>Finally, the cardiologist you see in the office is almost certainly not doing stents for you as those are very distinct skillsets (in the US).
Umm, what? No. It's exceedingly rare for an interventional cardiologist in the US not to do office work. The average number of PCI/yr is like 50 or something. Plus if one spent all one's time in the cath lab, they'd have a spinal fusion, knee replacement, thyroid cancer, and cataracts.
But what you are trying to get at is that there is law about self-referral ("Stark law") but in reality there are exceptions that render it fairly useless
Nah, by 2021 Prasad's reputation had gone into the shitter
I actually think he's just grifting and the notoriety he achieved went to his head. His pre-2020 takes were better reasoned and at least worth engaging with. I could see his takes shifting with popular misinformation ideas in real time as it contributed to his success
IMO this is worse than if he were just wrong. I think he knows better, but then he talked himself into a box, and doesn't have the people and political skills to survive on a bigger stage.
One can make the argument that Prasad has his title of Professor due to the stature he gained with his ill-founded contrarianism and subsequent notoriety. He was promoted in 2022 at the somewhat astonishing age of 39, at a time when his actual scientific output was not particularly high
The whole thing is kind of fascinating. Some of his "skeptic" fellow travelers like Cifu and Mandrola still carry water for him. Presumably he has a champion in Bob Wachter who also likes to fly the "contrarian" flag.
COVID really brought out a lot of crazies from UCSF and Stanford
Yeah, I just literally use table sugar, which is 1:1 glucose:fructose. Maurten et al using 1:0.8, close enough! And I don't believe the hydrogel thing is any magic, just marketing.
But yeah, this is a thing. There is some gut distress for sure at higher levels of intake. See guy finishing second -- still under 2 hrs! immediately puking, which is fairly common at the high intakes. I've heard of Blumenfeld (the triathlete) taking like 200g/hr or more. Insane. Though he's had some epic GI disasters too, lol.
I didn't think so, but LLM's have taken so many tropes of a certain style of writing: the bullet points, the contradiction to make a point (not this...but that...) that when I see that style, I automatically question it
But you made actual clear points, so it didn't really feel like it, but honestly I can't be sure anymore!
I’ll give you a counter example. I had an MRI of my neck for unrelated reasons. It found a thyroid nodule with suspicious characteristics. Incidentally I had had an MRI of the same areaa few years before and it wasn’t there.
So I had a biopsy. Which was equivocal also.
So I had it out which involved removing half my thyroid. Turns out it was a cancer but like the least serious kind, in fact the classification of it as actual cancer has gone back and forth over the years
But my other half of my thyroid couldn’t produce enough thyroid hormone, and now I have to take thyroid replacement the rest of my life to start alive
Also the surgery affected my voice and I sound like RFK jr now.
I clearly suffered some harm, and even after having the thing out, it’s unclear if that was beneficial at all. A large proportion of these kind of tumors quit growing and never do anything bad. But some do. So who knows.
If one is of a certain age, of course they studied for step I without it
and the classic method was the inspiration for Anki to begin with: making your own flashcards on index cards! You could do a version of spaced repetition by shuffling the deck.
Not sure the digital version is actually easier or more effective
But I know about DI Track and Wrestling. And they're essentially off like 2 weeks a year. This forbidden stuff is a fiction.