Practice Tyranny

As founder of EBM, Dr. David L. Sackett wrote in his paper, Evidence Based Medicine: What It Is and What It Isn’t, “best practices” constitutes more than just evidence-based information gleaned from the scientific literature: “Good doctors use both individual clinical...

The Lancet Elephant

Part 2: Practitioners vs. Academic Elitists The Lancet panel was foremost an ensemble of the “evidence-based medicine” (EBM) advocates who apparently placed little regard on “practice-based evidence” (PBE) gleaned from empirical clinical work. As such, the panelists...

The Lancet Elephant

Part 1: Blind Researchers Established in 1823 by its founder, Thomas Wakley to improve hospital reform, the historic British medical journal, The Lancet, on March 22, 2018, published a three-part series on Low Back Pain compiled by 31 leading researchers and...

Medical Titanic

The tragic sinking of the behemoth RMS Titanic was a story of bad leadership to follow warnings and design errors such as the lack of life boats that led to the deaths of 1,524 passengers and crew. If you will, that tragedy parallels the failure of the medical spine...

Quiet Epidemic

A recent newspaper headline on Nov. 2, 2015, caught my eye warning that “Something Startling Is Happening to Middle-Aged White Americans.” This article reviewed a study co-authored by a 2015 Nobel Prize winner who spoke of a “lost generation” of Americans whose future...