{"id":39682,"date":"2017-07-19T16:19:09","date_gmt":"2017-07-19T15:19:09","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=39682"},"modified":"2017-07-27T09:24:55","modified_gmt":"2017-07-27T08:24:55","slug":"richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/","title":{"rendered":"Richard Smith: How to advise a friend frightened by a medical headline?"},"content":{"rendered":"

\"richard_smith_2014\"<\/a>A friend is frightened by reading the headline \u201cChemotherapy may spread cancer and trigger more aggressive tumours, warn scientists<\/a>\u201d in the Daily Telegraph<\/em>. A close friend of hers has had breast cancer successfully treated, but reading the headline, writes my friend, \u201cfires me back to the very physical response I had [when her friend was first diagnosed with cancer]. A shattering feeling; like those goggles you wear at the Natural History Museum and it shows you how a butterfly sees in sickening circles. I have never had so physical a reaction to anything as I did to that news when it came. I would claw the floor.\u201d<\/p>\n

She emails me asking for my opinion, hoping obviously for reassurance.<\/p>\n

The article says:<\/p>\n

\u201cIt is thought the toxic medication switches on a repair mechanism in the body which ultimately allows tumours to grow back stronger. It also increases the number of \u2018doorways\u2019 on blood vessels which allow cancer to spread throughout the body.<\/p>\n

He [there are actually 16 authors] also discovered that in mice, breast cancer chemotherapy increased the number of cancer cells circulating the body and in the lungs.\u201d<\/p>\n

I look at the paper<\/a> in Science Translational Medicine<\/em>, but I can access only the abstract, which contains no numbers and provides little opportunity for assessing the reliability of the findings, and what might be called \u201cthe plain language summary.\u201d It says:<\/p>\n

\u201cClosing the door to cancer cells<\/p>\n

Breast cancer is one of the most common tumor types, and metastasis greatly increases the risk of death from this disease. By studying the process of intravasation or entry of cells into the vasculature, Karagiannis et al. discovered that, in addition to killing tumor cells, chemotherapy treatment can also increase intravasation. Groups of cells collectively known as tumor microenvironment of metastasis (TMEM) can serve as gateways for tumor cells entering the vasculature, and the authors discovered that several types of chemotherapy can increase the amounts of TMEM complexes and circulating tumor cells in the bloodstream. The researchers also determined that a drug called rebastinib can interfere with TMEM activity and help overcome the increased risk of cancer cell dissemination.\u201d<\/p>\n

I was interested that the Daily Telegraph<\/em> chose not to mention the drug and that it translated \u201cintravasation\u201d as \u201c\u2018doorways\u2019 on blood vessels.\u201d<\/p>\n

What is clear to me is that we need to be cautious in concluding anything much from this study, and I question the wisdom of the journal or medical school in press releasing such a study, which one or the other or both perhaps did.<\/p>\n

How should I respond? I opted for the general followed by something more specific:<\/p>\n

\u201cDear X,<\/p>\n

You should treat everything you read or hear about science in the media with great caution.<\/p>\n

Similarly science itself should be treated with great caution. That\u2019s what scientists do.<\/p>\n

Science is not about truth but about hypotheses. You pose a hypothesis and then you try to test it to death, to falsify it, through experimentation. Just because you can\u2019t falsify it doesn\u2019t mean that it is true: it remains forever a provisional truth.<\/p>\n

Unfortunately, scientists these days are assessed by how much and where they publish. This leads to excessive publication of provisional ideas, hypotheses. That\u2019s one of the reasons for the finding of the paper \u201cWhy Most Published Research Findings Are False<\/a>,\u201d one of the most highly cited medical papers ever. It also accounts in part for what\u2019s known as \u201cthe reproducibility crisis,\u201d whereby around 80% of reported findings cannot be reproduced. Being able to reproduce experiments is fundamental in science, and yet scientists find it hard to find funding to do so and there are no rewards for such experiments.<\/p>\n

Charles Darwin, as you probably know, waited years before he published Origin of Species<\/em>; and, although his general ideas are right, some of what he wrote is wrong.<\/p>\n

As you know from reading about politics and sport in the media, most of it is gossip, rumour, and speculation. It\u2019s the same with science reporting, made easy by the fact that millions of scientific papers are published every year\u2014most of them, as I\u2019ve said wrong, but all of them ideas in evolution. Most journals these days put out press releases courting publicity.<\/p>\n

