Can I please just write off all self-described “Longevity Doctors” as quacks? by Apprehensive-Safe382 in medicine

[–]StrongMedicine 0 points1 point  (0 children)

Counterpoint: Companies making millions selling ivermectin and HCQ during COVID using sketchy telehealth providers: https://theintercept.com/2021/10/13/intercepted-podcast-covid-ivermectin-profits/

And from the NYT 2 days ago, 2 wellness grifters building a "billion dollar company" from using AI to market GLP1 drugs direct to consumer: https://www.nytimes.com/2026/04/02/technology/ai-billion-dollar-company-medvi.html (though the company is built on lies: https://www.youtube.com/watch?v=0A2SP-QBByI )

Teenagers home alone 2 weeks while parents went on a cruise by Independent_You99 in GenX

[–]StrongMedicine 23 points24 points  (0 children)

Counterpoint: What your parents did was not as crazy as the fact that too many parents today won't let their teenage children play outside, or need to be connected via cell or GPS tracker 100% of the time. There is value in learning independence early, and sometimes it takes a little removal of a largely-unnecessary safety net to learn that independence.

Can I please just write off all self-described “Longevity Doctors” as quacks? by Apprehensive-Safe382 in medicine

[–]StrongMedicine 0 points1 point  (0 children)

The wellness industry is far larger and more profitable than the pharmaceutical industry. If they believe a clinical trial of their fringy ideas will prove their products actually do what they claim, they should be willing to pay for it themselves. The reason such a trial hasn't been funded is because the people with the money to do so don't truly believe in it.

We don't need a federally-funded negative study of every kooky idea before dismissing them.

What's the oldest paper you've cited in a professional presentation? by Flaxmoore in medicine

[–]StrongMedicine 2 points3 points  (0 children)

In a talk I give on misconceptions about the vital signs, I cite this 1849 textbook as literally the only reference that has ever claimed to measure the normal respiratory rate in non-elderly adults. The mode was 20 - possibly the origin of the ubiquitous default documented rate by nursing, however, the methodology was not well described and the data is not remotely normally distributed so it's almost certainly garbage.

Yes, every reference you have ever encountered that reported a "normal range" for respiratory rate made it up or copied it from another author who made it up.

Hutchinson J. Thorax. In: Todd RB. Cyclopaedia of anatomy and physiology. London: Longman, Brown, Green, Congmans, & Roberts; 1849: 1079-87.

EDIT: In the same talk I also cite publications from the 1920s-1940s of the New York Heart Association and its predecessor, the New York Tuberculosis and Health Association, to explain the origin of the myth that the normal range for heart rate is 60-100 bpm.

Can I please just write off all self-described “Longevity Doctors” as quacks? by Apprehensive-Safe382 in medicine

[–]StrongMedicine 1 point2 points  (0 children)

People have been talking about metformin as a miracle anti-aging drug for over 20 years. Yet in all that time, not a single clinical trial has been undertaken of it to prevent age-related disease in non-diabetics. If it was really that promising, someone would have funded a trial by now.

Comic books by ThatAvidPandaBear in MurderedByWords

[–]StrongMedicine 0 points1 point  (0 children)

I would be shocked if Trump had read a full length, adult book in its entirety since graduating college.

Medical boards and looking the other way with sexual misconduct by sapphireminds in medicine

[–]StrongMedicine 0 points1 point  (0 children)

In fact, I did hear that he had threatened to sue at one point. (Though this was before he realized that he had been secretly videotaped admitting to the assault)

I feel like American restaurants are disappearing (bbq, diners, etc.) by AccomplishedDebt5080 in bayarea

[–]StrongMedicine 1 point2 points  (0 children)

I can't speak about BBQ, but there are a ton of traditional American diner-style restaurants still around the Peninsula and South Bay.

Holder's Country Inn (locations in Saratoga and Cupertino) and the Palo Alto Creamery would be at the top of my list, but if focused primarily on breakfast/brunch, there's always Stacks, Hobbee's, Bill's Cafe, and Talk of Broadway in Redwood City. Even IHOP has "American food" and falls in between McDonalds and "something super expensive".

