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Cancer Medicine Surgery

More is not always better: MRI and the increasing mastectomy rate

“Early detection of cancer saves lives.” How many times have you heard this statement or something resembling it? It’s a common assumption (indeed, a seemingly common sense assumption) that detecting cancer early is always a Very Good Thing. Why wouldn’t it be, after all? For many cancers, such as breast cancer and colon cancer, there’s […]

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Antivaccine nonsense Autism Complementary and alternative medicine Medicine Quackery

What is it about Winona, MN and antivaccinationists?

A couple of weeks ago, I linked to an amazingly ignorant antivaccination screed published in the Winona Daily News. In the comments, I was made aware of another antivaccination screed in the form of a letter to the editor to the Winona Post. (Unfortunately, I am unable to locate it online.) Now, today, I find […]

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Clinical trials Complementary and alternative medicine Medicine Quackery

“Integrative” medicine at Yale: A more “fluid” concept of evidence?

I realize that I’ve been very, very remiss in attending to a task that I’ve been meaning to get to since late January. There are several reasons, albeit not excuses, for why I have failed to do this task. Perhaps the most powerful impediment to my overcoming my inertia and just diving in and doing […]

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Cancer Clinical trials Medicine Surgery

Barriers to the adoption of new surgical procedures

Last week, I wrote about factors that lead to the premature adoption of surgical technologies and procedures, the “bandwagon” or “fad” effect among surgeons, if you will. By “premature,” I am referring to widespread adoption “in the trenches,” so to speak, of a procedure before good quality evidence from science and clinical trials show it […]

Categories
Antivaccine nonsense Autism Clinical trials Complementary and alternative medicine Medicine Quackery

A high tech form of the same old “detoxification” woo

“Detoxification.” Whenever I hear that term, I’m at least 90% certain that I’m dealing with seriously unscientific woo. The reason should be obvious to longtime readers of this blog or to anyone who has followed “alternative medicine” for a while, because “detoxification” is a mainstay of “alternative” treatments and quackery for such a wide variety […]