Not Treating – A Neglected Option

One of the criticisms of modern medicine is that doctors prescribe too many pills. That’s true. Patients and doctors sometimes get caught up in a mutual misunderstanding. The patient assumes that he needs a prescription, and the doctor assumes that the patient wants a prescription. But sometimes patients don’t either need or want a prescription.

The “Art” of Clinical Decision-Making

Much nonsense has been written about the “art” of medicine. All too often, it amounts to a rationalization for doctors doing what they want to do instead of following the evidence. Medicine is not an art like painting. Neither is it a science like physics. It’s an applied science. Since patients are not all identical,

Science and Chiropractic

In the comments to a previous blog entry, a chiropractor made the following statements: 1. Chiropractic is a science. 2. Chiropractic is based on neurology, anatomy and physiology. 3. Chiropractors are doctors of the nervous system. 4. Chiropractic improves health and quality of life. I offered to write a blog entry on the “science” of

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

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

Homeopathy: How It Really Works

Book Review of  Homeopathy: How It Really Works, by Jay Shelton, published by Prometheus in 2003 This will not be the last book written about homeopathy, but perhaps it ought to be. It says everything that needs to be said unless homeopaths can succeed in supporting their claims with better evidence than they have produced in the

Andrew Weil: Harvard Hatched a Gullible Guru

Book review of Natural Health, Natural Medicine: The Complete Guide to Wellness and Self-care for Optimum Health. By Andrew Weil. Boston: Houghton Mifflin Co., 2004. ISBN 0-618-47903-1. 432 pp. Softcover, $14. Andrew Weil’s Natural Health, Natural Medicine is a dangerous book. The preface states: “All the information is consistent with the best scientific evidence currently available.”