Archive - Stop and Think

Good News Also Deserves Attention

The current model of attention has downsides

Apr 16 •

Co-Author Andrew Foy Weighs in on our Industry Payments JAMA Paper

Good morning friends. This is a super short note to alert you that senior author Andrew Foy has posted his opinions on our recent JAMA paper. You may…

Apr 4 •

March 2024

Our JAMA Paper on Industry Payments and Sowell's Conflict of Visions

My career in cardiology can be separated into two decade-long blocks. The first decade I practiced like most other cardiologists. I went with the flow…

Mar 31 •

Sorry for the paywall on yesterday's post

I apologize for putting yesterday’s post behind a paywall. This is the Substack default and I forgot to change it. The post is here. It is an…

Mar 18 •

Thoughts on Weight-Loss Drugs and Trust in the Scientific Enterprise

An email from a colleague nails the tension regarding use of the new drugs for obesity.

Mar 17 •

Please everyone, Stop and Think about the NEJM paper on plastics and heart disease

This will be a short post. I have read the NEJM paper on plastics and the risk of future heart events. It is a clever and interesting analysis. It has…

Mar 7 •

February 2024

Dear Colleagues ... Wake Up, You Are Being Used

I really don’t like scolds. I have hesitated to write this short piece because it makes me seem like a scold. But I can’t help myself. This week I saw…

Feb 11 •

January 2024

Trials and Expiration Dates

Three examples of previously beneficial treatments that need to be retested because the clinical situation changed

Jan 31 •

The Problem in Science and Medicine is Not at the Tails but In the Middle of the Curve

Vinay Prasad has an excellent post on Sensible Medicine about scientific fraud. He wrote about a recent Freakonomics podcast about bad science. Outright…

Jan 17 •

Coronary Artery Calcium Scans Are Not the Answer

Medical tests can never be good or bad. The problem is always the humans who misuse the test. For now, though, I argue (again) against using CAC scans

Jan 14 •

Two More Cardiology Highlights from 2023

Randomized controlled trials had a great showing last year.

Jan 10 •

Cardiology Trials - A New Project for 2024

Along with two other cardiologists, I am co-authoring a special type of cardiology project. It's textbook; but not a normal one.

Jan 1 •

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