Mehmet Oz in 2008

Dr. Mehmet Oz completes his journey to the Dark Side

A couple of weeks ago, both Steve Novella and I criticized Dr. Mehmet Oz (a.k.a. “America’s doctor”) for not only hosting a man I consider to be a major supporter of quackery, but going far beyond that to defend and promote him. After that, I considered Dr. Oz to be a lost cause, with nothing to excuse him for his having embraced...

/ February 3, 2011

The Safety Checklist

During my recent stint covering the Neuro ICU I noticed for the first time a checklist posted above each patient bed. The checklist covered the steps to undergo whenever performing an invasive procedure on the patient. I was glad to see that the checklist phenomenon had penetrated my hospital, although the implementation of safety checklists is far from complete. A recent study...

/ February 2, 2011

Dr. Paul Offit appears on The Colbert Report

For a touch of the lighter side, here’s Dr. Paul Offit appearing on The Colbert Report to discuss his new book: The Colbert Report Mon – Thurs 11:30pm / 10:30c Paul Offit www.colbertnation.com Colbert Report Full Episodes Political Humor & Satire Blog Video Archive Looks like a win to me. I particularly like how Dr. Offit says that the question of whether...

/ February 1, 2011

Overdiagnosis

Dr. H. Gilbert Welch has written a new book Over-diagnosed: Making People Sick in the Pursuit of Health, with co-authors Lisa Schwartz and Steven Woloshin.  It identifies a serious problem, debunks medical misconceptions and contains words of wisdom. We are healthier, but we are increasingly being told we are sick. We are labeled with diagnoses that may not mean anything to our health....

/ February 1, 2011

Breast implants and anaplastic large cell lymphoma (ALCL): Is there a link?

I must admit that I have a bit of a love-hate relationship with breast implants. On the one hand, as a breast cancer surgeon, I see them as a major benefit to my patients who are unfortunate enough to require mastectomy in order to control their disease. The armamentarium of techniques for reconstructing breasts after mastectomy generally falls into one of two...

/ January 31, 2011

It is all about me.

I was interviewed for Birmingham Skeptics and you can hear the result at http://brumskeptics.blogspot.com/2011/01/podcast-posting-interview-with-mark.html. It is bad enough listening to myself as I correct my podcasts, so I have no idea how good the interview is; it was fun at the time.   And the picture makes me look fatter than I am. Oh well.

/ January 28, 2011

Rambling Musings on Using the Medical Literature

For those who are new to the blog, I am nobody from nowhere. I am a clinician, taking care of patients with infectious diseases at several hospitals in the Portland area. I am not part of an academic center (although we are affiliated with OHSU and have a medicine residency program). I have not done any research since I was a fellow,...

/ January 28, 2011

The English government cracks down on alternative pet remedies

One cannot play charades forever. European veterinary groups have long been more skeptical about “alternative” veterinary practices than their American counterparts. For example, the European Board of Veterinary Specialties refuses to grant continuing education credits for non-scientific endeavors attempting to masquerade as a way to improve one’s clinical knowledge, and the practice of veterinary homeopathy is forbidden in Sweden. Now comes good...

/ January 27, 2011

Statins – The Cochrane Review

A recent Cochrane review of the use of cholesterol-lowering statin drugs in primary prevention has sparked some controversy.  The controversy is not so much over what the data says, but in what conclusions to draw from the data. Statin drugs have been surrounded by controversy for a number of reasons. On the one hand they demonstrably lower cholesterol, and the evidence has...

/ January 26, 2011

One Hump or Two? Camel’s Milk as a New Alternative Medicine

I wasn’t really surprised to learn that camel milk is being promoted as a medicine. I long ago realized that the human power of belief is inexhaustible. The news did make me laugh, probably because camels are rather funny-looking animals, because I am easily amused, because it reminded me of some of my favorite camel jokes, and because it wouldn’t do any...

/ January 25, 2011