Results for: Right to try
The wrong way to “open up” clinical trials
Science-based medicine rests on twin pillars that are utterly essential to the development of treatments that are safe and efficacious. Both of these pillars depend on science, but in different ways. The first of these is, of course, the basic science that provides the hypotheses to test about the mechanisms behind the diseases and malfunctions that plague the human body. This basic...
Benedetti on Placebos
There has been an ongoing debate about placebos on SBM, both in the articles and in the comments. What does it mean that a treatment has been shown to be “no better than placebo?” If our goal is for patients to feel better and they feel better with placebos, why not prescribe them? Do placebos actually do anything useful? What can science...
Andrew Weil and “integrative medicine”: The ultimate triumph of quackery?
A board certification in woo? I’ve been harshly critical of the entire concept of “integrative medicine” (IM), which has over the last few years nearly supplanted the former term used for non-science-based medicine or medicine based on prescientific ideas represented as though it were scientific medicine, “complementary and alternative medicine” (CAM). Indeed, just last week I pointed out how IM is far...
Legislative Alchemy II: Chiropractic
As we learned in Legislative Alchemy I: Naturopathy, legislative alchemy is the process used by state legislatures to transform implausible and unproven diagnostic methods and treatments into legal health care practices. Today, we review how chiropractors are faring in the 2011 state legislative sessions. Chiropractic 101 In 1895, a self-described “magnetic healer,” Daniel David Palmer, claimed to have discovered that every person...
Survey says, “Hop on the bandwagon of ‘integrative medicine’!”
A Brief Clinical Vignette In researching this post, I found an article published nearly two years ago in The Hospitalist entitled Growth Spurt: Complementary and alternative medicine use doubles, which began with this anecdote: Despite intravenous medication, a young boy in status epilepticus had the pediatric ICU team at the University of Wisconsin School of Medicine and Public Health in Madison stumped....
Dummy Medicine, Dummy Doctors, and a Dummy Degree, Part 2.1: Harvard Medical School and the Curious Case of Ted Kaptchuk, OMD (cont.)
Rave Reviews In 1983, Ted Kaptchuk, the senior author of the recent “albuterol vs. placebo” article, and soon to become the long-time Second-in-Command of the Harvard Medical School “CAM” program, published The Web that Has No Weaver: The book received rave reviews: A major advance toward the synthesis of Western and Eastern theory. It will stimulate all practitioners to expand their understanding...
Chemotherapy doesn’t work? Not so fast…
A favorite claim made by cancer quacks (and quacks of all varieties, actually) is that chemotherapy doesn't work. One variant of this claim is what I call the "2% gambit." Basically, this gambit claims that chemotherapy is only 2% effective. Not surprisingly, the evidence backing up the "2% gambit" is a highly flawed study, as is the evidence used by quacks to...
Gullible George: A monkey goes to the naturopath
I get the occasional email. Very little hate mail, unfortunately, since hate mail is often more amusing. I read what little email I receive, and usually do not respond, mostly as I do not have the time. I am a slow writer and a slower typist, and there are just so many hours in the day, and the older you get, the...
Quoth the anti-vaccine group SANE Vax: Beware HPV DNA in Gardasil!
Every so often, there’s a bit of misinformation that starts spreading around the Internet that shows up in enough places that our readers take notice and e-mail us about it. What happens is that these in essence become “requests.” We at SBM are, of course, happy to consider all requests and sometimes will actually take them on, particularly when doing so will...
Are Prenatal Ultrasounds Dangerous?
Several questionable sources are spreading alarms about the possible dangers of prenatal ultrasound exams (sonograms). An example is Christine Anderson’s article on the ExpertClick website. In the heading, it says she “Never Liked Ultrasound Technology.” [She] has never been sold on the safety using Ultrasounds for checking on the fetuses of pregnant women, and for the last decade her fears have been confirmed...