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Mashup Score: 2Dear Colleagues ... Wake Up, You Are Being Used - 1 year(s) ago
I really don’t like scolds. I have hesitated to write this short piece because it makes me seem like a scold. But I can’t help myself. This week I saw on my Facebook feed a picture celebrating the 500th implant of a preventive cardiac device. The picture featured smiling doctors and super-happy industry reps. The writer expressed happiness that they had helped so many people.
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet
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Mashup Score: 1Trials and Expiration Dates - 1 year(s) ago
Three examples of previously beneficial treatments that need to be retested because the clinical situation changed
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet-
RT @DrEdinaH: #StopandThink ‼️ Brilliant thoughts on "Trials and Expiration Dates" by @drjohnm. 👇 https://t.co/mzVhecTRAH
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Mashup Score: 5Trials and Expiration Dates - 1 year(s) ago
Three examples of previously beneficial treatments that need to be retested because the clinical situation changed
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet-
Trials and Expiration Dates: Three examples of previously beneficial treatments that need to be retested because the clinical situation changed https://t.co/LUE5REZXiv via @drjohnm
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Mashup Score: 7The Problem in Science and Medicine is Not at the Tails but In the Middle of the Curve - 1 year(s) ago
Vinay Prasad has an excellent post on Sensible Medicine about scientific fraud. He wrote about a recent Freakonomics podcast about bad science. Outright fraud always gets big attention. Whether it’s scientists making up data or doctors putting in too many stents. And, yes, of course, these are terrible events.
Source: johnmandrola.substack.comCategories: General Medicine News, Cardiologists1Tweet-
Thanks to @drjohnm for highlighting that the core problem in healthcare is not outlier bad behavior but low-value care that sits in plain sight. https://t.co/WNQPPQcaE8
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Mashup Score: 1The Problem in Science and Medicine is Not at the Tails but In the Middle of the Curve - 1 year(s) ago
Vinay Prasad has an excellent post on Sensible Medicine about scientific fraud. He wrote about a recent Freakonomics podcast about bad science. Outright fraud always gets big attention. Whether it’s scientists making up data or doctors putting in too many stents. And, yes, of course, these are terrible events.
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet-
The Problem in Science and Medicine is Not at the Tails but In the Middle of the Curve https://t.co/dlavo2eo18 via @drjohnm
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Mashup Score: 14Coronary Artery Calcium Scans Are Not the Answer - 1 year(s) ago
Medical tests can never be good or bad. The problem is always the humans who misuse the test. For now, though, I argue (again) against using CAC scans
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet-
I explain further the reasoning here against CAC scans https://t.co/zKVCSVOBlT cc @theallinpod https://t.co/8GeknCrnsZ
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Mashup Score: 1Two More Cardiology Highlights from 2023 - 1 year(s) ago
Randomized controlled trials had a great showing last year.
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet-
Two more cardiology highlights from 2023. Featuring one my favorite topics. The RCT https://t.co/WXF1fd2rQd Also, we are in our second week over at Cardiology trials -- now with text and audio https://t.co/avXFGNNINv https://t.co/s2jyJW8ebM
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Mashup Score: 8AF Duration? Another Big Story from 2023 - 1 year(s) ago
In 2023, two large randomized trials addressed the use of oral anticoagulation in short duration atrial fibrillation. This was a really big story. We learned a lot.
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet-
On today's Stop and Think substack I wrote about one of the biggest cardiology stories of 2023 -- "Subclinical #AFib" The lessons from NOAH and ARTESIA. https://t.co/8R78X7QlTf #CardioTwitter #EPeeps https://t.co/JkC3gGi7d4
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Mashup Score: 4"Sick" care is what doctors are for - 1 year(s) ago
The idea that sick care is what ails US healthcare is another example of soft thinking
Source: johnmandrola.substack.comCategories: General Medicine News, Hem/OncsTweet-
@miljko @ManniMD1 @drjohnm In my field of work, this has significantly shaped my perspective on the medicalization of patients with precursor states such as MGUS/SMM. Another related excellent piece on this by @drjohnm: https://t.co/CJwEroHhkx
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Mashup Score: 2Why I Changed My Mind About Preventing Heart Disease - 1 year(s) ago
I have changed my mind about a lot of things over the past two decades of practice. No change has been bigger than how I feel about preventing heart disease. The medical jargon here is primary prevention. (Re: preventing a first cardiac event). I will tell this story in three chapters.
Source: johnmandrola.substack.comCategories: General Medicine News, CardiologistsTweet-
Great article @drjohnm As a 40 yo, w LdL / apob of 90-110, despite healthy lifestyle (+ fh cad).. im on a statin for these reasons you list #clinicalquestion Any downside to 40-50 yrs of a statin? https://t.co/ZWe970NEi3
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Dear Medical Colleagues ... Please Wake Up, You Are Being Used https://t.co/n6hVkiAJel via @drjohnm