HeyJaredQuintessential Medicine
The Medical Profession has gone off the rails. Science and ethics are gone. I am a classically trained clinician, board certified in Internal Medicine and Nephrology. Follow this substack to learn about how we get back on track.
- Indexed issues, last 90 days
- 3
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- Sep 16, 2026
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- Sep 6, 2026
Latest issues
The Volume Hypothesis of Mortality in Chronic Kidney Disease (opens the original)
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This paper was written around 2010 and never published though it was submitted to many journals. The reason for rejection should become obvious as you read—it challenged fundamental dogma in the chronic kidney disease (CKD) and dialysis community and threatened commercial interests. Here’s some background: CKD and dialysis patients have a very high mortality rate compared with the general population. The dialysis community routinely monitors various “risk factors” for mortality in monthly Qualit
The Physicians’ Declaration of Independence (opens the original)
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I first published this around 2003 and have modified it over the years. It’s based on the idea that physicians are the one indispensable component of the Medical Industrial Complex and that we have the power and the obligation to protect the sanctity of the patient-physician relationship by withdrawing from the third party payment system. We have far less power now that we’ve largely been replaced by lesser-trained people, foreign immigrants, and brainwashed new doctors. But we still have the ob
The Nazification of American Medicine (opens the original)
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The medical profession’s adoption of sacrosanct “evidence-based medicine” set the stage for the widespread medical tyranny we are currently witnessing.EBM sounds scientific, objective, and noble, but it was hijacked by industry to create clinical practice guidelines that came to dominate medical education and practice. These were only loosely based on evidence, mostly from industry-funded studies, or were created by “expert” doctors, the majority of whom were industry-funded. The embrace of
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