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MF's avatar

Couldnt agree more about COI, but The last caption from Dr Maldonado triggered me.

I so often heard “out of an abundance of caution” (insert questionable recommendation here…like wear a mask outside WTF).

But why didnt I hear from our pediatrician “out of an abundance of caution, I dont think your 15 yo son who has had covid should get the vaccine due to myocarditis risk”. No, instead I got dirty looks.

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for the kids's avatar

There's a nice (about 20 minute) talk by Ivan Florez ("What is a trustworthy guideline?") https://www.youtube.com/watch?v=smRzaGjQU0Y

from a Society for Evidence-Based Gender Medicine meeting in 2023.

You allude to a point he emphasizes as well, that it is important not only to list the conflicts of interest but also how they are managed (e.g., you mentioned some of them recused themselves).

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KP's avatar

"If I give Will 2 weeks to research a vaccine, I would personally trust his recommendation more than any vaccinologist— because he knows how to review data." - yes please! I would love to know what Will would come back and report about any and all of the current scheduled vaccines!

Non conflicted/non captured views are welcome and appreciated!

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Richard Kirkpatrick's avatar

See Dr. James N. Kirkpatrick's article about conflicts of interest among Cardiologists Serving on Guidelines Committees--Archives of Internal Med. 2011;171(6):577-584), which garnered 66 media mentions including Reuters, NY Times, Wall Street Journal, and an audience of 28,000,000. This is why, today, medical journal articles list all authors' conflicts of interest. Let's keep the sun shining on those vaccine guidelines' commitee members. Richard A. Kirkpatrick, MD,FACP

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Marc Keen's avatar

Run the studies through some ai apps to get an unbiased baseline opinion.

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Dean's avatar
Mar 8Edited

Wait - what? You mean ACIP members' conflicts of interest were not publicly available prior to now? That alone is a smoking gun.

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Adrian Gaty's avatar

Well said. It used to be an ethical principle to avoid even the *appearance* of impropriety. That was memory holed just as fast as natural immunity…

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Adrian Gaty's avatar

Related: the new bosses need to take a long hard look at the multimillion dollar “partnerships” all our leading med schools sign with pharma companies. I wrote about the ugly history of this here:

https://thefederalist.com/2023/03/02/big-pharma-is-unopposed-in-its-domination-of-medical-education/

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