John Mandrola, MD

After 20 yrs in EP, I’ve never seen hype like PFA. Point-by-point RF—when done properly—delivers excellent results, with no clear superiority of PFA. Are we driven by better outcomes, or by speed, simplicity, and industry momentum? Time to refocus on science over marketing.

Radiologists are the smartest doctors I know, but with all due respect, AI will hit them the most. Attended a lecture by a top gastro from AIG on how AI has been diagnosings CTs and MRCPs better than world renowned Radiologists. Mind blown

Many years ago I hurt my knee playing sports. I was referred to the orthopedist for one of the local pro teams. After keeping me waiting for 2.5 hours, he diagnosed a cartilage tear and recommended surgery. I was so mad at his manner and tardiness I left without scheduling. The next week I got a second opinion from a much younger doc who was likely more current on the recent medical literature. He looked at the same MRI. He said he could do surgery now but his advice was to wait 30 days and see if it healed on its own. It did. Medical reversal is when a practice that became widely used is later shown to be ineffective or even harmful. Examples like meniscus surgery show the need to keep gathering evidence. A not immaterial part of the practice of modern medicine doesn't improve health, and may be net harmful.

More than a year since the U.S. Preventative Services Task Force last met, the administration is now seeking nominations for it