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Clinical trials Medicine Surgery

The problem of funding in surgical research

I hate it when I fall behind in my journal reading. Of course, it happens all the time, as you might expect, with my time sandwiched between running my lab, writing grants, seeing patients, and operating. Sometimes, though, I get a chance to try to catch up a bit. Such was the case the other […]

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Clinical trials Complementary and alternative medicine Medicine Quackery

“Integrative” medicine at Yale: A more “fluid” concept of evidence?

I realize that I’ve been very, very remiss in attending to a task that I’ve been meaning to get to since late January. There are several reasons, albeit not excuses, for why I have failed to do this task. Perhaps the most powerful impediment to my overcoming my inertia and just diving in and doing […]

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Cancer Clinical trials Medicine Surgery

On the enormous variability of cancer behavior

Perhaps one of the most common misconceptions held about cancer among lay people is that it is one disease. We often hear non-physicians talk about “curing cancer” as though it were a single disease. Sometimes, we even hear physicians, who should know better, using the same sort of fuzzy thinking and language about “curing cancer” […]

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Bioethics Clinical trials Complementary and alternative medicine Medicine Politics Quackery

They don’t call it “cheat-lation” for nothing

Regular readers here are probably most familiar with the so-called “complementary and alternative medicine” therapy known as chelation therapy in the context of its use, or, more specifically, its misuse in “treating” autistic children, a misuse that has resulted in at least one death, a five-year-old autistic boy named Abubakar Tariq Nadama. However, before the […]

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Cancer Clinical trials Medicine Surgery

Barriers to the adoption of new surgical procedures

Last week, I wrote about factors that lead to the premature adoption of surgical technologies and procedures, the “bandwagon” or “fad” effect among surgeons, if you will. By “premature,” I am referring to widespread adoption “in the trenches,” so to speak, of a procedure before good quality evidence from science and clinical trials show it […]