More in Science


30 days

Patients Don't Want to Make Decisions

By now you would think that since we are living in the world of patient autonomy and patient centered care that all patients want to make decisions when it comes to their care. Unfortunately, research indicates otherwise. Yet, we continue to hear lots about new digital tools, platforms and portals that claim to help patients do what they really don't want to do.

30 days

Saturated Fat: Weighed, Measured, and Found Wanting

A stunningly good, extraordinarily comprehensive paper on the health effects of saturated fat in our diets has weighed them in every relevant way, measured them with every pertinent metric, and found them wanting. There are no saturated fatty acids shown to be better than “harmless at best,” and those we consume most often and abundantly in fatty meats, processed meats, fast foods, dairy and processed dairy products are decisively worse than that. They are bad for us.

1 month

Medicine and Metaphor

I am an equal opportunity doubter. I doubt the teachings of my own conventional medicine, knowing how readily we succumb to the transgression of close-mindedness, welcoming only news ensconced within the confines of our native comforts and conventions. I doubt the teachings of so-called Complementary and Integrative Medicine (CIM) as well, having seen them wander into the realm known pejoratively as “woo,” and perpetrate the opposing transgression: a mind so open that brains flop out.

1 month

The Vegan Argument

Can we say whether or not a well balanced, vegan diet is best for human health? I will tell you the answer momentarily, but first- reasons for posing the question now.

1 month

Medicine for Another Day

A “new era” in medicine does not come along very often. We had one, perhaps, in 1854 when John Snow effectively invented the practical applications of epidemiology by removing the handle from London’s Broad Street water pump. We had one about 50 years prior when Edward Jenner discovered the prevention of smallpox with vaccination. We had one when the value to public health of basic sanitation was first sorted out; we had one when micronutrients were discovered to cure and prevent various deficiency syndromes; and we had one when Alexander Fleming and a bit of serendipity combined to discover penicillin, and usher in the antibiotic age. 

1 month

Zip Codes of Medical Destiny

When the PURE diet study papers roiled headlines around the world recently, I wrote an admittedly lengthy analysis. I didn’t feel I had much choice; the publications encompassed three distinct research papers, reams of data, and a whole lot of what proved to be mostly misguided interpretation of the findings by the media, and the investigators themselves. Getting the story sorted out reliably involved some heavy lifting, and considerable verbiage.

1 month

Personalise Patient Decision Support Systems

A clinical decision support system (CDSS) is a health information technology system that is designed to provide physicians and other health professionals with clinical decision support (CDS), that is, assistance with clinical decision-making tasks. A working definition has been proposed by Robert Hayward of the Centre for Health Evidence: "Clinical decision support systems link health observations with health knowledge to influence health choices by clinicians for improved health care". CDSSs constitute a major topic in artificial intelligence in medicine.