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Forty Years’ War – Cancer Center Ads Use Emotion More Than Fact : an article in the NYTimes.com

Cancer experts interviewed for this article say there are no comprehensive statistics showing that any one elite medical center has better overall cancer success rates than its competitors.

I just read in the NYT that we are marketed by hospitals.  HOSPITALS NEED US.  Wow!  That is scary.  Where I get treatment there are at least three major cancer centers on the same famous ‘Harley Street’ and a brand new teaching hospital UCH about 10 minutes walk away. London Clinic is building a enormous center with all the mod-cons, one can imagine.  Harley Street Clinic that is modest by comparison has opted for a private wing at UCH as well as the center on Harley Street.  I was also told about the London Oncology Center also on Harley Street.

From what I see, the patients around me in the day center come from all over the world.  An Arab family has a lovely lunch spread out and they are sitting cross legged eating and looking very much at home.  The woman across from me is speaking French on her mobile.  On the other hand I just heard of a family raising 300,000 pounds so that their infant can have life saving cancer surgery in the USA.  Were they all marketed? I hope not.

Let’s just say that someone, somewhere found a cancer vaccine or a way of manipulating genes so that the disease was no longer prevalent. I’m of an age where I remember polio and the boy next door who had to be in an iron lung.

Don’t hear too much about that anymore.  Now what would happen if cancer stopped being a major disease? Would all these centers of “excellence” close down and all their marketing directors made redundant (given the sack in USA terms).  I wouldn’t miss them.  Would you?


And here is what the experts recommend (from an article by Natasha Singer in the New York Times, Dec. 19, 2009):

FIND A GOOD FIT The American Cancer Society recommends choosing a doctor and a hospital with a lot of experience in treating your particular type of cancer.

Dr. H. Gilbert Welch, a professor of medicine at Dartmouth’s Institute for Health Policy and Clinical Practice, recommended that patients ask their primary care physicians to find out whether a hospital or specialist they are considering has expertise and experience in treating their particular cancer.

CHECK CREDENTIALS You may also want to ask about a doctor’s credentials, like board certification in surgery, or whether a radiologist has a subspecialty in radiation oncology, according to the National Cancer Institute.

Patients may also ask whether the specialist has published scientific articles on their particular type of cancer, a sign that the physician is a leader in the field, said Dr. Thomas F. DeLaney, director of the Frances H. Burr Proton Therapy Center at Mass General.

AN UP-TO-DATE DOCTOR Dr. Chabner also recommended that a patient ask whether a doctor has a teaching appointment at a medical school and conducts research, indications that the physician is up on the latest developments in the field.

THE HUMAN TOUCH Patients, Dr. Chabner said, should choose a doctor who seems comfortable communicating with them, a particularly important skill when discussing cancer treatment options.

And once you’ve done all this, you can have your chemo., if you can still remember where you do have your treatment.

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fit329

Decisions, decisions, decisions… We C people have made more than our share.  What screening? What operations? What chemo? What diet? What pills? What doctors?   AND now, in the US of A, they want to add ‘choices’ to Health Care Insurance just to boggle the mind further.  I live in the UK and have very good private health care.  It’s cost a bomb but I’m happy with it.  BUT, having said that, if for financial reasons I had to stop, I’d be very confident to have treatment on NHS.  WHY?

My Oncologist has been with the NHS since she qualified.  I’m sure when she goes from her patients at UCH (University College Hospital) across the few streets to Harley Street she changes from a ‘public health’ doctor into a ‘private health’ doctor.  But she doesn’t go into a telephone booth like superman (or superwoman) and change into ‘private’ doctor persona. She practices the same medicine.  It’s inconceivable that she’d behave differently with private and NHS patients.   In her own words, she practices the best medicine she can, every day with every patient.

At the beginning, I did have a very distinguished ‘private consultant’, the kind with a boutonniere.  His assistant missed my next cancer entirely, postponing treatment for at least three months.  I had streaks on my breast, which she diagnosed as radiation. As soon as my oncologist looked at it she knew it was cancer.

There is a feeling expressed by many ordinary people in Great Britain that if you are seriously ill you are BETTER OFF with the NHS.  You have access to all the specialist hospitals, the best consultants and state of the art care.  This doesn’t mean that it works out well for everyone.  What I’ve found is that social services let people down more than the medical care they receive. But that has nothing to do with NHS Health Care as seen by the USA.

My friend died several months ago after a prolonged struggle with esophagus cancer.  He was treated on the  NHS.  To save his life, he underwent two heart surgeries, all in a specialized heart hospital and with  over a months intensive care at UCH (University College Hospital) London. He had the best consultants looking in every day.  He had state of the art pain relief so that when he finally died (as he had requested in a living will) it was without pain.  If he’d left hospital he would have gone into a hospice that we’d researched visited together.  It looked lovely. When you live alone, as he did, the idea of a small cafeteria and a garden with a private room is very inviting.  All this under National Health care, which Americans seem to hate, is free!

Do you really want to rely on your private health care?

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