Category: Science and Medicine

SBM Problems

As many of you have probably noticed, the science-based medicine site has been having connection problems for the last week, and was in fact down for most of Friday. We are actively working on the problem and hopefully will have it fixed soon. The site is functioning now, but remains very slow. Thanks for your patience, and sorry for any inconvenience.

/ September 21, 2009

“Gonzalez Regimen” for Cancer of the Pancreas: Even Worse than We Thought (Part II: Loose Ends)

Last week I discussed the dismal results of the “Gonzalez Trial” for cancer of the pancreas,* as reported in an article recently posted on the website of the Journal of Clinical Oncology. I promised that this week I’d discuss “troubling information, both stated and unstated [in the report],” and also some ethical issues. More has come to light in the past few...

/ September 20, 2009

Kevin Trudeau’s Legal Trouble

Kevin Trudeau has made millions of dollars selling dubious medical products. He started his snake-oil salesman career selling coral calcium through infomercials. Trudeau claimed that this magical form of calcium could cure cancer and whatever ails you. The Federal Trade Commission (FTC) investigated Trudeau, who was making millions off his claims, and found that he was being, let us say, less than...

/ September 16, 2009

Applying Rigorous Science to Messy Medicine

The PowerPoint presentation that I gave at the Skeptic’s Toolbox workshop at the University of Oregon on August 7, 2009 is up on their website with the complete text of what I said. The theme of the workshop was scientific method. The title of my talk is “Tooth Fairy Science and Other Pitfalls: Applying Rigorous Science to Messy Medicine.” Click here for...

/ September 13, 2009

“Gonzalez Regimen” for Cancer of the Pancreas: Even Worse than We Thought (Part I: Results)

Review One of the more bizarre and unpleasant “CAM” claims, but one taken very seriously at the NIH, at Columbia University, and on Capitol Hill, is the cancer “detoxification” regimen advocated by Dr. Nicholas Gonzalez: Patients receive pancreatic enzymes orally every 4 hours and at meals daily on days 1-16, followed by 5 days of rest. Patients receive magnesium citrate and Papaya...

/ September 11, 2009

Integrative Obfuscation

The marketing of so-called CAM or integrative medicine continues. These terms are just that – marketing. They are otherwise vacuous, even deceptive, and meant only to conceal the naked fact that most medical interventions that hide under the CAM/integrative umbrella lack plausibility or credible evidence that they actually work. Medicine that works is simply “medicine” – everything else needs marketing. Last week...

/ September 9, 2009

Before you trust that blog…

Doug Bremner has a blog. That blog stinks. Bremner is an apparently well-regarded psychiatrist, and takes a refreshing look at the influence of industry not just on pharmaceuticals but on the conduct of science itself. His outspoken views have led to attempts to squelch his academic freedoms. But his sometimes-heroic record does not excuse dangerous idiocy. I can understand how wading into...

/ September 7, 2009

Placebo is not what you think it is

If I read one more crappy article about placebos, something’s gotta give, and it’s gonna be my head or my desk. Wired magazine has a new article entitled, “Placebos Are Getting More Effective. Drugmakers Are Desperate to Know Why.” Frequent readers of skeptical and medical blogs will spot the first problem: the insanely nonsensical claim that “placebos are getting better”. This not...

/ September 4, 2009

An Influenza Primer

What is influenza? What is H1N1 influenza? Why is it more worrisome than the usual 'flu season? Read on to find out...

/ September 4, 2009

Sectarian Insertions

I will write occasional posts instead of being on a regular schedule.  The reasons: There are more contributors than positions. Newer people to the field have more ambition and belly fire.  I have a number of projects and papers to finish in increasingly limited time and decreasing efficiency.  So have at it. Meanwhile, some non-random thoughts. I am as concerned with social...

/ September 3, 2009