SKU: 34740601360
high quality wildflower seeds

high quality wildflower seeds MIDWEST WILDFLOWER MIX

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Description

high quality wildflower seeds MIDWEST WILDFLOWER MIXMidwest Wildflower Seed Mix is formulated for IL, IN, IA, eastern KS, KYml, MI, MN, MO, eastern NE, OH, WI, southern Manitoba, and Ontario. This wildflower seed mix is blended to give the widest possible range of colors and periods of bloom.~~~ Midwest Wildflower Seed Mix is formulated for IL, IN, IA, eastern KS, KY, MI, MN, MO, eastern NE, OH, WI, southern Manitoba, and Ontario. This wildflower seed mix is blended to give the widest possible range of

Midwest Wildflower Seed Mix is formulated for IL, IN, IA, eastern KS, KYml, MI, MN, MO, eastern NE, OH, WI, southern Manitoba, and Ontario. This wildflower seed mix is blended to give the widest possible range of colors and periods of bloom.~~~

Midwest Wildflower Seed Mix is formulated for IL, IN, IA, eastern KS, KY, MI, MN, MO, eastern NE, OH, WI, southern Manitoba, and Ontario. This wildflower seed mix is blended to give the widest possible range of colors and periods of bloom. Very few wildflowers bloom continually throughout the season, therefore we have included spring, summer, and fall blooming species in each mixture. Colors include blue, purple, red, white, yellow and pink. Mix heights vary from 10 in. to 8 ft.

Product Information

  • Application or Use: Ornamental, Lawn, Cover Crop, Erosion Control
  • Germination Time: 14 - 21 days, under optimal conditions
  • Growing Locations: Transition Zone & Cool Season
  • Height: 2 - 4 feet
  • Sunlight Requirements: 8+ hours, full sun for best results
  • Advantages: Perfectly blended for the Midwest U.S.
  • When to Plant: See Instructions Tab.

**This mix is Non-GMO**

This mix contains the following seed. *Mixture is subject to change depending on seed availability*

  • Lanceleaf Coreopsis
  • Purple Coneflower
  • Blue Flax
  • California Poppy
  • Clasping Coneflower
  • Plains Coreopsis
  • Calendula
  • Black Eyed Susan
  • Rocket Larkspur
  • Mixed Colors Corn Poppy

This mix may vary depending on harvest and availability.


*Product packaging may appear different than what is pictured. ~~~

 Wildflower Planting Time Based on Region:

Southeast

  • Fall, Winter: Sowing wildflowers in Fall/Winter is the ideal time in the Southeast, with October 1 – December 31 being the best dates. The weather is ideal for starting seeds, and seedlings can grow and harden off before frost.
  • Spring: A good time to plant wildflowers, especially annual species that flower quickly. Plant after the last frost date when soil temperatures have warmed to around 55°F, typically occurring within a month or so after the final frost of winter; this ensures the seeds can germinate properly without being affected by cold weather.
  • Summer: You can plant wildflower seeds in the summer, but the hot sun can dry out the soil and stress your seedlings. Summer is a good time to plant quick-growing annual wildflowers.

 

Southwest

  • Fall: A good time to plant spring wildflowers in the desert Southwest. Fall's cooler temperatures and seasonal rains help seeds germinate. In the mountains, you can plant after spring frosts.
  • Winter: In areas that get snow, winter seeding can give seeds an advantage in the spring. 
  • Spring: A popular time to plant wildflowers in most states. You can plant after the last frost and when the soil temperature is at least 55°F. In warmer climates, you can plant at the end of the rainy season.
  • Summer: You can plant wildflower seeds in the summer, but the hot sun can dry out the soil and stress your seedlings. Summer is a good time to plant quick-growing annual wildflowers.

 

Northeast

  • Fall, Winter: The best time to plant wildflowers in the Northeast is in late fall, after the first frost but before heavy snow. This is known as dormant seeding and can take place from November to December. Cold temperatures and damp soil during the winter help wildflower seeds germinate. 
  • Spring: Plant in early spring, after the ground has thawed and soil temperatures reach around 55-65°F. This is a popular time to plant wildflowers because it's typically rainier, which helps water seedlings. 
  • Summer: You can plant wildflower seeds in the summer, but the hot sun can dry out the soil and stress your seedlings. Summer is a good time to plant quick-growing annual wildflowers.

