Uncertainty in Medicine

  Medicine is an uncertain business. It is an applied science, applying the results of basic science knowledge and clinical studies to patients who are individuals with differing heredity, environment, and history. It is commonly assumed that modern science-based doctors know what they are doing, but quite often they don’t know for certain. Different doctors

Screening Tests and Primum non nocere

Primum non nocere is a Latin phrase meaning “first do no harm.” It is commonly attributed to Hippocrates, but if he ever said any such thing, he certainly didn’t say it in Latin. He lived in ancient Greece from 430 BC to 370 BC and presumably spoke Greek. The phrase, in English and in Latin,

Bad Books

In the interests of fairness and intellectual honesty, I’ve forced myself to read a lot of really bad books. The True Believer tells me his guru’s book is the Real Stuff. He tells me I have a closed mind and won’t look at anything outside establishment dogma, and if I only read the book and

Not Treating – A Neglected Option

One of the criticisms of modern medicine is that doctors prescribe too many pills. That’s true. Patients and doctors sometimes get caught up in a mutual misunderstanding. The patient assumes that he needs a prescription, and the doctor assumes that the patient wants a prescription. But sometimes patients don’t either need or want a prescription.