Science-Based Medicine Meets Medical Ethics

There are four main principles in medical ethics:  Autonomy  Beneficence  Non-maleficence  Justice Autonomy means the patient has the right to consent to treatment or to reject it. Autonomy has to be balanced against the good of society. What if a patient’s rejection of treatment or quarantine allows an epidemic to spread? Beneficence means we should

Re-evaluating Home Monitoring for Diabetes: Science-Based Medicine at Work

There is no question that patients on insulin benefit from home monitoring. They need to adjust their insulin dose based on their blood glucose readings to avoid ketoacidosis or insulin shock. But what about patients with non-insulin dependent diabetes, those who are being treated with diet and lifestyle changes or oral medication? Do they benefit

Biofeedback and Laser for Allergies

Not a good way to treat allergies. AllergiCare Relief Centers are a chain of franchises started by a man called David Tucker who is not listed as having an MD or any other title. They offer diagnosis of allergies by biofeedback and treatment of allergies by laser acupuncture. They admit that the method is not

Misleading Ads in Scientific American

I’m frequently asked, “Is what that ad says really true?” Three recent inquiries have been about products advertised in Scientific American. An ad may acquire a certain cachet by appearing in a prestigious science magazine, but that doesn’t mean much. Scientific American’s editorial standards apparently don’t extend to its advertising department. I remain skeptical about

4-Minute Exercise Machine

I know I should exercise regularly, but I’m congenitally lazy and am ingenious at coming up with excuses. There’s an exercise machine that sounds like the end of all excuses, a dream come true. You’ve probably seen the ads in various magazines. The ROM Machine: “Exercise in Exactly 4 Minutes per Day.” It claims that

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

Don’t Let Them Hoodia-Wink You

I first heard of Hoodia last summer, when a radio ad told me it was the new miracle weight loss pill. Since then, I’ve been seeing ads for Hoodia everywhere. Anna Nicole Smith took it. It was featured on Oprah.  Lesley Stahl went to Africa to taste the plant on 60 Minutes. There are nearly

Fix Your Ruptured Disk Without Surgery? The Truth Behind the Ads

  “Space Age technology cures back pain without surgery – 86% success rate.” Ads like this have been inundating my local newspaper. I wanted to know more. I am a medical doctor, and I wondered why my medical journals had neglected to tell me about this wonderful new discovery. I sent in for the free