 

Midwest

  • Fall, Winter: Plant in late fall (November–December) after the first frost. The seeds will overwinter and germinate in the spring. Fall planting is a good option for cooler climates and can give the seeds an early start in the spring. 
  • Spring: Plant in early spring (April–May) after the last frost when the soil temperature is consistently above 55°F. Spring is a popular time to plant because the soil is usually moist from rain, and you can see the wildflowers grow right away.
  • Summer: You can plant wildflower seeds in the summer, but the hot sun can dry out the soil and stress your seedlings. Summer is a good time to plant quick-growing annual wildflowers.

 

Western

  • Fall, Winter: Plant in late fall (November–December) after the first frost. The seeds will overwinter and germinate in the spring. Fall planting is a good option for cooler climates and can give the seeds an early start in the spring. 
  • Spring: Plant in early spring (April–May) after the last frost when the soil temperature is consistently above 55°F. Spring is a popular time to plant because the soil is usually moist from rain, and you can see the wildflowers grow right away.
  • Summer: You can plant wildflower seeds in the summer, but the hot sun can dry out the soil and stress your seedlings. Summer is a good time to plant quick-growing annual wildflowers.

 

Pacific Northwest

  • Fall, Winter: Plant in late fall (November–December) after the first frost. The seeds will overwinter and germinate in the spring. Fall planting is a good option for cooler climates and can give the seeds an early start in the spring. 
  • Spring: Plant in early spring (April–May) after the last frost when the soil temperature is consistently above 55°F. Spring is a popular time to plant because the soil is usually moist from rain, and you can see the wildflowers grow right away.
  • Summer: In cooler zones with higher elevation, you can plant wildflowers in late spring to early summer, after the risk of frost has passed. You can plant wildflower seeds in the summer, but the hot sun can dry out the soil and stress your seedlings. Summer is a good time to plant quick-growing annual wildflowers.

 

More on wildflower mixtures and plantings:

Our wildflower mixtures are formulated on the basis of climatic conditions (rainfall, temperature range, humidity) and elevation. Most species in our mixtures adapt readily to different soil types, provided climate and elevation are suitable. Annuals have been included to establish cover quickly and to give color the first year; some may produce new plants the following year (the biennials may also reseed). Perennial plants live for more than two years, and most flower from the second year onward.

These mixtures are blended to give the widest possible range of colors and periods of bloom. Very few wildflowers bloom continually throughout the season; therefore, we have included Spring, Summer and Fall-blooming species in each mixture. Colors include blue, purple, red, white, yellow and pink. Mix heights vary from 10 in. to 8 ft.

In general, our mixtures are formulated to contain approximately equal numbers of seeds of each species. This varies somewhat because of costs, availability and/or climatic conditions. Mixtures may vary occasionally from the indicated listing, based on availability of individual species.

Seed Quality:

Most wildflower seeds and mixtures have a purity of 95 to 99% and total viable seed percentages of between 70 to 95%. The total viable seed percent is the germination percent, plus the hard seed or dormant seed percent. Hard seeds have impermeable seed coats and cannot imbibe water during seed testing. Dormant seeds are viable seeds that have specific physical or physiological conditions that prevent the seed from germinating at the time of seed testing. The PLS (Pure Live Seed) is obtained by multiplying the percent purity by the percent total viable seed and then dividing by 100.

Uses of Grasses:

Wildflowers can be sown alone or with grasses. For most areas of the United States, we recommend using one of our native grass mixtures. For specific requirements, individual species may be preferred. Hard Fescue or Sheep Fescue work well in most areas of the United States. However, in the southeastern states of Alabama, Florida, Georgia, Louisiana, Mississippi and South Carolina, we recommend warm-season grasses; Hard and Sheep Fescue will not thrive in these climates.

Warm-season grasses to consider include Gramas, Buffalo Grass and Bluestems. These grasses grow very slowly and are planted for aesthetic and ecological reasons rather than prompt stabilization of soil.

