Podcasts about overtreatment

WHO Study on lifespan vs. healthspan in 183 countriesIs there a danger in taking a supplement that enhances immunity if you have an autoimmune condition?I've had DCIS twice and feel I've received far too many mammograms. Can you discuss overtreatment?

Leading glaucoma experts Drs. Jamie Brandt and Pradeep Ramulu join host Dr. Andrew Pouw to talk about the burden of overdiagnosis and overtreatment of mild glaucoma, and mitigation strategies both in the clinic and at the policy desk. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

In today's episode of Keeping Abreast with Dr. Jenn, Dr. Jenn takes a deep dive into breast cancer screening, uncovering the hidden risks of routine mammograms and exploring safer alternatives. With a mission to empower women to make more informed decisions, Dr. Jenn discusses overdiagnosis, overtreatment, and the emotional toll these can take. She introduces innovative technologies like the QT scan and AURIA test, which offer more accurate, non-invasive options for breast cancer detection. This episode is a must-listen for anyone navigating their breast health journey and seeking to move beyond traditional screening methods.In this episode, you'll:Learn the potential risks of repeated radiation exposure from mammograms.Understand the emotional and psychological effects of overdiagnosis and overtreatment.Discover the benefits of cutting-edge, non-invasive technologies like the QT scan and AURIA test.Explore tailored strategies for high-risk individuals and better breast health monitoring.Gain insight into the importance of self-breast examinations and recognizing bodily changes.Hear real-life stories of unnecessary mastectomies and how they could have been avoided.Episode Timeline:00:01 Introduction to Breast Health Awareness Month01:00 The Importance of Screening Programs04:13 Mammograms: Benefits and Drawbacks09:46 How Mammograms Influence Treatment Decisions15:09 Overdiagnosis and Overtreatment in Breast Cancer20:01 Alternatives to Traditional Screening Methods29:46 Introducing Innovative Technologies: QT Scan & AURIA Test50:14 Conclusion and Recommendations for Breast HealthTo talk to a member of Dr. Jenn's team and learn more about working privately with RHMD, visit: https://jennsimmons.simplero.com/page/377266?kuid=327aca17-5135-44cf-9210-c0b77a56e26d&kref=vOKy0sAiorrKTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.realhealthmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

My daughter called me with a dental question.

Overtreatment is a big problem in American health care. The proliferation of unnecessary medical tests and procedures not only harms patients but costs the United States billions of dollars every year. Between 2019 and 2021, Medicare spent as much as $2.4 billion on unnecessary coronary stents alone. At some hospitals, it's estimated that more than half of all stents are unwarranted. For this week's episode of The Dose podcast — the latest in our series on the affordability of health care — host Joel Bervell talks to Vikas Saini, M.D., a cardiologist and the executive director of the Lown Institute, a think tank that examines overspending and overtreatment in the health care system. Dr. Saini unpacks how health care practices are misaligned with patient needs and discusses strategies for “rightsizing” U.S. health care.

Surgeons are trained to, well…do surgery, but is that always the right treatment for the patient? Not offering surgery can be a challenge, especially when you're consulted about a sick patient in the middle of the night and the clinical momentum is moving toward the OR. Join Drs. Katie O'Connell, Ali Haruta, Lindsay Dickerson, and Virginia Wang from the University of Washington as we discuss how to recognize when a surgery is potentially not beneficial and communicate serious news with the patient and consulting team. Hosts: Dr. Katie O'Connell (@katmo15) is an assistant professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA. Dr. Ali Haruta is a PGY7 current palliative care fellow at the University of Washington, formerly a UW general surgery resident and Parkland trauma/critical care fellow.  Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY5 general surgery resident and current surgical oncology fellow at the University of Washington. Dr. Virginia Wang is a PGY2 general surgery resident at the University of Washington. Learning Objectives: Identify when a patient's disease course is unlikely reversible by surgery  Learn to avoid defaulting to offering potentially non-beneficial surgical treatment for patients at the end-of-life Learn to recommend comfort-focused treatments for patients at the end-of-life Develop the communication skill of delivering serious news References: 1. Cooper Z, Courtwright A, Karlage A, Gawande A, Block S. Pitfalls in communication that lead to nonbeneficial emergency surgery in elderly patients with serious illness: description of the problem and elements of a solution. Ann Surg. Dec 2014;260(6):949-57. doi:10.1097/SLA.0000000000000721 2. VitalTalk. One page Guides. https://www.vitaltalk.org/guides/  3. VitalTalk. Using Ask-Tell-Ask to Make a Recommendation.  https://www.vitaltalk.org/using-ask-tell-ask-to-make-a-recommendation/ 4. VitalTalk. What's a Headline? https://www.vitaltalk.org/whats-a-headline/ 5. Zaza SI, Zimmermann CJ, Taylor LJ, Kalbfell EL, Stalter L, Brasel K, Arnold RM, Cooper Z, Schwarze ML. Factors Associated With Provision of Nonbeneficial Surgery: A National Survey of Surgeons. Ann Surg. 2023 Mar 1;277(3):405-411. doi: 10.1097/SLA.0000000000005765. Epub 2022 Nov 24. PMID: 36538626; PMCID: PMC9905263. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other surgical palliative care episodes here: https://behindtheknife.org/podcast-category/palliative-care/

