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On the " integration " of quackery into the medical school curriculum
On the"integration" of quackery into the medical school curriculumQEDCon is fast approaching (indeed, I can ' t believe I have to leave for Manchester tomorrow night), and because my talk there will be about the phenomenon of " integrative medicine, " I ' ve been thinking a lot about it. As I put together my slides, I can ' t help but see my talk evolving to encompass both " integrative " medicine and what I like to refer to as quackademic medicine, but that ' s not surprising. The two phenomenon are related, and it ' s hard to determine which has a more pernicious effect on science in medicine.One aspect of quac...
Source: Respectful Insolence - October 11, 2017 Category: Surgery Authors: oracknows Source Type: blogs
On the "integration" of quackery into the medical school curriculum
QEDCon is fast approaching (indeed, I can't believe I have to leave for Manchester tomorrow night), and because my talk there will be about the phenomenon of "integrative medicine," I've been thinking a lot about it. As I put together my slides, I can't help but see my talk evolving to encompass both "integrative" medicine and what I like to refer to as quackademic medicine, but that's not surprising. The two phenomenon are related, and it's hard to determine which has a more pernicious effect on science in medicine.One aspect of quackademic medicine that I probably don't write about as much as I should is the "integration...
Source: Respectful Insolence - October 11, 2017 Category: Surgery Authors: oracknows Source Type: blogs
A blog post on blog posts: Fact, fiction, and friction
A blog by definition is a regularly updated website or web page, typically one run by an individual or group, and is written in an informal or conversational style. As with any conversation, there is usually a blend of fact and opinion. In the case of a blog on medical topics, frequently the opinions are those of experts, and it is not uncommon for such opinions to lead to healthy debate.
Fake news or skewed views?
We make many decisions on the basis of research studies, and this is particularly the case in medicine. The non-medical media often does a good job of sensationalizing research in ways that are at times excessiv...
Source: Harvard Health Blog - September 15, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Health Source Type: blogs
Here ’s something completely different for low back pain
Follow me on Twitter @RobShmerling
It’s a question that has challenged generations of patients and their doctors. The answer has changed over the years. When I was in medical school in the early 1980s, bedrest for a week or more was often recommended for severe back pain. This sometimes included hospital admission. Then, research demonstrated that prolonged bedrest was actually a bad idea. It was no better (and often worse) than taking it easy for a day or two followed by slowly increasing activity, including stretching and strengthening the back.
Medications, including pain relievers, non-steroidal anti-inflammatory dru...
Source: Harvard Health Blog - July 6, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Back Pain Complementary and alternative medicine Health Injuries Pain Management Source Type: blogs
More on Olivia
I am beginning to think I am her fan or something as this is my third post about her.... but once again I am blogging about Olivia Newton John and her cancer recurrence. I have another problem with her and her recurrence. This is it in her statement about what her plans are for recurrence:" I decided on my direction of therapies after consultation with my doctors and natural therapists... "Her plan is to focus on radiation and natural therapies.... I don ' t have a problem with natural therapies but I do have a problem with their use without additional medical therapies.I used to work with a woman who was diagnosed with br...
Source: Caroline's Breast Cancer Blog - June 4, 2017 Category: Cancer & Oncology Tags: alternative medicine cancer treatment Source Type: blogs
Acupuncture: A point in the right direction, or a stab in the dark?
Acupuncture is a treatment that dates back to around 100 BC in China. It is based on traditional Chinese concepts such as qi (pronounced “chee” and considered life force energy) and meridians (paths through which qi flows). Multiple studies have failed to demonstrate any scientific evidence supporting such principles. Acupuncture involves the insertion of thin needles into the skin at multiple, varying locations based on the patient’s symptoms. Once inserted, some acupuncturists hand turn the needles for added therapeutic benefit. Although there are many uses for acupuncture in traditional Chinese medicine, in Wester...
Source: Harvard Health Blog - May 3, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Complementary and alternative medicine Headache Health Pain Management Source Type: blogs
Old wine poured into a newer skin: The Society for Integrative Oncology updates its clinical guidelines for breast cancer
Just over two years ago, the Society for Integrative Medicine issued clinical guidelines for breast cancer care. Now it's updated them. Unfortunately, mixing cow pie with apple pie for a little longer doesn't make the cow pie any better than it was last time.
Source: Respectful Insolence - May 2, 2017 Category: Surgery Authors: Orac Tags: Cancer Clinical trials Complementary and alternative medicine Homeopathy Naturopathy Quackery acupuncture breast cancer Dugald Seely Heather Greenlee integrative medicine integrative oncology society for integrative oncology Suza Source Type: blogs
If you have low back pain try these steps first
Low back pain, the scourge of mankind: it is the second leading cause of disability here in the United States, and the fourth worldwide. It’s also one of the top five medical problems for which people see doctors. Almost every day that I see patients, I see someone with back pain. It’s one of the top reasons for lost wages due to missed work, as well as for healthcare dollars spent, hence, a very expensive problem.
