Texas doctors trying novel treatments (the trap of anecdotal evidence).

When lone wolf doctors promote unproven therapies and set themselves up as experts with miracle cures, without having actually done the clinical research to validate their claims, it erodes the fragile trust that we work so hard to build with our patients when we are unwilling to engage in that same type of speculative treatment. This unearned mistrust has the potential to breakdown the patient-physician relationship and affect our patients’ health for years to come. … Continue reading Texas doctors trying novel treatments (the trap of anecdotal evidence).

COVID-19 Questions and (attempts at) Answers, Part 3: Isn’t a surge a good thing? Herd Immunity and the RECOVERY Trial.

The longer we can work together to flatten the curve, the more time we create to discover new therapies, improve our understanding of the virus, and collect high quality data about transmission and vulnerability that can help us develop novel, strategic mitigation approaches; and we are already seeing the benefits of the work of this kind that we have done so far as a society. … Continue reading COVID-19 Questions and (attempts at) Answers, Part 3: Isn’t a surge a good thing? Herd Immunity and the RECOVERY Trial.

COVID-19 Questions and (attempts at) Answers, Part 2: What about antibody testing and asymptomatic cases?

When that antibody test you got comes back positive and the manufacturer says their test is “95% accurate,” you may be tricked into thinking it means there’s a 95% chance you really have already had the virus and now have antibodies against it. But they are only telling you half the story.… Continue reading COVID-19 Questions and (attempts at) Answers, Part 2: What about antibody testing and asymptomatic cases?

COVID-19 Questions and (attempts at) Answers, Part 1: Is the rise in cases just due to more testing?

Many of those hospitalized patients are fighting for their lives in the ICU right now, as the hospitals are starting to fill up around them and their nurses and doctors are becoming fatigued. As we’ve seen elsewhere, the ratio of those who don’t recover will only increase if resources and the margin for careful attention and heroic efforts on their behalf begin to run short. … Continue reading COVID-19 Questions and (attempts at) Answers, Part 1: Is the rise in cases just due to more testing?

On Masking

Whether it is surgeons or industrial workers, cultures in which many women wear face coverings as part of their public clothing, or my 5 year old spending three weeks straight in his Spider-Man costume and refusing to wear anything else, the wearing of masks is something we all have some degree of experience with and have never really been concerned about until now, when we are suddenly being told they are extremely dangerous by the same people who have been spreading various types of COVID-19 misinformation since mid-March. … Continue reading On Masking

“Non-Lethal” Weapons: A Doctor’s Perspective.

‘Less lethal’ still means potentially lethal, and many of the weapons and techniques being used still possess the potential to kill. They are not crowd control devices or nuisance stimuli, but weapons. The question we need to be asking ourselves is whether the use of weapons, including weapons with potential to maim and kill, has been justified.… Continue reading “Non-Lethal” Weapons: A Doctor’s Perspective.

Apparent medical misinformation from an unlikely source: Asymptomatic, Presymptomatic, and Minimally Symptomatic.

The idea of asymptomatic transmission, the virus actually being transmitted from a person who does not feel ill, who may not even know they have been exposed, is pretty terrifying. It means that you could, without ever knowing it, be the agent of delivering a deadly pathogen to a loved one; and that you may not ever know you were the one that gave it to them even after the fact. But asymptomatic transmission does in fact occur.… Continue reading Apparent medical misinformation from an unlikely source: Asymptomatic, Presymptomatic, and Minimally Symptomatic.

COVID-19 as a Mass Casualty Event; my response to a letter signed by 600 doctors.

The physicians who wrote this letter are advocating that life return to normal. But just as in every mass casualty, their call to shift our standard of care and abandon transmission reduction strategies necessitates allowing some to die who might otherwise have lived. This group that should be forsaken, who in the letter’s own words “require too many resources to save”, are the excess dead from COVID-19, who might have been spared by “reopening” with more caution, more national sacrifice, more people-centered policies, and more patience.… Continue reading COVID-19 as a Mass Casualty Event; my response to a letter signed by 600 doctors.

I absolutely do look at your insurance (repost).

I’d love to tell you that I don’t care what insurance you have. I’d love to say it just doesn’t matter to me, that every patient gets an equal share of my time, energy, and attention. I’d love to tell you that I treat your CHF and shoulder pain exactly the same if you have Medicare, or Blue Cross and Blue Shield, or our local state grant funded coverage program, or are paying out of your own pocket. But it isn’t true.… Continue reading I absolutely do look at your insurance (repost).

