OK I exaggerate. But today's front page article on the over diagnosis of breast cancer is about as helpful a medical article in the Daily Mail as I've seen. On most occasions the medical articles are hype, inaccurate, and generally fairly derogatory of doctors. I confess I have an inward groan each time a patient produces a crumpled Mail cutting.
Today's article raises the difficult qunderies which we all eventually face whether as patients or doctors, in how to make decisions based upon inadequate information. As a GP that is the nature of much of my work, where multiple decisions are made quickly, and when full information is not available. Hence the perennial complaint that a doctor hasn't diagnosed a problem soon enough is often often unfair. In the early stages of many illnesses there are no specific signs pointing to one diagnosis. It's one thing to recognises that a car is coming towards you, but it's only when it gets nearer that I can more confidently say what make and model it is.
I'm glad the Mail has acknowledged the complexity of medical decision making. I'm also glad, in view of a recent post on the problem of over diagnosis, that the subject is getting an airing.
No, not that side! But thank God got through surgery ok yesterday. And thanks to all for love support and prayer.
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