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Know the culture that drives medical decisions

This essay reveals the shared social imagination the fuels a dangerous and expensive healthcare culture.

Due to the influence of pharma fueled academic experts, doctors too readily prescribe marginally effective medications with many unanswered long term safety questions.

Learn to question all medical decisions your doctor makes by asking about the risks, benefits, alternatives and unknowns involved. If your doctor can’t answer those questions in detail for you, be wary.

We can help you ask the right questions so you can collaborate with your doctor to make good medical decisions and get the best care.


If you have high blood pressure it’s critical to collaborate with your doctor when treating it.

While SPRINT produced some interesting data on how best to treat high blood pressure, the flaws in the study, and the high rate of adverse events like syncope and acute kidney injury mean that wise physicians must exert great caution in the implementation of more aggressive BP targets.

This science is far from complete. In the setting of such medical uncertainty, only collaboratively shared decisions with a full explanation of the risks, benefits, alternatives and unknowns should be the standard of practice.

Take charge of your health and healthcare, and collaborate with your doctors to make shared decisions.  We can help you to collaborate with information and coaching.

New SPRINT trial data raises more questions.

Another important reason to take charge of your health and healthcare by strongly collaborating with your doctor.

It is critical to understand the risks, benefits, alternatives and UNKNOWNS of all your medical decisions.  Many new medications have a lot of unknowns regarding their efficacy and safety, and those unknowns must be considered when deciding to prescribe them.  If your doctor doesn’t have time to discuss the full thinking behind a decision to use a new medication and allow you to share in that decision, we can help.

Drug safety issues often arise after FDA approval, a new study finds Does it mean drugs should undergo more rigorous pre-approval testing? Not necessarily, one expert says CBSNEWS.COM

How discussing risks, benefits, alternatives and unknowns can make a difference for you

Your doctors should be listening to you, understanding your goals and values, and explaining the risks, benefits, alternatives, and unknowns of your care.

If your doctor does not fully discuss those with you, then you can’t make choices that fit your own goals and values.

Jan Vick Harris courageously published an account of what happened to her after a mammogram picked up a ductal carcinoma in situ, and she went forward with treatment decisions that she did not fully understand.  The account illustrates the critical importance of this process of care.  A link to the article is included below.

After reading her story, imagine if she could have had a discussion with her doctor before she had her mammogram. She would have been better prepared for dealing with the ensuing course of action that became confusing, unsatisfying and potentially harmful to her.

She needed that discussion, and her doctor listening to her thoughts, both before the mammogram, and before embarking on the uncertain course of treatment that her doctors prescribed.

If your doctors are not thoroughly discussing risks, benefits alternatives and unknowns with you, or they’re not listening carefully to your views on them, contact Operam Healthcare for a no cost consultation on how we can help.



You can read Jan Vick Harris story here


It has never been more important to be in charge of your own healthcare

Operam Healthcare LLC.  Collaborative Healthcare Coaching that puts people at the center of their healthcare.

We listen. We educate. We advise. We Advocate. 

Understand. Take charge. Make the right healthcare decisions with your doctors.

The massive changes in modern healthcare have created fragmentation, conflicts and communication gaps that can lead to ineffective or unsafe care.  Operam Healthcare is dedicated to helping you better understand your health and your illnesses.  We will assist you in collaborating better with your doctors to make safe and wise medical decisions for you and your family.

We start by listening to you and your story.  Then we help you translate the information your doctors provide, and help you to interpret it with a sophisticated understanding of what it means for you.  We can walk by your side when you or your family must navigate an episode of acute illness, adapt to a chronic illness, or plan the safest and most effective strategies for optimal health.

It’s health and healthcare coaching, advising, advocating and educating based on over 40 years of experience in providing complex healthcare to the most complex patients.  It’s designed to give you the ability to overcome the medical uncertainty and the dangerous fragmentation that often overwhelm people using the healthcare system.

Most primary Care Doctors no longer speak directly to specialists they consult, or see their patients when they are in the hospital.  That disconnect makes it difficult for your your treating doctors to know your full medical story. Your doctor is busy, and can’t always provide the collaborative coaching that you need to take charge of your health and health care.  We will coach you when your doctor can’t.

Contact us to learn more about collaborative healthcare coaching.

Medical Uncertainty

Medical uncertainty.

Incomplete science is a major problem that you and your doctors must grapple with. That means sorting out the risks, benefits, alternatives and unknowns of every medical decision.

While medical science has advanced rapidly over the past 100 years, medicine is not a science like engineering. Engineers build bridges that rarely fail because they use well-tested science. The best medical treatments can still fail because of the uncertainties that haunt medical science. Doctors can’t hurt or destroy the objects of their study the way physicists can, so it’s a lot harder for them to fully test their science. Plus, as with all human endeavors, medical science is susceptible to the confusion created by biases and emotions, as the attached article about the uncertainties of fats in our food nicely shows.

Doctors should present the science behind their decisions to help manage the risks,benefits, alternatives and unknowns of their decisions with you. If your doctors don’t have the time to fully explain their plans, we can help you interpret and analyze the science, and the risks, benefits, alternatives and unknowns with your doctors. We help you collaborate so you can direct the medical choices you and your doctor make together.

It’s your health. We help you take charge of it. Contact us via email or call for more information on how.

Check out the NY Times article to learn more.