A CME article in American Family Physician misrepresents the evidence, claiming acupuncture has been proven safe and effective. An accompanying editorial gives despicable advice on how to manipulate patients to accept this theatrical placebo. The flagship journal of my specialty of family medicine is the American Family Physician. Each issue contains a quiz that qualifies for continuing medical
Alternative medicine proponents criticize mainstream medicine and think they can do better. Evidence from medical journals shows that their criticisms are not valid. Advocates of complementary and alternative medicine (CAM), including naturopaths and functional medicine practitioners, constantly criticize mainstream medicine. The recurrent themes are: Doctors don’t do prevention They only prescribe drugs and surgery and
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
TO THE EDITOR: This article repeated a common misconception about the Glucosamine/Chondroitin Arthritis Intervention Trial (GAIT), interpreting it as showing that the combination of glucosamine and chondroitin is effective for treating moderate to severe osteoarthritis.1 The study found that glucosamine and chondroitin, separately or in combination, were not more effective than placebo. Only one of
Letter to the editor: In this article’s Strength of Recommendations Taxonomy (SORT) table, three of the recommendations said “results are mixed,” “studies are inconsistent,” or “the evidence is conflicting.” When conflicting results are found in small controlled studies and epidemiologic studies, the most likely explanation is that there is no real effect. Ioannidis has shown
Kava is a plant that grows in the western Pacific. It was traditionally prepared as a drink and used for its psychoactive properties, including sedation, relaxation, and relief of anxiety. It is intoxicating but not addictive. It has become a popular supplement in the US, used to treat anxiety, depression, insomnia, stress, and menopausal symptoms.