overdiagnosed making people sick in the pursuit of health

Overdiagnosed: Making People Sick in the Pursuit of Health

Overdiagnosed: Making People Sick in the Pursuit of Health

ISBN: , SKU: , AUTHOR: Welch, H. Gilbert / Schwartz, Lisa / Woloshin, Steve, PUBLISHER: Beacon Press, From a nationally recognized expert, an expose of the worst excesses of our zeal for medical testing After the criteria used to define osteoporosis were altered, seven million American women were turned into patients--literally overnight. The proliferation of fetal monitoring in the s was associated with a 66 percent increase in the number of women told they needed emergency C-sections, but it did not affect how often babies needed intensive care--or the frequency of infant death. The introduction of prostate cancer screening resulted in over a million additional American men being told they have prostate cancer, and while studies disagree on the question of whether a few have been helped--there's no disagreement that most have been treated for a disease that was never going to bother them. As a society consumed by technological advances and scientific breakthroughs, we have narrowed the definition of normal and increasingly are turning more and more people into patients. Diagnoses of a great many conditions, including high blood pressure, osteoporosis, diabetes, and even cancer, have skyrocketed over the last few decades, while the number of deaths from those diseases has been largely unaffected. Drawing on twenty-five years of medical practice and research, Dr. H. Gilbert Welch and his colleagues, Dr. Lisa M. Schwartz and Dr. Steven Woloshin, have studied the effects of screenings and presumed preventative measures for disease and "pre-disease." Welch argues that while many Americans believe that more diagnosis is always better, the medical, social, and economic ramifications of unnecessary diagnoses are in fact seriously detrimental. Unnecessary surgeries, medication side effects, debilitating anxiety, and the overwhelming price tag on health care are only a few of the potential harms of overdiagnosis. Through the stories of his patients and colleagues, and drawing from popular media, Dr. Welch illustrates how overdiagnosis occurs and the pitfalls of routine tests in healthy individuals. We are introduced to patients such as Michael, who had a slight pain in his back. Despite soon feeling fine, a questionable abnormal chest X-ray led to a sophisticated scan that detected a tiny clot in his lung. Because it could not be explained, his doctors suggested that it could be a sign of cancer. Michael did not have cancer, but he now sees a psychiatrist to deal with his anxiety about cancer. According to Dr. Welch, a complex web of factors has created the phenomenon of overdiagnosis: the popular media promotes fear of disease and perpetuates the myth that early, aggressive treatment is always best; in an attempt to avoid lawsuits, doctors have begun to leave no test undone, no abnormality--no matter how incidental--overlooked; and, inevitably, profits are being made from screenings, a wide array of medical procedures, and, of course, pharmaceuticals. Examining the social, medical, and economic ramifications of a health care

People of the Black Sun: A People of the Longhouse Novel

People of the Black Sun: A People of the Longhouse Novel

People of the Black Sun: A People of the Longhouse Novel (North America's Forgotten Past): Dekanawida has become known as 'The Sky Messenger,' a prophet of immense power. Thousands now believe in the Great Law of Peace and have joined the League. But they are still being harassed by marauding warriors who steadfastly refuse to adopt the Great Law.

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Unit 11 The Role of Public Health in Health and Social Care

Unit 11 The Role of Public Health in Health and Social Care

Aim The aim of this unit is to raise learners' awareness of factors influencing public health and the different approaches taken to reduce incidence of disease and illness in communities.

Sick of the ironing?...

Sick of the ironing?...

Sick of the ironing?, Professional ironer15 per bagNo one likes to do the ironing but I do! £, Hornchurch,.

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The Sacrament of Anointing of the Sick

The Sacrament of Anointing of the Sick

ISBN: , SKU: , AUTHOR: Larson-Miller, Lizette, PUBLISHER: Liturgical Press, The ritual Pastoral Care of the Sick offers the church a wealth of assistance in visiting and praying with the sick, in facilitating services of Communion, and in tailoring the sacramental rites of anointing and Viaticum to meet the particular circumstances of each individual illness and journey into death. The Anointing of the Sick is a theological introduction to the rite and focuses on the heart of the whole spectrum of pastoral care of the sick. Lizette Larson-Miller explores the sacrament of the anointing of the sick and the crucial role played by a biblical text from the Letter of James in reconstructing a rite for the sick rather than only for the dying. She looks at the central sacramental ideas surrounding the anointing of the sick that emerge from the three primary actions: the prayer of faith, the laying on of hands, and the anointing with the blessed oil. Chapters are "An Overview of the Rites of Pastoral Care of the Sick," "The Threefold Ritual Center of Anointing of the Sick," "Theological Questions from the Rite," and "The Contexts of Church and Culture for Pastoral Care of the Sick."