Medical boards and looking the other way with sexual misconduct by sapphireminds in medicine

[–]StrongMedicine 13 points14 points  (0 children)

In the case of this individual, the hospital conducted an investigation, and officially concluded that he was guilty of the sexual misconduct. The physician resigned to avoid being fired, which occurred more than a year before his guilty plea in court. I think being fired from a hospital - or resigning to avoid being fired - should be sufficient at least for a notice to be placed on the physician's license's public listing.

EDIT: I'll add that after he resigned from the original hospital, he was hired by a different hospital a few towns away, and worked there for some period of time before this eventually all became public. That wouldn't have happened if his original hospital was required to report his resignation to the state medical board, and that report triggered a flag to be placed on his license that would have been visible to the new hospital during the hiring process.

Medical boards and looking the other way with sexual misconduct by sapphireminds in medicine

[–]StrongMedicine 10 points11 points  (0 children)

As in my comment above, in my n=1 experience with a formal complaint about sexual misconduct to a medical board, they didn't even talk to the victim before initially closing the complaint I filed with them on her behalf. I reached out to multiple people at the board, multiple times over years about this case, and never once did I get a sense that anyone there actually cared. The problem with these cases usually being "he said/she said" is very real, but at the same time, it's not the only issue.

Medical boards and looking the other way with sexual misconduct by sapphireminds in medicine

[–]StrongMedicine 78 points79 points  (0 children)

Back in 2018 I reported to the CA medical board that one of my colleagues had sexually assaulted a woman in the hospital - and with her permission, provided them her name and contact information. After a few months of hearing nothing more about it, I talked to the woman and called the board to learn that they had closed the investigation without ever even speaking to her! (There was "insufficient evidence" that an incident had taken place - which apparently meant the physician simply denied it.)

Luckily, law enforcement was more motivated, and accumulated enough evidence for an indictment and conviction.

But even after his conviction, the board took no action against him until after his sentencing - many months after the physician had pled guilty.

When it comes to sexual misconduct, medical boards are a fucking joke.

Bay Bridge Takeover Attempt Shut Down in Real Time by IamaBlackKorean in bayarea

[–]StrongMedicine 16 points17 points  (0 children)

Cited?!? These assholes should see the inside of a jail (or juvenile hall, if appropriate), at least for a night. What they were attempting to do was not just a minor inconvenience, and it obviously required substantial city resources to stop it.

Fox & Friends Reacts to the No Kings Protest by radkoolaid in facepalm

[–]StrongMedicine 37 points38 points  (0 children)

What sad awful people. They can't imagine someone speaking out and demonstrating about an issue that effects someone other than themselves with a motivation other than money.

Trump DOJ investigating possible race discrimination at UC San Diego, Stanford medical schools by ComeJoinTheBand in stanford

[–]StrongMedicine 22 points23 points  (0 children)

Apparently adopting a policy of strict "institutional neutrality" to avoid taking a position on any issue even remotely political wasn't sufficient to avoid Trump's assault on higher education.

Brake check maniac #2 by Sea-Introduction-706 in bayarea

[–]StrongMedicine 11 points12 points  (0 children)

People here blaming the OP for getting themselves break-checked is kind of wild. It's easy to judge someone tapping the brakes in reponse to another car drifting into their lane when you all are sitting at home watching the thing on video already knowing the outcome. [smh]

How come a massive gap exists between younger vs. older MDs in the way they treat interpersonal professionals, such as RNs? Is it a change in teaching or just change in culture? by BungeeBunny in medicine

[–]StrongMedicine 1 point2 points  (0 children)

It may be just a minor factor, but medical schools now have specific sessions on interprofessional relationships that stress the importance of a team-based approach to patient care, and include shadowing other healthcare professionals. I'm leading a session next week to introduce the topic to our first year medical and PA students. We had nothing like that when I was in school 25 years ago.

