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The Patient Paradox: Why Sexed Up Medicine is Bad for Your Health [Paperback]

Margaret McCartney
4.6 out of 5 stars  See all reviews (22 customer reviews)
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Book Description

28 Feb 2012
McCartney is diligent enough to dig deep into the evidence, brave enough to name names where necessary and lucid enough to capture a concept in a memorable sentence. Pulse

Welcome to the world of sexed-up medicine, where patients have been turned into customers, and clinics and waiting rooms are jammed with healthy people, lured in to have their blood pressure taken and cholesterol, smear test, bowel or breast screening done.

In the world of sexed-up medicine pharmaceutical companies gloss over research they don't like and charities often use dubious science and dodgy PR to 'raise awareness' of their disease, leaving a legacy of misinformation in their wake. Our obsession with screening swallows up the time of NHS staff and the money of healthy people who pay thousands to private companies for tests they don't need. Meanwhile, the truly sick are left to wrestle with disjointed services and confusing options.

Explaining the truth behind the screening statistics and investigating the evidence behind the hype, Margaret McCartney, an award-winning writer and doctor, argues that this patient paradox - too much testing of well people and not enough care for the sick - worsens health inequalities and drains professionalism, harming both those who need treatment and those who don't.


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The Patient Paradox: Why Sexed Up Medicine is Bad for Your Health + Bad Pharma: How drug companies mislead doctors and harm patients + Testing Treatments: Better Research for Better Healthcare
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Product details

  • Paperback: 336 pages
  • Publisher: Pinter & Martin Ltd.; 1 edition (28 Feb 2012)
  • Language: English
  • ISBN-10: 1780660006
  • ISBN-13: 978-1780660004
  • Product Dimensions: 13.7 x 21.6 cm
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (22 customer reviews)
  • Amazon Bestsellers Rank: 58,073 in Books (See Top 100 in Books)

More About the Author

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Product Description

About the Author

Margaret McCartney is a GP in Glasgow, and has three children. She started writing for the press after being infuriated by an article in a newspaper which claimed that CT body screening was the way to stay well. Since then she has written for most UK newspapers, as well as the British Medical Journal, other magazines such as Vogue and Prospect, and has had columns in the Guardian and the FT Weekend. She has won prizes from the Medical Journalists' Association, the Healthwatch award, and from the European School of Oncology.

She has a strong interest in evidence, professionalism, screening and risk. She blogs and tweets. The Patient Paradox is her first book.

margaretmccartney.com/blog


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Customer Reviews

Most Helpful Customer Reviews
19 of 19 people found the following review helpful
By Helen
Format:Paperback
This is an excellent book. Using clear language, straightforward diagrams and plenty of examples, McCartney (who is also a practising GP) takes the mystery out of medical screening, reviews and statistics. Her analysis reveals some surprising and negative results, including overdiagnosis, further testing and anxiety, and increased costs. The arguments are persuasive and challenging, but ultimately positive: "Addressing inequalities is where the biggest gains in health are to me made, not our current model of taking well people and screening them into diagnoses they don't need and won't benefit from"

Accessible and easy to read, with a narrative grounded in personal experience backed up with well referenced, evidence based research, this fascinating book would appeal to anyone with an interest in healthcare, be it professional or personal.
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13 of 13 people found the following review helpful
5.0 out of 5 stars Medicine, screening and risk - clearly explained 17 Mar 2012
Format:Paperback
This is a clearly written book, accessible to all giving an insight in to our current obsession with medical screening.

It gives the most readily understandable explanation that I have come across of relative versus actual risk of contracting serious medical conditions. It lays bare how statistics are manipulated and over-hyped to give a good story rather than to allow individuals to assess risks versus benefits and make a considered judgement, with their GP, of what might be the best course of action for them.

Margaret McCartney deserves a wide audience and I hope this book stirs the "worrried well" in to taking a more balanced approach to life.
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13 of 13 people found the following review helpful
Format:Kindle Edition
Margaret McCartney is a GP who writes passionately and eloquently about the problems created for her and her patients when health stories are sexed-up by journalists and politicians.

Probability, prognosis, and risk are difficult even for statisticians, but Dr McCartney explains in crystal clear language how these are misunderstood and misapplied. The consequences are serious: wasteful expenditure on unnecessary investigations and treatments, often with serious psychological and physical effects.

"The patient paradox" should be read by everyone - at least twice.
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Most Recent Customer Reviews
3.0 out of 5 stars Thought provoking
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Published 2 months ago by MR Mark R Hawes
5.0 out of 5 stars False promise and unfair lure
To some policymakers and to a large section of the public, screening people for diseases seems like a win-win proposition: if the test comes back positive, screening has "caught... Read more
Published 4 months ago by Sphex
4.0 out of 5 stars a worth-while read
The book is certainly an eye opener, but at some points slightly biased. Very informative throughout, so I would definitely recommend it
Published 4 months ago by Petya Ilieva
5.0 out of 5 stars Media frenzy
Having an overall interest in health, this book really helps put the political and big pharma stitch-up of health services into perspective. Read more
Published 5 months ago by Caz
5.0 out of 5 stars Eloquent, readable and well-referenced
I enjoyed Margaret's book. She explained complex topics such as screening, risk and the quality of evidence used in clinical trials. Read more
Published 6 months ago by Elektra
5.0 out of 5 stars patient paradox
This book made me think hard about how many screening scenarios we have in the UK. Serious money is used to complete these, sometimes, questionable tests. Read more
Published 6 months ago by Michketts
5.0 out of 5 stars Patient Paradox
A well written, scientifically based review of the way patients are informed, often inadequately, about the pros and cons of screening by the NHS. Read more
Published 6 months ago by Tony
5.0 out of 5 stars A Good Look at Modern Medicine
This is a very readable book. I like the way the author expresses her opinion-voiced in an intelligent, rational and caring way. Read more
Published 6 months ago by Donald Scott
5.0 out of 5 stars An accurate and well-written account of modern medicine
This book has been carefully researched and is accurate and well-written.

These aren't maverick views; every doctor I know shares most of them. Read more
Published 6 months ago by David49729
5.0 out of 5 stars A GP puts modern health care under the microscope
This is an interesting read, particularly in light of the next round of NHS re-organisation. It is a GPs perspective on how the doctor-patient relationship has changed for the... Read more
Published 7 months ago by Jessica Madge
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