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Alan is joined by one of the best teachers in clinical dentistry, Dr. Dennis Hartlieb. Dennis has a podcast called the DOT Sharecast Continuing education is about taking away something, not everything. Needs, values and resources Dental school expectations...dentistry doesn't last forever YOU remember the compromises that the patient does not A riff on second opinions and overtreatment Overtreatment makes us ALL LOOK BAD Is All-on-X overused in dentistry? Is implant education pushing this too much? "The last treatment that you'll need." Except when it isn't. Treat patients...not procedures. Ethical pressures...mostly financial Medical documentation-->box checking Relationship driven dentistry  "You can't harvest the same day that you're planting seeds." "Don't start what you can't finish." Polishing a turd Failed teeth vs. failed implants Heroics and your skill set "Are you going to be mad at me if...?" If you have to show the patient the chart you've already lost Is dentistry easy? Some links from the show: Dental Online Training (DOT Hands On) Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

When overdone or done unnecessarily, functional health tests can impact patients financially and emotionally. Take Jane—a patient at our clinic who spent over $7,000 in total on treatment with a different doctor only to develop an eating disorder and experience worsening symptoms. In this episode, I break down evidence that explains why adrenal, glucose breath, micronutrient, gut dysbiosis, and food allergy tests didn't help her case—and why they aren't always necessary to do for treatment. https://www.drruscio.com/consequences-overtesting-overtreatment  My book Healthy Gut, Healthy You is available at https://drruscio.com/getgutbook If you're in need of clinical support, please visit https://ruscioinstitute.com Looking for more? Check out https://drruscio.com/resources 

The Leading Contributor To Medical Overtreatment Ian Harris, MD• https://med.unsw.edu.au/our-people/ian-harris • Book - Hippocrasy: How doctors are betraying their oath #IanHarris #Surgery #Placebo #OverDiagnosis  Dr Ian Harris is a practicing orthopedic surgeon, university professor and an acclaimed author of several books including Hippocrasy: How doctors are betraying their oath. In Hippocrasy, Dr Harris, along with his colleague Dr Rachelle Buchbinder argue that the benefits of medical treatments are often wildly overstated, and the harms understated. These Two world-leading doctors reveal the true state of modern medicine and how doctors are letting their patients down. That overtreatment and overdiagnosis are rife. And the medical system is not fit for purpose: designed to deliver health care not health. This powerful exposé reveals the tests, drugs, and treatments that provide little or no benefit for patients and the inherent problem of a medical system based on treating rather than preventing illness.  The book also provides tips to empower patients—do I really need this treatment? What are the risks? Are there simpler, safer options? What happens if I do nothing? Plus solutions to help restructure how medicine is delivered to help doctors live up to their Hippocratic Oath. Professor Ian Harris is an orthopedic surgeon who works at Liverpool, St George, St George Private and Sutherland Hospitals in Sydney. His academic affiliation is with UNSW, South Western Sydney Clinical School at Liverpool Hospital, in Sydney. In addition to approximately 200 peer-reviewed publications, he also wrote Surgery, The Ultimate Placebo - an eye-opening evaluation of commonly performed surgical operations that have been tested and shown to be no more effective (and arguably worse) than placebo, or that have never even been tested. He suggests we treat new surgical procedures like new drugs, and only pay for those that are part of a trial to find out if they really work. To Contact Dr Harris go to Email: ianharris@unsw.edu.au Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

In this week's episode, Alexandra Jønsson is back and diving deeper into over diagnostics, overtreatment, why it is important to be cautious, how it looks in practical terms, and of course how it ties into sustainability. If you haven't listened to the first episode with Alexandra, go back and listen to that, which orbits mostly about healthism and why we feel obligated to say yes to treatments. Enjoy! ---The Sustainable Healthcare Podcast is a podcast hosted and sponsored by Green Innovation Group, a Danish consulting firm with one mission: Reaching drawdown and making the world more sustainable through innovation, rethinking the status quo, and action. This video series is our take on how to make the biggest impact and it is a great way to get everyone on board the green wave. We wish to make our knowledge accessible to everyone who wishes to put green innovation on the agenda. Download our latest research report: https://www.greeninnovationgroup.com/#Downloads Follow us on LinkedIn to stay updated: https://www.linkedin.com/company/greeninnovationgroup/ Connect and discuss innovation with us: Joachim: https://www.linkedin.com/in/joachim-espeland-almdal-017a6973/Alexandra: https://www.linkedin.com/in/alexandra-brandt-ryborg-j%C3%B8nsson-8937442/ Alexandra's book (in Danish): https://samfundslitteratur.dk/bog/snart-er-vi-alle-patienterweb: https://greeninnovationgroup.com

Much of medicine doesn't do what it is supposed to do: improve health. That is the view of orthopaedic surgeon, Ian Harris. Ian believes too many drugs are being prescribed, too much surgery is being performed, and there are too many unhelpful tests, scans, and overdiagnosis. The 'business' of medicine, he says, is taking precedence over what the science tells us. We should go back to the first principles of the Hippocratic oath and ‘first, do no harm'.

