Category: Pharmaceuticals

Here be Dragons: Caring for Children in a Dangerous Sea of sCAM

As a pediatrician working in a relatively sCAM-inclined region, it is not uncommon to find myself taking care of patients who are also being followed by so-called alternative medicine practitioners. This often creates a major obstacle to providing appropriate care and establishing an atmosphere of mutual trust in the provider-patient/parent relationship. It usually makes me feel like I’m battling invisible serpents in...

/ September 11, 2015
An appendix, mid-appendectomy.

An Alternative to Appendectomy: Antibiotics

My title doesn’t refer to alternative medicine, it refers to an alternative within medicine: treating appendicitis with antibiotics instead of surgery. You may be surprised to learn that patients with appendicitis don’t always automatically need an appendectomy. A recent randomized controlled trial in Finland compared surgery to medical treatment. History of appendicitis treatment There is an excellent, detailed history of appendicitis available...

/ August 18, 2015

Legislators want “pharmaceutical cost transparency”. Are they asking the wrong question?

If science-based medicine is unaffordable, then your care won’t be science-based. Prescription drug costs are one of the biggest concerns in health care today. There seems to be no upper limit on prices, with some new treatments costing over $1,000 per day. The arrival of new drugs to treat (and cure) hepatitis C has created a perfect pharmaceutical storm: highly effective treatments,...

/ May 21, 2015
Right to Try

As in 2014, “right-to-try” laws continue to metastasize in 2015

Last year, I did several posts on what I consider to be a profoundly misguided and potentially harmful type of law known as “right-to-try.” Beginning about a year and a half ago, promoted by the libertarian think tank known as the Goldwater Institute, right-to-try laws began popping up in state legislatures, which I likened to Dallas Buyers Club laws. Both Jann Bellamy...

/ May 18, 2015

Less benefit, more risk. Our assumptions about health treatments are probably wrong.

I’m a health professional, but sometimes a patient as well. And like most patients, I generally don’t want health decisions being made without my input. Yes, I want the best medical information, and the advice of medical professionals, but ultimately I want to make my own decisions about my care. That’s the norm in health care today, but relatively new in the...

/ April 23, 2015

Anesthesia-Assisted Rapid Opioid Detox

Opioids are widely available as prescription drugs for pain: hydrocodone (e.g., Vicodin), oxycodone (e.g., OxyContin, Percocet), morphine (e.g., Kadian, Avinza), and codeine. Heroin, which has no medically approved use, is also an opioid. Unfortunately, opioids are also widely abused. How enticing it is to imagine a magic bullet for opioid drug addiction. Addiction causes huge social problems. Yet it is hard to...

/ April 16, 2015

The DC as PCP? Drug Wars Resume

Chiropractors are once again engaged in intra-fraternal warfare over the chiropractic scope of practice, a saga we’ve chronicled before on SBM. (See the references at end of this post.) Every time it looks like the warring factions have buried their differences, they come rising to the surface like zombies. The International Chiropractors Association (ICA), representing the “straight” faction, wants chiropractic to continue...

/ March 19, 2015
GordieHowe1

Stem cells versus Gordie Howe’s stroke

Note: There is now a major update to this story published here, which explains a lot of the questions remaining in this blog post. Seven years ago I returned to Michigan, where I was born and spent the first quarter century of my life, after an absence of more than 20 years. In the interim, I had done my surgical residency and...

/ December 22, 2014
Rick Snyder at 2011 Michigan Gubernatorial Inauguration

Using the fear of Ebola to promote the placebo legislation that is “right to try”

Libertarians and free market fundamentalists generally detest the FDA and want to dramatically decrease its power in the belief that the free market can guarantee the safety of drugs better than a government agency that requires strong scientific evidence of efficacy and safety before approval. Not surprisingly, they're at it again, this time in the service of promoting "right-to-try" laws and using...

/ November 2, 2014

Yahoo News spews NaturalNews anti-vaccine (and other) propaganda

Yahoo News appears to have confused NaturalNews with actual news. It’s not. NaturalNews is the in-house propaganda organ for Mike Adams, whom I’ll introduce in a minute (although he needs no introduction for most readers here). A couple of recent examples:     A recycled story, over a year old, from NaturalNews, appearing on Yahoo News last week. It starts out as...

/ October 2, 2014