Shared decision making in cases of conflicted evidence

An interesting article titled “When clinical evidence is conflicted, who decides how to proceed? An opportunity for shared decision making,” appears in the October 2015 issue of JADA (vol. 146 issue 10, pp. 713-714) and written by Arthur H. Friedlander and et al. The article discusses the concept of shared decision making “…particularly necessary in dentistry at this juncture, given recommendations but inconclusive data available to support abandoning the provision of prophylactic antibiotics to patients with total joint prostheses.” I have previously talked about shared medical decision making in the blog post The Well Informed Patient The article talks about how historically patients were expected to consent to the recommendations of their doctors without much discussion. However, since this is not enough to be legally and ethically correct shared decision making can be used which is a “…collaborative process encouraging patients … Read more

Reads like a Dentist’s Advertisement

I periodically like to check out the wisdom tooth page over on Wikipedia. Recently I came across the talk page which has an interesting comment near the bottom written on September 3, 2012, “There is very little discussion of how common it is to have wisdom teeth, and how often wisdom teeth pose no problems if left alone. Nor is there adequate discussion of how often extraction is necessary when they do pose problems. Some lip service is paid to it in the “controversy” ghetto, but in the end the discussion of the “controversy” is equivocating and unclear. As a whole, the article conjured up the image of an eager, pushy dentist insisting that, “Yeah, buddy, wisdom teeth are a huge problem! It may not seem like it, but it’s bad – trust me, I know these things – … Read more

Graduated College Students Having a Tough Time

I have previously discussed how college students today who graduate are having a tough time. See for example the post Medical School Student Costs in the U.S. are Affecting Mental Health,the post College Conspiracy and United States Hyperinflation, the post Astroturfing And How Your Thoughts Are Being Manipulated by Corporate Interests, and the post Let’s Give our Kids a Chance to Succeed. Below is a nice infographic that helps to describe the problem in more detail. Created by:

Ed Leedskalnin on Education

Here is a very intersting quote by Ed Leedskalnin on education I came across from  “You know we receive an education in the schools from books.  All those books that people became educated from twenty-five years ago, are wrong now, and those that are good now, will be wrong again twenty-five years from now.  So if they are wrong then, they are also wrong now, and the one who is educated from the wrong books is not educated, he is misled.  All books that are written are wrong, the one who is not educated cannot write a book and the one who is educated, is really not educated but he is misled and the one who is misled cannot write a book which is correct. The misleading began when our distant ancestors began to teach their descendants.  You know … Read more

Why People Who Google and Search Online For Health Information Just Don’t Get It

I find the current state of affairs on the internet to be extremely disappointing and discouraging. Recent research by the Pew Research Center’s Internet and American Life Project and the California HealthCare Foundation (CHCF) “…found that 80% of Internet users look online for health information, making it the third most popular online pursuit among all those tracked by the Pew Internet Project, following email and using a search engine.” The instance a person goes on the internet they are bombarded by conflict of interest after conflict of interest. Many young people today turn to Google to conduct searches to find information online (of course other search engines such as Bing exist). The way search works of course is to enter some keyword or keywords you have in your mind about what you want to search for.  Well this is when … Read more