Dr. Greene wil be discussing the impact of overtreatment "successes" in the field of temporomandibular disorders. Dr. Greene has been involved for many years in clinical research and teaching in the area of temporomandibular disorders and orofacial pain. From 1965-1984 he worked with Dr. Daniel Laskin in the UIC College of Dentistry TMJ and Facial Pain Research Center. From 1986 to 1995 he worked at Northwestern University Dental School with Dr. Harold Perry as co-director of their TMD Clinic. Since returning to UIC in 1995, Dr. Greene has served as Director of Orofacial Pain Studies. He was a Clinical Professor in the Department of Orthodontics, and he has contributed many articles and lectures to the orthodontic specialty in the USA and abroad. He has published over 150 articles, book chapters, and abstracts, and was co-editor of a multi-author book about temporomandibular disorders in 2006. A new multi-author book on TMDs co-edited by Dr. Greene and Dr. Laskin was released in 2013. In 2015 Dr. Greene was one of four co-editors on a book entitled “TMD and Orthodontics”. He is a Life Member of the American Academy of Orofacial Pain as well as the International Association for Dental Research. He retired from UIC in 2018 and is currently Clinical Professor Emeritus.

Join Kate, Henry, John and Mark as they discuss antivirals in children hospitalized with influenza, DAPT for secondary stroke prevention, the safety and effectiveness of no-test medical abortions, and harms of overtreating older persons with T2DM.

In this 30 minute podcast we speak with Sue Hanen, an orthodontic consultant and life coach with more than 20 years experience. With extensive knowledge of the business of orthodontics, her focus is to create the certainty, clarity, and connection your team desires with sustainable operating systems.   We also cover important topics like: The four hidden gems - metrics you should be tracking: No show percentage, Emergency visits, Retention visits, and Overtreatment time How to manage these metrics to recapture your time to invest those hours in however you want Helping practices discover the leading indicators to avoid disaster What will happen with virtual appointments and exams post-Covid Sue Hanen has helped hundreds of clients bring order to chaos with diligent fact-finding, strategic planning, and follow-through. By developing healthy practice metrics, and clarity of goals, she has decreased stress and helped reach targets. Sue is an iPEC Certified Professional Coach, a Kolbe Certified Consultant, and loves to identify team members' strengths and natural talents to enhance job satisfaction and longevity.

It turns out the number of days providers treat common infections with an antibiotic is simply too long.

Overtreatment. Does it happen in dentistry or is it just a difference of opinion? In today's "ask us anything" episode Jason and Al address the topic of who's treating too much and who's not treating enough? The case of a new dentist diagnosing "10 cavities" in a patient that's experienced no decay with their old dentist The case of a "second opinion" with a giant perio treatment plan and no pockets over 3mm Can the customer service model of "Discount Tire" be applied to dentistry? Which would you rather repeat: dental school or 2020? How much does a missed phone call cost? Does it make sense to work with someone to answer your calls "off site?" Do you diagnose and treatment plan the same at the beginning of the day as the end of the day? Some links from the show: Zirc Crystal HD mirrors Enova headlamps Dental Support Specialties The Dental Hacks Nation closed Facebook group has over 29,000 members! Head over there to interact with other Dental Hacks listeners, guests and Brain Trust members every day, all day! Remember…if you don’t have anything “dental” on your FB page, we might decline your membership request. So IM the group or email us at info@dentalhacks.com!  In the new COVID landscape some things are going virtual for the first time. For instance, take the ADA Meeting. It’s now the “ADA Virtual Connect Conference” and it’s coming up October 15th through the 17th. More about that in the Dental Hacks Nation Facebook page! YAPI has been helping dentists go totally digital for a decade now for all kinds of tasks throughout the dental office. You’ve got to take in and organize a ton of patient information and make sure it shows up in the right place at the right time. You’ve got to be able to communicate throughout your office at any time, yet you need to do it discreetly. As much as you wish you didn’t have to...you need to remind your patients of their appointments and try to avoid broken and failed appointments. You have to reactivate the patients that have fallen through the recall cracks. And now more than ever before you have to be able to ask your loyal patients for reviews in the right places like Google, Facebook and Yelp. It’s all important and needs to get done, but it can be a drag on your team. Our friends at YAPI have solutions for all of this and more! And they can do it paperlessly! To be honest, there really isn’t much in your office that YAPI can’t make easier and more efficient. Check out all that YAPI can do for you at dentalhacks.com/YAPI. Simply put...Crystal HD mouth mirrors from Zirc are the best mouth mirrors in all of dentistry. All you have to do is put one next to a regular mouth mirror and you’ll see the difference. The Zirc HD mirror is like watching 4k Ultra hd vs. the color tv you had in the basement that had that Archie Bunker clicker remote control. Seriously. That’s how much better they are. You’re thinking, “sure, bro. Whatever you say. It’s a freaking mouth mirror...they’re all the same.” To that I say. Nu uh. Not even close. Zirc is so sure you’ll notice the difference that they’re giving you a special offer. For a 4 pack of Black/Gray soft grip Crystal HD mirrors you order from the Zirc website, they’re going to give it to you for just $20 just because you’re a member of the Dental Hacks Nation! Use coupon code: SHINE4 at check out at dentalhacks.com/mirrors. If you have any questions or comments for us please drop us an email at info@dentalhacks.com or find us (and like us!) at www.facebook.com/dentalhacks. Or, if you prefer…give us a call at (866) 223-5257 and leave us a message. You might be played in the show! If you like us, why not leave us a review on iTunes? It helps us get found by like minded people and might even help us get into “What’s Hot” in the iTunes store! Go to this link and let the world know about the DentalHacks! Finally, if you aren’t an Apple person, consider reviewing us on Stitcher at: stitcher.com/podcast/the-dentalhacks-podcast! If you would like to support the podcast you can check out our Patreon page! Although the show will always remain free to download, our Patreon supporters get access to special bonus content including (at least) one extra podcast episode every months! Also be sure to check out the Dental Hacks swag store where you can find t-shirts, stickers coffee mugs and all sorts of other things that let the world know you’re a part of the Hacks Nation.    

