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Latest Issues

Is an mRNA vaccine the best way to treat melanoma? We don’t know.

Last week, the news media and internet were abuzz about a trial conducted jointly by Moderna and Merck. The study compared a combination of pembrolizumab and an mRNA-based individualized neoantigen therapy with pembrolizumab alone in treatm...

2 days ago
46
2

Guidelines: The Good, the Bad, the Ugly

Guidelines have become ubiquitous. In 2024, 289 guidelines were published in the United States, a 29% increase from 2023, with the American Society of Clinical Oncology leading the list with 19. They are influential, often driving citations...

3 days ago
67
14

This Fortnight in Medicine XXXIII

Coronary-Artery Revascularization before Elective Major Vascular Surgery

Discontinuation of statins for primary prevention of atherosclerotic cardiovascular disease in adults aged 75 years or older (SAGA/SITE): a multicentre, open-label, p...

4 days ago
34
15

Lecture 4 - How not to be fooled

I notice that someone was angry that we are re-posting old episodes BEFORE we post the new ones. Just a reminder, we said we would do this! We will make the old ones available for free, and then post the new ones. Bear with us.

In the mean...

5 days ago
61
8

Choosing the Wrong Patient When it Comes to Left Atrial Appendage Closure

Many of you know that I am not convinced that percutaneous left atrial appendage closure benefits patients. The six trials against standard oral anticoagulation (OAC) simply do not reveal a net benefit in stroke reduction or bleeding.

But...

6 days ago
105
12

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Authors

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  • Sensible Medicine
  • John Mandrola

    Heart rhythm doc, writer/podcaster for @Medscape, learner, cyclist, married to an #HPM doctor. #MedicalConservative. The more you see, the harder medicine gets

  • Vinay Prasad MD MPH

    Hematology Oncology Medicine Health Policy Epidemiology Professor

  • Adam Cifu, MD

    Internist, professor, patient. Author: Ending Medical Reversal; Symptom to Diagnosis; Sensible Medicine. Podcasts: S2D & Clinical Excellence.

  • Dr. Lucy McBride

    Primary care doctor & bestselling author here to dispense fact-based, practical advice that fits your life. Health isn't about having all the answers; it's about asking better questions—of yourself, and of the people responsible for your care.

  • Andrew J Foy

    Associate Professor of Medicine and Public Health Sciences at Penn State Hershey Medical Center and College of Medicine

  • Against Medical Advice

    I am an internal medicine physician, teacher and writer. I write about the human side of medical care, paradoxes in medicine, and how to improve education. I am currently working on a book about the strange science of blood pressure.

  • Alex Lickerman, MD

    Former faculty at the U of C, now running a direct primary care medical practice called KerixHealth.

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