{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/60b20104ffcfab00117e6199/616813f315962f0012a8ab0b?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Diagnosis (and overdiagnosis) - the challenges and pitfalls ","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/60b20104ffcfab00117e6199/1637802714460-14922805bf76b48939ee826ae6e3a3d7.jpeg?height=200","description":"<p>Today’s episode is about medical diagnosis.&nbsp;It’s a tricky business and&nbsp;</p><p>as patients we want to make sure the diagnosis is as accurate as possible without</p><p>something being missed or the opposite - the risk of overtreatment.</p><p><br></p><p>I look at the role of screening and talk through some of the challenges we face as both patients and&nbsp;</p><p>clinicians.</p><p><br></p><p>Links:</p><p><br></p><p><br></p><p>Improving diagnosis:&nbsp;<a href=\"https://www.improvediagnosis.org/stories/\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.improvediagnosis.org/stories/</a>&nbsp;&nbsp;(USA based)</p><p><br></p><p>Screening and ethics which govern it in the NHS:&nbsp;<a href=\"https://www.gov.uk/government/publications/uk-nsc-ethical-framework-for-screening/uk-nsc-ethical-framework-for-screening\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.gov.uk/government/publications/uk-nsc-ethical-framework-for-screening/uk-nsc-ethical-framework-for-screening</a></p><p><br></p><p>“Too much medicine”:&nbsp;<a href=\"https://www.bmj.com/too-much-medicine\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.bmj.com/too-much-medicine</a></p><p><br></p><p>Overdiagnosis:&nbsp;<a href=\"https://www.bmj.com/content/362/bmj.k2820\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.bmj.com/content/362/bmj.k2820</a></p><p><br></p><p>Ivan Illich and his Medical Nemesis:&nbsp;<a href=\"https://www.rcpe.ac.uk/sites/default/files/jrcpe_46_2_omahony_0.pdf\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.rcpe.ac.uk/sites/default/files/jrcpe_46_2_omahony_0.pdf</a></p><p><br></p><p>Achenbach syndrome (just FYI):&nbsp;<a href=\"https://casereports.bmj.com/content/13/9/e238156\" rel=\"noopener noreferrer\" target=\"_blank\">https://casereports.bmj.com/content/13/9/e238156</a></p><p><br></p><p>Medically unexplained symptoms:&nbsp;<a href=\"https://bjgp.org/content/67/656/106\" rel=\"noopener noreferrer\" target=\"_blank\">https://bjgp.org/content/67/656/106</a></p><p><br></p><p>Bill Turnbull documentary:&nbsp;<a href=\"https://www.channel4.com/programmes/bill-turnbull-staying-alive\" rel=\"noopener noreferrer\" target=\"_blank\">https://www.channel4.com/programmes/bill-turnbull-staying-alive</a></p>","author_name":"Dr Ayan Panja"}