Year: 2009
“Move along. Nothing to see Here”- F. Drebin
I am, I think, the slowest writer in the SBM stable. I start each entry about 10 days before it is due, and work diligently on it through the week. As such, I run the risk that events may make my work pointless. Case in point. I have been slogging away at this entry for the last week and had the final...
What’s in the water at waterbirth?
Water birth is dangerous, unnatural, has no benefits, and unlikely, but serious risks. So of course someone is selling it.
The USPSTF recommendations for breast cancer screening: Not the final word
Preface: On issues such as this, I think it’s always good for me to emphasize my disclaimer, in particular: Dr. Gorski must emphasize that the opinions expressed in his posts on Science-Based Medicine are his and his alone and that all writing for this blog is done on his own time and not in any capacity representing his place of employment. His...
Evidence in Medicine: Correlation and Causation
There are two general approaches to subverting science-based medicine (SBM): anti-science and pseudoscience. Anti-scientific approaches are any that seek to undermine science as the determinant of the standard of care, often overtly advocating for spiritual or subjectively-based standards. Some attack the validity of science itself, usually with post-modernist philosophy. Pseudoscientific proponents, on the other hand, praise science, they just do it wrong....
Environmental Medicine – Not Your Average Specialty
I recently received an announcement for a conference on “Inflammation and Autoimmunity.” The topic sounded interesting, but as I read further I saw some red flags: A gathering of healthcare leaders with a shared vision. This event focuses on the the [sic] true causes and effects of inflammatory and autoimmune diseases, including new treatments available for this rapidly emerging crisis. Both of...
H1N1 Pandemic Update
In a special episode of the Skeptics’ Guide to the Universe podcast, I host a discussion with David Gorski, Mark Crislip, and Joe Albietz about the flu, the H1N1 “swine” flu pandemic, and the controversies surrounding the flu vaccine. You can download or stream the episode here. You can also subscribe to the podcast via iTunes or other popular aggregators.
Cancer prevention: The forgotten stepchild of cancer research?
The New York Times has been periodically running a series about the “40 years’ war” on cancer, with most articles by Gina Kolata. I’ve touched on this series before, liking some parts of it, while others not so much. In particular, I criticized an article one article that I thought to be so misguided about how the NIH grant system leads researchers...
Conflicts of interest in science-based medicine
Science-based medicine is not perfect. Financial interests, conflicts of interest (COIs), and the pride of individual practitioners can at times undermine it. But it's so much better than any alternative we have tried before. It works, and, although it does so in fits and starts, sometimes all too slowly, it's getting better all the time. Dealing more effectively with COIs will only...
The NCCAM Seeks Comments for its “Strategic Plan: 2010.” Part I
The National Center for Complementary and Alternative Medicine (NCCAM) has posted three essays about its latest “strategic planning process,” and has invited “stakeholders” to make comments. I have previously made my own opinions clear,* as have fellow bloggers Gorski, Novella, Lipson, and Sampson: the best strategic plan for the NCCAM would be to extinguish itself. Since politics makes that plan unlikely, there...
Talking Science With Patient Advocates
Laurie Edwards has a rare chronic disease called primary ciliary dyskinesia. Her symptoms are quite similar to those associated with cystic fibrosis, and her young life has been punctuated by numerous hospitalizations, physical limitations and the occasional near-death experience. She is a remarkably upbeat woman, and attributes her self confidence and optimistic outlook to her loving friends and family. Laurie is part of the patient...