Thoughts & Notes: โ€œOverdiagnosedโ€ by Dr. Gilbert Welch

This time I will focus on the notes! Here we go:

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๐Ÿ“ Overdiagnosis occur when people get diagnosed with conditions that might never cause symptoms or death.

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๐Ÿ“ A overdiagnosed patient canโ€™t be treated, only harmed.

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๐Ÿ“ Overdiagnosis started with the diagnosis and treatment of high blood pressure. Which have helped a lot of people.

โ€œIt marked the beginning of treatment for people without syntomsโ€.

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๐Ÿ“ As we expand treatment to people with to milder abnormalities, their potential benefit from treatment becomes progressively smaller. Severity matters!

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๐Ÿ“ Better equipment find more abnormalities. Famous study found that 10 percent of healthy participants have had strokes without knowing about it.

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๐Ÿ“ โ€œThe realities are, with this level of information, I have yet to see a normal patient.โ€ – radiologist who scanned over ten thousand people.

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๐Ÿ“ Overdiagnosis also leads to impressive numbers. 1000 women are diagnosed with progressive breast cancer and 700 survive. Thatโ€™s 70% survival rate. Add 500 overdignosed patients (diagnoses that never would lead to any syntoms or death). That would make the survival rate go up to 80%!

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๐Ÿ“ Doctors fear lawyers, Love good grades from patients and are punished for not diagnosing = overdiagnosis.

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๐Ÿ“ โ€œMammography reduce breast cancer deaths AND lead to over-diagnosis.โ€

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โญ๏ธ TAKEAWAY: If you are a healthy individual with no symptoms, the responsible answer to testing might be โ€œnoโ€. Or you might run the risk of getting treated for an abnormality that would never cause any symptoms. Ever! An options many never consider.

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A very good book, but if your not in the medical practitioner, reading half of it will suffice to get the big picture. I love the nuanced arguments and leave this book with even more admiration for the med. profession.

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3/5

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