Log in to search using one of your social media accounts:

 

Stop the war against patients with intractable pain
An open letter to doctors still prescribing opioid medication when necessary: Thank you so much for standing up for us pain patients. My chronic pain comes from a genetic connective tissue disorder (Ehlers-Danlos Syndrome), so there is no treatment or cure for my slow, but relentless, physical deterioration as the collagen holding my body together falls apart. I, like so many other pain patients, spent years (1982-1995) trying other therapies (yoga, acupuncture, chiropractic, diets, supplements, PT, lots of exercise) and non-opioid drugs (anti-epileptics and antidepressants) with horrible intolerable side effects. Continue...
Source: Kevin, M.D. - Medical Weblog - July 10, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/angelika-byczkowski" rel="tag" > Angelika Byczkowski < /a > Tags: Patient Pain management Source Type: blogs

Here ’s something completely different for low back pain
Follow me on Twitter @RobShmerling It’s a question that has challenged generations of patients and their doctors. The answer has changed over the years. When I was in medical school in the early 1980s, bedrest for a week or more was often recommended for severe back pain. This sometimes included hospital admission. Then, research demonstrated that prolonged bedrest was actually a bad idea. It was no better (and often worse) than taking it easy for a day or two followed by slowly increasing activity, including stretching and strengthening the back. Medications, including pain relievers, non-steroidal anti-inflammatory...
Source: Harvard Health Blog - July 6, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Back Pain Complementary and alternative medicine Health Injuries Pain Management Source Type: blogs

Yes, I ’ve tried that too: When well-intentioned advice hurts
There’s a certain response I have come to expect whenever I share with someone that I suffer from chronic pain. “You should try acupuncture or yoga,” the person will say, often without asking me first if I have actually tried either. I have learned to take such suggestions with a grain of salt, seeing them for what they are: a well-meaning, if usually uninformed, attempt to help me get better. But it’s hard not to feel slighted by these responses, even if the underlying intentions are sincere. When the hair-trigger reaction to me sharing my medical issues is usually to automatically recommend some s...
Source: Harvard Health Blog - June 29, 2017 Category: Consumer Health News Authors: Laura Kiesel Tags: Behavioral Health Mental Health Pain Management Source Type: blogs

Emergency acupuncture! (2017 edition)
For whatever reason, acupuncturists and acupuncture believers think that acupuncture can be useful in emergency situations. They even do studies purporting to show that. This is yet another of such a clinical trial, albeit larger than usual. Guess what? It doesn't really show what it's advertised to show. (Source: Respectful Insolence)
Source: Respectful Insolence - June 20, 2017 Category: Surgery Authors: Orac Tags: Clinical trials Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture ankle sprain emergency room low back pain migraine quackademic medicine Source Type: blogs

More on Olivia
I am beginning to think I am her fan or something as this is my third post about her.... but once again I am blogging about Olivia Newton John and her cancer recurrence. I have another problem with her and her recurrence. This is it in her statement about what her plans are for recurrence:" I decided on my direction of therapies after consultation with my doctors and natural therapists... "Her plan is to focus on radiation and natural therapies.... I don't have a problem with natural therapies but I do have a problem with their use without additional medical therapies.I used to work with a woman who was diagnosed...
Source: Caroline's Breast Cancer Blog - June 4, 2017 Category: Cancer & Oncology Tags: alternative medicine cancer treatment Source Type: blogs

Quackery invades another once science-based journal
As quackery in the form of “integrative medicine” has increasingly been “integrated” into medicine, medical journals are starting to notice and succumb to the temptation to decrease their skepticism. The BMJ, unfortunately, is the latest to do so. It won’t be the last. (Source: Respectful Insolence)
Source: Respectful Insolence - May 30, 2017 Category: Surgery Authors: Orac Tags: Clinical trials Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture quackademic medicine systematic review The BMJ Source Type: blogs

