Sitemap - 2024 - Sensible Medicine
The Semmelweis Effect and The Great Barrington Declaration
Foreign-trained vs US-trained doctors
UCSF hematology oncology interest group
Nirsevimab (Beyfortus): is universal prophylaxis for RSV warranted?
Yes, the US should withdraw from the World Health Organization
Future Fellows Reflect on “The Match”
All I want for Christmas is ethical, informative trials
Is One of the Most Popular Cardiac Drugs Better than its Generic Competitor?
Adam Cifu Interviewed by Michael Easter on the TWO/PERCENT Substack and Podcast
A Strong Critical Appraisal of the CHAGASICS Trial in patients with Chagas Cardiomyopathy
Advice for Internship: Part II
What characteristics define your most ideal screening test?
Another "Positive" Heart Failure Trial that Falls Short
A live taping from Wash U, a Sensible Medicine discussion
Will Lawmakers Ban DEI in medical schools?
RFK Jr is NOT the Contrarian We Need
Should My Patient Get a 7th Covid Shot?
A Story about Surrogate Outcomes
Friday Reflection 46: The Best of Days
The Health Equity Agenda is a Bad Prescription
The Value of Reanalysis of a Clinical Trial
Marty Makary is up for FDA commissioner
The NIH Needs Reform: Here are 10 Sensible Suggestions
Coming Out Against the Healthy Lifestyle
Subgroups, Specialties, and Prior Hypotheses
The VANISH 2 Trial is a Proper Study
Why Doctors Should Learn to Stop Worrying and Love MAHA
What kind of a doctor are you?
Will RFK Jr make it all the way to HHS secretary?
What a Trump presidency can mean for health care
Why was Novo Nordisk singled out as ‘greedy’ by Sanders and Biden?
The EARLY TAVR Trial Exposes the Main Tension in Medical Science
Buying What SELECT is Selling: Semaglutide
Screening Can Do Silent Harm Part II
A Skeptical Take of Semaglutide for Cardiac Protection
Sensationalism Does Not Help Us Understand the Consequences of Race-Based Algorithms
Semaglutide (Wegovy) Is Not a Knee Pain Drug
What makes psychotherapy ‘good’ and ‘effective?’
Pediatric Gender Medicine: Dispatches From a Deceptive Medical Field
Friday Reflection 45: Patients
Sensible medicine ask us anything part 2
Using Contracts to Encourage Post-Marketing Research
Publication Bias and Therapeutic Fashion
Would you advise your son or daughter to go medical school?
Conventional Medicine Invites the Rise of Alternative Medicine
We Need to Try a Tax Credit to Help Fix the Kidney Shortage
Masking Mistakes – Fall 2024 Edition
Do We Have a Breakthrough Drug for Patients with Heart Failure?
The Ethics of Screening Mammography
A Midwestern Dermatologist Responds to A Midwestern Doctor
Let's Review a Truly Positive Trial
General Medicine Service Expectations
Letters of Recommendation Should Not Be a Component in Residency Selection
Letters of Recommendation Should Not Be a Component of Residency Applications
Weak Evidence Can Hurt Important Ideas
The Rapid Ideological Retraction of a Scientific Article on Rapid Onset-Gender Dysphoria
A (re)Visit to an Old-Fashioned Doctor
Should Doctors Voice Their Own Mental Illness Publicly?
Is there a difference between Jay Varma for tecovirimat and Ashish Jha for Paxlovid?
When Trials Are Stopped Early for Benefit...
The 50-year Failure of American Health Care
Thickened Liquids for Older Adults is Likely a Useless Therapy, but a Current Study Cannot Prove It.
Is there a such thing as 'too little benefit' in oncology?
Back to Sleep Series in Audio Format
Friday Reflection 44: Diagnostic Enigma
A Letter to the Editor of JACC-HF, which was Rejected
Prasad and Cifu offer rebuttals to their anti-science post from last week
The Wrong Way to Make Money in Medicine
STRONG HF – A Positive Trial that Does Not Help Clinical Medicine
Elle Macpherson Made a Reasonable Choice, and Naturopathic Medicine Did Not Help
Which US Presidential Candidate is More Anti-Science?
