Tuesday, December 14, 2004

Just curl your toes and die... have a nice day!

I am not too enamored with stuff like this. I will readily admit that in some cases the medical profession orders too many tests as a result of medical practices that perhaps have not been scientifically challenged of late (indulgence of the rich or defensive medicine are other possible secondary issues). PSH levels for detecting prostate cancer is one example of a particular test that is currently undergoing an evolution.

However, Hadler seems much more like a weird medical libertarian who is trying to show that "they" panic the people into an overt fear of disease... you should just accept it and you will be much happier for it. From my reading of reviews, it doesn't really seem like he is backing up his findings with a lot of epidemiological data (in which, it appears, he is not formally trained)... although I could be wrong, but then again, I am not aware of many studies that would support this position. Avoid mammography and cholesterol screening? There was one study a few years ago that seemed to poo-poo mammography, but it was shot with so many hole it suffered a quick death. This is a *rheumatologist* who thinks osteoporosis and lower back pain is just a natural part of aging... who the hell would want this guy as their doctor?!?


"Well Miss Smith, I see from your DEXA scan that you have worsening osteoporosis. Diagnosis: you're and old lady. Treatment Plan: Get used to it... See ya in a year with a broken hip. Bye now!"
Of course, there is an error in that scenario... he wouldn't have ordered the DEXA in the first place. I mean, there is a reason this is so controversial right? I guess that's the way to a quick buck... get some sort of degree, build a reputation, and then whore your intellectual honesty to make a controversial statement in a book that lacks evidenciary support but sounds populist... kinda like Michelle Malkin (except she didn't even bother with the degree part as far as I know...)

1 Comments:

At December 14, 2004 at 10:01 PM, Blogger DHP said...

Actually, he was Harvard-trained but now he is at UNC... not cool.

 

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