| ▲ | kspacewalk2 6 days ago |
| Dr. Mike, a rare YouTube doctor who is not peddling supplements and wares, and thus seems to be at the forefront of medical critical thinking on the platform, interviewed Dr. Amen recently[0]. I haven't finished the interview yet, but having watched some others, generally the approach is to let the interviewee make their grandiose claims, agree with whatever vague generalities and truisms they use in their rhetoric (yes it's true, doctors don't spend enough time explaining things to patients!), and then lay into them on the actual science and evidence. [0] https://www.youtube.com/watch?v=J-SHgZ1XPXs |
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| ▲ | patmorgan23 6 days ago | parent | next [-] |
| Dr. Mike did an incredible job in that interview. He gave Dr. Amen all the rope to hang himself with his own words. When you're hawking a diagnosis method and you're not interested in building up the foundation of evidence for it by doing a double blinded, randomized controlled study. And that the results of said study would change how your treating patients it's pretty clear who the snake oil salesman is |
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| ▲ | flatline 6 days ago | parent | next [-] | | I also thought the rest of the interview was really worthwhile - they talked a lot about real problems in the medical industry from different perspectives. What a great and critical discussion from Dr. Mike. If Amen had conceded the point they could have moved on. There could be real findings to be had there, and some may even match his conclusions, but many likely will not, and the whole thing could also be pure fiction. We should want better answers to these questions. It's unfortunate to watch someone as seemingly intelligent and well-informed as Amen come across as shilling snake oil, and/or just being hung up on his ego, at the end of it all. Scientific literacy is so critical, because it's easy to cloak pseudoscience behind high-tech smokescreens. | |
| ▲ | jama211 6 days ago | parent | prev | next [-] | | Unfortunately I worry about the rebound effect, where even though the entire interview was debunking his claims this could still on average increase amen’s popularity. | | |
| ▲ | Aurornis 5 days ago | parent [-] | | I worry about the same effect. Debunking style conversations produce the opposite effect in viewers who instinctively take the side of anyone who appears to be trying to help and reactively take the opposite position of anyone who appears to be attacking. So many will watch this video and come away siding with Dr. Amen, feeling like they're doing the right thing to disregard the mean man on the other side who is questioning everything. The alternative medicine and pseudoscience communities thrive on "but what if it works" or "they're just trying to help" attitudes, which snake oil sellers capitalize on. | | |
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| ▲ | rkagerer 6 days ago | parent | prev [-] | | I'm no expert in medicine, but I watched that entire video and your analogy about performance and rope doesn't fit well with how it came across to me. I actually thought the interviewer was a little disingenuous. He said things like "We're on the same team" and "I'm not trying to trap you", then proceeded to lob his guest with criticisms from the other team and questions aimed to maneuver him into a contradiction. There's nothing inherently wrong with that, but if you're going to do it, be forthright you're engaging in a debate. Earlier in the interview he could have put his cards on the table and plainly stated "Myself and others in the medical community are skeptical of the efficacy of imaging on outcomes, and a rigorous, double-blind study would lend dramatic support for us to adopt what you're touting." Then they could have had the conversation he was clearly after, focused on that issue. Instead it felt like I was watching for ages as he took a winding route to get there, then the interview cut off abruptly when they finally really did. The overlays applied in editing while helpful and fair in some cases, at other times came across as one-sided. It's a shame we can't see a follow-up where the interviewee has an opportunity to respond (or squirm) in light of them. For the record I would very much love to see additional research and gold-standard, double-blind studies. In the meantime I'll treat this as "Hey, we've got this interesting thing we can measure, we're seeing some good results in our practice" without over-emphasizing the confidence in this one diagnostic. I did find the bit interesting about how having a gauge you can viscerally see impacted patients' engagement in care. Both agreed on the potential usefulness of that aspect, and conceded the difference in profiles between patients coming to Dr. Amen vs. ordinary front-line family physicians. | | |
| ▲ | westmeal 5 days ago | parent [-] | | In my opinion it's pretty clear dr. Amen was really only there to push a book. He was never really interested in having a real discussion anyway, hes just shilling. If you're going to be pushing a diagnostic method and supplements to solve issues without any proof whatsoever that's a problem. No one should be making statements about the efficacy of a technique without evidence. The fact that he got defensive about it speaks volumes about his character and what he hopes to get away with. |
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| ▲ | kafkaesque 6 days ago | parent | prev [-] |
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| ▲ | yomismoaqui 6 days ago | parent | next [-] | | I have been treated by very good doctors that smoke. And also... https://en.wikipedia.org/wiki/Ad_hominem | | |