Aggressive grasses should be avoided because they will crowd out most wildflowers; these grasses include Kentucky Bluegrass, Smooth Brome, Crested Wheatgrass, Bermuda Grass, and Annual Rye. If wildflowers must be used with these grasses, the flowers should be planted in high-density patches as accents to the grassed areas. Or the flowers may be sown with the grasses if the planting rates of the grasses are reduced significantly.~~~

Plant at a rate of 40 to 44 lbs. per acre (1 lb. per 1,000 sq. ft.).

Sowing wildflower seeds without care and planning usually produces unsatisfactory results. Here are some important factors to consider: Does the site support plants now? If you have a site where nothing, including weeds, is growing, that site is unlikely to support wildflowers. Will there be adequate moisture during germination and establishment? Can you supply supplemental water, if necessary? What weed seeds are likely to be present in the soil? Will weeds spread to your site from adjacent areas? Assessment of these factors will enable you to make a realistic choice of a site where wildflowers will prosper and to decide what action will be necessary to ensure your success.

When to Plant:

The best time to plant in your area depends on the climate and rainfall patterns as well as the species you are planting. In cool climates, plant annuals, perennials or mixtures of annuals and perennials in Spring, early Summer or late Fall. Fall plantings should be late enough so that seeds do not germinate until Spring. Perennials can also be sown in early fall provided that there are at least 10 to 12 weeks of growing time before the plants go dormant for the Winter. Late Fall plantings are advantageous when supplemental irrigation cannot be provided and adequate rainfall is anticipated in the spring.

In mild climates, plant during the cooler months of the year, fall through spring, for best results. Fall plantings done prior to periods of rainfall will insure an early display of flowers the following Spring.

Site Preparation:

Proper site preparation is important for prompt germination of seed and healthy growth of seedlings. Best results will be obtained by planting on cleared ground. Remove existing vegetation to avoid competition from other plants. This may be done by pulling, tilling under, spraying with a general herbicide, or by a combination of these methods, depending upon the size of the area, type and density of vegetation and other factors. Loosen soil by scraping, tilling or scarifying. Tilling should be utilized only when soil is very compacted and further weed control measures can be taken. Specific recommendations are given under the heading, Weed Control.

Seed Application:

Method of application depends on the size of the area and the terrain. On small areas, broadcast seeds evenly either by hand or by use of a drop or cyclone spreader. It is helpful to mix a carrier such as clean, dry sand with the seed; sand adds volume and aids in even distribution. We recommend using a ratio of 1 or 2 parts sand to 1 part seed. Rake in lightly, covering seeds to a maximum depth of 2 to 3 times their thickness. Or drag the area lightly with a piece of chain link fence to mix the seed into the surface of the soil. For seeding large areas, i.e., over one acre, specially-designed drills are most effective. Drill to a maximum of 1/4 in. and firm soil with a cultipacker. This maximizes seed-to-soil contact. Hydroseeders are also effective, especially for steep slopes, rocky terrain and other areas where conditions make it impractical for other methods of seed application.

Hydroseeding is the application of a slurry of seed and water to soil. The slurry may also contain mulch (hydromulching), a tackifier and fertilizer. Mulches are made of wood fiber, paper or excelsior, and their purpose is to hold seeds in place, help retain moisture and provide protection from erosion (mulches are usually dyed green as a visual aid in even distribution). Rates of application for most mulches are between 1,500 and 2,300 pounds per acre. In general, hydroseeding or hydromulching is most successful in moist climates or in irrigated areas.

Most authorities agree that germination is better when seed is applied first with 5 to 10% of the mulching fiber; the balance of the mulch being applied separately as a second step. This approach ensures optimal seed-to-soil contact. Otherwise, many seeds are wasted because they become suspended in the fiber.

It is important that proper procedures are followed to minimize the amount of time that seed is circulated through pumps or paddles prior to application. Overcirculation may damage the seed.

