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

The breakthroughs and failures of medicine

Shannon Casey, PA-C
Meds
June 2, 2019
Share
Tweet
Share

There is a pervasive tendency to turn to medicine looking for magic. Patients and health care professionals alike generally expect medicine to be able to cure diseases, alleviate symptoms, and relieve suffering. Historically, medicine has met and exceeded these expectations in a variety of ways.

However, in some cases, these expectations can cause a blurring of the lines between hope and reality, resulting in false “promises” and preventable disappointment.

You may be wondering what the word “magic” and “medicine” are doing in the same sentence, to begin with. We believe in science around here, not superstition! And yet “magic” is an appropriate word in that it evokes the sense of wonder and awe that accompanies revolutionary medical breakthroughs. Occasionally, along with the science that enables these breakthroughs, there is also an element of mystery or happenstance. The discovery of penicillin, for example, was an accident.

There is no shortage of medical breakthroughs that demonstrate that medicine can seem like magic. After the smallpox vaccine was developed in 1796, there was a worldwide vaccination campaign, which resulted in the disease ultimately being declared eradicated in 1980. In 1928, the advent of penicillin made it possible to easily treat infections that had previously been feared as potentially fatal. In 1983, HIV was identified as the virus that causes AIDS. The antiretroviral drugs that were subsequently developed to treat HIV/AIDS provided such dramatic benefits that health care professionals referred to the transformation of patients’ clinical state as “The Lazarus effect.” These patients were quite literally being rescued from the brink of death! More recently, direct-acting antivirals were developed as a cure for hepatitis C.

Given this track record, it’s understandable why people continue turning to medicine looking for magic. After all, history reveals that extraordinary outcomes not only can happen, they have happened. So, a patient may reason subconsciously, perhaps medicine can provide an equally impressive outcome for me too. At least it’s not out of the question, right? It’s not only one’s own internal hopes that cause someone to look to medicine for magic; external pressures such as direct-to-consumer pharmaceutical advertising actively encourage this.

Peter Mansfield points out that direct-to-consumer pharmaceutical advertising “often works by creating or exacerbating unhappiness or anxiety about symptoms or normal experiences (such as occasional erectile difficulties), and by creating high expectations of benefit from drugs. The combination of heightened unhappiness and high expectations can cause severe distress when a drug is unaffordable or when its effects are disappointing.” Although medicine inarguably benefits many people, its complexity necessitates that both the risks and benefits of any medication or intervention are given equal and appropriate consideration.

As we marvel at the advances that have been made in medicine, we must also keep in mind that it has been tarnished by numerous failures. The Lown Institute points out several of the more prominent “medical reversals” over the years — occasions when “a drug, test, or procedure is adopted as the standard of care based on existing evidence or bio plausibility, but is later found to not be beneficial based on new, better evidence.” Examples of medical reversals include “stenting for stable angina, hormone replacement therapy, antibiotics for ear infections in children and PSA testing for prostate cancer screening in low-risk men.”

My hope is that consciously holding the reality of both medicine’s successes and failures in tension will give us pause when we (or our patients) are tempted to turn to medicine looking for magic. Yes, medicine has a lot to offer! But for many patients, for many conditions, it is not magic — at least not yet. We have to accept this while still holding hope that perhaps one day we will be there, and we will have more answers, and maybe even a cure.

Shannon Casey is a physician assistant.

Image credit: Shutterstock.com

Prev

Shorten recovery with prehabilitation before surgery

June 1, 2019 Kevin 0
…
Next

How secondary post-traumatic stress contributes to physician burnout

June 2, 2019 Kevin 0
…

Tagged as: Infectious Disease

Post navigation

< Previous Post
Shorten recovery with prehabilitation before surgery
Next Post >
How secondary post-traumatic stress contributes to physician burnout

ADVERTISEMENT

More by Shannon Casey, PA-C

  • Which study is right? Investigating the impact of screening on breast cancer mortality

    Shannon Casey, PA-C
  • Health tech and the Hippocratic Oath

    Shannon Casey, PA-C
  • Roundsmanship: the skill you didn’t know you needed

    Shannon Casey, PA-C

Related Posts

  • How social media can advance humanism in medicine

    Pooja Lakshmin, MD
  • The difference between learning medicine and doing medicine

    Steven Zhang, MD
  • KevinMD at the Richmond Academy of Medicine

    Kevin Pho, MD
  • It’s always easier to judge someone’s failures from higher ground

    Michael Kirsch, MD
  • Antibiotic resistance is the climate change of medicine

    Eric Beam, MD
  • The allure of complementary and alternative medicine

    Steven Reidbord, MD

More in Meds

  • Every medication error is a system failure, not a personal flaw

    Muhammad Abdullah Khan
  • Why kratom addiction is the next public health crisis

    Muhamad Aly Rifai, MD
  • FDA delays could end vital treatment for rare disease patients

    GJ van Londen, MD
  • Pharmacists are key to expanding Medicaid access to digital therapeutics

    Amanda Matter
  • How medicine repurposing enables value-based pain management and insomnia therapy

    Olumuyiwa Bamgbade, MD
  • Forced voicemail and diagnosis codes are endangering patient access to medications

    Arthur Lazarus, MD, MBA
  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

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

Leave a Comment

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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

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

Leave a Comment

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

Loading Comments...