Healthcare: Disaster of Inadvertence
What's up (or down) in healthcare?
I discuss it on my Dr Synonymous BlogTalk Radio Show at the link above.
I review a blog post by Dr Elaina George that expresses some of the dilemmas facing us in healthcare. A bleak near future is coming. Let's hang on AND develop radical strategies to bypass the "inadvertent" mess.
Dialogue is one of the keys to health care success. Family Physicians should help patients to dialogue about their uniqueness in the context of their individual lives. Patients should dialogue with persons in healthcare with whom they have contact. We all need to share what's really important to us and seek to discern meaning in our health/ disease situations. The uniqueness of our individual identities must be clarified and honored in our interactions- both in life and in healthcare situations.
The dishonoring of human values in the healthcare system is rampant and must be countered with dialogue. Exposure to unnecessary testing, especially radiation via imaging such as CT scans is generating about 30,000 cancers per year according to the American Cancer Society.
ionizing radiation (such as CT scans) have the potential to cause cancers to form, and because of the increased use of these techniques over the last two decades, some estimates predict that 2 percent of all future cancers will result from current imaging use.
Physicians routinely don't get informed consent from the patient to perform most CT scans. Won't this come back to bite physicians and hospitals when the public realizes the harm done?
The principles of medical ethics reminds us of patient autonomy. "First of all- Do No Harm" is a central tenet of medical practice. Thirty thousand cancers sounds pretty harmful to me. Not getting informed consent for a test that can lead to cancer doesn't sound like patient autonomy to me.
Dialogue is needed. Let's get it going, Folks!