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Colon Cleansing: It Might Hurt, But It Won’t Help

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The internet is full of colon cleansing methods that tout the benefits of colon detox. I saw one website that showed long “worms” that live for years in the colon that “need” to be removed with special expensive potions. One of the most common questions for GI doctors is about colon cleansing and if it is beneficial. I don’t know any physicians who believe the colon needs “detoxification” or special cleansing, but until now I didn’t have a scientific way to answer that question from patients.

A study from the Am J. Gastroenterology now gives us the answer. The study authors looked at all relevant articles published between 1966 and 2008. They blinded the articles and measured outcomes and adverse events. Read more »

*This blog post was originally published at EverythingHealth*

When Cancer Patients Opt For Quackery Over Clinical Trials

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So my cousin emailed me the other night. She had a breast cancer recurrence about 6 years ago. Before you feel too sorry for her, however, know this: She’s doing great, moving from one targeted treatment/chemotherapy/laser knife procedure to another. Her doctors are fabulous. Her attitude is amazing. And, as she constantly tells us, she feels great and is loving life. No, this isn’t about her. It’s about her friend, the one she emailed me about.

Her friend was diagnosed with an early stage of an aggressive form of non-small cell lung cancer a year ago. After chemotherapy, a CT scan this summer showed her lungs clear of cancer; but a followup CT scan last week showed some spots. This woman had participated in a clinical trial during her first round of treatment and her doctor wanted her to join another clinical trial. But my cousin’s friend is freaked out; she doesn’t want to feel like a “guinea pig.” So when her daughter suggested she see a doctor who specializes in an unproven and experimental therapy called insulin potentiation therapy, she was ready to call for an appointment. Read more »

*This blog post was originally published at Debra Gordon's Musings on Medicine and Health Care*

Scientologists ‘Heal’ Haiti Victims With Therapeutic Touch

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Oh, good.  Everything’s under control.  The Scientologists are there.

Amid the mass of aid agencies piling in to help Haiti quake victims is a batch of Church of Scientology “volunteer ministers”, claiming to use the power of touch to reconnect nervous systems….

Some doctors at the hospital are skeptical. One US doctor, who asked not to be named, snorted: “I didn’t know touching could heal gangrene.” Read more »

*This blog post was originally published at GruntDoc*

42% Of Obese College Students Open Spam Emails About Weight Loss Products

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Most people automatically filter out spam e-mails, or delete them without ever opening them up.

But a surprising number of people actually take the time to read them, which is probably why annoying spam will continue unabated. From the New York Times’ Well, Tara Parker-Pope writes points an interesting study looking at who actually read health-related spam e-mails.

Looking at college students who were overweight, a study showed that an astounding 42 percent opened unsolicited e-mails touting weight loss products, and 19 percent actually ordered the product. And, perhaps more concerning, among those where were normal weight, 5 percent still bought what the spam was selling.

The effectiveness of spam e-mails, in this admittedly small study at least, certainly surprised me. I remember reading somewhere that it takes a success rate of 1 in 100,000 to make it worthwhile to a spam marketer.

But if they’re achieving success rates like these, it’s no wonder that the degree of spam, estimated to be 73 percent of all e-mails, will only rise.

That’s depressing.

*This blog post was originally published at KevinMD.com*

Larry Dossey, Premonition-Based Medicine, And The Bizarre Underbelly Of CAM

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A “Double Standard”?

Last week I had planned to write a comprehensive critique of a recent comment by Larry Dossey. He had posted it on Val Jones’s betterhealth website in response to Dr. Val’s essay, “The Decade’s Top 5 Threats To Science In Medicine,” originally posted here on SBM. Much of what Dr. Val had identified as the top threats involved recent dalliances, by government, medical schools, and the media, with the collection of implausible and mostly nonsensical health claims that advocates have dubbed “CAM.” As uncontroversial as Dr. Val’s assertions ought to have been—similar to suggesting that closing one’s eyes and “using the force” would be a threat to safe driving (even if some might quibble over the top threats to science in medicine)—Dr. Dossey demurred by distraction: Read more »

*This blog post was originally published at Science-Based Medicine*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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