Wikipedia:Osmosis/Issues

Anorexia nervosa

 * Anorexia nervosa
 * Video specifies 85% body weight as being diagnostic. DSM5 uses BMI (although is mentioned later in video). Mostly ok but the psychotherapy treatment at 7.05 is problematic as it is too simplistic. Cas Liber (talk · contribs) 04:03, 29 March 2018 (UTC)

Breastfeeding
Errors
 * Breastfeeding
 * Talk:Breastfeeding Doc James  (talk · contribs · email) 20:36, 27 March 2018 (UTC)
 * Video states "Breast milk contains all the nutrients a baby needs for its first year". Every medical authority advises that solid foods should begin to be introduced at 6 months.  The WHO states, "Exclusive breastfeeding is no longer sufficient to meet all energy and nutrient needs by itself, and complementary foods should be introduced to make up the difference."
 * The video states that breastfeeding problems following breast reduction/augmentation surgery are"rare". This is not correct.  Low milk supply after reduction mammoplasty is not rare. It is associated with a fivefold increase of risk of lactation insufficiency. The American Academy of Pediatrics recommends that babies of mothers who have had this surgery be monitored to make sure they are getting enough milk. According to a Cochrane review, " This systematic review and meta-analysis suggests that women with breast implants who breastfeed were less likely to exclusively feed their infants with breast milk compared to women without breast implants."
 * In discussing nipple soreness the video mentions only topical creams and ointments Every good review of breastfeeding strongly emphasizes the fact that nipple soreness is almost always the result of a poor latch. Also, contrary to the video, nipple pain is normal for the first couple of days, not the first few suckles. Again, showing that the creator of the video has no understanding of "correct latch", an illustration is used that shows a baby suckling without proper latch; the illustration shows the baby mouthing the nipple.
 * Less egregious than the above problems, but still worth mentioning, the video correctly says that babies should nurse every 1 to 3 hours but skips the part about 8 to 12 feeds a day and does not mention that this frequency applies to only the first few weeks. Poor mother!  Can you imagine nursing every hour for the recommended 30 to 45 minutes?  In another instance information was also cut short leading to misleading information.  Discussing health benefits the video choose a few, apparently at random, benefits while our article lists numerous benefits.  If one were to only watch the video rather than read the article they would come away with a misunderstanding as to the benefits of nursing.  The video would have been much more accurate if it had merely stated "numerous benefits".

Perhaps the many incorrect "facts" in this video are related to the fact that the MD that made it specializes in genetics. Even still, if this company can be trusted they should review all videos before releasing them, which very obviously was not done in this case. It also concerns me that Doc James refused to delete this video four months ago, calling the mistakes "minor". Gandydancer (talk) 22:30, 29 March 2018 (UTC)

Coeliac disease

 * Coeliac disease
 * Talk:Coeliac disease/Archive 5
 * Discussion at Talk:Jimbo Sandy Georgia  (Talk)  20:45, 27 March 2018 (UTC)

Dementia with Lewy bodies
Sources: Books with no page numbers, and not likely to have used a single source that reflects 2017 Fourth Consensus Report from Dementia with Lewy Bodies Consortium Sandy Georgia (Talk)  21:09, 27 March 2018 (UTC)
 * Le, T., Bhushan, V., Sochat, M., & Chavda, Y. (2017). 'First Aid for the USMLE Step 1 2017 (27 edition). New York, NY: McGraw-Hill Education / Medical. ?????
 * Sattar, H. (2017). Fundamentals of pathology: Medical Course and Step 1 Review (1 edition). No publisher, no pages.
 * Kumar, V., Abbas, A. K., and Aster, J. (2015). Robbins and Cotran: Pathologic basis of disease. Philadelphia, PA: Elsevier Saunders.
 * Dementia with Lewy bodies (everything below well sourced to recent secondary high quality reviews in article)
 * 1) Appears to equate REM sleep behavior disorder to sleepwalking and sleeptalking, huge lost opportunity to help further accurate diagnosis
 * 2) Not a service to our readers if we don't distinguish Alzheimer's from DLB; one is an encoding memory problem, other is retrieval ... learning new information
 * 3) Poor memory is not typically an early symptom (that would be Alzheimer's) ... typical early symptom is fluctuating cognition.   Video says "typical to Alzheimer's" and misses the opportunity to distinguish.
 * 4) Completely miss that the earliest symptom of all is REM sleep behavior disorder (RBD), which is dream enactment behavior that can appear years to decades before the other "early" symptoms they mention.  With >90% predictive value for synucleinopathies, most of which are DLB, opportunity missed.
 * 5) Sleep disorders are mentioned, but they have completely left out RBD, a core feature. Probably because they did not have the new consensus criteria when doing the video.
 * 6) Mention levodopa, which is problematic, but never mention one of the single most deadly facts about DLB:  severe antipsychotic sensitivity, serious missed opportunity, particularly if educating medical students, since this is often fatal
 * Point 2 was in reference to text that said something about Early symptoms. Apparently I lost the text in question on edit.  And to get the text again, I would have to listen to the video again.  Hence the problem with verifying and dealing with these videos.  Sandy Georgia  (Talk)  01:22, 28 March 2018 (UTC)

