Category: Guidelines

Dental procedure

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
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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
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Overprescribing Antibiotics

Recently I had a cutaneous abscess which was treated (quite painfully) with incision and drainage. My doctor told me that antibiotics were not strictly necessary, but I could have them if I wanted. The idea of any treatment that could resolve the abscess more quickly was appealing, but I did not want to contribute to the unnecessary use of antibiotics so I...

/ May 4, 2016

Regulating CAM Aussie Style

CAM proponents view National Health Interview Surveys recording the supposed popularity of CAM, an amorphous conflation of anything from conventional medical advice to mythical methods, as an invitation to unleash even more unproven remedies on the public. My interpretation is quite different. I see the same figures as proof that we are doing too little to protect the public from pseudoscience. In...

/ March 31, 2016

Pseudoscience sneaks into Ohio guidelines for non-drug pain treatment

Ohio recently issued Acute Pain Prescribing Guidelines as part of an effort to reduce the epidemic of opioid abuse and death from overdose. They were drafted under the auspices of the Governor’s Cabinet Opiate Action Team (GCOAT), assisted by medical organizations and other groups. The guidelines include recommendations for non-pharmacologic treatment, a typical feature of pain treatment guidelines and a worthy effort...

/ February 4, 2016

Vaginal Birth After C-Section: How Safe Is It?

Doctors used to insist “once a C-section, always a C-section.” Today it is standard practice to allow vaginal births after C-section (VBAC) for appropriately selected patients. The American Congress of Obstetricians and Gynecologists (ACOG) has issued a Practice Bulletin to guide obstetricians in determining which patients are appropriate candidates for VBAC. We frequently hear criticisms of practice guidelines like these. The doctors...

/ January 12, 2016

Home birth tragedies lead to changes in Oregon

Oregon Health Plan (OHP), the state’s Medicaid insurer, will no longer cover planned home and birth center births for women whose pregnancies aren’t classified as low risk, based on newly-established criteria. The Health Evidence Review Commission (HERC), a group of experts designated by the state, came up with criteria that will exclude women with a substantial list of conditions, such as high...

/ December 10, 2015
The Lyme spirochete, the bacteria that causes Lyme disease (but not chronic Lyme disease).

More Lyme ‘Guidelines’

I noted with understanding that the Doubtful News can’t take it anymore. The relentless tsunami sewage slurry of pseudo-science (who says I can’t alliterate?) has worn her down. She is: currently experiencing a phase in which I can’t seem to bring myself to promote another ridiculous story in the media about a haunted location, scary sounds from the sky, or the latest...

/ October 2, 2015