Choosing Wisely Suggested Tweets General themes Choosing Wisely info and brochures are on this free Consumer Reports site: bit.ly/YIjy9s Your bulletin board wants this poster: 5 Questions to Ask Your Doctor http://bit.ly/1j7sQEA #ChoosingWisely Tuck this next to your health insurance card: 5 Questions to Ask Your Doctor: bit.ly/RFCJ3a #choosingwisely From Consumer Reports: A guide to common tests and treatments you probably don’t need. http://bit.ly/WJf8jE #ChoosingWisely Videos Videos: Share these #ChoosingWisely videos with your family and friends. bit.ly/1nmscdC Video: What to ask your doctor before a new test or treatment: bit.ly/V8SqVH #ChoosingWisely Video: What’s wrong with delivering your baby early? bit.ly/1mEKJ1L #ChoosingWisely Video: Do you need a chest X-ray before surgery? bit.ly/RlWArQ #ChoosingWisely Video: Do you need an antibiotic for swimmer’s ear? bit.ly/1iUeh8Y #ChoosingWisely Video: Do you need an MRI for your back pain? bit.ly/1ipHOcW #ChoosingWisely Brochures Allergy Tests (AAAAI) → Allergies kicked in? Is it time to get tested? Or not? bit.ly/WrzH4H #choosingwisely Allergists warn: Free allergy tests may cause false positives, extra costs. bit.ly/T94DGX #choosingwisely Alzheimer’s Disease Testing (SNMMI) → Afraid it might be Alzheimer's? Is it time for a PET scan? Advice from specialists: bit.ly/UKiW5h @SNM_MI #choosingwisely Antibiotics for Ear Infections in Children (AAFP) → In most cases of middle ear infection, antibiotics are not needed. Here's what to do instead. bit.ly/1eXh9Ac #ChoosingWisely Antibiotics For Pink Eye (AAO) → Antibiotic eye drops don’t usually help with conjunctivitis. In fact, they can do more harm than good. bit.ly/1Bz4JJ0 #ChoosingWisely Antibiotics for Respiratory Illness in Children (AAP) → Most of the time, children don't need antibiotics for sore throat, cough or runny nose. bit.ly/156ij88 #choosingwisely Parents: Should you seek antibiotics for a sniffle or cough? Advice from pediatricians. bit.ly/156ij88 #choosingwisely Antibiotics for Urinary Tract Infections in Older People (AGS) → Many older people get antibiotics for urinary tract infections when they don't need them. bit.ly/17KjfCH #ChoosingWisely Antibiotics For Your Skin (AAD) → There are risks to using antibiotics needlessly on your skin. bit.ly/1j5GDke #ChoosingWisely Antibiotics: When You Need Them and When You Don’t → Here’s when and how to use antibiotics to help you and your loved ones avoid drug resistance. bit.ly/1rEvHO9 #ChoosingWisely Antipsychotic Drugs for People with Dementia (AGS) → Powerful antipsychotic drugs should not be the first choice for people with dementia. Here's why. bit.ly/14LYeTf #ChoosingWisely Bone-Density Tests (AAFP) → You might not need that bone-density test yet. How to tell: bit.ly/PAmV2I #choosingwisely Breast Biopsy (CoC) → In contrast with surgical or "open" breast biopsy, a needle biopsy is easier on the body. bit.ly/1j9jj3Q #ChoosingWisely Cancer Tests and Treatments (ASCO) → Doctors agree: Most patients should avoid these 5 cancer tests and treatments. bit.ly/R8yuLH #choosingwisely Cardiac Imaging (ASNC) → Heart stress tests often unneeded if you're healthy, with no chest pain. bit.ly/113NxxE #choosingwisely Care at the End of Life for Advanced Cancer Patients (ASCO) → When is it OK to stop fighting cancer and focus instead on easing pain and boosting comfort? bit.ly/VAeGGS #choosingwisely Carotid Artery Surgery (AAN) → Having some blockage in a carotid artery doesn't mean you should have it cleaned out. bit.ly/1uzMeoO #ChoosingWisely Chest X-rays before surgery(ACR) → An old hospital tradition you can usually skip: The pre-surgery chest X-ray. bit.ly/RyVths #choosingwisely Cholesterol Drugs for People Over 75 (AMDA) → Age 