Tell the FDA not to embrace quackery: Write to oppose its proposal on acupuncture and chiropractic for chronic pain
Chiropractors and acupuncturists have lobbied for a greater role in treating pain. They might well have won it. Last week, the FDA released proposed changes Wednesday to its blueprint on educating health care providers about treating pain, which now recommend that doctors learn about chiropractic care and acupuncture as therapies that might help patients avoid opioids. There’s still time to stop this, but you have to write the FDA. (Source: Respectful Insolence)
Source: Respectful Insolence - May 22, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Politics Pseudoscience Quackery Skepticism/critical thinking acupuncture Chiropractic chronic pain fda opioid opioid addiction regulation Source Type: blogs

Acupuncture versus science, acupuncture apologist edition
In the Journal of Integrative Medicine, acupuncturists argue for modernizing acupuncture by uncoupling it from its traditional Chinese medicine background and avoiding the mystical language about qi and meridians. Hilarity ensues, because acupuncture can't be separated from the prescientific mysticism from which it arose. (Source: Respectful Insolence)
Source: Respectful Insolence - May 19, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture Ted Kaptchuk tongue diagnosis traditional Chinese medicine Source Type: blogs

Acupuncture versus science, linguistic edition
In the Journal of Integrative Medicine, acupuncturists argue for modernizing acupuncture by uncoupling it from its traditional Chinese medicine background and avoiding the mystical language about qi and meridians. Hilarity ensues, because acupuncture can't be separated from the prescientific mysticism from which it arose. (Source: Respectful Insolence)
Source: Respectful Insolence - May 19, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture Ted Kaptchuk tongue diagnosis traditional Chinese medicine Source Type: blogs

Acupuncturists mistake insufficient rigor for bias against them
Acupuncturists complain that the UK's National Institute for Health and Care Excellence (NICE) recommends treatments for knee osteoarthritis for which the evidence is weak. They think that means that NICE should also accept acupuncture. In reality, it means that NICE should stop recommending treatments without support by strong scientific evidence. (Source: Respectful Insolence)
Source: Respectful Insolence - May 15, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture clinical trials National Institute for Health and Care Excellence NICE Popular Science Source Type: blogs

Acupuncture: A point in the right direction, or a stab in the dark?
Acupuncture is a treatment that dates back to around 100 BC in China. It is based on traditional Chinese concepts such as qi (pronounced “chee” and considered life force energy) and meridians (paths through which qi flows). Multiple studies have failed to demonstrate any scientific evidence supporting such principles. Acupuncture involves the insertion of thin needles into the skin at multiple, varying locations based on the patient’s symptoms. Once inserted, some acupuncturists hand turn the needles for added therapeutic benefit. Although there are many uses for acupuncture in traditional Chinese medicin...
Source: Harvard Health Blog - May 3, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Complementary and alternative medicine Headache Health Pain Management Source Type: blogs

Old wine poured into a newer skin: The Society for Integrative Oncology updates its clinical guidelines for breast cancer
Just over two years ago, the Society for Integrative Medicine issued clinical guidelines for breast cancer care. Now it's updated them. Unfortunately, mixing cow pie with apple pie for a little longer doesn't make the cow pie any better than it was last time. (Source: Respectful Insolence)
Source: Respectful Insolence - May 2, 2017 Category: Surgery Authors: Orac Tags: Cancer Clinical trials Complementary and alternative medicine Homeopathy Naturopathy Quackery acupuncture breast cancer Dugald Seely Heather Greenlee integrative medicine integrative oncology society for integrative oncology Suza Source Type: blogs

In pain? Many doctors say opioids are not the answer - Salon.com
Those of you who have experienced pain, especially gnawing, chronic pain, know that it affects your happiness, outlook and ability to function.In the past couple of years, the treatment of chronic pain has undergone an earthshaking transformation as opioid addiction continues to claim — and ruin — lives.Many primary care doctors no longer liberally prescribe opioid painkillers such as oxycodone, fentanyl and hydrocodone for back pain, migraines and other chronic conditions. Instead, they are increasingly turning to alternative medications and non-drug options such as acupuncture and physical therapy."Most ...
Source: Psychology of Pain - April 16, 2017 Category: Anesthesiology Source Type: blogs

