Shiela Appavoo MD
@shielaappavoo.bsky.social
🇨🇦#radiologist, Breast Imager. #radvocacy #MedSky Content experts should be fully involved in guidelines.
Reposted by Shiela Appavoo MD
Makary's claim of "no data" illustrates the classic EBM failure mode. Too many don't understand science outside their "gold standard" kiddie pool, everything inside it is slow and retrospective, and without mechanistic understanding they can't generalize - everything is just memorized special cases.
June 2, 2025 at 4:54 PM
Makary's claim of "no data" illustrates the classic EBM failure mode. Too many don't understand science outside their "gold standard" kiddie pool, everything inside it is slow and retrospective, and without mechanistic understanding they can't generalize - everything is just memorized special cases.
Reposted by Shiela Appavoo MD
There is a recurring pattern of institutional research integrity offices shielding influential clinical studies and the researchers responsible for them from accountability, and ignoring harm to the public. This is far from an isolated incident.
This paper needs to be retracted. The study contained errors that harmed me but at this point it’s seeming more like fraud not to retract it. Let’s get it done befor any more young women are harmed. @uoft.bsky.social @uoftmedicine.bsky.social @cmaj-jamc.bsky.social
April 28, 2025 at 5:10 PM
There is a recurring pattern of institutional research integrity offices shielding influential clinical studies and the researchers responsible for them from accountability, and ignoring harm to the public. This is far from an isolated incident.
Reposted by Shiela Appavoo MD
Trump’s cronies aren’t what broke public health. The structural blind spots that undermine medical progress and how to fix them, by Mark Ungrin
canadahealthwatch.ca/2025/04/18/t... via @canadahealthwatch.bsky.social @nicktsergas.ca
canadahealthwatch.ca/2025/04/18/t... via @canadahealthwatch.bsky.social @nicktsergas.ca
Trump’s cronies aren’t what broke public health
The structural blind spots that undermine medical progress and how to fix them.
canadahealthwatch.ca
April 18, 2025 at 6:06 PM
Trump’s cronies aren’t what broke public health. The structural blind spots that undermine medical progress and how to fix them, by Mark Ungrin
canadahealthwatch.ca/2025/04/18/t... via @canadahealthwatch.bsky.social @nicktsergas.ca
canadahealthwatch.ca/2025/04/18/t... via @canadahealthwatch.bsky.social @nicktsergas.ca
Reposted by Shiela Appavoo MD
One of the strongest arguments against allowing secretive bodies like the Canadian Task Force on Preventative Health Care to make guidance in back rooms, without transparency or scientific oversight, is the behaviour they exhibit when forced out into the open.
canadahealthwatch.ca/2025/03/11/h...
canadahealthwatch.ca/2025/03/11/h...
Health guidelines should be transparent. The Task Force’s aren’t
The Task Force oversimplifies the criticisms of its detractors.
canadahealthwatch.ca
March 11, 2025 at 5:06 PM
One of the strongest arguments against allowing secretive bodies like the Canadian Task Force on Preventative Health Care to make guidance in back rooms, without transparency or scientific oversight, is the behaviour they exhibit when forced out into the open.
canadahealthwatch.ca/2025/03/11/h...
canadahealthwatch.ca/2025/03/11/h...
My opinion on a few of the many problems with the Canadian Task Force on Preventive Health Care and what they failed to disclose in their recent petition.
Health guidelines should be transparent. The Task Force’s aren’t canadahealthwatch.ca/2025/03/11/h... @shielaappavoo.bsky.social
Health guidelines should be transparent. The Task Force’s aren’t
The Task Force oversimplifies the criticisms of its detractors.
canadahealthwatch.ca
March 11, 2025 at 3:38 PM
My opinion on a few of the many problems with the Canadian Task Force on Preventive Health Care and what they failed to disclose in their recent petition.
Reposted by Shiela Appavoo MD
Health guidelines should be transparent. The Task Force’s aren’t canadahealthwatch.ca/2025/03/11/h... @shielaappavoo.bsky.social
Health guidelines should be transparent. The Task Force’s aren’t
The Task Force oversimplifies the criticisms of its detractors.
canadahealthwatch.ca
March 11, 2025 at 3:12 PM
Health guidelines should be transparent. The Task Force’s aren’t canadahealthwatch.ca/2025/03/11/h... @shielaappavoo.bsky.social
Terrific op ed about modernizing our screening guidelines development body. #cancer
We to talk have a serious discussion about #cancer screening. Canada’s cancer screening guidelines lag far behind the latest science, and Canadians are paying with their lives, by Dr. Anna Wilkinson canadahealthwatch.ca/2025/03/10/c... via @canadahealthwatch.bsky.social @nicktsergas.ca
Canadians need to talk about cancer screening
Canada’s cancer screening guidelines lag far behind the latest science, and Canadians are paying with their lives.
canadahealthwatch.ca
March 11, 2025 at 4:45 AM
Terrific op ed about modernizing our screening guidelines development body. #cancer
Reposted by Shiela Appavoo MD
So apparently the government asked a group of experts in EBM to review the work of the task force and based on that review the government has asked the task force to pause their work for a month.
The pause on the Task Force was the result of an External Experts Review (EER) by a panel of many well qualified individuals, including family docs and population specialists. www.canada.ca/en/public-he...
Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔
Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔
March 8, 2025 at 11:34 PM
So apparently the government asked a group of experts in EBM to review the work of the task force and based on that review the government has asked the task force to pause their work for a month.
The pause on the Task Force was the result of an External Experts Review (EER) by a panel of many well qualified individuals, including family docs and population specialists. www.canada.ca/en/public-he...
Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔
Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔
March 8, 2025 at 11:12 PM
The pause on the Task Force was the result of an External Experts Review (EER) by a panel of many well qualified individuals, including family docs and population specialists. www.canada.ca/en/public-he...
Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔
Ask yourself why the critical context of that EER is not mentioned in the letter… 🤔
https://ascopubs.org/doi/pdf/10.1200/JCO.23.00348?role=tab
Important new publication supporting the experts’ recommendation to screen 40-49 yo women for breast cancer. #40not50
Important new publication supporting the experts’ recommendation to screen 40-49 yo women for breast cancer. #40not50
August 4, 2023 at 10:29 PM
https://ascopubs.org/doi/pdf/10.1200/JCO.23.00348?role=tab
Important new publication supporting the experts’ recommendation to screen 40-49 yo women for breast cancer. #40not50
Important new publication supporting the experts’ recommendation to screen 40-49 yo women for breast cancer. #40not50
Reposted by Shiela Appavoo MD
This was one of the most beautiful portraits of a friendship I have ever read. Also superb sports writing. Do yourself a favor, and sit down with it today.
Tennis icons Chris Evert and Martina Navratilova met as teens, forged one of the greatest rivalries in sports and then became close friends. After 50 years, Chris and Martina understand each other like no one else can.
When cancer came, they both knew where to turn. https://wapo.st/3NR7Qet
When cancer came, they both knew where to turn. https://wapo.st/3NR7Qet
July 3, 2023 at 4:38 PM
This was one of the most beautiful portraits of a friendship I have ever read. Also superb sports writing. Do yourself a favor, and sit down with it today.