| ▲ | kafkaesque 6 days ago | parent [-] | | I'm not sure why you are drawing a parallel to a good doctor that smokes. I never said "Doctor Mike" is a bad doctor. I have no idea if he is a good or bad doctor. Further, an ad hominem is when a person attacks someone's character without any base. I wrote specifically about him not being at the forefront and questioning his values, as displayed by his actions during the pandemic. His actions were literally not in line with Covid guidelines. Those are guidelines that were formulated by hundreds (thousands?) of doctors, all of whom sought to be at the forefront of medical science during a pandemic. As another user said, MRI scans not corresponding to brain activity is not really news, and in at least the part of the US I live in, MRI scans are not so easily recommended, especially since they're not covered by health insurance. Dr. Amen should be called out, of course, but it doesn't mean a doctor is at the forefront for doing so. | | |
| ▲ | foxyv 6 days ago | parent | next [-] | | > Further, an ad hominem is when a person attacks someone's character without any base. An Ad-Hominem is specifically an attack on someone's arguments using some un-related attack on their character. EG: "Dr. John's Opinions about vaccines are invalid because he smokes cigarettes." or "James assertion that the earth is round is invalid because he thinks that dogs are better than cats." Ad-Hom is short for argumentum ad hominem. If you aren't making an argument with your attack, you are just insulting someone. | |
| ▲ | dpark 6 days ago | parent | prev | next [-] | | > I'm not sure why you are drawing a parallel to a good doctor that smokes. Presumably because it is very analogous. You are essentially saying Dr. Mike shouldn’t be trusted because he made a bad decision. That is extremely similar to saying you shouldn’t trust a doctor’s advice because they happen to smoke. > Further, an ad hominem is when a person attacks someone's character without any base. No. An ad hominem is when the person is attacked rather than the argument. A terrible person can still make a perfectly sound argument. Calling them terrible doesn’t change the argument, even if it is emotionally satisfying. > I wrote specifically about him not being at the forefront and questioning his values, as displayed by his actions during the pandemic. You’re attacking his actions and not his recommendations. Ad hominem. | | |
| ▲ | apognwsi 6 days ago | parent [-] | | smoking is not an appropriate analogy at least insofar it is primarily damaging to the individual (claims of second hand smoke aside), whereas exposing oneself during covid is more broadly damaging as the purpose of social distancing was specifically to avoid spreading the disease, not to oneself, but to more vulnerable individuals. moreover it can be indicative that he is self-interested, that is, by acting hypocritically, while not in and of itself evidence, is consistent with 'charlatan behavior' as is, i would add, interviewing a known charlatan dr aman. aman detractors will think he is 'being shown' but the reality is that aman or similar wins legitimacy, which the interviewer knows, since his aim is entertainment, not medicine, in his capacity as an interviewer. it is not ad-hominem to try to understand a person's motivations for expressing a particular opinion, which is why the above poster referred to 'character' which is not specific to the definition of ad-hominem, but is in the spirit thereof, that is, distracting from the argument. but if the person has shown themselves to be working contradictorily to public health policy, especially in consideration of the hippocratic oath, you may ask reasonably what they are about. | | |
| ▲ | dpark 6 days ago | parent [-] | | > smoking is not an appropriate analogy at least insofar Missing the forest for the trees. The point isn’t that neglecting to mask is exactly the same as smoking. Obviously these are different. The point is that in both cases the person in question is advising one thing and doing another. The fact that a doctor smokes or doesn’t mask up in a pandemic does not mean that their advice to not smoke or to wear a mask is not good advice. If a person regularly snacks on lead paint but tells you not to eat paint, the advice is still good even if it’s coming from an idiot. > it is not ad-hominem to try to understand a person's motivations Sure, but claims of hypocrisy are still not a rebuttal. No doubt it was hypocritical for Dr Mike to tell others to social distance and then hop on a boat with a dozen people unmasked, just as it was hypocritical for Gavin Newsom to attend a dinner at The French Laundry while telling others to stay home. This isn’t actually relevant to whether the advice to socially distance was sound, though. | | |
| ▲ | kafkaesque 6 days ago | parent [-] | | The idiom is, "Do as I say, not as I do." Yet here you are trying to convince folks why this doesn't lead to poor morals, low self-awareness, and a lack of trust in doctors. We are talking about a doctor, of course, not just an average nobody. And we are talking about a doctor with 6 million subscribers. His influence is wide. Last I checked, a doctor is not the same as a politician. | | |
| ▲ | dpark 6 days ago | parent [-] | | Do you have a point except to cast this guy as untrustworthy because he did one stupid thing that got photographed half a decade ago? I feel like the pedantry about what ad hominem means and arguments about analogies and now references to morality and politicians is distracting from whatever your core point is. > lack of trust in doctors I don’t think demanding perfection from doctors helps with trust either. |
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| ▲ | KalMann 6 days ago | parent | prev [-] | | > Further, an ad hominem is when a person attacks someone's character without any base. That is not what an ad hominem is. |
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| ▲ | nradov 6 days ago | parent | prev | next [-] | | There was never anything wrong with attending parties without masks so your low-effort ad hominem criticism is irrelevant and inaccurate. | |
| ▲ | dpark 6 days ago | parent | prev | next [-] | | I hate that this is what modern discourse has become. “This person once did something stupid so you clearly shouldn’t trust them.” Meanwhile habitual frauds and incompetents get a pass because at least their stupidity is consistent. | |
| ▲ | ahmeneeroe-v2 6 days ago | parent | prev [-] | | Wow a masking-maximalist in 2025! I admire your tenacity! |
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