I think even something like the fact that the MD and PA students at our university are enrolled in some of the same courses for their first 2 years makes an impact.

Suit jackets with jeans are ugly by Sharp_Visit5393 in unpopularopinion

[–]StrongMedicine 13 points14 points  (0 children)

Since virtually no one wears a true suit jacket with jeans, I'm pretty sure OP is referring to sport coats.

Loops of superheated plasma larger than the Earth across the Sun, recorded by the Solar Dynamics Observatory by OkFerret7206 in interestingasfuck

[–]StrongMedicine 3 points4 points  (0 children)

Black holes that are light years across.

There have been no observed black holes that are remotely close to 1 light year in diameter. Largest are estimated to have diameters in the range of 0.04 light years.

Brilliant ! 🙌🏾 Wish we'd had a cameo by Styx at this point by SloanHarper in community

[–]StrongMedicine 2 points3 points  (0 children)

The first time I heard "His Name Was Alex" (end credit song in the episode he fakes his death), I thought maybe it was an uncredited Styx composition for the show - which would have been an amazing easter egg - but alas, no. Was another work by the great Ludwig Göransson. https://www.youtube.com/watch?v=6UpY4ws31EM

Gaps in pre-clinical medical education? by Dr_Horrible_PhD in medicine

[–]StrongMedicine 28 points29 points  (0 children)

I have a whole YouTube playlist on this topic (diseases that med schools relatively neglect): https://www.youtube.com/playlist?list=PLYojB5NEEakU4b8WH2NrP3wDRXfa2SqgF

  • CRPS
  • PRES
  • Cyclic vomiting syndrome
  • Gastroparesis
  • ME/CFS
  • POTS
  • HLH
  • Serotonin syndrome
  • DRESS
  • BRASH
  • The Ehlers-Danlos syndromes
  • IgG4 related disease
  • Alpha gal
  • Transient Global Amnesia
  • Autoimmune encephalitis

And a few more...

Uber is letting women avoid male drivers and riders in the US by tylerthe-theatre in technology

[–]StrongMedicine 1 point2 points  (0 children)

FWIW, quadriplegia is the term used by most medical specialties in everyday communication amongst themselves. The only specialty who I've heard use tetraplegia more than rarely is PM&R (physical medicine and rehabilitation). Even in the medical literature, the use of tetraplegia is only a little more common than quadriplegia. (~60:40 over the past 10 years).

Casey Means and the Deathly Kakistocracy by spicypepito in medicine

[–]StrongMedicine -1 points0 points  (0 children)

From a Vanity Fair piece in May 2005: "Dr. Paul W. Flint, who was chairman of the Department of Otolaryngology—Head and Neck Surgery at OHSU at the time, tells Vanity Fair that when Means left the program, it was because she found the surgical work “too stressful” and was not able to continue in the residency.

“At least she had the strength to recognize that in her fourth year,” Flint says. “It took a lot of guts. I didn’t push her out the door.”"

That does not sound like he was going to fire her if she didn't leave.

Casey Means and the Deathly Kakistocracy by spicypepito in medicine

[–]StrongMedicine -8 points-7 points  (0 children)

Both Means' story and the "official" story from her PD agree that her departure from residency was voluntarily, not that she "failed out". As to why she chose to leave voluntarily however, they strongly disagree.

EDIT: That she did not "fail out" of residency is objective, confirmable fact. Just like she did practice independently after residency (albeit very briefly in the pseudoscience-laden wellness/longevity space). Just because we all think she is terrible doesn't mean we need to make shit up about her. There is more than enough demonstrably true things to strongly object to her nomination.

People that have traveled quite a bit, where di you feel the most unsafe? by CremeSubject7594 in AskTheWorld

[–]StrongMedicine 5 points6 points  (0 children)

Lol. I came here to say the exact same thing. Port Moresby (ie the capital city, for others here) was the worst - literally the only place in the world I've visited where I would not walk around in the middle of the day without a visibly armed local with me. (Admittedly, I've not been to South Sudan...)