The doctor will see you now.
According to the U.S. Centers for Disease Control and Prevention, the top two causes of death are heart disease & cancer (in 2013, 611,000 and 585,000 deaths respectively).
What’s the #3 killer today? The answer may surprise you…
First do no harm.
Iatrogenesis, meaning “brought forth by a healer” (from the Greek iatros for healer) is an inadvertent adverse effect or complication resulting from medical treatment or advice. Examples include inadequate patient evaluation, lack of monitoring and follow-up, failure to perform necessary tests, and adverse effects associated with exposure to prescription drugs and medications. Not to mention the occasional misplaced sponge.
Medical errors take the bronze.
Each year, approximately 12 million adults who seek outpatient medical care are misdiagnosed, according to a Johns Hopkins study published in the journal BMJ Quality & Safety (2016). Previous research focused primarily on hospital patients, but this study, which analyzed medical death rate data over an eight-year period, suggests a large number of patients are being misdiagnosed in outpatient clinics and doctors’ offices. In half of those cases—an estimated 6 million outpatients per year—the misdiagnosis had the potential to result in severe harm. Their conclusions are serious:
The study’s findings suggest that medical errors are now the third leading cause of death in the U.S., surpassing respiratory disease, which kills close to 150,000 people per year. Pardon the pun podiatrists, but something smelly is afoot.
Physician, heal thyself.
Of course, no one is completely immune from error and some poor outcomes are inevitable. Researchers caution that most medical errors aren’t due to inherently bad doctors—a study in the New England Journal of Medicine (2016) reported that 1% of physicians accounted for 32% of paid malpractice claims over the past 10 years. Rather, systemic problems such as poorly coordinated care, incompatible insurance networks, and the absence or underuse of safety nets and other protocols all but guarantee screw ups.
Furthermore, doctors no longer control how medicine is practiced. Decisions are often dictated by hostile patients, insurance company drones who second-guess their medical judgment, administrators pushing 10-minute office visits, government bureaucrats peering over their shoulder, and trial lawyers circling overhead. No wonder a survey found 57% of 1,175 doctors questioned would not recommend the field to their children.
What’s up doc?
NeXters, there is much that you can do to improve your chances for a correct diagnosis:
There is no question that modern medical practices are remarkable, often effective, and occasionally miraculous. Bear in mind, however, that although physicians are well schooled in their protocol, MD is not an acronym for “Medical Deity.” If your sawbones gets it wrong, you’ll have to live with the consequences.
Trust everybody, but cut the cards.
~ Mark Twain
Learn more about this, and other interesting topics, in the Young Person’s Guide to Wisdom, Power, and Life Success.
I love taking my message directly to students and groups of young persons! If you would like me to speak at your school, not-for-profit, or corporate event, please use the Contact Form and enter “Speaker” in the subject line. We’ll work out the details. ~ Brian
Image credit: “Beautiful charming friendly smiling female medicine therapeutics doctor” by Alexander Korzh, licensed from 123rf.com (2017).