Overdiagnosed
Making People Sick in Pursuit of Health
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Narrated by:
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Sean Runnette
About this listen
Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening.
Drawing on 25 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. Examining the social, medical, and economic ramifications of a health care system that unnecessarily diagnoses and treats patients, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, debilitating anxiety, and exorbitant costs.
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By: Haider Warraich
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Trick or Treatment
- The Undeniable Facts about Alternative Medicine
- By: Edzard Ernst, Simon Singh
- Narrated by: Dennis Kleinman
- Length: 12 hrs and 33 mins
- Unabridged
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Whether you are an ardent believer in alternative medicine, a skeptic, or are simply baffled by the range of services and opinions, this guide lays to rest doubts and contradictions with authority, integrity, and clarity. In this groundbreaking analysis, over 30 of the most popular treatments - acupuncture, homeopathy, aromatherapy, reflexology, chiropractic, and herbal medicines - are examined for their benefits and potential dangers. Questions answered include: What works and what doesn't? What are the secrets, and what are the lies?
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Well researched
- By Erik J. Rasmussen on 09-09-20
By: Edzard Ernst, and others
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Chronic
- The Hidden Cause of the Autoimmune Pandemic and How to Get Healthy Again
- By: Steven Phillips MD, Dana Parish, Kristin Loberg
- Narrated by: Teri Schnaubelt, Thomas Allen
- Length: 10 hrs and 42 mins
- Unabridged
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In this timely book, Steven Phillips, MD, and his former patient, Sony singer-songwriter Dana Parish, reveal striking evidence that a broad range of common infections, from COVID-19 to Lyme and many others, cause a variety of autoimmune, psychiatric, and chronic conditions. Chronic explores the science behind what makes them difficult to diagnose and treat, debunks widely held beliefs by doctors and patients alike, and provides solutions that empower sufferers to reclaim their lives.
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A must read book
- By Amazon Customer on 03-01-21
By: Steven Phillips MD, and others
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Counterclockwise
- Mindful Health and the Power of Possibility
- By: Ellen J. Langer
- Narrated by: Sandra Burr
- Length: 7 hrs and 10 mins
- Unabridged
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If we could turn back the clock psychologically, could we also turn it back physically? For more than 30 years, award-winning social psychologist Ellen Langer has studied this provocative question, and now has a conclusive answer: opening our minds to what's possible, instead of clinging to accepted notions about what's not, can lead to better health at any age.
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Surprisingly disappointing
- By Stephen on 06-23-09
By: Ellen J. Langer
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Happy Accidents
- Serendipity in Major Medical Breakthroughs in the Twentieth Century
- By: Morton A. Meyers
- Narrated by: Richard Waterhouse
- Length: 12 hrs and 37 mins
- Unabridged
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Happy Accidents is a fascinating, entertaining, and highly accessible look at the surprising role serendipity has played in some of the most important medical discoveries in the 20th century. What do penicillin, chemotherapy drugs, X-rays, Valium, the Pap smear, and Viagra have in common? They were each discovered accidentally, stumbled upon in the search for something else. In discussing medical breakthroughs, Dr. Morton Meyers makes a cogent, highly engaging argument for a more creative, rather than purely linear, approach to science. And it may just save our lives!
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Don't waste your money!
- By Amazon Customer on 03-20-16
By: Morton A. Meyers
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Ten Drugs
- How Plants, Powders, and Pills Have Shaped the History of Medicine
- By: Thomas Hager
- Narrated by: Angelo Di Loreto
- Length: 8 hrs and 39 mins
- Unabridged
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Beginning with opium, the “joy plant,” which has been used for 10,000 years, Thomas Hager tells a captivating story of medicine. His subjects include the largely forgotten female pioneer who introduced smallpox inoculation to Britain, the infamous knockout drops, the first antibiotic, which saved countless lives, the first antipsychotic, which helped empty public mental hospitals, Viagra, statins, and the new frontier of monoclonal antibodies. This is a deep, wide-ranging, and wildly entertaining book.
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Engrossing to physicians & lay persons alike
- By C. White on 03-08-19
By: Thomas Hager
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Missing Microbes
- How the Overuse of Antibiotics Is Fueling Our Modern Plagues
- By: Martin J. Blaser
- Narrated by: Patrick Lawlor
- Length: 8 hrs and 43 mins
- Unabridged
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In Missing Microbes, Dr. Martin J. Blaser invites us into the wilds of the human microbiome, where for hundreds of thousands of years bacterial and human cells have existed in a peaceful symbiosis that is responsible for the health and equilibrium of our body. Now this invisible eden is being irrevocably damaged by some of our most revered medical advances-antibiotics-threatening the extinction of our irreplaceable microbes with terrible health consequences.