If you have low back pain try these steps first
Low back pain, the scourge of mankind: it is the second leading cause of disability here in the United States, and the fourth worldwide. It’s also one of the top five medical problems for which people see doctors. Almost every day that I see patients, I see someone with back pain. It’s one of the top reasons for lost wages due to missed work, as well as for healthcare dollars spent, hence, a very expensive problem. Looking at two kinds of back pain Let’s talk about the most common forms of back pain: acute (which lasts less than four weeks) and subacute (which lasts four to 12 weeks). Most of these cases ...
Source: Harvard Health Blog - April 3, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Back Pain Managing your health care Pain Management Source Type: blogs

Why patients feel abandoned by IVF doctors when their cycle fails
I just got this email from a patient.Dear Dr Malpani, I have read your article online and am very much interested on any updates on your article or challenge to Clear Passage Therapy .I have seen this Clinic referred to me by Natural Fertility online and so I went to their website and started the application process including the submission of my medical history. I have gone thru 3 failed IVFs (2 fresh (w/ DNA bx of embryo) and 1 FET cycles), 1 natural pregnancy in between 1 IVFs, all miscarried on 5th week, 10th week, 0 pregnancy on my last IVF w/ DNA. I was diagnosed by my Fertility Doctor at Kaiser with Right ...
Source: Dr.Malpani's Blog - April 2, 2017 Category: Reproduction Medicine Source Type: blogs

The quackery that is “ battlefield acupuncture ” continues to metastasize
"Battlefield acupuncture," which is really a form of ear acupuncture based essentially on a homunculus on the ear, continues to invade and metastasize in the military. (Source: Respectful Insolence)
Source: Respectful Insolence - March 29, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture battlefield acupuncture rapid acupuncture Richard Niemtzow Veterans Administration Source Type: blogs

“ Dr. Seuss monsters ” : The quackery that is “ battlefield acupuncture ” continues to metastasize
"Battlefield acupuncture," which is really a form of ear acupuncture based essentially on a homunculus on the ear, continues to invade and metastasize in the military, complete with Dr. Seuss monsters. (Source: Respectful Insolence)
Source: Respectful Insolence - March 29, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture battlefield acupuncture Patricia Macsparran rapid acupuncture Richard Niemtzow Veterans Administration Source Type: blogs

Adventures in bad veterinary medicine reported by the local media (2017 edition)
Just because people think that sticking needles into their meridians will somehow unblock their qi and fix whatever ails them doesn't mean it's OK to inflict the same nonsense on our pets. Unfortunately, a local TV station disagrees. (Source: Respectful Insolence)
Source: Respectful Insolence - March 28, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture dog Mike Petty Priya Mann Steve Garagiola veterinarian WDIV Source Type: blogs

The feds say restrict opioid use. Now what?
The federal government has declared, through its major health policy agencies, that the number of pain patients on opioids and the dosages they are on should be severely restricted.  The Center for Disease Control (CDC), Veteran’s Administration (VA) and Centers for Medicare and Medicaid Services (CMS) have all issued new guidelines within the past year to that effect.  Private insurers are following suit, in many cases refusing to pay for high dose opioids. More recently, the American College of Physicians issued new guidelines for the treatment of low back pain that recommend using nonpharmacological ther...
Source: Kevin, M.D. - Medical Weblog - March 15, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/cindy-perlin" rel="tag" > Cindy Perlin, LCSW < /a > Tags: Meds Pain management Source Type: blogs

IVF patients need to learn that doctors don't have all the answers
Dear Dr Malpani,I read your recent email with interest, as it relates directly to me.After 5 years of IVF and only one successful transfer, which occurred last year at the age of 49 (2016) and I was pregnant for 11 weeks. Unfortunately the embryo failed at 11 weeks due to Edwards syndrome, but these were my own eggs from about age 46.Since this, I have now done two transfers with donor eggs (23 year old donor) and neither has worked.The only successfully pregnancy I had involved a treatment protocol designed by a fertility immunologist, as a result of extensive and expensive blood tests in the US (exactly a you describe - ...
Source: Dr.Malpani's Blog - March 13, 2017 Category: Reproduction Medicine Source Type: blogs

