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.
Acupuncture and Endorphins: Not all that Impressive
I was reading, and deconstructing, a particularly awful bit of advice for acupuncture by Consumer Reports. It was the same old same old, but it was the source that made it particularly awful. I expect more from Consumer Reports than the uncritical regurgitation of the standard mythical acupuncture narrative. The report included the quote One possible reason for the benefits of acupuncture:...
Legislative Alchemy 2016 Update: Acupuncturists win; naturopaths and chiropractors don’t (so far)
Legislative Alchemy is the process by which state legislatures transform pseudoscience and quackery into licensed health care practices. By legislative fiat, chiropractors can detect and correct non-existent subluxations, naturopaths can diagnose (with bogus tests) and treat (with useless dietary supplements and homeopathy) fabricated diseases like “adrenal fatigue” and “chronic yeast overgrowth,” and acupuncturists can unblock mythical impediments to the equally mythical “qi”...
Pharmacists Selling Snakeoil
Edzard Ernst published an excellent editorial today addressing the question of why pharmacists sell bogus products. Our own resident pharmacist, Scott Gavura, expressed similar points here on SBM a year ago. Their points are worth emphasizing and expanding upon. Professional ethics The explicit premise of both editorials is that pharmacists, like physicians, are health care professionals. Being a professional means adhering to...
The Gene: An Intimate History
Six years ago I reviewed Siddhartha Mukherjee’s book The Emperor of All Maladies: A Biography of Cancer. It was hands-down one of the best books I have ever read on a medical topic. Now he’s done it again. His new book is titled The Gene: An Intimate History. Mukherjee is a superb writer. Much of what I said about his first book...
“Complementary and Integrative Health” at the VA: Integrating pseudoscience into the care of veterans
In return for their service to our country, veterans deserve the best science-based medical care that we as a nation can provide. Unfortunately, the VA is integrating quackery into its medical care even more enthusiastically than medical academia.
Science-Based Satire: Robotically-Assisted Acupuncture Brings Ancient Healing Technique Into the 21st Century
Developed over many thousands of years (or maybe a little less), what has come to be known as traditional Chinese acupuncture has proven capable of curing or at least ameliorating the symptoms of a variety of medical conditions. But one of its greatest strengths, the intimate connection between the practitioner and the acupuncture needle, is also one of its most significant weaknesses....
Should you try a “natural alternative” before medication?
The idea of taking medication can be frightening. And as consumers and patients that want to make our own informed health decisions, it’s understandable and even appropriate to question our physicians when they recommend drug treatments. We need to understand the rationale for any medication that’s recommended or prescribed, the benefits of therapy, the side effects, and if there are any other...
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...
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...