Category: Science and Medicine

What Should We Do in the Absence of Evidence?

What to do in the absence of a clear diagnosis and randomized, controlled trials? Often nothing, sometimes something. It's complicated.

/ May 1, 2015

Pepsi Removing Aspartame

Pepsi has announced that it will remove aspartame from its formulation of diet Pepsi products in the US this year. Apparently this is a reaction to a 5% drop in the sales of Pepsi. Seth Kaufman, vice-president of Pepsi, said “Aspartame is the number one reason consumers are dropping diet soda.” This move comes in the same week that Chipotle announced it...

/ April 29, 2015

Ancient Origins of Modern Dietary Demons

There are few aspects of daily existence, particularly in modern society, that are more pervasive than advice on what we should eat. Everyone, including friends, family, strangers on Twitter and self-proclaimed experts in nutrition and health, seems to have an opinion on how to eat in order to improve and prolong our lives. Even legitimate organizations dedicated to the health and well-being...

/ April 24, 2015

Less benefit, more risk. Our assumptions about health treatments are probably wrong.

I’m a health professional, but sometimes a patient as well. And like most patients, I generally don’t want health decisions being made without my input. Yes, I want the best medical information, and the advice of medical professionals, but ultimately I want to make my own decisions about my care. That’s the norm in health care today, but relatively new in the...

/ April 23, 2015

Mediocre Expectations: Acupuncture

I had a dickens of a time writing this entry. The last week has been spent in New York for NECSS. It is safe to say that New York has plenty of distractions for us Dug the Dog types. Reality may be a honey badger, but New York is a squirrel. I say that when I travel I usually do not come...

/ April 17, 2015

WHO Statement on Reporting Clinical Trials

The World Health Organization (WHO) has recently released a new position statement on mandatory reporting of all interventional clinical trials. This is a positive step in the trend towards higher quality and greater transparency in clinical trials. The underlying ethical concept here is that the public has a right to data that results from experimentation on humans. The researchers do not ethically...

/ April 15, 2015

The Wild West: Tales of a Naturopathic Ethical Review Board

In Arizona, a naturopathic institutional review board has been set up to examine the ethics of naturopathic research projects. It's going about as well as naturopathic training and practice.

/ April 13, 2015

March Madness: Basketball, Brackets and Psi! Oh my!

In 2011, psychologist Daryl Bem published a highly controversial series of nine experiments designed to tease out the potential existence of precognition, the ability to experience future events. In order to isolate the potential influence of future events on the present, Bem’s experimental design reversed the standard order of psychological investigations. In one experiment, for example, subjects were allowed to practice with...

/ April 10, 2015

Wikipedia vs Quackery – Standards vs Chaos

Wikipedia, an online open-source encyclopedia, can boast 470 million visitors each month, making it one of the most popular websites on the internet. It is an incredibly useful resource – I think it’s fair to say it is the online reference of record. For that reason people care how topics important to them are represented in Wikipedia. Wikipedia, in fact, has become...

/ April 8, 2015

Psychology and Psychotherapy: How Much Is Evidence-Based?

Despite all those Polish jokes, Poland has its share of good scientists and critical thinkers. A superb new book illustrates that fact in spades: Psychology Gone Wrong: The Dark Side of Science and Therapy, by Tomasz Witkowski and Maciej Zatonski, Witkowski is a psychologist, science writer, and founder of the Polish Skeptics Club; Zatonski is a surgeon and researcher known for debunking...

/ March 31, 2015