Categories
Antivaccine nonsense Medicine

Pertussis outbreaks and vaccine effectiveness

About a month ago, I deconstructed a typically dishonest and deceitful attempt by that Overlord of Quackery on the Internet (in my opinion, of course), Joe Mercola, to claim that the acellular pertussis vaccine doesn’t work. It was a typical Mercola bit of prestidigitation that, as so much antivaccine propaganda does, took a grain of […]

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Cancer Clinical trials Medicine Politics

No, Virginia, cancer care in Europe doesn’t suck, contrary to what a recent paper implies

The U.S. is widely known to have the highest health care expenditures per capita in the world, and not just by a little, but by a lot. I’m not going to go into the reasons for this so much, other than to point out that how to rein in these costs has long been the […]

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Medicine

Choosing Wisely when it comes to medicine

Over the years, I’ve written a lot about overdiagnosis and overtreatment. Basically, overdiagnosis is the diagnosis of a condition that, if left untreated, would very likely never cause the patient harm. Because I’m a cancer surgeon, I’ve almost always written about overdiagnosis in the context of–you guessed it–cancer, particularly breast cancer. In breast cancer, for […]

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Bioethics Complementary and alternative medicine Medicine

“Patient-centered care” vs. CAM in the New England Journal of Medicine

“Patient-centered care.” It’s the new buzzword in patient care. Personally, I find the term mor ethan a little Orwellian in that it can mean so many things. Basically, it’s a lot like Humpty Dumpty when he says to Alice, “When I use a word, it means just what I choose it to mean — neither […]

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Cancer Medicine

Oh, no, antiperspirants cause breast cancer! Well, not really…

As I’ve said before recently, I have mixed emotions regarding Breast Cancer Awareness Month. On the one hand, I look forward to it because it provides us with a pretext to get out science-based messages about breast cancer and to highlight a lot of the cool science that we do at our cancer center. On […]