Tag: clinical trials

Mediocre Expectations: Acupuncture

I had a dickens of a time writing this entry. The last week has been spent in New York for NECSS. It is safe to say that New York has plenty of distractions for us Dug the Dog types. Reality may be a honey badger, but New York is a squirrel. I say that when I travel I usually do not come...

/ April 17, 2015

Integrative medicine, naturopathy, and David Katz’s “more fluid concept of evidence”

Dr. David Katz is undoubtedly a heavy hitter in the brave new world of “integrative medicine,” a specialty that seeks to “integrate” pseudoscience with science, nonsense, with sense, and quackery with real medicine. In fairness, that’s not the way physicians like Dr. Katz see it. Rather, they see it as “integrating” the “best of both worlds” to the benefit of patients. However,...

/ April 6, 2015

Clinical trials of homeopathy versus “respect for science”

A few months ago, Steve Novella and I published an article in Trends in Molecular Medicine entitled “Clinical trials of integrative medicine: testing whether magic works?” It was our first foray together into publishing commentary about science-based medicine versus evidence-based medicine, using a topic that we’ve both written extensively about over the years on this blog and our respective personal blogs. Specifically,...

/ March 9, 2015

Screening for disease in people without symptoms: The reality

One of the most contentious questions that come up in science-based medicine that we discuss on this blog is the issue of screening asymptomatic individuals for disease. The most common conditions screened for that we, at least, have discussed on this blog are cancers (e.g., mammography for breast cancer, prostate-specific antigen screening for prostate cancer, ultrasound screening for thyroid cancer), but screening...

/ February 2, 2015

Mel asks and I do my best to answer. On acupuncture.

I read a lot of the pseudo-medical websites. The writing is at best pedestrian, often turgid, and, at its worst, incoherent. It is rarely either engaging or clever. Wit, the clever bon mot, the amusing turn of phrase or retort, is rare at best. So rare I cannot think of an example. It is ironic that those who engage in fantastical treatments...

/ January 9, 2015

Stem cells versus Gordie Howe’s stroke, part 2

Another Christmas has come and gone, surprisingly fast, as always. I had thought that it might make a good “last of 2014” post—well, last of 2014 for me, anyway; Harriet and Steve, at least, will be posting before 2014 ends—to do an end of year list of the best and worst of the year. Unfortunately, there remains a pressing issue that doesn’t...

/ December 29, 2014

Acupuncture Odds and Ends

I’m cheating. No, I’m recycling. ‘Tis the season to have to no time to get anything done. Since I know none of you pay attention to the blog of at the Society for Science-Based Medicine and I have no time with work and the holidays to come up with new material, I am going to collect and expand on the entries on...

/ December 26, 2014

Stem cells versus Gordie Howe’s stroke

Note: There is now a major update to this story published here, which explains a lot of the questions remaining in this blog post. Seven years ago I returned to Michigan, where I was born and spent the first quarter century of my life, after an absence of more than 20 years. In the interim, I had done my surgical residency and...

/ December 22, 2014

Using the fear of Ebola to promote the placebo legislation that is “right to try”

Libertarians and free market fundamentalists generally detest the FDA and want to dramatically decrease its power in the belief that the free market can guarantee the safety of drugs better than a government agency that requires strong scientific evidence of efficacy and safety before approval. Not surprisingly, they're at it again, this time in the service of promoting "right-to-try" laws and using...

/ November 2, 2014

Do doctors pay attention to negative randomized clinical trials?

We at the Science-Based Medicine blog believe that all medicine, regardless of where it comes from, should be held to a single science-based standard with regards to efficacy, effectiveness, and safety. We tend to focus primarily on “complementary and alternative medicine” (CAM), now more commonly known as “integrative medicine,” because (1) we believe it to be undermining the scientific basis of medicine...

/ September 22, 2014