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Comment on A coming epidemic of normality by Profiling in medicine « Complete Heart Blog

Profiling in medicine « Complete Heart Blog — Fri, 23 Dec 2011 00:39:45 +0000

[...] it causes a functional abnormality that bothers the person, obesity may be best characterized as a “proto-”risk factor, ie. a risk factor for risk factors. Singling out the obese seems to be a perfect example of [...]

Comment on The purges have begun: has cardiology entered the Reign of Terror? by Hidden Gem: Surgery in Cartagena, Colombia

Hidden Gem: Surgery in Cartagena, Colombia — Mon, 19 Dec 2011 15:06:15 +0000

[...] is it as some cardiologists suggest, a crazed witch hunt? I don’t know – but angiography doesn’t lie, and there have been too many [...]

Comment on More on HTE by Michel Accad

Michel Accad — Sat, 19 Nov 2011 06:23:18 +0000

Thanks, James. I’ll email you a copy.
Michel

Comment on More on HTE by james gaulte

james gaulte — Fri, 18 Nov 2011 12:34:12 +0000

Great analysis of the Kravitz paper.Thank you for putting into words some of the mental uneasiness that I had in regard to a few aspects of the paper but never verbalized.”Physician as weatherman” is a gem.

Do you have PDF of the Tanenbaum paper?

James Gaulte

Comment on The clinical trial on trial by “EBM” on the decline « Alert&Oriented

“EBM” on the decline « Alert&Oriented — Wed, 09 Nov 2011 22:34:15 +0000

[...] sensing mounting dissatisfaction with the blunt tool of ‘evidence-based medicine,’ and perhaps in an attempt to dismiss any further rebuff, [...]

Comment on A brief history of official dietary recommendations by james gaulte

james gaulte — Fri, 21 Oct 2011 21:20:58 +0000

Clearly deciding what to eat is too important,and too technical a subject to be left to the individual.

Comment on Harlan Krumholz’s manifesto and the creed of medical collectivism by Interpreting Scripture « Alert&Oriented

Interpreting Scripture « Alert&Oriented — Wed, 19 Oct 2011 23:55:10 +0000

[...] One is left to wonder 1) how observations in clinical practice can be made without clinical research 2) who is to do the observing, and 3) what criteria of effectiveness are we talking about, but again, we should be familiar by now with outcomes research newspeak… [...]

Comment on More reasons statin drugs are shunned by Bob Leckridge

Bob Leckridge — Sat, 24 Sep 2011 08:51:20 +0000

Me too, please, Michel. I’d be grateful to receive a copy of your article

Comment on Is an ounce of detection worth a pound of public health prevention? by Michel Accad

Michel Accad — Thu, 08 Sep 2011 16:23:15 +0000

Ms. Mann,

Thank you very much for your careful reading. The post is now updated.

Michel Accad

Comment on Is an ounce of detection worth a pound of public health prevention? by Marilyn Mann

Marilyn Mann — Thu, 08 Sep 2011 11:24:51 +0000

Dr Accad,

I saw this post on KevinMD and I noticed that there are two typos in the following quote:

“In our judgment, additional studies of screening strategies, including patient outcomes, are needed before recommending any form or routine CVD screening for the symptomatic patient.”

“or” should be “of” and “symptomatic” should be “asymptomatic.”