Medical Marijuana Saves Lives
With so many political crises to attend to daily, it’s hard not to let important issues fall by the wayside. However, with the unveiling of the Republican plan to reform the Affordable Care Act (ACA) and the powerful opposition to that plan, nothing is being done to address the opioid abuse epidemic our nation faces. Every day we turn our attention to other matters, Americans die of overdose. But there is something we can do while the national debate on health insurance rages – encourage the use of medical marijuana for pain sufferers. More than half the states in the nation and the District of Columbia have l...
Source: Cliffside Malibu - March 13, 2017 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

What To Ask Your Doctor (and Why) When You ’ ve Been Diagnosed With Lung Cancer
Heather Mannuel, MD, MBA is an Assistant Professor of Medicine at the University of Maryland School of Medicine and a Medical Oncologist at the University of Maryland Greenebaum Comprehensive Cancer Center.  Below are a few questions she says to ask your doctor when you’ve been diagnosed with lung cancer, and why they’re important to ask. What kind of lung cancer is this? Lung cancers are divided into small cell and non-small cell types, and the treatment is very different for each of these. What is my stage? The stage helps to give information on whether the cancer is only in the lung or whether it h...
Source: Life in a Medical Center - February 27, 2017 Category: Universities & Medical Training Authors: Chris Lindsley Tags: Cancer Source Type: blogs

The Alt-Right and Alt-Med
I’ve suddenly come to realize that a rising political group, the so-called “Alt-Right” (basically nothing more than “…white supremacists who have repackaged the hate and served it up in a more palatable form for human consumption…“) and much of the “Alt Med” movement (including purveyors and proponents of alternative, complementary, integrative, functional, holistic, and assorted other terms for quackery through the years) have a lot in common. Both operate in fact-free zones. Reality doesn’t seem to matter to either of them. Immigrants are objectively not strea...
Source: Musings of a Dinosaur - February 21, 2017 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs

The American College of Physicians integrates quackery with medicine in its recommendations for managing back pain
One of the overarching themes of this blog, if not the overarching theme, is to expose and combat the infiltration of quackery into medicine. What I’m referring to, of course, is the phenomenon that’s risen over the last 25 years or so in which various pseudoscientific alternative medicine therapies (but I repeat myself) have found… (Source: Respectful Insolence)
Source: Respectful Insolence - February 14, 2017 Category: Surgery Authors: Orac Tags: Clinical trials Complementary and alternative medicine Quackery Science Skepticism/critical thinking acupuncture American College of Physicians integrative medicine low back pain massage NSAIDs Source Type: blogs

Prescription Lies: Five Myths about Prescription Pain Killers
When you’re in pain, you’re willing to do whatever it takes to feel better. For Americans diagnosed with chronic pain, getting a prescription for an opioid-based pain killer can seem like the only way to regain day-to-day function. But in desperation to find a treatment that effectively manages chronic pain, patients may rush into a treatment plan that fails to live up to their expectations or even meet their medical needs. Here are five of the biggest myths about prescription pain killers and the surprising truths about the drug they conceal. Prescription pain killers are a permanent solution for chronic pai...
Source: Cliffside Malibu - February 12, 2017 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

An infertile patient's secret thoughts, worries and fears
This is a guest post from a very thoughtful patient of ours.It describes very eloquently the worries and fears which prey on an infertile patient's mind. It's very hard to discuss them with anyone, and bottling them up just makes things worse !--------------------------------------------------------------------------------------------------------------------------Isn't it a paradox that when India and world's population is exploding at alarming rate; here I am ,struggling to have a single child for 5 long years and with no idea when the struggle will really end.I am being treated at Malpani's and yesterday the doctor urged...
Source: Dr.Malpani's Blog - February 6, 2017 Category: Reproduction Medicine Source Type: blogs

