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Cancer Clinical trials Medicine Science Skepticism/critical thinking

Does mammography save lives? A new study shows that this is a harder question than you might think

Mammography is a topic that, as a breast surgeon, I can’t get away from. It’s a useful tool that those of us who treat breast cancer patients have used for over 30 years to detect breast cancer in asymptomatic women and thus (or so we hope) decrease their risk of dying of breast cancer through […]

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Clinical trials Complementary and alternative medicine Homeopathy Medicine

A homeopathic “debate” in BMJ?

Homeopathy is quackery. There, I’ve said it for the hundredth or even thousandth time, but I don’t care if it’s repetitive because it can’t be emphasized enough times that homeopathy is The One Quackery To Rule Them All, with the possible exception of reiki and other “energy therapies.” I also find it useful to make […]

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Antivaccine nonsense Clinical trials Complementary and alternative medicine Medicine Quackery Science

Humpty Dumpty and cranks, quacks, and antivaccinationists

One of my favorite quotes from classic literature comes from Lewis Carroll’s Through the Looking Glass, when Alice encounters a rather strange character named Humpty Dumpty. Humpty Dumpty, as you will likely recall, was a giant egg with whom Alice got into an argument about the meaning of words: And only ONE for birthday presents, […]

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Clinical trials Complementary and alternative medicine Medicine Popular culture Quackery Science

Health disparities research and the mainstreaming of "integrative medicine"

The overarching goal that proponents of so-called “complementary and alternative medicine” (CAM) or, as is becoming the preferred term, “integrative” medicine is the mainstreaming of the “unconventional” treatments that fall under the rubric of these two terms. Indeed, that’s the very reason why they so insisted on the shift from calling it CAM to calling […]

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Cancer Clinical trials Complementary and alternative medicine Medicine Politics Science

Does medical marijuana work? The answer is (mostly) “no” and “we don’t know”

My opinion about medical marijuana has been fairly consistent. First, the claims made by its advocates for it far exceed the evidence for its benefit, which is why I’ve referred to it as the “new herbalism.” Of course, it’s not really very new, but it is herbalism in that medical marijuana advocates make grandiose claims […]