Category: Guidelines

Osteopenia: When Does Decreased Bone Density Become a Disease Requiring Treatment?

Osteoporosis is routinely treated with bisphosphonates to prevent fractures. A new study suggests that osteopenia should be treated too. But questions remain.

/ January 8, 2019

Should Evidence-Based Medicine Be Replaced by Interpersonal Medicine?

An opinion piece in the New England Journal of Medicine complains about the limitations of evidence-based medicine (EBM) and recommends a new approach they call "interpersonal medicine." In my opinion, good clinical medicine is already interpersonal medicine; there is no need for something new.

/ November 27, 2018

A Nuanced View on Breast vs Formula

While there is strong evidence that breast is best, a new study suggests that the benefits have been overstated, and may be mostly due to non-specific factors such as better education and overall health care.

/ September 26, 2018
Quackery duck

ASCO endorses the integration of quackery into breast cancer care

In 2014, the Society for Integrative Oncology first published clinical guidelines for the care of breast cancer patients. Not surprisingly, SIO advocated "integrating" dubious therapies with oncology. Last week, the most influential oncology society, the American Society of Clinical Oncology (ASCO), endorsed a 2017 update to the SIO guidelines, thus endorsing the "integration" of quackery with oncology and paving the way for...

/ June 18, 2018

New Study Finds that Statins Prevent Cardiovascular Deaths

A new meta-analysis shows that statin drugs are effective at preventing cardiovascular events and death, especially in patients with a baseline LDL cholesterol >100.

/ April 18, 2018

The Six Month Dental Recall – Science or Legend?

The evidence to support dental cleaning every six months is...less than ideal, but it still may be a good idea for many people.

/ February 23, 2018

New Blood Pressure Guidelines: Why Are Previously Normal BPs Now Classified as High Blood Pressure?

Under the new blood pressure guidelines, more people are classified as having high blood pressure; but the treatment emphasis is on lifestyle changes, not medications.

/ December 19, 2017

Antibiotic Prophylaxis For Dental Procedures

Transient bacteremia (bacteria in the bloodstream) is common after dental procedures, but it rarely causes a problem. So, who needs antibiotic prophylaxis before a dental procedure? What procedures? What does the science say?

/ June 30, 2017
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Florida revokes medical license of “Lyme literate” doctor

Florida finally revoked the medical license of “Lyme literate” doctor John Lentz, who honed his diagnostic skills and treatments in ILADS seminars and treated “chronic Lyme” for almost a decade. Why does the system allow this?

/ December 22, 2016

FDA efforts to improve compounded drug safety upsets naturopaths

Favorite naturopathic treatments comprise pumping patients full of dubious mixtures by injection, including IV drips. Naturopaths also employ topicals (salves, ointments and creams), rectal, and vaginal suppositories, and oral medications, such as bio-identical hormone replacement therapy, all made from “natural” substances. According to the American Association of Naturopathic Physicians (AANP) these nutritional, herbal and homeopathic remedies are compounded to meet unique patient...

/ July 7, 2016