Wednesday, December 2, 2015

Treatment Scores and Evidence-Based Medicine with Quantification

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Monday, June 24, 2013

There Has Never Been Product Transparency in Medicine

One of my grandfathers lived from 1900 to 1969 on a farm in rural Illinois. Many of his generation and his initial descendants went to a general physician, Dr. S.

I was young, and Dr. S was elderly when I met him, but he was locally famous. He seemed at home in “farm country” and he never held any pretensions of grandeur.

Patients had no clue about the Science of Medicine behind any of Dr. S’s prescribed medical practices, because no other sources of information were available to them other than Dr. S himself. There was a monopoly on medical information. There was no “product transparency.”

You only have true product transparency when you know everything you need to know and want to know about a product before you buy it. Take food for example. There is pretty good product transparency for a hamburger. Everybody knows what a hamburger is and everybody pretty much knows what a hamburger tastes like. It’s easy for the consumer to compare a hamburger from one restaurant to a hamburger at another restaurant.

Or take the computer. Nowadays, you can get an extensive list of all the specifications of a computer before you buy one. Not so with medical treatments.

This monopoly on the "inside medical information" has continued throughout my father’s generation. There is no true “product transparency” when it comes to medical treatments. The exact specifications of medical treatments, the really important information, the inside medical information that you really need to know, is still a secret. The advent of the Internet has helped, but it has not solved the problem.

Patients and healthcare providers need to be empowered with better medical information. They need near perfect “product transparency.” They need to know exactly how well medical treatments work without spending months sorting through the existing 20 million medical studies,[1] and without visiting doctor after doctor.

For many years now, I’ve been working how to solve the product transparency problem in medicine, which could also be called the “treatment transparency” problem. Actually, I also like to say that we need “medical practice transparency.” A medical practice can be a treatment, or it can be any other medical action such as ordering a blood test, or ordering an x-ray.         



[1] Fraser AG, Dunstan FD. “On the impossibility of being expert.” BMJ. 2010 Dec 14;341:c6815. doi: 10.1136/bmj.c6815.

Sunday, November 13, 2011

Bradley Hennenfent, M.D. - Biography: Basketball & Medical

I recently needed to provide a short biography for a business transaction regarding a patent pending invention involving basketball. I have several patents and trademarks in the works, including medical patents, so I am sharing my basketball/medical biography here.

Overview
Before retiring from medicine and economics, I was the overall director of thirteen Emergency Departments and Urgent Care Centers, overseeing 60,000 patients per year. While in the Chicago Metropolitan Area, I delivered more than forty-five lectures at various hospitals on topics such as “Cervical Spine Injuries and Nightmares,” “Advanced Cardiac Live Support,” and “Advanced Trauma Life Support.”

Basketball Experiences
Older Brothers
In 1971 my three older brothers, George 6' 2", Frank 6' 7", and Nick 6' 6" were allegedly the first three brothers in Illinois High School basketball history to start Varsity Basketball simultaneously. Their High School team scored over 100 points twice in games that season. They had a dream season and their teammate Dick Grant was voted first team All-State in Illinois that year. My brother Frank was the all-time leading scorer until the invention of the 3-point line. Frank also had a record setting 75 point weekend during High School. Frank and Nick played college basketball.

My Basketball Career
I am the 4th of five brothers, and one sister, all of whom played basketball. I’m 6’4”. For my high school basketball picture in 1975, I had them take it while I dunked it backwards and they didn't publish it. They said they "couldn't see my face." Some people just don't understand basketball!

Dunking in games was outlawed in those days by the Lew Alcinder/Kareem Abdul Jabbar rule.

I started High School Varsity basketball as a sophomore. I was Honorable Mention All-State in Illinois Class A basketball in 1976. I was a High School All-American. I won all four High School basketball awards simultaneously: 1. Most Valuable Player, 2. Most Rebounds, 3. Best Free Throw Shooter, and 4. Team Captain my senior year.

I tried to walk directly onto the Big Ten Varsity Basketball Team—there was no Junior Varsity Team back then—at Northwestern University. In 1977, Northwestern was being led by Billy McKinney, Northwestern’s all-time leading scorer, who played for seven years in the NBA. Northwestern also had 7’0” center Brian Jung who would be drafted by the Boston Celtics in 1980. Northwestern’s Mike Campbell was drafted by the Chicago Bulls that same year.

I was the last man cut during the tryouts by Coach Tex Winter, thus missing inevitable college glory and NBA stardom by a hair—or else I was spared from lots of failure and embarrassment (smile). Tex Winter went on to coach Michael Jordan and the Chicago Bulls, specializing in the triangle offense, and I went on to medical school.