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Very enlightening and information well supported
- By James on 05-03-15
By: Martin J. Blaser
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The Secret History of the War on Cancer
- By: Devra Davis Ph.D.
- Narrated by: Pam Ward
- Length: 19 hrs and 11 mins
- Unabridged
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The War on Cancer was run by leaders of industries that made cancer-causing products and sometimes also profited from drugs and technologies for finding and treating the disease. Filled with compelling personalities and never-before-revealed information, The Secret History of the War on Cancer shows how we began fighting the wrong war, with the wrong weapons, against the wrong enemies, a legacy that persists to this day.
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Silly Book
- By Adam Smith on 12-24-14
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The Emperor of All Maladies
- A Biography of Cancer
- By: Siddhartha Mukherjee
- Narrated by: Fred Sanders
- Length: 22 hrs and 18 mins
- Unabridged
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The Emperor of All Maladies reveals the many faces of an iconic, shape-shifting disease that is the defining plague of our generation. The story of cancer is a story of human ingenuity, resilience, and perseverance but also of hubris, arrogance, paternalism, and misperception, all leveraged against a disease that, just three decades ago, was thought to be easily vanquished in an all-out "war against cancer".
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Incredible
- By S.R.E. on 03-02-16
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Rigor Mortis
- How Sloppy Science Creates Worthless Cures, Crushes Hope, and Wastes Billions
- By: Richard Harris
- Narrated by: Joe Delafield
- Length: 5 hrs and 56 mins
- Unabridged
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American taxpayers spend $30 billion annually funding biomedical research, but over half of these studies can't be replicated due to poor experimental design, improper methods, and sloppy statistics. Bad science doesn't just hold back medical progress, it can sign the equivalent of a death sentence for terminal patients. In Rigor Mortis, Richard Harris explores these urgent issues with vivid anecdotes, personal stories, and interviews with the top biomedical researchers. We need to fix our dysfunctional biomedical system - before it's too late.
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Eye opening introduction to biomedical R&D
- By Amazon Customer on 09-18-18
By: Richard Harris
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The Cancer Chronicles
- Unlocking Medicine's Deepest Mystery
- By: George Johnson
- Narrated by: Arthur Morey
- Length: 8 hrs and 19 mins
- Unabridged
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When the woman he loved was diagnosed with a metastatic cancer, science writer George Johnson embarked on a journey to learn everything he could about the disease and the people who dedicate their lives to understanding and combating it. What he discovered is a revolution under way - an explosion of new ideas about what cancer really is and where it comes from. In a provocative and intellectually vibrant exploration, he takes us on an adventure through the history and recent advances of cancer research that will challenge everything you thought you knew about the disease.
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A quick read - hard to put down
- By Digital Dilema on 09-06-13
By: George Johnson
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What listeners say about Overdiagnosed
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Teresa Gregory
- 05-28-14
I am a victim
I have argued with my doctor for years. He thinks I should take cholesterol medications. I told him I don't want the side effects. He gave me a glucose monitor, I don't use it. His medical assistant thought I should be on Metformin for my "pre-diabetes." I said no. I'm not just stubborn. I saw the damage to my mother's quality of life caused by prescription drugs. I have several friends whose lives revolve around getting the right balance to the many drugs they take. I have worked seven years in a medical oncology clinic. (We give chemo.)
This book brought out points that I had not considered, but make perfect sense. I think everyone should read it, but it won't change anything. Too many people are eager to sue.
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15 people found this helpful
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- Siamak
- 12-22-16
The name was properly chosen
This book gives well enough examples with related information on different types of diseases.
Although it has some deep information that are more relevant to doctors reading this helps to better understand the current estate of healthcare and when to agree on more testing.
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- Susan Squier
- 02-06-18
This book is mandatory for anyone with a body
Would you recommend this audiobook to a friend? If so, why?
This gives us a great framework for understanding the stakes in accepting medical testing, approaching a diagnosis, and negotiating with the medical establishment as we attempt to forge a healthy life.
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- Pamela Harvey
- 09-12-12
Agreed, Too Many Medical Interventions
A medical, scientific version of the old saw "if it ain't broke, don't fix it", and I applaud the exploration of current trends in testing and imaging of people previously considered "normal" and healthy and turning them into patients. The guidelines for abnormality are constantly shifting, mostly to the financial advantage of those involved in the health profession.
