Tag: Follow the Money

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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Health & Fitness

Anti-Cytokine Agents: Targeting Interleukin Signaling Pathways for the Treatment of Atherothrombosis

Circ Res. Author manuscript; available in PMC 2020 Feb 1. Published in final edited form as: Circ Res. 2019 Feb; 124(3): 437–450. doi: 10.1161/CIRCRESAHA.118.313129 PMCID: PMC6386195 NIHMSID: NIHMS1517334 PMID: 30702995 Anti-Cytokine Agents: Targeting Interleukin Signaling Pathways for the Treatment of Atherothrombosis Paul M Ridker, MD, MPH Author information Copyright and License information Disclaimer The publisher’s final…

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Health & Fitness

Targeting Residual Inflammatory Risk: A Shifting Paradigm for Atherosclerotic Disease

Front Cardiovasc Med. 2019; 6: 16. Published online 2019 Feb 28. doi: 10.3389/fcvm.2019.00016 PMCID: PMC6403155 PMID: 30873416 Targeting Residual Inflammatory Risk: A Shifting Paradigm for Atherosclerotic Disease Aaron W. Aday1,* and Paul M. Ridker2 Author information Article notes Copyright and License information Disclaimer This article has been cited by other articles in PMC. Go to: Abstract…

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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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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

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

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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