David Rind
davidrind.bsky.social
David Rind
@davidrind.bsky.social
CMO, Institute for Clinical and Economic Review
Academic primary care doctor; Husband; Dad
Views are my own
I'm inappropriately proud of this. I usually can't spot these at all, and am never first. Got lucky with an early notification and a very easy duplication!
July 18, 2025 at 2:17 PM
Bottom row, the first through third blots on the left are copied as the second through fourth blots on the right.
July 18, 2025 at 1:25 PM
Humility and grace are really important parts of being a caregiver in any situation, but particularly in an unfolding pandemic.

There is no chance you'll be right all the time. Admit that, accept it, and don't criticize others who are trying to do the same, even if you disagree with their choices.
July 7, 2025 at 6:34 PM
concern that you would be wrong lead you to be unable to act. Many of the choices would be proven correct.

One of the parts of the COVID pandemic I've found most disheartening is the criticism some have gotten from other experts for being wrong some of the time.
July 7, 2025 at 6:34 PM
I'd missed what I noted in the fall and winter of 2020 was an important similarity:

Things that you thought were true/correct/best care were proven wrong over and over.

And yet, you had to accept that you needed to provide what you believed to be the best care at the time and not let the
July 7, 2025 at 6:34 PM
Great piece.

I got a similar question from an intern in mid March of 2020 as the situation began to unfold in Boston. He asked if I thought there was anything I'd learned during the AIDS pandemic that was applicable to COVID.

I told him that I thought the situations were very different.

But...
July 7, 2025 at 6:34 PM
I have zero reason to think that ice baths are good for you, but this study only shows that blood flow and incorporation of amino acids are reduced for a few hours after an ice bath. Pretty unsurprising.

It says nothing about eventual muscle strength or composition.
June 4, 2025 at 2:57 PM
The accuracy is for matching with a PET scan finding of plaques, not for diagnosing AD, right?
May 17, 2025 at 8:55 PM
Whereas I was suspecting that her mind was Tiffany twisted since she has such a lovely face.
May 13, 2025 at 12:52 AM
Shooting from the hip, since I haven't read the study, but I'd be looking at socioeconomic factors. I'd wonder if children who got antibiotics early had a different diet and/or different amounts of calories from children who got antibiotics later. They saw a doctor who prescribed antibiotics...
May 13, 2025 at 12:45 AM
in women with breast cancer, but these data are unhelpful in answering the question. Relying on them is a bad idea.

If interested, the meta-analysis is:

www.ajog.org/article/S000...

/end
Vaginal estrogen use in breast cancer survivors: a systematic review and meta-analysis of recurrence and mortality risks
To assess the risk of breast cancer recurrence, breast cancer-specific mortality, and overall mortality for breast cancer survivors receiving vaginal estrogen therapy for genitourinary syndrome of men...
www.ajog.org
March 5, 2025 at 5:28 PM
The problem is that this is not at all believable. Vaginal estrogen is not going to reduce mortality by these enormous amounts.

As such, the underlying studies are clearly so confounded as to make the evidence they provide pretty much worthless.

I'm not arguing that vaginal estrogen is unsafe
/3
March 5, 2025 at 5:28 PM
to see if I could encourage this as a place for discussion.
Dr. Winter noted the below study on that other site. It shows something like a 40% reduction in cancer mortality and 55% reduction in all-cause mortality in women with treated breast cancer who then use vaginal estrogen.
/2
March 5, 2025 at 5:28 PM