Category: Science and Medicine
Separating Fact from Fiction in Pediatric Medicine: Nocturnal Enuresis
Nocturnal enuresis, more commonly known as bedwetting, is a normal problem that resolves on its own for most children. Chiropractors claim they can treat it. They can't, but they will take the credit for kids doing it themselves.
Lemons and Lyme: Bogus tests and dangerous treatments of the Lyme-literati
It’s that time of year when every day I can expect to see at least one patient with a concern about Lyme disease. In Lyme-endemic regions such as Western Massachusetts, where I practice pediatrics, summer brings a steady stream of children to my office with either the classic Lyme rash (erythema chronicum migrans, or ECM), an embedded tick, a history of a...
NuVet: Pet Supplement Snake Oil
I’m a dog person. I always wanted a dog as a child, and while my extended family all had dogs, we never had one in our home. I finally got my wish just over a decade ago. My wife and I were referred to a breeder with an excellent reputation for raising healthy, family-friendly Labrador Retrievers. Within moments of meeting a tiny...
The Truth?
Summertime and the living is easy. I am in Sunriver, Oregon for the week and I though, hilariously, that I would have plenty of time to write a post. Between the hiking, the biking, the golf, the food and the beer, there has been little time to sit in from of a keyboard. There may be no better place to spend a...
Consortium of Academic Health Centers for Integrative Medicine research conference disappoints even NCCAM
In May, the International Research Congress on Integrative Medicine and Health (IRCIMH) conference was held in Miami. In the words of its website, the conference was “convened by” the Consortium of Academic Health Centers for Integrative Medicine (CAHCIM), “in association with” the International Society for Complementary Medicine Research. As CAHCIM chirped in this tweet: “Three days, 22 countries, 100 academic medical institutions,...
An Egregious Example of Ordering Unnecessary Tests
Last week I wrote about doctors who order unnecessary tests, and the excuses they give. Then I ran across an example that positively flabbered my gaster. A friend’s 21-year-old son went to a board-certified family physician for a routine physical. This young man is healthy, has no complaints, has no past history of any significant health problems and no family history of...
The Buzzy: Revolutionary Acute Pain Management or Simple Distraction…
I’ve written about the management of acute pain in children in the past, and unfortunately my feelings haven’t changed in the interim. Acute pain, particularly pain related to procedures such as venipuncture for blood sampling and intravenous access, and intramuscular administration of medications such as antibiotics and vaccines, is commonly undertreated, downplayed and even ignored altogether by medical professionals and even caregivers....
Multiple Chemical Sensitivity: Separating facts from fiction
Does multiple chemical sensitivity exist? The symptoms certainly do, but it's less clear if they are due to "chemicals".
Is There a Role for the Art of Medicine in Science-Based Practice?
The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head. The practice of medicine is an art, based on science. -Sir William Osler, AEQUANIMITAS The truth is that many of us have some kind of “extraordinary gift.” For a few of us, that gift...
Prolotherapy
Prolotherapy is a treatment technique used for chronic myofascial pain, back pain, osteoarthritis, or sports injury. It involves repeated injections of dextrose solution or other irritating substances into the joint, tendon, or painful tissue in order to provoke a regenerative tissue response. Similar techniques have been used for about a century, but the first formal publication describing prolotherapy dates back to 1956,...