Moisture:

All seeds, including wildflowers, need ample moisture to germinate and to develop into healthy seedlings. Best results will be obtained by soaking the planted areas thoroughly and maintaining consistent moisture for 4 to 6 weeks, then gradually reduce waterings. In non-irrigated situations, plant in the Spring or before periods of anticipated rainfall. After seedlings are established, watering may be reduced depending on the climate and rainfall. In arid climates or during drought conditions, up to 1/2 in. of supplemental water per week may be required to maintain an optimal display. If weeds are present, remember that they benefit from moisture as much as the wildflowers and may dominate over-watered areas.

Fertilization:

Many wildflowers benefit from some fertilization if the soil does not have adequate nutrients. Some wildflowers do fine in poor soils, while others require a more fertile environment. We recommend that a soil test be performed when soil quality is unknown. If the soil needs improvement, use a low nitrogen fertilizer with a 5-10-10 ratio or add organic matter such as weed-free straw or grass clippings, well-rotted compost, peat moss, or leaf mold. In addition to adding nutrients, organic materials enhance soil structure and encourage beneficial microorganisms. Avoid over-fertilizing which may promote weed growth and lush foliage rather than flowers.

Weed Control:

Weed control is the biggest problem facing plant establishment, and one which has no easy solution. Weed seeds are present in many situations and lie dormant, but viable, for long periods. A weedy area converted to wildflowers will have a large reservoir of weed seeds in the soil, ready to germinate when conditions are favorable. In most cases, it is advisable to consider weed control in two phases—as part of site preparation prior to planting, and as an important component of the post-germination maintenance program.

Before planting, remove existing weeds by pulling, tilling under, applying a glyphosate herbicide such as RoundUp, or by a combination of these methods. For additional weed control after site preparation, a soil fumigant may be used, or the area may be irrigated to encourage weed growth and then sprayed with a general herbicide.

In very weedy areas, the following method is suggested: Till soil or spray vegetation with RoundUp. When using an herbicide, allow vegetation to die, then rake out the dead debris. If perennial weeds such as bindweed are present, using an herbicide is more effective than tilling. Irrigate to encourage germination of weed seeds near the surface; most seeds will germinate within two weeks if consistent moisture is available. Do not till the soil again because this will bring even more weed seeds up to the surface. Spray any new growth with RoundUp. After raking out dead vegetation, allow soil to recover for 3 to 4 weeks before planting seed. From our experience, a recovery period of this duration is advisable because extensive use of glyphosate herbicides may cause a delay in germination and in the vigorous growth of seedlings.

Once the seeds have germinated, further weed control is usually necessary. If practical, pull all weeds as soon as they can be identified.

Other successful techniques are spot-spraying with a general herbicide or selectively cutting weeds with a string trimmer. Be sure to remove weeds before they reseed.

Many unwanted annual and some perennial grasses can be controlled with the herbicides Grass-B-Gon, Ornamec, and Fusilade. These post-emergents do not affect broad-leaved plants so they can be applied over existing flowers. They are most effective when sprayed on new growth and young plants. Take care to avoid treating areas with desirable native grasses or fescues.

What to Expect:

Wildflowers can provide an excellent, low cost alternative in large-scale, high maintenance situations, as well as a satisfying change from traditional urban landscaping. However, during their initial establishment period, wildflowers require as much maintenance as traditional plantings.

A smooth, weed and vegetation-free planting bed is important for good seed-to-soil contact and prompt germination. Avoid seeding more than the recommended rate since overseeding can result in crowded conditions the first year, and poor establishment of perennials. Cover seeds lightly to protect them from drying out during germination, and to prevent them from being eaten by birds. Consistent moisture is important for 4 to 6 weeks after planting.

A wildflower planting requires the same weed control measures as traditional landscaping. Effective measures include site preparation prior to planting and a post-germination maintenance program.

Most of our wildflower mixes contain annual, biennial and perennial species. The annuals, which may not be native to your area, are included to assure maximum color during the first season and to act as a nurse crop for the slower-growing perennials. Annuals germinate quickly when conditions are favorable, providing a quick ground cover and competition against weeds. Natural reseeding of annuals ranges from significant to minimal, depending on the species, climate, soil texture and other factors. Most perennial and biennial species begin to bloom the second season, but not as profusely as annuals. Therefore, wildflower plantings look noticeably different after the first year.

