Month: June 2012

Vital Signs: Buteyko Breathing

As I have mentioned in the past, almost all of my practice is inpatient medicine, doing infectious disease consults in acute care hospitals. I only spend three hours a week in the outpatient clinic, so I have a skewed perception of medicine and disease. The patients I see are sick, really sick, often trying to die and are a complicated collection of...

/ June 29, 2012

Dept. of Education to Council on Chiropractic Education: “Straighten Up!”

Our last look at the Council on Chiropractic Education (CCE), about 18 months ago, found the CCE deeply embroiled in a heated dispute among various chiropractic factions over new accreditation standards for chiropractic colleges. Today we offer an update on that situation. Update: the CCE is deeply embroiled in a heated dispute among various chiropractic factions over new accreditation standards for chiropractic...

/ June 28, 2012

The Swiss Report on Homeopathy

Proponents of homeopathy claim that a Swiss report published in 2012 vindicates homeopathy. The report was actually authored by homeopaths, who used an artificially low standard of evidence to conclude what they were selling actually works. This ignores the improbability of homeopathy, and the many other reviews that have concluded it is nothing more than a placebo.

/ June 27, 2012

5-hour Energy

What should you do if you feel tired? Taking a nap isn’t always possible. The ever-inventive capitalist marketplace has come up with another option. 5-hour Energy is a flavored energy drink sold as 2 oz “shots.” It was invented by Innovation Ventures in 2004. It is intended to counteract the afternoon slump, to increase alertness and energy, to help you stay sharp,...

/ June 26, 2012

Dr. Google and Mr. Hyde

These days, it seems that everyone uses Google to find information on health, diseases, and treatments. Unfortunately, the algorithms used by Google for search tend to value popularity over high quality information, leading to quack websites sometimes showing up high in its results. So how can a consumer find reliable health information on the Internet?

/ June 25, 2012

California Acupuncture Board: a Mockery of Consumer Protection

Many of the specific issues that the Governor and the Legislature asked the Commission to review have festered because the [California] Acupuncture Board has often acted as a venue for promoting the profession rather than regulating the profession. — Little Hoover Commission, Regulation of Acupuncture: A Complementary Therapy Framework: September 2004, page 63. On March 12, 2012, during a brief Sunset Review...

/ June 22, 2012

No, sugar pills won’t repel insects, and other consequences of regulating nonsense

As a group blog, Science-Based Medicine brings a variety of perspectives to issues of science in medicine. However we align around a few core principles which define what science-based medicine is, and how it should be practiced. One principle we emphasize is the importance of subjecting the evaluation of all health interventions and treatments to a single, science-based standard. One of the...

/ June 21, 2012

Bee Venom Therapy Update

I wrote previously about bee venom therapy (BVT), also called apitherapy or bee sting therapy, as an emerging “alternative” therapy. Both use and research into BVT continue, providing an excellent example of the many things that are wrong with the CAM movement. A recent Reuters article on the topic is also an excellent example of the frequent complete failure of the mainstream media in...

/ June 20, 2012

Followup: Benedetti on Placebo Ethics

A few months ago I wrote about Fabrizio Benedetti’s research on the neurobiology of the placebo response, and a discussion about placebos and ethics ensued in the comments. Now Dr. Benedetti has written about that issue in a “Perspective” article in the journal World Psychiatry, “The placebo response: science versus ethics and the vulnerability of the patient.”  We have learned that verbal...

/ June 19, 2012

Cantron: A tale of false hope for cancer

A couple of months ago, a reader sent me an article that really disturbed me. In fact, I had originally been planning to write about it not long after I received it. It is, as you might imagine given my specialty and what disturbs me the most wehen I encounter quackery, a story of a cancer patient. Worse, it’s the story of...

/ June 18, 2012