Screening Tests and Primum non nocere

Primum non nocere is a Latin phrase meaning “first do no harm.” It is commonly attributed to Hippocrates, but if he ever said any such thing, he certainly didn’t say it in Latin. He lived in ancient Greece from 430 BC to 370 BC and presumably spoke Greek. The phrase, in English and in Latin,

Prostate Cancer Dilemmas: To Test or Not to Test, To Cut or Not to Cut

The issue of PSA screening has been in the news lately. For instance, an article in USA Todayreported the latest recommendations of the US Preventive Services Task Force (USPSTF): doctors should no longer offer the PSA screening test to healthy men, because the associated risks are greater than the benefits. The story was accurate and explained the

PSA – To Screen or Not to Screen

The prostate specific antigen. You’ve all heard the dramatic testimonials in the media: “I had a PSA test and they found my prostate cancer early enough to treat it. The test saved my life. You should get tested too.” The subject of screening tests is one that confuses the public. On the surface, it would

Ultrasound Screening: Misleading the Public

There is a new industry offering preventive health screening services direct to the public. A few years ago it was common to see ads for whole body CT scan screening at free-standing CT centers. That fad sort of faded away after numerous organizations pointed out that there was considerable radiation involved and the dangers outweighed any