Sometimes it is desirable or even necessary to sow seed in second and subsequent years. Reseeding may be necessary if establishment of wildflowers is spotty or poor. It is possible to reseed bare areas with the original mixture. Loosen soil of bare areas and provide adequate weed control and supplemental irrigation as needed. Where natural reseeding of annuals is minimal, sowing annuals each spring can produce a magnificent annual and perennial display throughout the growing season.

If desired, wildflowers may be mowed in the Fall following seed set. Mow to a height of 4 to 6 in., and leave the residue on the ground because it is a reservoir of viable seeds.

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Karen Mcwilliams
Lowell, US
★★★★★ 5
A MUST READ BOOK ABOUT OUR HEALTH CRISES--REVIEWED BY AN EDUCATOR, PUBLISHED WRITER, AND BOOK REVIEWER
Format: Paperback
I am a former teacher, school librarian, published author, and book reviewer for the Society of Children's Book Writers and Illustrators, as well as judge and book reviewer for the IPPY and MOONBEAM BOOK Awards. Many years ago I was diagnosed with GUILLAIN-BARRE SYNDROME. Since I was diagnosed with this terrible neurological disease, I have continued to experience symptoms which I ignored while finishing my BA and MA degrees, teaching in several school systems including Department of Defense Overseas Schools, and traveling around the world. Even though I was often ill and constantly plagued with symptoms of my disease, I ignored the problems and did not see neurologists or undergo transfusions and/or infusions, as well as be a guinea pig for the huge variety of experimental drugs. I workout daily, eat nutriciously, and try to always be positive, laugh, and have fun. Many people have died from my disease. And I wonder if I am still alive due to NOT SEEING DOCTORS and undergoing UNPROVEN or FLAWED PROCEDURES and DRUGS. Dr. Brawley's book showed me that my choices probably helped me to be active and live, not experience an early death while doctors harmed me with their techniques. I have briefly reviewed Dr. Brawley's outstanding book which helped me to conclude that I made the best choices by not seeing neurologists over the years. Also, I was afraid my neurological disease would be labled a "PRE EXISTING CONDITION" which my insurance policies would not cover. Otis Webb Brawley, author of HOW WE DO HARM; A DOCTOR BREAKS RANKS ABOUT BEING SICK IN AMERICA, is an oncology (Cancer) professor at Georgia's prestigious Emory University as well as the Chief Medical and Scientific Officer of the American Cancer Society. Using personal anecdotes from past patients, Dr. Brawley illustrates many things which are wrong with our medical system as well as medical and nonmedical groups and doctors who need to totally change this system. Every page was packed with specific information about medical problems with protocol, procedures, chemotherapy, and uninformed patients who blindly follow doctors' suggestions as to the best way of treating thier cancers. Much of the medical research is flawed making it almost impossible for patients to research their diseases and make intelligent choices. It is imperative that everyone, men and their well-meaning wives, read about the patient, Ralph, whose wife urged him to get a free PROSTATE PSA TEST in a mall which led to horrendous FLAWED procedures which 'caused him misery and pain until he died an early death. Dr. Brawley thought prostate screening was not at all useful for anyone without symptoms. I also think that many tests we have are just to generate money for doctors and the groups they work for. In fact, just this week they are now saying women should not have MAMMOGRAMS every year as I did since I turned forty. Now the recommendation is for women to have mammograms every three to five years. Dr. Brawley said in his book that women more often find their own cancer, and mammograms should not be taken on a yearly basis. This book was the best nonfiction book I have read in years. But I was disappointed Dr. Brawley did not write a chapter on the FDA, though he referred to the organization many times. I was also interested in more specific information about drugs, particularly STATINS which are taken by most people over 50 even though they have many serious side effects. One chapter was titled GUILLAIN-BARRE SYNDROM but only mentioned the disease briefly. I am a former librarian, and like most librarians look for BIBLIOGRAPHIES, GLOSSARIES, INDEXES, and CHARTS and GRAPHS illustrating important things to better illustrate the text. In the back of the book Dr. Brawley does include specific NOTES about information in each chapter. I could only read a few pages of this information packed book per day, because there was so much information I wanted to retain. I urge every adult of both genders and any age to read this book. And if you are capable and not disabled, volunteer to help the various advocacy groups who are attempting to change our hea;th system. This book was published two years ago before Barack Obama presented his new health care plan, therefore there is nothing in the book about it. Dr. Brawley, I am looking forward to another book from you about the goings on at the FDA, since they release many drugs which are later involved in class action suits. Also, cholesterol and cholesterol drugs should be examined in detail like you did oncology. Also, Dr. B, please have your publisher publish this book in a LARGE PRINT EDITION!!! I first saw Dr. Otis Brawley on BOOKTV.ORG weeks ago. I was so impressed with Dr. Brawley's speech which was perfect as well as his honesty that I bought HOW WE DO HARM. Go to BookTV.org and look for the video of Dr. Brawley's speech. Karen Joan McWilliams, Naples, FL
