Category Archives: patient/doctor communication

Breast cancer screening – DCIS and the COMET trial

Women diagnosed with Ductal Carcinoma in Situ (DCIS) are usually offered lumpectomy or mastectomy as standard treatment, although DCIS is not usually recognised as an actual cancer, but rather cell changes which may or may not become cancerous in the … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, citizen safety, clinical trials, Compassion in healthcare, harms, healthcare modernisation, information, informed consent, mastectomy, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, Screening, Screening Mammography | Tagged , , , | Leave a comment

Insights from a doctor’s experience as a patient

A recent feature in the Medical Defence Union Journal offers insight into the doctor-patient relationship from a doctor-patient. ‘The overwhelming realisation was that despite being highly qualified, intelligent and driven professionals, we often forget the simple things. The fact that … Continue reading

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Breast screening, health checks and psychological tactics for GPs to encourage attendance, despite ineffectiveness and harms!

https://www.healthwatch-uk.org/images/Newsletters/Number_104.pdf If you enjoy the series ‘Yes, Minister’ you will probably love Issue 104, 2016-17 of the HealthWatch charity’s Newsletter, especially pages 6-8. Breast screening, health checks, nsaids, …what doesn’t work? In his acceptance speech, HealthWatch Award Winner Peter Gotzsche … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, cancer, clinical trials, Compassion in healthcare, guidelines, harms, healthcare modernisation, medicine's flaws, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, Primary care, Public safety, Screening, Screening Mammography, speaking out, Uncategorized | Tagged , , , , | Leave a comment

Breast Screening – Core Needle Biopsy of Breast Cancer Tumours Increases Distant Metastases in a Mouse Model.

Excerpt from authors’ conclusion: Our experimental findings demonstrate for the first time that in the setting of malignant breast cancer, performance of a CNB is associated with a significantly increased incidence of pulmonary metastases. We also show that an additional … Continue reading

Posted in Breast Cancer, breast screening, citizen safety, harms, healthcare modernisation, informed consent, medicine's flaws, overdiagnosis, overtreatment, patient safety, patient/doctor communication, personal autonomy, Screening, Screening Mammography, Uncategorized | Tagged , , | Leave a comment

Breast cancer, tumour size, screening effectiveness – NEJM

October is with us again. Unfortunately, it has been painted pink. This month cancer charities and others gear up to urge women to attend breast screening as the best means of avoiding death from this disease. Sadly, these well-meaning messages … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, cancer, citizen safety, guidelines, healthcare modernisation, informed consent, mastectomy, openness, Over-medicalisation, overdiagnosis, overtreatment, patient safety, patient/doctor communication, Public safety, Screening, Screening Mammography, Uncategorized | Tagged , , , , | Leave a comment

Breast screening – revised estimates of overdiagnosis

Cornelia Baines and colleagues have re-estimated overdiagnosis of breast cancer from mammography screening by age group in the Canadian National Breast Screening Study (CNBSS) – a randomized screening trial. They found ‘substantial overdiagnosis in the CNBSS with estimates that are … Continue reading

Posted in Breast Cancer, breast screening, Campaigns, harms, healthcare modernisation, information, medicine's flaws, overdiagnosis, overtreatment, patient/doctor communication, Screening, Screening Mammography | Tagged , , , , , , , | Leave a comment

Shared decision-making and understanding research

The doctor’s role in communicating benefits and harms of treatments and how best to use research evidence to judge these, and so enable shared decision-making, is discussed by Fiona Godlee in ‘Start Stopping Smartly, BMJ’s Editor’s Choice, 9 June 2016. … Continue reading

Posted in books, harms, medicine's flaws, overdiagnosis, overtreatment, patient/doctor communication, Public safety | Tagged , , , , , , , | Leave a comment