All posts by Mark Crislip

Mark Crislip, MD has been a practicing Infectious Disease specialist in Portland, Oregon, since 1990. He is a founder and  the President of the Society for Science-Based Medicine where he blogs under the name sbmsdictator. He has been voted a US News and World Report best US doctor, best ID doctor in Portland Magazine multiple times, has multiple teaching awards and, most importantly,  the ‘Attending Most Likely To Tell It Like It Is’ by the medical residents at his hospital. His growing multi-media empire can be found at edgydoc.com.

I refute it thus. On vaccination.

Reality is one honey badger. It don’t care. About you, about your thoughts, about your needs, about your beliefs. You can reject reality and substitute your own, but reality will roll on, eventually crushing you even as you refuse to dodge it. The best you can hope for is to play by reality’s rules and use them to your benefit. Combined with...

/ September 6, 2013

Survey Says… Infectious Disease Docs and CAM

Surveys are evidently a popular way to get a paper published. Put “complementary alternative medicine survey” into Pubmed and get 2,353 hits. I would have trouble coming up with a hundred groups about whom I would be interested in their use of SCAMs, but I tend to be a lumper rather than a splitter. But if you want to know about SCAM...

/ August 23, 2013
Yes, it's true that placebos are just as powerful as homeopathy. Unfortunately, that doesn't mean what believers in integrative medicine think it does.

A Different Perspective: Placebo, SCAM, and Advertising

Summertime, time, time Child, the living’s easy. Fish are jumping out And the handicap, Lord Handicaps high, Lord so high ~ Janis Joplin It is summer. Time for the kids and the outside, not the computer. What follows is a summertime blog entry, for which I admit to feeling guilty for the comparatively little time I have spent on it, but as...

/ August 9, 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

Who you gonna believe, me or you own eyes?

Mrs. Teasdale: Your Excellency, I thought you’d left! Chicolini: Oh no, I no leave. Mrs. Teasdale: But I saw you with my own eyes! Chicolini: Well, who you gonna believe, me or your own eyes? Duck Soup. Funniest movie ever. If I could choose a super power, it would be neither flight nor invisibility, but the ability, like Triad, to separate into...

/ July 12, 2013

Homeopathy Ramblings

There needs to be a SCAM index, some quantitative tool, a formula for ranking the SCAMs, so one SCAM could reign supreme, to be definitely declared the the goofiest of all SCAMs. Perhaps (number of adherents)x(number of Pubmed publications)x(age of SCAM) all divided by a plausibility factor. Homeopathy would win and any SCAM index that did not rank homeopathy at number one...

/ June 28, 2013

Two Viewpoints

Most of what I read professionally is directed towards reality-based medicine. I spend my professional energies thinking about the application of reality to killing various and sundry microscopic pathogens. The conceptual framework I use, and that used by others in medicine, does not concern itself with the application of the Supplements, Complementary and Alternative Medicines that occupy the attention of this blog....

/ June 14, 2013

People Encouraging Turtle Agony*: Animal Acupuncture

Lest anyone think I am a heartless bastard, I would like it to be known that I do not like to see any creature suffer or die. I am the kind of person who, when finding a spider in the house, is likely to catch it and toss it outside. I always think, “I can’t squish the end result of 6 billion...

/ May 31, 2013
Chiropractic neck manipulation

Whack em hard/Whack em once and Stroke. On chiropractic induced trauma

There is no satisfaction in hanging a man who does not object to it. ~ George Bernard Shaw I work in a 5-hospital system and many of us practice at several hospitals. The residents rotate through at least three of the hospitals and the peripatetic nature of health care allows word of curious cases to percolate through the system.  My current resident...

/ May 17, 2013

Animal Therapy

Animal-assisted therapy is a huge topic: almost 1500 hits using those terms alone. There is no way I am going to cover all of them and do them justice. Instead I am going to cherry pick, er, I mean, select references of interest to illustrate issues surrounding animals in the hospital. Sometimes I get the impression that readers of the blog expect...

/ May 3, 2013