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Reviewed in the United States on July 6, 2014
J
Verified Purchase
jwt99
Boise, US
★★★★★ 5
Horror stories about health care, Breast Cancer, PSA Test
Format: Hardcover
I could not put this book down. I would say this is a must read for anyone that might get or who has cancer. Also anyone who has a chronic health problem should put this book in their library. I think Dr. Brawley gives compelling examples that illustrate how our health care systen is broken. Read this book! This is an excellent book unless you are a quack, a greed driven doctor or drug rep. Dr.Brawley points out that we should not waste valiable tax money or even insurance money on unproven cures or on drugs that cost 10-20 times as much as a proven drug. All medical care should be research based, rational and above all "do no harm". I hate to tell you this, but we as a country cannot afford to waste massive amounts of money anymore. If we don't get serious about health care it will break the country. We cannot afford to transfer wealth to quack doctors or for procedures that don't work. A spinal fusion costs about $80,000 yet 80% of the research says it does no good and it does a lot of harm. Is this any way to run a health care system? If you don't believe Dr. Brawley read the research for yourself. Use a little of your time to dig and see if he is telling the truth. A lot of the raw research is locked up tight and hard to access and not easy for a lay person to understand. We must rely on honest doctors like Dr. Brawley to tell us the truth about our healthcare system The chapters on the "PSA" test for prostate cancer were shocking to say the least. All the examples about the breast cancer problems are on point. My wife went through this several years ago and thank goodness we had a doctor whose first words were us was " I don't give any treatment that has not been through a double blind study." We feel like my wife received excellent treatment without receiving too much treatment. Too much can be as bad as too litttle as Dr. Brawley states. Dr. Brawley points out through his examples that "raw greed" on the part of hospitals, doctors and drug companies has layed waste to our health care system. The economic incentives are all on the side of more care not appropriate care. There is a vast difference between the two. Thank you Dr. Brawley.
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Reviewed in the United States on February 8, 2012
B
Verified Purchase
BostonProfessionalCouple
Boise, US
★★★★★ 4
Fabulous book but seems a little biased
Format: Hardcover
I read a lot on the healthcare system and also have a biology PhD and a healthcare-related career, so I read 'How We Do Harm' with real interest and found that I tremendously enjoyed it, largely due to its distinctive and refreshing down-to-earth, no-holds-barred, friend-of-the-people style attack on many different sacred cows of the healthcare system. He exposes ignorance, shysterism, laziness and other commonplace human failings AMONG HIS FELLOW PHYSICIANS, where these everyday human foibles have an enormous impact on the life and death and quality of life of the patients treated by them. And he is not just any physician, he is the Chief Medical and Scientific Officer of the American Cancer Society. It reads like the system has turned on itself. This is a 'People's History' of the current healthcare system. The language is carefully unacademic and the cases he chooses are heart-wringing for the most part. I think there is much to learn from the diverse cases he selects, and he goes after problems originating with patients and their families as well as doctors and the system. If each of the problems that Dr. Brawley characterizes were systematically addressed, we would have a somewhat better and MUCH cheaper system - I think essentially a Canadian system, even if there were multiple payors. Once everyone followed the same rules and there was little role for physician discretion, and little role for new therapies until massive clinical studies achieved definitive conclusive results, inefficiencies in the system would be dramatically reduced, and many patients would receive better care. The problem with this objective, IMHO, is that the heterogeneity of cancer and the rate of advance in this particular field would