Rodin’s Thinker is doing his best to think but if he hasn’t learned critical thinking skills, he is likely to make mistakes. The human brain is prone to a multitude of cognitive errors. Critical thinking in medicine is what the Science-Based Medicine (SBM) blog is all about. Jonathan Howard has… read more "Critical Thinking in Medicine"
The Ethics of CAM: More Harm than Good?
Edzard Ernst is arguably the world’s foremost expert on the claims and the evidence (or lack thereof) for Complementary and Alternative Medicine (CAM). Now he has teamed up with a medical ethicist, Kevin Smith, to co-author a new book, More Harm than Good? The Moral Maze of Complementary and Alternative… read more "The Ethics of CAM: More Harm than Good?"
Answering Our Critics, Part 2 of 2: What’s the Harm?
Last week I posted a list of 30 rebuttals to many of the recurrent criticisms that are made by people who don’t like what we say on SBM. I thought #30 deserved its own post; this is it. At the end, I’ve added a few items to the original list. What’s the… read more "Answering Our Critics, Part 2 of 2: What’s the Harm?"
Answering Our Critics, Part 1 of 2
Some people don’t like what we have to say on Science-Based Medicine. Some attack specific points while others attack our whole approach. Every mention of complementary and alternative medicine (CAM) elicits protests in the Comments section from “true believer” users and practitioners of CAM. Every mention of a treatment that has… read more "Answering Our Critics, Part 1 of 2"
CAM as a Dumping Ground
I know a woman who is a survivor of colorectal cancer. At one point, doctors had given up hope and put her in hospice, but she failed to die as predicted and was eventually discharged. She continues to suffer intractable symptoms of pain with alternating diarrhea and constipation. I don’t… read more "CAM as a Dumping Ground"
Incorporating Placebos into Mainstream Medicine
Alternative medicine by definition is medicine that has not been shown to work any better than placebo. Patients think they are helped by alternative medicine. Placebos, by definition, do “please” patients. We would all like to please our patients, but we don’t want to lie to them. Is there a… read more "Incorporating Placebos into Mainstream Medicine"
Healing But Not Curing
Last week I discussed the book Healing, Hype, or Harm? edited by Edzard Ernst. I was particularly struck by one of the essays in that book: “Healing but not Curing” by Bruce Charlton, MD, a reader in evolutionary psychiatry at the Department of Psychology of the University of Newcastle upon… read more "Healing But Not Curing"