Monochloramines in Tap Water
I recently had a clogged drain requiring the services of a plumber. While discussing the details of the job, he took out brochures and a “fact sheet” prepared by his company explaining that my city tap water was going to kill me. Fortunately, they could provide a solution – a home-wide water filtration system. The plumber seemed naively sincere, and genuinely fearful...
The End for CCSVI
A new study published in The Lancet provides the most definitive evidence to date that chronic cerebrospinal venous insufficiency (CCSVI), a hypothetical syndrome of narrowed veins draining the brain that some believe is the true cause of multiple sclerosis (MS), is not associated with MS. In a science-based world, this study would be yet one more nail in the coffin of this...
Chiropractor Breaks Baby’s Neck – A Risk vs Benefit Analysis
It is unfortunately that individual dramatic cases are often required to garner public and regulatory attention toward a clear problem. The Australian press is reporting: Melbourne paediatrician Chris Pappas cared for a four-month-old baby last year after one of her vertebrae was fractured during a chiropractic treatment for torticollis – an abnormal neck position that is usually harmless. He said the infant...
Candida and Fake Illnesses
While Big Pharma has been accused of inventing diseases, alternative medicine is the real champion of this practice. Compromised immunity can lead to overgrowth of the fungus Candida albicans, but this doesn't happen in people with intact immune systems, and it doesn't lead to the vague, unrelated symptoms described as "systematic candidiasis" by alternative medicine proponents.
Quantum Neurology
As the resident neurologist on SBM, my ears always prick up when I come across a new neurology-based scam, and my colleagues often send such items my way. In addition the word “quantum” has become a standard marketing term of alt. med quackery. So how could I resist taking a bite out of “quantum neurology”? One might think (if one were a...
Everything Causes Cancer
It’s likely you know someone who has bought into the notion that nutrition is everything, the source of all health and the cause of all illness. Nutrition is very important, to be sure, but it is only one of many possible causes of disease, and if you live in a Western industrialized nation you probably have adequate nutrition. The notion, however, that...
MMR and Autism Rises from the Dead
One of the tactics of snake-oil salesmen is to fearmonger about mainstream medical practices so as to scare potential customers into their clutches. A common target of such fearmongering is vaccines. Vaccine are an easy target – they are generally required by the government to some degree, and involve sticking small children with needles and injecting them with a cocktail that parents...
The Science of Clinical Trials
Science-based medicine is partly an exercise in detailed navel gazing – we are examining the use of science in the practice of medicine. As we use scientific evidence to determine which treatments work, we also have to examine the relationship between science and practice, and the strengths and weaknesses of the current methods for funding, conducting, reviewing, publishing, and implementing scientific research...
Conscious Discipline – More Dubious Neuroscience
I did not coordinate my topic for today with Harriet’s excellent review yesterday of Satel and Lilienfeld’s excellent book; the timing is just fortuitous. Harriet discussed popular abuses of neuroscience, which often amount to an oversimplification and hyperreductionism of a complex area of study. I was recently asked to comment on a claim that I feel falls squarely into this realm –...
Autism and Induced Labor
A recently published epidemiological study in JAMA Pediatrics looked at the association between induction and enhancement of labor and the risk of autism. The researchers found a positive association, especially with males. The study has been variously reported in the popular press with causal interpretations not justified by the data. The study itself is very robust – the authors looked at 625,042...