Why Pediatric Rare Medicine is Like Timeshare Sales
GLP1a Drugs are Great But Unlikely to Treat COVID-19 Infection
Doctors Should be Political, but not Political as Doctors
How can we do better as a county hospital?
Friday Reflection 43: The Absence of Reassuring Counterfactuals in Clinical Medicine
What Medical School Looks For and What Medical School Should Look For
Post #5 Concluding remarks on the Back-to-Sleep series
More Problems with (and Suggestions for) Medical Education
There will be a breakthrough in AF ablation coming next week at the ESC meeting
John Mandrola is Wrong about Political Activism
Friday Reflections on Econ Talk
The Surprising Ability of Medical Therapy in Coronary Heart Disease
Price negotiation does not save money when keep you paying for drugs that don't work
Hustling at Work: What's the difference between a TechBro and a Junior Faculty Member in Medicine
The Moment I Realized AI Will Introduce a Brave New World for Medicine
Improving Your Critical Appraisal Skills #7
Screening for Cancer Costs Billions - I Doubt it is Worth it
Should residents take the day off when they are sleepy?
Churnalism: Summarized on Video
When Population Health and Individual Health Clash
For Academic Institutions, Silence is Golden
Adam Cifu and Vinay Prasad are Both Wrong about A New Masking Trial
What Matters is How You Use it
A New Series on the "Back to Sleep" Recommendation to Reduce SIDS
Long-Term Outcomes in Patients Using Protocol-Directed Active Surveillance for Prostate Cancer
Yes, we should definitely study that!
Adam Cifu is Wrong About Masking
Vinay Prasad is Wrong about Masking
The Retirement of Dr. Mark Siegler
A new mask randomized trial shows that masks work?
Medicalized Gender Transition and the Silence of Medicine and Bioethics
When the patient is in the room, stop typing your note
Money in Medical Education Makes Me Sad
Friday Reflection 42: Patient Approaches to a Doctor’s Visit
Ozempic May Cause Eye Problems - But I Doubt it
"Toxic" quizzing: Is the attending mean or is the resident sensitive?
The Doctor (and Her Computer) Will See You Now
Eli Lilly's Court Victory: Dutch Agency Must Reevaluate Abemaciclib Amid Controversy
Acute Pain Management in the Opiate Dependent Person
Improving Your Critical Appraisal Skills #6: Decision Analysis
The Most Ignored Study in Cardiac Electrophysiology
Some doctors & professors claim Biden's debate performance was due to stuttering or cold medication.
Friday Reflection 41: Sometimes I Just Need to Complain
A Discussion with Professor Venk Murthy on Coronary Artery Disease
Impella, Mammograms and Med School Fails Students
Sex, Gender, and Language in Public Health Communication
The Study of the Week Is A Study That Did Not Happen
CT screening for lung cancer for homeless people: the new JAMA IM paper
Workplace culture: Reader Input Needed
Fear and Opioids in Academic Medicine
Should women in their 40’s be screened for breast cancer?
Brain Safety After Pulsed Field Ablation for Atrial Fibrillation
How medical school fails students
Healthcare Workers in the AI Revolution: Pioneers or Passive Users?
The Importance of Proper Control Arms
When residents call out "fake sick"
Are physician scientists and other part-timers good doctors?
Why should I take these medications?
