On the “right” to challenge a medical or scientific consensus

While everyone has the "right" to challenge a scientific consensus, overthrowing a scientific consensus takes data. Lots and lots of data. Few people realize how difficult it is.

/ March 23, 2015

Lyme: Two Worlds Compared and Contrasted

The practice of infectious disease (ID) is both easy and difficult. If you read my ID blog on Medscape you are aware of my trials and tribulations in diagnosing and treating infections. ID is easy since, at least in theory, diseases have patterns and an infecting organism has a predictable epidemiology and life cycle. So if you can recognize the pattern and...

/ March 20, 2015

The DC as PCP? Drug Wars Resume

Chiropractors are once again engaged in intra-fraternal warfare over the chiropractic scope of practice, a saga we’ve chronicled before on SBM. (See the references at end of this post.) Every time it looks like the warring factions have buried their differences, they come rising to the surface like zombies. The International Chiropractors Association (ICA), representing the “straight” faction, wants chiropractic to continue...

/ March 19, 2015

Making One’s Own Reality – Food Babe Edition

The default mode of human activity is to construct our own internal model of reality based upon our desires, biases, flawed perceptions, memories, and reasoning, and received narratives from the culture in which we live. That model of reality is then reinforced by confirmation bias and jealously defended. But we also have the capacity to transcend this pathway of least resistance. Philosophy...

/ March 18, 2015

A brief bit of shameless self-promotion…The Prince of Wales edition

In an effort to expand the Gorski empire almost to the level of the Crislip empire and to try to make it to somewhere within two or three orders of magnitude of the Novella empire, I’ve published an article on Slate.com about Prince Charles’ visit to our fine country entitled “Prince of Pseudoscience“. Consider this the mandatory shameless self-promotion that all SBM...

/ March 18, 2015

Shred360: The Weight Loss Product with the Stupidest Hype Ever

There was a half-page ad in my local paper, thinly disguised as a “Special Report” by a Health and Fitness Editor, for a new fat-melting pill that “could put diet industry out of business by 2016.” I have seen a lot of ridiculous ads for weight loss products, but this one takes the cake. It’s arguably even worse than the one that...

/ March 17, 2015

Medical marijuana as the new herbalism, part 3: A “cannabis cures cancer” testimonial

Medical marijuana is often touted, primarily in the form of cannabis oil extract, as a cure for cancer that “they” don’t want you to know about. While some cannabinoids do have modest antitumor activity in vitro, there is no compelling evidence that cannabis can cure cancer. Yet that doesn't stop a proliferation of testimonials claiming that cannabis cured cancer. They are no...

/ March 16, 2015

ND Confession, Part 1: Clinical training inside and out

Despite claims to the contrary, a naturopathic education is not comparable to that of a physician, and the biggest gap is in clinical training after classroom instruction ends.

/ March 13, 2015

Evaluating milk and its substitutes

I knew milk alternatives were becoming mainstream when a new bakery/café appeared in my neighborhood. I ordered a latte and learned that they didn’t use milk. At all. Not only were the baked goods vegan, organic, “natural” and some were gluten-free, they were completely dairy-free for their coffee beverages. While everything looked and smelled great, I was shocked that they had no...

/ March 12, 2015

Another Review Finds Homeopathy Worthless

Australia has published a report on the evidence supporting homeopathy - and concluded rightly that there is no convincing evidence. It joins a number of other nations that have conducted similar reviews, and reached the same conclusion. Homeopathy is not effective, not medicine, and not worthwhile.

/ March 11, 2015