Look Who it Was Random video

Do Stents Work: Part 4: Mayo Clinic

2,216 views · Published 17 May 2018 · 12:50 · Indexed 25 September 2026

Channel: Dr. Ford Brewer MD MPH · 2018 · Science & Technology

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ABOUT THIS VIDEO:
These are the videos in the series: Stents: Do They Work? 
https://www.youtube.com/edit?o=U&video_id=6TuBJYtzB9A
https://www.youtube.com/watch?v=kpMOwPRArUc
https://www.youtube.com/edit?o=U&video_id=0WPS87vIxYU
https://www.youtube.com/watch?v=CUUdcUzsM04

In 2008, the Mayo Clinic Proceedings published a large editorial and science literature review on whether stents were overdone. It was a year after the COURAGE TRIAL was published in the New England Journal of Medicine. They summarized the science, the debate and the response of the medical community. 

http://www.mayoclinicproceedings.org/article/S0025-6196(11)60918-X/fulltext#cesec10

Plenty of other studies, like AVERT, RITA 2, TIME, and other studies showed that we are under-utilizing conservative medication and lifestyle therapy. 

The following study showed that it usually take a decade for disproven medical procedures to fall out of standard medical practice. After the COURAGE TRIAL, there was a momentary dip in stents for stable coronary disease. Then soon, it was back up to pre COURAGE utilization - way too many. 

http://www.mayoclinicproceedings.org/article/S0025-6196(13)00730-1/fulltext

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Read more about stents and stress tests here: https://prevmedhealth.com/stress-tests-cardiac-cath-stents-the-unnecessary-triad.
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ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows reduction of risk and prevention of disease.

If you are interested in becoming a patient, please visit our website: https://prevmedhealth.com.
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