Overdiagnosed: Making People Sick in the Pursuit of Health By H. Gilbert Welch

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From a nationally recognized expert, an exposé of the worst excesses of our zeal for medical testingGoing against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening.Drawing on twenty-five years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with "abnormal" test results have been drastically lowered just when technological advances have allowed us to see more and more "abnormalities," many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10 percent of two thousand healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers.With genetic and prenatal screening now common, patients are being diagnosed not with disease but with "pre-disease" or for being at "high risk" of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.

At this time of writing, The Mobi Overdiagnosed: Making People Sick in the Pursuit of Health has garnered 8 customer reviews with rating of 5 out of 5 stars. Not a bad score at all as if you round it off, it’s actually a perfect TEN already. From the looks of that rating, we can say the Mobi is Good TO READ!

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I want to give this book to every friend and relative...except since many work in healthcare and are therefore dismiss anybody who questions the Infallibility of Science as a "kook," I doubt they'd read it. So unfortunately they will continue to be scoped and scanned and overdiagnosed and overtreated to prevent diseases and disorders they're never going to get anyway.My 93-year-old father has now outlived 2 doctors who insisted he needed statins because his "bad cholesterol" was abnormal even though his ratio was less than 2. And my mother died as the result of a car accident at the age of 85 after having been urged for 20 years to have a hysterectomy because there was a "shadow" on her uterus...a shadow which was discovered when they were treating her for something else. There's a whole chapter in the book on "incidentalomas" ie things high-powered imaging machines can discover when they're looking at something else. These discoveries have a way of cascading into treatments that sometimes injure and even kill people.Every chapter resonated with me. I'd found it when I was googling to understand why my Fasting Blood Sugar of 104 was healthy in 2002, but now was considered "prediabetic." At least, it is in the U.S. where the American Diabetic Association unilaterally moved the range of normal.All I have to do is move to Canada if I want to be cured.

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