Looking at two kinds of back pain
Let’s talk about the most common forms of back pain: acute (which lasts less than four weeks) and subacute (which lasts four to 12 weeks). Most of these cases (approximate...
Source: Harvard Health Blog - April 3, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Back Pain Managing your health care Pain Management Source Type: blogs
What To Ask Your Doctor (and Why) When You ’ ve Been Diagnosed With Lung Cancer
Heather Mannuel, MD, MBA is an Assistant Professor of Medicine at the University of Maryland School of Medicine and a Medical Oncologist at the University of Maryland Greenebaum Comprehensive Cancer Center. Below are a few questions she says to ask your doctor when you’ve been diagnosed with lung cancer, and why they’re important to ask.
What kind of lung cancer is this? Lung cancers are divided into small cell and non-small cell types, and the treatment is very different for each of these.
What is my stage? The stage helps to give information on whether the cancer is only in the lung or whether it has sprea...
Source: Life in a Medical Center - February 27, 2017 Category: Universities & Medical Training Authors: Chris Lindsley Tags: Cancer Source Type: blogs
The Alt-Right and Alt-Med
I’ve suddenly come to realize that a rising political group, the so-called “Alt-Right” (basically nothing more than “…white supremacists who have repackaged the hate and served it up in a more palatable form for human consumption…“) and much of the “Alt Med” movement (including purveyors and proponents of alternative, complementary, integrative, functional, holistic, and assorted other terms for quackery through the years) have a lot in common.
Both operate in fact-free zones. Reality doesn’t seem to matter to either of them. Immigrants are objectively not streami...
Source: Musings of a Dinosaur - February 21, 2017 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs
An infertile patient's secret thoughts, worries and fears
This is a guest post from a very thoughtful patient of ours.It describes very eloquently the worries and fears which prey on an infertile patient's mind. It's very hard to discuss them with anyone, and bottling them up just makes things worse !--------------------------------------------------------------------------------------------------------------------------Isn't it a paradox that when India and world's population is exploding at alarming rate; here I am ,struggling to have a single child for 5 long years and with no idea when the struggle will really end.I am being treated at Malpani's and yesterday the doctor urged...
Source: Dr.Malpani's Blog - February 6, 2017 Category: Reproduction Medicine Source Type: blogs
If your baby is crying, what do you do? Stick pins in it
Jump to follow-up
This piece is almost identical with today’s Spectator Health article.
This week there has been enormously wide coverage in the press for one of the worst papers on acupuncture that I’ve come across. As so often, the paper showed the opposite of what its title and press release, claimed. For another stunning example of this sleight of hand, try Acupuncturists show that acupuncture doesn’t work, but conclude the opposite: journal fails, published in the British Journal of General Practice).
Presumably the wide coverage was a result of the hyped-up press release issued by the journal, BMJ Acup...
Source: DC's goodscience - January 20, 2017 Category: Science Authors: David Colquhoun Tags: acupuncture Bad journalism badscience Bait and switch BMJ BMJ Group CAM Dangerous advice evidence false discovery rate honesty Michael Cummings Quackery statistics TCM alternative medicine false positives George Lewith Source Type: blogs
Breaking Down The Final 2018 Letter To Issuers
Editor’s note: The final 2018 Letter To Issuers In The Federally Facilitated Maketplaces, discussed below, was issued in conjunction with the final 2018 Benefit and Payment Parameters rule, discussed here and here.
On December 16, 2016, the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) released its final 2018 Letter to Issuers in the Federally Facilitated Marketplaces (FFM). CMS releases a letter each year to insurers that offer coverage through the FFM or through state-based marketplaces that use the Healthcare.gov platform (SBM-FP), laying out the ground rule...
Source: Health Affairs Blog - December 19, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Payment Policy Source Type: blogs
Acupuncture: Getting the point
I’ve frequently written about what I like to refer to as “quackademic medicine,” defined as the infiltration of outright quackery into medical academia, particularly medical schools and academic medical centers. There’s no doubt that it’s a significant problem as hallowed institutions like Memorial Sloan-Kettering Cancer Center embrace nonsense, pseudoscience, and quackery in the name of…
Source: Respectful Insolence - November 17, 2016 Category: Surgery Authors: Orac Tags: Clinical trials Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking Sports acupuncture EXPERIENCE L!FE qi quackademic medicine Selene Yeager traditional Chinese medicine Source Type: blogs
Intellectual Suicide
Physician suicide is an enormous problem. We lose approximately 400 doctors and trainees annually to suicide. This is a tragedy, pure and simple. Not limited to the human carnage of the equivalent of an entire medical school class or more, but, to quote Dr. Pamela Wible, “Each year more than one million Americans lose their doctors to suicide.”
What does it mean, then, when physicians who are trained in medicine — defined as the application of scientific principles to the diagnosis and treatment of human ills — turn away from reality to accept the magical thinking of pseudoscience? I submit that it...
Source: Musings of a Dinosaur - June 13, 2016 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs
