Paulo Nadanovsky

If you’ve thought, “routine screening x-rays, is that really a thing?” This one’s for you. open.substack.com/pub/sensibleme…

@GaryMarcus Fast and valid systematic reviews—months from now. Then, evidence-based medical practice, supported by integrated electronic systems linking each patient’s history (electronic records) with the best available scientific evidence.

For a future essay, what’s your vision of an AI-positive world, say 10-20 years from now? Not looking for fantasy stuff like every disease is cured, we are all immortal, and time travel is easy-peasy but best-case plausible scenarios you can actually foresee if we play our collective cards right. 🙏

@Hanine09 @Columbia Why would they return to countries where their ancestors were persecuted and killed? Take Poland, for example: it decimated its Jewish population. My grandma, a Polish Jew, left in the 1920s because of the pogroms. She spoke only Yiddish and never wanted to talk about Poland.

When I started my PhD at @Columbia Israel had bombed Gaza multiple times. That’s the Palestine I knew. Once, in class, I asked a respected scholar: Why can the West debate migration laws endlessly, but colonized peoples can’t ask European settlers to return to their homelands?

Having plotted many graphs on "war" and "genocide" in my two books on violence, I closely tracked the definitions, and it's utterly clear that the war in Gaza is a war (e.g., the Uppsala Conflict Program, the gold standard, classifies the Gaza conflict as an "internal armed conflict," i.e., war, not "one-sided violence," i.e., genocide). This paper reviews The Genocide Libel: the long history of antisemitic false genocide accusations. isca.indiana.edu/publication-re…

Forging new paths in evidence-based health care: the evolving Oxford-Brazil EBM partnership cebm.ox.ac.uk/news/forging-n… @OxfordBrazilEBM @CebmOxford @KelloggOx @Catalogofbias @luisedfontes @anapaula_pires @Nadanovsky

“As expected, the recent Viewpoint, “Too Much Dentistry,” has sparked substantial discussion in the dental community and beyond. Nadanovsky et al highlight the issues of overdiagnosis and overtreatment prevalent in dental practice.” Yehuda Zadik, DMD, MHA jamanetwork.com/journals/jamai…

“For example, orthodontic treatments invariably expose patients to dental ra- diographs, even though these treatments may often be unnecessary.” jamanetwork.com/journals/jamai…

Less is more - Too Much Dental Radiography - “Too Much Dentistry is a timely call for evidence to support or refute common clinical dental practices.” Dr Sheila Feit, MD. JAMA Internal Medicine. jamanetwork.com/journals/jamai…

“There is a considerable amount of guidance and insights that the periodontal community could consider when revising disease definitions and clinical practice guidelines to alleviate the evident overdiagnosis and overtreatment burden.” onlinelibrary.wiley.com/doi/full/10.11…

@parolin_ricardo @dvassallo @anapaula_pires #editorial-comment-tab" target="_blank" rel="nofollow noopener">jamanetwork.com/journals/jamai…

@dvassallo @Nadanovsky @anapaula_pires

Took my 7yr old to his annual pediatric dentist appt last month (near Seattle) and the dentist found 4 cavities in his baby teeth, all needing filling and one needed a cap. The dentist said this had to be done with general anesthesia. Cost $2,750. We found it bizarre to have to put a 7yr old under general anesthesia, outside of a hospital, in a small clinic above a Starbucks, with full intubation and put on a ventilator, just to fill 4 cavities in baby teeth that would fall off on their own anyway. The dentist insisted the intervention was necessary because these teeth won't fall off in 5 years, and one of the cavities was almost guaranteed to become problematic. And that general anesthesia was required because of the length of the intervention. We had a bad feeling about all of this, and declined the procedure after considering the risks of general anesthesia outside of a hospital. The dentist gave my wife a lecture about how this is totally safe and they do it all the time, and that we should take some time to think about it, but we should come again after the summer to talk with them again and reconsider our decision. The dentist insisted this was the only way to proceed and that it would be very imprudent to postpone it. The entire rant made the whole thing feel even more shady to me. It felt like a Hertz rep trying to sell me car insurance at the airport. We're now in Malta, and took the kid to a local dentist for a second opinion. We thought we'd ask the dentist if we could do the fillings one by one, over multiple sessions, in order to avoid any sedation. And guess what? This dentist took a look at the kid's teeth, and couldn't find anything! Zero cavities. Perfectly healthy teeth. Not even a cleaning was required. We paid €15 and were sent home. Now, the Maltese dentist didn't do an x-ray. They said it would be an over-intervention to order an x-ray with no visible signs of decay. The Seattle dentist does an x-ray every year, and found the cavities from the latest x-ray. They never sent us the x-rays though. Is there a chance the Seattle dentist was right, or is this a classic case of violating the Hippocratic Oath for personal gain? The insistence on general anesthesia just didn't sit well with me, and smelled of malpractice in an attempt to do this procedure quickly and more conveniently (plus charge a lot more). What's your interpretation?

