Adam Cifu

2 days ago | sensible-med.com | Adam Cifu |Vinay Prasad |John Mandrola

In the coming weeks Vinay, John, and I (Adam) will be getting together in person. We are meeting to work on what we think will be some really valuable Sensible Medicine content. Since we will have some time together, we thought it would be a good time to gather some more questions to answer. Same rules as last time: the comments are open to all paid subscribers to pose questions. Ask anything and we promise to take a swing at any and all questions. Photo Credit: Ilkka Kärkkäinen

4 days ago | sensible-med.com | Adam Cifu |Vinay Prasad |John Mandrola

It is hard to believe that we are coming up to the third anniversary of Sensible Medicine, well into toddlerhood. None us could have predicted that the site would last this long or be this successful (93,000 subscribers!!!!). The three of us are getting ready to meet up in person for the first time and we thrilled to see what the future will bring. We have some exciting plans. Three years seems a reasonable milestone to call for some reflection.

1 week ago | sensible-med.com | Adam Cifu

I liked my previous post on why I don’t think the shingles vaccine (actually our previous shingles vaccine, Zostavax, rather than the present one, Shingrix) does not prevent dementia, despite a Nature article and coverage pretty much everywhere to the contrary. I stand by my conclusions. However, a couple of astute readers, one in the comments and one email, called me out for a bit of an unintentional sleight of hand in the math. It was unintentional, but I want to set the record straight.

1 week ago | sensible-med.com | Adam Cifu

There I was, enjoying a Wednesday morning clinic session, when my phone vibrated with a notification from the New York Times. I looked down, wondering what disaster was afflicting the stock market, our country, or the planet, when instead I see: Shingles Vaccine Can Decrease Risk of Dementia, Study Finds. Instead of being annoyed, I had a couple of pleasant thoughts:1. Great, this must be a piece of churnalism that I can write about on Sensible Medicine. 2.

2 weeks ago | sensible-med.com | Adam Cifu

VB is an 88-year-old woman. She had remained vigorous into her mid ‘80s, biking and playing pickle-ball with younger friends. She was admitted to the hospital with an MI. She had come to the emergency room with five days of chest pain. There were ST elevations across all the precordial leads and signs of heart failure on physical exam. Troponin level was 500 and declining. VB went directly to the cardiac catheterization laboratory.