Chiropractic and Stroke: The question is not answered
I am off to Chicago for 5 days to wow the SMACC crowd with my ID/SBM acumen. I hope. Given that most of my multiple-personalities do not seem to be able to get any work done, I am forced to write a brief post this week, limited by the battery life on my MacBook Air. Whatever I get down on paper? pixels?...
Leaky Bowel
We are at a disadvantage. We have to rely on reality to validate the practice of medicine. Anatomy, physiology, pharmacology, chemistry, the basic sciences that made up the first two years of medical school education and a huge chunk of pre-med. And we have to rely on the truth, as slippery a concept as that can be. I can’t just make up...
Chiropractic Nose Balloons
You can pick your friends. You can pick your nose. But you can’t pick your friends nose. Unless you practice Nasal Cranial Release. There are so many pseudo-medicines, it is hard to keep track. New variations appear, new combinations of old SCAMs occur, old pseudo-medicines wax and wane, although no pseudo-medicine ever dies. Except phenology? Maybe? I find a few phrenology sites...
Lyme Testimony
As the saying goes, when you do not have the facts, argue the law. This tried and (?) true approach was successful in New York where a law was passed protecting those who are, shall we say, creative in treating patients with Lyme and ‘chronic’ Lyme. The bill protects those from investigation of misconduct: based solely on treatment that is not universally...
What Should We Do in the Absence of Evidence?
What to do in the absence of a clear diagnosis and randomized, controlled trials? Often nothing, sometimes something. It's complicated.
Mediocre Expectations: Acupuncture
I had a dickens of a time writing this entry. The last week has been spent in New York for NECSS. It is safe to say that New York has plenty of distractions for us Dug the Dog types. Reality may be a honey badger, but New York is a squirrel. I say that when I travel I usually do not come...
FDA and Homeopathy: Part Two.
Friends, FDA, countrymen, lend me your ears; I come to bury Homeopathy, not to praise it. The evil that homeopaths do lives after them; The good is oft interred with their bones; So let it be with Homeopathy. The noble Ullman Hath told you homeopathy was effective: If it were so, it was a grievous fault, And grievously hath Homeopathy answer’d it....
NECSS and SfSBM: A weekend of science and skepticism
A day of Science-Based Medicine, a weekend of science and skepticism NECSS, the North-East Conference on Science and Skepticism, is upon us. Included in the program will be a day of Science-Based Medicine. Full Conference schedule here with Bill Nye as the Keynote speaker. SfSBM speakers will be Harriet Hall, Jann Bellamy, David Gorski, Steve Novella and Mark Crislip. SfSBM speakers will...
Lyme: Two Worlds Compared and Contrasted
The practice of infectious disease (ID) is both easy and difficult. If you read my ID blog on Medscape you are aware of my trials and tribulations in diagnosing and treating infections. ID is easy since, at least in theory, diseases have patterns and an infecting organism has a predictable epidemiology and life cycle. So if you can recognize the pattern and...
Bias and Spin: Acupuncture and Chiropractic
We all construct our narrative based on our biases and spin the facts so that the narrative confirms our biases. Among other characteristics, what separates an SBM provider from a SCAM provider is realizing that biases are always active and apply to me as well as everyone else. My biases are simple: I am skeptical that humans can reliably understand reality without...