Disclaimers 2019-03-18

DISCLAIMERS Always see your own licensed medical physician for diagnosis, treatment, and statistics. We (Treatment Scores, LLC, or anyone associated) do not recommend any medical treatment. We do not claim to cure, treat, or prevent diseases. No medical advice is being given. We do not establish doctor-patient relationships. Death or disability can result from almost any medication or medical treatment. There are many important side benefits and dangerous side effects for patients from medical treatments. Always go over all side benefits and side effects with your own physician. Be your own best healthcare advocate. Be wary of bias from any of the major entities in healthcare: Academia, Government, or Industry. Read every package insert for every medication or medical device. Research the risks of every medical treatment. Everyone is different. Every treatment is different. This document is just a simple educational example, you must add or subtract more things. This document is focused on education, to teach you how to figure out things with the help of your physician. The Treatment Score Calculator™ is not a verified or validated tool. It is not FDA approved, is not a guideline, and is not a standard of care. It is educational, organizational, artwork, a way to tell a story, convey information, or express information. Use it at your own risk and only with your physician. This document may have errors or omissions, which we cannot be responsible for. Your life is at risk and your health is at stake, which are why direct physician consultation, evidence-based medicine, and shared decision-making are so important. You agree to indemnify and hold harmless Treatment Scores, LLC (or any individual associated) against all claims. Your physician may or may not be aware of these concepts and may or may not want to help you. We cannot control those things. We give no guarantees and make no warranties whatsoever. Sorry, no refunds. HIPAA is the Health Insurance Portability and Accountability Act and violating it can cause liability. We cannot accept such liability. Do not send Treatment Scores, LLC, any doctors, or anyone else associated with Treatment Scores, LLC, your private health information. We cannot accept the liability, because it is risky to share private health information via Email, text, the Internet, or by any other method. You are responsible for health information privacy.

Disclaimers 2019-03-14


DISCLAIMERS

Always see your own licensed medical physician for diagnosis, treatment, and statistics. We (Treatment Scores, LLC, or anyone associated) do not recommend any medical treatment. We do not claim to cure, treat, or prevent diseases. No medical advice is being given. We do not establish doctor-patient relationships. Death or disability can result from almost any medication or medical treatment. There are many important side benefits and dangerous side effects for patients from medical treatments. Always go over all side benefits and side effects with your own physician. Be your own best healthcare advocate. Be wary of bias from any of the major entities in healthcare: Academia, Government, or Industry. Read every package insert for every medication or medical device. Research the risks of every medical treatment. Everyone is different. Every treatment is different. This document is just a simple educational example, you must add or subtract more things. This document is focused on education, to teach you how to figure out things with the help of your physician. The Treatment Score Calculator™ is not a verified or validated tool. It is not FDA approved, is not a guideline, and is not a standard of care. It is educational, organizational, artwork, a way to tell a story, convey information, or express information. Use it at your own risk and only with your physician. This document may have errors or omissions, which we cannot be responsible for. Your life is at risk and your health is at stake, which are why direct physician consultation, evidence-based medicine, and shared decision-making are so important. You agree to indemnify and hold harmless Treatment Scores, LLC (or any individual associated) against all claims. You physician may or may not be aware of these concepts and may or may not want to help you. We cannot control those things. We give no guarantees and make no warranties whatsoever. Sorry, no refunds. HIPAA is the Health Insurance Portability and Accountability Act and violating it can cause liability. We cannot accept such liability. Do not send Treatment Scores, LLC, any doctors, or anyone else associated with Treatment Scores, LLC, your private health information. We cannot accept the liability, because it is risky to share private health information via Email, text, the Internet, or by any other method. You are responsible for health information privacy.

Solving Worldwide Health Illiteracy with the Science of Medicine, SOM®

The first step in solving Worldwide Health illiteracy is learning the Science of Medicine, SOM®.  What is the Science of Medicine? The Science of Medicine is the most objective part of the existing medical knowledge; the part most free of human bias and conflicts of interest.

The Science of Medicine SOM® is derived from statistics within the medical literature. For example, how much does a particular chemotherapy increase your 5-year overall survival according to the best study done so far?

Evidence-Based Medicine has three steps:

1. The Science of Medicine SOM®
2. The knowledge of the physician
3. The values and preferences of the patient

What patients, doctors, nurses, and others need is an online database of the Science of Medicine, SOM®. It's very difficult to review and summarize the over 29 million medical articles on Medline. We should have an online, and offline, database that does it for us.

We need a list of treatments with Treatment Scores for everything. We need an online database of what we actually know and don't know, and it needs to be quantified. We need a database about the medical literature, about the gross and net treatment benefit of medical treatments, and also about hypotheses regarding medical treatments.

I saw a commercial on TV for a drug called Harvoni. It is used to treat hepatitis C. Interestingly, by narrowing down the diagnosis to a more specific diagnosis, and by only reviewing randomized controlled trials, I found the gross treatment benefit for Harvoni to be 95%, as in a 95% cure rate at three months. This is impressive as the old interferon-based treatment for hepatitis C only had a Treatment Score of about 40, or 40%. Harvoni appears to be at least twice as good as the old treatment.

Healthcare should be this simple. You get a diagnosis. Then, you get a list of treatments with Treatment Scores for that diagnosis.

DISCLAIMERS: I have nothing to do with Harvoni and don't get paid by Harvoni. Always see your own physician for diagnosis and treatment. We do not give medical advice and we do not form patient-doctor relationships.

Bradley Hennenfent, M.D.
@BradMD on Twitter

Copyright (C) 2019. Treatment Scores, LLC







EBM® Easy Basic Math is Needed in Healthcare

EBM® Easy Basic Math is Needed in Healthcare
by BradMD
(Brad Hennenfent, MD)



There is an 88% health illiteracy rate according to Health.gov. How can patients understand healthcare better? I believe much of the health illiteracy problem is connected to the math illiteracy problem.  


A 2008 medical article defines evidence-based medicine as:

"Evidence based medicine (EBM) is the conscientious, explicit, judicious and reasonable use of modern, best evidence in making decisions about the care of individual patients. EBM integrates clinical experience and patient values with the best available research information."SOURCE: Izet Masic, Milan Miokovic, and Belma Muhamedagic. Evidence Based Medicine – New Approaches and Challenges. Acta Inform Med. 2008; 16(4): 219–225. Accessed 11-28-2018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789163/


This means we need to combine the mathematics of three things for patients:

1. Statistics from the medical literature
2. Adjustments to those statistics based on the values and preferences of the physician
2. Further adjustments to those statistics based upon the values and preferences of the patient.

Copyright (c) 2018. All rights reserved.