Over-diagnosed: Making People Sick in the Pursuit of Health (Book review)

From Science-Based Medicine, 1 February 2011:

‘Dr. H. Gilbert Welch has written a new book Over-diagnosed: Making People Sick in the Pursuit of Health, with co-authors Lisa Schwartz and Steven Woloshin. It identifies a serious problem, debunks medical misconceptions and contains words of wisdom.

We are healthier, but we are increasingly being told we are sick. We are labeled with diagnoses that may not mean anything to our health. People used to go to the doctor when they were sick, and diagnoses were based on symptoms. Today diagnoses are increasingly made on the basis of detected abnormalities in people who have no symptoms and might never have developed them. Overdiagnosis constitutes one of the biggest problems in modern medicine. Welch explains why and calls for a new paradigm to correct the problem.’

Read the full review here.

Is “junk” food addictive?

In the same week that (just in time for Easter!) we are (again) told that chocolate is “good for you”, come these depressing headlines:

Depressing not because of the news itself, but because of how that news inevitably is – has been, will be – abused by lazy reporting and lazy reading. True to the “addicts” that some of us apparently are, we look to the instant gratification of headlines and will happily regurgitate them at dinner tables, if not (even more depressingly) use them to explain away the need to take responsibility for what we put in our mouths. Francis Lam at Salon put it poignantly when he wrote that ‘seeing food in the dark light of addiction … filled me with a confused sadness‘, but I’d venture that many more people will be delighted at the news. Finally, we can point the finger at evil food (Good news, Mr. Creosote. It’s been the food’s fault all along!). Continue reading “Is “junk” food addictive?”