karela_capsules

Natural Health Products: Loosely regulated, little evidence of benefit, and an industry intent on preserving the status quo

This week’s post will revisit a topic I recently covered, but it’s time-sensitive and needs your input. Health Canada, the Canadian equivalent to the US Food and Drugs Administration, is considering revisions to the way in which it regulates dietary supplements, which are called “natural health products” in Canada. It is rare that a regulator acknowledges that a regulatory system isn’t working,...

/ October 20, 2016
rubens_old_man_elderly-aged

Is Ageing a Disease That Can Be Cured?

There is an ongoing debate that has come to the fore recently about the ultimate limits of human longevity. The ultimate goal of medicine is to optimize health, with the result of maximizing the duration and quality of life. This is accomplished through health promotion, disease prevention, and disease treatment. There is no question that this approach has increased life expectancy, which...

/ October 19, 2016

Commenting and server problems

Please note that ScienceBasedMedicine is having issues with its hosting services and Disqus commenting interface. We are working to resolve it. UPDATE: More recently, we have been having issues with our certificate, in case you get SSL certificate errors.

/ October 18, 2016

Dr. Richard Rawlins Reveals the Real Secrets of Alternative Medicine

Dr. Richard Rawlins, an orthopedic surgeon in the UK who is also a magician and member of the Magic Circle, has written an exhaustive review of alternative medicine, Real Secrets of Alternative Medicine: An Exposé. “A conversation with Mrs. Smith” A conversation with Mrs. Smith bookends the text. She comes to Dr. Rawlins for hip replacement surgery and asks if there is...

/ October 18, 2016

Mammography and overdiagnosis, revisited

[Editor Note: This is a greatly expanded version of my initial thoughts on a study about mammography published in the New England Journal of Medicine last week on my not-so-super-secret other blog. It’s such an important topic that I thought SBM should see my discussion too, and I couldn’t just cut and paste it. You deserve original material.] I knew it. I...

/ October 17, 2016
all-seeing-eye

Stem Cell Tourism for Eye Disease: No Passport Required

Stem cell clinics outside the United States, and outside the jurisdiction of the U.S. regulations, have flourished and the pursuit of treatment at these centers has been called “stem cell tourism.” Seekers of unproven stem cell therapies no longer need to look outside the U.S. Paul Knoepfler, a stem cell researcher and leading advocate for the responsible use of stem cell technology,...

/ October 16, 2016
Martin Shkreli testifying

R&D and the High Cost of Drugs

Until a year ago very few people had ever heard of Martin Shkreli. In 2015 the then-32-year-old CEO of Turing Pharmaceuticals LLC became the poster boy for Big Pharma eXXXcesses when Turing acquired rights to Daraprim, an antiparasitic drug used widely to treat toxoplasmosis. The acquisition itself wasn’t particularly controversial. Raising the price of Daraprim from $13.50 per pill to $750 per...

/ October 15, 2016

When should I get the influenza vaccine?

I was asked this question by one of my infection control practitioners. We started offering the flu vaccine the first week of October and some have delayed getting the shot for fear that immunity will not last the season. She pointed me to this NPR article, “Yes, It Is Possible To Get Your Flu Shot Too Soon,” as driving the fear of...

/ October 14, 2016
Kenneth Woliner

Is there a distinct standard of care for “integrative” physicians? The Woliner case

We at SBM argue that there should be a single, science-based standard of care in medicine. Unfortunately, with the rise of "complementary and alternative medicine" (CAM) also called "integrative medicine," there is a separate standard emerging that allows CAM practitioners to get away with using unproven and disproven treatments. The case of Dr. Kenneth Woliner illustrates this problem.

/ October 13, 2016

Researching the Magic of Homeopathy

A Canadian academic, Dr. Mark Loeb, who is a respected infectious disease researcher who knows how to conduct high quality research, wants to study homeopathic nosodes. Nosodes are essentially homeopathic vaccines. Tim Caulfield, a Canadian professor of health law and policy, thinks the study is misguided and unethical. The two are having a respectful public debate about the risks and merits of...

/ October 12, 2016