“Do I really need this test, treatment, or procedure?” is the patient’s question. What is your answer? Orthopaedic physical therapy leader Professor Chad Cook wrestles the elephant in the treatment room: that there is too much measurement, too much diagnosis, and too much treatment in orthopaedic and sports practice. Tune in for top tips on how to avoid perpetuating too much musculoskeletal rehabilitation.

M. Nathaniel Mead earned his Master of Science degree in Nutrition from the University of North Carolina’s Gillings School of Global Public Health.  He also has undergraduate degrees in Biology and Science Education. Nathaniel has an extensive background as a holistic nutritionist, medical writer, and integrative cancer coach. His professional experience includes work as a personal nutrition coach and research consultant for five integrative medicine clinics.  Nathaniel has been an editor for the peer-reviewed journal Integrative Cancer Therapies. He also has 15 years of experience as a research associate for the Block Center for Integrative Cancer Treatment in Illinois. In this episode, Nathaniel speaks about Ductal Carcinoma In Situ (DCIS) and the continuous overtreatment of the disease.  Additionally, he shares his view on a New Strategy for the Prevention and Monitoring of DCIS.  Also, what the difference between low-risk and high-risk DCIS is.   As well as, the main risk factors involved in the progression from DCIS to IBC. Nathaniel currently offers consultations and coaching sessions to cancer patients and survivors, and these sessions can be coordinated over the phone or by Zoom or Skype. Regardless of your diagnosis or health situation, Mark is an excellent resource for guiding you toward optimal health and healing. You can reach him through his website: SelfHealingOptions.com or by email at mead.cancercoach@gmail.com  

Dr. Austin Baraki, MD is an Internal Medicine Physician, based in San Antonio, Texas. He completed his doctorate in medicine at Eastern Virginia Medical School, and Internal Medicine Residency at the University of Texas Health Science Center in San Antonio. He also works as a strength coach and puts out information via Barbell Medicine. Show notes: https://sigmanutrition.com/episode334

John Myburgh gives a philosophical talk about what life (and death) is really about and what the new challenges are in critical care. Modern critical care has so many potential interventions. John challenges whether doing more is always the right thing to do and gives a good argument for doing less being best.

Team up with the authors of the JAMA Medicine series on Medical Overuse, Dr. Dan Morgan @dr_dmorgan (University of Maryland) and Dr. Deborah Korenstein @DKorenstein (Memorial Sloan Kettering). We discuss procalcitonin (again!), the dangers of incidentalomas, risks of chest CT for lung cancer screening, the easiest place to get antibiotics for a viral infection, and why not to treat subclinical hypothyroidism despite guidelines. Trying to find ways to shed the fat off of some common medical practices? Look no further.  ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).  Show Notes | Subscribe | Spotify | Schwag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Justin Berk, MD MPH MBA Infographic: Justin Berk, MD MPH MBA Cover Art: Matthew Watto MD, FACP Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Molly Heublein MD, Matthew Watto MD, FACP, Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio) Guest:  Daniel Morgan MD, Deborah Korenstein MD, FACP Time Stamps 00:00 Intro, disclaimer, guest bios 04:45 Guest one-liners Picks of the Week*: The Fifth Season is part of The Broken Earth Trilogy by NK Jemisen; The Great Believers: A Novel by Rebecca Makkai; A Constellation of Viral Phenomena by Anthony Marra 09:22 Best advice 11:18 Defining Medical Overuse and defining categories 19:20 Procalcitonin testing for pneumonia 27:42 Imaging and incidentalomas 37:38 Lung cancer screening CT scan; the Bach model 46:25 Urgent care and antibiotic prescriptions for viral illnesses 52:43 Subclinical hypothyroidism 58:32 Take home points 61:00 Outro and Stuart tells us about his knee pain *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will consider 5 of the top articles from 2018 that demonstrate signs of medical overuse that seem to offer more harm than benefit to patients. Learning objectives After listening to this episode listeners will…   Define medical overuse Discuss recent data about the utility of procalcitonin for antibiotic stewardship in respiratory infections. Recall the frequency incidentalomas on imaging and which modalities are associated with the highest risk. Identify the differences in benefits of annual lung cancer screening with CT based on baseline risk Recall the lack of evidence for treatment of asymptomatic subclinical hypothyroidism Describe the locations that are associated with more antibiotic prescriptions for viral infections. Disclosures Dr. Morgan and Dr. Korenstein report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Citation Morgan D, Korenstein D, Berk J, Williams PN, Brigham SK, Watto MF. “#189 Medical Overuse”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. December 23, 2019.

