Error in America: Of Antidepressants and Statistics

Posted on March 6, 2011 by floridadoc

“It is true that you may fool all of the people some of the time; you may even fool some of the people all of the time; But you can’t fool all the people all the time.” – President Abraham Lincoln

“There are more false claims made in the medical literature than anybody appreciates. There’s no question about that.” – biostatistician Steven Goodman of the Johns Hopkins University School of Public Health

Through two stories and examples, this article portrays three morals: (1) Honesty in research and efficient allocation of resources makes for good public policy and respects citizen’s autonomy in their decisions regarding the acceptance or denial of care. (2) We should never underestimate the profit motive’s ability to interfere with what is in the best interests of the American people. (3) Keep an open mind and don’t be so quick to believe what you read, even if it is in JAMA or The New England Journal.

Continue reading →

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Psychiatric Neuroimaging

Posted on March 4, 2011 by floridadoc

These are the slides that go along with a talk I gave recently on psychiatric neuroimaging. It will probably be most interesting to medicine people since it requires some understanding of the brain’s function and neuroanatomy but I think it’s at the level where most anyone could get something out of it.

This presentation talks about why neuroimaging is important, diagnosis of mental illness, DSM-V v. DSM-IV TR and applications of neuroimaging to schizotypal personality disorder, schizophrenia, PTSD and bipolar disorder.

Anyway, if this is your thing – enjoy!

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CT Imaging in Pregnancy

Posted on February 7, 2011 by floridadoc

These are the slides that go along with a talk I gave recently on CT imaging in pregnancy. Specifically, the agenda for the talk is:

  • Provide a background on radiation and the effects of radiation exposure
  • Discuss the appropriate use of CT imaging in pregnancy
  • Clinical scenarios

In this presentation, a background on radiation is given and indications for CT and clinical scenarios are discussed. Each slide provides journal references and helps weave the topic into a story that is both interesting and informative.

Presentation material taken from journals with overall theme based on lecture by Elliot K. Fishman, MD.

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“I’m no kin to the monkey” – The Attack on Evolution

Posted on January 26, 2011 by floridadoc

Disclaimer: This post contains material on science. Science is built around theories, which are strongly supported by factual evidence. Everything in science should be approached with an open mind, studied carefully and critically considered.

“New knowledge leads us to recognize in the theory of evolution more than a hypothesis.” – Pope John Paul II

“Biology is the study of complicated things that give the appearance of having been designed for a purpose.” – Richard Dawkins, The Blind Watchmaker

“So powerful is the illusion of design, it took humanity until the mid-19th century to realize that it is an illusion.” – New Scientist, September 17, 2005, pg. 33

One would think that in the 21st century, in the most scientifically advanced country the world has ever seen, that evolution would be universally accepted and that science would be have long prevailed over unprovable belief. However, science once again finds itself under attack and a theory supported by multitudes of corroborating evidence is being questioned based on ideas supported by no evidence at all. I’m talking, of course, about Darwin’s theory of evolution by natural selection and the challenge mounted by Intelligent Design.

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Review of Brain Tutor HD for the Apple iPad

Posted on November 24, 2010 by floridadoc

I have reviewed this iPhone medical application for iMedicalApps.com.

The full review can be read below on this site or here at iMedicalApps: http://www.imedicalapps.com/2010/11/brain-tutor-hd-makes-learning-brain-anatomy-approachable-by-combining-3-dimensional-and-cross-sectional-views-of-the-brain-ipad/

Brain Tutor HD for the Apple iPad

By Brian Wells, MS-3, MSM, MPH

Few areas of medical science remain as wondrous and mysterious as that of neurology. Indeed, I remember not so long ago sitting in a study hall with a book on neuroanatomy and a collection of class notes and pages printed from various sites on the Internet, often staring off into the field outside the study hall as I tried to visualize in three dimensions the two dimensional diagrams about which I was learning. Of course, there were models of the brain and numerous MRIs and CTs to examine but nothing which elegantly combined the information with the images, transforming 2D slice to 3D realism. This is the goal which Brain Tutor HD seeks to achieve. Continue reading →

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The Art of Medicine – Shifting the Paradigm

Posted on November 10, 2010 by floridadoc

“Any intelligent fool can make things bigger and more complex. It takes genius and a lot of courage to move in opposite direction.” – Albert Einstein

The problem with many is not that they’re ignorant, it’s just that they know so much that isn’t so and haven’t experienced a new and better way of working.

For many years, I was like a prisoner. Blindfolded. Restrained. Blindly following the prevailing dogma of how a physician should act, what a physician should carry and how a physician should study. In time, I have had a breakthrough. An epiphany. It has become clear to me that one of our the greatest hindrances is that of uninspired knowledge, that of an approach solidly grounded in a pre-data driven era. An approach with a basis in pride.

Pride is a weapon. Pride pushes people in a direction, to act for good or to act for self-interest. Who would not feel good when prompted on rounds by an off-the-wall question to be able to respond correctly? It serves self-esteem. It serves ego. It serves pride. However, we must not forget that pride can also push us in the wrong direction. For every 10 things known, there are likely a dozen or more other things not known and in that fact lies the humility that must remain at all times with even the best physicians. Continue reading →

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Review of Blausen Human Atlas Lite for the iOS platform

Posted on November 8, 2010 by floridadoc

I have reviewed this iPhone medical application for iMedicalApps.com.

The full review can be read below on this site or here at iMedicalApps: http://www.imedicalapps.com/2010/11/blausen-human-atlas-provides-beautifully-rendered-human-anatomy-and-animations-useful-for-clinicians-and-patients-iphone/

Blausen Human Atlas Lite [iPhone] – Animated Human Disease and Anatomy

Review by: Brian Wells, MS-3, MSM, MPH

Human anatomy. It’s one of the foundations of medicine and a hurdle that any aspiring clinician must surmount in his or her mastery of the basic sciences. However, whether you are an experienced clinician, a sleep-deprived medical student, or an aspiring scholar in one of the other medically-related professions, you’ll find a lot to like in this application. Continue reading →

Filed under: Apple iOS, Medicine, Reviews, Technology | Tagged: , , , , , , | Leave a comment »

Pathology and Management of Inflammatory Bowel Disease

Posted on November 1, 2010 by floridadoc

For you medical people out there, here’s a quick overview of IBD that highlights the key information you should know when discussing these diseases. Continue reading →

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Overview of hyponatremia

Posted on November 1, 2010 by floridadoc

For you medical people out there, here’s a quick overview of hyponatremia that highlights the key information you should know when discussing this electrolyte disorder. Continue reading →

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SurgAware aims to empower patients by increasing transparency of informed consent

Posted on October 26, 2010 by floridadoc

I have reviewed this iPhone medical application for iMedicalApps.com.

The full review can be read here: http://www.imedicalapps.com/2010/10/surgaware-aims-to-increase-transparency-of-surgical-informed-consent-a-laudable-goal-iphone-app-review/

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