75+, no symptoms of heart disease? Statins may be a bad idea. bit.ly/1hPtJRy #ChoosingWisely Colonoscopy (AGA) → Some doctors overdo colonoscopies. Here's a patient guide to what's appropriate. bit.ly/VJ8PeF #choosingwisely CT Scans for Children with Head Injuries (AAP) → For children with head injuries, a CT scan often is not needed. bit.ly/1wVSK7y #ChoosingWisely CT Scans to Find Lung Cancer in Smokers (CHEST/ATS) → The CT scan, used to look for early signs of lung cancer, is not useful for many smokers. bit.ly/YJmCZ1 #ChoosingWisely Dental Fillings that Contain Mercury (ACMT, AACT) → Experts say: It's not necessary to replace fillings that contain mercury. bit.ly/1rEw6zZ #ChoosingWisely Drugs for Migraine Headaches (AAN) → Think twice about treating migraine attacks with opioids or butalbital. bit.ly/Y7MCs1 #choosingwisely Migraine? Experts say to avoid two kinds of pain drugs. bit.ly/Y7MCs1 #choosingwisely @AANPublic Drugs for Rheumatoid Arthritis (ACR) → The older, "non-biologic" drugs are a better first choice for treating rheumatoid arthritis. bit.ly/1fqLWXS #ChoosingWisely Drugs to Prevent Infection During Chemotherapy (ASCO) → Do you need these anti-infection drugs during chemo? Experts urge caution. bit.ly/12ibrlo #choosingwisely Early Delivery (ACOG, AAFP) → Pregnant? Here’s why you don’t schedule an early birth just for convenience. bit.ly/16g8lBV #ChoosingWisely To rush a birth can raise risk of serious problems for both you and your baby. bit.ly/16g8lBV #ChoosingWisely Echocardiogram Before Surgery (ASE) → Do you really need a heart echo test before an operation? Not usually. bit.ly/12B5XFt #choosingwisely Echocardiograms for Valve Disease (ACC) → Heart valve disease? You might not need an annual echocardiogram, experts say. bit.ly/14nhcBw #choosingwisely Echocardiography After Valve Surgery (STS) → Echocardiograms right after valve surgery are usually not useful. bit.ly/1dSyoGR #ChoosingWisely EKGs and Exercise Stress Tests (AAFP) → No heart disease symptoms? Then why did the doctor order a stress test? bit.ly/TrnYhf #choosingwisely Feeding Tubes for People with Alzheimer’s (AGS, AAHPM) → Feeding tube for an Alzheimer's patient: When is the right time? bit.ly/10ajlMI #choosingwisely @AAHPM @AmerGeriatrics Five Physical Therapy Treatments You Probably Don’t Need (APTA) → Five common physical therapy treatments can lead to harm, more tests, and greater costs. bit.ly/1wvTmmT #ChoosingWisely Health Checkups (SGIM) → You probably don't need that yearly checkup. In fact, it can do more harm than good. bit.ly/1lncfRm #ChoosingWisely Heart Imaging Before Surgery (ACC) → Heart imaging tests often unneeded before surgery. bit.ly/YPAdxI #ChoosingWisely Heart Stress Tests Before Chest Surgery (STS) → Stress tests usually aren’t helpful if you don’t have heart problems bit.ly/1pEL83v #ChoosingWisely Heart Tests Before Surgery (ASNC) → Healthy heart? Then you probably don't need a heart test before an operation. bit.ly/XsjxKG #ChoosingWisely Home Apnea Monitors for SIDs (AAP) → Home apnea monitors give little or no protection from Sudden Infant Death Syndrome. bit.ly/1rrWNcx #ChoosingWisely Home Oxygen After a Hospital Stay (CHEST/ATS) → Many people who use long-term home oxygen therapy don’t need it. bit.ly/1rrWVss #ChoosingWisely Imaging and Blood Tests in Early Breast Cancer (ASCO) → Experts say: Get the right imaging and blood tests for early #breastcancer.bit.ly/11HJ9WT @ASCO #choosingwisely Imaging Tests After a Heart Procedure (ACC) → After bypass or stent, you probably don't need all those imaging tests, the specialists say. bit.ly/15cDZAV #choosingwisely Imaging Tests for Back Pain (AAFP) → The experts agree: An MRI usually won't help with back pain. bit.ly/PAnlX0 #choosingwisely