Overtreatment issues, a system still killing people and now Practitioners. I know I will ruffle some feathers on this Cognitive Rampage. Hello, my name is Adam Lowery. I hope you’re taking care of you and living your Cognitive Rampage! What does that mean? It is about cultivating happiness through a passionate pursuit of life optimization, an enthusiastically persistent search for competence in mind, body and belief while building an optimistically rational life philosophy and living and growing your purposeful structure. The Cognitive Rampage hosts cerebral guests, offers mental health help and pushes you to question everything, including yourself. I fuse the cognitive, behavioral, social and biological sciences into a book & podcast. Available on Amazon & iTunes

As we develop ever more complex medical diagnostic tools and tests with ever increasing sensitivity, detection of disease becomes quicker and easier. However, recent work by Professor Wendy Rogers at Macquarie University in Australia and her team of international colleagues shows that the early detection of some cancers is not as beneficial as we might first think. Their work looks at the negative impact on patients and healthcare services when conditions are overdiagnosed, and they consider the complicated ethical issues surrounding this.

In this health care podcast, I speak with Dr. Marty Makary about his new book, which is entitled The Price We Pay: What Broke American Health Care—and How to Fix It. I could not recommend this book more highly. It’s a page turner for hospital execs trying to do the right thing, employers trying to do right by their employees, insurance carriers looking for better ways to actually drive health care value, and doctors and nurses who are feeling burnout because they see their organizations demanding them to do things misaligned with their mission to do the best they can by patients. Dr. Makary tells me in this interview that his intent with this book was to shine light on some of the issues, mainly around the price we—as patients, taxpayers, employers, basically all of us—pay. Dr. Makary says that understanding the situation is the first step toward navigating and redressing it. The Price We Pay gives multiple examples of egregious pricing. I’m going to split these examples into two categories: First, your basic price gouging, including surprise billing and what amounts to predatory pricing done at scale. The second category are high total prices because the services rendered were some shade of unnecessary. So high prices based on the price of the unit, and then high prices based on the number of units delivered. Dr. Makary and I talk about both challenges in this health care podcast. We also talk about the multiple instances where doctors and nurses and others are doing the right thing and really working hard to correct issues. Their efforts are glimmers of hope for all of us working hard to do right by patients. You can learn more at martymd.com or connect with Dr. Makary on Twitter at @MartyMakary.   Martin “Marty” Makary, MD, is an American surgeon, New York Times best-selling author, and Johns Hopkins health policy expert. He has written for The Wall Street Journal, USA Today, Time, Newsweek, and CNN and appears on NBC and Fox News. He has written extensively on organizational culture, the science of measuring quality in medicine, and health care reform. Dr. Makary is the author of two best-selling books: Mama Maggie, a book about a Nobel Prize nominee, and Unaccountable, a book about health care transparency. He also just released a new book, The Price We Pay: What Broke American Health Care—and How to Fix It. This book offers a road map for everyday Americans and business leaders to get a better deal on their health care and profiles the disruptors who are innovating medical care. Dr. Makary is principal investigator of a Robert Wood Foundation grant to lower health care costs in the United States by creating physician-endorsed measures of appropriate medical care and directs the national “Improving Wisely” project to reduce waste in medicine. He speaks nationally on disruptive innovation in health care. Dr. Makary is a frequent medical commentator of NBC and Fox News, commenting on the health care cost crisis, the impact of new technology, and interpreting the latest medical research for everyday consumers. Dr. Makary is director of the Center for Opioid Research and Education and founder of solvethecrisis.org, a website that shares expert opioid prescribing recommendations for common medical procedures for clinicians and patients. At Johns Hopkins, he has served as the endowed chair of gastrointestinal surgery, director of surgical quality and safety, and founding director of the Johns Hopkins Center for Surgical Outcomes Research and Clinical Trials. Dr. Makary is a surgical oncologist specializing in minimally invasive surgery and teaches health policy and management at the Johns Hopkins University School of Medicine. He currently serves as the chief of the Johns Hopkins Center for Islet Transplantation and director of the appropriateness in medicine project. 02:11 Marty’s new book and its multiple examples of egregious pricing in health care. 02:41 The reason why hospital bills are often overinflated. 03:31 “Are Americans responsible for paying these marked-up, sticker-priced bills?” 04:58 Explaining the complexities of medicine, simplistically. 07:27 Balancing stories of price gouging with responsible billing. 07:59 “Hospitals were created in America as a safe haven for the sick and injured.” 09:29 How everyone can work toward changing this at the individual level. 11:23 “Have a conversation with your hospital.” 12:59 Marty’s advice to hospital administrators and board members. 16:56 “We can restore honesty in health care.” 17:01 How billing practices happen unbeknownst to hospital leaders. 17:35 Bad debt and mischaracterizing bad billing practices. 19:12 “Why don’t we call it ‘predatory billing’?” 22:12 “People are hungry for honesty in health care right now.” 22:55 A code of ethics pledge for hospitals on restoringmedicine.org. 23:25 “Large hospitals are on track for the largest profit margin in their history.” 24:50 Marty’s advice for how employers can help address these egregious prices. 25:47 “Billing quality is medical quality.” 27:03 Overtreatment as an element of overpricing in health care. 28:07 The “crisis of appropriateness.” 30:19 “How can we talk about the root drivers of poor health?” 31:18 The grassroots movement to start the health care system from scratch. 32:04 Relationship-based clinics. 37:08 Choosing wisely. 37:39 Improving wisely. 43:48 “People are willing to pay for quality, but they just want honesty.” You can learn more at martymd.com or connect with Dr. Makary on Twitter at @MartyMakary. The reason why hospital bills are often overinflated. @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “Are Americans responsible for paying these marked-up, sticker-priced bills?” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling Explaining the complexities of medicine, simplistically. @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “Hospitals were created in America as a safe haven for the sick and injured.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling How everyone can work toward changing this at the individual level. @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “Have a conversation with your hospital.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “We can restore honesty in health care.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling How do billing practices happen unbeknownst to hospital leaders? @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “Why don’t we call it ‘predatory billing’?” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling What’s #baddebt? @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “People are hungry for honesty in health care right now.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling Sign the code of ethics pledge for hospitals on restoringmedicine.org. @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “Large hospitals are on track for the largest profit margin in their history.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “Billing quality is medical quality.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling The “crisis of appropriateness.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling How are relationship-based clinics changing the health care game? @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling Improving wisely. @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling “People are willing to pay for quality, but they just want honesty.” @MartyMakary discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcarebilling #hospitalbilling #surprisebilling #predatorybilling

