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If a medical student, resident, or attending colleague insisted on using the term “hearing holes” rather than “ears”, I would have grave concern regarding their fitness for this profession.

The sky is not falling.

In the most recent JAMA, I outline our priorities for a new FDA, incorporating the two guiding principles of our philosophy: gold-standard science and common sense. jamanetwork.com/journals/jama/…

Paging Dr. Gruber Paging Dr. Krause

I could not agree more w Joseph Marine and disagree w Paul Offit We MUST teach doctors the skill of critical appraisal. Otherwise, how else would we differ from an internet search or an AI bot? One of our goals at Sensible Medicine is to teach critical appraisal.

This could be the beginning of waves of closures of pediatric gender clinics even in blue states.

We are in a period of great conflicts and disruptive changes that are important to understand well. Look at the news and the changes happening in front of your eyes.  It should be clear that the monetary order, the domestic political order, and the international geopolitical

I’m not an astronomer but I can still see the sun.

A Reminder for Patients: The reason you can’t get an appointment… The reason you don’t have the same physician year after year… The reason healthcare feels colder, more chaotic, and less personal… The reason you have less and less choice in your care… It’s not because your

Whenever something just doesn’t make sense- FOLLOW THE MONEY. Right Kaiser Permanente?

This is why academic medicine is in deep trouble. They are losing touch with their colleagues in medicine. Want to open up primary care physician time? Stop acquiring primary care practices and overloading them with admin work.

We've engineered a society where every emotional ripple is a disorder, every life challenge a clinical symptom. Coincidence? Hardly. This is social engineering at its finest. The endgame? A docile, medicated population doesn't revolt—it schedules another appointment.

Viewpoint: The new benzodiazepine tapering guide emphasizes a slow, patient-centered approach to safely reduce dependence. ja.ma/4n2trAc

Even some of the horses you lead to water will die of thirst.

💔 Most people think their doctors don’t care.  But the truth is — doctors are trapped.  They can’t move freely.  They can’t escape toxic jobs.  They have no leverage.  They’re being abused by a broken system. So some are walking away from medicine. And patients? They're paying

As physicians, our job is to interpret what patients tell us and act accordingly.

All wars are bankers’ wars. ratical.org/ratville/CAH/w…