Is your doctor a marijuana user? Maybe you should ask.

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327518caf4de6ca81321ea8b469a3d42Reefer Madness Redux

By Michael Lawrence Langan MD

Cannabis, also known as marijuana and by numerous other names, is a preparation of the Cannabis plant intended for use as a psychoactive drug or medicine.

The main psychoactive part of cannabis is tetrahydrocannabinol (THC); it is one of 483 known compounds in the plant, including at least 84 other cannabinoids, such as cannabidiol (CBD), cannabinol (CBN), and tetrahydrocannabivarin (THCV).

Source: https://en.wikipedia.org/wiki/Cannabis_(drug)

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Reefer Madness Redux: Is your doctor a marijuana user? Maybe you should ask.

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Devotee of Medical Marijuana

[Clandestine Grow Lab at Home]

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Conclusion

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Birth of “Addiction Medicine” as a New Discipline

The Need for an in Utero Diagnostic Assessment Prior to Delivery

By Michael Lawrence Langan MD

One thing is for certain.

When society gives power of diagnosis and treatment to individuals within a group schooled in just one uncompromising model of addiction with the majority attributing their very own sobriety to that model, they will exercise that power to diagnose and treat anyone and everyone according to that model.

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Carl Sagan’s Baloney Detection Kit and the Birth of “Addiction Medicine” as a New Discipline: The Need for an in Utero Diagnostic Assessment Prior to Delivery — Disrupted Physician

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Big Pharma Quietly Enlists Leading Professors to Justify $1,000-Per-Day Drugs

THE LONG CON

Langan MD

By Michael Lawrence Langan MD 

Ya gotta spend money to make money, am I right?

The payoffs required are enormous, but once they get in, they make tons of money, and jacking the price of drugs to boot.

President Trump promised that he would take care of that and make a deal to roll back drug prices, but then he met with […]

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businessman-fashion-man-person-1

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The long con: Big Pharma Quietly Enlists Leading Professors to Justify $1,000-Per-Day Drugs — Later On

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Unrecognized Corporate Psychopathy in the Medical Profession

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Langan MD

By Michael Lawrence Langan MD

In his book Without Conscience, Dr. Robert Hare notes: “If we can’t spot them, we are doomed to be their victims, both as individuals and as a society. ”

Dr. Clive Boddy in Corporate Psychopaths observes that “unethical leaders create unethical followers, which in turn create unethical companies and society suffers as a result.”

And more […]

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 Snakes in Smocks: Unrecognized Corporate Psychopathy in the Medical ProfessionDisrupted Physician

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Physician Health Programs are NOT Above the Law

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Originally posted on Disrupted Physician 

Are Physician Health Programs (PHPs) above the Law?

By Michael Lawrence Langan MD

Unable to get law enforcement to take cognizance of reported abuse, many doctors I have spoken with believe that the actors involved are impervious to criminal liability.

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 Physician Health Programs (PHPs) are not above the law; They just think they are — Disrupted Physician

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On Competent, Ethical and Fair Legal Representation for Doctors?

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Langan MD

By Michael Lawrence Langan MD

A Possible New Niche area for Lawyers

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The attorney pool is currently over-served by those serving two clients and most of those outside simply do not know enough about the “physician health” legal issues related to doctors.

When they appear before the board it is as if they are a deer in the headlights.

It is a new terrain where all due process and […]

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 Competent, Ethical and Fair Legal Representation for Doctors —A Possible New Niche area for Lawyers. — Disrupted Physician

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The impact of illegitimate authority on regulation of the medical profession

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The overdue need for critical analysis

Langan MD

By Michael Lawrence Langan MD

It is not wisdom but Authority that makes a lawThomas Hobbes

In Questions of science, the authority of a thousand is not worth the humble reasoning of a single individual— Galileo Galilei

Regulatory Decisions and Public Policy Making

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The impact of illegitimate authority on regulation of the medical profession: The overdue need for critical analsysis — Disrupted Physician

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Funding Physician Health Reform

