What I'm trying to figure out is, how to I determine whether a source I'm looking at is telling the truth? For an example, let's take this page from Metamed: http://www.metamed.com/vital-facts-and-statistics
At first glance, I see some obvious things I ought to consider. It often gives numbers for how many die in hospitals/year, but for my purposes I ought to interpret it in light of how many hospitals are in the US, as well as how many patients are in each hospital. I also notice that as they are trying to promote their site, they probably selected the data that would best serve that purpose.
So where do I go from here? Evaluating each source they reference seems like a waste of time. I do not think it would be wrong to trust that they are not actively lying to me. But how do I move from here to an accurate picture of general doctor competence?
Overall the contents of the linked page make me want to update quite a bit away from trusting MetaMed. One more example:
Compare with this excerpt from the primary source, which presumably serves as the basis for the claim:
The primary source is not claiming that "a CT scan exposes you to Hiroshima-Nagasaki survivor radiation levels". It is saying the converse - "some atomic bomb survivors received doses low enough to be comparable to CT scans". The phrase "survivors of Hiroshima and Nagasaki" is pure fear-mongering - how much radiation the typical atomic bomb received is not public knowledge, so we'll tend to think in terms of worst cases (this handy chart might help). The average dose received, however, was 210 mSV according to one source I consulted; this is four times the high end dose from a pediatric CT, with the low end around 5 mSV. The statement from MetaMed is perhaps not an outright lie but it is at least grossly misleading.
For a business which has been touted right here and by no less than Eliezer himself as providing "actual evidence-based healthcare", this is a little worrisome.
(ETA: contrary to appearances I'm not actually trying to take over this whole post's discussion area, but I happen to get easily nerd-sniped by fact-checking exercises and easily worked up when I get a sense that someone is trying to pull a fast one on me.)
Alternatives in medicine are primarily a domain of crackpots and scam artists, and it is of no surprise what so ever for me that the individuals involved in this sort of thing would capitalize on fear of radiation.
The doses are highly misleading; the CT scan is typically not a whole body exposure, and the cancer risk is proportional to tissue-adjusted whole body exposure not the organ doses. Which, for the CT scan of the head, is 1..2 mSv . The annual dose from all sources is listed as 2.4 mSv in US .
While there's little question (based on our understandi... (read more)