Medical Reversal in 2023 | Why doctors advice flip flops

[@domgreco7]

People are not looking for perfection, they're looking for honesty. That is what we're lacking.

[@cactuscanine3531]

Gotta disagree, people want to hear what they want to hear, not the truth.

[@katygroening1692]

When I went in for my last physical, a med student (doctor) gave me a flu shot commercial. At least he was somewhat honest as to why: they had them in stock (and presumably needed to sell them).

[@devinklassen9769]

Your philosophy degree now makes a lot of sense in how properly critical you are about medicine/science. I did law instead of medicine (which was tempting) but my undergraduate was a philosophy degree. It suffices to say the pandemic time was excruciating the most illogical, irrational, fallacious types of behaviors from "expert" to "neighbor" that I'd ever seen condensed into such a period of time.

[@paulbarclay4114]

it only makes sense if you try to analyze it from the basic assumption that they were not intentionally trying to cause the greatest amount of damage possible in all sectors, from economic, to health, to regulatory. If you look at it from the perspective that it was all intentional and they created cv then all of their actions are perfectly logically coherent and intentional.

[@ybrueckner5589]

Yikes a lawyer watching this! We are all hosed…except for plaintiffs🦭🦈 but I do agree with you 😊

[@tallard666]

@@paulbarclay4114 It has nothing to do with "damage" and everything to do with profit motive. The Medical Industrial Complex has zero interest in your health, it's only stated objective is to maximise its profits.

[@paulbarclay4114]

@@tallard666 yes thata why pfizer funded so many lobbying groups to get it mandated Dont be naive Pfizer funds the entire us govt

[@LawofImprobability-2]

@@ybrueckner5589 He's not the only lawyer watching this (though I wanted to become a doctor when younger).

[@dm299]

Vijay, From about 15 to 20 minutes, your audio is not coming through. Maybe re edit that part quickly before more people watch this video. Good content.

[@Fortune-z1i]

Mysterious forces at work? Silencing this quack can only be a good thing.

[@lowbarbillcraig3689]

Who's Vijay?

[@mirandashuwera3389]

I came to the comments section to say exactly this...🥴👍

[@devdroid9606]

I have experience with two claims of "reversal"made here and I'd like to comment on them as follows. 1) steroid injections are not primarily done as a treatment for spinal stenosis. Often patients with lumbar spinal stenosis also have a formainal stenosis as well and if a surgical decompression is being considered, it can be helpful to do a selective nerve block to provide some additional corroboration as to which nerve root or level of the spine is likely causing the pain. Some patients are inoperable and at the end of life, so any relief they can get may be helpful. But, that the effect wears off quickly is not important because it's foremost a diagnostic procedure. 2) anti dust mite pillow and mattress envelopes are designed to reduce the ability of dust mites to penetrate into the mattress and proliferate. They are not all uncomfortable plastic, but tightly woven fabric with sealed zippers. A helpful practice is to vacuum your bedroom under the bed and around it, as well as the mattress (even with sheets on) using a vacuum cleaner with a HEPA or other good filtration system, and to wash the sheets frequently.

[@kimfleury]

And steam clean with a handheld steamer following the vacuuming. I do have to deal with water stains, but nobody sees those under the sheets, and it's what has helped me more than vacuuming alone.

[@devdroid9606]

@@kimfleury yes. Good point. Vacuuming is not to kill the mites. It only removes the dead skin which mites feed on. It is a quick and easy measure in between washings and heat treatment.

[@tallard666]

He didn't say they didn't work, he said the worked via placebo effect.

[@tallard666]

As for beds, sleeping on plastic is truly disgusting. These things should be un-invented!

[@jonathanvanderwoude6332]

I know this isn’t a talk specifically about spinal stenosis, but my injection allowed some pain free months to do PT and build core strength. So the injection facilitated changes that led to better quality of life.

[@tallard666]

He didn't say they weren't "useful", he said their benefit was placebo effect. So had you had the fake injection, you would have similarly been able to spend a few months building your core strength.

