The Widowmaker

I had a lovely supper last night with DeeJay and of course part of the conversation turned to “my condition”, and how I was progressing and why hadn’t I been for a walk the past two days – it was raining, stupid! [I will however go today, even if I am rather busy sorting other stuff out.]

Anyway, in my feed this morning, up popped this trailer to a video which I’ve purchased for pennies and which I’ve prompted the family to watch. I thought it a reasonable thing to do, to share it on the blog.

Essentially this clip tells the story of how a simple and relatively inexpensive, and totally reliable diagnostic and predictive CHD test – the CAC scan – is not being used because the money in medicine in the US follows interventionist diagnostics and practice. As the US leads the world, so the practice follows the US. Scary!

You can purchase the full film here on vimeo  – it will only cost you £0.88p – https://vimeo.com/ondemand/thewidowmakermovie2015

PS A number of recent US Presidents (don’t know about Trump though) have had a CAC (or CT) Scan and I believe it’s standard practice for astronauts – makes you think … if it’s good enough for them …

PPS If you’ve the time, you might like to follow these links too:

https://patient.info/doctor/coronary-artery-calcium-score – a fair article that presents the case that not everyone (including probably me) would benefit from a CAC Scan

http://www.auntminnie.com/index.aspx?sec=ser&sub=def&pag=dis&ItemID=62977 – an interesting article that opens up the debate between whether Bill Clinton could have avoided bypass surgery if he’d had a CT Scan as well as the stress tests which he passed regularly whilst in office.

http://www.mrict.com/heartscan.asp – another US article that explains why and when you might wish to have a CT Scan.

https://emediahealth.com/2012/05/07/lowering-ct-heart-scan-calcium-score-and-heart-attack-risk-via-diet-and-supplement-changes/ – what do you do when you have an indication that you need to change your lifestyle because of a high CAC reading.

 

Food for thought and the NNT

I’ve just stumbled upon Zoe Harcombe, a British expert in Public Health Nutrition as I researched whether I really ought to perhaps eat less butter, and this article written by her popped up. It’s dynamite and just confirms what I had already begun to think when I looked at the ingredients of Benecol – which would quite possibly have been my choice of alternative – which was … can this really be more healthy than a natural product such as butter?

Reading the comments that followed the article and following links from her site (apart from noting she’s also a follower of Malcolm Kendrick’s writing) I came once again to the presentation of risk called the Number Needed to Treat by David Newman. There’s a great website that demonstrates the NNT for a number of treatments commonly applied in medicine, but don’t go to the website before you watch this TEDx video. Once you’ve watched that, and perhaps read Doctoring Data or Bad Pharma you’ll certainly think more about relying solely upon advice from medical experts, and will consider a lot more taking control of your own health for yourself.