Dallas Doctor Speaks at Set Texas Free Rally

Anecdotal evidence is important in medicine, but the principles of evidence based medicine also dictate that, as scientists, we rely on stronger forms of evidence when they are available. If that evidence seems to contradict what we ourselves have experienced, that is reason to both examine the evidence more carefully, and to reflect on our own clinical experiences with a greater degree of scrutiny and honesty. … Continue reading Dallas Doctor Speaks at Set Texas Free Rally

Debunking the Latest “Truth the Government Doesn’t Want You to Know” Video.

Last night a friend sent me the latest viral COVID-19 misinformation video. You can view it below, though once it is inevitably removed from YouTube I won’t bother to re-link to it; I am sure it will be popping up on your Facebook feed soon enough (if it isn’t already). Having recently spent considerable time… Continue reading Debunking the Latest “Truth the Government Doesn’t Want You to Know” Video.

The Paradoxes of PlanDemic

This is a false narrative and, frankly, on the grossly cynical side even for the conspiracy theory people. When you intubate a severely hypoxic patient, having tried everything else you know of to keep them off the ventilator, your decision is to use a ventilator or watch them slowly die gasping for air. Unless you’ve been in that situation, your theories on doctors putting patients on ventilators because they were told to or are thinking about their next paycheck don’t carry much weight with me. … Continue reading The Paradoxes of PlanDemic

Lies, Damned Lies, and a Few More Statistics – Dr. Erickson and COVID-19, Part 2

The major failure here is to distinguish between microbes and pathogens. Dr. Erickson wouldn’t tell you to touch your face and not wash your hands if you had been around Ebola. He wouldn’t tell you not to wash the surface of your kitchen counter if you had been cutting up raw chicken. He wouldn’t tell you that exposure to viruses is important to building a healthy immune system if you were about to pet a rabid dog.… Continue reading Lies, Damned Lies, and a Few More Statistics – Dr. Erickson and COVID-19, Part 2

Dr. Erickson and the 3rd Kind of Lie (Statistics)

I really believe that this could be me, were the circumstances different, going on youtube and sharing these false statistics. Yes, Dr. Erickson has financial interests at stake here, but so far I’ve been inclined to think that he really believes his numbers. When you are pouring over data like this for hours or days and you think you’ve hit on some vital statistic that nobody else is picking up on, and it confirms what you already really, really want to believe, it can be so easy to get tunnel vision and not check your math against the backdrop of reality.… Continue reading Dr. Erickson and the 3rd Kind of Lie (Statistics)

Treat Your Immune System Like The Death Star (A Slideshow)

OK, let’s just rip this band-aid off right at the beginning; you don’t get to be the Rebel Alliance. I know that might be hard emotionally for some of you that grew up watching Star Wars eight times per week like I did, but if you are the Rebel Alliance then this analogy is going to fall apart even more quickly than it’s destined to anyway. … Continue reading Treat Your Immune System Like The Death Star (A Slideshow)

The Church and Medical Misinformation During COVID-19

We are living in an era of human history when reliable, true information is really capable of saving lives and when false information endangers our friends, loved ones, and neighbors. As we seek to obey the command of our Savior, let us reflect that we may never again in our lifetimes see such a moment as this, when these two concepts are so closely linked and refusal to be as wise as serpents can lead so directly to a failure to be as harmless as doves.… Continue reading The Church and Medical Misinformation During COVID-19

Handsome Chiropractor is more concerned about masks and gloves than about COVID-19

Wearing masks every day of our lives, not hugging each other, and avoiding dirt and trees are not practices that have ever been espoused by Physicians or public health experts. Taking precautions as a society right now because a particular, new, deadly virus is currently spreading in our communities and threatening to overwhelm our ability to care for those affected, is something we espouse. I believe that, regardless of what some people might want us to believe, most of us have the common sense to see the difference.… Continue reading Handsome Chiropractor is more concerned about masks and gloves than about COVID-19

Memes for Dr. Shiva Ayyadurai

I had hoped at some point this week to write a rebuttal to the incredibly deceitful and frankly quite silly “Dr. SHIVA Ayyadurai, MIT PhD Crushes…” youtube video that has been shared so widely by my facebook friends. I haven’t had the chance to write about it yet… but I did make some memes.… Continue reading Memes for Dr. Shiva Ayyadurai

What happened to all the deaths that AREN’T from COVID-19?

We carry our dead around with us for years, and very, very often there wasn’t anything that anyone could have done differently. When there was, hopefully we have learned from it; but the pain may last nearly as long as the lesson. The idea of doctors across the nation suddenly embellishing death certificates and medical records to make a virus we HATE seem even more dangerous than it already is seems pretty ridiculous, aside from being just blatantly not true.… Continue reading What happened to all the deaths that AREN’T from COVID-19?