Sometimes You Should Just Say No to Surgery
The introduction of national thyroid cancer screening in South Korea led to a 15-fold increase in diagnoses and a corresponding explosion of operations—but no difference in mortality rates. This is a prime example of over-diagnosis that’s contributing to bloated health care costs.
Is the Quest to Build a Kinder, Gentler Surgeon Misguided?
Surgery is a fundamentally messy and stressful activity. When being a few millimeters off target can be life-changing, a surgeon needs to possess fierce concentration, unrelenting perfectionism, and, above all, staunch self-assurance.