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 […]

Complementary and alternative medicine Medicine Pseudoscience Quackery Skepticism/critical thinking


I’ve decided to chill this weekend after five years of insanity. However, while you anxiously await yet another hemidecade of Insolence, both Respectful and not-so-Respectful, what better way to do so than checking out the awesome Tim Minchin and his most excellent nine minute beat poem “Storm”: Who says skepticism and art don’t mix?

Antivaccine nonsense Blog housekeeping Blogging Complementary and alternative medicine Entertainment/culture Medicine Music Pseudoscience Quackery Skepticism/critical thinking

Five years

Has it really been that long? It was a dismally overcast Saturday five years ago when, on a whim after having read a TIME Magazine article about how 2004 was supposedly the Year of the Blogger, I sat down in front of my computer, found Blogspot, and the first incarnation of Respectful Insolence was born. […]

Antivaccine nonsense Autism Medicine

Yet another bad day for the anti-vaccine movement

Arguably, the genesis of the most recent iteration of the anti-vaccine movement dates back to 1998, when a remarkably incompetent researcher named Andrew Wakefield published a trial lawyer-funded “study” in the Lancet that purported to find a link between “autistic enterocolitis” and measles vaccination with the measles-mumps-rubella (MMR) trivalent vaccine. In the wake of that […]

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 […]