This is not a polemic against the use of doctors; just a warning to be a sceptic and be cautious in hopping on board the testing bandwagon and being turned into a patient, just another profit center for physicians, health facilities, imaging centers and health insurance companies. Of course, testing, scanning and other modalities can helpfully put an at-risk patient, someone in danger of incurring future serious negative health outcomes, into the domain of "healthy", but it's important to apply the brakes to the current trend in speed-testing an otherwise asymptomatic and a healthy individual.
The author also cautions against making use of the current genetic profiling technology in order to apprise oneself of any hereditary genes gone wrong. In this situation, perhaps, and only perhaps, some good can be achieved by knowing of a high percentage of likelihood for a smattering of seriously debilitating diseases which would have life-altering consequences both in terms of treatment and in terms of the disease itself.
I'd only agree with this position if no treatment was available to fix the genetic glitch, or remedy for the statistical probability of negative outcome. So, now that you know, but what can you do about it? In the case of breast and ovarian cancers, however, the answer to this question is...plenty!!!
With the ever-increasing knowledge of specific deleterious genetic information, and the identification of the genes BRAC 1 & 2, it is now possible to divert and indeed eliminate the occurrence of breast and ovarian cancer. Recurrence is always a consideration, but that could happen with or without surgical intervention. With an 87% of getting breast cancer and a 50% chance of getting ovarian cancer, an otherwise healthy individual with these genetic glitches cannot afford to "watch and wait"...to get cancer, in many cases.
The preventative surgeries for these diseases are not without risk and consequence in quality of life, especially for women of child-bearing age but additional interventions such as breast reconstruction (provided by health insurance) and assisted fertility in the case of prophylactic oophorectomy, can help mitigate the effects - such as sudden early menopause, loss of fertility, negative body image - that are concomitant with these procedures. In other words, you can have re-engineered breasts and can continue to bear children with banked embryos.
This is just to say there are situations where screening is helpful and though monitoring is inconvenient, it beats getting cancer.
On most points the book's general thesis is spot-on, and counters the myth that over-diagnosis, especially considering litigation, is always better. But is it really? In terms of accomplishing nothing in many case but initiating further testing and surgeries and resultant anxiety is it always helpful??
Above all do no harm. Just depends on how "harm" is defined.
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24 people found this helpful
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- John D.
- 10-29-17
A must read for patients and physicians alike
As a physician I am faced with the dilema and consequences of overdiagnosis everyday. There is a huge monetary, emotional and physical harm associated with overdiagnosis. While there is the presumed benefit to early detection is it worth the risk? The authors do a wonderful job in discussing the statistics involed in overdiagnosis in a way almost anyone can understand. They also add case studies which add a personal touch of how overdianosis affects us all.
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- Kindle Customer
- 02-27-18
clear, impelling, life changing
what if your cancer screening finds an abnormal tissue which would never kill you, but the treatment will create conditions which will significantly lessen your quality of life...as with thyroid gland removal which means useing medication to provide hormones to replace those usually produced by the gland...but the dose is never quite right...or impotence from prostate removal though the likelihood the cancer would kill you in your lifetime is around 3%. This M.D. is able to expand your understanding of how to look at screenings and survival rates in a way which gives you tools to question what is standard practice or needed to keep you healthy.
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- Lisa J. Shultz
- 06-14-16
Have you ever been over-diagnosed?
Any additional comments?
I have experienced over-diagnosis. It caused me emotional and mental stress (high) and financial stress (moderate) for an unnecessary surgery. The zeal for early diagnosis and treatment did not serve me well and I will think hard before going down that path again. This book was excellent to open my eyes to a different paradigm and gain more balance in how to approach my health. I really recommend it.
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1 person found this helpful
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- Cabe M. Pillette
- 11-11-18
A healthy view of cancer
This book by far is the best medical book I have ever read. Basically, if you want to find cancer, just look for it. If I have the kind that kills quickly then fighting it is a choice of poor quality of life for the few months or maybe years doctors can eek out for me. If it’s not the aggressive kind, I will probably end up dying of something else. #weallhavecancer #lookforitandyouwillfindit #notallcancerisdeadly #tagsgiving #sweepstakes
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- Daniel
- 12-30-19
Great book, bad reader.
Loved the book but this performer has a speech impediment. Any time he tries to say a word with an S it gets so annoying.
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- Jody
- 06-08-21
Every person who sees a doctor needs to read this
EVERY person in the health/wellness and/or medical field needs to read this ASAP.
Actually every person needs to read this if they have ever, or will ever, go to a doctor or have any type of medical procedure.
These mistakes are hidden under different labels, different names and different diagnosis….. but they happen everyday, in every town, at every hospital.
As someone in the health field it is one of my top 5 books about health- or in this case non-health, issues.
Excellent narration.
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