Monday, March 21, 2011

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.

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