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Medicine Surgery

Surgery: Past performance is no guarantee of future results

In recent years, there has been a lot of interest in improving surgical outcomes. One strain of research tends to examine the “volume-outcome” relationship, which in essence asked the question if the volume of cases that a surgeon or hospital does has a relationship outcome. In other words, are mortality rates lower, survival rates better, […]

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Cancer Complementary and alternative medicine Medicine Quackery Surgery

A horrifying breast cancer “testimonial” for “holistic” treatment

(NOTE ADDED 12/7/2010: Kim Tinkham has died of what was almost certainly metastatic breast cancer.) Cancer is scary. It’s very, very scary, even when it is a cancer that is treatable and potentially curable. It’s such a common disease that, by the time we reach a certain age, the vast majority of us have seen […]

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Medicine Religion Surgery

Resolved for 2008: Let’s not use the word “miracle” when we really mean “unexpected survival”

“It’s a miracle!” How many times have you heard that one, usually invoked when someone survives serious injuries that would kill most people? Personally, the use of the word grates on me and did even when I was a lot more religious than I am now. Yesterday, it grated on me when I saw this […]

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Bioethics Clinical trials Complementary and alternative medicine Medicine Surgery

Enough straw man attacks on evidence-based medicine to defoliate Kansas

Evidence-based medicine is not perfect. There, I’ve said it. Like anything else humans do in science or any other endeavor, evidence-based medicine (EBM) has its strengths and its weaknesses. On the whole, I consider it to be potentially vastly superior to the way that medicine was practiced in the past, bringing a systematic, scientific rigor […]

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Antivaccine nonsense Medicine Quackery Surgery

An autistic child pays the price for Andrew Wakefield’s antivaccination “research”

Andrew Wakefield is an incompetent “scientist.” Of that, there is no longer any doubt whatsoever, given how poorly he and his collaborators did the polymerase chain reaction (PCR) studies that he did looking for measles RNA sequences in colon biopsy specimens taken from autistic children, studies in which they failed to do even the most […]