First Blog from Dr. Todd Feinman

Who am I?  What do I do?  I am the CMO of a company, called Doctor Evidence (DRE) that builds databases of evidence for patients, doctors, and the entire healthcare industry.  My background: UCLA medical school, board certified Internist, Hospitalist, and Medical Director of hospital teams and large physician group.  And I love to surf, play guitar and go snowboarding with my family.  I started DRE after seeing hundreds of patients get the “right” treatment and hundreds of patients get the “wrong” treatment, including myself.   I came to the conclusion that many doctors are influenced by external forces when recommending a treatment for a unique patient.  These negative forces include, but not limited to:

1.  Insurance status of the patient.  HMO patients get different treatments then PPO or Medicare or Medi-Cal.

2.  Training Background of the physician: Might be out of date and/or different training programs teach different treatment protocols/techniques/etc.

3.  Defensive Medicine: Doctors ordering treatments that are “standard of care” as opposed to the “best” treatment for that unique patient to avoid getting sued for malpractice.  Sometimes the SOC is the right treatment.  But not Always.

4.  Guidelines/Formularies: Many insurance plans require that their “plan” doctors follow their treatment guidelines/formularies.  And/or sometimes the clinics/hospitals require the same “cookbook” medicine.  But guidelines/formularies can be “out of date” or not valid or not relevant or not identify the right treatment for each unique patient condition/background.

What is the solution?  What can patients do to make sure that their doctors are ordering the “right” treatment?  How do patients identify the “right” treatment.  Going online to medical websites such as WebMD or medical society  sites will get you more expert “opinions” that may or may not be right.   Second Opinions is not the solution.  The Solution is “EVIDENCE”.  Evidence tells you the truth about any treatment.  This evidence comes from clinical trials done to determine the effectiveness/safety of the medical therapy.  Opinions tell you what MIGHT happen, Evidence tells you what DID happen to patients just like yourself.

This Blog will teach you:

What is the difference between an “expert opinion” and “real evidence”

How to use evidence to get the best therapy

How to find and get evidence.

IN God We Trust, All Others Must Bring Data,

Dr. Todd signing off.