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Cancer Clinical trials Medicine Politics

The USPSTF mammography guidelines and African American women: Do they even apply?

A while back I wrote about really rethinking how we screen for breast cancer using mammography. Basically, the USPSTF, an independent panel of physicians and health experts that makes nonbinding recommendations for the government on various health issues, reevaluated the evidence for routine screening mammography and concluded that for women at normal risk for breast […]

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Cancer Medicine Politics Surgery

How not to protect your medical turf

When the USPSTF issued new guidelines for who should undergo screening mammography, at what ages, and how often, it set off a firestorm of negative reactions. Some of this is not surprising, given that the reevaluation of the evidence for screening mammography led the USPSTF to recommend against its routine use in women between the […]

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Complementary and alternative medicine Medicine Quackery

Mike Adams’ 10 biggest lies about health care

It’s good to be home. True, while I was away for five days, first to NECSS and then to the AACR Meeting, mail piled up, and I had to go through it last night. Also, just for the heck of it, my wife and I went out to dinner at a local diner. Finally, to […]

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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 […]