If there’s one lesson that I like to emphasize while laying down my near-daily dose of Insolence, both Respectful and not-so-Respectful, it’s that practicing medicine and surgery is complicated. Part of the reason that it’s complicated is that for many diseases our understanding is incomplete, meaning that physicians have to apply existing science to their […]
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Functional medicine (FM) is “make it up as you go along” quackery that combines the “worst of both worlds,” namely the overtesting and overtreatment that can plague conventional medicine plus the quackery “integrated” into “integrative medicine.” It’s rare to see a mainstream outlet get it right about FM, but an Irish journalist pulls it off.
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As it does every two years, the CDC has issued its 2018 report on autism prevalence. As in years past, autism prevalence has ticked upward. As in years past, antivaxers have tried to blame it on vaccines. As in years past, they’re wrong. Vaccines are not responsible for increased autism prevalence.
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One of the things that feels the weirdest about having done the same job, having been in the same specialty, for a longer and longer time is that you frequently feel, as the late, great Yogi Berra would have put it, déjà vu all over again. This is particularly true in science and medicine, where […]
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I’ve written more times than I can remember about the phenomenon of overdiagnosis and the phenomenon that is linked at the hip with it, overtreatment. Overdiagnosis is a problem that arises when large populations of asymptomatic, apparently healthy people are screened for a disease or a condition, the idea being that catching the disease at […]
