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Don’t be misled by expert consensus statements about incomplete science.
An expert consensus statement such as this one recently released by the American Heart Association about a topic with such incomplete science should include a full transcript of all the deliberations in order to allow physicians and the public to judge the logic and...
Enthusiasm has no place in medical decisions.
Many new and promising medications have been approved by the FDA over the past few years. While these drugs offer novel benefits for difficult diseases like Diabetes Mellitus, heart disease and cancer, the science behind them is incomplete. A recent plea by an expert...
The Dangers of Routine Health Care in the Digital Age.
This harrowing five-part story adapted from 'The Digital Doctor' by Robert Wachter describes a near disaster due to a medication error augmented by a high-quality hospital's Electronic Health Record. It starkly reveals the risks of medical care in the digital age....
Traditional medicine works. But be aware of the harm that “harmless” traditional medical therapies can cause. Take charge of your own care by making good decisions.
This very well written review of scientific issues regarding complementary and alternative medicine reminds us of the challenges in making good medical decisions when medical science is incomplete. The author points to one study of an asthma remedy that improved...
Aspirin for primary prevention shows the need for rigorous collaborative medical decisions.
A large and rigorous study to look an the question of whether aspirin makes sense for older people to prevent cardiovascular events raises serious questions about its benefits and risks. The study showed more risk than benefit, and found more death from cancer in...
Another example of an “unknown” side effect revealed after FDA approval of a marginally beneficial drug.
Many people have developed type 2 Diabetes Mellitus (the kind that does not usually need insulin). The best treatment for it is weight loss through diet and exercise. The mainstays of drug treatment over the past decade or so have been Metformin to improve insulin...