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evidence based medicine

This category contains 48 posts

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

A water birth isn’t natural it’s an intervention

The joint statement on laboring in water and delivering in water (the latter also known as immersion births) from the American Academy Pediatrics (AAP) and the American Congress of Obstetricians and Gynecologists (ACOG) is making the rounds. I’ve linked to the full statement above, but in essence it says that some women find laboring in water … Continue reading

Headlines blur the difference between statistically significant and clinically meaningful

Interpreting studies is a dicey thing. Often I find what might be statistically significant translated into headlines that might not really get at the nuance of the study or the results. Take these three for example: Pine bark extract improves severe perimenopausal symptoms (Medscape medical news, February 14, 2013) Two weeks of antibiotic therapy relieves … Continue reading

Abortion doesn’t hurt women, but lies about it do

Apparently there a march for “life” coming up on January 25th. I use “life” rather loosely because marching for life doesn’t happen in front of big tobacco or the companies that use trans-fatty acids. But I digress. One of the big slogans at these marches is that abortion “hurts women,” you know, to show that anti-abortion … 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

The real HPV controversy from Katie Couric’s show, her expert

Part of Katie Couric’s “controversy” on her show about the HPV vaccine was the claim by her expert, Dr. Diane Harper, that the vaccine only lasts for 5 years. I mean, why promote a 5 year vaccine to adolescent girls that will wear off and leave them at risk during their 20s? The problem with … 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

10 changes to health care that could happen if Supreme Court retracts contraception mandate

The Supreme Court has taken up the contraception mandate. Despite the fact that the World Health Organization calls contraception a human right and the fact that every dollar spent here on contraception saves $4, in the United States freedom of religion means to some, “If you work for me and get insurance through my company … Continue reading

The morning after pill is less effective for obese women, which isn’t new information

Several news agencies are reporting that the levonorgestrel morning after pill (marketed both as Plan B and as a generic in the United States) is ineffective for women who weigh more than 176 lbs. The news reports are based on the fact that HRA Pharma, the French manufacturer of an identical levonorgestrel morning after pill … Continue reading

Vaginal Valium is ineffective for pelvic floor muscle spasm

A common cause (possibly the most common cause) of both pelvic pain and pain with sex is spasm of the pelvic floor (the levator ani and obturator internus muscles). Some physicians have promoted vaginal Valium as a treatment. There is a retrospective study of 26 patients (which has all the inherent problems of small retrospective … Continue reading

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