White Coats, White Lies: How Honest Is Your Doctor?

February 9, 2012, Time Magazine

Is your doctor telling you the truth? Possibly not, according to a new survey in Health Affairs of nearly 1,900 physicians around the country. The researchers found that 55% of doctors said that in the last year they had been more positive about a patient’s prognosis than his medical history warranted. And 10% said they had told patients something that wasn’t true. About a third of the MDs said they did not completely agree that they should disclose medical errors to patients, and 40% said they didn’t feel the need to disclose financial ties to drug or device companies. Nearly 20% of the doctors admitted that they didn’t disclose a medical error to their patients because they were afraid of being sued for malpractice. Doctors’ fear of malpractice suits may often be misplaced. Studies suggest that in cases where physicians are open about their mistakes, patients are more likely to be understanding and refrain from suing. So how can doctors learn to be more honest with their patients? More training about how to communicate with people about their health is critical — especially when it comes to delivering bad news. Patients also need to be clear and firm about how honest they want their doctors to be. Communication is a two-way street, after all, even in the doctor’s office.

Note: For key reports from reliable sources on important health issues, click here.

  READ MORE

The Strange, Fascinating History of the Vibrator

The sex toy has its roots in the prude Victorian era -- but its history tells us a lot about the current attack upon women’s sexuality.

March 9, 2012

Victorian-era doctors disliked dealing with female patients. This highly masculinized profession saw women as overly emotional and barely capable of rational discussion of their bodies. For a profession actively attempting to separate itself from the quacks selling cure-all tonics out of the back of wagons, treating women’s conditions provided little professional credibility or prestige.

One of women’s most common medical conditions was broadly called “hysteria.” By this, doctors meant any number of symptoms that described "irrational" female complaints. Perhaps the most well-known subsection of this aliment was neurasthenia, a nervous condition afflicting Gilded Age women and some men. Neurasthenia symptoms ranged from headaches and fear of insanity to insomnia and “morbid fears.” While mostly afflicting women, men also received diagnoses of neurasthenia; common causes for men were thought to be overwork and masturbation. 

Male doctors found their hysterical and neurasthenic patients especially frustrating. Many doctors suggested that women would feel better if they engaged in sexual intercourse until its natural conclusion with a male orgasm. But given the ineffectiveness of vaginal penetration in satisfying many women, doctors resorted to other solutions. Doctors manually massaged the women’s clitoris until she achieved relief, i.e. experienced an orgasm, although it was not recognized as such. Annoyed doctors complained that it took women forever to achieve this relief; moreover, they thought this condition beneath their respectable professional demeanor to treat. On the other hand, the repeat business of these women was good for their pocketbooks.  READ MORE

How Doctors Die

Doctors Grave

It’s Not Like the Rest of Us, But It Should Be

 

by Ken Murray

Years ago, Charlie, a highly respected orthopedist and a mentor of mine, found a lump in his stomach. He had a surgeon explore the area, and the diagnosis was pancreatic cancer. This surgeon was one of the best in the country. He had even invented a new procedure for this exact cancer that could triple a patient’s five-year-survival odds—from 5 percent to 15 percent—albeit with a poor quality of life. Charlie was uninterested. He went home the next day, closed his practice, and never set foot in a hospital again. He focused on spending time with family and feeling as good as possible. Several months later, he died at home. He got no chemotherapy, radiation, or surgical treatment. Medicare didn’t spend much on him.
It’s not a frequent topic of discussion, but doctors die, too. And they don’t die like the rest of us. What’s unusual about them is not how much treatment they get compared to most Americans, but how little. For all the time they spend fending off the deaths of others, they tend to be fairly serene when faced with death themselves. They know exactly what is going to happen, they know the choices, and they generally have access to any sort of medical care they could want. But they go gently.

Of course, doctors don’t want to die; they want to live. But they know enough about modern medicine to know its limits. And they know enough about death to know what all people fear most: dying in pain, and dying alone. They’ve talked about this with their families. They want to be sure, when the time comes, that no heroic measures will happen—that they will never experience, during their last moments on earth, someone breaking their ribs in an attempt to resuscitate them with CPR (that’s what happens if CPR is done right).  READ MORE