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Complementary and alternative medicine Medicine Science Skepticism/critical thinking

Knowledge versus certainty in skepticism, medicine, and science

“I don’t want knowledge. I want certainty!” –David Bowie, from Law (Earthlings on Fire) If there’s one universal trait among humans, it seems to be an unquenchable thirst for certainty. This should come as no surprise to those committed to science and rational thinking because there is a profound conflict between our human desire for […]

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Cancer Medicine

Cancer overdiagnosis and overtreatment revisited

I think the message may finally getting through. That message is that it’s not always the best strategy to treat cancer aggressively. Don’t get me wrong. If I have acute leukemia, I know I’ll need the big guns, every bit of chemotherapy appropriate to the disease that modern oncology can throw at it up to […]

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Cancer Clinical trials Medicine

Rethinking cancer screening?

Here we go again. I see that the kerfuffle over screening for cancer has erupted again to the point where it’s found its way out of the rarified air of specialty journals to general medical journals and hence into the mainstream press. This is something that seems to pop up every so often, much to […]

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Cancer Clinical trials Medicine

Really rethinking breast cancer screening

“Early detection saves lives.” Remember how I started a post a year and a half ago saying just this? I did it because that is the default assumption and has been so for quite a while. It’s an eminently reasonable-sounding concept that just makes sense. As I pointed out a year and a half ago, […]

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Cancer Medicine

“Obama’s fixin’ death panels for your mama,” the misogyny gambit, and other idiotic responses to the updated USPSTF mammography recommendations

I knew when I first heard about them that the new United States Preventative Services Task Force (USPSTF) recommendations on breast cancer screening would be controversial. I tried to discuss these guidelines and the issues involved in a calm and rational way, relatively devoid of Insolence, Respectful or not-so-Respectful, yesterday, pointing out that screening guidelines […]