[@bloepje]

@@tallard666 I think he said that dumb injection seem to have no difference in result as a standard solution. However we are individuals. The hospital echoed my shoulder to see calque buildup on my tendons, probably caused by a chronical inflammation of which the breaking caused an acute severe inflammation. They gave me a choice to either do shoulder training at a gym or get a steroide shot on location. So I chose to go to the gym. These are problems where you can't use RCT results because it's just a very specific issue. So in this specific case it might have been helpful due to the reasons of his pain. But you are right, the result of the RCT says that as a general rule it doesn't help at all. In this case I would ignore the result.

[@Will-yz7oi]

At the 12:20 mark, the audio becomes very difficult to understand. Be a good idea to fix this. Cheers! :)

[@davidcosby8873]

Re dust mite RCT: My experience makes me question the control. A proper control should replicate no protection. Protectors keep moisture and skin (mite food) out of the mattress and pillows. I removed my protection in summer 2019 and used a new blanket (full of starch, ie food), and by autumn i was so ill I could hardly cope plus tinnitus so loud. After removing the blanket, the next morning I felt 50% better. It was then that I started the process of figuring out why I was sick. Dust mite allergies was a stress on my body. My immune system was so overtaxed, my D3 and B12 close to zero. Fast forward 4 years with D and B and I have never been healthier in decades.

[@sherry3661]

RCT should be the first mandate of any proposed medical or surgical study. Without exception!

[@damnyankeesdaughter5427]

The steroidal injection did not help me at all, they insisted I take it. I assume because the only other things that helped me were opioids :/ and soaking in very hot water. Since that time I had the opioids taken away and I can’t soak in the tub because I can’t get up off of floor level, I’m on my own. But on a happy note I didn’t get a fungal infection in my spinal cord 😊

[@dedetudor.]

Yes... God bless you... I remember when those injections from New England labs were contaminated with mold.

[@damnyankeesdaughter5427]

@@dedetudor. I feel so bad for those who were affected. God bless you too

[@tallard666]

I tried 4 different back cinching braces. The 4th one was firm and easy to cinch up. I wore it sleep for a week, and started living again, and stopped all my meds. It was glorious. But most back support braces are atrocious.

[@damnyankeesdaughter5427]

@@tallard666 I got a few from the orthopedic, for me it was an off/on procedures all day to find any comfort. But not enough that warranted the on/off procedures all day. I had an infuse bone graft with rods and pins. Magnesium helped the nerve damage pain a bit though.

[@kimfleury]

The concern expressed by the questionner at the end is concerning. He wants to know how he can stop people from coming up with their own ideas about health, medicine and medical practices. The answer is: You can't. People who don't know much about it have always existed. They're not growing stronger, as you believe. You just hadn't paid attention to them until now. But I think at its core it's a matter of control and micromanagement that the questioner is concerned about. He's the _Expert_ and people who haven't been trained but still have ideas about their own health are a threat to his power. And that's a worse threat than ordinary people believing the stuff you think is nonsense. I don't mind teaching science to people who aren't gifted in science. I do mind when students who are gifted go on to become idiotic control freaks wasting their gifts.

[@virginicaanderson1569]

You can sense in his unnecessary interjection he is not a gentleman, but he is right, because he is not! He has got the Dutch self-assurance of the captain of the KLM crash in Tenerife. He was the face of the airline and noone was entitled to question his decisions. The same exceptionalism and I see it increasingly in healthcare where I work. The accident led to change in the airline culture and has cut accidents. We need a similar approach in healthcare where we see the trend in opposite direction despite increase in spending.

[@tallard666]

Trust in science HAS gone down Childhood vx HAVE gone down (whether you agree with the principle or not) This is due to an increased number of resistance. Vinay's answer is perfect, when scientific communications fail, people's distrust in scientists increases. This is no mystery.

[@Alex-ee5pl]

I was reading a book and the author went into detail about pumping saline into a Tobagan soldier who died as a result. Saline contains no oxygenates, and interferes with clotting. It's actually quite effective at killing people with internal bleeding, which is why it's no longer indicated. I felt very embarrassed for him, I wonder if he ever even realized

[@ChrisCapoccia]

Very interesting question at the end about responsibilities in light of criticism of establishment fueling conspiracy. Might be worth a deeper dive in its own video

[@drscott1]

Unfortunately, half of this lecture has a serious problem with the audio.

