Aluminum Doesn’t Cause Autism

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I wrote a short piece recently about the safety and efficacy of vaccines that has now been read almost half a million times. Hundreds of messages, comments, and emails later, I’ve learned that I am both the best thing since sliced bread and also a horrible human being who will rot in hell. I was […]

Problem Solving: Free Your Mind

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Here was a conversation in recent car ride: Daughter: Penny has 5 children, 1st is January, 2nd kid February, 3rd is called March, 4th is April. What is the name of the 5th Me (after considerable, don’t-want-to-be-shown-up-again thought): I don’t know. Tell me. Daughter: What is the name of the 5th child. Me: I don’t know! […]

Should I Vaccinate My Child?

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A newborn with congenital rubella.  Many of my patients choose not to vaccinate their children. I welcome these patients and, frankly, love each of them. I love that they are passionate about their responsibility as moms and take the time to research and educate themselves about things that affect their kids. I love that they […]

Male Circumcision

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Egyptian depiction of circumcision from 1360 BC I get this question a lot and have avoided writing about it for some time. But, alas, we mustn’t be afraid of a little controversy on howardisms. So here goes: Should we electively circumcise newborn boys? All decisions in medicine should be made through an ethical framework that balances […]

Levels of Evidence

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If you read (or produce) scientific literature, you are hopefully aware of and use some system to appreciate how good a particular type of study is. Most “Levels of Evidence” charts organize different types of evidence into some sort of 5 tier system, with the highest level of evidence, Level 1, being the best. Level […]

The Serena Syndrome

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(Note: I have no personal knowledge of Serena Williams’ pregnancy or the care she received. This article is based on publicly available information only and many details are surmised.) Serena Williams recently had a baby. Apparently, she almost died. Here’s how Serena herself described what happened: I almost died after giving birth to my daughter, […]

Physician Competency

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Most physicians are incompetent. There; I said it. If you read howardisms on a regular basis, you might have already suspected this. Lots of evidence indicates that substandard or inappropriate care occurs in most patient-physician encounters (up to 80% of encounters). The wrong diagnoses are made far too often. Suboptimal or incorrect therapies are too […]