We hear a lot about medical malpractice suits and how they affect the practice and the cost of medicine. Doctors sometimes get the feeling that a lawyer is looking over their shoulder as they interact with patients, and sometimes they practice “defensive medicine,” ordering unnecessary tests and doing what they… read more "Medical Malpractice Lawsuits"
Evaluating Treatment Claims: A Primer
I recently wrote about the claim that acupuncture can improve vision in patients with macular degeneration. In response, I received this e-mail: At Discovery Eye Foundation we have an education and outreach program for people with age-related macular degeneration, the Macular Degeneration Partnership. We are constantly getting calls from people… read more "Evaluating Treatment Claims: A Primer"
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 "
Why Doctors Order Too Many Tests
While cleaning out some old files, I was delighted to find an article I had clipped and saved 35 years ago: a “Sounding Boards” article from the January 25, 1979 issue of The New England Journal of Medicine. It was written by Joseph E. Hardison, MD, from the Emory University School of Medicine;… read more "Why Doctors Order Too Many Tests"
Acupuncture for Macular Degeneration: Why I Reject the Evidence
This post is dedicated to two people who are frequent commenters on SBM, Stephen S. Rodrigues and Peter Moran. Rodrigues is an MD/acupuncturist who tries to persuade us that acupuncture is effective. Moran is a retired surgeon who objects to insulting language and thinks more can be accomplished by trying… read more "Acupuncture for Macular Degeneration: Why I Reject the Evidence"
Turmeric: Tasty in Curry, Questionable as Medicine
A correspondent asked me to look into the science behind the health claims for turmeric. He had encountered medical professionals “trying to pass turmeric as some sort of magical herb to cure us from the ‘post-industrial chemical apocalypse.’” It is recommended by the usual promoters of CAM: Oz, Weil, Mercola,… read more "Turmeric: Tasty in Curry, Questionable as Medicine"
Macular Degeneration and AREDS 2 Supplements
Four years ago I wrote about the premature marketing of a diet supplement for macular degeneration before the results of a trial to test it were available. Now that we know the results of that trial, a follow-up post is in order. Age-related macular degeneration (AMD) is a leading cause of blindness.… read more "Macular Degeneration and AREDS 2 Supplements"
Forskolin: Here We Go Again
My BMI is 21, but my e-mail and Facebook accounts must think I’m fat. I am constantly bombarded with messages about miracle weight loss solutions, and most of them are diet supplements featured on the Dr. Oz show. Back in December I wrote an article about Garcinia cambogia, Dr. Oz’s “newest, fastest… read more "Forskolin: Here We Go Again"
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"
Precision Medicine: The Coolest Part of Medicine
One size rarely fits all. Most medical knowledge is derived from studying groups of subjects, subjects who may be different in some way from the individual who walks into the doctor’s office. Basing medicine only on randomized controlled studies can lead to over-simplified “cookbook” medicine. A good clinician interprets study… read more "Precision Medicine: The Coolest Part of Medicine"