[@lisaburke2778]

Great talk. I have been practicing since the late 80s. Patients love tests and love to take medicine and equate that with “good” medical care. Often times do nothing is the best answer. What we “used to do” we no longer do. Moreover, patients do not understand disease etiology at all (wash your hands, cover your cough, stay home when sick is too complex for many) and what to expect with an illness (you will still be congested or still be coughing on day 5 of your cold, antibiotics wont fix this; there is an expected course of illnesses and inconvenience will not change that).

[@jamesleem.d.7442]

Retired surgeon here to clarify that properly performed gastric resections are hardly "barbaric procedures". That's a canard that internal medicine folks like to throw around as part of their traditional b.s. that says "surgeons are just mechanics but we internists are the brains". In fact, these elective operations on the stomach were stopped by us just as soon as histamine blockers became effective, but we still had to operate emergently (for massive bleeding) after medical treatment failures until the final understanding of this disease evolved and led medicine folks to use antimicrobial treatment. Your excess hyperbole when making wisecracks about other specialties is usually mildly amusing but it not rarely telegraphs the fact that you are way out of your lane way more than necessary.

[@darlafitzpatrick8770]

I'd love to see you critique prostate cancer treatment. Why is chemical castration the U.S. standard of care? There seems to be no good evidence that blocking androgens does anything for the patient except ruin his quality of life and introduce new problems like high blood pressure, extreme fatigue and visceral fat. Do doctors really believe that hormones are optional? I'm married to one of these patients, who had always appeared to be ten years younger than he is, because he was healthy, active, vibrant, and slender. Now he's unable to climb a flight of stairs without getting completely out of breath. And we can find no clear evidence that eliminating testosterone has any therapeutic value. The only short-term benefit it seems to have is that it shrank the gland prior to radiation. The radiation treatment was successful and he breezed through it with few side effects, and follow-up PSA and other tests are looking good, but the ongoing ABT has greatly reduced his ability to enjoy a post-cancer life. The treatment seems barbaric, absurd, and utterly unnecessary.

[@andrewnelson3681]

Interesting story. Thank you.

[@HEDGE1011]

Thank you Dr. Prasad. My undergraduate degree was in biology and I considered medical school. Instead I became a US Air Force pilot and then an airline pilot. I’ve now been flying professionally for 37 years and have done a lot of aviation safety work and this analysis is very relevant to other industries, hence my gratitude. Over and over in this industry changes have been made, mostly for the better. There have repeatedly been knee jerk or personal pet policies implemented though that are not a net improvement and may be retrogressive to safety or efficiency of operations. A frequent issue is someone wants to address a problem and implements a solution that on the surface seems to solve the problem with little or no thought given to downstream effects of the new policy or the problems created by the change. Certainly the regulatory agencies are similarly reactionary. My point to you is that your discussion is more widely applicable than you may even realize, and I appreciate your thoughtful analysis.

[@Idrinklight44]

When people understand that diet from birth, is the most important metric, except Love........we are pretty lost as a species.

[@transkryption]

Where do I buy this love you speak of?

[@virginicaanderson1569]

You either have it or you don't, really!

[@tallard666]

We should be breast-feeding until second dentition. It's no wonder people are growing up with so many disorders.

[@mysurfing3550]

The sound gets really bad in the middle

[@jishcatg]

At 12:09 it seems to jump ahead to a slide and the audio is almost impossible to understand. It also seems to start flying through slides really fast and I'm not sure they sync with what Dr. Prasad is talking about.

[@FixItStupid]

@@jishcatg @ 24 Min In Got Better

[@gregrich91]

My sis went to MSU at the same time as you, and my second dad specializes in leukemia and gvhd. Small world.

[@ElTemible1810]

Wow a philosophy undergrad degree. It all makes sense now. Appreciate all your work, Doc.

[@devinklassen9769]

most underrated degree

[@cheviotsue]

I don't know if you are aware Vinay, but there is something wrong with the sound a few minutes into this video

[@vSwampFox]

Speaking of slow progress. Regardless of how your cancer is treated. If you have Stage 4 cancer, we’ve only increased lifespan chance by 5% in the last 60+ years.

