tag:blogger.com,1999:blog-7323692122514281455.post4291651788817039782..comments2024-03-22T17:05:55.267-04:00Comments on MD Whistleblower: Medical Myths Exposed: Do We Want Truth or Zeus?Michael Kirsch, M.D.http://www.blogger.com/profile/07555280388086931097noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-7323692122514281455.post-74066176206007485632011-12-27T05:32:12.073-05:002011-12-27T05:32:12.073-05:00comments on practices or myths:
yes;disagree;no; d...comments on practices or myths:<br />yes;disagree;no; depends on who you are and what you eat; prevention is better than the cure; too many variables; not important; not important if you look after yourself but only very few do;not important; n/a, n/a; depends on the type of examination; mammography can cause cancer; learning to eat and shit correctly is the course of action but few will ever achieve; the person has to take control and manage their back; yeh right -NO!whytemanhttps://www.blogger.com/profile/09625245369419294962noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-34925392183886023722011-07-12T21:40:06.872-04:002011-07-12T21:40:06.872-04:00@anonymous, you have no quarrel with me. Search &#...@anonymous, you have no quarrel with me. Search 'AMA' on this blog and you'll see we have similar views on this organization.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-51954374552827891902011-07-12T20:49:51.648-04:002011-07-12T20:49:51.648-04:00The AMA is by far the biggest PAC on the block. I ...The AMA is by far the biggest PAC on the block. I can't take your complaining seriously.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-29508826501847697212011-06-25T10:09:34.894-04:002011-06-25T10:09:34.894-04:00Thanks, Robert for your point of view that it is a...Thanks, Robert for your point of view that it is a 'myth' that academic medicine is pure. I sincerely hope you will follow this blog and contribute.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-71198036130141111652011-06-24T10:10:42.285-04:002011-06-24T10:10:42.285-04:00I am an associate professor of Internal Medicine a...I am an associate professor of Internal Medicine and have been teaching in the same medical school and working in the same county hosptial for 25 years. I have taught about the myths you listed. One theme I have had over the years is that medical schools do not teach medicine. Rather, they indoctrinate students and residents into the medical industrial complex. They systemiatically teach what is false becasue what is false brings money to them and to those who support them. I had a letter published in the NY Times on April 17. In that letter I said that academic medicine is backward and corrupt. Until academic medicine is reformed, and perhaps until academics in general is reformed, we will continue to go in circles with our myths. <br /><br />W. Robert Graham, M.D.W. Robert Grahamnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-3613385339703164482011-06-04T08:55:14.243-04:002011-06-04T08:55:14.243-04:00Thanks, Mark, for your comment. I suspect that mo...Thanks, Mark, for your comment. I suspect that more men have been harmed by PSA testing than have been saved by it. Most of these men would have lived out their natural lives with silent prostate Ca, that would have never made them ill. The complications and expense of overtreating are self-evident. To my knowledge, we do not have a reliable method to target those men who are destined for severe disease, assuming that intervening would change the natural history here.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-37581673244428294882011-06-04T07:18:27.664-04:002011-06-04T07:18:27.664-04:00PSA screening definitely prevents deaths from pros...PSA screening definitely prevents deaths from prostate cancer - witness the 40% decline in U.S. age-adjusted prostate CA mortality since the introduction of PSA testing in 1990, as well as results from the European Randomized Screening for Prostate Cancer study. Problem is, the median age of death from prostate cancer is 80. So, many of the men who don't die of prostate cancer because of PSA testing probably end up dying of something else at the same age, and overall mortality may not be affected. The argument could be made that almost anything is better than dying from prostate cancer.<br /><br />Take-home message for me is that PSA screening has to be applied more judiciously: start earlier (40), stop sooner (70), and screen lower-risk men less often (every 3-5 years). One of the public health tragedies of the past 20 years is that more men in their 80's are being screened with PSA testing than are men in their 50's.Mark Faasse, MDnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-40300256378386926192011-05-31T12:00:20.635-04:002011-05-31T12:00:20.635-04:00It truly is incredible...then when you consider so...It truly is incredible...then when you consider some of the "less" established procedures and how they become the standard of care...the costs are staggering.franhttps://www.blogger.com/profile/01395674044023845297noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-34214440470802432652011-05-31T00:32:24.122-04:002011-05-31T00:32:24.122-04:00Myth, myth, myth, myth, myth...yup all myths. Thin...Myth, myth, myth, myth, myth...yup all myths. Think of the money that would be saved if people would just forgo your list.<br /><br />That said...I wish my kid were in a smaller class.Toni Brayer, MDhttps://www.blogger.com/profile/15258759363309666629noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-36718398025794749962011-05-29T10:07:19.285-04:002011-05-29T10:07:19.285-04:00@AB, very erudite. I had to google your foreign p...@AB, very erudite. I had to google your foreign phrase. Good to hear from you again. Missed you last week. MKMichael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-24685509034497236602011-05-29T09:37:05.538-04:002011-05-29T09:37:05.538-04:00Was it Frederick II who wrote, "Nuance, toujo...Was it Frederick II who wrote, "Nuance, toujours nuance"?A. Baileynoreply@blogger.com