Chiropractic originated in 1895 when D.D. Palmer claimed to have restored deaf janitor Harvey Lillard’s hearing by manipulating his spine. This makes no anatomical sense, and few if any chiropractors claim to be able to reverse deafness today. But now a chiropractic website is attempting to vindicate D. D. Palmer.… read more "Chiropractic and Deafness: Back to 1895"
The Anti-Vax Movement and Swine Flu
As we discussed in the Anti-Anti-Vax Panel at TAM7, scientifically illiterate activists are endangering our public health. Now they have a new target: the fast-track program to develop a swine flu vaccine in time to prevent a possible pandemic. A correspondent in the Netherlands wrote me, forwarding this article a… read more "The Anti-Vax Movement and Swine Flu"
Science-Based Medicine Meets Medical Ethics
There are four main principles in medical ethics: Autonomy Beneficence Non-maleficence Justice Autonomy means the patient has the right to consent to treatment or to reject it. Autonomy has to be balanced against the good of society. What if a patient’s rejection of treatment or quarantine allows an epidemic to… read more "Science-Based Medicine Meets Medical Ethics"
Incorporating Placebos into Mainstream Medicine
Alternative medicine by definition is medicine that has not been shown to work any better than placebo. Patients think they are helped by alternative medicine. Placebos, by definition, do “please” patients. We would all like to please our patients, but we don’t want to lie to them. Is there a… read more "Incorporating Placebos into Mainstream Medicine"
Is Tylenol Safe?
Tylenol (acetaminophen, also known as paracetamol outside the US) has been in the news recently. Most of the stories I’ve seen have been accurate, but I’ve run across a couple of people who misunderstood what they read. I thought I’d try to put the record straight. An FDA advisory panel… read more "Is Tylenol Safe?"
Birth Day
So many of the posts on this blog are critical and deal with examples of poor science or other problems. I’d like to offer a breath of fresh air in the form of a book by Mark Sloan, MD: Birth Day: A Pediatrician Explores the Science, the History, and the… read more "Birth Day"
Healing Touch and Coronary Bypass
A study published in Alternative Therapies in Health and Medicine is being cited as evidence for the efficacy of healing touch (HT). It enrolled 237 subjects who were scheduled for coronary bypass, randomized them to receive HT, a visitor, or no treatment; and found that HT was associated with a… read more "Healing Touch and Coronary Bypass"
Screening Tests – Cumulative Incidence of False Positives
It’s easy to think of medical tests as black and white. If the test is positive, you have the disease; if it’s negative, you don’t. Even good clinicians sometimes fall into that trap. Based on the pre-test probability of the disease, a positive test result only increases the probability by… read more "Screening Tests – Cumulative Incidence of False Positives"
Tactless About TACT: Critiques Without Substance Should Be Abandoned
In May 2008, the article “Why the NIH Trial to Assess Chelation Therapy (TACT) Should Be Abandoned” was published online in the Medscape Journal of Medicine. The authors included two of our own SBM bloggers, Kimball Atwood and Wallace Sampson, along with Elizabeth Woeckner and Robert Baratz. It showed that… read more "Tactless About TACT: Critiques Without Substance Should Be Abandoned"
Science under Siege
A new book, Science Under Siege: Defending Science, Exposing Pseudoscience addresses many of the issues near and dear to the hearts of SBM bloggers and readers. A compilation of some of the best writing from the last few years of Skeptical Inquirer magazine, it’s not only good reading but can… read more "Science under Siege"