
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Conclusion: "...The epidemic of diagnoses has many causes. More diagnoses mean more money for drug manufacturers, hospitals, physicians and disease advocacy groups. Researchers, and even the disease-based organization of the National Institutes of Health, secure their stature (and financing) by promoting the detection of “their” disease. Medico-legal concerns also drive the epidemic. While failing to make a diagnosis can result in lawsuits, there are no corresponding penalties for overdiagnosis. Thus, the path of least resistance for clinicians is to diagnose liberally — even when we wonder if doing so really helps our patients.


1 posted on 01/07/2007 7:32:54 AM PST by shrinkermd
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To: shrinkermd

I'm in good health and exercise on a regular basis. Maybe I should see a shrink.


2 posted on 01/07/2007 7:37:24 AM PST by Man50D (Fair Tax , you earn it , you keep it!)
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To: shrinkermd

--the lawyer-driven and lawyer-dominated society--


3 posted on 01/07/2007 7:39:00 AM PST by rellimpank (-don't believe anything the MSM states about firearms or explosives--NRA Benefactor)
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To: shrinkermd
Hence the explosion of television ads for pharmaceuticals.
4 posted on 01/07/2007 7:39:36 AM PST by Indy Pendance
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To: shrinkermd


Q: What do you call someone who got "D"s all the way through medical school?


A: DOCTOR.


5 posted on 01/07/2007 7:43:09 AM PST by Delta 21 ( MKC USCG - ret)
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To: shrinkermd

This blog site follows these issues and I highly recommend it for anyone that follows the health care industry:

http://hcrenewal.blogspot.com/


6 posted on 01/07/2007 7:48:22 AM PST by Calpernia (Breederville.com)
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To: Delta 21

What were your grades in medical school?


7 posted on 01/07/2007 7:48:47 AM PST by L98Fiero (A fool who'll waste his life, God rest his guts.)
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To: Indy Pendance
Hence the explosion of television ads for pharmaceuticals.

I still don't see a pill for my malady, Egregious General Anxiety Disorder Syndrome (EGADS). I'll "feel" much better when they "create" one.

8 posted on 01/07/2007 7:49:15 AM PST by PGalt
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To: shrinkermd
"Doctor, I'm tired all the time." -- Chronic Fatigue Syndromw.
"Doc, I'm having trouble arming the one-eyed warhead." -- Erectile Dysfunction
"I don't find life worth living anymore." -- Gigglopathy or Guffaw Displacement.

Problems? Yes. Diseases? No.

9 posted on 01/07/2007 7:50:49 AM PST by IronJack (=)
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To: PGalt

If Martians came to this country, they'd wonder how we survived this long.


10 posted on 01/07/2007 7:51:40 AM PST by Indy Pendance
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To: rellimpank

You're right.


11 posted on 01/07/2007 7:55:31 AM PST by Theo (Global warming "scientists." Pro-evolution "scientists." They're both wrong.)
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To: shrinkermd

Ban all direct marketing of prescription drugs. I stopped watching television pretty much because there is a drug for everything normal in life.


12 posted on 01/07/2007 7:57:23 AM PST by Petronski (I just love that woman.)
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To: shrinkermd

A Nation of Victims.


13 posted on 01/07/2007 7:58:53 AM PST by Paraclete
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To: shrinkermd

I understand the article, and while it brings up good points, that illnesses trend and become faddish. That meds are overused and some things are over diagnosed. I do disagree to an extent.

We do NOT know all there is to know about the human body, brain and illnesses. It's like saying we've reached the edge of the earth where the horizon drops off, so nothing new is out there.

Maybe it's because I'm a geezerette, but I think it's wonderful that things that went untreated, that made folks lives a living hell, now have diagnosis and root causes.

Hell, it wasn't that long ago that we thought ulcers were from stress, now we know they're caused by a bacteria. GERD wasn't treated, now we know that untreated, it's a precursor to cancer.

Mental illnesses, which for so long had the 'it's all in your head' attitude, now daily are having clinical data show up supporting actual brain deformities, specific chemical imbalances, genetic links etc. Folks that were seen as hopeless now have shots at actual lives.

I'd rather live now, in a time where people are looking for answers, than in my mother's wonderful day when you were told to think happy thoughts if depressed (and the suicide STILL happened) or 'it's all in your head' for the relative with migranes, or 'you're possessed' for my cousin with epelpsy.

I remember that when I roll my eyes at the upteen commericals on TV. Now is way better than the snake pit days.....


14 posted on 01/07/2007 8:04:26 AM PST by najida (If it wasn't for fast food, I'd have no food at all.)
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To: najida

"Hell, it wasn't that long ago that we thought ulcers were from stress, now we know they're caused by a bacteria.

Some are, some aren't. It is important to know what is causing them in a particular case.


15 posted on 01/07/2007 8:06:44 AM PST by proxy_user
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To: Petronski

Did you notice when they were advertising the same drug for "social anxiety," postpartum depression, post-traumatic stress disorder, and attention-deficit? That was funny.

(If I had any of those, I'd probably treat them with cheap wine and pretzels :-).


16 posted on 01/07/2007 8:07:31 AM PST by Tax-chick (What's this we have now?)
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To: najida

I think you meant to say "snake oil" days.


17 posted on 01/07/2007 8:14:36 AM PST by widowithfoursons
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To: Petronski
Americans live longer than ever, yet more of us are told we are sick.

I see they have lowered the goalposts for serum cholesterol again down to 100 mcg/Dl.

This should triple statin sales, and fund more suppertime TV advertising for Lipitor™ etc.

I am conviced that someday there will be a terrible reckoning concerning these drugs, and the studies that created this industry, beginning with the now-ancient Helsinki Study.

Whether one believes that the metabolic pathways chart was divinely designed, or designed by a billion years of evolution, there are REASONS for synthesizing cholesterol.

Given disruption of liver enzymes such as transaminases in some people, together with a host of other side effects like peripheral neuropathy, there had damned well BETTER be an overriding reason for this avalance of prescriptions besides absurd prices for quite simple compounds.

Otherwise the future will provide something a lot worse than the Dalcon Shield, Thalidomide, and the Schiley heart valve, and the lawyers will have a feast.

I take them. But under protest, because there is something about this whole episode that is intuitively disquieting to me.

18 posted on 01/07/2007 8:14:48 AM PST by Gorzaloon (Global Warming: A New Kind Of Scientology for the Rest Of Us.)
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To: widowithfoursons

It used to be that one of the treatments for insanity was to lower the person into a pit of snakes....

The belief being that if it would scare a sane person crazy, it would scare a crazy person sane. What it did do was show up the fakes. The poor, truly insane person was either oblivious, or scared deeper into madness.

That is where the term snake pit came from.


19 posted on 01/07/2007 8:18:23 AM PST by najida (If it wasn't for fast food, I'd have no food at all.)
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To: najida

Good points, najida. As frustrated as I've been with my own health issues, it's *really* nice to have pain pills that don't make me loopy. My son gets one "poke" every three days for his diabetes rather than 5-6 pokes a day. (he has a pump.) When you look back just 30 years, home care for diabetes was horrible.


20 posted on 01/07/2007 8:30:13 AM PST by Marie (Smart, educated women make smart, educated children!)
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