WELCOME to the debut of “The Truth Is!”, a blog of reporting and commentary that aims to be informative, thoughtful and provocative. At least initially, the blog will have a strong heartland flavor by virtue of the connection of a number of us to Cowles family journalism. I am former editor of the Des Moines Register’s opinion pages. Another contributor, Michael Gartner, is former editor of the paper; he later served as president of NBC News. Another former Register editor who has agreed to contribute, Geneva Overholser, is director of the University of Southern California’s Annenberg school of journalism. Followers of the blog will have access also to the work of Herbert Strentz of Des Moines, a close Register and other newspaper watcher who once headed Drake University’s journalism school. Bill Leonard, a longtime Register editorial writer, will add insights.

“The Truth Is!” will be supervised by my daughter, Marcia Wolff, a communications lawyer for 20 years with Arnold and Porter (Washington, D.C.). Invaluable technical assistance in assembling and maintaining the blog is provided by my grandsons Julian Cranberg, a college first-year, and Daniel Wolff, a high school senior.

If you detect a whiff of nepotism in this operation, so be it. All of it is strictly a labor of love. —Gil Cranberg

Tuesday, October 22, 2013

Gilbert Cranberg: WHEN IT’S TIME TO SWITCH OUR BRAINS ON

Physicians make plenty of medical mistakes; perhaps as many as one in five patients is misdiagnosed. Worse, each year an estimated 50,000 hospital deaths could have been prevented with proper diagnosis.

An article in the Oct. 20 New York Times suggests a way to minimize medical error: take a skeptic with you to the doctor’s office--yourself. “If we are to control our own destinies,” wrote the Times, “we have to switch our brains back on, and come to our medical consultations with plenty of research done, able to use the relevant jargon.”

In my experience, patients can contribute a lot to diagnosing their conditions. Not long ago, multiple neurologists diagnosed me with Parkinson’s, largely on the strength of my gait. After a lapse of many months, and having noticed no change, I questioned the diagnosis and wondered if there were a more objective way to spot Parkinson’s than by studying how a person walks. I was informed about a reliable non-invasive test that measures dopamine in the brain. I arranged for the test. Presto! No Parkinson’s.

Some time before, an acquaintance was diagnosed by a leading medical center with cancer of the spine. Extreme surgery that carried grave risks was recommended. Enter a maverick West Coast pathologist who studied the medical history and biopsy, disagreed vehemently with the cancer diagnosis, and argued strongly against surgery. Years later, the patient is still cancer-free.

Granted, this is anecdotal. But when a patient is told by the best brains in the business that his only chance is high-risk surgery, it’s time to switch our brains back on.

No comments: