Start / Sensible Medicine / Friday reflection 47 patients make the hardest decisions

Friday Reflection 47: Patients Make the Hardest Decisions

7 min • 10 januari 2025

Doctors often get credit (or blame) for having to make difficult, life-and-death decisions. But really, it is all of us, when we are patients, who make the bravest decisions that carry the highest stakes.

This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

Senaste avsnitt

A conversation with Margaret McCartney, MD, PhD regarding evidence-based medicine and conflicts of interest

8 januari | 45 min

UCSF hematology oncology interest group

29 december 2024 | 43 min

Adam Cifu Interviewed by Michael Easter on the TWO/PERCENT Substack and Podcast

17 december 2024 | 39 min

A live taping from Wash U, a Sensible Medicine discussion

7 december 2024 | 45 min

MAHA and Medical Conservatism

14 november 2024 | 50 min

Systematic reviews 101

13 november 2024 | 49 min

Ask me anything

31 oktober 2024 | 27 min

Friday Reflection 45: Patients

25 oktober 2024 | 5 min

Sensible medicine ask us anything part 2

24 oktober 2024 | 37 min

Ask us anything podcast

17 oktober 2024 | 26 min

Back to Sleep Series in Audio Format

15 september 2024 | 66 min

Friday Reflection 44: Diagnostic Enigma

13 september 2024 | 9 min

How can we do better as a county hospital?

31 augusti 2024 | 42 min

Friday Reflection 43: The Absence of Reassuring Counterfactuals in Clinical Medicine

30 augusti 2024 | 6 min

What Medical School Looks For and What Medical School Should Look For

29 augusti 2024 | 29 min

The Retirement of Dr. Mark Siegler

26 juli 2024 | 5 min

Friday Reflection 42: Patient Approaches to a Doctor’s Visit

19 juli 2024 | 7 min

A Discussion with Professor Venk Murthy on Coronary Artery Disease

26 juni 2024 | 26 min

Impella, Mammograms and Med School Fails Students

26 juni 2024 | 45 min

Fear and Opioids in Academic Medicine

21 juni 2024 | 8 min

A discussion with interventional cardiologist Dr David Cohen on medical evidence, TAVR and stroke prevention

16 juni 2024 | 43 min

Adam and I discuss the week's medical news

30 maj 2024 | 39 min

Cifu, Prasad, Mandrola

27 maj 2024 | 45 min

Friday Reflection #39: What to Expect When You Are Aging

17 maj 2024 | 6 min

A Novel Approach to AF Ablation

16 maj 2024 | 40 min

Video version of our podcast

11 maj 2024 | 42 min

Cifu, Mandrola, Prasad

10 maj 2024 | 42 min

A Discussion with Dr. Dena Zeraatkar regarding analytic flexibility in observational studies

30 april 2024 | 23 min

Friday Reflection 38: Yesterday’s Solutions; Today’s Problems

12 april 2024 | 10 min

Yet Another Excellent Explainer About P-Values in Randomized Trials

4 april 2024 | 44 min

Friday Reflection 37: Why I Teach (acceptable and less acceptable reasons)

8 mars 2024 | 8 min

Friday Reflection 36: Why Don’t Doctors Want to See Patients?

2 februari 2024 | 8 min

New Austrian Study Shows Boosters do NOT reduce COVID19 deaths in people who had COVID

25 januari 2024 | 8 min

Math Professor Ben Recht and I Discuss P-values and Confidence Intervals

18 januari 2024 | 49 min

A discussion with the primary investigator of the world's first placebo-controlled AF ablation trial

22 december 2023 | 19 min

Mandrola and Prasad are back

17 december 2023 | 51 min

Mandrola and Prasad are back

17 december 2023 | 50 min

Friday Reflection 35: Four Who Fired Me

15 december 2023 | 9 min

Friday Reflection 32: The Trauma of Not Dying Alone

3 november 2023 | 8 min

Soren Diederichsen on Atrial Fibrillation Screening

1 november 2023 | 36 min

Andrew Foy has a Different Conclusion on a Big JAMA paper on CV risk reduction

23 oktober 2023 | 53 min

Friday Reflection 31: Senses, Memories, and Medicine

20 oktober 2023 | 6 min

Sudden cardiac death and arrhythmias in athletes

18 oktober 2023 | 54 min

Prasad's lecture gets cancelled/ Cifu Gets COVID

16 oktober 2023 | 55 min

New Podcast -- Discussion with Rita Redberg and Angela Lu regarding Their Study on Conflict of Interest

5 oktober 2023 | 35 min

Foy and Mandrola Talk Coronary Calcium and a New Super-Exciting Approach to Medical Education

27 september 2023 | 65 min

Foy and Mandrola Discuss AF, AF-Ablation, Sham-controls, Evidence Translation and Heterogenous Treatment Effects

19 september 2023 | 40 min

Coumadin beats DOAC, ECMO fails, When RCTs needed, Bad COVID Policy

11 september 2023 | 49 min

Friday Reflection 29: The Totally Predictable Doctor as Patient Essay

8 september 2023 | 9 min

Sensible Medicine x Vaccine Curious: Tracy Beth Høeg and Christine Stabell Benn compare US & Danish COVID-19 response and child vaccination policy

29 augusti 2023 | 52 min

Friday Reflection 28: Four of the Things Patients Have Taught Me

25 augusti 2023 | 11 min

Mandrola & Prasad on Republicans and COVID outcomes, Journals and stenting

23 augusti 2023 | 43 min

A Conversation with Professor Robert Yeh

20 augusti 2023 | 47 min

Friday Reflection 27: The Poor Historian

11 augusti 2023 | 8 min

Friday Reflection #26: General Internal Medicine in the Time of COVID

28 juli 2023 | 13 min

Podcast discussion on Nutrition Science, HFpEF and the NYT article on treatment of PAD

27 juli 2023 | 36 min

Friday Reflection 25: The Advice I’d Like to Give a Student Entering Medical School

14 juli 2023 | 11 min

Friday Reflection 24: I Would Rather Go Back in Time

30 juni 2023 | 11 min

Sensible medicine

28 juni 2023 | 59 min

Friday Reflection 23: The Ghost Patient Panel

16 juni 2023 | 7 min

Medical Conservatism, the ELAN Trial, and Residents Striking

13 juni 2023 | 58 min

Medical Evidence, Hype, Cancer Drugs, Conflict

5 juni 2023 | 53 min

Friday Reflection 22: The Memory Binder

2 juni 2023 | 8 min

A Heartfelt Plea to Become A Primary Care General Internist

26 maj 2023 | 9 min

Seeding trials/ Choosing Students

22 maj 2023 | 55 min

Friday Reflection #21: Revealing Ignorance

19 maj 2023 | 9 min

Mandrola gives VP Health Advice

8 maj 2023 | 64 min

Friday Reflection 20: The Clinical Set Point

5 maj 2023 | 10 min

The Great Chat GPT debate

2 maj 2023 | 62 min

Medical uncertainty, 7th dose, ABIM and Modules

24 april 2023 | 59 min

Friday Reflection 19: A Pledge That Can Be Hard to Honor

14 april 2023 | 8 min

RSV vaccines/ Mifepristone/ Overtreatment/ Long COVID

10 april 2023 | 55 min

Chat GPT - Medical Journals - Treating early disease states

3 april 2023 | 57 min

Friday Reflection #18: An Homage to Mentors

31 mars 2023 | 11 min

Friday Reflection 17: The Grace of the Dying

17 mars 2023 | 9 min

Can you Exercise Too Much/ Shredding Trust in Public Health

13 mars 2023 | 69 min

4th year fellowship | Expertise| LONG Covid

6 mars 2023 | 58 min

Friday Reflection 16: The Evolution of a Stable Practice

3 mars 2023 | 12 min

Sensible Medicine

28 februari 2023 | 48 min

Public health lied about Natural immunity; Conflict of interest

20 februari 2023 | 51 min

Friday Reflection #15: Of Medicine, Baseball and Other Distractions

17 februari 2023 | 7 min

Superbowl Edition - Sensible Medicine

13 februari 2023 | 51 min

On Death and Its Futility

10 februari 2023 | 9 min

Sensible Medicine Podcast Episode 4

6 februari 2023 | 49 min

Episode #3

3 februari 2023 | 12 min

Episode #2 - Dropping out of USN&WR Med School Rankings

30 januari 2023 | 30 min

Sensible Medicine the inaugural podcast episode

29 januari 2023 | 9 min

Friday Reflection 47: Patients Make the Hardest Decisions

Senaste avsnitt

This Fortnight in Medicine V

This Fortnight in Medicine (IV)

Friday Reflection 49: The Patients of 12 Reisman

This Fortnight in Medicine (Episode III)

This Fortnight in Medicine (Episode II)

