How Good Medicine Has Become the Exception Print
Written by Jordan Grumet, MD   
Thursday, 18 February 2016 00:00

Joe had one of the best geriatricians in the city. So when he got a call from the pharmacist saying his new prescription was ready, he assumed that it had to do with his recent annual visit and blood draw. His suspicions were confirmed, a few minutes later, when he got through to the nurse at the office.
Joe was politely informed that he had high cholesterol and was being put on a statin. Although he hung up the phone satisfied and raced out to the pharmacy to pick up his new pills, a casual observer might find a few things concerning.
Neither the doctor nor the nurse actually talked to Joe about the significance of high cholesterol. No one bothered to discuss with him the risks and benefits of statin medications. There was no mention of side effects or complications. No joint decision making. And certainly no consideration of a trial of diet and exercise.

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