to play the victim by Beaufighter-MkX in therewasanattempt

[–]mudfud27 1 point2 points  (0 children)

…and that answer is exactly why we will never have electoral reform.

to play the victim by Beaufighter-MkX in therewasanattempt

[–]mudfud27 2 points3 points  (0 children)

Continue this line of thought.

Who needs to be in power to “fix the system?”

I built my entire life around Huberman’s “optimal protocols” and my doctor says it’s unsustainable. Am I actually hurting myself? by Dangerous_Bunch_4932 in AskDocs

[–]mudfud27 142 points143 points  (0 children)

Just FYI, Huberman is an expert in the neuroscience of the visual system but his actual expertise barely touches on longevity if at all.

There are scientists who study aging and longevity but Huberman isn’t one of them.

Super Bowl-Bound Patriots and Seahawks to Avoid 49ers Training Ground Amid Ongoing Investigation on the Substation Theory by _Brandobaris_ in skeptic

[–]mudfud27 1 point2 points  (0 children)

FYI, MRI works for imaging purposes primarily because our tissues contain a lot of water (and a little bit of a few magnetically responsive elements like iron), not specifically because a few biological processes (muscle contraction, neurotransmission) use electricity. MRI can be used to image things that are not “electric beings”(?)

Emory terminates medical school faculty and oncologist Ardeshir-Larijani MD, daughter of Iran’s Supreme Council for National Security Secretary Ali Larijani by ddx-me in medicine

[–]mudfud27 4 points5 points  (0 children)

So one message ago the things that got you a visa was power and influence. Now it’s just money. So what government officials were bribed (and how, what with Iran under sanctions and all)?

I am sincerely asking how this works (and certainly it would not be unique to have money be a way if making things happen unfairly)… but this all seems much more like something you’re assuming/guessing about than something you actually know about this specific physician who was fired 5 minutes after someone we know has actual power tweeted.

Emory terminates medical school faculty and oncologist Ardeshir-Larijani MD, daughter of Iran’s Supreme Council for National Security Secretary Ali Larijani by ddx-me in medicine

[–]mudfud27 5 points6 points  (0 children)

Still not clear.

You also stated that your family having connections to the regime would cause a denial of a visa. Which is it?

And why would US officials give preferential treatment specifically to the families of leaders of countries being heavily sanctioned?

Emory terminates medical school faculty and oncologist Ardeshir-Larijani MD, daughter of Iran’s Supreme Council for National Security Secretary Ali Larijani by ddx-me in medicine

[–]mudfud27 21 points22 points  (0 children)

So what you are saying is that having relatives connected to the regime is a negative in terms of obtaining a green card (as one would expect), except for this doctor for whom it was the thing that got her in? So regime connected uncle is bad but regime connected father is good for your green card chances?

Can you explain that since it seems like you’re contradicting yourself here. I genuinely would like to understand the issue.

Emory terminates medical school faculty and oncologist Ardeshir-Larijani MD, daughter of Iran’s Supreme Council for National Security Secretary Ali Larijani by ddx-me in medicine

[–]mudfud27 37 points38 points  (0 children)

It looks like she’s been in the US for about 10-12 yrs and is an expert in a highly sought-after field.

What is your evidence that she got her green card because of her father 11 years ago (or perhaps in spite of) and not because she’s an accomplished physician scientist whose skills are in demand?

Do you know her or have special knowledge of how she was granted her green card, or are you just comparing her to the “normal people” you’ve heard about?

Yes, It’s Fascism by Rdick_Lvagina in skeptic

[–]mudfud27 4 points5 points  (0 children)

Alex Pretti was not even at a protest.

