Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Treating atrial fibrillation with catheter ablation on TV may not be ethical

Larry Husten, PhD
Conditions
February 17, 2010
Share
Tweet
Share

Mauricio Arruda performed a live atrial fibrillation ablation at University Hospitals in Cleveland on the Today Show recently.

The 6-minute segment was relentlessly upbeat. The TV producers pulled every trick in the book to overcome the inherent difficulty of portraying a hard-to-explain disease like atrial fibrillation and an even harder-to-explain procedure like catheter ablation. Instead of making any effort to truly educate their viewers, the producers took the easy route. Arruda, staring at a bank of large display monitors, might as well have been playing a video game, for all anyone watching might have known.

And the reporter, NBC Medical correspondent Dr. Nancy Snyderman, substituted schmaltz for substance and presented the “heartwarming” story of the patient, a great-grandmother, accompanied by stirring music and sentimental images.

Although the procedure was still in progress (and in fact Arruda had not even finished the mapping portion of the procedure), Snyderman said that “thanks to technological advances in cardiology Dr. Arruda will be able to fix Bernice’s heart.” The patient was also well trained and thoroughly on message: in a clip filmed before the start of the procedure she said, “I’m excited and I’m not afraid.”

Just in case anyone hadn’t somehow caught the positive message, Snyderman told her viewers that the patient’s life (even before the procedure was finished) now ”has new promise thanks to a dedicated physician, a world-class medical center, and extraordinary medical advances…”

Snyderman then said the success rate of the procedure is 85%, but that wasn’t quite good enough for Arruda, who informed Snyderman that ”the success rate is 85-90% with this particular technology.” As if that wasn’t upbeat enough, Snyderman then reassured her audience that ”the radiation risk is minimal.”

Finally, Snyderman promised her audience that “we’ll follow-up in a few months, but by all accounts… we expect her to do really very very very well.”

What’s wrong with this picture?

Watching this short segment reminded me of one of those pictures in a child’s puzzle book where the reader is asked to find everything that’s wrong in the picture, and the longer you look the more wrong things you find. Even after staring at the picture for several minutes you’re still surprised when you realize the man walking across the center of the picture has only one leg.

Didn’t anyone at NBC think about the ethics of broadcasting a live medical procedure? Suppose something had gone drastically wrong during the live broadcast? I think there are legitimate questions worth raising about the public display of any medical procedure, but a live broadcast on a major television network is indefensible, in my opinion.

Even if you believe it is ethical to broadcast a live procedure, it’s unethical and irresponsible to report it with this kind of relentless, upbeat mindlessness. Let’s be clear: there is no evidence in the literature to support the statement of an 85-90% success rate for catheter ablation of  atrial fibrillation. To present this kind of statistic to the general public, many of whom may have atrial fibrillation, or may know someone who has atrial fibrillation, is completely irresponsible. Catheter ablation is emerging as an important therapeutic option for some patients with atrial fibrillation, and it is indeed an impressive medical advance, but it comes with a lot of caveats.

The misuse of statistics illustrates another clear reason why procedures shouldn’t be broadcast live. It would have required enormous fortitude for Arruda to challenge, on live TV, Snyderman’s assertion of an 85% success rate, and it would have been equally difficult for Snyderman to press Arruda on the statistic while he’s in the middle of a procedure. Quite simply, a live television broadcast is simply not the proper place for an intelligent reflection on a complex procedure.

The shoddiness of the reporting becomes even more apparent when Snyderman declared the procedure a success, and the patient cured, before the actual ablation had even started, and without the long-term followup that can provide the only real measure of success. You would never know from the report that last year atrial fibrillation ablation received a mixed review from a Medicare advisory committee and was the subject of a critical AHRQ review. Further, it is typical of reporting like this that a genuine issue of concern like radiation is only mentioned in the context of saying “the radiation risk is minimal.”

ADVERTISEMENT

An anecdote is not evidence. By focusing exclusively and obsessively on single stories with happy endings, reporting like this has raised viewers expectations to such a degree that they will inevitably be disappointed and give up on the very real but more modest and unmiraculous aspects of modern medicine.

Larry Husten is a writer and editor of CardioBrief.org.

Submit a guest post and be heard.

Prev

An innovative way to help ALS patients

February 17, 2010 Kevin 0
…
Next

Residency programs do not prepare doctors for the real world

February 18, 2010 Kevin 2
…

Tagged as: Cardiology, Hospital-Based Medicine, Specialist

Post navigation

< Previous Post
An innovative way to help ALS patients
Next Post >
Residency programs do not prepare doctors for the real world

ADVERTISEMENT

More by Larry Husten, PhD

  • a desk with keyboard and ipad with the kevinmd logo

    The worst abuse of an embargo this medical journalist has ever seen

    Larry Husten, PhD
  • a desk with keyboard and ipad with the kevinmd logo

    The official response to Mark Midei is not satisfactory

    Larry Husten, PhD
  • a desk with keyboard and ipad with the kevinmd logo

    How academic physicians are being used as live bait for journalists

    Larry Husten, PhD

More in Conditions

  • Addressing menstrual health inequities in adolescents

    Callia Georgoulis
  • Healing beyond the surface: Why proper chronic wound care matters

    Alvin May, MD
  • Why specialist pain clinics and addiction treatment services require strong primary care

    Olumuyiwa Bamgbade, MD
  • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

    William J. Bannon IV
  • Facing terminal cancer as a doctor and mother

    Kelly Curtin-Hallinan, DO
  • Why doctors must stop ignoring unintentional weight loss in patients with obesity

    Samantha Malley, FNP-C
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
    • How to advance workforce development through research mentorship and evidence-based management

      Olumuyiwa Bamgbade, MD | Physician
    • The truth about perfection and identity in health care

      Ryan Nadelson, MD | Physician
    • Civil discourse as a leadership competency: the case for curiosity in medicine

      All Levels Leadership | Physician
    • Healing beyond the surface: Why proper chronic wound care matters

      Alvin May, MD | Conditions
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Treating atrial fibrillation with catheter ablation on TV may not be ethical
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...