Covering topics related to the Society and Science-Based Medicine.

MAY
01

New faux "Board Certification" announced for chiropractors

The "Council on Upper Cervical Care" recently announced a new "board certification" in "Craniocervical Junction Procedures" or "DCCJP. "This is, according to the Council, "the only postgraduate program that incorporates different upper cervical procedures." For the uninitiated, some background."Upper Cervical Care" is based on the belief that ...
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APR
29

Genital Acupuncture

That title will generate some hits. I have noted in the past that while purported to be effective for virtually every process, acupuncture, and all pseudo-sciences, cannot be used for birth control. Acupuncture is alleged to help with conception (it doesn't), but not prevention. I have never run across an explanation for this, although I suppose th...
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6283 Hits
APR
27

When ND's are PCP's

In dog years I turned 413 this week. Where did the time fly? I can still put on my socks in the morning standing on one foot, but that is about the last vestige of my youth that remains. Gone is hair, vision, and sanity. Years ago I remember reading (I think it was in the History of Civilization ) that there are some Sumerian clay tablets from 2000...
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4780 Hits
APR
24

A fool and her money . . .

Well, you know the rest. But the sheer amount of money being shelled out for "wellness" treatments by wealthy vacationers gives new meaning to the term. They are heading to hotel spas because they are, according to a recent article in the New York Times (" Want a Shaman With That Massage? ") "extremely stressed" and want to "feel and look rejuvenat...
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3933 Hits
APR
17

FTC goes after "natural" personal care products containing "synthetic" ingredients

What does "natural" mean? We know that it does not mean "healthy" or "safe." Then what, exactly, does it mean? Apparently, to the Federal Trade Commission, it means "not synthetic." Recently, four companies that market skin care products, shampoos and sunscreens have agreed to settle FTC charges that they falsely claimed their products are "al...
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3409 Hits
APR
13

A Little Chiropractic Physics: be wary when you F with the ma

A Newton , big N, is the measure of force. It is named after a famous fig cookie… not, sorry, a bit of misunderstanding. It is named after Issac Newton from the second law of motion. F = m*a. Force equal mass time acceleration. How much force does chiropractic generate with high-velocity-low-amplitude manipulations? They aim for about 400 to 600 Ne...
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3336 Hits
APR
10

Beware: It's World Homeopathy Awareness Week

​ Author's Note: I was not aware Mark Crislip would be writing about World Homeopathy Awareness Week until I was about to post this. In the spirit of celebrating homeopathy, the more the merrier. That should probably be the less the merrier, considering the subject, but anyway . . .  April 10th through April 16th is World Homeopathy Awareness ...
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APR
10

Celebrate Magic All Week

I have been quite ill with a viral syndrome since Tuesday. At least I thought it was a viral syndrome. As I was interminably  whinging about my symptoms to my resident, she noted what I really had was a man cold, something her husband suffers from. I had never heard of a man cold before, but a quick google revealed the truth behind the diagnos...
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2552 Hits
APR
08

Suffering from low p?

Statistics makes my head hurt. I took, and dropped, statistics once a year for 4 years in college. It wasn't the math. My undergraduate degree was physics. It was the concepts. Once they got past flipping a coin and a bell shaped curve, my brain froze. While statistics are important in medicine, they can be misleading. One of the clear concept...
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2384 Hits
APR
06

Lyme Treatment Update

One of the areas in which patients are wronged is chronic Lyme. There are two forms of chronic Lyme. One are those who have persisting symptoms after receiving standard therapy after a valid Lyme diagnosis. Persisting symptoms can occur after a variety of infections, from EBV to Q fever to Borellia . I suspect these patients have a pathol...
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3368 Hits
MAR
26

Attitude Adjustment

I have used several metaphors for the placebo effect: kissing a boo boo and beer goggles are my two favorite. Another would be attitude adjustment. As I keep repeating, placebos alter the subjective experience but not the objective pathology. This is shown in pain, as mentioned a few posts ago , where functional improvement occurs much le...
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2913 Hits
MAR
26

American chiropractors should follow Chiropractic Board of Australia standards

The Chiropractic Board of Australia, which regulates chiropractors in that country, recently issued a reminder that chiropractic advertisements need to conform to required standards. These prohibit any statement or claim that is "false, misleading or deceptive or create[s] an unreasonable expectation of beneficial treatment." The Boa...
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2587 Hits
MAR
25

Medicine Changes. Will Pseudo-Medicine?

Medicine changes. It is part of what makes the profession so difficult. I have been in practice for over a quarter of a century and what I do today is a pale imitation of my practice last century. Medicine may be slow at times to change, but change it does.  Data comes in, studies accumulate, and approaches to diseases should change ...
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2329 Hits
MAR
24

Pain improved but function stays the same. Did anything happen?

Reposted after a 3/22/16 site crash. Why do we hurt? Pain exists in part so we do not cause further trauma. If you have tennis elbow or low back back after an injury, it hurts and that pain prevents you from causing more damage. At least partly. Pain is odd. There can be a strong psychological component to pain and how it is perceived. As I have me...
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1930 Hits
MAR
21

Idaho bill would give chiropractors authority to prescribe "natural" remedies

​ House Bill 593 would give chiropractors the right to prescribe "natural" substances, some of them drugs, after obtaining a "Certificate in Specialized Clinical Nutrition." The bill would also expand the scope of practice for all Idaho chiropractors. Currrently, under Idaho law, chiropractors can "investigate, examine, and diagnose for any hu...
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3794 Hits
MAR
18

My Metaphor Was Lacking

Like any writer and educator, I like metaphors. A good metaphor can help clarify a topic and a great metaphor will be memorable. I have the arrogance to think that the information I have to share, both as an infectious disease doctor and as a blogger/podcaster, is actually important. I want my medical residents to remember what I have to say, as th...
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2950 Hits
MAR
16

Rat-Bastards

Rat-Bastards. Yes, I know the term is vulgar, but it is a great word. "A thoroughly despised or wretched person." It nicely sums up the opinion towards Big Pharma often held by fans of pseudo-medicine. And it is not that Big Pharma doesn't often deserve the designation. They do. Big Pharma has been found to participate in all number of nefarious an...
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3071 Hits
MAR
13

American Journal of Public Health publishes irresponsible article touting "potential public health benefits" of homeopathy

Just as homeopathy is approaching death's door in the United States , Australia and the U.K. , up pops this last-ditch effort at resuscitation in none other than the highly respected American Journal of Public Health : "Because of potential public health benefits associated with the use of homeopathy, further research on this modality and targeted ...
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4966 Hits
MAR
12

Oregon: From Physician Assisted Suicide to Death by Naturopath

The case of Ezekiel Stephan has been well described at Another child dead from quackery and Ezekiel Stephan: Another Pediatric Death by World View . The child, unvaccinated, first developed pneumonia, then empyema (an infection between the lung and chest wall) and then meningitis (an infection of the brain). As an Infectious Disease doctor I t...
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3354 Hits
MAR
11

NewsWeak's Understanding of Tech & Science

When I was a child there were three newsmagazines: Time, Newsweek, and US News and World Report. I suppose Time is still a going concern, it has been a while since I was at the dentist, the only time I think I ever see the magazine. US News exists to rank schools, hospitals, and other organization. And Newsweek?  I was surprised to see they ar...
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