How to Choose a Doctor
From an e-mail I received: As a proponent of SBM, and a someone who places a high value on reason, logic and evidence, I would like to find a physician who shares this mindset. He went on to ask how he could go about finding one. Another correspondent was referred to a surgeon by her primary physician, and the surgeon inspired confidence...
Brief Update: Protandim
I’ve already devoted more time to Protandim than it deserves. I’ve written about it twice on SBM: here and here . But I can’t resist covering a new Protandim study that not only serves as a bad example but that made me laugh. Protandim is a mixture of 5 herbal supplements intended to upregulate the body’s own production of antioxidants. Its patent...
When To See a Doctor
Two weeks ago I wrote about the demise of the traditional annual physical for healthy adults who have no symptoms. The First Step: Identifying a Symptom People who do have symptoms should see a doctor. They should have appropriate evaluations that may or may not include a partial or complete physical exam. One problem is that people may not be able to decide...
Acupuncture, Infertility, and Horrible Reporting
An article (and associated news video clip) from ClickOn in Detroit is titled “Alternative treatment helps Michigan doctor beat infertility.” This is a misleading title, and the report is an example of poor science reporting. Was she infertile? The patient in question was a 33-year-old family practice doctor who believed she was infertile. By definition, infertility is failure to conceive after a...
Re-thinking the Annual Physical
Please note: the following refers to routine physicals and screening tests in healthy, asymptomatic adults. It does not apply to people who have been diagnosed with diseases, who have any kind of symptoms or signs, or who are at particularly high risk of certain specific diseases. Throughout most of human history, people have consulted doctors (or shamans or other supposed providers of...
Killer Tomatoes and Poisonous Potatoes?
Remember the movie “Attack of the Killer Tomatoes”? That was fiction, but some alarmists would have us believe that the tomatoes and potatoes on our plates are really out to get us. I recently got an e-mail inquiry from an MD who said he had read that solanine in tomatoes, potatoes, and eggplants could be responsible for essential hypertension and a number...
Applied Kinesiology by Any Other Name…
Arm wrestling is not a good way to confirm a diagnosis. But it is a great way to elicit confirmation bias.
Homeopathy and Its Kindred Delusions
I wrote an introduction to the first in a series of books republishing classic skeptical works - Oliver Wendell Holmes' Homeopathy and Its Kindred Delusions. Reproduced here by permission of the James Randi Educational Foundation is that introduction. Enjoy!
An Owner’s Manual for the Heart
In writing about science-based medicine, we give a lot of attention to medicine that is not based on good science. We use bad examples to show why science is important and how it is frequently misapplied, misinterpreted, misreported, or even wholly rejected. It’s a pleasure, for a change, to write about a straightforward example of the best of science-based medicine in action....