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K2: The Vitamin, Not the Mountain
Science is complicated. Simple concepts that appear at first to be obviously true or untrue usually turn out to be more nuanced than we thought. Newtonian physics was taken as “the truth” until we learned in the 20th century that it didn’t apply on cosmological or subatomic scales. Medicine and human physiology are more complicated than most people realize or want to...
Quackademia update: The Cleveland Clinic, George Washington University, and the continued infiltration of quackery into medical academia
Quackery has been steadily infiltrating academic medicine for at least two decades now in the form of what was once called “complementary and alternative medicine” but is now more commonly referred to as “integrative medicine.” Of course, as I’ve written many times before, what “integrative medicine” really means is the “integration” of quackery with science- and evidence-based medicine, to the detriment of...
Bad News and Good News from Down Under: Science-Based Medicine in Australia
The bad news: in a disturbing attempt to woo customers, some Australian pharmacists are offering in-store consultations with naturopaths. The good news: Australian skeptics and supporters of science have had a lot of recent successes in combatting quackery. Non-Doc in a Box In an article in the Australian magazine The Skeptic, Loretta Marron reports on naturopaths in pharmacies. You can read it...
Do doctors pay attention to negative randomized clinical trials?
We at the Science-Based Medicine blog believe that all medicine, regardless of where it comes from, should be held to a single science-based standard with regards to efficacy, effectiveness, and safety. We tend to focus primarily on “complementary and alternative medicine” (CAM), now more commonly known as “integrative medicine,” because (1) we believe it to be undermining the scientific basis of medicine...
“Atavistic oncology” revisited: Dr. Frank Arguello responds
Three weeks ago, I wrote about a cancer treatment promoted by Dr. Frank Arguello that I deemed to be quackery, launching into one of my usual discussions based in science (and with a touch of snark) regarding why. Dr. Arguello, it appears, is not very happy about what I wrote. So he responded. He also sent e-mails complaining to my cancer center...
The false dichotomies of CAM and “integrative medicine”
A lot of medical specialties have throwaway newspapers/magazines that are supported by advertising and somehow mysteriously managed to show up for free in the mailboxes of practitioners. In my case, I’ve found myself on the subscription list for such papers about oncology, but also general surgery (I’m Board-certified as a general surgeon). When I have to recertify in about three years, it...
A balanced look at gluten sensitivity
Even though it doesn’t appear on any calendar, May 2014 will go down in history as “gluten sensitivity month.” After RealClearScience picked up on a 2013 paper that brought into question the existence of non-celiac gluten sensitivity (NCGS), news sites were obliged to post their own analysis of the article, and the blogosphere was alight with pro- and anti-gluten posts. One of...
Upper Neck Manipulation: Caveats for Patients and Providers
Chiropractors often deny that neck manipulation can be a primary cause of stroke by injuring vertebral arteries. But according to Jean-Yves Maigne, M.D., head of the Department of Physical Medicine at the Hôtel-Dieu Hospital in Paris, France: It is now a well established fact that cervical thrust manipulation can harm the vertebral artery. This accident was formerly regarded as very rare, although...
A Misguided Apology
A new book by Thomas Schneider, MD, offers A Physician’s Apology. The subtitle asks, “Are WE making you sick?” I was eager to read it, because I could think of many things doctors might be apologizing for: overdiagnosis, overtreatment, ordering unnecessary tests, pathologizing the vicissitudes of everyday life, offering misleading low-fat diet advice, misrepresenting inadequately tested treatments, not putting enough emphasis on...
The false hope of “right-to-try” metastasizes to Michigan
State "right-to-try" bills are springing up like kudzu all over the US. Their advocates promise that they will save lives by allowing terminally ill patients access to experimental therapeutics, when in fact they are highly unlikely to do any such thing given that the federal government, not the states, controls drug approval. In reality, right-to-try laws are a cruel sham that will...