CONGRATS: Best 70 Physician Blogs

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cropped-screen-shot-2016-10-10-at-9-32-40-pm

By Michael Lawrence Langan MD

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Physician Health Reform

Disrupted Physician

The Physician Wellness Movement and Illegitimate Authority

[The Need for Revolt and Reconstruction]

SUPPORT THE CAUSE

https://www.gofundme.com/PHPReform

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Daniel Vande Lune MD on How HCQIA provided immunity is misused by hospitals for sham peer-review

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Originally posted on Disrupted Physician

PUBLISHER’S NOTE: From time-to-time the ME-P might re-post an essay or opinion of vital interest to our readers and industrial ecosystem. This article is one of those times from an Award Winning Blogger and physician colleague from the Disrupted Physician. Feel free to visit his website directly and support his work as you deem fit.

https://www.gofundme.com/PHPReform

Langan MD

 The Ability for Hospitals to Hide behind the Immunity of HCQIA and the Abuse and Coercion by the PHP: my story and caveats.

I have been asked to write a guest blog and whole heartedly agreed. I am not afraid to tell my story ……

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Guest Post: Dr. Daniel Vande Lune, MD discusses how HCQIA provided immunity is misused by hospitals for sham peer-review — Disrupted Physician

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The Importance of Sensitivity, Specificity and Diagnostic Test Accuracy — Disrupted Physician

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Sensitivity, Specificity and Diagnostic Test Accuracy

Langan MD

By Michael Lawrence Langan MD

***

The reliability, validity and accuracy of drug test results needs to be known prior to using a test. Specificity and sensitivity must be known prior to using a test on any population.

This should go without saying as to do anything else would be irresponsible and careless. Source: Diagnostic Testing 101.1: The Importance of Sensitivity, […]

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Diagnostic Testing 101.1: The Importance of Sensitivity, Specificity and Diagnostic Test Accuracy — Disrupted Physician

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Integrity and Accountability—The Declining State of Physician Health and the Urgent Need for Ethical and Evidence-Based Leadership

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By Michael Lawrence Langan MD

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Integrity and Accountability—The Declining State of Physician Health and the Urgent Need for Ethical and Evidence-Based Leadership — Disrupted Physician

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Hippocrates and the Internet

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Langan MD[By Ira Nash MD via Michael Lawrence Langan MD]

The Hofstra Northwell School of Medicine recently graduated its second class. The commencement was a wonderful “feel-good” event, complete with beautiful weather, happy graduates and proud families…

Hippocrates and the Internet

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Request Medical School Administrators Question PHP Authority to Prevent Future Medical Profession Brain Drain

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[Pediatric] Physician Health Programs

Langan MD[By Michael Lawrence Langan MD]

Physician Health Programs (PHPs) are now targeting medical students and the stories I am hearing are heartbreaking.   Medical students who do not fit the diagnostic criteria for psychological probl…

 Request Medical School Administrators Question PHP Authority to Prevent Future Medical Profession Brain Drain

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EtG – The Rosie Ruiz of Bent Science and Bad Medicine

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BAD Medicine … and that is NOT “Good”

Langan MD[By Michael Lawrence Langan MD]

The original pitch to the medical boards for Etg  was done by ex-felon Greg Skipper who is one of the Federation of State Physician Health Program (FSPHP) “impaired physician” architect…

EtG–The Rosie Ruiz of Bent Science and Bad Medicine

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Massachusetts Governor Charlie Baker Moves to Control Professional Boards

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But has the Medical Board made a Counter Move?

Langan MD[By Michael Lawrence Langan MD]

Governor Baker’s recent move to control professional boards seemed a promising step and I provided detailed documentation to the Director of Constituent Services at the Office of the C…

Massachusetts Governor Charlie Baker Moves to Control Professional Boards (But has the Medical Board made a Countermove?) 

