Recent Article Reinforces the Need To Be an Informed Patient
A recent Special Report in Men's Journal, titled "When To Say No To Your Doctor," gives excellent advice to patients. It describes what patients need to know before agreeing to many different tests, surgeries and prescription drug treatments. It explores, among other things, what patients need to know about blood pressure screenings, use of statins (a type of cholesterol management drug) and getting a PSA test (a blood test which screens for prostate cancer). It also contains a section on "Surgeries You May Be Better Off Without."
The point is that having some tests or surgeries or taking certain drugs is not a one-sided "no-brainer." If you broke a leg and the bones were sticking out through your skin, you need surgery. There are many such cases, but there are also cases where experts differ on whether a certain surgical treatment is wise. As an illustration, the article discusses whether men should have the PSA blood test. "A suspicious PSA reading . . . might be caused by normal age-related enlargement of the gland [prostate] or an infection . . . ." The article cites research that found that "about three-quarters of the men who got alarming PSA scores and were subjected to the discomfort and infection risk of a prostate biopsy turned out to be false-positives - no cancer found." Dr. Gilbert Welch is quoted: "Roughly half of the elderly men in America have evidence of cancer in their prostate, yet only 3 percent will die from it." The PSA is just one example from the article. There are many more.
In my book, Patient Confidential, Tips and Advice To Keep You Safe As You Navigate the Healthcare System, I say, "you are not a bystander or an object of medical care. You must be an active participant, thinking, analyzing, gathering date, and asking questions." In the Afterword to Patient Confidential, I say, "If you learned nothing else, I hope you learned how critical it is that you be proactive in your healthcare. If you don't understand something or it doesn't sound right, ask, ask, and ask some more."