Emily sits down with internist and thought leader Dr. Lucy Kalanithi to discuss her late husband's book When Breath Becomes Air and topics such as illness and identity, prognosis and uncertainty, love and suffering, and the importance of community. Follow Lucy on Twitter @rocketgirlMD. This episode was recorded live at the UCSF School of Medicine's AOA Gold-Headed Cane Lecture. Emily and Lucy were introduced by UCSF medical student Tara Benesch. This conversation includes mentions of: Dr. Rita Charon's 2018 Jefferson Lecture in the Humanities, Dr. Diane E. Meier's essay "'I Don't Want Jenny To Think I'm Abandoning Her': Views on Overtreatment", Ady Barkan's essay "I'm Dying. Here Is What I Refuse to Accept With Serenity," and William Lychack's essay "The Ghostwriter." This episode's music comes from Blue Dot Sessions. Learn more and support us at thenocturnists.com. Thank you!

Jason and Alan are joined by Dr. Ricardo Mitrani. Dr. Mitrani is a member of the resident faculty of Spear Education. He was born and raised in Mexico City, Mexico and did his prosthodontic residency at the University of Washington. He was a classmate of one of our previous guests, Dr. Gregg Kinzer. In today's episode we range widely over patient communications, what patients understand about the treatment we offer and how we can thread the needle between our patient's perceptions of overtreatment and negligence. We think you'll really enjoy our conversation and you'll be seeing lots more of Ricardo! Links from the show: Clinical Hack of the Week: Dr. Georg Benjamin from Berlin, Germany tells us how he uses air abrasion to help him find canals in endodontic access preparations! Here are some photos: [caption id="attachment_856" align="alignleft" width="1201"] before using air abrasion[/caption][caption id="attachment_857" align="alignleft" width="1269"] after air abrasion[/caption][caption id="attachment_858" align="alignleft" width="1201"] final access preparation[/caption]   The Dental Hacks Nation closed Facebook group has almost 25,000 members! Head over there to interact with other Dental Hacks listeners, guests and Brain Trust members every day, all day! Remember…if you don’t have anything “dental” on your FB page, we might decline your membership request. So IM the group or email us at info@dentalhacks.comGo check out the Dental Success Network! Jason and Alan are part of this amazing 3 pronged network: social network, CE network and buying network! Sign up and let them know the Dental Hacks sent you by using our code: DHN! Dr. Dipesh Parmar is coming to the Cosmedent CEE in Chicago and he's focusing on anterior composite restorations! If you're looking to up your anterior composite layering game, this is the course for you! Go check out "Excellence in Direct Anterior Restorations" at dentalhacks.com/DipeshParmar! Go Hack Yourself: Jason: Biohorizons Overdenture attachments Alan: Three Men and a Tenor, "25" If you have any questions or comments for us please drop us an email at info@dentalhacks.com or find us (and like us!) at www.facebook.com/dentalhacks. Or, if you prefer…give us a call at (866) 223-5257 and leave us a message. You might be played in the show! If you like us, why not leave us a review on iTunes? It helps us get found by like minded people and might even help us get into “What’s Hot” in the iTunes store! Go to this link and let the world know about the DentalHacks! Finally, if you aren’t an Apple person, consider reviewing us on Stitcher at: stitcher.com/podcast/the-dentalhacks-podcast! If you would like to support the podcast you can check out our Patreon page! Although the show will always remain free to download, our Patreon supporters get access to special bonus content including (at least) one extra podcast episode every months! Also be sure to check out the Dental Hacks swag store where you can find t-shirts, stickers coffee mugs and all sorts of other things that let the world know you’re a part of the Hacks Nation