Imaging Tests for Early Prostate Cancer (ASCO) → In early prostate cancer, too many tests can be a bad idea. bit.ly/16KWI5L #choosingwisely Imaging Tests for Headaches (ACR) → Do I really need MRI for this headache? bit.ly/TroaNA #ChoosingWisely Even intense headaches don't usually merit a CT scan or MRI. bit.ly/TroaNA #choosingwisely Imaging Tests for Heart Disease (ACC) → Experts say: If you're healthy, maybe you shouldn't let us test your heart. bit.ly/VKSlof #choosingwisely Think twice about heart stress tests if you are healthy and symptom-free. bit.ly/SYkRCp #choosingwisely Imaging Tests for Ovarian Cysts (ACR) → How often do you need ultrasound to make sure cysts don't become ovarian cancer? bit.ly/RyCC6A #choosingwisely @RadiologyACR Imaging of ovary cysts? Even the drs who do this test think it's often wasteful. bit.ly/RyCC6A #choosingwisely @RadiologyACR Immunoglobulin Replacement Therapy (AAAAI) → Immunologists say don't get IgG replacement therapy if you don't really need it. bit.ly/UwpOBU #choosingwisely Implanted Heart Devices at the End of Life (AAHPM) → An ICD helps heart beat normally. But if you are near death, those shocks can make things worse. bit.ly/1dSyoGR #ChoosingWisely Kidney Disease (ASN) → Hard Choices in Chronic Kidney Disease: Info for patients and family from Consumer Reports. bit.ly/VhWzQJ #choosingwisely Kidney disease? In plain terms, four tests and treatments you might want to think twice about. bit.ly/VhWzQJ #choosingwisely Lab Tests Before Surgery (ASCP) → Most healthy people don't need blood or urine tests before low-risk surgery. Here's why. bit.ly/10ttsg8 #ChoosingWisely Lyme Disease Tests (ACR) → Concerned about tick bite? 2 blood tests for Lyme, but usually you don't need either. bit.ly/Y9CqxJ #choosingwisely @ACRheum Medical Tests Before Eye Surgery (AAO) → Why would you need an EKG before cataract surgery? bit.ly/10X1xWr #choosingwisely Medical Tests Before Surgery → Lab doctors say: You usually don't need their services before low-risk surgery. bit.ly/10ttsg8 #choosingwisely @ASCP_Chicago Oral Antibiotics for Ear Infections (AAO-HNSF) → Sometimes antibiotic eardrops are safer and more effective than oral antibiotics. bit.ly/1fzSXE7 #ChoosingWisely Painkiller Choices with Kidney or Heart Problems (ASN) → The painkillers to avoid if you have kidney or heart problems: bit.ly/Yb1hC2 #choosingwisely Palliative Care (AAHPM) → Palliative care offers physical, emotional, spiritual support at any stage of serious illness. bit.ly/1uzNngf #ChoosingWisely Pap Tests (AAFP) → Teen-age girls usually don't need a Pap test, even if sexually active. bit.ly/RQnSjX #hpv #choosingwisely What age was your first Pap test? Teen-age girls usually don't need one, you know. bit.ly/RQnSjX #choosingwisely Pelvic Exams and Pap Tests Before Contraceptives (AAFP) → You usually don’t need a Pap test or pelvic exam before getting birth control pills. bit.ly/1r21JCE #ChoosingWisely PET Scans After Cancer Treatment (ASCO) → If you've been treated for cancer, you may not need PET scans to check for a return of the cancer. bit.ly/1v2mxtB #ChoosingWisely Preventing Infections in the Hospital (SHM) → Watch out for two overused hospital medical practices, urinary catheters and ulcer drugs. bit.ly/1cBqqLj #ChoosingWisely PSA Test for Prostate Cancer (AAFP) → The PSA screening test for prostate cancer is widely used, but often is not needed. Here’s why. bit.ly/1i10cEY #ChoosingWisely Screening Tests for Ovarian Cancer (SGO) → Ultrasound and CA-125 blood test are not useful for screening low-risk women for ovarian cancer. bit.ly/1BL19yn #ChoosingWisely Screening Tests: When You Need Them, When You Don’t → It’s important to know which screening tests you actually need, and