Yale School of Medicine physician and researcher F. Perry Wilson, MD, MSCE, chats with Trey Elling about HOW MEDICINE WORKS AND WHEN IT DOESN’T: LEARNING WHO TO TRUST TO GET AND STAY HEALTHY. Topics include:
- Goal with the book (0:00)
- Pharma’s role with patient mistrust (1:57)
- Pharma’s influence on doctors (6:49)
- Generic drugs not such an easy fix (10:22)
- How medical errors commonly lead to death (12:34)
- Surrogate outcomes (15:50)
- Getting patients to change their minds for GOOD reasons (17:44)
- Combatting motivated reasoning (20:44)
- The “biggest secret in medicine” (26:22)
- Factoring in side effects when considering a drug (29:32)
- Doctors’ responsibility to help patients with despair (31:28)
- Randomized controlled trials, aka RCTs (37:48)
- How RCTs go wrong (44:19)
- The difficulty with replication (47:29)
- Why “open data” isn’t already the standard with RCTs (50:35)
- The problem with the “middle man” in patient care (53:39)
- An alternative to the current US healthcare system (57:06)
- How patients can move closer to doctors by embracing uncertainty (1:00:15)