Do doctors pay attention to negative randomized clinical trials?
We at the Science-Based Medicine blog believe that all medicine, regardless of where it comes from, should be held to a single science-based standard with regards to efficacy, effectiveness, and safety. We tend to focus primarily on “complementary and alternative medicine” (CAM), now more commonly known as “integrative medicine,” because (1) we believe it to be undermining the scientific basis of medicine...
Announcement: “Integrative oncology” – Really the best of both worlds?
One of our goals here at SBM is to do more than just blog about the issues of science and pseudoscience in medicine that are our raison d’être. We also want to publish our science-based critiques in the peer-reviewed medical literature. Our first crack at this was an article by Steve Novella and myself published last month in Trends In Molecular Medicine...
Only two months until Skepticon
I don’t recall if I’ve mentioned this before, but I will be speaking at Skepticon in November. (Holy crap, that’s just over two months away. I’d better get my talk ready. It’ll be about the central dogma of alternative medicine. Or some such medically-related topic.) In any case, now’s crunch time, the time of year when Skepticon’s fundraising needs to go into...
Medicine past, present, and future: Star Trek versus Dr. Kildare and The Knick
I love the new Cinemax series The Knick, which is set in 1900 and portrays a brilliant maverick surgeon named Dr. John Thackery on the cutting edge of medicine at the time. I also love Star Trek's Dr. "Bones" McCoy and have recently come to like the old radio show featuring Dr. Kildare. Looking at how the three shows portray medicine in...
One more time: No, wearing a bra does not cause breast cancer
EDITOR NOTE: THERE IS AN ADDENDUM, ADDED SEPTEMBER 10. Besides being a researcher and prolific blogger, I still maintain a practice in breast cancer surgery. It’s one of the more satisfying specialties in oncology because, in the vast majority of cases I treat, I can actually remove the cancer and “cure” the patient. (I use the quotes because we generally don’t like...
The “CDC whistleblower saga”: Updates, backlash, and (I hope) a wrap-up
Given that this is a holiday weekend here in the US and that I’m having a bit of a staycation right now, I had thought of simply not posting today or of rerunning a “classic” (if you want to call it that) blast from the past. But the topic I wrote about last week has only festered and grown bigger since Monday;...
Did a high ranking whistleblower really reveal that the CDC covered up proof that vaccines cause autism in African-American boys?
[Editor’s note: I realize this post might look familiar to some, although it has been tweaked and updated. Grant deadline Tuesday, meaning no time to produce original content up to the standards of SBM that you have come to expect. At the same time, I figured I had to contribute something this week. Hopefully this update on a certain bit of antivaccine...
Clinical trials of integrative medicine: testing whether magic works?
I just thought that I’d take the editor’s (and, speaking for Steve, the founder’s) prerogative to promote our own efforts. Regular readers of SBM are familiar with our message with respect to randomized clinical trials of highly implausible “complementary and alternative medicine” treatments, such as homeopathy or reiki. Well, believe it or not, Steve and I managed to get a commentary...
“Atavistic oncology” revisited: Dr. Frank Arguello responds
Three weeks ago, I wrote about a cancer treatment promoted by Dr. Frank Arguello that I deemed to be quackery, launching into one of my usual discussions based in science (and with a touch of snark) regarding why. Dr. Arguello, it appears, is not very happy about what I wrote. So he responded. He also sent e-mails complaining to my cancer center...
The false dichotomies of CAM and “integrative medicine”
A lot of medical specialties have throwaway newspapers/magazines that are supported by advertising and somehow mysteriously managed to show up for free in the mailboxes of practitioners. In my case, I’ve found myself on the subscription list for such papers about oncology, but also general surgery (I’m Board-certified as a general surgeon). When I have to recertify in about three years, it...