No medical treatment is risk-free. Paul Offit’s new book covers the history of innovations that went awry and advises how to balance the risks of new medical innovations with the risk of not treating. It is always risky to use a new treatment before all the evidence is in, but… read more "Deciding Which Risks to Take"
Surgery or antibiotics for appendicitis? This new study can help with the decision. The standard treatment for appendicitis has long been appendectomy, the removal of the appendix. The successful use of antibiotics instead of surgery was first reported in 1956 by Dr. Coldrey in the British Medical Journal, and since then there have… read more "Appendicitis: Surgical vs. Medical Treatment"
Lyme disease is real Lyme disease is an infection caused by Borrelia burgdorferi bacteria. It is transmitted to humans through the bite of infected blacklegged ticks. According to the CDC, “typical symptoms include fever, headache, fatigue, and a characteristic skin rash called erythema migrans. If left untreated, infection can spread to joints, the heart, and the nervous system.”… read more "Bogus Treatments for Bogus Diagnosis Are Killing Patients"
My title doesn’t refer to alternative medicine, it refers to an alternative within medicine: treating appendicitis with antibiotics instead of surgery. You may be surprised to learn that patients with appendicitis don’t always automatically need an appendectomy. A recent randomized controlled trial in Finland compared surgery to medical treatment. History of appendicitis… read more "An Alternative to Appendectomy: Antibiotics"
Low back pain is a particularly frustrating condition that is common, poorly understood, and difficult to treat. Could a long course of antibiotics be the answer for some patients? A recent study from Denmark suggests that it might be: “Antibiotic treatment in patients with chronic low back pain and vertebral bone… read more "Antibiotics for Low Back Pain"
Some of our readers have complained that we pick on alternative medicine while ignoring the problems in conventional medicine. That criticism is unjustified: we oppose non-science-based medicine wherever we find it. We find it regularly in alternative medicine; we find it less frequently in conventional medicine, but when we do,… read more "Suffer the Children"
Ear infections used to be a devastating problem. In 1932, acute otitis media (AOM) and its suppurative complications accounted for 27% of all pediatric admissions to Bellevue Hospital. Since the introduction of antibiotics, it has become a much less serious problem. For decades it was taken for granted that all… read more "Ear Infections: To Treat or Not to Treat"
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… read more "Antibiotics for Sinusitis"