Levels of Evidence

Published on :

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

Published on :

(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

Published on :

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 […]

The Medical Hype Cycle (The Herrell Curve?)

Published on :

When a breakthrough innovation, new test, or new treatment is discovered in medicine, its adoption often follows a typical pattern. This pattern is demonstrated graphically on the illustration below. I have adapted this concept from the Hype Cycle used to describe new technologies in business but with some important modifications. A new discovery is made […]

The AMH Syndrome

Published on :

If you’ve never heard of the Antimullerian Hormone (AMH) Syndrome before, don’t worry: I just made it up. I’ll tell you what it is in a minute. But first, let’s talk about AMH. AMH has been used by fertility clinics over the last few years as a test to determine ovarian reserve and predict fertility […]

Afraid of anesthesia? Read this … (or the story of Victoria)

Published on :

Simpson and assistants discovering anesthetic effect of chloroform Next to Pitocin, obstetric anesthesia is probably the second-most hated intervention among the natural birth community. Like Pitocin, obstetric anesthesia is blamed for excess Cesarean deliveries and various other obstetric complications, and it is also claimed by many that women who undergo pain relief during delivery simply […]