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An Open Letter to Senator Elizabeth Warren Regarding Laboratory Developed Tests, Physician Health Programs and Institutional Injustice

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Langan MD[By Michael Lawrence Langan MD]

I can think of nothing more institutionally unjust than an unregulated zero-tolerance monitoring program with no oversight using unregulated drug and alcohol testing of unknown validity.   But that…

An Open Letter to Senator Elizabeth Warren Regarding Laboratory Developed Tests, Physician Health Programs and Institutional Injustice

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The Regulatory Capture of American Medicine by the Drug and Alcohol Testing, Assessment and Treatment Industry

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Regulatory Capture?

Langan MD

[By Michael Lawrence Langan MD]

Regulatory capture is a form of government failure that occurs when a regulatory agency created to act in the public interest, instead advances the commercial or political concerns of special interest groups that dominate the industry or sector it is charged with regulating and introduced in an article by George J. Stigler in 1971 entitled The Theory of Economic Regulation. The main idea of the article can be summarized in Stigler’s (1971: 3) affirmation that:

“…as a rule, regulation is acquired by the industry and is designed and operated primarily for its benefits.”

The Regulatory Capture of American Medicine by the Drug and Alcohol Testing, Assessment and Treatment Industry

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The Need for Anti-Authoritarians in the Medical Profession

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327518caf4de6ca81321ea8b469a3d42

Question Authority

By Michael Lawrence Langan MD

Anti-authoritarians question whether an authority is a legitimate one before taking that authority seriously.

To evaluate the legitimacy of  an authority it is necessary to do the following:

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Question Authority: The Need for Anti-Authoritarians in the Medical Profession

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The Medical Profession under Dictatorship

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327518caf4de6ca81321ea8b469a3d42By Michael Lawrence Langan MD

Revisiting Dr. Leo Alexander’s prescient warnings from 1949

 Dr. Leo Alexander (October 11, 1905 – July 20, 1985) was an American psychiatrist, neurologist, educator, and author, of Austrian-Jewish origin. He was a key medical advisor during the Nuremberg Trials. Alexander wrote part of the Nuremberg Code, which provides legal and ethical principles for scientific experiment on humans.

Source: https://en.wikipedia.org/wiki/Leo_Alexander

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The Medical Profession under Dictatorship–Revisiting Dr. Leo Alexander’s prescient warnings from 1949

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leoalexander

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Question Authority: The Need for Anti-Authoritarians in the Medical Profession

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Michael Lawrence Langan, M.D.

[Boston, Massachusetts]

M.D. Harvard Medical School, Massachusetts General Hospital 1997-2013. Geriatric Medicine, Internal Medicine

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iMBA Inc Textbooks

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Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

Disrupted Physician

Screen Shot 2015-05-30 at 7.27.10 PM
Anti-authoritarians question whether an authority is a legitimate one before taking that authority seriously.  images-24To evaluate the legitimacy of  an authority it is necessary to:
1. Assess whether they actually know what they are talking about.
2. Assess whether the authorities are honest in their intentions.  When anti-authoritarians assess an authority to be illegitimate, they challenge and resist that authority.
There is a paucity of anti-authoritarianism in the medical community concerning groups who have gained tremendous sway in the regulation of the medical profession.    There is an absence of anti-authoritarian questioning  of  what is essentially illegitimate and irrational authority.
images-26In order for these organizations to maintain power it is necessary that their authoritative opinion remain unquestioned and unchallenged.  Consciously manufactured propaganda has persuaded regulatory and public opinion of their value and to maintain power it is necessary that this authority remain insulated from outside evaluation because the entire system is based…

View original post 301 more words

Drug Companies and Doctors [A Story of Corruption]

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Disrupted Physician

Drug Companies and Doctors: A Story of Corruption.

What we need is a Marcia Angell to take on the multi-billion dollar drug and alcohol testing, assessment and treatment industry.

Screen Shot 2015-06-01 at 7.22.25 PMWhile all eyes were focused on the drug companies these multi-billion dollar industries erected a scaffold of immunity and profit by removing (and blocking) themselves from essentially all aspects of accountability; answerability, justification for actions and the ability to be punished by outside actors.    The 2009 quote in reference to “big pharma”  is just as applicable to the drug and alcohol testing industry,”  the inpatient assessment and treatment centers and the “authorities” pushing public policy and swaying public opinion to accept irrational and illegitimate authoritative opinion as truth.