[@claudeyaz]

I wanted to post a comment but KZbin sent me some sort of community guidelines strike warning, so I'll probably email the story to you later.. thanks for the videos

[@orlovszki]

Man, I am a simple pond builder guy. Why on earth do I have to spend my time listening to things I have no clue about, just because I had the experience with doctors lured into the COVID histrria.,

[@reneotter]

please correct the sound after 12: min

[@svalentina3075]

The audio gets really bad right around 12 minutes

[@chrisclark8169]

Very interesting talk - great topic - spoiled by very poor quality audio from 12:22 to 22:15. That's a big chunk of the talk missing...

[@judiumstead5484]

I just want my doctors to stop saying but the "guideline says" IDNGAF about your guideline when the drug you want to give me only has an Absolute risk reduction of 1% and side effects that increase my risk of dying of said risk the pill was supposed to stop. scaring ppl with relative risk stats and not absolute stats is disgusting and ingenuous and should be seen as mal practice and lack of informed consent.

[@DavS827]

Is there any place we can access the slides? The audio was so poor in the latter half of the presentation - having the slides will help.

[@fiasco2003]

There is a strong echo effect on the sound from around 12 minutes to around 24 minutes. This needs fixing. The video is pretty much unlistenable as it is, for that major part. Otherwise, this is excellent content of course. A real shame about the sound issue.

[@carlosgaspar8447]

touch screens don't work very well when wet, when the old style keyboard does.

[@chebbohagop]

12:08 Sound quality changed drastically - assuming it was the fault of the venue where the lecture was recorded

[@olibertosoto5470]

The sound went submarine in this video.

[@LesCish]

I saw a patient last week who had undergone an EC-IC (extracranial-intracranial) bypass. I'd seen these done in the mid 80s until more rigorous evaluation revealed no benefit. Hmm, maybe after 30+ years something is better? No, latest RCT in 2023- no benefit. Good evidence is essential but uptake by docs is equally important.

[@tannermurphree8247]

Vinay we spend mostly on the wrong things for the same reason someone who neglects oil changes ends up buying a new motor instead of 5 oil changes. If you could give away half of the money spent on futile procedures/treatments and actually spent it on what’s needed to preempt the problems, half the people would not participate.

[@Star-iy1gp]

Love your videos. Could you resend this? About 12 minutes in your voice is echoing something went wrong with the sound

[@larrytuft9782]

Sound quality deteriorated to terrible

[@indianasb59]

12:00 At about that mark, your video becomes hard to hear and suddenly speeds up. I have re-played it over a couple of times and it does the same.

[@АлександрСафронов-ю8ъ]

modern car is the same shit as old car because it doesnt resolve mobility problem

[@user-ty2uz4gb7v]

The audio died or got corrupted. Can you re-upload so we can hear the important information.

[@quitecapable]

Great talk, but the vw example was a wrong one, the chip programming trick had the effect of reducing green house gas, but enabled them to meet carbon particle standards more easily. Those standards may well have been arbitrary, or counter productive, but they were the law.

[@quitecapable]

Whoops, and now I see I forgot to mention the NOx, my conclusion same as above, but technically wobbly... And ironically the same place the medical snake oil comes from.... Ie getting out of one's lane, going off half cocked, repeating uninformed comment... We all do it.... Thank God some people like you make an effort to correct it.

[@jrbush1]

It’s funny, you should support doing similar studies in the areas you think we should spend more money on. My understanding of early childhood education spending is, any benefit from it is lost by the second grade. We spend trillions of dollars on primary and secondary education-is more money the answer? Shouldn’t we compare states with high spending with states with low spending? Shouldn’t we study it?

[@Anne28456]

Such a good discussion. Too bad sound quality became so bad half way through. Couldn’t understand

[@thomasharvanek2411]

Love you Vinay but stay away from auto mechanics 😁

[@tallard666]

The failures of science teach us so much more about science than the success narratives. The problem in today's world is we have thousands and millions of IFLscience (I fukin love science) fan clubs who blindly clap for any scientific news, and this has ruined critical thinking. Science is not something to be applauded, it is something to be thought on.

