Tag: breast cancer
Choosing Wisely: Changing medical practice is hard
One of the hardest things to do in medicine is to change practice in the face of scientific evidence that what you're doing isn't working. Quacks never change, but medicine does. The change might be slower and messier than we would like, but change does happen. Choosing Wisely is an initiative designed to bring about change by discouraging the use of interventions...
“Liquid biopsies” for cancer screening: Life-saving tests, or overdiagnosis and overtreatment taken to a new level?
I’ve written many times about how the relationship between the early detection of cancer and decreased mortality from cancer is not nearly as straightforward as the average person—even the average doctor—thinks, the first time being in the very first year of this blog’s existence. Since then, the complexities and overpromising of various screening modalities designed to detect disease at an early, asymptomatic...
“Precision medicine”: Hope, hype, or both?
I am fortunate to have become a physician in a time of great scientific progress. Back when I was in college and medical school, the thought that we would one day be able to sequence the human genome (and now sequence hundreds of cancer genomes), to measure the expression of every gene in the genome simultaneously on a single “gene chip,” and...
The uncertainty surrounding mammography continues
Mammography is a topic that, as a breast surgeon, I can’t get away from. It’s a tool that those of us who treat breast cancer patients have used for over 30 years to detect breast cancer earlier in asymptomatic women and thus decrease their risk of dying of breast cancer through early intervention. We have always known, however, that mammography is an...
Medical marijuana as the new herbalism, part 3: A “cannabis cures cancer” testimonial
Medical marijuana is often touted, primarily in the form of cannabis oil extract, as a cure for cancer that “they” don’t want you to know about. While some cannabinoids do have modest antitumor activity in vitro, there is no compelling evidence that cannabis can cure cancer. Yet that doesn't stop a proliferation of testimonials claiming that cannabis cured cancer. They are no...
The Gerson protocol, cancer, and the death of Jess Ainscough, a.k.a. “The Wellness Warrior”
Less than four days ago, a young Australian woman died of a very rare type of cancer. Most of my American and probably many of my European readers have never heard of her, but in Australia she had become quite famous over the last seven years as a major proponent of “natural health.” Her name was Jess Ainscough, but, like a certain...
The Hippocrates Health Institute: Cancer quackery finally under the spotlight, but will it matter?
I first came across Brian Clement, the proprietor of the Hippocrates Health Institute in West Palm Beach, Florida, a little more than a year ago based on the story of Stephanie O’Halloran. Ms. O’Halloran was—word choice unfortunately intentional—a 23-year-old mother of an 18 month old child from Ireland who was diagnosed with stage IV breast cancer in 2013, with metastases to her...
Blaming breast cancer on autism
Gayle DeLong has been diagnosed with what she refers to as “autism-induced breast cancer”. She’s even given it an abbreviation, AIBC. Unfortunately, as you might be able to tell by the name she’s given her breast cancer, she is also showing signs of falling into the same errors in thinking with respect to her breast cancer as she clearly has with respect...
Breast cancer myths: No, antiperspirants do not cause breast cancer
Antivaccine activists frequently claim that aluminum salts used as adjuvants in vaccines cause autism. However, if you listen to the quacks and cranks, that's not all aluminum does. Oh, no, that nefarious metal is also being blamed for breast cancer. But don't throw away your antiperspirant just yet. The evidence cited to support this connection is utterly unconvincing. Much of it even...