Blog entry by Meguid El Nahas

Picture of Meguid El Nahas
by Meguid El Nahas - Wednesday, 20 December 2017, 11:37 AM
Anyone in the world

At XMas time and the end of every year, one reflects on the year that has passed.

2017, has seen the explosion of fake news...false news....made up news...truth and reality dont seem to matter any more but instead, whoever shouted louder and repeated it often could promote any idea false or true...

This brought to mind a similar phenomenon in Nephrology...

Over the years, fake news, fake data, falsehoods, and semi truths permeated our profession. They became accepted out of ignorance of the facts, disrespect for the truth and propaganda like marketing of ideas based on half-truths and flawed facts...it any! The propaganda of these fake nephrology facts has been promoted intensively and aggressively by those who have vested interest in these semi-truths, falsehhoods and fake news...some went as far as bullying the nephrology community and nephrologists to accept these promoted falsehoods...I once witnessed a correspondance openly threatening a colleague who was rejecting one such falsehoods by one of the promoters of the propaganda...the subject was the classification of CKD...

  Many examples of such fake Nephrology permeate our thinking...

Here are some examples,

"One third of the world population suffers from CKD"...more propaganda than facts!

"Hyperfiltration causes progressive CKD"...more propaganda than facts!

"Albuminuria is not only a marker of progressive CKD, but a maker of CKD progression".... more propaganda than facts!

"ACE inhibitors have unique nephroprotecting properties other antihypertensives dont have"....more propaganda than facts!

"eGFR is a valuable marker of kidney function"....more propaganda than facts!

"The Lower the BP, the slower CKD progression"...more propaganda than facts!

These fake information have been peddled long enough...to become realities many if not most nephrologists beleive in...and have adopted blindly without questionning...or without a minimum of critical thinking!?

The herd instinct dictates that following the herd dictats and propaganda is safer than standing up and questionning the direction the herd is taking...it often feels safe to be a sheep than a shepherd...

Like fake news, repetition and mass media promotion and propaganda, make these fake facts, nephrology realities...even though they are not subject to scrutiny, critical thinking or even credible and substantiated evidence...

So as with fake news and social media promotion of fake news, it is high time Nephrologists and the Nephrology community as a whole takes a critical stand of what it is been fed...and start filtering facts from fiction!

I urge in 2018 Nephrologists worldwide to start asking questions and critically analyse what they are told...sold..what they are encouraged to beleive....and be more discerning regarding the fake facts propaganda that doesnt spare medical information, news or publications...

Also beware of those who try to manipulate us by providing shallow and unsubstantiated information dressed up as facts...dont let them bully you to beleive them...and beware they will repeat them often enough for you to beleive them...without a shred of evidence provided...

BE VIGILANT AND HAPPY NEW YEAR!

 

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