And unlike the pharmaceutical industries carefully constructed “bent science” which requires a keen eye and critical analysis , the evidence-base supporting the testing, assessment and treatment industry rests on a foundation that can…

View original post 541 more words

A Possible New Niche Area for [Health-Law] Attorneys?

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Competent, Ethical and Fair Legal Representation for Doctors

By Michael Lawrence Langan MD

Wretched creatures are compelled by the severity of the torture to confess things they have never done and so by cruel butchery innocent lives are taken; and by new alchemy, gold and silver are coined from human blood.– Father Cornelius Loos (1592)

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17th-century-tribunal

[“PHP-Approved Attorneys”]

Competent, Ethical and Fair Legal Representation for Doctors

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Channel Surfing

Have you visited our other topic channels? Established to facilitate idea exchange and link our community together, the value of these topics is dependent upon your input. Please take a minute to visit. And, to prevent that annoying spam, we ask that you register.

Link: http://feeds.feedburner.com/HealthcareFinancialsthePostForcxos

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Moving the Goalpost [Criminal Violations of HIPAA by PHS, Quest and USDTL]

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clinical drug trials

Disrupted Physician

imgres-22

Information obtained under HIPAA Privacy Rule

1.August 6, 2014 to Langan with health materials   2. Quest-Clinical

PastedGraphic-1

The elements of a criminal offense under HIPAA are fairly straightforward.  To commit a “criminal offense” under HIPAA, a person must knowingly and in violation of the HIPAA rules do one (or more) of the following three things.:  use or cause to be used a unique health identifier, obtain individually identifiable health information relating to an individual or disclose individually identifiable health information to another  person.   Criminal penalties under HIPAA, tiered in accordance with the seriousness of the offense, range from a fine of up to $50,000 and/or imprisonment up to a year for a simple violation to a fine up to $100,000 and/or imprisonment up to five years for an offense committed under a false pretense and a fine up to $250000 and/or imprisonment up to ten years for an…

View original post 3,591 more words

Understanding State Medical Board Structures

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 “The Tale of Two Boards”

[By Eric A. Dover MD]

[By Michael Lawrence Langan MD]

SOAR

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The great majority of States have in reality two Medical Boards. All States have a “Board Proper” and all but a handful have an “Administrative Board”.

First Board

The “Board Proper” is, depending on the State, made up of seven to sixteen individuals. There will be a President (Chairperson) and President Elect. The Board Members are “volunteers”, typically placed by the State Governor. The individuals who constitute the Board may vary greatly and are somewhat determined by the medical disciplines overseen by the Medical Board. Oklahoma presently separates Medical Doctors (M.D.) and (D.O.) into two Boards http://www.okmedicalboard.org/

Other Medical Boards may oversee Physician Assistants (P.A.), Midwives, Respiratory Therapists, Podiatrists, Athletic Trainers, etc., who may or may not have direct Board representation. All States have M.D.s on the Board, and some Boards are all M.D.s. Others members of the Board may include D.O.s, P.A.s, Podiatrists, Midwives, Respiratory Therapists, a representative from the Secretary of State’s office, the Commissioner of State Boards or an Educational Director. Many, but not all Medical Boards, will have anywhere from one to three Public Members.

Some States require Public Member(s) come from a specific profession such as a lawyer or hospital administrator. Other States have no such qualifications; therefore the Public Member can be from any profession.

Second Board

The “Administrative Board” is the other Medical Board. They run the operation throughout the year. Their personnel, structure and operation vary widely from State to State.

Most States will have an Executive Director who supervises the Board.   Some states, such as New Mexico http://www.nmmb.state.nm.us/ or Indiana http://www.in.gov/pla/3638.htm, use a State Board Director for all boards, and don’t have a specific Executive Director.

