Results for: autism
Is there a role for speculative journals like Medical Hypotheses in the scientific literature?
The core information supporting science-based medicine resides in the scientific literature. There, scientists and physicians publish the results of experiments and clinical trials that seek to understand the biological mechanisms by which the human body functions and through which disease forms and to apply this understanding to test new treatments for diease. Consequently, the quality and integrity of the biomedical literature are...
The fall of Andrew Wakefield
I must admit, I never saw it coming. At least, I never saw it coming this fast and this dramatically. After all, this is a saga that has been going on for twelve solid years now, and it’s an investigation that has been going on at least since 2004. Yes, I’m referring to that (possibly former) hero of the anti-vaccine movement, the...
The Winkler County nurse case and the problem of physician accountability
A MISCARRIAGE OF JUSTICE THAT HAD A (SORT OF) HAPPY ENDING Back in September and then again last week, I wrote briefly (for me) about an incident that I considered to be a true miscarriage of justice, namely the prosecution of two nurses for having reported the dubious and substandard medical practices of a physician on the staff of Winkler County Hospital...
Changing Your Mind
Why is my mind so clean and pure? Because I am always changing it. In medical school the old saying is that half of everything you learn will not be true in 10 years, the problem being they do not tell which half. In medicine, the approach is, one hopes, that data leads to an opinion. You have to be careful not...
The Dietary Supplement Safety Act of 2010: A long overdue correction to the DSHEA of 1994?
BACKGROUND: A BAD, BAD LAW One of the themes of this blog has been how, over the last couple of decades, the law has been coopted by forces supporting “complementary and alternative” medicine (CAM) in order to lend legitimacy to unscientific and even pseudoscientific medical nonsense. Whether it be $120 million a year being spent for the National Center for Complementary and...
Yes, Jacqueline: EBM ought to be Synonymous with SBM
“Ridiculing RCTs and EBM” Last week Val Jones posted a short piece on her BetterHealth blog in which she expressed her appreciation for a well-known spoof that had appeared in the British Medical Journal (BMJ) in 2003: Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials Dr. Val included the spoof’s abstract in her...
The Lancet retracts Andrew Wakefield’s article
In 1998 Andrew Wakefield and 11 other co-authors published a study with the unremarkable title: Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Such a title would hardly grab a science journalist’s attention, but the small study sparked widespread hysteria about a possible connection between the mumps-measles-rubella (MMR) vaccine and autism spectrum disorder (ASD). The study itself has not stood...
The General Medical Council to Andrew Wakefield: “The panel is satisfied that your conduct was irresponsible and dishonest”
BACKGROUND In my not-so-humble opinion, the very kindest thing that can be said about Andrew Wakefield is that he is utterly incompetent as a scientist. After all, it’s been proven time and time again that his unethical and scientifically incompetent “study” that was published in The Lancet in 1999 claiming to find a correlation between vaccination with MMR and autistic regression in...
Abortion and breast cancer: The manufactroversy that won’t die
Whatever one thinks about abortion from a moral standpoint, we at SBM would argue that any discussion of the risks of abortion should be based in rigorous science. One "risk" of abortion frequently claimed by antiabortion activists is that it causes breast cancer, even if it takes science as bad as that found in a recently published epidemiological "study" on abortion and...
A victory for science-based medicine
The following is a collaborative effort by Peter Lipson, MD, a usual contributor to Science-Based Medicine, and Ames Grawert, JD, a soon-to-be-sworn-in attorney working in New York City. Proponents of science-based medicine have always had one major problem—human beings are natural scientists, but we are also very prone to cognitive mis-steps. When we follow the scientific method we have developed, we succeed...