April 20th, 2010 by Harriet Hall, M.D. in Better Health Network, Book Reviews, Opinion
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In his new book Breakthrough! How the 10 Greatest Discoveries in Medicine Saved Millions and Changed Our View of the World, Jon Queijo describes what he believes are the 10 greatest discoveries. Nine of them are uncontroversial discoveries that have been on other top-10 lists, but his 10th choice is one that no other list of top discoveries has ever included.
Queijo realizes this, and even admits in his introduction that a former editor of the New England Journal of Medicine refused to review his book because there is no such thing as alternative medicine, only treatments that work and treatments that don’t. But he “respectfully disagrees.” Read more »
*This blog post was originally published at Science-Based Medicine*
April 17th, 2010 by David H. Gorski, M.D., Ph.D. in Announcements, Better Health Network, Health Policy, Medblogger Shout Outs, Opinion, Quackery Exposed, Research
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One advantage of having a blog is that I can sometimes tap into the knowledge of my readers to help me out.
As many readers know, a few of the SBM bloggers (myself included) will be appearing at the Northeast Conference on Science and Skepticism (NECSS) today (Saturday, April 17). Since the topic of our panel discussion is going to be the infiltration of quackademic medicine into medical academia, I thought that now would be a very good time for me to update my list of medical schools and academic medical centers in the U.S. and Canada that have embraced (or at least decided to tolerate) quackademic medicine in their midst. Read more »
*This blog post was originally published at Science-Based Medicine*
March 27th, 2010 by Steve Novella, M.D. in Better Health Network, News, Opinion, Quackery Exposed, Research
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In the Wall Street Journal last week was a particularly bad article by Melinda Beck about acupuncture. While there was token skepticism (by Edzard Ernst, of course, who is the media’s go-to expert for CAM), the article credulously reported the marketing hype of acupuncture proponents.
Toward the end of the article Beck admits that “some critics” claim that acupuncture provides nothing more than a placebo effect, but this was followed by the usual canard:
“I don’t see any disconnect between how acupuncture works and how a placebo works,” says radiologist Vitaly Napadow at the Martinos center. “The body knows how to heal itself. That’s what a placebo does, too.”
That is a bold claim, and very common among CAM proponents, especially acupuncturists. As the data increasingly shows that acupuncture (and other implausible treatments) provides no benefit beyond placebo, we hear the special pleading that placebos work also.
But is that true? It turns out there is a literature on the placebo effect itself, and the evidence suggests that placebos generally do not work. Read more »
*This blog post was originally published at Science-Based Medicine*
March 24th, 2010 by DrRob in Better Health Network, Health Tips, Opinion, Research
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Here’s some advice I have given teenage boys who are going toe-to-toe with their mothers about a health issue:
Don’t go toe-to-toe with your mother; it’s a no-win situation. Either you are right, and you are looked at as a “smarty-pants” or you are wrong, and have given her a huge “I told you so.” If, on the other hand, you keep quiet and listen to what she’s saying, it’s a win-win: either she’s right and you learn something, or she’s wrong, and you have been vindicated.
Fathers often pipe in that this applies to wives as well. Mom’s don’t seem to disagree (for some mysterious reason).
While this may be sound relational advice, it also needs to be heeded by the medical community in its relationship to “complimentary and alternative medicine” or CAM. I am not saying we shouldn’t be angry and frustrated with the CAM purveyors who are harming and even killing people (such as the anti-vaccine movement). I am not saying that we should embrace CAM and put it at anywhere near equal footing with our profession. What I am saying is that in our enthusiasm to win the argument, we can undermine our own credibility. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
January 28th, 2010 by Kimball Atwood IV, M.D. in Better Health Network, Opinion, Quackery Exposed, Research
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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*