Overtreatment – the provision of health care that we know can’t possibly help a patient – is a big problem in the American health care system. Host John Barkett leads a panel discussion on how physicians can focus on cutting down overtreatment when deciding on course of care for patients on The Business of Health Care. Panelists include: Daniel B. Wolfson, Executive Vice President and COO of the ABIM Foundation (American Board of Internal Medicine); Dr. Cynthia (Daisy) Smith, Vice President of Clinical Programs for the American College of Physicians; and Dr. Akshat Kumar, Attending Physician at Penn Medicine and current MBA Candidate at the Wharton School.Penn Medicine See acast.com/privacy for privacy and opt-out information.

In Today's Episode This week Vidal decided to bring Martha Rosenberg back into her show. Along with her investigations about food, Martha also has much research into the medical industry. This time the audience will be enlightened about hormone imbalances and the truth about the drugs doctors are using to treat women and men.   Martha Rosenberg is a nationally-recognized investigative health reporter, whose food and drug exposé, Born with a Junk Food Deficiency, won an American Society of Journalists and Authors honorable mention. Rosenberg has appeared on CSPAN, National Public Radio, and lectured at the medical school and university levels.   Martha is also an editorial cartoonist, whose articles have been published in the San Francisco Chronicle, The Providence Journal, The Chicago Tribune, as well as in many more publications.   Most disease, including cancer, come from toxins; you need to be informed about what is threatening your health and start your way to detox as soon as possible. Take a big breath and open your eyes to the reality behind pharma and food industries. Enjoy the show! Knowledge is power and health is freedom!   Outline of This Great Episode [11:12] The marketing of the hormone replacement for women and testosterone for men. [13:18] Main disruptors of our hormone system. [15:02] BPA free is not enough. Get rid of plastic. [16:05] Why do you want fragrance free products. [16:32] How the Environmental Working Group works. [18:04] Flame retardant is hidden everywhere. [19:09] There are plastic and mercury in the fish we eat. [21:55] Avoid antibacterial in detergent and soap. [28:40] Neonics are killing the bees. [32:09] Which are the foods that are filled with hormones? [33:40] Reasons why you should not drink milk. [43:22] Prostate cancer, PSA screening test. [48:04] Overtreatment and its consequences. [49:11] Why young men are having problems getting erections? [52:06] The lies about cancer treatment. [1:00:40] Hypocrisy in the Breast Cancer Month movement. [1:01:14] Menopausal symptoms. [1:05:20] Consequences of hormone replacement treatment. [1:11:38] Osteoporosis. [1:16:19] There are alternatives for keeping hormone system balance. [1:20:22] Consume flaxseed and grind them yourself. [1:24:33] Foods to balance your hormones: chase Berries, fennel, raspberry leaf tea, maca powder, cacao. [1:30:24] Yaca is a natural painkiller.   Mentioned In This Episode Visit Deborah Vidal and subscribe to this podcast! Vidal thanks you for using her banner for your shopping. Environmental Working Group Maca Powder Thrive market   Connect with Today's Guest Read more about Martha Rosenberg Buy Martha Rosenberg's book. Twitter @MarthRosenberg Facebook Martha Rosenberg

Where is the line between ‘enough’ and ‘too much’ treatment? That is the topic of Sharon Kaufman's book that explores how any technology or practice that prevents death became the ordinary standard of care. She and palliative care doctor Dawn Gross discuss how improving technologies for extending life intensify debates about the issues surrounding aging and dying. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32348]

Where is the line between ‘enough’ and ‘too much’ treatment? That is the topic of Sharon Kaufman's book that explores how any technology or practice that prevents death became the ordinary standard of care. She and palliative care doctor Dawn Gross discuss how improving technologies for extending life intensify debates about the issues surrounding aging and dying. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32348]

