Friday, February 17, 2012

Some Cardiac Tests Unneccessary?

The Ateneo Graduate School of Business Advantage

There is a recent article in Newmax Health that questions the usefulness and relevance of the use of the various tests for suspected heart patients ranging from ECG, Carotid Ultrasound, Echo Cardiogram, Cardiac CT scan, and stress test,.  Healthy living, and lower BS, cholesterol,  cutting down on stress, fatty food, having exercise is the answer.

Read on: Unnecessary Heart Tests?

Some are believed to lead to further more expensive diagnostic tests and does not improve the life of the heart patients.

This reminds us of a chapter in Malcolm Gladwell book regarding a public hospital in Chicago that caters to heart patients.  Their ER unit is overwhelmed, their resources are limited, and their cure rate is limited.  However just by limiting their filtering to just three devices, they were able to increase their survival rate of cardiac/suspect for heart attacks by 70%.  Not more tests are the answer, but the right intuitive tests.  Blinking.  

Read more Blink/ Malcolm Gladwell

About a decade ago, I read a newsletter of a famed heart bypass surgeon.  He prided himself with having done countless successful open heart surgery and the skills with which he did his job/specialty.  But he himself was overweight, drank, smoke a lot etc. (having a lifestyle that was not conducive to healthy heart.

It soon dawned to him, and I still remember his advice, because at 40+ I was having chest pains (angina?) that the answer to this heart problem was not a heart bypass.  It was expensive and traumatic/debilitating to the patient.  More often than not there is recurrence or death within 5 years after surgery.  The patient may die not from the operation but the trauma on other organs.

There has to be a better way.  He found out that by advising his hopeless patients (inoperable) or open close (the arteries are so hardened and clogged), patients got better and well by advising them to walk a mile  a day.

He changed his lifestyle and practice of medicine.  He went into preventive medicine promoting good food, diet, exercise and the like.  He does not earn much as a heart surgeon (one bypass optns  before costs a BMW) now you can have a package for P lm, or even less ($25,000.00). 

Let us be healthy

 "New ideas create more and better new products and services; create more wealth."

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