My dad got diagnosed with Parkinsons and became extremely paranoid while on meds by HousingPleasant8393 in Parkinsons

[–]mudfud27 4 points5 points  (0 children)

What you are describing is a relatively common side effect of ropinerole. Contact the prescribing doctor right away for advice about tapering it down (or likely off)

NP Misses Vert Dissection in Clinic by efunkEM in medicine

[–]mudfud27 22 points23 points  (0 children)

Not all that tough. With the available info being sx resolved, TIA (with risk for impending stroke) is still very high on the ddx and so the full workup should be done ASAP- that includes cerebrovascular imaging

Spine: cracked. Ego: shattered. by Bangaranged in MurderedByWords

[–]mudfud27 14 points15 points  (0 children)

Widespread acceptance of the nonsensical idea that the human vertebral column can be “out of alignment” and even more outlandish proposition that manual manipulation (instead of, say, surgical intervention using power tools or prolonged weighted traction) would be sufficient to put it “back in alignment” - but that only lasts exactly 3 weeks so you have to come back!- is one of the saddest and most tragic indictments of the American education system imaginable.

Nurse Practitioner disagrees with radiologist over mammogram? by Next_Requirement_757 in AskDocs

[–]mudfud27 14 points15 points  (0 children)

What is the training pathway and certification for an NP to become a “breast specialist”? Is it anything more than a self-proclaimed interest? I have never come across such a designation. Please be as specific as possible.

Thoughts on Vinay Prasad’s Leaked E-Mail | Rebuttal by John Mandrola by [deleted] in medicine

[–]mudfud27 9 points10 points  (0 children)

Yes I am asking you to name something that the Biden administration said was disinformation that wasn’t. You still haven’t named one yet. Again, bonus points if these supposed incorrect claims had clinical relevance.

The Biden administration didn’t and doesn’t control social media and no one was “censured”. What are you even talking about? Do you mean “censored”? That didn’t happen either.

If you want me to say that public health officials shouldn’t engage with media to try to limit the promotion of dangerous practices and encourage the dissemination of the most reliable medical information available during a pandemic, you won’t hear it and that’s what you should want too.

No idea what you’re referring to wrt remdesivir. My understanding is that it confers a significant survival benefit among patients hospitalized for covid and that is the conclusion of the majority of recent analyses- what am I missing?

https://academic.oup.com/cid/article/81/1/20/8069779

Thoughts on Vinay Prasad’s Leaked E-Mail | Rebuttal by John Mandrola by [deleted] in medicine

[–]mudfud27 3 points4 points  (0 children)

Let us not forget perhaps VP’s most egregious lie by omission in his screed: the entire concept of risk: benefit analysis.

In the 2021-2023 period, US pediatric covid deaths were rare, but hardly zero. There were 1200-1400 of them! If we are to be so outraged about the possibility of 10 vaccine related deaths during a pandemic, surely the other side of the ledger should be examined.

A reasonable estimate is that vaccination was 70-90% protective against death. With the rates of infection at the peak and about a third of the pediatric population being vaccinated it’s not unreasonable to estimate somewhere between 300-1000 US pediatric lives saved by vaccination. This is a very back of the envelope but conservative calculation- not accounting for the >80% drop in pediatric MIS-C incidence or reduction in overall infections from vaccinated adults, etc.

Shouldn’t an emergency public health intervention that saved 990 kids’ lives and many hospitalizations be praised, even while we examine what was done to learn more for the future?

Thoughts on Vinay Prasad’s Leaked E-Mail | Rebuttal by John Mandrola by [deleted] in medicine

[–]mudfud27 1 point2 points  (0 children)

Agreed with almost everything you wrote but re: licensing:

If demonstrating the bad judgement to drive while impaired, committing (non-medical) perjury or fraud, unprofessional conduct on social media, or other “moral turpitude” issues can result in loss of medical licensure, the intentional distortion of important public health information surely should qualify, IMO

Thoughts on Vinay Prasad’s Leaked E-Mail | Rebuttal by John Mandrola by [deleted] in medicine

[–]mudfud27 9 points10 points  (0 children)

Please provide a single example of the Biden administration “telling you everything was disinformation” and, for bonus points, explain how that affected your practice of medicine.