Where is the line between ‘enough’ and ‘too much’ treatment? That is the topic of Sharon Kaufman's book that explores how any technology or practice that prevents death became the ordinary standard of care. She and palliative care doctor Dawn Gross discuss how improving technologies for extending life intensify debates about the issues surrounding aging and dying. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32348]

Where is the line between ‘enough’ and ‘too much’ treatment? That is the topic of Sharon Kaufman's book that explores how any technology or practice that prevents death became the ordinary standard of care. She and palliative care doctor Dawn Gross discuss how improving technologies for extending life intensify debates about the issues surrounding aging and dying. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32348]

Is Grail already merging? Genomic autopsies? Does the House's new healthcare bill turn mere genetic risk into pre-conditions? Nathan and Laura are back to find meaning in the rush of May's headlines. Laura cites a disturbing survey of over 2,000 women diagnosed with breast cancer that found half of them had unnecessary double mastectomies after genetic testing. She says unabashedly, “In big letters, it’s an ADVERTSIMENT FOR GENETIC COUNSELING.” Speaking of alarms, Nathan says attorney Joel Winston’s blog against Ancestry.com’s terms and conditions was fear mongering.

Professor Carl Heneghan, Director of the Centre for Evidence-Based Medicine, in conversation with Professor John Brodersen, General Practitioner and associate research professor in the area of medical screening at University of Copenhagen. Professor Carl Heneghan, Director of the Centre for Evidence-Based Medicine, in conversation with Professor John Brodersen, General Practitioner and associate research professor in the area of medical screening at University of Copenhagen, Department of Public Health, Research Unit and Section of General Practice. Trust the Evidence is a new podcast series presenting conversations with individuals interested in improving healthcare through the use of better evidence. Send us your thoughts and feedback: cebm@phc.ox.ac.uk.

The Rapid diagnostic tests have the potential to reduce the overtreatment of malaria by 95%, but time and extensive logistical, behavioural, and technical interventions may be required to achieve this. Eleanor Ochodo from the Centre for Evidence-Based Health Care, at Stellenbosch University, joins us to discuss. Read the full article: http://www.bmj.com/content/352/bmj.i107

Dr. Jack West, medical oncologist/lung cancer specialist, describes special management considerations for indolent lung cancers that may not require treatment or are at risk for "over-treatment."

Dr. Jack West, medical oncologist/lung cancer specialist, describes special management considerations for indolent lung cancers that may not require treatment or are at risk for "over-treatment."

Dr. Jack West, medical oncologist/lung cancer specialist, describes special management considerations for indolent lung cancers that may not require treatment or are at risk for "over-treatment."

A campaign to combat "over-treatment" of patients has been announced by doctors' leaders this week. Called "Choosing Wisely", the initiative promotes more open conversations between doctors and patients, rather than an obsessive - and frequently financially incentivised - adherence to targets and guidelines. Consultant cardiologist Dr Aseem Malhotra authored the report, which was published this week in the British Medical Journal... Like this podcast? Please help us by supporting the Naked Scientists

A campaign to combat "over-treatment" of patients has been announced by doctors' leaders this week. Called "Choosing Wisely", the initiative promotes more open conversations between doctors and patients, rather than an obsessive - and frequently financially incentivised - adherence to targets and guidelines. Consultant cardiologist Dr Aseem Malhotra authored the report, which was published this week in the British Medical Journal... Like this podcast? Please help us by supporting the Naked Scientists

Our whole society views risk in medicine wrongly, argue Jerome Hoffman and Hemal Kanzaria from the University of California Los Angeles. In this podcast they slay some strongly held myths about medicine's ability to heal, and say that one of our big beliefs, that death is not inevitable, is leading to overtreatment. Read their full analysis of the situation: http://www.bmj.com/content/349/bmj.g5702 For more information about overdiagnosis and overtreatment, visit www.bmj.com/too-much-medicine

Annual physicals are supposed to keep us “healthy” but do they really? Here's how what you think you're supposed to do for your health may actually harm you. Links: The $50,000 Physical (JAMA) Overscreening for Prostate Cancer Overscreening for Colon Cancer The Danger For Hunting For Cancer (Time article) Overtreatment is Taking A Harmful Toll […]

Join Health Affairs Insider.A palliative care physician helps a cancer patient cope with her coming death, while her oncologist struggles to give up treatment. Read by author Diane Meier, originally published in May 2014.

Why can't we stop using treatments that don't work?

Dr Aizer talks to ecancer at the 2013 ASCO GU Symposium about the overtreatment of low risk prostate cancer: incidence in USA, cost, complications and implications for the screening debate.

Anti-Aging Psychologist Dr. Michael Brickey, host of Ageless Lifestyles® interviews internist and medical risk expert, Dr. H Gilbert Welch, the principle author of Over-Diagnosed: Making People Sick in the Pursuit of Health. Dr. Welch explains how early diagnosis and changing the criteria for diseases often result in overtreatment and more harm than good. … Read more about this episode...