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Ethics in Medicine

How Aduhelm Got FDA Approval

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Conditions & Treatment

Alzheimer Drug Aduhelm

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Ethics in Medicine

Additive Solutions instead of Subtractive Solutions

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Case Studies

Deep Resilience: Do No Harm

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Ethics in Medicine

How to Measure a Medical Treatment’s Potential for Harm

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MRI and X-Ray Often Worse than Useless for Back Pain

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Ethics in Medicine

MRI and X-Ray Often Worse than Useless for Back Pain

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Failed Back Surgery Syndrome: A Review Article

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Ethics in Medicine

Failed Back Surgery Syndrome: A Review Article

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Numbers Needed to Treat

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Ethics in Medicine

Numbers Needed to Treat

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Practical applications of chaos theory to the modulation of human ageing: nature prefers chaos to regularity

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Ethics in Medicine

Practical applications of chaos theory to the modulation of human ageing: nature prefers chaos to regularity

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Ethics in Medicine

Unnecessary Medical Care In The U. S. System

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Ethics in Medicine

How Aduhelm Got FDA Approval

Quote: “This incident has shaken F.D.A. integrity quite significantly,” said Wayne Pines, a former F.D.A. senior official who has written histories about the agency. “The F.D.A. is obligated to be sure that all stones are turned over, that every avenue is pursued to make sure that this was a decision that was made on the…

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Conditions & Treatment

Alzheimer Drug Aduhelm

The drug Aduhelm, recently approved to treat Alzheimer’s disease is controversial for good reason.  I’ve linked to several comprehensive articles below.  The controversy comes down to a a few points. Is is clinically effective?  It is hard to tell.  At one of the phases of the trial, the data didn’t look good. Then when the…

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Ethics in Medicine

Additive Solutions instead of Subtractive Solutions

  People often limit their creativity by continually adding new features to a design rather than removing existing ones. The fascinating article looks at the phenomenon that problem solvers will most often add features to solve a given problem instead of removing them. They give a few examples in the article and review some of…

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Case Studies

Deep Resilience: Do No Harm

Belatedly posting to the blog my chapter in Deep Resilience called “Do No Harm”.  Read and learn! First Do No Harm 8.29.2020 for sharing

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Ethics in Medicine

How to Measure a Medical Treatment’s Potential for Harm

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Ethics in Medicine

MRI and X-Ray Often Worse than Useless for Back Pain

Reading through this article I went from peeved to enraged.  This has been in the literature for decades and yet, STILL, people consider an MRI the gold standard and demand it. Doctors sort of have to oblige.  And yet imaging, Xray AND MRI lead to higher disability for a number of reasons.  Back pain does…

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Ethics in Medicine

Failed Back Surgery Syndrome: A Review Article

Background research for my writing project.  Back surgery is one of the most expensive surgeries that have a troubled past and current state of affairs.  It is one of those “biologically plausible” procedures that can wreak havoc. Asian Spine J. 2018 Apr; 12(2): 372–379. Published online 2018 Apr 16. doi: 10.4184/asj.2018.12.2.372 PMCID: PMC5913031 PMID: 29713421 Failed…

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Ethics in Medicine

Numbers Needed to Treat

Numbers needed to treat.  This is a crucial concept.  It illustrates brilliantly the concept of First, Do No Harm, which also happens to be the title of the first chapter of my writing project “Deep Resilience”.  This graphic comes from this excellent article  with the even more excellent title when evidence says no but doctors…

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Ethics in Medicine

Practical applications of chaos theory to the modulation of human ageing: nature prefers chaos to regularity

We discussed the concept of complexity with aging here.  This article reinforces that principle.  The full article is behind a paywall and since it’s an older article, I will skip the purchase and just cite the article. https://link.springer.com/article/10.1023/A:1023306419861 Published: March 2003 Practical applications of chaos theory to the modulation of human ageing: nature prefers chaos…

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Ethics in Medicine

Unnecessary Medical Care In The U. S. System

Unnecessary care.  It’s a real problem!  Not only wasteful but possibly leads to injury. This article is 5 years old, but I’m reviewing it for the writing project I’m doing. The one that got me thinking, however, was a study of more than a million Medicare patients. It suggested that a huge proportion had received…

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