Audio book (cassettes) In the pursuit of the proper sinner b

Audio book (cassettes) In the pursuit of the proper sinner b

In the pursuit of the proper sinner by Elizabeth George Read More

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x2 Books: The History of England- Lord Mcaulay & The Story of the British People

x2 Books: The History of England- Lord Mcaulay & The Story of the British People

Selling these two old History books of England. £25 The Story of the British Race by Munro, John The History of England from the Accession of James the Second Vol I Lord Macaulay

Agent 327-The Making Of-on land, at sea & in the air + 50

Agent 327-The Making Of-on land, at sea & in the air + 50

On land, at sea & in the air. This Deluxe Edition of The making of Agent 327 appeared in a numbered and signed Edition and contains a preliminary study (original sketch) in a red folder, for a manufactured between and story by Martin Lodewijk. This is no. years Anniversary Edition Agent 327 with a folder containing a preliminary study/outline of the story. This is no. . Read More

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In Pursuit of the Proper Sinner

In Pursuit of the Proper Sinner

In Pursuit of the Proper Sinner by Elizabeth George - an Inspector Lynley mystery. Good condition. Willing to post for £1.50 p and p. Read more

The Pursuit of Victory:The Life and Achievement of Horatio Nelson by Roger Knight

The Pursuit of Victory:The Life and Achievement of Horatio Nelson by Roger Knight

Hardback. Horatio Nelson was a shrewd political operator who charmed and impressed political leaders. He was a difficult subordinate, only happy when completely in command, and capable of great ruthlessness. This biography takes a look at Nelson's status as a hero, explaining how Nelson achieved such extraordinary success. Ad ID: Delivery Services Consumer Credit

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The Pursuit of Victory:The Life and Achievement of Horatio Nelson

The Pursuit of Victory:The Life and Achievement of Horatio Nelson

Horatio Nelson was a shrewd political operator who charmed and impressed political leaders. He was a difficult subordinate, only happy when completely in command, and capable of great ruthlessness. This biography takes a look at Nelson's status as a hero, explaining how Nelson achieved such extraordinary success. Key Features Author(s) Hugo Mercier, Roger Knight Publisher Penguin Books Ltd Date of Publication Language(s) English Format Paperback ISBN-10 ISBN-13 Genre Biography: Historical, Political & Military Publication Data Place of Publication London Country of Publication United Kingdom Imprint Penguin Books Ltd Content Note Illustrations (some col.) Dimensions Weight 567 g Width 129 mm Height 198 mm Spine 34 mm Pagination 784 Editorial Details Format Details hardback Ad ID: Delivery Service Consumer Credit

The Lord of the rings Making of the Movie Book

The Lord of the rings Making of the Movie Book

New RRP £ Collection Blackpool fy4 area Read more

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The Lord of The Rings. The Making of the Movie

The Lord of The Rings. The Making of the Movie

The Lord of The Rings. The Making of the Movie Trilogy Large Paperback 1st Edition. Full Line Number Harper Collins Published . Condition:FINE ref 90 Read more

The China Diary of George H. W. Bush: The Making of a Global

The China Diary of George H. W. Bush: The Making of a Global

ISBN: , SKU: , AUTHOR: Engel, Jeffrey A. / Bush, George H. W., PUBLISHER: Princeton University Press, Available in print for the first time, this day-by-day diary of George H. W. Bush's life in China opens a fascinating window into one of the most formative periods of his career. As head of the United States Liaison Office in Beijing from to , Bush witnessed high-level policy deliberations and daily social interactions between the two Cold War superpowers. "The China Diary of George H. W. Bush" offers an intimate look at this fundamental period of international history, marks a monumental contribution to our understanding of U.S.-China relations, and sheds light on the ideals of a global president in the making. In compelling words, Bush reveals a thoughtful and pragmatic realism that would guide him for decades to come. He considers the crisis of Vietnam, the difficulties of detente, and tensions in the Middle East, while lamenting the global decline in American power. He formulates views on the importance of international alliances and personal diplomacy, as he struggles to form meaningful relationships with China's top leaders. With a critical eye for detail, he depicts key political figures, including Gerald Ford, Donald Rumsfeld, Deng Xiaoping, and the ever-difficult Henry Kissinger. Throughout, Bush offers impressions of China and its people, describing his explorations of Beijing by bicycle, and his experiences with Chinese food, language lessons, and Ping-Pong. Complete with a preface by George H. W. Bush, and an introduction and essay by Jeffrey Engel that place Bush's China experience in the broad context of his public career, "The China Diary of George H. W. Bush" offers an unmediated perspective on American diplomatic history, and explores a crucial period's impact on a future commander in chief.