not be well-served by a system where no new therapies were paid for until they had achieved p values of <0.05 in clinical trials IN THE PRECISE PATIENT POPULATION of the patient who needs treatment. Some cancers are so rare that this would never happen. In other cases, new research information evolves in small case series that wouldn't meet Dr. Brawley's standards but would provide vital information for selection of therapy. All-in-all, Dr. Brawley appears overly philosophically committed to the concept of clinical certainty, iron-clad treatment paradigms, and saving the system money. I'm all for saving the system money, but Dr. Brawley goes after cancer screening with the dedication of a hero confronting his nemesis. He barely acknowledges the potential for good to come from screening. For example, he is dismissive of the value provided by lung cancer screening, in spite of a roughly 50,000 patient randomized controlled study that showed a 20% reduction in cancer mortality in heavy smokers who received screening! This was without even specifying how these patients were treated - the 20% reduction in the leading cause of cancer mortality was simply from looking for a spot on the lung, and then letting the doctor and patient decide what treatment to pursue. I see that as a tremendous breakthrough. Dr. Brawley sees it as a roughly even set of risks and benefits that the system presumably should hesitate to fund. (Updated August 2013 to note that the U.S. Preventive Services Task Force has now issued a strong recommendation for CT screening of heavy smokers for early detection of lung cancer, based primarily on the data above. "As many as 20,000 deaths a year could be prevented by screening", according to Michael LeFevre, MD, co-vice chair of the task force). The book is well worth reading; but there are other intelligent, reasonable viewpoints on the burning thesis presented by this book, and one unfortunately comes away with the impression that Dr. Brawley would not acknowledge this. I found myself comforted by the fact that other checks and balances in the system will limit Dr. Brawley's impact on cancer treatment paradigms, even with his role at the ACS.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on June 20, 2012
T
Verified Purchase
Thomas M. Loarie
Battle Creek, US
★★★★★ 5
Intellectual Dishonesty, Malfeasance, and Conflicts of Interest...
Format: Hardcover
In "How We Do Harm,' author Otis Webb Brawley, M.D., shares his healthcare system experience from his early days at the Pritzker School of Medicine (University of Chicago), as a resident at University Hospitals of Cleveland, as a fellow at the National Cancer Institute, and as a physician specializing in medical oncology at Grady Hospital in Atlanta. Brawley has both the experience and credentials to call our attention to the systemic failures of a system that our politicians call the "best in the world (ignorance is elegant)." He is recognized as an outstanding physician-scientist who serves today as the chief medical and scientific officer of the American Cancer Society, and as professor of hematology, oncology, medicine, and epidemiology at Emory University In this book, the author takes the reader on a "guided tour of the back rooms" of the American healthcare system. He charges that "no incident failure in American medicine should be dismissed as an aberration...failure is the system, a system in which helping patients is not the point. Economic incentives dictate that the patient be ground up as expensively as possible with the goal of maximizing the cut of every practitioner who gets involved." Brawley's view is that of skeptic and health-reform advocate. Brawley uses his personal experience and stories to show how our system "fails to provide care when care is needed and fails to stop expensive, often unnecessary, and frequently harmful interventions." He feels one antidote to sure the ills of the system would be to base the system on science. His stories include: 1. The treatment provided to a woman whose breast fell-off due to cancer. 2. Misguided collegiality among physicians. "Should I tell the patient that the previous doctor was incompetent? And get hauled into court for slander?" 3. The saving of Mr. Huzjak whose daughter, despite his condition, wants everything to be done to save his life. "We never give up" when the humane thing is to give up. 4. The Wallet Biopsy - the reason why people are turned away from private hospitals and end up at public hospitals like Grady. 5. Treating colon cancer Colon Cancer. "If you are poor, black, and uninsured, you get no care until its too late. But if you are rich, white, and insured, you face another deadly menace, doctors (some socially prominent) who are just plain bad. Expensive drugs and tests that patients don't need." 6. The implantable defibrillator, and the growing disparity between the insured and the uninsured which increases as technology improves. 