Hsieh Forbes Column: The Unsettled Science Of Covid-19

My latest Forbes column is now out: "The Unsettled Science Of Covid-19".

I discuss some recent controversies over Covid-19, including natural immunity, the efficacy of mask mandates, and the "lab leak" hypothesis -- and what that means for the concepts of "consensus" and "misinformation".

Burdensome Guidelines

The New York Times reports, "According to Medical Guidelines, Your Doctor Needs a 27-Hour Workday"\

Some excerpts:

The intent is admirable: Give doctors guidelines so they can be sure to cover what needs to be discussed with patients and help select options. Let’s talk about your diet and any problems you might have sleeping. Are you getting enough exercise? If not, here is some advice. You are due for colon cancer screening. Do you prefer a colonoscopy or a fecal test? Here are the pros and cons of each.

But there is a problem. There are just not enough hours in a workday to discuss and act on all the guidelines...

[I]magine a doctor shrugged off the chronic and acute care, as well as administrative work, and merely followed the preventive care checklist recommended by the U.S. Preventive Services Task Force, an independent panel of health experts. That would be 8.6 of the doctor’s hours each day, according to a study in the American Journal of Public Health.

As anyone who has been sped through a 15-minute annual wellness visit knows, doctors cannot be so exacting. That the guidelines are so thorough yet so often glossed over prompts questions about their usefulness. At the same time, doctors’ pay often depends on checking off guideline boxes.

This is not just a problem in the US: 

[I]mplementing all the British guidelines for improving patients’ lifestyles could require more doctors and nurses than are practicing in the entirety of Britain. 

Good intentions from central planners does not always translate to actual good medical practice by physicians on the ground.

Hsieh Forbes Column: The Power Of Ordinary English To Improve Healthcare

My January 2023 Forbes column is out: "The Power Of Ordinary English To Improve Healthcare". 

I discuss how the skillful use of ordinary English language instead of medical jargon can improve patient understanding and outcomes.

Hsieh Forbes Column: The Perverse Persistence Of Fax Machines In American Medicine

My December 2022 Forbes column is on, "The Perverse Persistence Of Fax Machines In American Medicine".

Hsieh Forbes Column: Organ Donations Increase When Motorcyclists Gather

My latest Forbes column is now out: "Organ Donations Increase When Motorcyclists Gather"

Hsieh Forbes Column: Misinformation, Mosquitoes, And Mutations, Oh My!

Yes, some people are "mosquito magnets". That's one of the topics I cover in my latest Forbes column, "Misinformation, Mosquitoes, And Mutations, Oh My!"

Hsieh Forbes Column: You Have The Right To Your Radiology Test Results

My latest Forbes column is now out: "You Have The Right To Your Radiology Test Results: What You Need To Know".

I discuss some changes in federal law that allow near-immediate access to radiology reports (and other test results), and how best to use these rights responsibly.

Hsieh Forbes Column: Small Steps Towards Deregulation

My latest Forbes column is out: "Small But Positive Steps Towards Health Deregulation"