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Religion Science Surgery

An uncomfortable question when you least expect it

When you’re in an exam room with a patient, sometimes you’re forced to contemplate uncomfortable questions.

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Cancer Clinical trials Medicine

Once more into the breach: The American Cancer Society publishes new mammography guidelines

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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Cancer Complementary and alternative medicine Medicine Quackery Skepticism/critical thinking

Alternative Fake medicine endangers another cancer patient’s life

Kellyanne Conaway inadvertently gave us one of the most descriptive terms ever: Alternative facts. Alternative medicine is a lot like alternative facts in that it is unmoored from reality. Like alternative facts, it can also kill.

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Antivaccine nonsense Complementary and alternative medicine Medicine Politics Pseudoscience Quackery Science Skepticism/critical thinking

How do we resist the rising tide of antiscience and pseudoscience?

The impetus for the creation of this blog, lo these 12+ years ago, was growing alarm at the rising tide of pseudoscience then, such as quackery, antivaccine misinformation, creationism, Holocaust denial, and many other forms of attacks on science, history, and reality itself. I had cut my teeth on deconstructing such antiscience and pseudoscience on […]

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Cancer Clinical trials Medicine Science Skepticism/critical thinking

Does mammography save lives? A new study shows that this is a harder question than you might think

Mammography is a topic that, as a breast surgeon, I can’t get away from. It’s a useful tool that those of us who treat breast cancer patients have used for over 30 years to detect breast cancer in asymptomatic women and thus (or so we hope) decrease their risk of dying of breast cancer through […]