Alternative medicine for premature ejaculation? Surprise, surprise! It doesn ’ t work.
I must admit that the last couple of weeks have been rather grim here on the old blog. Betweemn Donald Trump’s White House spewing , an unfortunate patient embracing quackery, pseudoscience at the VA, and more. So it is that I feel as though it might not be a bad idea to step back for… (Source: Respectful Insolence)
Source: Respectful Insolence - February 1, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Paranormal Pseudoscience Quackery Skepticism/critical thinking acupuncture premature ejaculation systematic review traditional Chinese medicine Source Type: blogs

Quackery at the VA: Our veterans deserve real medicine, not fake medicine
A reader recounts his tale of being referred for fake medicine at a VA facility. Unfortunately, the VA seems to be papering over its lack of resources in the same way that Chairman Mao did in the 1950s, by "integrating" fake medicine with real medicine. (Source: Respectful Insolence)
Source: Respectful Insolence - January 27, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Naturopathy Quackery acupuncture battlefield acupuncture energy medicine fake medicine healing touch Richard Niemtzow Veterans Administration Source Type: blogs

No, torturing colicky infants by sticking them with acupuncture needles won ’ t calm them
So I was distracted yesterday from what I had intended to write about by an irresistible target provided me courtesy of Toby Cosgrove, MD, CEO of The Cleveland Clinic, who bemoaned all those nasty pro-science advocates who had had the temerity to link the antivaccine rant by the director of the Clinic’s Wellness Institute to… (Source: Respectful Insolence)
Source: Respectful Insolence - January 19, 2017 Category: Surgery Authors: Orac Tags: Bioethics Clinical trials Complementary and alternative medicine Popular culture Quackery Skepticism/critical thinking acupuncture colic infant Source Type: blogs

Interstate Insurance Sales: Wishful thinking, Or A Viable Policy Option?
Anyone who followed the recent election cycle knows that President-elect Donald Trump made “repeal and replace” a cornerstone of his campaign — referring, of course, to the Affordable Care Act (ACA). He, like Mitt Romney and John McCain did in their respective bids for the presidency, has proposed permitting insurers to sell insurance plans across state lines as a possible alternative to the ACA, or at least as a component of a potential alternative. In this post, we’ll take a look at the possible advantages of allowing interstate insurance sales, as well as the reasons opponents say such a policy s...
Source: Health Affairs Blog - January 18, 2017 Category: Health Management Authors: John Marchica Tags: Costs and Spending Featured Insurance and Coverage Public Health interstate insurance section 1333 Source Type: blogs

An acupuncturist attacks “ pseudoskeptics ” on Wikipedia. Hilarity ensues.
Back in the day, quacks and cranks liked Wikipedia. Because anyone can become an editor on Wikipedia, they assumed that they could just sign up to edit Wikipedia pages and change them to reflect their views on alternative medicine or whatever other pseudoscientific topic they believed in. When Wikipedia first emerged on the scene, I… (Source: Respectful Insolence)
Source: Respectful Insolence - January 4, 2017 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture Jimmy Wales Michael Cummings pseudoskepticism Wikipedia Source Type: blogs

Breaking Down The Final 2018 Letter To Issuers
Editor’s note: The final 2018 Letter To Issuers In The Federally Facilitated Maketplaces, discussed below, was issued in conjunction with the final 2018 Benefit and Payment Parameters rule, discussed here and here. On December 16, 2016, the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) released its final 2018 Letter to Issuers in the Federally Facilitated Marketplaces (FFM). CMS releases a letter each year to insurers that offer coverage through the FFM or through state-based marketplaces that use the Healthcare.gov platform (SBM-FP), laying out the ground ...
Source: Health Affairs Blog - December 19, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Payment Policy Source Type: blogs

Trump Is Right & His Critics Are Wrong: Let Consumers, Employers Buy Insurance Across States Lines
An important part of Donald Trump ’s health care agenda is his pledge to let consumers and employers avoid unwanted regulatory costs by purchasing insurance licensed by states other than their own, a change that would make health insurance both more affordable and more secure. The Congressional Budget Office has estimated that allowing employers to avo id these unwanted regulatory costs would reduce premiums an average of 13 percent. That’s a nice contrast to what Bill Clinton calls ObamaCare’s “crazy system where…people [who] are out there busting it, sometimes 60 ho...
Source: Cato-at-liberty - December 8, 2016 Category: American Health Authors: Michael F. Cannon Source Type: blogs