Anthony Fauci failed during the coronavirus response
A Social Science Perspective on Masking
Three Critiques of the DanGer-Shock Trial
Adam and I discuss the week's medical news
Universal Depression Screening Leads to Unnecessary Harm
The Study of the Week Pauses for Memorial Day
Doctors take money from pharmaceutical firms so they die with a slightly bigger number in the bank
Clinical Experience: The Neglected Leg of the Three-Legged Stool of Evidence-Based Medicine
When a Medicine Works but Overall Benefit is Minimal to None
Friday Reflection #39: What to Expect When You Are Aging
A Novel Approach to AF Ablation
Medical Student Accommodations
Evidence based medicine... 6 months a year
Improving Your Critical Appraisal Skills #5
The Frustration of Not Being Able to Sort Signal From Noise
Improving Your Critical Appraisal Skills #4
A Discussion with Dr. Dena Zeraatkar regarding analytic flexibility in observational studies
The Definitive Analysis of Observational Studies
DanGer Shock, MRI for all, Conflict of interest
The US FDA's cancer drug approval process is broken and needs audit
Medicare doesn't pay because there is no evidence you live longer or better as a result
Improving Your Critical Appraisal Skills #3
Chelation Did Not Work But Science Did
Why you should NOT get a whole body MRI
Is It OK for Internists to Wear Masks Forever?
Finally a Positive Trial for the Impella Ventricular Support Device
Unproven healthcare will bankrupt America
Friday Reflection 38: Yesterday’s Solutions; Today’s Problems
Improving Your Critical Appraisal Skills #2
A New Approach to Evidence in Cardiology
Yet Another Excellent Explainer About P-Values in Randomized Trials
Improving Your Critical Appraisal Skills #1
Improving Your Critical Appraisal Skills
Modern Cardiology May Change Next Sunday
The Many Harms of Cancer-phobia
Doctors need to stop speculating about Kate Middleton
Peter Attia, Outlive, Cardiology 3.0 and primordial prevention of heart attacks
A broken study of time-restricted eating exposes broken thinking amongst Top People
What multimorbidity shows us about guideline-driven evidence-based medicine
A (different) perspective on statins in the primary prevention of heart disease
Negotiating the physician identity in an era of complexity and connectivity (Part 1)
Martin Kulldorff was wrongly fired from Harvard Medical School
Being Comfortable Being Uncomfortable – A Medical Student’s Perspective
Doing statistics can be difficult but understanding them can be fairly simple
Friday Reflection 37: Why I Teach (acceptable and less acceptable reasons)
Should I Change My Mind About Aspirin for the Prevention of Cardiac Events?
MIT hosts COVID-19 policy debate
I Am Afraid of Early Cancer Detection: Part III
From Guideline Recommendations to Articulated Harms and Benefits
The Story of IV-Insulin after MI
I Am Afraid of Early Cancer Detection
Don’t throw the baby out with the breast milk
Everyone keeping blood pressure low because of the SPRINT trial is practicing bad medicine
No, We Should Not Denounce Digoxin
I Am Afraid of Early Cancer Detection
When will Nature and NEJM tell me who to vote for?
A Note On Criticism Of Yesterday's Study of the Week
The Study of the Week Is a Beautiful Example of Science Done Well
Can We Select “Better” Residents?
Can Data Just Speak for Itself?
Answer to the third sensible diversion
A Third Sensible Medicine Diversion
Friday Reflection 36: Why Don’t Doctors Want to See Patients?
"Can you tweet my paper" vs. "Here are some edits, no need to add me"
Saturday's Sensible Diversion #2
What happens when doctors run unethical trials? They get promoted
New Austrian Study Shows Boosters do NOT reduce COVID19 deaths in people who had COVID
How Caring, Informed, Intelligent, and Committed Doctors Can Disagree about COVID Boosters
The Evidence that Established Coronary Artery Bypass Surgery is Worth Studying
What's best: breast milk, bottle or a mix of both
Math Professor Ben Recht and I Discuss P-values and Confidence Intervals
Fraud, Distortion, and Truth in Science
Not the Way to Pull Vaccines Back from a “Dangerous Tipping Point”
A Surprising Look at the Evidence for Beta-Blockers After MI
I Still Can’t be Rational about COVID
What it Takes to Actually Achieve Shared Decision Making.
Hearing Aids are great, even if they don't save lives