Mark Crislip aka sbmsdictator.  The 'nym is an attempt at ironic humor. Not everyone sees it as such.


JAN
10
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Points of Interest: 1/9/2014

 

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JAN
08
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Scant hours spent do not a Doctor make

Training in Internal Medicine is 7 years (4 in Medical School, 3 in residency), about 19,000 hours. It takes another 5600 hours, an extra two years, to be an ID specialist, assuming an 8 hour day I do not think I ever worked in my life.

Not a single student is even remotely ready to take care of patients after 4 years of medical school much less after a year and a half. It is why we have residencies: so we can learn from our elders and (hopefully) betters how to care for the sick.

Even after residency and fellowship most doctors are competent, but it takes another 5 or 10 years to get good.

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JAN
07
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Points of Interest: 1/7/2014

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JAN
07
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First Day Live: Lots of Pain

I feel like 'Bones' McCoy.  Damn it Jim, I'm a doctor, not a programmer.  So it has been definitely proven I am not a flawless Joomla programmer.

There are a series of issues I will work on tonight:

1) ebook downloads.  I think I fixed the issue, but I have to go back and fix every ones permissions who paid for a membership.  It will hopefully be done tonight,

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JAN
06
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Friends, Koreans, countrymen. Lend me your ears.

Certainly this is the case where ear acupuncture was used as an adjunct to weight loss and found to be effective, only if you lend credence to terribly done clinical trials. Almost every error that could be applied to a study, was.

Patients received 5 point ear acupuncture, 1 point ear acupuncture or sham acupuncture for 8 weeks:

Those who received five-point acupuncture had needles placed 2 millimeters deep in one outer ear taped in place and kept there for a week. Then the same treatment was applied to the other ear... Other patients received similar treatment with one needle or with sham acupuncture where the needles were removed immediately after insertion.

 I suspect that there was such a high drop out in the sham treatment as because they knew they were not getting acupuncture. A lousy placebo renders an already  silly and poorly done trial completely meaningless, like most of the acupuncture trials.  

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© SfSBM

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JAN
05
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Points of Interest: 1/5/2014

  • The Ethical Case Against Homeopathy.  I have wondered if all of complementary and alternative pseudo-medicine is unethical since they are not based on realtiy and efficacy, such as it is, requires deception. 
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JAN
04
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Science-Based Medicine Delivers

 

Then another brief flurry of hope with double drug therapy that was followed by an almost tangible sense of depression and sadness in those who took care of HIV patients. No matter what we did the virus mutated and the disease progressed.

Then there was triple drug therapy and I remember thinking, well, this may add a couple months but the virus will mutate again, and people will die.  Nope.

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Copyright

© 2014

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JAN
04
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Points of Interest: 1/3/2014

What we have to look forward to if unvaccinated:

"As healthy as my lifestyle seemed, I contracted measles, mumps, rubella, a type of viral meningitis, scarlatina, whooping cough, yearly tonsillitis, and chickenpox, some of which are vaccine preventable. In my twenties I got precancerous HPV..."

Read the entire article about Growing up without Vaccines

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JAN
02
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Points of Interest: 1/2/2014

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JAN
02
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Popcorn

I found an announcement for a lecture on homeopathy and the speaker is going to give free door prizes as follows:

• An emergency homeopathy kit, valued at $100;

• An international travel homeopathy kit, valued at $165;

• A family homeopathy, kit valued at $250.
 
Harriet Hall has discussed these kits and they contain nothing that could have any efficacy, although I cannot find the exact contents of the kits offered here.
 
That is a serious chunk of change for collection of virtually nothing.  It would make a nice charitable donation or business expense on the tax form.  I wish my water was worth that much, and I drink Bull Run water, best in the world. 
 
I wonder how Oscar would have categorized homeopathic products.
 
 
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© 2014

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JAN
01
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Day One. The First Blog Entry

It occurred  to me that most of the efforts concerning Science-Based Medicine (SBM) have been accomplished by individuals.  When these individuals die their work often dies with them.  Organizations can be resilient and continue long after their original membership is gone.  Organizations can keep the past alive so that each generation does not have to reinvent the efforts of those who proceeded them.  I want all the work and effort of SBM to live. Forever.

I also think the issues around SBM are more important than the limited attention provided by other organizations, both medical and skeptical. While medical and skeptical organizations are concerned  with issues surrounding SBM and the ever expanding influence of Integrative, Supplements, Complementary and Alternative Medicine (iSCAM), it is usually peripheral to their main mission.

In medicine there are often organizations devoted to specialized areas of interest and they add to, not detract, from more broad-based organizations.  There are, for example, organizations devoted to Internal Medicine, Infectious Diseases (a subset of Internal Medicine) and fungi or endocarditis (both subsets of Infectious Diseases).  All these organizations enhance the understanding and participation in medicine and allow for those with specialty interests to participate and those areas of interest.  Similarly we hope this organization enhances the both the medical and skeptical communities.

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DEC
31
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7 +/- 2 Paragraphs of Idle Thoughts

One of the issues I have with writing for the Science-Based Medicine Blog is repetition.  If I have covered a topic in the past I feel I should not have to write about it again. But I have realized that while everything is available on the internet, it can be difficult to find and impossible to remember. People coming upon this blog for the first time will have no idea what preceded it and it is unlikely they will go back to read the old entries.  So repetition will be good. The assumption will be that each entry is an island, unique onto itself.  The issue will not be how many times can we demonstrate that, for example, homeopathy is uber-goofy, but how we can do so in a unique and memorable manner.  I have given myself a challenge.  Wish us luck.

I have worked at the same position for 23 plus years and there is only one other doc who has practiced as long in my hospital.  I have an institutional memory and remember the old days, when there were no CT scans, cephalosporins had two generations, and there was no electronic medical records.  I anticipate the Society will be a repository of Science-Based Medicine memory.  Every generation will have to renew the battle against pseudo-medicine, but hopefully the Society will be a scaffold upon which they can build.

The blog will be mostly about medicine and pseudo-medicine: how the former, despite the flaws inherent in every human endeavor, delivers and how the later, because of the flaws inherent in every human endeavor, does not.

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DEC
02
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Short Attention Span

I write this entry on December 2, 2013 and work on the first iteration of the site is almost done.

The purpose of the Society Blog?

I see it has having three components.

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