Science-Based Medicine

Inside Chiropractic: Yesteryear and Today (Fr, 16 Feb 2018)
In the 123 years since its inception, the core beliefs of the chiropractic profession have not changed. Chiropractic continues to exist as a form of alternative medicine that embraces a variety of questionable procedures and treatment methods. The chiropractic profession in the United States is still defined by the vertebral subluxation theory that gave it birth and independence as an alternative to conventional medical care. Chiropractors resist changes that would allow development of their profession as a conservative back-care specialty.
>> mehr lesen

Cleveland Clinic genetic experts call out functional medicine on worthless genetic testing and supplement prescribing (Do, 15 Feb 2018)
Cleveland Clinic genetics experts call out functional medicine on worthless genetic testing and dietary supplement prescribing: "Poor science, leading to even worse medicine." Irony meters exploded everywhere.
>> mehr lesen

Move (Mi, 14 Feb 2018)
For most people, common health goals are best approached with as simple a strategy as possible. This avoids cognitive overload and non-compliance. Get the basics right, as there are diminishing returns from increasingly arcane details.
>> mehr lesen

Answering Our Critics – Again! (Di, 13 Feb 2018)
Critics of Science-Based Medicine keep making the same old tired arguments, despite the fact that their arguments have been repeatedly demolished. Here is a list of recurrent memes, with counterarguments.
>> mehr lesen

Quackademic medicine and the delusion of being “science-based” (Mo, 12 Feb 2018)
Last week, I was interviewed by the a reporter from the Georgetown student newsletter about its integrative medicine program. It got me to thinking how delusion that one's work is science-based can lead to collaborations with New Age "quantum" mystics like Deepak Chopra.
>> mehr lesen

The 2018 Flu Epidemic: Hives and other Influenza Related Nonsense (Fr, 09 Feb 2018)
While it isn't likely to be the flumaggedon, it is shaping up to be a really bad flu season. Unfortunately there is a lot of overzealous news coverage that I fear is causing more anxiety among parents than is warranted.
>> mehr lesen

Anti-vaccine sentiment associated with belief in conspiracy theories (Do, 08 Feb 2018)
A recent survey examined the relationship between opposition to vaccines, belief in conspiracy theories, and other factors. The results suggest that we may need to modify how we address concerns about the safety and effectiveness of vaccines.
>> mehr lesen

What Not To Write in an E-mail to SBM (Mi, 07 Feb 2018)
What to do, and what not to do, when sending a critical e-mail to SBM or elsewhere – assuming you want to be taken seriously.
>> mehr lesen

MyMedLab Offers Expensive, Useless, Nonstandard Lab Tests (Di, 06 Feb 2018)
Direct to consumer lab testing is good marketing but not good medicine. For instance, there is no reason to spend $199 to measure glyphosate levels in your blood.
>> mehr lesen

Death by Gardasil? Not so fast there… (Mo, 05 Feb 2018)
There is a type of "vaccine injury" story promoted by the antivaccine movement that is particularly pernicious, a narrative I call "death by Gardasil." The stories, which use tenuous connections between vaccination against HPV to prevent cervical cancer and the unexpected death of a teen or young adult, are always tragic, and you can't help but feel incredible empathy for the parents. However, none of these stories constitute compelling evidence that Gardasil kills young people. Basically, antivaxers exploit the grief of these parents and their understandable desire to find a cause for their child's demise to demonize HPV vaccinations as dangerous and deadly.
>> mehr lesen

Kennedy, Fisher and Bigtree: a triple dose of anti-vaccine injected into upcoming chiropractic conference (Do, 01 Feb 2018)
Even as the flu rages, chiropractors will be stoking their anti-vaccination ideology at a March conference with speeches from anti-vaxx Illuminati Robert F. Kennedy, Jr., Barbara Loe Fisher and Del Bigtree.
>> mehr lesen

Vision Therapy Quackery (Mi, 31 Jan 2018)
Behavioral optometry claims to treat a wide range of disorders, including learning difficulty and attention problems. But these claims are not based on solid scientific ground, and are not supported by rigorous evidence.
>> mehr lesen

Broken Brain (Di, 30 Jan 2018)
In his new video series, Dr. Mark Hyman says your brain is broken and functional medicine can fix it. He mixes conventional healthy lifestyle advice with highly questionable claims and recommendations based on speculation rather than on evidence.
>> mehr lesen

The effort of integrative medicine advocates to co-opt the opioid crisis to claim non pharmacological treatments for pain as solely theirs continues apace (Mo, 29 Jan 2018)
Last week, I wrote about how advocates for quackery were trying, and succeeding, at persuading state Medicaid agencies to pay for acupuncture for pain. This week, I discuss how they are promoting the integration of quackery with medicine. In this case, they are promoting a white paper and trying to influence the AHRQ.
>> mehr lesen

