Alice Dreger has written a delightful, breezy, and slightly terrifying book on activism gone bad, and how it impacted scientists just trying to uncover facts and truth. Highly recommended! It dates back at least to Galileo. A scientist finds evidence that contradicts a cherished popular belief. Instead of a rational… read more "Persecution of Scientists Whose Findings Are Perceived As Politically Incorrect"
Prenatal Multivitamins and Iron: Not Evidence-Based
When I was pregnant, I obediently took the iron pills and prenatal vitamins prescribed by my obstetrician. And I prescribed them for every pregnant patient I took care of as a family physician. I never questioned the practice. It seemed intuitively obvious that it was a good thing; we know… read more "Prenatal Multivitamins and Iron: Not Evidence-Based"
Cure Is About Caring, Not Curing: Placebos, Alternative Medicine, and Patient Comfort
In a recent post, Dr. Gorski criticized two articles by Jo Marchant on placebos and alternative medicine. He mentioned that she had a book coming out and suggested I might want to review it. The title is Cure: A Journey into the Science of Mind Over Body. I don’t know of any evidence… read more "Cure Is About Caring, Not Curing: Placebos, Alternative Medicine, and Patient Comfort"
Chronic Fatigue Syndrome: Rituximab Revisited
Three years ago I wrote about an experimental treatment for chronic fatigue syndrome (CFS): rituximab (brand name Rituxan). I was concerned that doctors who offered it, like Andreas Kogelnik, were jumping the gun by offering it before the evidence was in, and that they might be putting patients at risk. A correspondent… read more "Chronic Fatigue Syndrome: Rituximab Revisited"
Vaginal Birth After C-Section: How Safe Is It?
Doctors used to insist “once a C-section, always a C-section.” Today it is standard practice to allow vaginal births after C-section (VBAC) for appropriately selected patients. The American Congress of Obstetricians and Gynecologists (ACOG) has issued a Practice Bulletin to guide obstetricians in determining which patients are appropriate candidates for VBAC. We… read more "Vaginal Birth After C-Section: How Safe Is It?"
Statins: The Impact of Negative Media Reports and the Risks of Discontinuing Treatment
The evidence is clear: statin drugs are effective in reducing the rate of heart attacks and death in people who have already had a heart attack as well as in people who are at high risk of having one. Some people refuse to believe that evidence; they are statin deniers, similar to the climate… read more "Statins: The Impact of Negative Media Reports and the Risks of Discontinuing Treatment"
Neurotribes: A Better Understanding of Autism
What is autism? What causes it? Is it genetic? Is it a consequence of something in our environment or lifestyle? What’s an “idiot savant” or an “autistic savant”? What happens when autistic children become adults? Why are so many of their parents scientists, academics, and engineers? If your grandfather’s Uncle… read more "Neurotribes: A Better Understanding of Autism"
Misinterpreting TACT: No, Chelation Does Not Outperform Statins for Heart Disease
Chelation with intravenous EDTA (disodium ethylene diamine tetra-acetic acid) has long been used for heavy metal poisoning. It binds the metal ions and facilitates their excretion from the body. In recent years it has been used for many other indications that are not evidence-based, such as autism and coronary heart… read more "Misinterpreting TACT: No, Chelation Does Not Outperform Statins for Heart Disease"
Is Addiction a Disease? Yes and No
Yes, it’s a disease. No, it’s a habit. Addiction is a puzzling phenomenon. Why do addicts persist in self-destructive behavior even after it has lost them their jobs, their family, their health, and their self-respect? Do they have any control over their behavior? If so, why don’t they control it?… read more "Is Addiction a Disease? Yes and No"
American Academy of Family Physicians Home Study Course Recommends Non-Science-Based Treatments
Strong medicine…along with a little nonsense Since passing my board exams in family practice in 1979 I have relied heavily on the American Academy of Family Physicians for continuing medical education via the American Family Physician and the AAFP home study programs. The AAFP prides itself on its evidence-based approach to medicine.… read more "American Academy of Family Physicians Home Study Course Recommends Non-Science-Based Treatments"