While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.
I.Q. -- Interesting Quote
The Fallacy of Managed Care
Although the whole purpose of managed care has been to tame the ever-increasing costs of health care, some providers claim that goal has not been reached. The recent issue of Medical Products Sales, the official journal of the Health Industry Distributors Association, featured several articles regarding managed care and the changing nature of health care itself.1 One article quotes consultant Henry Golembesky, MD, who asserted his belief that managed care has failed to bring about any cost-saving changes in how doctors treat patients:
"Managed care cost controls are a fallacy and [have done] nothing but teach physicians what they need to say to get what they want for the patient. They haven't taught us how to be more cost-effective or how to treat people for good outcomes at a good price."Perhaps it's time once again for the health care industry to reassess patient care.
Reference
1. Medical Product Sales, April 1995, Vol. 26 , No.4.