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Richard Tavares Bosshardt's avatar

How does it not induce cynicism? It does...............I have gone from an allopathic physician who largely trusted "the science" in medicine and our respected journals and institutions to a total skeptic and a cynic. This was largely due to the mismanagement of the covid pandemic. As if that were not enough, my organization, the American College of Surgeons, has gone off the rails. The Board of Regents in 2020 declared that the ACS was a structurally racist institution in need of radical reform, that (white) surgeons were racists, and that surgery itself is discriminatory. The Board of Regents, without input from the membership, installed DEI/CRT into the College. I, and others objected. I must have been the loudest because the Board of Regents banned me for life from any engagement in the online discussion forums, from access to the members directory, and from my own private messages. This was done without due process and I was denied a hearing because my lifetime ban was not considered a disciplinary action by the Board. Is any wonder I find myself at the end of my career completely disenchanted with the state of medicine today? I weep for the younger generation of physicians and surgeons. R. Bosshardt, MD, FACS

https://www.google.com/search?q=city+journal+isolated&rlz=1C1OKWM_enUS782US782&oq=City+J&aqs=chrome.1.69i57j69i59j35i39i650j0i433i457i512j0i402i512j69i60l3.6818j0j7&sourceid=chrome&ie=UTF-8

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Sobshrink's avatar

Not only is it in a top journal, but its authors are at a hospital consistently ranked in the top 5, and often the #1 hospital, for cardiology. It was where I planned to go if I ever needed cardiology care, but not now! So beyond your Substack and Twitter/X, have you contacted the authors to hear their rationale for not doing propensity matching, and writing such a misleading abstract, which is all many (most?) doctors have time to read? Have you considered writing a Letter to the Editor of the journal with your concerns? I have always known that surgeons tend to be biased towards doing surgery, and it's good to get a second opinion from a non-surgeon. I hope all the non-surgeon cardiologists read your Substack! :) BTW, I agree that writing an article about sham surgeries is a great idea, as well as the best alternative research designs when sham surgeries are not practical/ethical.

https://www.cleveland.com/news/2023/08/cleveland-clinic-again-wins-top-spot-for-heart-care-from-us-news-see-the-changes-in-2023-24-rankings.html#:~:text=CLEVELAND, Ohio — For the 29th,2023-24 Best Hospitals rankings.

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