how often you need them. bit.ly/1CFtjKD #ChoosingWisely Sentinel Node Biopsy for Breast Cancer (CoC, NAPBC) → If you have breast cancer, there is a newer, simpler surgery to check your lymph nodes. bit.ly/YKbqeM #ChoosingWisely Sleeping Pills for Insomnia and Anxiety in Older People (AGS) → Older adults usually should try other non-drug treatments first, for insomnia and anxiety. bit.ly/17zVwQM Spirometry for Asthma (AAAAI) → If it might be asthma, be sure to get this simple breathing test. bit.ly/111ZcOk #choosingwisely @AAAAI_org Stress Tests After Procedures (ASNC) → After bypass or stent, you probably don't need a heart stress test for a few years. bit.ly/YyCj3u #choosingwisely Stress Tests Before Surgery (SVM) → Simplify your care: You probably don't need a heart stress test before minor surgery. bit.ly/10l2Rau #choosingwisely @SVM_tweets If you’re having surgery, you probably don't need a heart stress test beforehand if you are healthy. bit.ly/10l2Rau #choosingwisely Stress Tests for Chest Pain (ASNC) → Chest pains alone don't justify a stress test, if you're at low risk for heart trouble. bit.ly/111ZjJK #choosingwisely Supplements for Osteoarthritis (AAOS) → The popular supplements glucosamine and chondroitin sulfate do not help relieve arthritic knees. bit.ly/Odn24m #ChoosingWisely Testosterone for Erection Problems (AUA) → Men: Ask your doctor about ... whether you really need extra testosterone.bit.ly/VxtxzP #choosingwisely @AmerUrological Men: Having trouble staying erect? Testosterone levels rarely the cause or the fix. bit.ly/VxtxzP #choosingwisely @AmerUrological Tests Before Heart Surgery (STS) → Some tests given before heart surgery are not needed, if you lack symptoms. bit.ly/1Bzb476 #choosingwisely Treating Acute Blood Clots (ASH) → For a deep blood clot, an IVC filter works no better than blood-thinning drugs. bit.ly/1pF5MQQ #choosingwisely Treating Blocked Leg Arteries (SVM) → Most people with Peripheral Artery Disease won't benefit from surgery or angioplasty. bit.ly/15wJRER #choosingwisely When do you need vascular surgeons to clear blocked leg arteries? bit.ly/15wJRER #choosingwisely Treating Frequent Headaches with Pain Relievers (AHS) → It’s easy to use too much pain medicine, make headaches worse and cause other problems. #ChoosingWisely bit.ly/1ubRqho Treating Heartburn and GERD (AGA) → Taking Nexium or Prilosec for #heartburn? There are safer, cheaper choices. bit.ly/Wjo4O5 #choosingwisely Treating Low-Risk Prostate Cancer (ASTRO) → If you have prostate cancer, but it poses a low risk, consider "watchful waiting." Here’s why. #ChoosingWisely bit.ly/1DYc8FA Treating Sinusitis (AAAAI) → For that sinus infection, you probably shouldn't get antibiotics. bit.ly/Wwnf0h #choosingwisely Treating Sinusitis (AAFP) → You probably don't need antibiotics for that sinus infection. bit.ly/WjolAs #choosingwisely Antibiotics can save lives. Don’t squander them on viruses. bit.ly/WjolAs #choosingwisely Treating Sleep Problems (APA) → If you have insomnia, antipsychotic drugs should not be the first choice of treatment. #ChoosingWisely bit.ly/1uAirfN Unnecessary Treatments in the Emergency Room (ACEP) → Three procedures commonly used in the emergency room are unnecessary in many cases. #ChoosingWisely bit.ly/1gfZe7v Urinary Tract Infections in Older People (AGS, AMDA) → Older adults often tested needlessly for urinary tract infections. #ChoosingWisely bit.ly/1yyEaaF Vision Care for Children (AAPOS) → Is your child’s eye doctor offering tests and procedures they don’t need? Check the #ChoosingWisely list. bit.ly/1uAiybl Vitamin D Tests (ASCP) → Doctors often order blood test to measure vitamin D, but results unlikely to change their advice. bit.ly/1fMlJnf #ChoosingWisely