Redefinição de doenças é uma causa de excesso de diagnósticos e de tratamentos desnecessários. Guidance for Modifying the Definition of Diseases: A Checklist | Guidelines | JAMA Internal Medicine | JAMA Network jamanetwork.com/journals/jamai…

O diagnóstico de infarto é investigado nos serviços de emergência nos EUA, mesmo quando os sintomas ou sinais são sutis, atípicos ou ausentes. Essa prática leva à identificação incorreta de infarto em pessoas que na realidade não infartaram! jamanetwork.com/journals/jama/….

The diagnosis of heart attack is sought in emergency services in the USA, even when symptoms or signs are subtle, atypical, or absent. This practice leads to the incorrect identification of heart attacks in people who have not actually had one! jamanetwork.com/journals/jama/….

So you want to recognize the state of Palestine? By all means. Go ahead. Just make sure to note that since Palestine is a state, no-one living in it is or can be or will be recognized by your country as a "refugee from Palestine", that you are therefore defunding UNRWA, that there is no such thing as a "right of return" into another sovereign state in which one has never been a citizen or ever lived. If you're not ready to so as a package, then please don't pretend that the purpose of recognizing Palestine is to promote "a two state solution". Given that there was never a moment in the last century when there was an Arab Palestinian vision of peace and two states where one of the states is Jewish - which means acceptance that no-one is a "refugee from Palestine" when already living there or as citizens of Jordan and other countries, and that there is no such "right of return" into the territory of the sovereign state of Israel of people who were never its citizens - then now might be a great time to start clarifying that. A recognition of a state of Palestine is a great way to finally clarify - is the other state in the "two state solution" the Jewish state of Israel? Or, is it, as Palestinians continue to believe, a temporary aberration that will revert to being Arab in due course?It is high time to ensure that any vision of peace by two states means that one of these two state is Jewish. And if not, it would be nice to finally know that your country recognizes Palestine because it believes that "from water to water Palestine will be Arab" - the original Arab version of "From the River to the Sea" - and that there is no room for Jewish sovereignty anywhere. Precisely the vision that animated Hamas October 7th attack and the continued support it enjoys among Palestinians. If this is why your country is recognizing Palestine, it would be a good time for Israel to finally know that. If not, if you genuinely believe in a two-state solution where one of the two is Jewish, then get off your bum and make it clear - that recognition of Palestine comes with a strong declaration and policy that no-one living in it is or can be or will be recognized by your country as a "refugee from Palestine", that you are therefore defunding UNRWA, that there is no such thing as a "right of return" into another sovereign state in which one has never been a citizen or ever lived. Then we'll know you're serious. Anything else is lazy virtue signaling, worthy of an Anthropology student in the US, not a government of a proper country.

Our Viewpoint on Current Dental Practice published in JAMA Internal Medicine: Too Much Dentistry ⁦@Nadanovsky⁩ ⁦@dnunan79⁩ ⁦@KelloggOx⁩ ⁦@OxfordBrazilEBM⁩ ⁦@PreventingODx⁩ jamanetwork.com/journals/jamai…

Too Much Dentistry | Dental Medicine | JAMA Internal Medicine | JAMA Network jamanetwork.com/journals/jamai…

Making informed decisions in health care, supporting undergraduates, and ‘too much dentistry’: our one-year sabbatical at Kellogg Read our latest blog by Visiting Fellows @anapaula_pires and @Nadanovsky : kellogg.ox.ac.uk/news/making-in… #KelloggCollege #OxfordUniversity

Hussain Abdul-Hussain (@hahussain), um não-judeu árabe, defende o ponto de vista sionista melhor do que a maioria dos judeus sionistas. Ele é a refutação viva do conceito de “lugar de fala”. Vale a pena segui-lo no X, para entender o sionismo e a hostilidade contra o sionismo.

Excelente aula sobre o conflito entre Árabes e Judeus na Palestina, desde o império otomano. overcast.fm/podcasts/episo…