A woman develops a urinary-tract infection, and her doctor prescribes a standard treatment,
Bactrim. But the doctor forgets to ask about her ethnic heritage, and she's a Sephardic Jew. In up to 30 percent of that group of
people, originally from North Africa,
Bactrim and other sulfa drugs can destroy red blood cells, a potentially fatal side effect.
Such oversights are all too common."While every good doctor wants to tailor treatment to the individual patient, that's not
as easy as you might think," says Jay Cohen, M.D., who has advocated extensively for an individualized approach to health
care. That's partly because studies have focused largely on healthy, white, middle-aged men. And their findings usually represent
group averages, which may not apply to specific individuals. As result, "the generally recommended therapy is often not the
best choice for any given person," Cohen says.
Instead, determining the optimal treatment for any condition requires you and your doctor to consider many factors, such as
your age, gender, race, physique, other health problems, and personal preferences. But it's only natural for busy doctors,
particularly when harried by time pressures, to slip into treating you like just one of the crowd.
The
table shows important exceptions to common advice on nonmedical treatments. Below, we describe the nine most important factors
you and your doctor should consider when tailoring tests and treatments specifically to you:
Age: Consider the changesGender: Beware the unisex trapFamily history: Tell the talesEthnic heritage: Race mattersHealth problems: Factor them inYour preferences: Heed your wishesDrugs, supplements: Watch for interactionsUnusual causes: Think zebrasPhysique: Weighty distinctionsThis article first appeared in the June 2007 issue of Consumer Reports on Health.