Medical Credentials
I graduated from Northwestern University in 1980. I went on to graduate from the University of Illinois Medical School and the University of Illinois Affiliated Hospitals Emergency Medicine Residency Program.

After five of my uncles suffered prostate cancer, I became a men's health advocate. I wrote the book, Surviving Prostate Cancer without Surgery, which became a bestseller for Biblio Distribution. It was recently published for the Kindle: Surviving Prostate Cancer without Surgery.

I have been published in The British Journal of Urology, The Digital Urology Journal, Emerging Infectious Diseases, Annals of Emergency Medicine, Consultant, EMERGINDEX, Techniques in Urology, and The Journal of Pelvic Surgery.

I also authored a monograph entitled The Prostatitis Syndromes and donate all proceeds to the non-profit Prostatitis Foundation (http://Prostatitis.org).

My literary career in fiction is expected to begin eventually. I'm also excited about a new medical patent that could save many lives, which will be ready by 2013.

Contact:
Bradley R. Hennenfent, M.D.
E-mail: Dr.Hennenfent@gmail.com
Tel. 863-535-1175
E-fax: 206-350-1242

Friday, January 21, 2011

Hennenfent.com

Hennenfent.com is a domain owned by Bradley Hennenfent, M.D., physician & economist (retired).

Saturday, June 20, 2009

Hennenfent

This blog contain some of the musings of Bradley Hennenfent, M.D.

Here is the information from the publicity sheet for the book I wrote called, Surviving Prostate Cancer Without Surgery, which is available at:
Surviving Prostate Cancer Without Surgery

Bradley Hennenfent, M.D. graduated from Northwestern University, the University of Illinois Medical School, and the University of Illinois Affiliated Hospitals Emergency Medicine Residency Program.

He became shockingly interested in the prostate when his Uncle Steve, who inspired him to attend medical school, died from his prostate cancer treatment in 1984. As Dr. Hennenfent researched the prostate, he became increasingly dismayed by the drastic operations that men were being subjected to without an understanding of their consequences. He discovered that the methods of diagnosis and treatment of prostate cancer were controversial, and that the research sometimes published was substantially flawed.

Dr. Hennenfent became a men’s health activist. He began doing original research. He founded the Internet newsgroups sci.med.prostate.cancer, sci.med.prostate.bph, and sci.med.prostate.prostatitis. He was also one of the original founders of the Internet Prostate Problems Mailing List.

Together with his father, Mike Hennenfent, he co-founded the nonprofit Prostatitis Foundation (www.prostatitis.org), where almost a million men per year visit for help.

Surviving Prostate Cancer Without Surgery instantly became a bestseller for its distribution company.

Dr. Hennenfent has been published in the British Journal of Urology, the Digital Urology Journal, Emerging Infectious Diseases, Annals of Emergency Medicine, Consultant, EMERGINDEX, Techniques in Urology, and the Journal of Pelvic Surgery. He also authored a monograph entitled The Prostatitis Syndromes, donating all proceeds to the non-profit Prostatitis Foundation.

Besides being a physician, Dr. Hennenfent is also an economist who believes that a well-designed health-care system is more important to the health of a nation’s people than any single physician’s skill and knowledge. Dr. Hennenfent has traveled the world doing medical research and studying health-care delivery systems. “It’s simple,” he says, “The patient should be in charge of spending the money.”

Dr. Hennenfent has delivered more than forty-five lectures at various hospitals. He already owns one medical patent. Dr. Hennenfent has spent time educating congress on the need for prostatitis research and has helped secure millions of dollars in federal funding for prostatitis research.

Among the author’s heroes are Jessica Mitford, whose book, The American Way of Death, exposed the funeral industry’s financial exploitation of grieving relatives; Randy Shiltz, whose book, And the Band Played On, exposed the system's lack of response to the AIDS epidemic; and Hillary Johnson, author of Osler’s Web: Inside the Chronic Fatigue Syndrome Epidemic, which exposed another shameful response of the medical system to a major health issue.

Dr. Hennenfent is a fan of Lies, Damn Lies, and Statistics: The Manipulation of Public Opinion in America, the book by Michael Wheeler that first brought popular attention to how and why statistics are often misused; the hilarious How to Lie with Statistics by Darrell Huff; and The Honest Truth about Lying with Statistics by Cooper B. Holmes.

Currently, Dr. Hennenfent, writes, does medical research, and contributes to the non-profit Prostatitis Foundation. Someday, he hopes to open a clinical research center for prostate diseases and to organize a biomedical company to do research. Another goal is to start a new specialty of medicine to better treat diseases of the prostate.

Disclaimer. Dr. Hennenfent does not provide medical advice for individual cases and does not form doctor patient relationships over the Internet. See your own physician.