7. Procrit, Nexium, Vioxx, Intensity Modulation Radiation Therapy and other approved drugs and therapies that are leading patients to serious complications, and/or a worsening of disease, or death. And how overtreatment may be beneficial to everyone but the patient - doctors, hospitals, and the pharmaceutical industry. 8. The perverse incentive system in which has extended the standards of care enormously from three decades ago due to the willingness of insurance companies to pay and the willingness of private physicians to make a buck. Brawley, by "breaking the ranks about being sick in America," points to his Jesuit education as a foundational experience for his life journey. A Jesuit teacher, Fr. Richard Polakowski, early in his life taught "Say what you know, what you don't know, and what you believe - and label it accordingly." Along the way, Brawley developed a set of maxims what would shape his life: 1. Be a man for others. Find work where you can make a difference. Use your God-given gifts to improve the lot of others. Always focus on improving the lot of others. Do this for the greater glory of God. 2. Be binary, know right and wrong. Be truthful. Have the courage to speak truth to power. 3. Never worry about people thinking you are different. Realize, people, both black and white, will try to discourage you. They will try to get at your self- confidence. 4. You will be tested. Always know your subject matter better than anyone else. You must be good. You must stand up to scrutiny. 5. Do not let the naysayers make you feel you cannot do something. They will call you arrogant. They will call you aloof. They will question your intelligence...spite them by succeeding. 6. Do not tolerate fools. Don't compromise on excellence. 7. Never let people put you down. 8. Feel sorry for people who see no challenges to overcome. Feel sorry for the selfish. Feel sorry for the fools. Remember you have character they cannot understand. Relish you have overcome challenges they could never overcome. As someone who has worked for over 40 years in healthcare, Brawley's book resonated with some of my own experiences. His perspective, while not inclusive, has great value. However, he fails to note the role of government in shaping the system we have today - diagnosis related groups (DRGs), resource-based relative value scale (RBRVS), CMS CP codes, Medicare and Medicaid cost shifting, and, for me personally, the role of the FDA in driving up the cost of medical innovation. Much of what he describes as systemic failure can be attributed to government intervention. The private sector's greediness is a response, much like Wall Street's and the public's greedy response to the government's "everyone should own a home" policy which led to the Great Recession of 2007-2009.
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Reviewed in the United States on October 30, 2012
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Verified Purchase
T. Burns
San Leandro, US
★★★★★ 5
A MUST read for any patient with cancer or for a physician
Format: Kindle
I would give this book 6 stars if I could. The book talks about medical care and cancer care in the United States. The care that many receive is very limited for the poor and poorly managed for the rich or well insured. We need treatments that have a scientific basis and a proven track record. Often Patients get pushed into testing that has not been shown to prolong life or decrease morbidity. A good example is PSA testing. The potential therapies can kill you or drastically take away quality of life. Would you take a test that might lead to wearing diapers for the rest of you life and not prolong your life ? If Your PSA is elevated does your doctor offer you 3 or 4 possible treatments and compare possible and likely outcomes? Is there any financial incentives for the proposed therapy? Is there an expensive piece of equipment that needs to be paid for? Have you been given a list of alternatives and expected outcomes? Unfortunately the current medical health care system is flooded with ignorance, apathy and often greed. Consumers (patient) need to know something about their disease. They must become active players. They should ask for proof that this therapy is better than another therapy. They also need to be able to ask their doctors "how many of these have you done and what outcomes have you had?" They need real expectations. If you have localized prostate disease that has a low risk of metastasis then why get the prostate ripped out ? Maybe it can be watched for 4 - 5 years before surgery and diapers and impotence. Greed? Yes boys and girls somebody has to pay for that 3 million dollar particle accelerator at your local hospital. Why should it be your life and body for some unproven therapy? Unfortunately education is a very difficult thing to do. You can tell I loved this book. Why is it the USA has such poor health outcomes? Over treatment can cause harm. Bone Marrow transplants for breast cancer is proof of the harm.
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Reviewed in the United States on July 7, 2014

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