Mammograms: Overdiagnosis

Did I stir up a hornet’s nest when I tried to examine the benefits and harms of mammography? I’m  glad I did. I might have been less than generous in my remarks about mammography, but that does not diminish my unqualified admiration of those who believe that it works. I am happy that some of … Read more

Screening for breast Cancer

Recently, I was part of a team that was caring for a woman with breast cancer. “Would I have fared better had I undergone mammography when I turned 50?”, she asked me. She is right because a neighbouring medical school is offering mammography on wheels—bringing technology to the doorsteps of rural women who cannot access … Read more

Dr (Mrs) Lata Patil

Dr (Mrs) Lata Patil —Samir Patil’s (MGIMS Class of 1993) mother—died this morning of metastatic cancer in a private facility at Nagpur after fighting malignancy for more than a year. She was 71. She is survived by her husband, Dr.SM Patil—the well-known physician and two children- both doctors. Dr (Mrs) Lata Patil taught me Medicine … Read more

Dengue and kids

Medical research is seldom exciting and eye-catching, but this one would surely bring music to the ears of all those who care for children. And also those who endure mosquitoes and their bites. Worldwide, close to 100 million people develop symptomatic dengue – twice the number of people located in Mumbai, Delhi, Kolkata and Chennai … Read more

Angioplasty

One way to see the chorus of emergency angioplasty treatment of acute heart attack is with awe. Another is with utter frustration—because in most cases it is unnecessary- John Mandrola recently summed up beautifully. A 2014 population based study from Sweden (J Am Coll Cardiol 2014; 64:1299-1306) shows that if people eat less, walk more, … Read more

On being a patient

Worldwide, an estimated three million coronary angiograms and angioplasties are performed each year. These interventions are used to look for blockages in coronary arteries and to open them with balloons and stents. Global Industry Analysts (2011) predict that by the year 2017, the global market of coronary angioplasty products is likely to be close to US$ 1.84 … Read more