All posts by Harriet Hall

Harriet Hall, MD also known as The SkepDoc, is a retired family physician who writes about pseudoscience and questionable medical practices. She received her BA and MD from the University of Washington, did her internship in the Air Force (the second female ever to do so),  and was the first female graduate of the Air Force family practice residency at Eglin Air Force Base. During a long career as an Air Force physician, she held various positions from flight surgeon to DBMS (Director of Base Medical Services) and did everything from delivering babies to taking the controls of a B-52. She retired with the rank of Colonel.  In 2008 she published her memoirs, Women Aren't Supposed to Fly.

Therapeutic Touch Pseudoscience: The Tooth Fairy Strikes Again

A study out of Iran titled “Therapeutic touch for nausea in breast cancer patients receiving chemotherapy: Composing a treatment” was recently published in the journal Complementary Therapies in Clinical Practice. It is a great example of the Tooth Fairy science that permeates much of the research in complementary and alternative medicine. In Tooth Fairy science, researchers attempt to study a phenomenon without...

/ May 31, 2016

Uncertainty in Medicine

Medicine is an uncertain business. It is an applied science, applying the results of basic science knowledge and clinical studies to patients who are individuals with differing heredity, environment, and history. It is commonly assumed that modern science-based doctors know what they are doing, but quite often they don’t know for certain. Different doctors interpret the same evidence differently; there is uncertainty...

/ May 24, 2016

Hormone Replacement Therapy for Menopausal Symptoms: Setting the Record Straight

Whether you call them hot flashes or “power surges,” the symptoms of menopause can be very distressing. They were routinely treated with hormone replacement therapy (HRT) until the Women’s Health Initiative study in 2002 persuaded many patients and doctors to abandon that treatment. The results of that study were misunderstood by some and questioned by others, and there continues to be confusion...

/ May 17, 2016

The “Incoherent Mess” That Is Homeopathy: Old and New Insights

Back in 1943 a Dutch physician, David Karel de Jongh, wrote a PhD dissertation on homeopathy. It was based on his experience working in a homeopathic hospital and on all the published information he could find, and was highly critical of homeopathy. It was an impressive opus, with over 200,000 words. It is way too long for the average reader to wade...

/ May 10, 2016

Sharks Get Cancer, Mole Rats Don’t: Clues to Understanding Cancer

We think of cancer as caused by mutations. Mutations are necessary, but not sufficient, to cause cancer. New research indicates that it’s the body’s response to mutant cells that determines whether cancer will develop. James S. Welsh, MD, a radiation oncologist and researcher, has written a book on the immunology of cancer, Sharks Get Cancer, Mole Rats Don’t: How Animals Could Hold...

/ May 3, 2016

Is the Annual Physical Unnecessary?

I was approached by The Wall Street Journal to write an article for their Big Issues in Health Care debate series. The subject was “Is the annual physical unnecessary?” I was to take the “yes” side and an internist was to take the “no” side. I wrote the following article. The editor wrote me a couple of times with questions. The internist...

/ April 26, 2016

Questioning the Evidence for Breastfeeding

Six years ago I wrote about the evidence for breastfeeding. I questioned an article that claimed 900 babies’ lives could be saved every year in the US if 90% of mothers breastfed for at least 6 months. I didn’t think that was true, but I did think the evidence supported the claim that breastfeeding was clearly better for babies. Now I’m not...

/ April 19, 2016

When Headaches Are a Pain in the Neck: Spinal Manipulation vs. Mobilization for Cervicogenic Headache

NOTE: Today we offer a double feature on the treatment of cervicogenic headache. My article is about a study that compared manipulation to mobilization; it is followed by retired chiropractor Sam Homola’s guest article on manipulation for cervicogenic headache. The two posts complement each other and also complement my post from last week on the possible risk of stroke with neck manipulation....

/ April 12, 2016

Chiropractic and Stroke: No Evidence for Causation But Still Reason for Concern

Can neck manipulation (by chiropractors or by other practitioners) cause strokes? Many of us think it can, but definitive proof is lacking. A recently published study looked at the available evidence. A systematic review found a small association between stroke and chiropractic care but concluded that the association was spurious and that there was no evidence for causation. My colleagues and I...

/ April 5, 2016

Carotid Artery Stenosis: Surgery, Stent, or Nonsurgical Stroke Prevention?

The carotid artery in the neck is a common site of atherosclerosis. As plaque builds up, it leaves less room for blood flow and can cause strokes through clotting or embolization. Carotid stenosis is defined as a greater than 70% narrowing of the lumen (the space through which the blood flows in an artery). It can cause symptoms, including transient ischemic attacks...

/ March 29, 2016