Category: Science and Medicine
SOS DD
What does it take to become a doctor? Endurance and perseverance help. It is a long haul from college to practice. But the skill that is most beneficial is the ability to consume prodigious amounts of information, remember it, and recall it as needed. Although I often relied on ‘B’ to get me through some of the exams. Thinking, specifically critical thinking,...
Update on Josephine Briggs and the NCCAM
Dr. Gorski is in the throes of grant-writing, so I’m filling in for him today by following up on a topic introduced a few months ago. It involves a key medical player in the U.S. government: Dr. Josephine Briggs, Director of the National Center for Complementary and Alternative Medicine (NCCAM). Background Steve Novella and I first encountered Dr. Briggs at the 2nd...
Magnets and Blood Flow
Over the last week I have received numerous questions about a recent study (yet to be published, but highly publicized in the press) in which it is claimed that the application of a magnetic field can improve blood flow. Physics World declared in the headline that, “Magnetic fields reduce blood viscosity.” This is not a bad summary of the study, but then...
“CAM” Education in Medical Schools—A Critical Opportunity Missed
Mea culpa to the max. I completely forgot that today is my day to post on SBM, so I’m going to have to cheat a little. Here is a link to a recent article by yours truly that appeared on Virtual Mentor, an online ethics journal published by the AMA with major input from medical students. Note that I didn’t write the...
Et tu, Biomarkers?
Everything you know may be wrong. Well, not really, but reading the research of John Ioannidis does make you wonder. His work, concentrated on research about research, is a popular topic here at SBM. And that’s because he’s focused on improving the way evidence is brought to bear on decision-making. His most famous papers get to the core of questioning how we...
We get mail
There are a few “laws” of the blogosphere, one of them being that a response to a post that comes more than a few weeks later is generally useless or crazy. But once in a while, someone takes the time to look at an old post and formulate a thoughtful response. This is not one of those times. Or maybe it is....
The Dow of Accutane
At home the kids current TV show of choice is How I Met Your Mother, supplanting Scrubs as the veg out show in the evening. Both shows are always on a cable channel somewhere and are often broadcast late at night. Late night commercials can be curious, and as I work on projects, I watch the shows and commercials out of the...
Science-based medicine, skepticism, and the scientific consensus
Editor’s note: This weekend was a big grant writing weekend for me. I’m resubmitting my R01, which means that between now and July 1 or so, my life is insanity, as I try to rewrite it into a form that has a fighting chance of being in the top 7%, which is about the level the NCI is funding at right now....
Ambiguity
Some people have made the mistake of seeing Shunt’s work as a load of rubbish about railway timetables, but clever people like me, who talk loudly in restaurants, see this as a deliberate ambiguity, a plea for understanding in a mechanized world. The points are frozen, the beast is dead. What is the difference? What indeed is the point? The point is...
Pragmatic Studies – More Bait and Switch
The course of research into so-called alternative medicine (CAM) over the last 20 years has largely followed the same pattern. There was little research into many of the popular CAM modalities, but proponents supported them anyway. We don’t need science, they argued, because we have anecdotes, history, and intuition. When media attention, which drove public attention, was increasingly paid to CAM then...