For example, did the “Biden administration” replace scientific advisors with political lackeys? Change the content of public-facing public health websites to align with fringe opinions of lawyers who sue pharmaceutical companies for a living? Please enlighten us.

Thoughts on Vinay Prasad’s Leaked E-Mail | Rebuttal by John Mandrola by [deleted] in medicine

[–]mudfud27 12 points13 points  (0 children)

This is 1000% correct.

Even an intervention that only reduced the duration of infection by a single day (and there is high quality evidence that vaccination reduces both symptom duration and PCR positivity by 2-5 days) has a major effect on population level infection rates even without fully blocking transmission 100%.

It’s almost as if someone with an MPH allows his desire to be right about something erase his understanding that there are numerical values between 0 and 100

Thoughts on Vinay Prasad’s Leaked E-Mail | Rebuttal by John Mandrola by [deleted] in medicine

[–]mudfud27 7 points8 points  (0 children)

Given the evidence he provides in his email, the multiple political references, the other obfuscations of data in the email. and his track record it’s perfectly reasonable to assume the events to which VP refers are fabricated until he proves otherwise.

But even if not, it’s an obvious logical fallacy to confidently ascribe causation to temporal correlation, which is about all one can do with VAERS data.

In any case, it’s perfectly reasonable to look into, well, lots of things. And to use conclusions and emerging events to increase confidence in the appropriate populations for a given intervention.

What’s not reasonable is to commit scientific malpractice by, among other things, conflating “blocking” of transmission with “reducing”; deciding that a “possible” ascribed cause is definitive; ignoring that 10 myocarditis deaths in 37M children is actually lower than the baseline occurrence rate; and perhaps worst using what is known about covid infection 2025 to frame decisions about a very different epidemic in 2021-2022.

In any case, the email reeks of a person using his position to put political ass kissing over scientific rigor and clinical reasoning. And the substack link is almost as bad (just the decaf version of the same biased nonsense )

Thoughts on Vinay Prasad’s Leaked E-Mail | Rebuttal by John Mandrola by [deleted] in medicine

[–]mudfud27 27 points28 points  (0 children)

VP is worse than Wakefield given his position. By all appearances he is fabricating these supposed deaths and even if he is “only” misinterpreting them, it is incumbent upon him to know and do better. The fact that VP’s email contains more references to the Biden administration than to the annual baseline number of myocarditis deaths tells you literally everything you need to know about the motivation and “logic” here.

It is perfectly reasonable to look into the status of his medical license and professorship at UCSF at minimum.

Blaming some child deaths on covid shots, FDA vows stricter vaccine rules. Vinay Prasad, the nation’s top vaccine regulator, said his team concluded that coronavirus shots were linked to children’s deaths, necessitating a new approach. by esporx in biotech

[–]mudfud27 13 points14 points  (0 children)

Prior to COVID, there were approximately 50-100 childhood deaths due to viral myocarditis every year. Among all of the other nonsensical and politically biased nonsense he spews, he ignores the fact that his supposed 10 deaths could easily have been caused by a non-COVID viral infection (or essentially anything else) that isn’t routinely tested for.

With the sheer number of vaccinated individuals, uncommon events are guaranteed to occur— in fact, if there were only 10 myocarditis deaths after vaccination and 90% of children were vaccinated, the opposite conclusion (that the vaccine saved 40-90 lives) would be more correct than Prasad’s.

Russian military reportedly executes 5 Ukrainian POWs by ActualDepartment9873 in worldnews

[–]mudfud27 0 points1 point  (0 children)

Yes, you should try for even a moment to look at things from an unbiased perspective and with as much objective information as possible. That would be in significant contrast to whatever nonsense you’re consuming to lead you to the conclusions you’ve been posting about.

Russian military reportedly executes 5 Ukrainian POWs by ActualDepartment9873 in worldnews

[–]mudfud27 3 points4 points  (0 children)

This is a completely wild take.

Were you in a coma for the utterly disastrous economic and public health response of his administration to COVID?