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Why Is Vitamin D Hype So Impervious to Evidence?
Low levels of vitamin D are linked to myriad health conditions, but supplements have never delivered in a randomized trial. Why aren't clinicians and patients persuaded by the data, asks John Mandrola, MD.
Experts And Viewpoints, February 17, 2022
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This Doc Still Supports NP/PA Led Care … With Caveats
The rise in nurse practitioner- and physician assistant-led care will not be undone, according to this doctor who sees it as a good thing as long as training and experience are not neglected.
Experts And Viewpoints, January 24, 2022
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Vaccine-Induced Myocarditis Concerns Demand Respect, Not Absolutism
With more reports of mRNA COVID-19 vaccine myocarditis, parents and young adults should be allowed to weigh the vaccine decision with their clinicians without being tarred as antivaxxers.
Experts And Viewpoints, July 01, 2021
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Why Long COVID Worries Me
Researchers and clinicians focused on long-haul COVID or postacute sequelae of SARS-CoV-2 infection should remember our oath to first, do no harm.
Experts And Viewpoints, April 05, 2021
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Study Showing Masks Aren't Harmful May Do More Harm Than Good
The quest to debunk irrational beliefs is foolish and may exacerbate mistrust in science rather than persuade the mask doubters, says John Mandrola, MD, about a recent research letter in JAMA.
Experts And Viewpoints, November 03, 2020
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We Can't Ignore the Harms of Social Distancing
With the emphasis on social distancing and mitigating the effects of SARS-CoV-2, John Mandrola, MD, asks that we don't forget to add iatrogenic deaths to our final tally.
Experts And Viewpoints, May 01, 2020
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Dear Gilead: Please Add a Placebo Arm to Remdesivir Trial
A randomized trial of the antiviral remdesivir for the treatment of COVID-19 is underway but its open label design and lack of a placebo control raises concerns for John Mandrola, MD
Experts And Viewpoints, April 13, 2020
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COVID-19 and PPE: Some of Us Will Die
A storm is coming, and the new fear is the shortage of personal protective equipment, warns John Mandrola, MD, of the COVID19 pandemic as some hospitals bar physicians from complaining.
Experts And Viewpoints, March 20, 2020
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Will the Coronavirus Pandemic Trim the Nonsense?
'From the beginning of this pandemic, I have felt a smallness to much of what I do in electrophysiology,' admits John Mandrola, MD.
Experts And Viewpoints, March 12, 2020
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Independent NPs and PAs: A Doc's View
Nurse practitioners and physician assistants increasingly manage patient care independently. While professional physician organizations cry foul, this doctor is not alarmed.
Experts And Viewpoints, January 22, 2020
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Have We Missed the Hidden Cause of Medical Overuse?
A recent book suggests that we?re programmed to value the rituals of caring even when there is no obvious medical benefit. John Mandrola, MD, sees a lot of such low-value conspicuous caring in medicine.
Experts And Viewpoints, January 28, 2019
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The Year?s Most Important Study Adds to Uncertainty in Science
One data set, one question, yet 29 research teams came to varying findings. John Mandrola, MD, learns that how the data are analyzed is an oft-ignored important factor in evaluating studies.
Experts And Viewpoints, November 02, 2018
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The Physician Behind the PREDIMED Retraction
Dr John Mandrola interviews Dr John Carlisle about the methodology he uses to uncover previously unrecognized flaws in randomized controlled trials.
Experts And Viewpoints, July 25, 2018
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Yes, There Is Low-Value Care in the Very Ill, Despite MIT Study
Mandrola and Prasad fear that a study showing high cost of care at end of life but little ability to predict who will die will be misinterpreted and worsen the crisis of end-of-life care.
Experts And Viewpoints, July 13, 2018
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How Hubris Impairs the Care of the Elderly
Some conditions in older adults warrant treatment; some do not. The wise physician knows the difference.
Experts And Viewpoints, June 08, 2018
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When Evidence Doesn't Persuade
Dr Mandrola debated stenting in stable CAD. He had data on his side, but his opponent triumphed with pictures of scary-looking blockages. Why is the plumbing analogy of CAD so difficult to dispel?
Experts And Viewpoints, May 01, 2018
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In Defense of Less-Is-More
Cardiologist and New England Journal of Medicine correspondent, Lisa Rosenbaum, MD recently critiqued the less-is-more in medicine crusaders. One such crusader, Dr Mandrola, respectfully disagrees.
Experts And Viewpoints, January 09, 2018
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Freedom of Speech Is Also Needed in Health and Medicine
Suppression of alternative ideas and healthy debate is not just a college campus issue--it's affecting medicine too, warns Dr Mandrola.
Experts And Viewpoints, October 30, 2017
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A Corrosive Force in Medical Care
Are RVUs slowly but surely killing the art of medicine?
Experts And Viewpoints, October 20, 2017
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The Last Remnants of the Crumbling Ivory Tower: Social Media Changes Everything
Will social media be the last straw to bring the ivory tower down? Dr John Mandrola lists the reasons.
Experts And Viewpoints, June 13, 2017
