From the viewpoint of hospital administration, patient satisfaction is increasingly the be-all and end-all of how doctors are evaluated, and it is assumed that patient satisfaction is highly correlated with quality of care. Unfortunately, patient satisfaction ≠ quality. A new study shows this very phenomenon in an outpatient setting.
ICD-10 is a standardized system of alphanumeric codes for diagnoses maintained by the World Health Organization used throughout the world for billing, epidemiology, research, and cataloging causes of death. Its successor, ICD-11, is now complete and set to be formally adopted by WHO. Unfortunately, thanks to the influence of ideologues and the Chinese government, ICD-11 appears to be taking the “integration” of traditional medicine to a whole new level by integrating quack diagnoses with real diagnoses.
Barbara Loe Fisher, Joe Mercola, and other antivaxers frequently deny that the flu is dangerous and that all the promotion of flu vaccines every year is a plot by big pharma to make money based on fear. The CDC argues otherwise, reporting that influenza mortality last season was higher than iit's been in decades. Roughly 80,000 people are estimated to have died last season from influenza or complications from the flu.
Aromatase inhibitors are antiestrogen drugs frequently used to treat breast cancer. Unfortunately, they can cause significant joint pain. A recent study of acupuncture for joint pain caused by these drugs was basically negative, but the authors did their best to spin it as positive. Same as it ever was for acupuncture studies.
Two prominent advocates of "integrative medicine" bemoan the "practice drift" they see in their specialty, in which doctors drift farther and farther away from their training. What this means is (although it would never be admitted) is that these "integrative medicine" doctors are drifting further and further into quackery. Too bad this is a feature, not a bug.
I was invited to discuss vaccines with antivaxers for a panel called One Conversation. Recognizing an antivaccine trap, I politely declined. Unfortunately, other legitimate medical authorities did not, thus enabling the illusion of legitimization of antivaccine views.
An 11-month old boy suffered a stroke after chickenpox, an underappreciated risk of varicella zoster infection. This catastrophe could have been avoided if his parents had just vaccinated his two older siblings.
Orac has finally located the abstract published by Dr. Alberto Siller and Alberto Garcia, who are selling intra-arterial chemotherapy for the deadly brain tumor DIPG. Let's just say that he's...less than impressed by the results. Shades of Burzynski!
Riley Hughes died of pertussis, and his father is trying to encourage vaccination against pertussis. The "Drs. Wolfson" object. They're antivaccine quacks, and they blame the victim.
Dr. Robin Berzin founded a concierge functional medicine practice, Parsley Health. Her practice is growing and has expanded to three major cities thus far, and she's begun a foray into pediatrics? Are holistic concierge medical practices the future of "integrating" quackery into medicine, be it functional medicine or other models?