Discover and read the best of Twitter Threads about #medicalconservative

Most recents (4)

After a few days to go over the #EXCEL 5 year results published in @NEJM and thinking hard about @DrMoritzWvB tweet on IC and cardiac surgery seeing things quite differently, here are a few thoughts. Glad to hear your thoughts
@tssmn @ctsnetorg @EACTS
1/30
2/ Congratulations to the investigators for an outstanding RCT! Important question and results, which will have an impact on guidelines. The protocol was powered for non-inferiority of the composite outcome at 3 years, and congratulations for following these patients to 5 years
3/ why were p-values for secondary outcomes reported selectively? e.g. for revascularization, but not others?
Read 34 tweets
A few words on #prevention.
When I rail against prevention, some assume I am not interested in preventing disease.
This is not true. I am.
I found this paper from @JuanGrvas et al that helps explain my tension about prevention.
cadernos.ensp.fiocruz.br/csp/public_sit…
This article discusses the precautionary principle as it relates to screening and prevention of disease. Here you have 2 concepts--additive preventive measures and reductive preventive measures--taken from G Rose.
I love reductive measures. Avoidance of bad stuff--smoking, donuts, French fries, driving a car too much etc. @nntaleb calls this via negativa artofmanliness.com/articles/via-n…
Read 10 tweets
Thread 1/n Le hype autour de l#Applewatch et de son dispositif de détection des fibrillations atriales (FA) est en train de s'étendre très vite et nous donne un avant-goût des dégâts de l'apporche Big data de la santé. En tant que #medicalconservative je vais tempérer ce hype.
2/n Le hype repose sur trois piliers, à mon avis, des piliers non explicites mais qui jouent un rôle majeur dans l'argumentaire et qui sont de l'ordre des représentations: 1- la technologie c'est merveilleux 2- la technologie "sauve des vies"
3/n 3- le consommateur A LE DROIT d'accéder à tout ce qui peut être consommé et qui suscite son désir.
Read 18 tweets
Twitter thread coming on what @adamcifu @VPrasadMDMPH @AndrewFoy82 and I think is the BEST approach to pt care. This is ...
The Case for Being a Medical Conservative.
amjmed.com/article/S0002-…
Thanks to the @amjmed for publishing this.
This started when @AndrewFoy82 wrote me a rough sketch of the medical conservative's approach after a journalist criticized those of us who are too skeptical of new therapies.
We begin by stating that the #medicalconservative is not a hater, non-believer or nihilist.
Read 18 tweets

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