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...dreary world of spinal stenosis was cheered up last February by a report in the New England Journal of Medicine that found that surgery for spinal stenosis works better than all of our other non-surgical treatments. The well-known authors of the paper included surgeons who have spent their careers doing the operation. The report claimed to be a first - an "evidence-based" study in which researchers did statistical analysis of how spinal stenosis patients fared with surgery versus non-surgical treatment...
...hundred patients I've told about that paper over the past five months, not one has chosen to undergo surgery. Real patients are scared of being cut open, of getting infections, not waking up, becoming paralyzed. They're scared of the pain. And they don't care about statistics. The smarter ones understand how complicated a decision it is to have an operation. What smart patients want is something beyond statistics - most call it judgment - as they decide between the pain they're living with now versus the risks of a procedure that can't guarantee a cure...
There was some speculation many years ago, in the 1970s, that because women had greater fat stores, they would outlast men in long-distance events. We have a famous race in South Africa, the 90-km (56-mi) Comrades marathon. Some years ago we wrote a paper in which we made the case that if a man and a woman could run a [standard 42-km (26-mi)] marathon in the same time, the woman would likely win the longer Comrades race by about an hour. She'd be about an hour faster...
...where obesity in children aged between six and 11 has tripled over the past three decades, which may be why a few U.S. states already send reports on heavy kids home to parents. The College of Natural Resources at the University of California, Berkeley, published a paper in November 2006 describing the "risks and benefits of BMI reporting in the school setting", and in May 2007, Wyoming started a program in which students' report cards came complete with their...
...elite." With democracy, says Moscoso, "sports moved into the public schools, and became something for everyone. Now, it's impossible to consider Spanish society without sports." The transformation has been dramatic. Spain now boasts 250,000 public sporting facilities, its best-selling newspaper, Marca, is a sports paper and 70% of its Olympic medal haul has come in the last four summer games...