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evidence based medicine

This tag is associated with 12 posts

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

Why double pneumonia is like irregardless and why it matters

MSNBC is reporting that Rick Santorum’s daughter, Bella, has unfortunately been hospitalized again. Considering she has Trisomy 18 multiple hospitalizations are sadly expected. The article started out well enough, using the National Library of Medicine and a pediatric palliative care expert as sources and reviewing the medical issues faced by children with trisomy 18 who … Continue reading

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