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Clinical trials Medicine Skepticism/critical thinking Surgery

Do negative clinical trials change practice?

One of the central themes of this blog from the very beginning is that all medicine, regardless of where it comes from or how it was developed, should be held to a single science-based standard with regards to efficacy, effectiveness, and safety. I tend to focus primarily on “complementary and alternative medicine” (CAM), now more […]

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Cancer Medicine Politics Popular culture Surgery

No, redefining cancer doesn’t mean death panels

Blogging is a rather immediate endeavor. Over the last nine years (nearly), I’ve lost track of how many times I saw something that I wanted to blog about but but by the time I got around to it was no longer topical. Usually what happens is that my Dug the Dog tendencies take over, as […]

Categories
Cancer Politics

"Overselling" mammography?

One issue that keeps coming up time and time again for me is the issue of screening for cancer. Because I’m primarily a breast cancer surgeon in my clinical life, that means mammography, although many of the same issues come up time and time again in discussions of using prostate-specific antigen (PSA) screening for prostate […]

Categories
Medicine Politics Popular culture Science

Is "value-based' health insurance really "value-based" or is it just an excuse to make patients pay more?

And now for something completely different… Unfortunately, it’s all too easy to find new woo-filled claims or dangerous, evidence-lacking trends to write about. Heck, I did it just last week. Examining certain other health-related issues from a science-based perspective is more difficult, but I feel obligated to do it from time to time, not just […]

Categories
Cancer Complementary and alternative medicine Movies Quackery Skepticism/critical thinking

The quack view of preventing breast cancer versus reality and Angelina Jolie, part 2

After yesterday, I really hadn’t planned on writing about Angelina Jolie and her decision to undergo bilateral mastectomies again, except perhaps as a more serious piece next week on my not-so-super-secret other blog where The Name of the Doctor is revealed on a weekly basis. As I mentioned yesterday, there are a number of issues […]