A Piece of My Mind Section Editor: Roxanne K. Young, Associate Editor.
Rounds completed, I hesitated returning to my office. Having cited the
latest New England Journal of Medicine article about
the human papillomavirus type 16 vaccine, an Annals of Internal
Medicine article reporting on the use of leflunomide for active rheumatoid
arthritis, and a Journal of the American Medical Association piece on dual antiplatelet therapy after percutaneous coronary intervention,
I felt particularly brilliant today. I had especially wowed the students and
residents when I noted the latest findings in the Lancet regarding the IBIS-1 study demonstrating that prophylactic tamoxifen
reduces breast cancer risk among women with high risk. I had deftly introduced
this topic while reviewing the case of a woman who had breast cancer 30 years
ago and was just admitted with hyperthyroidism.
Horowitz HW. Dumbing Down. JAMA. 2003;289(11):1349-1350. doi:10.1001/jama.289.11.1349