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Antivaccine nonsense Clinical trials Medicine

Better late than never: The Dunning-Kruger effect meets an incompetent anti-vaccine “analysis”

It never ceases to amaze me just how ignorant of very basic principles of science anti-vaccine activists often are. I mean, seriously. Every time they try to post something, whether they know it or not, they end up making themselves look so very, very stupid–or at least ignorant. The Dunning-Kruger effect takes over, and people […]

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Bioethics Complementary and alternative medicine Medicine

“Patient-centered care” vs. CAM in the New England Journal of Medicine

“Patient-centered care.” It’s the new buzzword in patient care. Personally, I find the term mor ethan a little Orwellian in that it can mean so many things. Basically, it’s a lot like Humpty Dumpty when he says to Alice, “When I use a word, it means just what I choose it to mean — neither […]

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Clinical trials Complementary and alternative medicine Medicine

Patient satisfaction versus quality of care, round two

About a month ago, I wrote about a study that looked at metrics of patient satisfaction and compared them to hard outcomes often used to evaluate quality of care, including frequency of emergency room usage, frequency of hospitalization, and overall mortality. Even though these days there appears to be an implicit assumption that increased patient […]

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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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Cancer Medicine Surgery

Media medicine actually gets it right for a change

Granted, it is the print media, rather than the bubble-headed TV doctors that I railed against a couple of days ago, but even so I had a hard time believing this article in the Washington Post when it was forwarded to me. Compare: Washington Post article Part 1 and Part 2 of Early Detection of […]