Pennsylvania uses a State Administrator in lieu of an Executive Director. Individuals filling these positions are either legally or administratively trained.

http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/default.aspx#.VOO-ZfZ0zIU

Many States have a Medical Director. They are physicians whose tasks, for example, may include working with Investigators, lending medical expertise or working on Board Committees. Many other State Medical Boards, such as Delaware don’t have one. http://dpr.delaware.gov/boards/medicalpractice/members.shtml

Medical Boards are divided regarding in-house Legal Staff. Oregon has in-house legal staff, but also relies upon a single Assistant Attorney General from the State Department of Justice   http://www.oregon.gov/OMB/Pages/index.aspx.

In Pennsylvania, all State Boards use the Office of General Council for legally related issues. http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Pages/default.aspx#.VOO-ZfZ0zIU.

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professor

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Assessment

Each State handles their Medical Board investigations differently. Some have in-house investigators. They may be ex-police officers, which are common, but they don’t have to be.

California’s Investigators are called “Peace Officers” and they aren’t typically ex-police http://www.mbc.ca.gov/

In North Dakota, the Board Members act as the investigative staff and will hire outside investigators if necessary https://www.ndbomex.org/

In Delaware, investigations are handled for all Boards by the Division of Professional Regulation http://dpr.delaware.gov/boards/medicalpractice/members.shtml.

About the Authors

Dr. Eric Dover is a board certified family practice and primary care physician in Portland, Oregon. He is a graduate of the University of California at Los Angeles [UCLA] School of Medicine.

Dr. Michael L. Langan graduated from Oregon Health Sciences University School of Medicine, Portland Oregon as a Medical Doctor 21 years ago. He had his residency training of Geriatric Medicine-Internal Medicine at Beth Israel Deaconess Medicine Center and Internal Medicine at St Vincent Hospital Medicine Center.

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Doctor Suicide and Physician Health Programs

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The Elephant in the Room

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The Elephant in the Room: Physician Suicide and Physician Health Programs

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Psychopathy and the Medical Profession

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Psychopathy Everywhere?

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By Michael Lawrence Langan MD

Psychopathy is present in all professions.

In The Wisdom of Psychopaths: What Saints, Spies, and Serial Killers Can Teach Us About Success, Kevin Dutton provides a side-by-side list of professions with the highest (CEO tops the list) and lowest (care-aid) percentage of psychopaths.

Interestingly surgeons come in at #5 among the professions with the highest percentage of psychopathy while doctors  (in general) are listed among the lowest [more ……>]

Psychopathy and the Medical Profession

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The Resurgence of Polygraph “Lie-Detection” in an age of Evidence-Based Medicine

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On Junk-Science in the Medical Profession

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By Michael Lawrence Langan MD

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If you are ever asked to take a polygraph test–don’t do it. Those involved in the criminal justice system, including lawyers, are largely uneducated in the realm of scientific scrutiny and experimental methodology.

They may not separate science and pseudo-science, and erroneously believe that the polygraph is an accurate scientific instrument. Their interactions are with polygraph examiners who proselytize its use, and they have little or no interaction with scientists, psychologists, and physicians who refute its use.

Refuse to take the test and educate them. Cite the Frye Doctrine, go to the medical library, copy the scientific articles which belie its validity, and present them to whomever requested you to take the test. State that the principles and assumptions underlying polygraphy are not supported by our understanding of psychology, neurology, and physiology.

*** Polygraph_Test_-_Limestone_Technologies_Inc***

Junk-Science in the Medical Profession: The Resurgence of Polygraph “Lie-Detection” in an age of Evidence-Based Medicine.

Assessment

Then, put the burden of proof on their heads. Tell them to present you with scientific evidence that corroborates the validity of the test. There is simply no rational basis for a machine to detect liars.

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About the Author

Dr. Langan graduated from Oregon Health Sciences University School Of Medicine, Portland Oregon with an MD 21 years ago. He had his residency training of Geriatric Medicine-Internal Medicine at Beth Israel Deaconess Medicine Center and Internal Medicine at St Vincent Hospital Medicine Center.

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