Osteoarthritis, the “wear-and-tear” type of arthritis, affects a great many of us as we grow older. Knee pain is a common symptom. The diet supplements glucosamine and chondroitin have been proposed as a more “natural” treatment than pharmaceuticals, and they are components of a number of proprietary “joint health” formulations… read more "Glucosamine Update"
Facing Decline and Death
We’re all going to die. (There’s nothing like starting on a positive note! ? ) We’re all going to die, and if we are fortunate enough to survive long enough to become old, we’re all going to experience a decline of one sort or another before we die: reduced hearing and vision,… read more "Facing Decline and Death"
A Scientist in Wonderland
Edzard Ernst is one of those rare people who dare to question their own beliefs, look at the evidence without bias, and change their minds. He went from practicing alternative medicine to questioning it, to researching it, to becoming its most prolific critic. I have long admired his work, and… read more "A Scientist in Wonderland"
Another Misguided Cancer Testimonial
Mike Shedlock wrote a post about how he beat prostate cancer. In doing so, he provides a typical example of how difficult the medical literature can be for a layperson to read, and where they can get things wrong. The Dunning-Kruger effect, leading to false beliefs about nearly everything since… read more "Another Misguided Cancer Testimonial"
Shedding Light on Unreasonable Decisions
One of the biggest frustrations for a doctor is when a patient refuses to take science-based medical advice. We would like to believe that giving a patient accurate information will lead him to make good decisions that will improve his health or save his life. But that’s not how it… read more "Shedding Light on Unreasonable Decisions"
Smoking Cessation and the Affordable Care Act
Smoking is the leading preventable cause of death. Each year it kills more than 5 million people around the world, 480,000 in the US alone. And for every person who dies, about 30 more have serious illnesses caused by smoking. On average, smokers die 10 years earlier than nonsmokers. Anyone who… read more "Smoking Cessation and the Affordable Care Act"
Is the Ebola Crisis a Reason to Skip RCTs?
In a recent “Perspective” article in The New England Journal of Medicine, three physicians (Drs. Cox, Borio, and Temple) make a strong case for not letting the rush to save Ebola patients tempt us to deviate from good science and skip the randomized controlled trial (RCT). Their arguments cut to the essence of… read more "Is the Ebola Crisis a Reason to Skip RCTs?"
The Health Benefits of Moderate Drinking
A Book of Verses underneath the Bough,A Jug of Wine, a Loaf of Bread–and ThouBeside me singing in the Wilderness–Oh, Wilderness were Paradise enow!” – The Rubaiyat of Omar Khayyam Alcoholic beverages have always inspired strong opinions pro and con. Omar Khayyam included wine in his vision of Paradise; Carrie… read more "The Health Benefits of Moderate Drinking"
The Marvelous Dr. Mütter
The Mütter Museum in Philadelphia has a marvelous collection of human bones, surgical specimens, monsters in jars, and medical memorabilia. It holds attractions for everyone, from the jaded medical professionals who thought they’d seen it all to the coveys of youngsters who compete to point out the grossest items to their… read more "The Marvelous Dr. Mütter"
Study of “Acupressure” for Constipation
A recent study in the Journal of General Internal Medicine evaluated a treatment for constipation. It tested whether training patients to massage the perineum (the area between the vagina or scrotum and the anus) would improve their reported bowel function and quality of life at 4 weeks after training. They found that it… read more "Study of “Acupressure” for Constipation"