- 90% of diagnoses can be made by doing a thorough history and physical
- Good medical care takes time
- formulate a differential diagnosis
- shared decision making
- balance benefit vs risk (testing or treatment)
- Concierge/Direct Primary Care results in up 60% fewer hospitalizations
- Placebo works 30-40% of the time
- Results of large population-based studies make for great headlines but often are misleading with unsubstantiated conclusions
- Relative comparisons often exaggerate benefits and harms of therapies
- Risk of MI without NSAIDs 2/1000
- Risk of MI from NSAIDs 2.6/1000
- Relative increase in risk ~30%
- Absolute increase in risk ~0.6/1000
- All medications have potential side effects, even natural and herbal medication or supplements
- Vaccines prevent illness
- Antibiotics do not cure viruses and can cause severe reactions including life threatening rashes and diarrhea
- Acute pain management
- Tylenol 1000mg + 1-2 Advil with food works as well as Percocet, without the opioid side effects
