This episode Derek has a discussion with Dr. Ivan Oransky, MD. Dr. Oransky is the global editorial editor for MedPage Today, and co-founder of Retraction Watch, a site which reports on scientific integrity, fraud, and other issues. He previously was executive editor of Reuters Health and held an editorial position at Scientific American and The Scientist. His main passion is the promotion of science based medicine and encouraging those in the medical field to use a more common sense approach to diagnosis and focus less on 'pre-conditions' and possible symptoms of less-than-certain diseases.