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Ash Paul David Spitzer alf collins Margaret McCartney greg fell FFPH Sebastian Rees Richard Sloggett NHS England Dr Nikita Kanani (she/her) Susan Bewley 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic @CraigNikolic David Oliver (also on Blue Sky) Royal College of General Practitioners Victoria Tzortziou Brown Lord Bethell Professor Adam Taylor Uni Fribourg Arnaud Chiolero The Lancet Over-diagnosis was first introduced as a term in the 70s. Over 40 years of countless articles, trials, reviews, conferences, and books have failed to overcome the lure of “early is always best” What more will it take? Another 30 years of teaching EBM?: cebm.ox.ac.uk/news/views/cel…

If only

One of their targets is my daughter. Currently in a shelter with no reception. Countless other family and friends too. Not a nice feeling at all

What challenges do over-testing and over-diagnosis pose for healthcare? What is the impact of the increased use of AI? Join @Jomcpeake22 Natalie Armstrong @augstcharlotte Flo Doo, MD and Zoë Fritz (also on Mastadon) to discuss. Register: ths.im/48JSVvk

Probably the best result accessible summary of the present state of play regarding PSA testing. Many thanks. Margaret McCartney bbc.co.uk/sounds/play/m0…

Aaaaaargh

Can we assume that funding for assisted dying will have to be through charities, like hospices?

Our paper, published today in The BMJ, highlights concerning trends in direct-to-consumer testing that pose risks to consumer safety bmj.com/content/387/bm… Patti Shih Tessa Copp Annette Pluddemann David Ransohoff Steven Woloshin

Extraordinary: Raoult’s damaging paper on hydroxychloroquine for COVID-19 finally retracted. So grateful to all the people who helped with the RECOVERY trial, allowing us to debunk the myth of hydroxychloroquine for severe COVID-19 science.org/content/articl…

Spotify's Daniel Ek's latest bit of tech is Insta-friendly Neko Health. Its full body scans are a "health check for your future self". Tech enthusiasts are applying mechanistic thinking to complexities of the body. But its not so simple as Margaret McCartney & I explain for UnHerd

Important paper. The term CKD can cause so many problems

Fully agree

T Callum Williams @medicalmodelwithabriochebun 4/ then what you’re doing isn’t medicine. Medicine only begins when you take responsibility for uncertainty. Which is why although I could teach almost anyone to stick a needle into the CSF if I shouldered responsibility for the consequences, only someone trained in dealing with

I found the news story this is based on. 28-year-old with generalized anxiety disorder and history of clot. Smartwatch said elevated heart rate, asx. CT showed PE. Here's what we don't know: if the PE is incidental, i.e. some tiny sub-segmental PE that has nothing to do with

How and when to use blood tests for dementia: TL, DR — outside of research not (yet) in people who don’t have symptoms. Pleased to contribute to this piece in the The Observer theguardian.com/science/2025/f…

Social Media Posts About Medical Tests With Potential for Overdiagnosis jamanetwork.com/journals/jaman… Institute for Musculoskeletal Health Wiser Healthcare Sydney Health Sydney Health EMCR University of Sydney

theguardian.com/society/2025/m…

Private healthcare is associated with higher costs and higher rates of over diagnosis and over treatment. From 2019 bmj.com/content/361/bm…

"elevated cholesterol" 0.1 above reference range yet another issue with "routine" blood tests sigh

Superb summary of the challenges of cancer screening