Category: Science and Medicine
Health care reform and primary sources
One thing I always encourage my residents and students to do is to go to primary sources. If someone tells you that thiazide diruetics should be the first line treatment for hypertension, get on MedLine and see if that assertion is congruent with the evidence. It’s important to see how we arrive at broad treatment recommendations, how strong and consistent the evidence...
Vertebroplasty for compression fractures due to osteoporosis: Placebo medicine
When seemingly science-based medicine turns out to be placebo medicine.
Functional Medicine III
Let’s look at one example. A unknown number of Functional Medicine adherents broadcast call-in programs on radio stations. One FM physician, a Dr. “D” in Northern California graduated from UC Davis School of Medicine (Central California’s Sacramento Valley.) I find her program fascinating, requiring some attentive listening. Dr. D’s recommendations for people’s complaints and conditions are often complex, a chimera of standard...
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August 6, 2009
Science-Based Medicine 101: How To Establish A Source’s Credibility
I thought I’d do a little SBM 101 series for our lay readers. Forgive me if this information is too basic… at least it’s a place to start for those who are budding scientists and critical thinkers. 🙂 *** Which news source do you trust more: The New York Times or The National Enquirer? Which news reporter would you trust more: Charlie...
Quack Clinics
Reuters recently reported on the raid of a stem-cell clinic in Hungary. This is welcome news, if the allegations are correct, but really is only scratching the surface of this problem – clinics offering dubious stem cell therapies to desperate patients. And in fact this is only one manifestation of a far greater problem – the quack clinic. They represent a serious...
Plus ça change, plus c’est la même chose
The more things change, the more they stay the same. Not every post will be an in-depth, authoritative review of a topic like yesterday’s on Dr. Sears. A change of pace can be nice, and I have always liked history. JAMA likes to run articles called “JAMA 100 YEARS AGO” and the reprint from the July 24, 1909 issue is interesting. It...
Cashing In On Fear: The Danger of Dr. Sears
Dr. Sears is a popular pediatrician who has written a dangerous and deceptive book on vaccination.
Beware the Spinal Trap
Last year Simon Singh wrote a piece for the Guardian that was critical of the modern practice of chiropractic. The core of his complaint was that chiropractors provide services and make claims that are not adequately backed by evidence – they are not evidence-based practitioners. In response to his criticism the British Chiropractic Association (BCA) sued Simon personally for libel. They refused...
Senator Tom Harkin and Representative Darrell Issa declare war on science-based medicine
In discussions of that bastion of what Harriet Hall likes to call “tooth fairy science,” where sometimes rigorous science, sometimes not, is applied to the study of hypotheses that are utterly implausible and incredible from a basic science standpoint (such as homeopathy or reiki), the National Center of Complementary and Alternative Medicine (NCCAM), I’ve often taken Senator Tom Harkin (D-IA) to task,...
‘Acupuncture Anesthesia’ Redux: another Skeptic and an Unfortunate Misportrayal at the NCCAM
A neglected skeptic Near the end of my series* on ‘Acupuncture Anesthesia’, I wrote this: Most Westerners—Michael DeBakey and John Bonica being exceptions—who observed ‘acupuncture anesthesia’ in China during the Cultural Revolution seem to have failed to recognize what was going on right under their noses. I should have added—and I now have—Arthur Taub’s name to that tiny, exceptional group. Taub, a neurologist and...