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evidence based medicine

This tag is associated with 13 posts

A letter to Dr. Oz for his In Box

Dear Dr. Oz, I know the #OzsInBox question on twitter didn’t exactly go the way you or your social media team expected. You told Sen. McCaskill when she asked you about the so-called miracles and medically baseless products that you promote on your show that you view yourself as a cheerleader, but consider #OzsInBox a … Continue reading

Rocking delivery dogma: induction of labor doesn’t increase c-section rate

There is a widely held belief that induction of labor increases the risk of c-section.  This is something that has been widely promoted by many OB/GYNs, nurses, midwives, doulas, and patients alike. I can not tell you how many times I have heard, “Don’t let them induce you.” I think that so many health care … Continue reading

The speculum setting or shutting of comments on some posts to limit woo

I do my best to post about evidence based medicine and debunk treatments with no evidence (and often no plausible connection with biology), but it continues to surprise me that despite a well constructed argument that explains why a particular therapy couldn’t possibly work that many people comment on how that particular therapy has worked … Continue reading

The burden of unnecessary surgery: partial meniscectomy for degenerative tears no better than placebo

Arthroscopic knee surgery is big business in the United States. Arthroscopic partial meniscectomies alone cost $4 billion/year. Yes, billion. But do they work? I’ve written previously about arthroscopic surgery for a torn meniscus and how it adds nothing above and beyond physical therapy for people with arthritis. We also know that arthroscopic knee surgery for arthritis … Continue reading

Impact of Katie Couric’s misinformation on HPV vaccine in one image

After viewing Katie Couric’s show an acquaintance’s mother sent her this e-mail. Because many people believe the health information they see on TV, especially when it comes form a source like Couric who has been known, until this point anyway, as a trusted journalist.   Kate’s Couric’s “take” was about as scientific as a show entitled, … Continue reading

Why the radiation of a chest or dental x-ray isn’t the same as 2 days in Denver

My kids were at the dentist this weekend for their routine cleaning and check ups (yes, Saturday hours!) when the hygienist mentioned x-rays. I smiled and mentioned I’d rather discuss the need with the dentist after his exam. This isn’t a dental x-ray thing, this is what I do for every test that involves ionizing … Continue reading

When judges force doctors to abandon evidence based medicine

The American Congress of Obstetricians and Gynecologists (ACOG) issued a press release today regarding legislative interference and health care decisions. Specifically, the release states that: Government should not interfere with the patient-physician relationship without a substantial public health justification. The full Statement of Policy was approved by ACOG’s Executive Board. Some recent examples of government … Continue reading

The only thing that a cleanse actually cleans is your wallet

From time to time I get asked about cleanses. What is typically meant by a “cleanse” is only drinking a juice concoction for several days. Some cleanses add things like cider vinegar, cayenne pepper, or other supposedly “healthy” substances. The most common reasons to “cleanse” that I hear from people who drink these things include: … Continue reading

Going back to work with neck pain, a doctor takes her own advice

I hurt my neck a while back. I was in the operating room and, in retrospect, I wonder if my neck was contorted in an odd way for a long time as it was a lengthy case. In addition, it was during what I call my emotional low point of the year, the 4 days between … Continue reading

Fact checking is optional when it comes to health information and the media

I just read an “article” (and I use that term rather loosely) this morning on msnbc.com. It was about how the previous reports of a Mexican woman claiming to be pregnant with 9 babies weren’t entirely true. How untrue? Well, turns out she wasn’t even pregnant. Yes, you read that correctly. In their haste to report … Continue reading

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