Med Students Must Stop Performing Pelvic Exams on Unconscious Women Without Their Consent 

Please note: This blog contains descriptions of sexual assault. “Recent reports of medical students performing pelvic exams for training purposes on anesthetized women without their consent”—or their knowledge—“have produced a firestorm of controversy and calls for greater regulation.” However, that “burst of public outcry” was in the mid-1990s. California was the first state to make […]

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“An Outrageous Assault”: Pelvic Exams by Med Students on Anesthetized Women 

Please note: This blog contains descriptions of sexual assault. From Heart Failure, a book I wrote about my time at Tufts University School of Medicine: “I am all gloved up, fifth in line. At Tufts, medical students—particularly male students—practice pelvic exams on anesthetized women without their consent and without their knowledge. Women come in for

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A Longer Life on Statins? 

What are the pros and cons of relative risk, absolute risk, number needed to treat, and average postponement of death when taking cholesterol-lowering statin drugs? In response to the charge that describing the benefits of statin drugs only in terms of relative risk reduction is a “statistical deception” created to give the appearance that statins

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The Real Benefits of Statins and Their Side Effects 

A Mayo Clinic visualization tool can help you decide if cholesterol-lowering statin drugs are right for you. “Physicians have a duty to inform their patients about the risks and benefits of the interventions available to them. However, physicians rarely communicate with methods that convey absolute information, such as numbers needed to treat, numbers needed to

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Are We Being Misled About the Benefits and Risks of Statins? 

What is the dirty little secret of drugs for lifestyle diseases? Drug companies go out of their way—in direct-to-consumer ads, for example—to “present pharmaceutical drugs as a preferred solution to cholesterol management while downplaying lifestyle change.” You see this echoed in the medical literature, as in this editorial in the Journal of the American Medical

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Should You Take Statins? 

How can you calculate your own personal heart disease risk to help you determine if you should start on a cholesterol-lowering statin drug? The muscle-related side effects from cholesterol-lowering statins “are often severe enough for patients to stop taking the drug. Of course, these side effects could be coincidental or psychosomatic and have nothing to

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Fiber or Low FODMAP for SIBO? 

It may not be the number of bacteria growing in our small intestine, but the type of bacteria, which can be corrected with diet. When researchers tested more than a thousand patients suffering for longer than six months from symptoms typical with irritable bowel syndrome (IBS), such as excess gas, bloating, diarrhea, and abdominal pain,

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The Validity of SIBO Tests 

Even if we could accurately diagnose small intestinal bacterial overgrowth (SIBO), if there is no difference in symptoms between those testing positive and those testing negative, what’s the point? Gastrointestinal symptoms like abdominal pain and bloating account for millions of doctor visits every year. One of the conditions that may be considered for such a

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