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Does your antivax doctor have another agenda?
Several weeks back, I wrote a piece in praise of Michigan’s Fresh Air Camp’s decision to admit only properly vaccinated children. Predictably, there was a bit of a backlash from people who, despite the obvious benefits, oppose vaccinations. I can’t fault a parent for the decisions they make for their kids. We all work from the gut when it comes to our...
What to make of Medical Dogs
For thousands of years we have guided the evolution of dogs to fulfill our needs for work and companionship. Service dogs are pretty remarkable. I love to watch herd dogs mimicking the dance of predator and prey. When you see a guide dog help someone navigate a building or street, you can’t help but to be impressed by the dogs “devotion” and...
Lying for the State
Quacks lie. In some ways, that’s what separates us from them. Real doctors are stuck with the messy truth: with bad news, with uncertain outcomes. It’s this reliance on the truth which gives us much of our credibility. Laws forcing doctors to lie to patients take me back to reading Kundera in the 80s; the hovering fear that everyday actions might bring...
Potential market for alternative medicine left untouched
A few days ago, I had the good fortune to share lunch and ideas with David Gorski and Kimball Atwood. Kimball was on his way from a talk at Michigan State to one at Brigham and Women’s, one of the country’s best-known teaching hospitals. David was planning a future talk for a group in Florida. These guys have been thinking and writing...
Return of an old foe
In 2000, a panel of experts was brought together by the Centers for Disease Control and Prevention (CDC). They came to discuss whether measles was still endemic in the United States, that is whether it still existed in the general background of US infectious diseases. They concluded that measles had been eradicated in the US, and that the occasional cases imported from...
When a “scientific study” is neither
There is quite a bit of art to the practice of medicine: knowing how to get and to give information to a patient, how to create a sense of worry without creating a feeling of panic, how to use the best available science to help them maintain or return to health. Underlying all of the art is the science: what blood pressure...
Asthma, placebo, and how not to kill your patients
A number of years ago I was walking along Lake Michigan with a friend (a fellow medical resident) when she turned to me and said, “are you wheezing? Do you have asthma?” I had always been physically active and assumed my breathlessness while walking down the trail was due to the thirty extra pounds of pizza and doughnuts I’d acquired during residency....
We get mail
There are a few “laws” of the blogosphere, one of them being that a response to a post that comes more than a few weeks later is generally useless or crazy. But once in a while, someone takes the time to look at an old post and formulate a thoughtful response. This is not one of those times. Or maybe it is....
Dr. Oz, you’re not helping diabetics
Dr. Mehmet Oz is one of America’s most influential doctors. Just ask him. He has a TV show and everything. And in the past, much of his advice had been practical and mundane, the same advice you might hear from your own (perhaps less charismatic) physician. But lately, he’s been giving out frankly bizarre medical opinions. Not all of Oz’s recommendations are...
The ICEmen Cometh
The potential effects of the current ICE actions on public health