Epilepsy

 * Epilepsy
 * User talk:Jimbo Wales

Tic disorder
Sandy Georgia (Talk)  20:50, 27 March 2018 (UTC)
 * Tic disorder
 * 1) "suffer from" POV, there is no significant impairment or distress criterion in the DSM for TS precisely in recognition that not everyone "suffers", this is demeaning.  The "significant impairment or distress" requirement was removed from DSM-IV-TR and neither it is included in DSM-5.
 * 2) Medication-- no mention of most common, which is "nothing needed but education"-- medication is most often not needed at all
 * 3) Mention of haldol, the least likely to be used, because ... well ... haldol sucks (side effects are worse than benefit)
 * 4) Problem in whole simple/complex (related to quick/sudden)

FAs with Osmosis videos
Often in the lead. These videos introduce various issues with WP:WIAFA. (I may have missed some.)
 * Apparently, has a problem, that was hard to discover
 * Cannot find sources
 * Cannot find sources


 * Source: Principles and Practice of Medical Genetics. Ch 117. Basal ganglia disorders. No publisher, no editor or author, no page numbers, no year !!!  No idea what this source is
 * Source: Principles and Practice of Medical Genetics. Ch 117. Basal ganglia disorders. No publisher, no editor or author, no page numbers, no year !!!  No idea what this source is
 * Source: Principles and Practice of Medical Genetics. Ch 117. Basal ganglia disorders. No publisher, no editor or author, no page numbers, no year !!!  No idea what this source is
 * Source: Principles and Practice of Medical Genetics. Ch 117. Basal ganglia disorders. No publisher, no editor or author, no page numbers, no year !!!  No idea what this source is


 * Sources: Sources: Pathoma First aid  ????
 * Wikipedia Khan academy videos by Emma Giles ????
 * -2013 for treatment -2010 for treatment -2003 for treatment, old sources for treatment, no recent secondary reviews
 * http://emedicine.medscape.com/article/1831191-overview
 * Sources: Sources: Pathoma First aid  ????
 * Wikipedia Khan academy videos by Emma Giles ????
 * -2013 for treatment -2010 for treatment -2003 for treatment, old sources for treatment, no recent secondary reviews
 * http://emedicine.medscape.com/article/1831191-overview
 * Wikipedia Khan academy videos by Emma Giles ????
 * -2013 for treatment -2010 for treatment -2003 for treatment, old sources for treatment, no recent secondary reviews
 * http://emedicine.medscape.com/article/1831191-overview



Scripts
We are told scripts are here, but most are not. Sandy Georgia (Talk)  12:38, 28 March 2018 (UTC)
 * WikiProject Medicine/Osmosis
 * Was told that some scripts were there. Agree many are missing. Doc James  (talk · contribs · email) 22:48, 29 March 2018 (UTC)
 * Most are missing, and there are no sources, just a brief list of "resources" at the end, which (in the ones I looked at) include Wikipedia and other non-RS. SarahSV (talk) 23:00, 29 March 2018 (UTC)
 * There are references at the end of many of them. Agree that these are not inline references. Doc James  (talk · contribs · email) 23:08, 29 March 2018 (UTC)
 * They're not MEDRS-compliant. If an editor had submitted these as text, you wouldn't have let it stay in the articles for a minute without MEDRS sources, and you definitely wouldn't have let them add their company logo. SarahSV (talk) 00:08, 30 March 2018 (UTC)