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The Case Of The Winkler County Whistleblowing Nurses

I can’t speak for anyone else who blogs here at Science-Based Medicine, but there’s one thing I like to emphasize to people who complain that we exist only to “bash ‘alternative’ medicine.” We don’t. We exist to champion medicine based on science against all manner of dubious practices. Part of that mandate involves understanding and accepting that science-based medicine (SBM) is not perfect. It is not some sort of panacea. Rather, it has many shortcomings and all too often does not live up to its promise.

Our argument is merely that, similar to Winston Churchill’s invocation of the famous saying that “democracy is the worst form of government except all the others that have been tried,” science-based medicine is the worst form of medicine except for all the others that have been tried before. (Look for someone to quote that sentence soon.) It’s not even close, either. Read more »

*This blog post was originally published at Science-Based Medicine*

WHO And H1N1: Conflict Of Interest?

On June 11, 2009, Dr. Margaret Chan, the director general of the World Health Organization (WHO), declared that the H1N1 flu that was then spreading around the world was an official pandemic. This triggered a series of built-in responses in many countries, including stockpiling anti-viral medications and preparing for a mass H1N1 vaccination program.

At the time the flu was still in its “first wave” and the fear was that subsequent waves, as the virus swept around the world, would become more virulent and/or contagious –- similar to what happened in the 1918 pandemic. This did not happen. At least our worst fears were not realized. The H1N1 pandemic, while serious, simmered through the winter of 2009-2010, producing a less than average flu season, although with some worrisome difference. Read more »

*This blog post was originally published at Science-Based Medicine*

When A Doctor Calls In Sick

Recently, I’ve been recovering from some form of upper respiratory illness – of what form, I have no clue – but it was probably the dreaded H1N1 influenza virus or its equivalent (yes, I took the shots, but to no avail). Last Friday, with surprising reluctance, I conceded defeat and called in sick – something I almost never do. Somehow the thought of spreading contagion while wearing a mask while croaking, sniffling, coughing my way though conversations just didn’t seem like the best thing for me or my patients. Gratefully, I’m on the upswing and only now have a slightly hoarse voice and an occasional cough that’s improving, but it is interesting to reflect on why, despite knowing better, I felt so inclined to keep seeing patients despite my illness. Read more »

*This blog post was originally published at Dr. Wes*

Flu Shots: Another Vocal Minority Influences The Media Disproportionately

My position on the H1N1 flu vaccine is clear: everyone should get it.

But not every physician shares that sentiment. The Washington Post reports that there are a minority who are unconvinced of the vaccine’s safety and believe the H1N1 pandemic is over-hyped.

Worse, they aren’t vaccinating their patients. And when you’re talking about pediatricians, that can mean trouble for their patients; children who are most susceptible to the damage caused by H1N1. Read more »

*This blog post was originally published at KevinMD.com*

H1N1 Blogger Briefing With Anne Schuchat & Friends

valtraceyThe Department of Health and Human Services held a blogger-targeted webcast about the H1N1 flu today in Washington, DC. Although Secretary Kathleen Sebelius had planned to co-lead the event, she was called to the White House for some healthcare reform deliberations – which might take a while? (She promises to try again to speak to us bloggers at a later date, though, so I’ll be sure to let you know when that happens). Dr. Anne Schuchat, Director of the National Center for Immunization and Respiratory Diseases, carried the event with ease, and Jenny Backus (Acting Assistant Secretary for Public Affairs – pictured with me) moderated the incoming blogger and Twitter questions.

This was a particularly entertaining webcast for me because I was invited “behind the scenes” to witness the event at the HHS studio as well as submit questions for Dr. Schuchat’s consideration. The webcast is available for viewing on the HHS YouTube channel.

What you may not get from the webcast, however, is how much work goes into HHS’s efforts to communicate accurate information to the public. I was very impressed with the studio space (it has a National Press Club feel) and the staff are technically skilled and affable. So friendly were they that I “memorialized” our meeting with a few candid shots (below). Read more »

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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