Results for: clinical trials
Add-on Services for IVF – The Evidence
In vitro fertilization (IVF) is the only option for many couples who want to have their own genetic child. This is an expensive procedure – it can cost up to $20,000 per attempt, with about a 40% success rate overall. Couples going for IVF are often desperate to have their own child, and the uncertainty of success can be emotionally and financially...
Declining Dementia
Dementia is a significant health burden of increasing significance as our population ages. Worldwide the prevalence of dementia is 5-7% in people 60 years and older, with risk doubling every 5 years after age 60. About 5.4 million Americans are living with dementia. Dementia is a general category referring to a chronic decline in overall cognitive function. The most common cause of...
Homeopathic Syrup for the Treatment of Pediatric Colds: Randomized Controlled Nonsense is Still Nonsense
According to the authors of the latest study claiming to demonstrate effectiveness of homeopathic remedies, colds are common in the pediatric population. They further explain that colds and cough symptoms are a frequent impetus for parents to seek pediatric medical care. Finally, they add that evidence in support of decongestants, antihistamines and cough suppressants for the treatment of pediatric cold symptoms is...
Diet and exercise versus cancer: A science-based view
Yes, diet and exercise can be useful to prevent some cancers. Unfortunately, they don't prevent all cancers, and the effect size is more modest than often represented. That's not to say that eating right and exercise aren't good. They are, for so many other reasons than cancer. Just don't view them as a panacea for preventing cancer.
NCCIH funds sauna “detoxification” study at naturopathic school
It is no secret that we at SBM are not particularly fond of the National Center for Complementary and Integrative Medicine (NCCIH; formerly, the National Center for Complementary and Alternative Medicine). We’ve lamented NCCIH’s use of limited public funds for researching implausible treatments, the unwarranted luster NIH/NCCIH funding bestows on quack institutions, the lack of useful research it has produced, and its...
On the pointlessness of acupuncture in the emergency room…or anywhere else
As incredible as it seems, advocates of "integrative medicine" are on the verge of creating a new specialty, emergency acupuncture. I wish I were joking, but I'm not.
Health and Wellness Coaching: cautious optimism and some concerns
The National Consortium for Credentialing of Health & Wellness Coaches (NCCHWC) and the National Board of Medical Examiners (NBME) signed an agreement last month for the launch of a national certification for individual health and wellness coaches in the U.S. According to a joint press release, the agreement is a landmark in the efforts of a dedicated group of individuals who have...
Uncertainty in Medicine
Medicine is an uncertain business. It is an applied science, applying the results of basic science knowledge and clinical studies to patients who are individuals with differing heredity, environment, and history. It is commonly assumed that modern science-based doctors know what they are doing, but quite often they don’t know for certain. Different doctors interpret the same evidence differently; there is uncertainty...
Nobody licenses quacks in my state! HB 4531 and the licensing of naturopaths in Michigan
Over the years, I’ve taken care of women with locally advanced breast cancer so advanced that it’s eroded through the skin, forming huge, nasty ulcers filled with stinky dead cancer tissue that’s outgrown its blood supply, leaving the patient in chronic pain. If the patient is fortunate, her cancer has not metastasized beyond her axillary lymph nodes (the lymph nodes under her...
The Harm of Integrative Medicine: A Patient’s Perspective
I was diagnosed with cancer and entered treatment, at which point I directly experienced both excellent scientific care, and also the utter nonsense that is alternative medicine, rebranded as integrative medicine. Here are my reflections on the experience.