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There are recurring howls in my work. One of them is this: in general, if you don’t know which intervention works best, then you should randomise everyone, everywhere. This is for good reason: uncertainty costs lives, through sub-optimal treat
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As doctors, we love to think we are intelligent, rational, thoughtful and caring human beings, and we take pride in our profession and the privilege and status it accords. We like to hold our heads high, puff out our chests, speak with authority and
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The school year is back in session, and our student health center is busy. As a college health doctor, I have been able to watch the rollout of the Affordable Care Act (ACA) among this population. Since its passage, more of our students are now ins
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When we think about the technology revolution, we often get excited at the thought of getting what we want instantly. We wait in line for new smartphones. We instant message. We love fast. Getting something done faster, with as good a result, is usu
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It is the beauty of evidence-based medicine (EBM) that a scientist can at once be a Pope and a Galileo. His transmutation is as effortless as it is discretionary. If you think you’ve met Galileo #8212; a rebel, a free thinker, a rocker of the establ
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Growing up during the 1970’s and 80’s, Little House on the Prairie was an iconic part of my childhood. Doc Baker was the physician and veterinarian for all of Walnut Grove, in spite of limited resources. Medical lessons were everywhere in the belo
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#8220;I#8217;ve had 40 years in the air, but in the end, I#8217;m going to be judged by 208 seconds.#8221; This is a line spoken by Tom Hanks, who played the title role of Captain Chesley #8220;Sully#8221; Sullenberger. I remember being on Twitter o
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Like much of America, my family is obsessed with everything Hamilton. We jammed to the soundtrack all summer. The season culminated with a late August trip to the show which I described on social media as the best day of my life. Seeing the show, th
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