Antibiotics for Sinusitis

You’re a patient. That cold just isn’t getting better and you have purulent drainage from your nose, and your face hurts and your teeth hurt. You probably have sinusitis, right? You go to a doctor to get an antibiotic. You’re a doctor. Deep down, you know there’s a good chance the patient has a self-resolving condition.  You’d rather

The International Network of Cholesterol Skeptics

Pictured: The accepted theory of how cholesterol forms arterial plaques. There is an organization that calls itself The International Network of Cholesterol Skeptics(THINCS). Its members “thinc” they are smarter than the average doctor. They “thinc” that cholesterol has nothing to do with cardiovascular disease and that we have been deluded into waging a “cholesterol campaign”

Does Glucosamine Really Work?

 Glucosamine and chondroitin, used separately or together, are among the more popular diet supplements. They are used widely for osteoarthritis, especially of the knee, and have been better studied than most other diet supplements. But do they really work? The journal of my medical specialty, American Family Physician, recently published an article about the use

Akavar 20/50 and Truth in Advertising

Over the last few months, I have had a truly surreal experience. It started when I noticed a two-page full color spread in TV Guide magazine advertising a product called Akavar 20/50. It contained the same claims that so many bogus weight loss products do: eat all you want and still lose weight. What attracted

No-Touch Chiropractic

Daniel David Palmer, creator of the nebulous subluxation and father of chiropractic. Some time ago, I learned that a Seattle chiropractor, Johanna Hoeller, had been featured on a local TV newsmagazine show. She was so proud of the segment that she had it posted on her web page for all to see. Unfortunately it is

Snake Oil Science

For my first blog entry, I wanted to write about something important, and I couldn’t think of anything more important than a recent book by R. Barker Bausell: Snake Oil Science: The Truth About Complementary and Alternative Medicine. If you want to understand how medical research works, if you want to know what can lead

But What about Acupuncture?

“Alternative” medicine is by definition medicine that has not been scientifically proven and has not been accepted into mainstream scientific medicine. The question I keep hearing is, “But what about acupuncture? It’s been proven to work, it’s supported by lots of good research, more and more doctors are using it, and insurance companies even pay

Popular Fallacies: Ancient Wisdom, It Works for Me, and Natural is Good

Advocates of so-called alternative medicine (i.e. unproven treatments) don’t always use the best critical thinking skills. False assumptions and logical fallacies abound.  Three that I encounter constantly are (1) “ancient wisdom,” (2) “it works for me,” and (3) “it’s natural.” Ancient Wisdom The argument usually goes something like this: Our wise ancestors used X to

Detoxification Quackery – From Footbaths to Fetishism

The last time I went to the Puyallup fair, I passed a booth where an elderly man and woman were sitting with their feet in basins of water. How nice – a chance to rest their tired feet after a day of walking the fairgrounds! Unfortunately, they weren’t just resting, they were being scammed. The

Ultrasound Screening, Fish Oil, and Ear Candles: Sometimes Ignorance is Bliss

I never thought I’d be promoting ignorance!  I’ve always thought the more information, the better; but there are exceptions. I’m going to explain something that is very counterintuitive and grates against every fiber of our truth-seeking skeptical brains. The ad shouts, “Tests That Can Save Your Life… Stroke is America’s third leading killer… Half of