Fighting the good fight
Consider these scenarios:
A primary care doctor knows a CT scan of the lungs is more likely to reveal cancerous lesions, but orders a standard chest X-ray instead.
A gastroenterologist knows a 13C urea breath test is just as accurate as the endoscope at detecting H. pylori, but orders the scope anyway.
A cardiologist knows that the stress test is not as effective at determining heart attack risk as other tests, but continues to put his patients on the treadmill.
A cardiothoracic surgeon knows a particular heart valve would be better for her patient, but because her hospital refuses to purchase it, she uses an inferior device.
It is an outrage. You might even think it’s a crime.
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