Do Some Surgical Implants Do More Harm Than Good. New Yorker

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Ethics in Medicine

Do Some Surgical Implants Do More Harm Than Good. New Yorker

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Ethics in Medicine

First Do No Harm: Harrowing Tale of A’s Player Micah Bowie

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Steroid Injections Not as Safe as Previously Thought

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Ethics in Medicine

Steroid Injections Not as Safe as Previously Thought

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Ethics in Medicine

Frail Older Patients Struggle After Even Minor Operations

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Cervical Cancer Screening: The basics

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Ethics in Medicine

Cervical Cancer Screening: The basics

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Stents and Bypass Surgery No Better than Medications for Narrowed Arteries in Patients Without Angina

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Ethics in Medicine

Stents and Bypass Surgery No Better than Medications for Narrowed Arteries in Patients Without Angina

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Ethics in Medicine

Antioxidants prevent health-promoting effects of physical exercise in humans

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Ethics in Medicine

The Tyranny of the Logical: or Biological plausibility

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Ethics in Medicine

Stem Cell Injections Flourish With Little Evidence That They Work

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Ethics in Medicine

Tiger Woods Won the Back Surgery Lottery

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Ethics in Medicine

Do Some Surgical Implants Do More Harm Than Good. New Yorker

I’m still working on my shelter-in-place project called “Deep Toughness: the cutting edge science behind ancient practice and modern health hacks” (still working on the title). The list of implants that carry well-documented dangers goes on. In 2004, there was a recall, affecting ninety-six thousand people, of two types of cardiac stent, for design flaws…

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Ethics in Medicine

First Do No Harm: Harrowing Tale of A’s Player Micah Bowie

  This is a horribly sad story of medical interventions going awry.  Back pain which continued after retirement in 2008.  Treatments were ineffective, and  in 2016 he ended up getting a spinal cord stimulator.  Unfortunately the battery migrated somehow into his liver, diaphragm and then lung.  He’s had horrible breathing trouble since, and it’s a…

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Ethics in Medicine

Steroid Injections Not as Safe as Previously Thought

  From Harvard Medical School blog Calling steroid injections into question Steroid injections can quickly relieve inflammation in the joints, and the effects may last from several weeks to several months. I’ve seen a number of patients who got significant relief from steroid injections every three or four months. But, a new report of one…

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Ethics in Medicine

Frail Older Patients Struggle After Even Minor Operations

Frail, older patients frequently undergo such operations, which surgeons tend to see as routine, simple fixes — but may not be. “Our data indicate that there are no low-risk procedures among patients who are frail,” Dr. Hall and his co-authors concluded in their study. So he had a lot to talk over with this patient…

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Ethics in Medicine

Cervical Cancer Screening: The basics

This pdf of the presentation from last week’s conference on Controversies in Women’s Health. It’s hard to say if there is an upshot per se.  In general, guidelines are getting much more nuanced and recognize the real harms of false positives.  

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Ethics in Medicine

Stents and Bypass Surgery No Better than Medications for Narrowed Arteries in Patients Without Angina

  ” This is far from the first study to suggest that stents and bypass are overused. But previous results have not deterred doctors, who have called earlier research on the subject inconclusive and the design of the trials flawed. Previous studies did not adequately control for risk factors, like LDL cholesterol, that might have…

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Ethics in Medicine

Antioxidants prevent health-promoting effects of physical exercise in humans

I’m becoming more aware of the anti-aging “movement” out there that subscribes to various biohacks to promote brain health and overall longevity.  One such hack which I always dismiss out of hand is the taking of Metformin.  My general philosophy is to try to achieve things naturally since pills invariably have unintended consequences.  Vitamins also,…

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Ethics in Medicine

The Tyranny of the Logical: or Biological plausibility

I am linking to a thorough and thoughtful article by David Epstein . The name of his article is “When Evidence Says No But Doctors Say Yes”. Careful readers of my blog  know that this is something that I’ve been concerned about almost since my blog’s inception. It is a phenomenon that I’ve called the…

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Ethics in Medicine

Stem Cell Injections Flourish With Little Evidence That They Work

I had no idea that these were not fully vetted by the FDA! As the article points out, these injections are extremely common and some insurance even pays. Wow.  The FDA has taken an “industry friendly” position on allowing these injections.  Are they safe?  Do they work?  Who knows?  Money to be made!  Astonishing.  Apparently…

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Ethics in Medicine

Tiger Woods Won the Back Surgery Lottery

That is the actual title of this very important discussion of spinal fusion surgery.  Go the acupuncture route.  Safer, cheaper, no opioids involved. Reading through this article, I want to copy almost the entire thing.  This is information that is crucial and to call it “under-reported” is the understatement of the decade. An outcome like…

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