Sensible Medicine

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Friday Reflection 34: Disagreement and Chagrin in Therapeutic Decision Making
Another opportunity to include a 2X2 table in a reflection.
 • 
Adam Cifu, MD
21
November 2023
US healthcare is headed for disaster
Doctors want lower premiums and insurance to pay for crazy things; It can't happen
 • 
Vinay Prasad
104
To Treat or Not to Treat
Brief, asymptomatic atrial fibrillation seven years later
 • 
Adam Cifu, MD
35
The Quandary of a "Positive" Trial with a Non-significant Result?
The MINT trial tested two strategies of dealing with a common problem. The results seem clear. Except for the statistical test.
 • 
John Mandrola
26
A Nutrition Hack That Probably Doesn’t Matter After Thanksgiving
I hope you enjoyed your carbs hot and continue to enjoy them cold. Either way, they are probably equally healthy.
 • 
Adam Cifu, MD
14
Should insurance companies pay for double lung transplants for stage IV lung cancer
Yes insurers can behave poorly and peer to peer is an insult, but doctors still do crazy shit and make society pay
 • 
Vinay Prasad
41
The Goldfinch by Donna Tartt: A Book Review
Spoiler alert listed below
Published on Vinay Prasad's Observations and Thoughts • 
Healthcare Leaders Should Focus on Making Medicine Better Rather than Issuing Press Releases on Geopolitical Issues
We are the recipients of the curse, “may you live in interesting times.” With the wars in Ukraine and the Middle East, climate change, a global…
 • 
Vinay Prasad
, 
Adam Cifu, MD
, and 
John Mandrola
27
A Surgeon Turns Activist
A few years ago, Dr. Richard T. Bosshardt waded into a minefield. He had been a Fellow of the American College of Surgeons (ACS) for over thirty years…
 • 
Richard T. Bosshardt, MD
112
Major Trial in Atrial Fibrillation Stopped Prematurely
The investigational anticoagulant drug asundexian held great promise as a safer anticoagulant. Its early failure in a Phase 3 trial teaches many lessons
 • 
John Mandrola
10
Is it unethical for doctors to stop masking?
A JAMA Health Forum viewpoint ignores the facts: no evidence justifies the practice & there are downsides
 • 
Vinay Prasad
121
Friday Reflection 33: Making Your Doctor Laugh
When patients and doctors can laugh together they have succeeded in creating a mature, equitable relationship.
 • 
Adam Cifu, MD
32
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