5 ms·
Haha. This is an incredibly polite reply, sharpened to a very fine point. I'm grateful I have something to contribute to a site that I've gotten an incredible
by dumbneurologist 9y ago
Haha. This is an incredibly polite reply, sharpened to a very fine point.
I'm grateful I have something to contribute to a site that I've gotten an incredible amount out of. And it's a powerful reminder that very very smart people can have a hard time critically appraising medical claims. As powerful as the internet is, medicine is really complicated, and it's easy for doctors to forget that.
I'll let the surgeon speak for him/herself, but for my part: I am raising the issue of industry size and quackery to give other readers context. It doesn't make the article wrong necessarily, but I would want to have that context as a non-expert reader trying to understand how it fits into the larger body of scientific understanding. And I would say yes, that does happen (and is appropriate to have happen) in scientific discourse.
On a related note: one amazing site that isn't well known is the OpenPayments[1], maintained by the US government. If you live in the US and have doctor, you can see how much compensation they received from industrial sources. Some of the numbers are shocking. Put your own doctor in, and see where they are. There is no need to resort to conspiracy claims when you can audit them, to some degree, yourself.
The physician mentioned in the article, Dr. Paul Harch, has received $74.48. So way to go Dr. Harch! we can worry much less about getting a skewed opinion based on a industry payments.
But weighing against that is his CV, which lists publications with "D Amen", who I suspect is Daniel Amen - an overly-credulous hyperbaric oxygen physician who has his own page on quackwatch[2], and subscribes to medical theories that are even less credible than the ones in newsweek. When Mehmet Oz[3] is an endorsement on your web site (Amen; not Harch), the public is justified in putting you in the same category. Farther down the CV is "Department of Defense trials for hyperbaric oxygen and TBI: issues of study design and questionable conclusions", wherein I'm predicting he single-handedly dismantles a large federal study of whether HBO is useful for traumatic brain injury. Feel free to find the original article and independently appraise it, if you think it's worth your time... I can barely find 10 minutes to pay back a favor to a good-natured community that has taught me a lot about computers and programming.
Finally: let's not lose sight of the incredibly good thing that happened for this child. Regardless of how or what or why, this is an exceptional outcome, and it's fantastic for this child. I only wish it wouldn't create false-hope for families who are less fortunate, but have thousands (or tens of thousands) of dollars to blow on questionable treatments and false reason for hope.
1. https://openpaymentsdata.cms.gov/ https://openpaymentsdata.cms.gov/
2. https://www.quackwatch.org/06ResearchProjects/amen.html https://www.quackwatch.org/06ResearchProjects/amen.html
3. https://www.youtube.com/watch?v=WA0wKeokWUU https://www.youtube.com/watch?v=WA0wKeokWUU
- epmaybe 9y agoI personally prefer propublica's Dollars For Docs data visualization and search features of the open payments dataset, it seems more fluid. However, it does not have the recent update for 2017 that open payments has. As a medical student I appreciate you all commenting here, it also helps those of us with a general understanding put things into perspective. https://projects.propublica.org/docdollars/ https://projects.propublica.org/docdollars/
- asfaltboy 9y agoPretty amazing! I wish there was Dollars for Docs in Europe (and the rest of the world)! Apparently, "the disclosures were required under the Physician Payments Sunshine Act, a part of the 2010 Affordable Care Act" [1], I hope this doesn't get reverted in the new non-affordable act. [1]: https://www.propublica.org/article/about-the-dollars-for-docs-data https://www.propublica.org/article/about-the-dollars-for-doc...