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Category: Evidence Based Medicine

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Should I Vaccinate My Child?

By Howard Herrell, MDPosted on May 5, 2018May 23, 2018

A newborn with congenital rubella.  Many of my patients choose not to vaccinate their children. I welcome these patients and, frankly, love each of them. […]

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Male Circumcision

By Howard Herrell, MDPosted on April 23, 2018April 23, 2018

Egyptian depiction of circumcision from 1360 BC I get this question a lot and have avoided writing about it for some time. But, alas, we […]

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Levels of Evidence

By Howard Herrell, MDPosted on April 8, 2018

If you read (or produce) scientific literature, you are hopefully aware of and use some system to appreciate how good a particular type of study […]

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The Serena Syndrome

By Howard Herrell, MDPosted on February 21, 2018August 19, 2018

(Note: I have no personal knowledge of Serena Williams’ pregnancy or the care she received. This article is based on publicly available information only and […]

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Physician Competency

By Howard Herrell, MDPosted on February 19, 2018February 20, 2018

Most physicians are incompetent. There; I said it. If you read howardisms on a regular basis, you might have already suspected this. Lots of evidence […]

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Help! How Can I Do Fewer Cesareans?!!?

By Howard Herrell, MDPosted on February 4, 2018February 5, 2018

Comparison of Friedman and Zhang labor curves I’ve noticed that a lot of doctors don’t like the suggestion that their cesarean delivery rate is too […]

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Regression to the Mean

By Howard Herrell, MDPosted on December 27, 2017December 28, 2017

In life, we don’t tend to notice the mediocre or the average; rather, we notice extremes. We never think about the weather on an average […]

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The Medical Hype Cycle (The Herrell Curve?)

By Howard Herrell, MDPosted on December 12, 2017December 26, 2017

When a breakthrough innovation, new test, or new treatment is discovered in medicine, its adoption often follows a typical pattern. This pattern is demonstrated graphically […]

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Fact Check: Mercury Content in Flu Shot

By Howard Herrell, MDPosted on December 4, 2017December 26, 2017

Mercury. It must be the cause of all our problems today. So, if you’re worried about it, here’s some data: One can of tuna has […]

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Fact Check: Caffeine and Fibrocystic Change?

By Howard Herrell, MDPosted on November 6, 2017

I hear it and see it all the time: caffeine causes fibrocystic change or at least makes the pain and breast tenderness associated with fibrocystic […]

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