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Spinal Fusion Device: “From Revolutionary Advance To Public Health Alert”

There are many stories journalists could report on about conflicts of interest and questions about evidence in the treatment of low back pain, perhaps especially with spinal fusion. We talked about many of these with journalists from the American Society of News Editors in a workshop at the Foundation for Informed Medical Decision Making in Boston in May.

John Fauber of the Milwaukee Journal-Sentinel hammers one of these issues, looking at how Medtronic’s Infuse product “went from revolutionary advance to public health alert.”

Here’s his story on MedPageToday: “Spinal Fusion Device: A Bone of Contention for FDA.” 

His entire series entitled “Side Effects: Money, Medicine and Patients” is indexed on the Milwaukee Journal-Sentinel website. The image below is from the Journal-Sentinel’s online story:

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*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Warning Labels For Health Journalism

I’ve seen the very clever journalism warning labels pictured and offered on TomScott.com. Many good friends and contacts wrote me about this, some urging HealthNewsReview.org to produce its own — and we may. Of the many great labels offered, this one is perhaps my favorite:

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*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

New York Times: Lou Gehrig May Not Have Had Lou Gehrig’s Disease?

This was one time when the headline was okay, but the story that followed had our heads spinning. “Study Says Brain Trauma Can Mimic Lou Gehrig’s Disease” is a story that was troubling on a number of fronts. It reported on a study which at the time had not yet been published suggesting that some “athletes and soldiers given a diagnosis of amyotrophic lateral sclerosis…might have been catalyzed by injuries only now becoming understood: concussions and other brain trauma.”

To be clear — and please don’t anyone miss or miscontrue this point — this is an important and fascinating area of research. But the story did not exhibit the best of health/medical/science journalism:

1. It was based on a study of 3 people. (The ALS Association says there are up to 30,000 people in the U.S. living with ALS.)

2. It stated, “Lou Gehrig might not have had Lou Gehrig’s disease.” (No evidence for this was provided. He also may not have been a great left-handed hitter. That may have been an optical illusion.)

3. It said this could “perhaps lead toward new pathways for a cure.” (After a suggestive finding in just three people?)

4. The story later says, “The finding’s relevance to Gehrig is less clear.” (Hedging already after a bold earlier statement in the story.)

5. But just a few paragraphs later, the story says, “The new finding…suggests that Gehrig might not have had (ALS).” (Head spinning yet?) Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

The Medical Misinformation Of The Huffington Post

Today I refer you to an excellent post by Peter A. Lipson, M.D., at the blog Science Based Medicine entitled “HuffPo blogger claims skin cancer is conspiracy.”

The post focuses on an article by someone who contends that the link between sunlight and skin cancer is a conspiracy by dermatologists and the cosmetic dermatology industry. Dr. Lipson’s highly insightful analysis about the “interview” process and how doctors must act these days on behalf of their patients concludes:

This article shows a misunderstanding of journalistic ethics, medical ethics, and medical science. It’s a disaster. And it’s no surprise that it’s in the Huffington Post.

While this is a medicine story, my question relates to why an organization with a lot of great front-page news so frequently posts medical articles that are wrong and, sometimes, downright dangerous.

Read the article first, then read Dr. Lipson’s analysis.

Disclosure: I am an occasional contributor to Science Based Medicine but, like all contributors there, receive no compensation.

*This blog post was originally published at Terra Sigillata*

Industry-Sponsored Medical Education: Should Big Pharma Buy Doctors Lunch?

Big Pharma Free Lunch WagonAppetite for Instruction: Why Big Pharma should buy your doctor lunch sometimes” is the headline of an article on Slate.com that has upset many readers. I’m not terribly upset about it because it just seems too naive and misinformed to get upset about. The final line of the piece tells you all you need to know about the tone of the column:

“Ousting commercial support is creating a huge chasm in medical education, leaving doctors not only hungry but also starved for knowledge.”

A number of online comments were posted in reaction to the piece. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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