Protected: The EBM Wars: Causal Inference – Don’t be a chicken (Part 3)

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Fighting Hubris in medicine

The weekend started with a tweet about an elderly man with atrial fibrillation.  Atrial fibrillation is an arrhythmia of the heart that predisposes those who suffer with it to strokes.  The strokes are a  result of clots being thrown from the heart into the brain.  The typical treatment for this condition in those deemed high…

A Tale of 2 FDA’s

Frances Oldham Kelsey by all accounts was not mean to have a consequential life.  She was born in Canada in 1914, at a time women were meant to be seen and not heard.  Nonetheless, an affinity for science eventually lead to a masters in pharmacology from the prestigious McGill University.  Her first real break came…

Moving healthcare into the barbershop

The study that changed everything was published last week.  An alien visiting the national cardiology meeting in Orlando may have thought that the trial of note was the one that featured the culmination of one hundred years of lipid research to develop an inhibitor of the enzyme PCSK9 (Proprotein convertase subtilisin/kexin type 9) that lowers lipids…

Grading Trump

It has been more than a year since Donald Trump ascended promising the very best of everything.  I was among a small minority in healthcare that cheered the arrival of a different administration because it brought with it the hope of a new direction.  Suffice it to say, my problems with the direction the prior…

The price of progress

No one knows who Bennie Solis is anymore. He had the misfortune of being born in the early 1960s marked for death.  He had a rare peculiar condition called biliary atresia – a disease defined by the absence of a conduit for bile to travel from his liver to his intestinal tract.  Bile acid produced…

An ode to evidence based health care policy

A recent kerfuffle ensued when a CDC analyst leaked details of a meeting that noted a list of banned words and phrases that included ‘evidence-based’ and ‘science-based’.  This most recent assault on reason from the Trump administration was lapped up by partisans as yet another example of the dangers of having reality stars occupy the…

On the morality of Insurance Premiums

As CVS-Aetna merger talks fill the air this Christmas season and experts weigh in on the impact this will have on the economy and consumers alike, I’m sitting at a little desk in a little office contemplating health insurance. I run a little shop that’s about as far from CVS-Aetna as you can get in…