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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    1. Atul Gawande‏Verified account @Atul_Gawande 31 Jan 2014

      Another warning shot - @nytimes oped: 3-5% of future cancers may be from overuse of medical imaginghttp://nyti.ms/1lpJczF 

      17 replies 219 retweets 74 likes
    2. Barbara J. Martin, MD‏ @Pathophilia 31 Jan 2014
      Replying to @Atul_Gawande

      @Atul_Gawande @nytimes One reason for CT overuse isn't mentioned: defensive medicine. Reform med-mal, and all unnecessary tests will drop.

      1 reply 0 retweets 0 likes
      Atul Gawande‏Verified account @Atul_Gawande 31 Jan 2014
      Replying to @Pathophilia

      .@Pathophilia @nytimes Doesn't appear true. Med-mal reform in TX dropped lawsuits massively. But TX remains a Medicare imaging outlier.

      10:01 AM - 31 Jan 2014
      • 4 Retweets
      • 3 Likes
      • swamp witch Charles Ornstein Pat Whitworth Dan Pollock Ken Legg
      7 replies 4 retweets 3 likes
        1. Anil Makam‏ @AnilMakam 31 Jan 2014
          Replying to @Atul_Gawande

          @Atul_Gawande @Pathophilia @nytimes Further: 2003 #Medmal reform in #Texas not shown to lower costs or incr MD supplyhttp://bit.ly/Lii30E 

          0 replies 1 retweet 2 likes
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        1. Rahul Nayak MD, MBA‏ @TeamMDrs 1 Feb 2014
          Replying to @Atul_Gawande

          @Atul_Gawande @Pathophilia @nytimes "bad apple" theory has not made hc safer. Overuse multifactorial, including payment system.

          0 replies 1 retweet 0 likes
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        1. New conversation
        2. Luke V. Selby, MD MS‏ @LVSelbs 31 Jan 2014
          Replying to @Atul_Gawande

          .@Atul_Gawande @Pathophilia "Med-mal" fear is partly fear of being wrong that manifests as fear of being wrong AND getting sued. Hard to fix

          1 reply 0 retweets 0 likes
        3. Barbara J. Martin, MD‏ @Pathophilia 1 Feb 2014
          Replying to @LVSelbs

          @LVSelbs @Atul_Gawande Agree. Even w/ med-mal reform, fear of being sued ingrained in MD thought process. May take generation or 2 to break

          1 reply 0 retweets 0 likes
        4. Luke V. Selby, MD MS‏ @LVSelbs 1 Feb 2014
          Replying to @Pathophilia

          .@Pathophilia @Atul_Gawande Not sure how much fear is of the suit vs not wanting to be wrong and using suit as "cover" for "one more test"

          1 reply 0 retweets 0 likes
        5. Barbara J. Martin, MD‏ @Pathophilia 1 Feb 2014
          Replying to @LVSelbs

          @LVSelbs @Atul_Gawande I'm sure it varies from MD to MD, but the CYA mantra re lawsuits is a perpetual one, especially in private practice

          0 replies 1 retweet 0 likes
        6. End of conversation
        1. New conversation
        2. Harsh Shah‏ @harshybar 31 Jan 2014
          Replying to @Atul_Gawande

          @Atul_Gawande @Pathophilia @nytimes doctors will stop over-ordering tests when they realize clinical value + not getting paid for it.

          1 reply 0 retweets 0 likes
        3. Barbara J. Martin, MD‏ @Pathophilia 31 Jan 2014
          Replying to @harshybar

          @harshybar @Atul_Gawande PCPs: Pts receive more care, eg imaging, than warranted. Stated driver = fear of med-mal http://goo.gl/wRsVVK 

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. Harsh Shah‏ @harshybar 31 Jan 2014
          Replying to @Atul_Gawande

          @Atul_Gawande @Pathophilia @nytimes research-based and demographic-specific restrictions on reimbursement schemes should do the trick.

          0 replies 0 retweets 0 likes
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        1. Bruce A. Kimzey‏ @ICUdelirium 31 Jan 2014
          Replying to @Atul_Gawande

          @Atul_Gawande @Pathophilia @nytimes vast majority of medmal cases are never filed so why impose legis to protect still more negligent docs?

          0 replies 0 retweets 0 likes
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        1. Barbara J. Martin, MD‏ @Pathophilia 31 Jan 2014
          Replying to @Atul_Gawande

          @Atul_Gawande @nytimes Huh. Texas data where?

          0 replies 0 retweets 0 likes
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