Archive - Stop and Think

Why I Changed My Mind About Preventing Heart Disease

I have changed my mind about a lot of things over the past two decades of practice.

Nov 26, 2023 •

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, 2024 •

Electrophysiology is on the brink of a possible disaster

A flawed study with positive results has sparked enthusiasm for implantation of left atrial appendage devices during AF ablation. it is a potential…

Nov 19, 2024 •

Politics and Medicine is a Bad Idea

Two recent academic articles on policy issues made me Stop and Think about what Medicine and Science is for.

Aug 3, 2023 •

Thoughts on the MAHA Movement

Robert F Kennedy, Jr will face confirmation hearings today.

Jan 29 •

Politics and Clinical Care

I poked a hornet's nest with a (public) suggestion that clinicians should remain apolitical on social media

Aug 7, 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.

Mar 31, 2024 •

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

I really don’t like scolds.

Feb 11, 2024 •

Restoring Gold Standard Science is Far More than Stopping Fraud

Some brief thoughts on the call for Gold Standard Science

May 25 •

If only critical appraisal was this good for *all* studies

JAMA published a study showing major benefits of a pill given to patients after heart attack. Instead of celebration it has received serious criticism…

Oct 30, 2023 •

I Might Have Been Wrong About Pulsed Field Ablation for Atrial Fibrillation

Emphasis on "might"

Sep 22, 2024 •

The Future of Medical Information

Perhaps we are at an inflection point for the dissemination of medical information

Jan 2 •

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