All Comments

  • Nell on Wheels { Just checking ;-P. Happens to all of us… } – May 25, 8:06 PM
  • David Gorski { That’s not what the urologists I know tell me about laparoscopic approach, most of whom do prostatectomies laparoscopically, although some of them are using the… } – May 25, 8:03 PM
  • estockly { Well I’ll be. Above you agreed that each individual should choose the weight loss diet suitable for them. Which is what I’ve always said. The… } – May 25, 8:02 PM
  • David Gorski { D’oh. Time flies.Oh, well. } – May 25, 8:01 PM
  • David Gorski { The point is that it can be presumptuous, self-deluding, intellectually bereft and highly counterproductive to be making assumptions about the kind of person you are… } – May 25, 7:59 PM
  • CC { Points for rudeness +++++ } – May 25, 7:57 PM
  • CC { Persistent infection has been demonstrated in mice, in ponies, dogs and primates. While animal studies cannot be directly compared to humans, the fact that persistence… } – May 25, 7:52 PM
  • weing { “The problems from 1996 remain” Are you expecting these problems to disappear? What is needed is vigilance and exposure of these practices when they appear. } – May 25, 7:40 PM
  • CC { If you are asking for a human study, it should be pretty obvious that invasive tissue sampling is not done on human subjects. Persistent infection… } – May 25, 7:33 PM
  • joan { I live in Taos, where the woo folks actually apologize, and ask to be forgiven for having to take an antibiotic…. } – May 25, 7:29 PM
  • Pmoran { One problem with the attitude that you are supporting, Simba, is that it encourages intellectual laziness. Here is one way that works. Positive feed-back from… } – May 25, 7:23 PM
  • MadisonMD { Also, the “true LCHF” diet I advocate is an ideal weight loss diet. No one is suggesting that we evolved to eat an ideal weight… } – May 25, 6:51 PM
  • estockly { They are pointless digressions, and I maintain that my summary of the evolution of the ability to digest lactose as adults by some humans from… } – May 25, 6:30 PM
  • johnnyboy { “What I don’t understand is your unwillingness to admit that first, second, third … steps have already been taken.” If the first, second, and third… } – May 25, 6:18 PM
  • araikwao { A gynae onc surgeon I met recently was looking to train with the robot purely for the ergonomic benefits. I hadn’t thought of that as… } – May 25, 6:03 PM
  • Drey Pavlov { What part of “it is changing course, you are just jumping in late in the game and deciding it isn’t changing quite fast enough for… } – May 25, 6:03 PM
  • Drey Pavlov { Oh really? How about today’s post? https://www.sciencebasedmedicine.org/should-placebos-be-used-in-randomized-controlled-trials-of-surgical-interventions/ Or this one: https://www.sciencebasedmedicine.org/legislators-want-pharmaceutical-cost-transparency-are-they-asking-the-wrong-question/ Or this one: https://www.sciencebasedmedicine.org/less-benefit-more-risk-our-assumptions-about-health-treatments-are-probably-wrong/ Or this one: https://www.sciencebasedmedicine.org/who-statement-on-reporting-clinical-trials/ Or this one: https://www.sciencebasedmedicine.org/psychology-and-psychotherapy-how-much-is-evidence-based/ Or this… } – May 25, 5:59 PM
  • Drey Pavlov { As to your comment about CAM, fine go ahead bash them. It reminds me of worrying about a burnt out taillight when your car has… } – May 25, 5:52 PM
  • Drey Pavlov { As I said in my other comment, these are not questions that can be answered in any meaningful way over the internet in short comments… } – May 25, 5:51 PM
  • Drey Pavlov { The problem is that your suppositions are not particularly illuminating. Firstly, I cannot answer your question to any sort of reasonable satisfaction. There is a… } – May 25, 5:45 PM
  • johnnyboy { “So you would denigrate the small battles that have been won?” Not at all. I applaud them. Doesn’t alter the fact that the war is… } – May 25, 5:42 PM
  • Drey Pavlov { I had missed that. Thanks Simba. Seems that the line is when they are a bit mean. Then it is OK to “medically abandon” them…. } – May 25, 5:33 PM
  • Nell on Wheels { …this weekend seems like as good a time to do so again, given that just last week the BMJ published a systematic review of the… } – May 25, 5:28 PM
  • Drey Pavlov { Peter is fractally frustrating. In every way imaginable. The amount of doublespeak and doublethink coming out of him is staggering. You are spot on that… } – May 25, 5:23 PM
  • Drey Pavlov { No they aren’t pointless. The fact that you think they are is part of your problem. And your description of lactase persistence is still incorrect,… } – May 25, 5:18 PM
