When I was an intern, we used to joke that we were practicing “Smokey the Bear” medicine: stamping out forest fires. Patients would wait until a spark of disease had developed into a dangerous flame, and then they’d expect us to deal with it. We were mostly doing disaster control,… read more "Smokey the Bear Medicine and Prevention"
Oxygen Myths That Refuse to Die
One of my early forays into the world of pseudoscience was an investigation of “Vitamin O” (the O stands for oxygen). The story is hilarious; please click and read; I guarantee you won’t be able to read it without at least a chuckle. Vitamin O is still for sale; it’s even… read more "Oxygen Myths That Refuse to Die"
An Egregious Example of Ordering Unnecessary Tests
Last week I wrote about doctors who order unnecessary tests, and the excuses they give. Then I ran across an example that positively flabbered my gaster. A friend’s 21-year-old son went to a board-certified family physician for a routine physical. This young man is healthy, has no complaints, has no past… read more "An Egregious Example of Ordering Unnecessary Tests "
Rope Worms: C’est la Merde
Rope worms are rope-like meter-long human intestinal parasites that were only recently discovered in the returns of cleansing enemas and are often reported after coffee enemas. Strangely, no one had ever noticed them until 2009. They have never been observed during endoscopy or surgery, during medical bowel cleansing in preparation… read more "Rope Worms: C’est la Merde"
Different Strokes for Different Folks: Assessing Risk in Women
You may have noticed that men and women are different. I hope you have noticed. As the French say, vive la différence! It’s not just that one has dangly bits and the other has bumpy chests. Or that one has to shave a beard and doesn’t like to ask for directions while… read more "Different Strokes for Different Folks: Assessing Risk in Women"
Doctors Are Not “Only Out to Make Money”
There’s an old joke about the doctor whose son graduates from medical school and joins his practice. After a while the son tells his father, “You know old Mrs. Jones? You’ve been treating her rash for years and she never got better. I prescribed a new steroid cream and her… read more "Doctors Are Not “Only Out to Make Money”"
How to Talk to People About CAM
Recently a correspondent asked me for advice about his parents. He said they use things like homeopathy, acupuncture, and copper bracelets. They use conventional medicine too, but it seems to be a 50/50 approach that gives each an equal weighting. He has tried to talk to them about things like… read more "How to Talk to People About CAM"
Answering Our Critics, Part 2 of 2: What’s the Harm?
Last week I posted a list of 30 rebuttals to many of the recurrent criticisms that are made by people who don’t like what we say on SBM. I thought #30 deserved its own post; this is it. At the end, I’ve added a few items to the original list. What’s the… read more "Answering Our Critics, Part 2 of 2: What’s the Harm?"
Answering Our Critics, Part 1 of 2
Some people don’t like what we have to say on Science-Based Medicine. Some attack specific points while others attack our whole approach. Every mention of complementary and alternative medicine (CAM) elicits protests in the Comments section from “true believer” users and practitioners of CAM. Every mention of a treatment that has… read more "Answering Our Critics, Part 1 of 2"
Does Everybody Have Chronic Lyme Disease? Does Anyone?
Borrelia burgdorferi, the Lyme spirochete, the bacteria that causes Lyme disease (but not chronic Lyme disease). A deplorable article by Suzy Cohen on Huffington Post is titled “Feel Bad? It Could Be Lyme Unless Proven Otherwise.” It consists of irresponsible fear-mongering about a nonexistent disease. A science-based article would be titled “Feel… read more "Does Everybody Have Chronic Lyme Disease? Does Anyone?"