Welcome back to the Sensible Medicine Podcast. This is July 9th. It's a Sunday. I'm joined by my friend and colleague, Dr. John Mandrola. John, it's a pleasure to see you again.

It's great to see you. Well, here we are. Back in Sensible Medicine, we're without our colleague, Dr. Adam Seifu, because he's on rounds, and he said he's had, he's had too much

medicine. Literally, he's had a different type of too much medicine. You can't talk medicine

anymore. Yeah, I just, I just need to make one comment about that. Whenever academics say

they can't do something because they're on service, it makes me think, you know, us private

practice guys, we're on service every day. I just want to give them a little grief on service. It makes me think, you know, us private practice guys, we're on service every day.

So I just want to give them a little grief on that.

It's funny that, you know, when I was a fellow, I was basically on service for like the whole

year, you know, you're like on service all the time. But then when you're faculty, you're on it

in births. And it's true, though, that at the end of like two-week stretch, I do find myself tired. And I'm like, if I really am honest, I'm not sure I work that hard,

but yeah, it's the mental energy, you know, burns calories. Yeah, maybe it's the teaching and

all that business that I don't have to deal with. Well, don't worry. Most of us here don't do that either. So most don't do it. Okay, we've got a great

lineup today. We're going to talk about what's the deal with journals. Are they impartial

arbiters of the truth or do they have some agenda? We're going to talk about placebo-controlled

randomized trials based on a little video I put up on YouTube. The John watched and he made some

points of things I had omitted that's got to be discussed. And then we're going to talk about cancer screening and a viewpoint

I post in sensible medicine about a real life example of a man who just wanted to work on his car

until the lung cancer screening doctors got their tentacles on him. All right, John,

let's kick it off with journals. You know, what's your beef with journals?

What do you got against journals, John? Well, here's the thing is, I mean, I want to have this view that scientists are really trying to answer a question and that, you know, we need to publish our work

somewhere, publish work somewhere, and there needs to be judges,

neutral judges. And I understand that there's always dualities of interest. But so two examples,

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