Tag: breast cancer

precisionmedicineinfo

Precision Medicine and Uncertainty

Precision medicine is a development that promises to tailor treatments to the individual patient based on genetic and other molecular and cellular analyses. In his 2015 State of the Union address, President Obama announced the Precision Medicine Initiative. A website for Precision Medicine claims to offer “perfect care for every individual.” Much of what we read about precision medicine gives the impression...

/ November 15, 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

When science- and evidence-based guidelines conflict with patient wishes: What’s a doc to do?

There’s a misconception that I frequently hear about evidence-based medicine (EBM), which can equally apply to science-based medicine (SBM). Actually, there are several, but they are related. These misconceptions include the idea that EBM/SBM guidelines are a straightjacket, that they are “cookbook medicine,” and that EBM/SBM should be the be-all and end-all of how to practice clinical medicine. New readers might not...

/ October 3, 2016

Diet and exercise versus cancer: A science-based view

One of the most effective spin techniques used by advocates of “integrative medicine” (also sometimes called “complementary and alternative medicine,” or CAM for short) to legitimize quackery has been to claim basically all non-pharmacologic, non-surgical interventions as “integrative,” “complementary,” or “alternative.” Thus, science-based interventions such as diet changes to treat and/or prevent disease, exercise, and other lifestyle alterations are portrayed as somehow...

/ September 19, 2016

Therapeutic Touch Pseudoscience: The Tooth Fairy Strikes Again

A study out of Iran titled “Therapeutic touch for nausea in breast cancer patients receiving chemotherapy: Composing a treatment” was recently published in the journal Complementary Therapies in Clinical Practice. It is a great example of the Tooth Fairy science that permeates much of the research in complementary and alternative medicine. In Tooth Fairy science, researchers attempt to study a phenomenon without...

/ May 31, 2016

CAM use and chemotherapy: A negative correlation

So-called “alternative” medicine is made up of a hodge-podge of health care practices and treatments based on beliefs that are unscientific, pre-scientific, and pseudoscientific. These modalities include practices as diverse as homeopathy, traditional Chinese medicine, reflexology, reiki and other forms of “energy medicine” based on vitalism, chiropractic, and naturopathy, and that’s a short list of the quackery that falls under the rubric...

/ May 22, 2016

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....

/ April 25, 2016

Behold my power, quacks, and despair! Mike Adams publishes several defamatory articles about yours truly…

I decided to write this post for Science-Based Medicine because I’ve taken notice of recent posts Mike Adams has written about me, mainly because they are riddled with misinformation, fabrications, and lies. Even though at least two of his claims about me made me laugh out loud because of their utter ridiculousness, much of the rest of his recent writing about me...

/ April 20, 2016
Women looking for relief from hot flashes will be disappointed if they think acupuncture will help them.

Acupuncture does not work for menopause: A tale of two acupuncture studies

Arguably, one of the most popular forms of so-called “complementary and alternative medicine” (CAM) being “integrated” with real medicine by those who label their specialty “integrative medicine” is acupuncture. It’s particularly popular in academic medical centers as a subject of what I like to refer to as “quackademic medicine“; that is, the study of pseudoscience and quackery as though it were real...

/ April 18, 2016

You’ve been diagnosed with breast cancer. How soon do you need treatment?

A new year is upon us yet again, and Science-Based Medicine has been in existence for eight years now. It seems only yesterday that Steve Novella approached me to ask me to be a contributor. Our part-serious, part-facetious predictions for 2016 notwithstanding, one thing about 2016 is certain: I will almost certainly encounter some form of cancer quackery or other and deconstruct...

/ January 4, 2016