  • weing { I’ve proposed some of the same solutions. But who am I? I’m just a clinician, not even a researcher. This all takes money. Lot’s of… } – May 25, 4:44 PM
  • weing { “The examples given in this article are small battles won. The war is still being lost.” So you would denigrate the small battles that have… } – May 25, 4:38 PM
  • estockly { With no glucose in the blood humans would not be able to survive. Are you the same estockly that wrote last year that carbs are… } – May 25, 4:34 PM
  • johnnyboy { Many of the problems were identified 20 years ago. Let’s not pretend many of the solutions haven’t already been proposed. Horton touches on many in… } – May 25, 4:28 PM
  • Windriven { What I don’t understand is your unwillingness to admit that first, second, third … steps have already been taken. And that is why I question… } – May 25, 4:27 PM
  • Morten Lange { I must say, I had hoped for a bit more science-based discussion here, and a consideration of the evidence on bicycle helmet promotion and strong… } – May 25, 4:23 PM
  • johnnyboy { “Some of us have spent hundreds of hours talking about this stuff…….” By all means, keep talking about how well you are all doing. Just… } – May 25, 4:16 PM
  • Sawyerrr { While it doesn’t always turn out this way, I’m quite happy to learn that people who I consider huge douches simultaneously don’t have the evidence… } – May 25, 4:14 PM
  • weing { “The bad news is that nobody is ready to take the first step to clean up the system” The first step is recognizing there is… } – May 25, 3:41 PM
  • johnnyboy { What part of “The bad news is that nobody is ready to take the first step to clean up the system” don’t you understand? Supertankers… } – May 25, 3:33 PM
  • MadisonMD { This is why most here would not put most credence in single studies. The tried and true method is to systematically review multiple convergent lines… } – May 25, 3:10 PM
  • Windriven { Funny you mention Ioannidis who is as close to a patron saint as you’ll find in this community. Odd too that you ignore the many… } – May 25, 2:29 PM
  • estockly { I used to say “every cell” but a nit-picking commenter somewhere along the way posted links to papers showing that some cells in some organs… } – May 25, 2:02 PM
  • MadisonMD { Again another pointless question.Directly relevant to your claim that we can discern the optimal healthy diet from evolutionary arguments. If so, and if carbohydrates were… } – May 25, 2:02 PM
  • johnnyboy { “…….in fact the whole of your commentary here – is inconsistent with the facts.” Not so, unless I’m to believe your “expert opinion.” I prefer… } – May 25, 1:53 PM
  • estockly { >>There have been Secretaries of Agriculture who I doubt could tie their own shoes. Earl Butz leaps to mind. And who do you suppose was… } – May 25, 1:43 PM
  • Sawyerrr { ” It reminds me of worrying about a burnt out taillight when your car has a blown motor.” I really need to start my own… } – May 25, 1:42 PM
  • DevoutCatalyst { The ‘loud pipes save lives’ claim has been ridiculed by the motorcycling press, that’s where I picked it up from. Your analysis seems spot on…. } – May 25, 1:22 PM
  • Windriven { Johnnyboy, your reply – in fact the whole of your commentary here – is inconsistent with the facts. You have built a ‘when did you… } – May 25, 1:20 PM
  • johnnyboy { “…… it is an ongoing problem that contemporary scientists and medical researchers have done extensive work on, for decades, bringing these issues to light.” Precisely,… } – May 25, 12:54 PM
  • Simba { Classic distraction. “Forget about the problems with the things I like, look over there!” “Officer, why are you wasting your time arresting me for stealing?… } – May 25, 12:50 PM
  • WLU { All of these people have offered their suggestions. That’s where you are getting their names from. The suggestions they have published in the peer reviewed… } – May 25, 12:38 PM
  • WLU { So quackery can’t be criticized until real science is perfect? Why? Why can’t we point out that homeopathy can’t work, reiki doesn’t work, and acupuncture… } – May 25, 12:35 PM
  • WLU { CAM only has light shone upon it when a real scientist shows up with a flashlight. Truly you are the Morlocks of science. } – May 25, 12:34 PM
  • WLU { Hardly burning down – there is ongoing debate about the medical literature, in the broadest terms, to try to identify ways to make science more… } – May 25, 12:33 PM
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