Results for: autism
Reclassifying thyroid cancer and the willful misunderstanding of overdiagnosis
If there’s one lesson that we here at Science-Based Medicine like to emphasize, it’s that practicing medicine and surgery is complicated. Part of the reason that it’s complicated is that for many diseases our understanding is incomplete, meaning that physicians have to apply existing science to their treatment as well as they can. The biology of cancer, in particular, can be vexing....
Functional medicine: The ultimate misnomer in the world of integrative medicine
Functional medicine. It sounds so...scientific and reasonable. It's anything but. In fact, functional medicine combines the worst features of conventional medicine with a heapin' helpin' of quackery.
VAXXED and the Tribeca Film Festival: How Robert De Niro learned the hard way about Andrew Wakefield and the antivaccine movement
Disgraced antivaccine doctor, Andrew Wakefield, managed to pull another fast one. His antivaccine propaganda film, VAXXED, was mysteriously accepted for a screening at the Tribeca Film Festival. It turns out that TFF co-founder Robert De Niro had pulled some strings. The well-deserved backlash provides yet another example of how Andrew Wakefield discredits everything he touches.
The hijacking of evidence-based medicine
A hero of the blog, John Ioannidis, worries that evidence-based medicine has been hijacked, and when Ioannidis says something we at SBM listen. But has EBM been "hijacked"?
Confusing overdiagnosis for an “epidemic” of thyroid cancer in Japan after Fukushima
One of my favorite topics to blog about for SBM is the topic of overdiagnosis and overtreatment. These are two interrelated phenomena that most people are blissfully unaware of. Unfortunately, I’d also say that the majority of physicians are only marginally more aware than the public about these confounders of screening programs, if even that. Overdiagnosis has long been appreciated to be...
Ezekiel Stephan: Another Pediatric Death by World View
Reports of a disturbing chain of events that ended in the likely preventable death of a 19-month-old Canadian child have made the rounds this week. The case was discussed by friend of Science-Based Medicine Orac (who I believe is some kind of a protocol droid) on Respectful Insolence two days ago. But even if you’ve read that excellent post, please continue reading...
The claim that Gardasil causes premature ovarian failure: Ideology, not science
It’s amazing how, to antivaccine activists, it just so happens that a vaccine that targets a sexually transmitted virus must also destroy a girl’s ovaries. It must be a coincidence, right?
Are the recommended childhood vaccine schedules evidence-based?
We write about vaccines a lot here at SBM, and for a very good reason. Of all the medical interventions devised by the brains of humans, arguably vaccines have saved more lives and prevented more disability than any other medical treatment. When it comes to infectious disease, vaccination is the ultimate in preventive medicine, at least for diseases for which vaccines can...
Air Pollution and Public Health
Public health measures are those not aimed at individuals but at society as a whole, or subgroups within society. Physicians are charged not only with promoting the health of their own patients, but as a profession we (and health care professions in general) are charged with promoting the public health. Public health measures, however, are highly likely to cross into politically charged...

