Thinking With Your Emotions About Medicine

The mental pathway of least resistance, what psychologists often refer to as the “default mode” of human thought, is to go with our “gut feelings.” We evolved emotions, heuristics, and cognitive biases partly so that we could make quick judgments that are good enough and err on the side of survival. This can be adaptive – if we smell something rotten we...

/ July 13, 2016

Diatomaceous Earth? No Thank You!

Diatoms are unicellular algae, one of the two major classes of the phytoplankton that constitute the bottom of the food chain in oceans and freshwater. Diatomaceous earth is a soft, siliceous sedimentary rock containing the fossilized skeletal remains of diatoms. It has been used as a bug killer: it is hypothesized that the sharp particles physically cut up the insects and also...

/ July 12, 2016

Reviewing Andrew Wakefield’s VAXXED: Antivaccine propaganda at its most pernicious

Antivaccine "hero" Andrew Wakefield has recruited Del Bigtree to help him make a movie about the "CDC whistleblower" manufactroversy and anti vaccine conspiracy theories in general. The results are so ham-fisted that they would make Leni Riefenstahl shout, "Zu viel!" ("Too much!")

/ July 11, 2016

The New Chiropractic. And I thought SBM had an uphill battle.

Over at the Society for Science-Based Medicine we have Sisyphus as the logo on the website. Sisyphus, as you may know, is the Greek who had to push a boulder up a hill every day, the archetypal metaphor for futile labor. It was meant to be a bit tongue in cheek, but only a bit. As quackademia proudly expands I sometime feel...

/ July 8, 2016

FDA efforts to improve compounded drug safety upsets naturopaths

Favorite naturopathic treatments comprise pumping patients full of dubious mixtures by injection, including IV drips. Naturopaths also employ topicals (salves, ointments and creams), rectal, and vaginal suppositories, and oral medications, such as bio-identical hormone replacement therapy, all made from “natural” substances. According to the American Association of Naturopathic Physicians (AANP) these nutritional, herbal and homeopathic remedies are compounded to meet unique patient...

/ July 7, 2016

New Study Questions fMRI Validity

One way to describe our overall editorial stance at SBM is that we are criticizing medical science in a constructive way because we would like to see higher standards more generally applied. Science is complex, medical science especially so because it deals with people who are complex and unique. Getting it right is hard and so we need to take a very...

/ July 6, 2016

Vegan Betrayal: The Myths vs. the Realities of a Plants-Only Diet

NOTE: The original version of this book review was criticized for not making it clear when I was simply reporting the book’s content and when I was expressing support for one of its arguments. I have revised it to make it more clear. The additions are marked by brackets. Vegetarians come in several flavors. Ovo-vegetarians eat eggs, lacto-vegetarians eat dairy products but...

/ July 5, 2016

Forget stem cell tourism: Stem cell clinics in the US are plentiful

It's generally thought that quack stem cell clinics are primarily a problem overseas because the FDA would. never allow them on US soil. As a new survey shows, that assumption couldn't be more wrong.

/ July 4, 2016

Horses, Zebras, and the Availability Heuristic

During a particularly difficult shift early in my career, I spent the better part of two hours at the bedside with a patient’s family discussing the unexpected discovery of a large tumor in their child’s brain. The implications of the finding were grave, and the family was understandably devastated. I was just a few years out of residency and this was the...

/ July 1, 2016

A systematic review about nothing

There is dubious content in PubMed that you won’t find unless you look for it, or stumble across it inadvertently. It’s the entire field of alternative medicine which is abstracted and complied along with the actual medical literature. In this world, the impossible is accepted as fact, and journal articles focus on the medical equivalent of counting angels on pinheads. I’ve been...

/ June 30, 2016