All posts by Scott Gavura

Are you sure you’re allergic to penicillin?

As a pharmacist, when I dispense medication, it’s my responsibility to ensure that the medication is safe and appropriate for the patient. There are numerous checks we go through including verifying the dose, ensuring there are no interactions with other drugs, and verifying the patient has no history of allergy to the product prescribed. Asking about allergies is a mandatory question for...

/ February 17, 2011
Hospital bed

The risks of CAM: How much do we know?

CAM products and treatments are often sold as "all-benefit, no-risk". While we can highlight the lack of evidence for benefit, even harder can be assessing the risks of CAM.

/ January 20, 2011
Energy drinks

Energy Drinks

Energy drinks are becoming more and more common as the stimulant of choice targeted at the young, athletic, and anyone under a deadline. What are the risks, benefits, and above all the science?

/ January 6, 2011

Vaccines are a pain: What to do about it

As much as I support vaccines, I see the short term consequences. Vaccines can be painful. Kids don’t like them, and parents don’t like seeing their children suffer. That this transient pain is the most common consequence of gaining  protection from fatal illnesses seems like a fair trade-off to me. But that’s not the case for every parent. Today’s post isn’t going...

/ December 23, 2010

Good Idea, Bad Execution: Dosing Errors, A Preventable Harm

We spend a lot time at SBM discussing different elements of the art and science of medicine, and how we believe that practice can be improve. Yet our science-based intentions can be thwarted at the last possible moment – in the form of dosing errors. The workup may have been comprehensive, the diagnosis could be correct, the most clinically and cost-effective intervention...

/ December 9, 2010

What’s with the new cough and cold products?

One of my earliest lessons as a pharmacist working in the “real world” was that customers didn’t always act the way I expected. Parents of sick children frequently fell into this category — and the typical vignette went like this for me: Parent has determined that their child is sick, and needs some sort of over-the-counter medicine. Parent asks pharmacist for advice...

/ November 26, 2010

Improving Our Response to Anti-Vaccine Sentiment

As Vaccine Awareness Week draws to a close, I thought it might be instructive to step back and look at the tactics, impact, and successes of the anti-vaccine movement. Yesterday, Orac questioned the best approach to counter the anti-vaccine movement. With today’s post, I’ll summarize two pertinent papers on the effectiveness of their tactics, and suggest some possible approaches. There’s overwhelming evidence...

/ November 6, 2010
Fatigue

Fatigued by a Fake Disease

Are you tired? Is it because your adrenal glands are too? No, probably not.

/ October 28, 2010

Skepticamp: Invading the Great White North on October 23

Are you frustrated by the prevalence of pseudoscience in medicine? Are you interested in critical thinking and science? Is SBM your rational refuge?  Want to meet like-minded science advocates? On October 23, 2010 four Skepticamps will take place across Canada. If you enjoy reading this blog, you’ll probably enjoy Skepticamp. Happily, Skepticamp involves no actual camping. It’s a flexibly organized, collaborative conference...

/ October 5, 2010

Chelation: Compounding Pharmacy’s Problems

Chelation is the provision of a substance to increase the body’s excretion of heavy metals. In poisoning situations (lead, aluminum, iron, etc.), chelation is medically necessary, objectively effective, and approved for use. But the same term has a completely different meaning in the alternative medicine universe, where proponents often believe heavy metal toxicity is the “one true cause” of disease, and chelation...

/ September 30, 2010