Chiropractors, Blind Pigs, and Acorns
When people are at the end of their life they like to pass on their life lessons. One thing I have never had a patient say is “Doc, I sure wish I had spent more time at work.” I try and keep that in mind, but then there are those work commitments that are hard to avoid. I need to have a...
Chiropractic- Ignoring the Precautionary Principle Since 1895
Bleh. I turned from a short trip to the city of angles with a bad man cold that just isn’t going away. Those who do primary care all tell me that whatever is going around lasts 2-3 weeks. Great. I am not sick enough to get out of work but I am not well enough to have any enthusiasm to do anything....
April Fool Cannot Surpass SCAM
It’s April Fools’ day in the US of A. One of the internet traditions is to come up with a story that is weird or unlikely, but not so weird or unlikely that it is not believable, in order to fool people that the story is real. I gave it the old SBM try, I really did, but I couldn’t do it....
Oregon Health & Science University SCAM Day
I was looking over a recent class catalog from my alma mater, University of Oregon. I see the Astronomy Department is having a day devoted to astrology, inviting astrologers to talk about their profession. And the Chemistry department is having alchemists give an overview on how to change base metals into gold. And, to green our energy, the Physics Department, where I...
Acupuncture for Coronary Artery Disease
I have spent the last 35 years mostly in acute care medicine. Spending my day in the hospital gives me the bias that we are fragile creatures who can die unexpectedly and easily. Much of the time we pull patients through, but I have a great respect for acute diseases. Over the years I have seen too many people wake up feeling...
Chiropractors, Naturopaths, Concussions and Senate Bill 1535
Is it a good idea that chiropractors be allowed to clear children to play sports after a concussion? No. It is not a good idea.
Curse Removal from the Annals. More Acupuncture Nonsense.
A short post this week. Last weekend was a busy call weekend and as I type this I am heading for Palm Springs for a long weekend of hiking in the desert. If there is no entry in 14 days, look for my bleached bones somewhere in Joshua Tree. Some observations about a recent article in the once-respected Annals of Internal Medicine,...
The Fog of Medicine
I often get called on to be a diagnostician. The referring doctor is uncertain what is going on in the patient, often a fever of unknown origin, and they call me to help figure it out. Sometimes I do, sometimes I don’t. Making the correct diagnosis is not easy, even after 35 years. The classic phrase is the fog of war, but...
Lyme Testing
I hate those oh hell moments. I was up way too late last night, but who can pass up the opportunity to see Patti Smith playing Horses (and more) for the 40th anniversary of the album. Only 44? Behind the Eagles? No way. I would nudge it up a few more spaces. Hard to believe I was 18 when that album came...