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Leni Riefenstahl - The last of the Nuba & People of Kau - 2

Leni Riefenstahl - The last of the Nuba & People of Kau - 2

1) Leni Riefenstahl - The last people of Nuba - Collins St James's Place London, - Hardcover with dust jacket - 3rd edition - 208 pp.Book and dust jacket in good, undamaged condition.2) Leni Riefenstahl - People of Kau - Collins St James's Place London, - Hardcover with dust jacket - 1st English-language edition - 244 pp.Book and dust jacket are in very good condition Two impressive works on two cultures which, no doubt, are gone by now, half a century later. Read More

Shooting award of the young people (HJ) of the German Reich

Shooting award of the young people (HJ) of the German Reich

Click here to view this lot Shooting award of the young people (HJ) of the German Reich with manufacturer RZM MVery nice and rare shooting award of the young people in good condition, see pictures.The S has light enamel flaking.Diameter: approximately 2.2 cm. Click here to visit Catawiki Read More

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The Making of Star Wars, Revenge of the Sith / J. W. Rinzler / Del Rey Books,  pages

The Making of Star Wars, Revenge of the Sith / J. W. Rinzler / Del Rey Books, pages

This is it–the climax of the greatest science fiction movie epic of all time, and Star Wars fans can venture behind the scenes for all the fascinating details. From the first story discussions to the final stages of post production,The Making of Star Wars: Revenge of the Sith is an exclusive, unprecedented look at the crafting of the most anticipated and perhaps the most important Star Wars film ever. Packed with hundreds of never-before-seen photos and interviews with the visual-effects teams, cast, and crew–including writer/director George Lucas and producer Rick McCallum–this outstanding volume offers a rare insider's look at the complete creative process. Granted unprecedented access to all those involved at every stage of the film, author and Lucasfilm senior editor J. W. Rinzler captures in riveting detail the intense drama and cliffhangers that occurred as production worked day and night for three years. Ad ID: Delivery Service Consumer Credit

The Pursuit of Wisdom and Happiness in Education: Historical

The Pursuit of Wisdom and Happiness in Education: Historical

Explores the nature and role of wisdom in education.

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Badges of the young people of the German Reich with

Badges of the young people of the German Reich with

Click here to view this lot Badges of the young people of the German Reich with miniature and manufacturerLarge badge length 4.2 cm with awards Nr: and Manufacturer: RZM MSmall badge length 2.2 cm with manufacturer RZM MBoth badges of the young people are in a good condition, see photos.Both zinc edition. Click here to visit Catawiki Read More

Judaica; Jacob R. Marcus - Communal Sick care in the German

Judaica; Jacob R. Marcus - Communal Sick care in the German

Jacob R. Marcus -Communal Sick care in the German Ghetto -The Hebrew union college press Cincinnati - pages - Hardcover - 15.5 x 23.5 x 5 cm. -Very good condition Read More

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For sale, 'you cant tell the people' the story of the Rendlesham forest UFO mystery

For sale, 'you cant tell the people' the story of the Rendlesham forest UFO mystery

This is the story of the Rendlesham forest mystery. Published in pages in good condition. Ad ID:

The Making Of Jurassic Park in Southampton

The Making Of Jurassic Park in Southampton

The Making Of Jurassic Park. Original making of book. Excellent condition. Great book about original movie. Please email if interested.

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Measuring health of the sea of the kriegsmarine German

Measuring health of the sea of the kriegsmarine German

Click here to view this lot Meter from the sea health provided U-boot with its case carries the Eagle of the kriegsmarineUsed to measure the proportion of salt in water marinaAuthentic piece in good condition and functionalcertificate of authenticityClick here to visit Catawiki Read More

The Gentle Art of Making Guinness in Ipswich

The Gentle Art of Making Guinness in Ipswich

The Gentle Art of Making Guinness by John Ireland 12 amazing pictures! One of each month of the year showing how Guinness is made! Wonderful collection in very good condition! All have been framed in dark wood. Approx. 13 ins wide by 18 in high

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The Lord of the Rings Trivial Pursuit - Movie Trilogy Collectors Edition

The Lord of the Rings Trivial Pursuit - Movie Trilogy Collectors Edition

For 2-4 Players Includes: Gameboard, instructions, question cards in storage box, 1 die, 4 pewter character tokens on pie bases, 30 scoring wedges, 1 goldtone ring and 1 ringwraith pawn Collection only from Easton (near the Showground)

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