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evidence based medicine

This category contains 79 posts

Ayurvedic medicines may be poisoning you. Literally.

I often read of recommendations for Ayurvedic medicine on sites espousing alternative medicine. According to the National Center for Complementary and Integrative Health Ayurvedic medicine originated in India over 3,000 years ago and involves the use of herbal compounds, special diets, and other health practices. I didn’t think too much about this practice as a distinct … Continue reading

Washington Post embraces alternative facts on adrenal fatigue, fuels death of expertise epidemic

Adrenal fatigue does not exist and by this I mean board certified endocrinologists say that adrenal glands can’t be exhausted or over worked. Internal organs don’t fatigue, it would be a pretty poor evolutionary design if they did. Early Homo sapiens had just a little more stress than we do in 2017, so if adrenals … Continue reading

Gwyneth Paltrow’s goat milk therapy for parasites is stupid and dangerous

Gwyneth Paltrow’s latest woo slinger wants you to believe that not only are you infected with parasites, but that parasites cause almost every illness known to human kind. In fact, they cause every single symptom. Gwyneth is already on board shilling her parasite voodoo in Women’s Health, but apparently she wants to cover all her crazy … Continue reading

Women should get a routine check in with their GYN, not a routine pelvic exam

I have been a gynecologist for over 20 years. Including residency I have been performing pelvic exams for over 26 years. I have done thousands of routine well-woman pelvic exams and thousands of exams for women with symptoms. While my personal n of 1 is certainly not research I have not once picked up a … Continue reading

Does Donald Trump have low testosterone? What his very low PSA tells us

Donald Trump actually has a negative or normal PSA despite his doctor saying all of his tests are “positive.” This is a good example of why “only positive results” is undesirable. Trump’s PSA is reported as 0.15 and the cut off for a positive screen (a potentially worrying result) is 4.0 ng/ml. Trump’s PSA doesn’t really matter … Continue reading

Bernie Sanders surrogate Dr. Song sells “false hope” to cancer patients for $150 a test

Bernie Sanders surrogate, Dr. Paul Song, said this at a rally in New York: “Now Secretary Clinton has said that Medicare for all will never happen. Well, I agree with Secretary Clinton that Medicare for all will never happen if we have a president who never aspires for something greater than the status quo. Medicare … Continue reading

Zika questions answered: If Zika is the cause of microcephaly why are we just seeing it now?

      This is a common question that many have used to question the link between Zika and microcephaly. It is a valid point. After all, viruses have been around forever so if Zika caused microcephaly wouldn’t we already know that? The answer is pretty simple – Zika is actually a relatively new virus … Continue reading

A fetus can’t “hold hands” with its twin

The story is a sad one, a set of twins where one is not expected to survive due to complex anomalies. As the mother of a set of triplets where one did not survive I understand this kind of pain. A couple in such a situation spoke with their local news about their ultrasound which … Continue reading

A Monsanto larvicide isn’t causing microcephaly in Brazil (or anywhere else)

The alarming number of babies with microcephaly in Brazil and other countries is definitely a cause for concern. While each day more and more evidence grows that it is related to infection with the Zika virus, definitive studies are still lacking. This sadly leaves room for conspiracy theories and the one currently making the rounds … Continue reading

How Medscape helped Sprout stack the deck for Addyi

It may (or may not) surprise to learn that hypoactive sexual desire disorder (HSDD) the “disorder” treated by the new drug Addyi didn’t exist before 2004. Why in 2004 did we decide that normal female sexual response was a condition? Well, HSDD was established/invented/introduced by industry to prepare the market for a testosterone patch for … Continue reading

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