This Fortnight in Medicine

Ask Us Anything

Vinay at FDA; what's next for Sensible Medicine; ask us anything answers

Friday Reflection 48: Linguistics, Diagnosis, and Medical Error

A Conversation with Professor Jeffrey Flier Regarding Changes in NIH Funding

RFK Jr hearings/ Eulogy Values & NIH delays

A Conversation with Michael Easter from the TWO/PERCENT

Friday Reflection 47: Patients Make the Hardest Decisions

A conversation with Margaret McCartney, MD, PhD regarding evidence-based medicine and conflicts of interest

UCSF hematology oncology interest group

Adam Cifu Interviewed by Michael Easter on the TWO/PERCENT Substack and Podcast

A live taping from Wash U, a Sensible Medicine discussion

MAHA and Medical Conservatism

Systematic reviews 101

Ask me anything

Friday Reflection 45: Patients

Sensible medicine ask us anything part 2

Ask us anything podcast

Back to Sleep Series in Audio Format

Friday Reflection 44: Diagnostic Enigma

How can we do better as a county hospital?

Friday Reflection 43: The Absence of Reassuring Counterfactuals in Clinical Medicine

What Medical School Looks For and What Medical School Should Look For

The Retirement of Dr. Mark Siegler

Friday Reflection 42: Patient Approaches to a Doctor’s Visit

A Discussion with Professor Venk Murthy on Coronary Artery Disease

Impella, Mammograms and Med School Fails Students

Fear and Opioids in Academic Medicine

A discussion with interventional cardiologist Dr David Cohen on medical evidence, TAVR and stroke prevention

Adam and I discuss the week's medical news

Cifu, Prasad, Mandrola

Friday Reflection #39: What to Expect When You Are Aging

A Novel Approach to AF Ablation

Video version of our podcast

Cifu, Mandrola, Prasad

A Discussion with Dr. Dena Zeraatkar regarding analytic flexibility in observational studies

Friday Reflection 38: Yesterday’s Solutions; Today’s Problems

Yet Another Excellent Explainer About P-Values in Randomized Trials

Friday Reflection 37: Why I Teach (acceptable and less acceptable reasons)

Friday Reflection 36: Why Don’t Doctors Want to See Patients?

New Austrian Study Shows Boosters do NOT reduce COVID19 deaths in people who had COVID

Math Professor Ben Recht and I Discuss P-values and Confidence Intervals

A discussion with the primary investigator of the world's first placebo-controlled AF ablation trial

Mandrola and Prasad are back

Mandrola and Prasad are back

Friday Reflection 35: Four Who Fired Me

Friday Reflection 32: The Trauma of Not Dying Alone

Soren Diederichsen on Atrial Fibrillation Screening

Andrew Foy has a Different Conclusion on a Big JAMA paper on CV risk reduction

Friday Reflection 31: Senses, Memories, and Medicine

Sudden cardiac death and arrhythmias in athletes

Prasad's lecture gets cancelled/ Cifu Gets COVID

New Podcast -- Discussion with Rita Redberg and Angela Lu regarding Their Study on Conflict of Interest

Foy and Mandrola Talk Coronary Calcium and a New Super-Exciting Approach to Medical Education

Foy and Mandrola Discuss AF, AF-Ablation, Sham-controls, Evidence Translation and Heterogenous Treatment Effects

Coumadin beats DOAC, ECMO fails, When RCTs needed, Bad COVID Policy

Friday Reflection 29: The Totally Predictable Doctor as Patient Essay

Sensible Medicine x Vaccine Curious: Tracy Beth Høeg and Christine Stabell Benn compare US & Danish COVID-19 response and child vaccination policy

Friday Reflection 28: Four of the Things Patients Have Taught Me

Mandrola & Prasad on Republicans and COVID outcomes, Journals and stenting

A Conversation with Professor Robert Yeh

Friday Reflection 27: The Poor Historian

Friday Reflection #26: General Internal Medicine in the Time of COVID

Podcast discussion on Nutrition Science, HFpEF and the NYT article on treatment of PAD

Friday Reflection 25: The Advice I’d Like to Give a Student Entering Medical School

Friday Reflection 24: I Would Rather Go Back in Time

Sensible medicine

Friday Reflection 23: The Ghost Patient Panel

Medical Conservatism, the ELAN Trial, and Residents Striking

Medical Evidence, Hype, Cancer Drugs, Conflict

Friday Reflection 22: The Memory Binder

A Heartfelt Plea to Become A Primary Care General Internist

Seeding trials/ Choosing Students