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

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


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


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


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€.


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


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


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.


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%!


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


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


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.


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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Thoughts on: โ€Eat & Runโ€ by Scott Jurek

Scott Jurek runs and eats! By running I

mean 100 mile runs (that’s 160km!) and 24 hour races. By eating I mean only plant based foods.


Endurance has been a theme in my reading for a while and this is the latest latest entry. I was led to this ultra marathon legends autobiography because Jurek was mentioned in “Born to Run”. But unlike “Born to Run” which I would recommend to anyone, this is better suited for running enthusiasts only.


The most interesting aspects of the book is his search for the link between endurance sports and altered states of consciousness. I also enjoyed the more practical sections with training and dietary advice.


๐Ÿ“ A common mistake for beginners is to have too long strides. Count the times you right foot skrikes the ground In 20 seconds. Multiple by 3 and you get your stride rate per minute. Speed up til you reach 85-95 strides per minutes.


๐Ÿ“ Later in his career he started a more holistic view on his training:

– Yoga for body awareness, flexibility & centered focus.

– Body posture & stabilization.

– Conscious breathing.

– Upper body strength.


๐Ÿ“ “The more I measure the more sure I was on my instincts” Jureks book has a more open attitude towards technology than the “back to basics” attitude of “Born to Run”.


๐Ÿ“Jurek Book Recommendations:

“Running Wild” – John anorino “Running and Being”

“The Marathon Monks of Mount Hiei”

“The Power of Now”

“Bone Games”

“The Way of the Peaceful Warrior”


โญ๏ธ TAKEAWAY:

Every runner knows it is a hassle to time meals and workouts. Free up more time for actual training (instead of digesting) by replacing heavy meaty meals with plant based ones!




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Frozen balls, New Book and the Run of my Life

It was freezing, raining and windy but it was my last opportunity for a long run before Kullamannen 25k. So I took it!

The biggest hurdle was not the weather, though, it was finding clothes to protect me from it. I’m moving houses this weekend and finding anything among all the boxes is almost impossible.

I found what I assessed to be the bare minimum clothing-wise for 2.5 hour run and then I was on my way!

I also treated myself with a new audio book“Apollo 8: The thrilling story of the first Mission to the Moon” by Jeffrey Kluger – to accompany me in the trail.

After 7k I notice I was freezing my balls off, literarily. My packages was colder than a piece of space debris in shade.

I’d know I had to abort the mission if this problem was not adressed. I was less than a third into the run and continuing would mean this cold might turn into real damage.


I proceeded to orbit the lake I was running around, like a satellite, when I got the splendid idea to sacrificing my hat to isolate my boxers. Temperature started to stabilize and the mission was saved. And I got really confused looks from passing people that tried to figure out if I was really well hung or if I had a really bad tumor growth.


All in all, Good run though!