medicine

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Why people can’t accept let alone search for the truth, even if it would save their lives.
You Can't Handle Truth
If this is not the most famous movie quote of all time, it is darn close.

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 כג  אֱמֶת קְנֵה, וְאַל-תִּמְכֹּר;    חָכְמָה וּמוּסָר וּבִינָה. 23  “Buy the truth, and sell it not; also wisdom, and instruction, and understanding.” Proverbs 23 is a quote I’ve been hanging around with for a really long time.  It even somehow showed up in my high school yearbook, I said it so much.
Believe me, this has a lot to do with why Jack Nicholson is who he is, and why I am the Renegade Doctor.  That is why I can do a course adjustment and know that I have learned that an enormous amount of what I have learned in my medical education is just plain not so.
How does a bad politician differ from a good scientist? When politicians change their course, they Flip-Flop. When scientists change their course, it means they have new data.
 People just don’t act as if they are looking for the truth.  The first thing I learned in high school debating seemed paradoxical and weird” at first, but now I know it is totally spot on. I was told I could never debate an assertion rationally if I could not admit the assertion could be wrong. Amazing how high school stays with you for life.

Read more on Why People Can’t Accept the Truth…

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This is an update of a previous post:
http://estelletobygoldstein.com/?p=50

Science keeps changing and moving forward so quickly that even an avowed knowledge addict like me can sometimes do little more than hang on for the ride.

Back when I wrote my earlier post, I already knew for sure that I wanted to live for as close to forever as possible.  Calorie restriction had been touted as one possible way to do do so, and change in the gut flora was one possible mechanism. Read more on Update On Calories and Longevity…

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I am just about to make a major announcement about my new direction, location and activities.

However, some info is already leaking out.  You may have seen photos or read about my participation in a high-profile event in Los Angeles a couple of weeks ago. Read more on Dr. G On The Radio…

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It takes a high-profile celebrity death — the most recent example is Prince — to highlight problems with legally-prescribed medications such as opioids.

Pain is a horrible thing, and those who suffer any level of pain from mild to extreme are deserving of relief.  A doctor is trained to give relief and is trained to do so safely and responsibly. Read more on Doctors Have Been Brainwashed By Pain Medicine Guidelines…

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I idolized the American medical establishment. When I was a mere Blue Cross number-collecting lackey working at the front desk of the Emergency Room of Massachusetts General Hospital, I sometimes saw, slipping into the doctors’ lounge, notable people — doctors whose surname in footnotes graced the basic core medical textbooks I was using as parallel reading in France, to prepare myself for my American examinations in medicine. I never wanted to penetrate more than the lowest echelons of the American medical establishment when I returned from France.  I mean I doubted the Harvard-types would open their world to me easily, no matter how clever I was. I proved to be right.  At a Harvard-associated residency program, I was actually asked at the interview if anyone in my family was a Harvard University trained physician. I still remember the program chairman’s barely muffled laughter when I told him my father held a graduate degree from the Harvard University School of music. Read more on Drug Misuse in American Medicine Leads to Possible Catastrophe…

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Okay, so my Continuing Medical Education Provider gave me every imaginable disclaimer on this one.

Abstracts at a meeting, so the demands were not as rigorous as for published articles. There could be confounding factors. A British study; maybe they aren’t wired the same way us yanks are. People who take a nap of at least a half hour during the day have lower blood pressure 4 mm. lower 24 hr. average systolic than folks who don’t. Espresso, on the other hand, raises blood pressure. This study was done on Italians.  Are they wired like us? Drinking enough espresso may also be increasing the incidence of type 2 diabetes, by some kind of an effect on long term glucose (sugar) metabolism. Read more on Helpful Hints From A Former Caffeine Fiend…

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One of the themes that keeps coming up in those little “newslets” for 15 minutes of Continuing Medical Education each is that systematic screening for several serious diseases, like cancers, is simply not as efficient as one wishes it were. At the very least, in terms of cost, it rarely pays. Sometimes people try to identify a subset of people who should be screened; but all too often, even that is a daunting task.

Some stalwart and doubtless realistic physicians sometimes suggest–screen patients who ask for it. This seems strikingly similar to the young doctor in Amiens who told me, that if he wanted to build a practice and feed his family, he had to give everyone antibiotics. It is that ancient trend of anti-intellectualism, patients who second-guess the doctor, people who are worried about their health– And yet, these people could argue that (they have paid their health insurance and earned what they think is good care), and they are individuals and not statistics. Read more on When To Screen For Things Medical That Could Kill…

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Only 16% of all murder victims are members of the defendant’s family?

That’s according to the PDF file that pops open (or opens in your browser) when you click this link – and you must have the free Adobe Acrobat reader to see it. (Fortunately, it is included with most computers nowadays).

Actually, I am surprised to see the number is so small.

I am a little bit heartened to learn that only 20% are strangers.

This leaves 64 % that are friends and acquaintances. Read more on Your Family Really Can Kill You…

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If I haven’t convinced everyone yet, I don’t know how.

I have written on this before.

Vaccination keeps kids alive.  Kids who could die dead as door nails from preventable diseases.

Vaccination has very few side effects. Read more on We Can Fix This Vaccination Bit…

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The first person I remember who approached me telling me clearly and articulately that uncertainty was his problem was Dr. W.

Not that he was (or ever could have been) a medical doctor.  He was an engineer who had been laid off for being somehow “supernumerary” from Boeing Aircraft in Wichita, Kansas.

Very stable, very “establishment, a former president of the synagogue (where we had met) the late Dr. Larry Weller was the kind of guy who wore a necktie around the house, just because he was more comfortable that way.  His wife was a sharp-as-a-tack social worker.  He was continually thankful for this, as his two adult children were living and working elsewhere and the two of them could keep their home and live fairly well (with the occasional flight to New York to visit relatives) on her salary. Read more on Uncertainty Is A Tough Mistress…

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