Category Archives: Medicine

Ezekiel Emanuel and the Purpose of Medicine

Tweet It is amazing how many doctors seem not to have the fuzziest conception of the purpose of medicine. Ezekiel Emanuel who is trained in internal medicine and oncology but who has concentrated on public policy has written an article in the Atlantic that seems to display almost total ignorance of what medicine is about….


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Salt and More Salt

Tweet The August 14, 2014 issue of the New England Journal of Medicine contains three papers on salt intake and health. The third of these is so layered with assumptions that I won’t discuss it. I have previously written about recommendations for optimum dietary intake of salt. In 2011 the American Society of Nephrology endorsed…


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Breakfast – Just Another Meal

Tweet Almost every dietary manipulation that the public has taught to hold onto like a sacrament is based on weak or even non-existent scientific evidence. Breakfast is the most important meal of the day. Eat breakfast and you’ll have more energy and keep your weight down is the supposed reason. Where did these beliefs one come from?…


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Commentary on Deuteronomy 8:3-4

Tweet Verse 3 contains the universally accepted truism “That man does not live by bread alone.” In its fullest manifestation this characteristic is unique to our species. It explains all that is wonderful about mankind – poetry, art, music, science, mathematics, and much more. But there is an evil side to needing more than sustenance…


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Survival Outcomes After Contralateral Prophylactic Mastectomy

Tweet The practice of contralateral prophylactic mastectomy (CPM) has increased in woman with unilateral breast cancer. This highly invasive approach to the management of breast cancer has been done without hard evidence that it conveys a survival benefit. Survival Outcomes After Contralateral Prophylactic Mastectomy: A Decision Analysis by Pamela R. Portschy, Karen M. Kuntz, and Todd M. Tuttle just published in the…


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More About the High Cost of Medical Care

Tweet I recently wrote about the reasons for the extraordinary high cost of medical care in the US – Why is Medical Care So Expensive?. That post is a PowerPoint presentation of a talk I recently gave. The slide below lists the causes that I think are responsible for the extraordinary rise in medical costs over…


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Princess Alix’s Knee

Tweet Princess Alexandra (Alix) of Denmark (1844-1925) was the wife of Edward the Prince of Wales (1841-1910) subsequently King Edward VII. In February 1867 she developed a severe and very painful arthritis of the right knee. Her illness is well described in Jane Ridley’s excellent biography of Edward, The Heir Apparent. As Edward was a promiscuous…


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Why is Medical Care So Expensive?

Tweet The PowerPoint presentation below contains the slides I used today to accompany a presentation on the above subject to the Lubbock Roundtable. It is just an outline to my remarks. The quotation below belongs to slide #36. Its from The Obamacare Crisis by Thomas B Edsall in the  New York Times November 19, 2013….


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Heat Injury and the NBA Championship

Tweet Rod Thorn, President of Basketball operations for the NBA and apparently a medical expert as well, said of the first game of the NBA championship series: “It was the same for both teams.” It being the heat. The air conditioning at San Antonio’s AT&T Center failed last night causing the temperature on the court…


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Mammography Screening in Switzerland

Tweet The May 22, 2014 issue of the New England Journal of Medicine has a perspective piece that is even more instructive than its authors and the journal’s editors realized: ‘Abolishing Mammography Screening Programs? A View from the Swiss Medical Board’. It describes the process that the Swiss used to evaluate the scientific foundation for…


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