CAM on campus: Black History Month

I emerge from the haze of board exams and residency interviews to blog about a recent development on campus that disappointed me, involving a university celebration of Black History Month.

/ February 10, 2011

The Flu Vaccine and Narcolepsy

Preliminary evidence has linked the flu vaccine to narcolepsy in several Scandinavian countries. Is the link real? What could be the mechanism?

/ February 9, 2011

Ear Infections: To Treat or Not to Treat

Acute otitis media, also known as an ear infection, is a common problem that used to be treated routinely with antibiotics. As more evidence accumulated, it became clear that the practice needed to change. Seven years after the American Academy of Pediatrics and the American Academy of Family Physicians released their guidelines, what has changed?

/ February 8, 2011

The NCCAM Strategic Plan 2011-2015: The Good, The Bad, and The Ugly

The NCCAM has a new strategic plan that involves funding good science on meaningful topics, which is good. But it's still talking about nonsense like reiki, which is bad, and mixing it with real, scientifically proven treatments, which is ugly.

/ February 7, 2011

Randi issues a challenge

James Randi has issued a challenge to retailers based on the 10:23 campaign to demonstrate homeopathy is nonsense.

/ February 6, 2011

Of SBM and EBM Redux. Part IV: More Cochrane and a little Bayes

NB: This is a partial posting; I was up all night ‘on-call’ and too tired to continue. I’ll post the rest of the essay later… Review This is the fourth and final part of a series-within-a-series* inspired by statistician Steve Simon. Professor Simon had challenged the view, held by several bloggers here at SBM, that Evidence-Based Medicine (EBM) has been mostly inadequate...

/ February 4, 2011

Complementary and alternative medicine in hospice care

A number of news outlets (e.g. Bloomberg Business Week, MSN.Com, US News, etc) have recently reported that use of complementary and alternative therapies (CAT) is widespread in hospice care facilities. This is based on a report from the Centers for Disease Control, Complementary and Alternative Therapies in Hospice: The National Home and Hospice Care Survey, Untied States, 2007. According to most news...

/ February 3, 2011

Dr. Mehmet Oz completes his journey to the Dark Side

A couple of weeks ago, both Steve Novella and I criticized Dr. Mehmet Oz (a.k.a. “America’s doctor”) for not only hosting a man I consider to be a major supporter of quackery, but going far beyond that to defend and promote him. After that, I considered Dr. Oz to be a lost cause, with nothing to excuse him for his having embraced...

/ February 3, 2011

The Safety Checklist

During my recent stint covering the Neuro ICU I noticed for the first time a checklist posted above each patient bed. The checklist covered the steps to undergo whenever performing an invasive procedure on the patient. I was glad to see that the checklist phenomenon had penetrated my hospital, although the implementation of safety checklists is far from complete. A recent study...

/ February 2, 2011

Dr. Paul Offit appears on The Colbert Report

For a touch of the lighter side, here’s Dr. Paul Offit appearing on The Colbert Report to discuss his new book: The Colbert Report Mon – Thurs 11:30pm / 10:30c Paul Offit www.colbertnation.com Colbert Report Full Episodes Political Humor & Satire Blog Video Archive Looks like a win to me. I particularly like how Dr. Offit says that the question of whether...

/ February 1, 2011