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medical reversal is the phenomenon where a long-established medical practice is changed due to new emerging evidence one of the leading experts on medical reversal is Vinay Prasad hes an assistant professor of medicine at the Oregon Health and Sciences University and in conjunction with Cola author Adam sifu he has written ending medical reversal improving outcomes saving lives dr. Prasad thanks for joining me on dr. doc thanks so much for having me so the concept of medical reversal I think is easy to understand but but can you give us a few examples to sort of orient us here what are the recent examples of medical reversal that come to your mind when you think about this phenomenon yes I would say a medical reversal is something that doctors had been doing for years often even decades that have been extolled by professional guidelines professional societies that we may have even been reimbursed for incentivized to do that later were found to be of no benefit or maybe even harmful t