How do religious-based hospitals affect physician behavior?
Science-based medicine is, among other things, a tool. Science helps us sequester our biases so that we may better understand reality. Of course, there is no way to avoid being human; our biases and our intuition still betray us, and when they do, we use other tools. Ethics help us think through situations using an explicitly-stated set of values that most of...
Less salt: it’s that simple
It has been known for decades that dietary sodium is significantly associated with hypertension and coronary heart disease. Despite this knowledge, Americans continue to consume more sodium, most of it coming from processed foods. Various approaches have been used to help individuals modify their behavior, one of the most popular of which is the DASH diet. Given what we know, you would...
Vaccinations and autism: are we number 1?
It has been alleged by Great Minds such as Jenny McCarthy that the US recommends far more vaccinations than other countries. Her precise statement was, “How come many other countries give their kids one-third as many shots as we do?” She put this into the context of wondering if our current vaccine schedule should be less rigid. The entire piece was filled...
How bad can health reporting get?
A couple of years ago, a number of us raised concerns about an “investigative reporter” at a Detroit television station. At the time I noted that investigative reporters serve an important role in a democracy, but that they can also do great harm, as when Channel 7’s Steve Wilson parroted the talking points of the anti-vaccine movement. Wilson has since been canned...
A nutritional approach to the treatment of HIV infection—same old woo?
I get all sorts of mail. I get mail from whining Scientologists, suffering patients, angry quacks—and I get lots of promotional material. I get letters from publishers wanting me to review books, letters from pseudo-bloggers wanting me to plug their advertiblog—really, just about anything you can imagine. Most of the time I just hit “delete”; it’s obvious that they’ve never read my...
In desperate times, what works, wins
When one of the worst natural disasters in history hit Haiti earlier this year I worried what sorts of alternative medicine “help” the Haitians might have thrust upon them. From around the world, health care workers with expertise in trauma and disaster relief offered their skills, realizing that anyone who came to Haiti must bring with them a lot of value—taking up...
CardioFuel—another magic pill
I get a lot of email asking me about various alternative therapies and supplements. A recurring theme on this blog has been the hyperbolic claims of alternative practitioners and supplement makers, and while I can’t answer every email, I can at least address some of them in the blog. Supplements are often marketed using unsupported health claims to which is appended the Quack...
Success in the fight against childhood diarrhea
Rotavirus is the world’s most common cause of severe childhood diarrhea. In the U.S. alone, rotavirus disease leads to around 70,000 hospitalizations, 3/4 million ER visits, and nearly half-a-million doctor office visits yearly. But it rarely causes death. The same is not true for the developing world. Rotavirus disease is estimated to kill around a half-million children a year world wide. ...
Haiti
The current tragedy in Haiti may turn out to be one of the worst natural disasters (if not the worst) the Western Hemisphere has seen in the post-colonial era. Immediate deaths caused directly by trauma from the quake itself will likely number in the tens of thousands but we can be pretty sure that there’s more horror to come. This is a...
A victory for science-based medicine
The following is a collaborative effort by Peter Lipson, MD, a usual contributor to Science-Based Medicine, and Ames Grawert, JD, a soon-to-be-sworn-in attorney working in New York City. Proponents of science-based medicine have always had one major problem—human beings are natural scientists, but we are also very prone to cognitive mis-steps. When we follow the scientific method we have developed, we succeed...