Daring to Practice Low-Cost Medicine in a High-Tech Era New England Journal of Medicine

Here is an excellent letter to the editor by an MD to the New England Journal of Medicine. It points out the many drawbacks of our high tech medical system. Although it is counterintuitive, higher tech in medicine is not necessarily better.
This is the reason I sold my x-ray machine about 6-7 years ago. The current evidence based guidelines do not recommend the use of routine x-rays. I also order less MRI's and CT scans because of the current imaging guidelines. Many times the best diagnosis comes from a trial of treatment to see how the patient responds.

Daring to Practice Low-Cost Medicine in a High-Tech Era

Exercise Reduces Risk for Colon Polyps, Resulting in Less Colon Cancer

Another in a long list of reasons to get regular exercise, which is something I always encourage in my patients. Colon cancer is the third highest cancer killer for men and women. This new study, based on a meta-analysis of 20 studies, focused on colon adenomas, the precancerous polyps that are removed during sigmoidoscopy or colonoscopy. The researchers found that regular physical exercise was associated with a 30% decrease in the risk of developing polyps that were large or advanced, and thus more likely to become cancerous.
Here is a link to a Medscape article entitled Exercise Reduces Risk for Colon Polyps, Resulting in Less Colon Cancer

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