Rabies Claims the Life of a 6-Year-Old Florida Child: The Tragic Case of Ryker Roque (Fr, 26 Jan 2018)
Rabies is an incredibly deadly infection, but one that is virtually 100% preventable. Unfortunately a Florida child recently paid the ultimate price when his parents failed to seek out appropriate medical care for a bat bite, and despite an experimental but flawed treatment protocol.
>> mehr lesen

Georgian College’s Homeopathy Program: Magical Thinking Presented as Fact (Do, 25 Jan 2018)
Georgian College in Ontario, Canada is now offering a 3-year advanced diploma in the pseudoscience of homeopathy.
>> mehr lesen

Mental Illness Denial (Mi, 24 Jan 2018)
This is really hard, and we have limited knowledge, but we have accumulated enough knowledge about mental health and illness to take a practical approach to many patients and to help them improve their lives. This should include the full range of options available, including medication and counseling. To deny the role of medication can do great harm to those who may need it.
>> mehr lesen

Fake News About Margarine (Di, 23 Jan 2018)
An alarmist email is circulating with misinformation about margarine. A little fact-checking shows that both margarine and butter can be part of a healthy diet.
>> mehr lesen

“Integrative medicine” advocates: Co-opting the opioid crisis to promote funding for acupuncture by Medicaid (Mo, 22 Jan 2018)
The opioid epidemic is a serious public health crisis in the U.S., and new tools and treatments to deal with chronic pain are urgently needed. Unfortunately, where public health officials see a crisis, advocates of "integrating" quackery with science-based medicine see an opportunity. In this case, promoters of pseudomedicine are taking advantage of the opioid crisis to persuade state Medicaid systems to pay for quackery like acupuncture.
>> mehr lesen

Legislative Alchemy 2017: Acupuncture (Fr, 19 Jan 2018)
Acupuncture is nothing more than a theatrical placebo. Yet acupuncturists, defined as primary care practitioners in some states, are succeeding in licensing and practice expansion efforts in state legislatures.
>> mehr lesen

Cancer quack Colleen Huber sues Britt Hermes over criticism (Do, 18 Jan 2018)
Naturopathic cancer quack Colleen Huber is attempting to silence criticism of her practices by suing Britt Hermes. Help Britt fight back with a donation to help defray legal expenses.
>> mehr lesen

Infiltrative Pseudoscience (Mi, 17 Jan 2018)
If you don't think that CAM is the enemy of science in medicine, then you don't understand CAM and its proponents. Don't be fooled by their marketing. They want a return to the pre-scientific days when health gurus could sell any snake oil they want at exorbitant prices, with any hyped claims that they want, without going through all that tedious science. 
>> mehr lesen

The Elephant in the Compounding Pharmacy (Di, 16 Jan 2018)
Contaminated products from compounding pharmacies have harmed and even killed patients. Quality control measures are being implemented, but there is a bigger problem: the injudicious use of untested and potentially dangerous treatments.
>> mehr lesen

The final push to pass a federal version of the cruel sham of “right-to-try” is under way (Mo, 15 Jan 2018)
Right-to-try laws are a cruel sham that claim to help terminally ill patients by providing them with earlier access to experimental therapeutics, even though they do very little in this regard. Promoted primarily by the libertarian think tank the Goldwater Institute, in reality they are a strategy to weaken the FDA's regulatory power to assure that marketed drugs are safe and effective. Now, a final push is on, with the help of the Koch brothers, to pass right-to-try. For the sake of patients, this push must fail.
>> mehr lesen

Remembrance of Things Past (Sa, 13 Jan 2018)
Hey, look! Buy my book!
>> mehr lesen

Legionnaires’ Disease: The Other Disneyland Outbreak (Fr, 12 Jan 2018)
As 2017 came to a close, Disneyland again played a role in the outbreak of an infectious disease, this one much more deadly than measles.
>> mehr lesen

Medical Marijuana: Where is the evidence? (Do, 11 Jan 2018)
Marijuana is widely touted as an effective medicine for an array of conditions. But what does the evidence actually tell us?
>> mehr lesen

Cancer Deaths Continue to Decline (Mi, 10 Jan 2018)
Overall cancer incidence has been stable in women and declining steadily in men. Changes in specific cancers reflect known risk factors and the effect of screening methods. What is not seen in this data is any mysterious increase in any specific cancer or cancers overall. 
>> mehr lesen

 Five Fatal Foods (Di, 09 Jan 2018)
Dr. Nina Koduru identifies 5 fatal foods that endanger your life and offers a solution: an untested remedy with unsubstantiated claims.
>> mehr lesen

The characteristics of antivaccine networks on Facebook (Mo, 08 Jan 2018)
Facebook has become a major hub by which antivaccine messages are propagated. A recent study examines the characteristics of antivaccine groups on Facebook and comes to some not-so-startling conclusions.
>> mehr lesen