TV Doctors Give Unreliable Recommendations

It’s always preferable to have objective empirical evidence to inform an opinion, rather than just subjective impressions. Confirmation bias will make it seem as if the facts support your opinion, even when they don’t. Of course, when objective evidence (such as published studies) does seem to support your position, you still have to keep your critical shields up. Confirmation bias can still...

/ December 24, 2014

The Marvelous Dr. Mütter

The Mütter Museum in Philadelphia has a marvelous collection of human bones, surgical specimens, monsters in jars, and medical memorabilia. It holds attractions for everyone, from the jaded medical professionals who thought they’d seen it all to the coveys of youngsters who compete to point out the grossest items to their friends, from the student of history to the connoisseur of the...

/ December 23, 2014

Stem cells versus Gordie Howe’s stroke

Note: There is now a major update to this story published here, which explains a lot of the questions remaining in this blog post. Seven years ago I returned to Michigan, where I was born and spent the first quarter century of my life, after an absence of more than 20 years. In the interim, I had done my surgical residency and...

/ December 22, 2014

Reflexology for Babies?

In the fascinating, if not rational, world of so-called complementary and alternative medicine, the age of the patient rarely seems to matter. This stands in stark contrast to the practice of science-based medicine. Sure, there is some physiological overlap across the spectrum of age, but caring for children often requires a vastly-different approach and there are numerous conditions not seen or only...

/ December 19, 2014

No, the HPV vaccine does not cause promiscuity

Today’s post isn’t about the flu vaccine, but that vaccine played a part in bringing you today’s topic. It seems that this year’s vaccine is a mediocre match for the circulating strains of influenza, and I was one of the unlucky ones in whom it didn’t appear to provide much protection. After spending several days effectively bedridden, I still feel like I’m...

/ December 18, 2014

Communicating Health Science News

A recent study addresses the problem of sensationalism in the communication of science news, an issue we deal with on a regular basis. The study was titled “The association between exaggeration in health related science news and academic press releases: retrospective observational study“. The results show two interesting things – that university press releases frequently overhype the results of studies, and that...

/ December 17, 2014

Study of “Acupressure” for Constipation

A recent study in the Journal of General Internal Medicine evaluated a treatment for constipation. It tested whether training patients to massage the perineum (the area between the vagina or scrotum and the anus) would improve their reported bowel function and quality of life at 4 weeks after training. They found that it did. It’s a simple, innocuous treatment that may be...

/ December 16, 2014

Hostility towards scientific consensus: A red flag identifying a crank or quack

Deniers of well-established science, such as the anthropogenic climate change, the theory of evolution, and vaccine science, frequently attack the scientific consensus. Some go farther and attack the very concept of a scientific consensus. When you see such attacks, you know you're dealing with a crank or, in the case of medicine, a quack.

/ December 15, 2014

Homotoxicology

What you’ve just said is one of the most insanely idiotic things I have ever heard. At no point in your rambling, incoherent response were you even close to anything that could be considered a rational thought. Everyone in this room is now dumber for having listened to it. I award you no points, and may God have mercy on your soul....

/ December 12, 2014

SFSBM Report upsets naturopaths. We’re fine with that.

The Maryland Naturopathic Doctors Association is not pleased with the Society for Science-Based Medicine. Not at all. That is a good thing, for several reasons. It demonstrates the importance of stopping naturopathic licensing (and practice expansion) legislation in the state legislatures. It shows how they handle legitimate criticism of their practices. And it is a lesson in their modus operandi of obfuscating...

/ December 11, 2014