tag:blogger.com,1999:blog-18943510.post632872256323502246..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Revisiting Cardiac CT AngiogramsDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-18943510.post-27152019804579768212008-07-18T14:15:00.000-05:002008-07-18T14:15:00.000-05:00There is a deeper story here:1. The patient Hecht ...There is a deeper story here:<BR/><BR/>1. The patient Hecht scanned had chest pain (making them symtomatic), but the author chose to omit that.<BR/><BR/>2. Was this article base dupon any new evidence? Or was it mostly anecdotal?<BR/><BR/>3. In the wake of Tim Russert's death, many patients with chest pain ran to get CTAs. Who would lose money in that scenario?<BR/><BR/>4. Go search Google for Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-30025148882602399502008-07-14T11:25:00.000-05:002008-07-14T11:25:00.000-05:00Hmm. What do you think about a CTA for my dad. H...Hmm. What do you think about a CTA for my dad. He's 71, symptom free but has had cholesterol's in the high 200's (untreated) for probably 10 years, and might have OSA (certainly he's got a big waistline). Wears size extra large. He's active. mom died alzheimer's dad died of some catastrophic medical event in his 30's (not clear). EKG has some q's inferiorly x 10 years. Thanks in advance (Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-62279096039666358532008-07-03T11:04:00.000-05:002008-07-03T11:04:00.000-05:00Radiation? Who cares about damn radiation?In the ...Radiation? Who cares about damn radiation?<BR/><BR/>In the scam known as Worker's Comp here in Philadelphia, I used to regularly see young patients of both genders involved in minor car accidents go through months and months of chiropractic, and undergo repeated lumbar spine series, CT scans, etc. to evaluate their "subluxations."<BR/><BR/>Of course, this ran up the medical bills, paid for by InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-9678413039761850542008-07-02T08:41:00.000-05:002008-07-02T08:41:00.000-05:00What struck me in The New York Times article “Weig...What struck me in The New York Times article “Weighing the Costs of a CT Scan Inside the Heart” was what the story omitted: peer-reviewed and emerging clinical trial data showing that CTA scans produce cost savings and improve patient outcomes. Also, for a story of this length to leave out any discussion of appropriateness criteria – even though cardiology and radiology medical societies already Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-47861966040503669752008-07-01T19:14:00.000-05:002008-07-01T19:14:00.000-05:00Just want to note some other bloggers who blogged ...Just want to note some other bloggers who blogged on this:<BR/><BR/>http://hcrenewal.blogspot.com/2008/07/blogscan-evidence-we-dont-need-no.html#links<BR/><BR/>http://www.gooznews.com/archives/001098.html<BR/><BR/>http://www.thehealthcareblog.com/the_health_care_blog/2008/06/a-classic-from.html<BR/><BR/>My friend Merrill Goozner, when I sent him your post today, wondered why you don't have Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-61354450514150751502008-06-30T17:42:00.000-05:002008-06-30T17:42:00.000-05:00I never understood why cardiologists doing expensi...I never understood why cardiologists doing expensive tests in the office isn't a violation of conflict-of-interest laws a la pete stark. Tests like nuclear stress & echo don't even require the presence of a cardiologist.<BR/><BR/>Of note, Stark's top campaign contributors include the Amer Coll of Radiology!<BR/>http://www.opensecrets.org/politicians/summary.php?cid=N00007397Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-69169410210468184132008-06-30T13:43:00.000-05:002008-06-30T13:43:00.000-05:00This analysis highlights one of hundreds of exampl...This analysis highlights one of hundreds of examples where market penetration has been permitted by the FDA and Medicare/Congress prior to evidence showing effectiveness (let alone cost-effectiveness). And we wonder shy healthcare is spiraling out of control....<BR/><BR/>For specific reference to the AHA Scientific STatement on Assessing CAD using Cardiac CT, go to http://circ.ahajournals.org/Anonymoushttps://www.blogger.com/profile/02975255947353786969noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-74276506829834426402008-06-29T19:12:00.000-05:002008-06-29T19:12:00.000-05:00Nice job Dr Wes. As our nation continues down the...Nice job Dr Wes. <BR/><BR/>As our nation continues down the "road of reality" in the delivery of healthcare, it's nice to see your position on unnecessary wasteful dollars being spent on unnecessary procedures. Do your think it's time to risk stratify for the 1/3 unecessary ICDs going in patients today? <BR/>What do you think about the vicor technology? <BR/><BR/>Their claim " recent registry Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-81990788225942127112008-06-29T15:30:00.000-05:002008-06-29T15:30:00.000-05:00Wow. Wowie wow wow.Being quoted saying that in th...Wow. Wowie wow wow.<BR/><BR/>Being quoted saying that in the new york times may be a literal career ender. It's already spreading over the internet. Unbelievable.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-58813044341057428412008-06-29T14:23:00.000-05:002008-06-29T14:23:00.000-05:00To Dr Wes and michael,I read that NYT article toda...To Dr Wes and michael,<BR/>I read that NYT article today and I am quite surprised by what Dr Hecht said. Since I am non native speaker of English (I am a Burmese),I have to check the word "dispense with" in Webster online dictionary to make sure that I understand correctly.Unknownhttps://www.blogger.com/profile/09723747811281706654noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-46489580287925012172008-06-29T12:46:00.000-05:002008-06-29T12:46:00.000-05:00The most chilling part of the article was when Hec...The most chilling part of the article was when Hecht said, <B>“It’s incumbent on the community to dispense with the need for evidence-based medicine.” </B> This guy has totally lost it. He took an oath to provide ethical care in the best interest of the patient. How much money do you need? How much food can you eat? How many houses can you live in? I simply could not treat my patients this wayUnknownhttps://www.blogger.com/profile/10821102824330149234noreply@blogger.com