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Right care and high-value cardiology: doctors’ responsibilities to the patient and the population
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  • Published on:
    FMTVDM – Evidence-based outcomes are defined quantitatively.
    • Richard M Fleming, Physicist-Cardiologist FHHI-OI-Camelot
    • Other Contributors:
      • Matthew R Fleming, Physicist-Paramedic
      • Tapan K Chaudhuri, MD

    Malhotra, et al [1] correctly defines a concern regarding the treatment of patients and the selection of appropriate interventions. However, to provide this “right care and high-value” cardiac care requires the shedding of incorrect beliefs and opinions – including diagnostic, etiologic and treatment - and the quantification of CAD itself.
    Quantification [2] makes it possible to diagnostically define the true extent and severity of CAD present in an individual and to accurately measure CAD treatment outcomes. Only by using true quantification can we remove the errors (sensitivity and specificity) in imaging [2] and treatment studies [3] and provide patients with “right care and high-value cardiology” free of physician bias and misperceptions. To provide this type of care we must focus our full attention on evidence-based medicine; avoiding the errors of the past.
    The very foundation of evidence-based medicine is the ability to accurately, consistently and reproducibley measure quantifiable outcomes [2] as shown in Figure 1, and to avoid the use of qualitative or semi-quantitative methods, which misdiagnose the presence (sensitivity) or absence (specificity) of disease [2]. This is now possible using “The Fleming Method for Tissue and Vascular Differentiation and Metabolism (FMTVDM) Using Same State Single or Sequential Quantification Comparisons” [2].
    FMTVDM is able to accurately, consistently and reproducibly define the extent and severity of CAD by fir...

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    Conflict of Interest:
    FMTVDM issued to first author.