So what you read in the media is speculative science amplified by a vast, ill functioning gossip machine\u2014and usually exaggerated for impact.<\/p>\n

That\u2019s why you shouldn\u2019t pay much attention to any report.<\/p>\n

To turn to the specific, we know that chemotherapy in breast cancer improves survival. Many, many clinical trials combined into systematic reviews have shown that. This is close to being a \u201ctruth.\u201d<\/p>\n

These trials are, however, about populations of women, and overall they do better. Some women within the population might do worse. One of the biggest challenges in medicine is to try and relate the individual to the population, and that is the promise (still mostly a promise rather than a reality) of \u201cpersonalised medicine\u201d based on genes.<\/p>\n

Neither you nor your friend should be frightened by this piece. It may well amount to nothing, and even if it does it will apply to only some women–because we know that overall chemotherapy is beneficial.\u201d<\/p>\n

Love<\/p>\n

Richard xxxxx<\/p>\n

I don\u2019t think that my general ramblings were helpful to my friend. She honed in simply on the sentence: \u201cTo turn to the specific, we know that chemotherapy in breast cancer improves survival.\u201d<\/p>\n

GPs regularly have the problem of having to respond to media reports, and unlike me they have to do it face to face, often without the full paper, and always without the time (and training) to assess it fully. It must be tempting to dismiss all media reports, but perhaps my general response, which stops short of complete dismissal, could be helpful.<\/p>\n

Richard Smith<\/strong>\u00a0was the editor of The BMJ until 2004.<\/em><\/p>\n

Competing interest<\/strong>: None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"

A friend is frightened by reading the headline \u201cChemotherapy may spread cancer and trigger more aggressive tumours, warn scientists\u201d in the Daily Telegraph. A close friend of hers has had […]<\/p>\n

More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":38364,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[955],"tags":[],"class_list":["post-39682","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-smith"],"yoast_head":"\nRichard Smith: How to advise a friend frightened by a medical headline? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Richard Smith: How to advise a friend frightened by a medical headline? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"A friend is frightened by reading the headline \u201cChemotherapy may spread cancer and trigger more aggressive tumours, warn scientists\u201d in the Daily Telegraph. A close friend of hers has had [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-07-19T15:19:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-07-27T08:24:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Richard-Smith.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Richard Smith: How to advise a friend frightened by a medical headline?\",\"datePublished\":\"2017-07-19T15:19:09+00:00\",\"dateModified\":\"2017-07-27T08:24:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/\"},\"wordCount\":992,\"commentCount\":2,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Richard-Smith.jpg\",\"articleSection\":[\"Richard Smith\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/\",\"name\":\"Richard Smith: How to advise a friend frightened by a medical headline? - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Richard-Smith.jpg\",\"datePublished\":\"2017-07-19T15:19:09+00:00\",\"dateModified\":\"2017-07-27T08:24:55+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Richard-Smith.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Richard-Smith.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/07\\\/19\\\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Richard Smith: How to advise a friend frightened by a medical headline?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Richard Smith: How to advise a friend frightened by a medical headline? - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/","og_locale":"en_US","og_type":"article","og_title":"Richard Smith: How to advise a friend frightened by a medical headline? - The BMJ","og_description":"A friend is frightened by reading the headline \u201cChemotherapy may spread cancer and trigger more aggressive tumours, warn scientists\u201d in the Daily Telegraph. A close friend of hers has had [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2017-07-19T15:19:09+00:00","article_modified_time":"2017-07-27T08:24:55+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Richard-Smith.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Richard Smith: How to advise a friend frightened by a medical headline?","datePublished":"2017-07-19T15:19:09+00:00","dateModified":"2017-07-27T08:24:55+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/"},"wordCount":992,"commentCount":2,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Richard-Smith.jpg","articleSection":["Richard Smith"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/","url":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/","name":"Richard Smith: How to advise a friend frightened by a medical headline? - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Richard-Smith.jpg","datePublished":"2017-07-19T15:19:09+00:00","dateModified":"2017-07-27T08:24:55+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Richard-Smith.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Richard-Smith.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/07\/19\/richard-smith-how-to-advise-a-friend-frightened-by-a-medical-headline\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Richard Smith: How to advise a friend frightened by a medical headline?"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/39682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=39682"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/39682\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38364"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=39682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=39682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=39682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}