Cure Is About Caring, Not Curing: Placebos, Alternative Medicine, and Patient Comfort

In a recent post, Dr. Gorski criticized two articles by Jo Marchant on placebos and alternative medicine. He mentioned that she had a book coming out and suggested I might want to review it. The title is Cure: A Journey into the Science of Mind Over Body. I don’t know of any evidence that the mind has ever

Screening Tests and Primum non nocere

Primum non nocere is a Latin phrase meaning “first do no harm.” It is commonly attributed to Hippocrates, but if he ever said any such thing, he certainly didn’t say it in Latin. He lived in ancient Greece from 430 BC to 370 BC and presumably spoke Greek. The phrase, in English and in Latin,

Chronic Fatigue Syndrome: Rituximab Revisited

Three years ago I wrote about an experimental treatment for chronic fatigue syndrome (CFS): rituximab (brand name Rituxan). I was concerned that doctors who offered it, like Andreas Kogelnik, were jumping the gun by offering it before the evidence was in, and that they might be putting patients at risk. A correspondent who has been following the

Vaginal Birth After C-Section: How Safe Is It?

Doctors used to insist “once a C-section, always a C-section.” Today it is standard practice to allow vaginal births after C-section (VBAC) for appropriately selected patients. The American Congress of Obstetricians and Gynecologists (ACOG) has issued a Practice Bulletin to guide obstetricians in determining which patients are appropriate candidates for VBAC. We frequently hear criticisms of practice

Hazards of Herbal Medicine: Lessons Learned from Aristolochia

This “Brief History of Medicine” has been circulating on the Internet: 2000 B.C. — Here, eat this root. 1000 A.D. — That herb is heathen. Here, say this prayer. 1850 A.D. — That prayer is superstition. Here, drink this potion. 1940 A.D. — That potion is snake oil. Here, swallow this pill. 1985 A.D. —

Anti-Aging Claims: The Fountain of Youth is Still Only a Legend

The Spanish explorer Ponce de León wasn’t really looking for the Fountain of Youth when he trekked through Florida. That’s only a legend that wasn’t attached to his name until after his death. The idea of anti-aging remedies dates back to at least 3500 BCE, and the hope is alive and well today. Who wouldn’t

Statins: The Impact of Negative Media Reports and the Risks of Discontinuing Treatment

The evidence is clear: statin drugs are effective in reducing the rate of heart attacks and death in people who have already had a heart attack as well as in people who are at high risk of having one. Some people refuse to believe that evidence; they are statin deniers, similar to the climate change deniers and AIDS deniers (and there are

Neurotribes: A Better Understanding of Autism

What is autism? What causes it? Is it genetic? Is it a consequence of something in our environment or lifestyle? What’s an “idiot savant” or an “autistic savant”? What happens when autistic children become adults? Why are so many of their parents scientists, academics, and engineers? If your grandfather’s Uncle Fred was a socially inept

Zombie Criticisms of Conventional Medicine

Alternative medicine, by definition, is medicine that is not supported by good enough evidence to have earned it a place in mainstream medicine. Some people insist that modern medicine is not evidence-based either! Not long ago I got an email from a man who said that and tried to prove it with a series of

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