Maybe they’re not so good after all.
From the NY Times,
Heart Stents Are Useless for Most Stable Patients. They’re Still Widely Used.
Why are so many people agreeing to an expensive procedure — and putting themselves at risk — for a placebo effect?
Aaron E. Carroll
By Aaron E. Carroll
Feb. 12, 2018
From the New England Journal of Medicine
William E. Boden, M.D., Robert A. O’Rourke, M.D., Koon K. Teo, M.B., B.Ch., Ph.D., Pamela M. Hartigan, Ph.D., David J. Maron, M.D., William J. Kostuk, M.D., Merril Knudtson, M.D., Marcin Dada, M.D., Paul Casperson, Ph.D., Crystal L. Harris, Pharm.D., Bernard R. Chaitman, M.D., Leslee Shaw, Ph.D., et al., for the COURAGE Trial Research Group*
As an initial management strategy in patients with stable coronary artery disease, PCI did not reduce the risk of death, myocardial infarction, or other major cardiovascular events when added to optimal medical therapy. (ClinicalTrials.gov number, NCT00007657.)
From JAMA: The Journal of the American Medical Association
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I understand you work hard all week long and you only have so much time to ride.
I can understand volunteering on the trails is not your thing.
I can understand you don’t want to donate to the organizations the build and maintain trails.
But I can’t understand why you go out of your way to fuck up trails.
The ruts you leave will screw up the trails for every other rider until a volunteer gets around to fixing it.
Don’t be a dick, hit the trainer, ride the road, just stay off the trails when they’re soft and muddy.