On Saturday, The Washington Post broke a story that Trump administration will prohibit officials at the CDC from using a list of seven words or phrases — including “transgender,” “evidence-based,” and “science-based” — in official documents being prepared for next year’s budget. Although the Trump administration furiously backpedaled over the weekend and it now appears that HHS was the source of the edict, this an ominous indication that the Trump administration will attempt to impose ideology on the most important public health agency in the federal government.
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The Pathological Optimist is a recently released documentary by Miranda Bailey about Andrew Wakefield that I got a chance to see. In interviews and in the film’s promotional materials, Bailey takes great pains to emphasize that she “doesn’t take a side” about Wakefield. Unfortunately, her film demonstrates that, when it comes to pseudoscience, “not taking a side” is taking a side, and that a film’s bias is often more evident in what is not shown and told than in what is.
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Cancer quackery, particularly the false hope it engenders in cancer patients, infuriates me. Earlier this week The Sun published an article suggesting that a form of quackery called the Berkson protocol allowed a mother with metastatic pancreatic cancer to survive unexpectedly long enough to see her daughter married. It almost certainly did nothing of the sort.
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Last week, the results of ORBITA were published. This clinical trial tested coronary angioplasty and stenting versus optimal medical management in patients with single-vessel coronary artery disease. It was a resoundingly negative trial, meaning that adding stenting to drug management didn’t result in detectable clinical improvement. What was distinctive about this trial is that it used a sham procedure (i.e., placebo) control, which few trials testing surgery or a procedure use. The results of ORBITA emphasize how important sham procedure controls are, whenever they can be ethically used, and how resistant physicians can be to change.
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There’s one phenomenon I’ve never been able to figure out, namely antivaccine pediatricians. For a pediatrician, to be antivaccine is a profound betrayal of everything learned in medicine and a betrayal of patients. Here’s another antivaccine pediatrician, one I have never encountered before. Special bonus quack points: She’s a homeopath, too.