[@FortheHealthofit.]

MORE HRT - updated HRT - info **PLEASE** The book Estrogen Matters by oncologist Avril Bloom has decent pro-HRT points. ESP for the brain, heart & bones… the WHI is over 20 yes old. Wish they’s stop referring to it. Look backs have proven they blew it out of proportion. Gen X needs this info to be correct & we TRUST YOU to flesh that out. ❤😊

[@JMK-vo8pv]

This amazing discussion was sadly compromised by the ineptitude of the people responsible for the audio-visual component of the presentation. How hard is it for the "technicians" to make sure that their audio-visual equipment is working correctly before the speaker starts his talk. Or maybe Big Pharma somehow sabotaged Dr. Prasad's lecture!

[@tallard666]

to be fair it only went bad for a few minutes in 3rd third, then got better in last few minutes...

[@maforever4144]

And what are you really so angry about?

[@VioletFemme810]

Please investigate the lack of quality evidence on gender affirmative care, especially in kids.

[@marycollins8215]

Thank you.

[@livetoride911]

I graduated from Michigan State Univ. 1983

[@traianliviudanciu8665]

If SARS COV2 better replicate at very low tissue temperature (?) must change terapeutic paradigma If SARS COV2 infection occur ? Why ? Because at TWiV 659 at min29 virologist Christian Drosten suggest that SARS COV2 better replicate at very low tissue temperature.

[@carolynherrmann9404]

I’m sorry, I had to stop half way through. It became too difficult to understand bc the audio became altered. I enjoyed the talk up until then.

[@dr.patnesbitt]

Dude, your video goes berserk at 12:40

[@thewitchdoctor4398]

The video and audio appear to suddenly skip at the 12:10 mark

[@HeyYall398]

The audio sucks

[@ke4755]

On the Volkswagen Reversal anology: It released NOx, oxides of nitrogen, not a greenhouse gas. It is a more a toxic irritant. And the TDI is not a Beetle. en.m.wikipedia.org/wiki/NOx

[@FixItStupid]

Yes He Is Full Of MSM B.S. The Full Burn Heat Made NOx So The Lie Is Do You Want Mileage Or Some Bad Air For A Min..Find The Lie Of Nuclear Find The Cancer Lotto @ 41 CPM Take Care @ke4755

[@carlosgaspar8447]

i think NOx is simply less effective than CO2 as a greenhouse gas, but mostly irrelevant compared to water vapour which contributes some 75% of the greenhouse effect.

[@natebyars2439]

👍👍

[@stevenhines5550]

Yup, philosophy undergrad. You know how to think.

[@thegamejunkie1]

👍

[@tallard666]

Re: poor audio quality... if you'd put it in the description, you'd have spared everyone writing complaining about it :) Nip it in the bud.

[@ssa8479]

You lost me just past the 12-minute mark when you flashed slides one after another. Bye.

[@Stadtpark90]

Am I not in on the joke? The talk had nothing to do with the title. The audio was horrible, and the main talk was on breast cancer often being too fast or too slow to make surgery worth it, thus about the importance of proper screening to find out wether people have the medium fast growing sort that would profit from surgery and cancer treatment.

[@tallard666]

So you didn't pay attention to the first half, then entirely missed the final point about breast cancer where he clearly explained that the testing does NOT distinguish between the speeds. Sigh. Yes the audio quality in the room was poor, just means you have to listen harder.

[@GrannieH2182]

But it does….

[@Fitzrovialitter]

Unintelligible.

[@BobbiDoll]

You should do a better job with your audio.

[@jeremyashford2145]

Wrt the cars, the car on the left is a libertarian, the car on the right is socialist. Is the one on the right really better?

[@B.L.S.]

Wait, you're from Indiana? Nobody can trust you.

[@jeremyashford2145]

You don’t trust Letterman? OK maybe not with your daughter the intern but ...

[@lucancharchuk4541]

I told my doctor, keep your bullshit opinions to yourself. I'll take care of myself.

[@MeaThreattoDemocracy]

This was a real enlightening video until the audio failed.