Month: July 2013

Yoga Woo

Yoga is an increasingly popular form of exercise in the US. According to Yoga Journal more than 20 million Americans use yoga as their form of exercise. As a form of exercise yoga is fairly straightforward, involving stretching and holding poses that strengthen muscles. It also carries the generic benefits of any exercise in terms of calorie-burning and cardiovascular health. Yoga, however,...

/ July 31, 2013

What Doctors Feel

Doctors are often accused of being unfeeling technicians who treat their patients like cases of disease rather than people (think Dr. House). We were taught in medical school to remain detached, not get too close to patients, and not show our emotions. That attitude was epitomized in William Osler’s essay Aequanimitas. But doctors have feelings like anyone else, and no one is...

/ July 30, 2013
Test Tubes

The difference between science-based medicine and CAM

There is a huge difference between science-based medicine (SBM) and so-called "complementary and alternative medicine" (CAM) or, as it's increasingly called, "integrative medicine." That difference is that SBM changes with new science. The change might be messier and slower than we would like, but eventually science and evidence win out.

/ July 29, 2013

Religion and SCAM

I do not worry much about being dead although the process of getting there gives me pause. I have witnessed a few unpleasant deaths and I hope to never see the Grim Reaper coming my way. One of the more awful and pointless deaths occurred early in my career. I had a patient with hepatitis C and cirrhosis. He had low platelets,...

/ July 26, 2013
acupuncture_u-s-_army_afghanistan

Integrative Medicine Invades the U.S. Military: Part One

Integrative medicine proponents claim superiority over physicians practicing “conventional” medicine. (Which I will refer to as “medicine” so as not to buy into integrative medicine’s implied claim that medicine can be practiced with two separate standards.) While conceding that medicine is good for treating conditions like broken arms and heart attacks, physicians who purport to practice integrative medicine argue it ignores “the...

/ July 25, 2013

Prenatal Mercury and Autism

Mercury in unequivocally a neurotoxin. It is especially damaging to the developing brain. But it’s the dose that makes the toxin, and so a low enough exposure even to something known to be potentially harmful may not be. Further, the body has mechanisms for dealing with toxins, and toxins in the body may not be reaching the cells they can potentially damage...

/ July 24, 2013

A Skeptical Look at Screening Tests

I’m going to follow Mark Crislip’s example and recycle my presentation from The Amazing Meeting last week, not because I’m lazy or short on time (although I am both), but because I think the information is worth sharing with a larger audience. We’ve all had screening tests and we’re all likely to have more of them, but there is a lot of...

/ July 23, 2013

Stanislaw Burzynski: The Early Years, part 1

It’s been a week now since I got back from TAM, where Bob Blaskiewicz and I tag-teamed a talk about a man who has become a frequent topic of this blog, namely Stanislaw Burzynski. I’ve been meaning to come back to the topic of Burzynski, but from a different angle. There hasn’t been much in the way of news lately other than...

/ July 22, 2013

Human Sex Determination: Psychic Sperm and the Gambler’s Fallacy…..

Carl Sagan supposedly once said that randomness is clumpy. Those three words have become one of my favorite go-to quotes, particularly when teaching residents and medical students who are often overly impressed with improbable runs of similar diagnoses or exam findings. I love this quote because it is so simple and yet reveals so much about our experience with observing the natural...

/ July 19, 2013

I’ve been prescribed an antibiotic. Should I take a probiotic?

We are not one organism, we are many organisms. And when we disturb the relationship with our symbiotic partners, we can suffer unpleasant and sometimes life-threatening consequences. One of the most fascinating areas of medical research is the study of how our bodies interact with the the various organisms that we carry around, on us and in us. A focus is the...

/ July 18, 2013