Focus Like a Ninja: How to Reduce Stress and Sharpen Your Mind
You're reading Focus Like a Ninja: How to Reduce Stress and Sharpen Your Mind, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. Our desire to be more focused, to produce more, to think better, and to find clarity in our lives is often attacked from the angle of looking at our mind and how our brains can be adjusted or medicated or sharpened in some way. But, the truth of the matter is, that as a culture, we are under a huge amount of stress that degrades the quality of our thinking and our lives and it simply can’...
Source: PickTheBrain | Motivation and Self Improvement - November 29, 2016 Category: Consumer Health News Authors: TheWellLife Tags: featured self improvement Briana Borten consciousness Dr. Peter Borten energy how to focus how to reduce stress mental health pickthebrain reduce anxiety The Well Life The Well Life book Source Type: blogs

Acupuncture: Getting the point
I’ve frequently written about what I like to refer to as “quackademic medicine,” defined as the infiltration of outright quackery into medical academia, particularly medical schools and academic medical centers. There’s no doubt that it’s a significant problem as hallowed institutions like Memorial Sloan-Kettering Cancer Center embrace nonsense, pseudoscience, and quackery in the name of… (Source: Respectful Insolence)
Source: Respectful Insolence - November 17, 2016 Category: Surgery Authors: Orac Tags: Clinical trials Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking Sports acupuncture EXPERIENCE L!FE qi quackademic medicine Selene Yeager traditional Chinese medicine Source Type: blogs

What exactly is cupping?
Follow me on Twitter @RobShmerling The 2016 summer Olympics had its share of exciting performances, upsets, and photo finishes. But for days after Michael Phelps’s first appearance at the games, it seemed all anyone could talk about was “cupping.” It’s an ancient therapy that left multiple circular discolorations on his skin. During “dry cupping,” suction is applied to the skin for several minutes; sometimes it is combined with massage, acupuncture, or other alternative therapies. (“Wet cupping” is similar except that blood is removed by making small cuts in the skin.) Cuppin...
Source: Harvard Health Blog - September 30, 2016 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Complementary and alternative medicine Source Type: blogs

Has another celebrity embraced quackery?
I never in a million years thought I’d be writing a blog post involving Selena Gomez. Gomez, as many, if not most, of you are probably aware is currently a young pop star and actress who got her start as a child actress. Oddly enough, she was on Barney & Friends with Demi Lovato. These… (Source: Respectful Insolence)
Source: Respectful Insolence - September 20, 2016 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Music Popular culture Quackery acupuncture chelation lupus naturopathy pop music SLE systemic lupus erythematosus traditional Chinese medicine Source Type: blogs

You, too, can measure your nutrient levels using an iPhone and a giant stylus on your acupuncture points
In the early days of this blog, I came up with a concept. That concept was based on the idea that on Friday I would try hard not to be so serious. On Fridays, I would seek out the finest woo in the world and aim a bit of my not-so-Respectful Insolence. Thus was born… (Source: Respectful Insolence)
Source: Respectful Insolence - September 13, 2016 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Friday Woo Quackery acupuncture bio-energy regulatory technique bioelectric functions diagnosis computerized electrodermal stress analysis Electroacupuncture according to Voll electrodermal screening Source Type: blogs

NCCIH: Co-opting “ nonpharmacologic ” treatments for pain as being “ alternative ” or “ complementary ”
I’ve been critical of the National Center for Complementary and Integrative Health (NCCIH), which was until relatively recently known as the National Center for Complementary and Alternative Medicine (NCCAM) ever since I first discovered that it existed, lo, these many years ago. When I first discovered NCCIH, what struck me is how much pseudoscience it… (Source: Respectful Insolence)
Source: Respectful Insolence - September 12, 2016 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Politics #talkpain acupuncture chronic pain fibromyalgia low back pain National Center for Complementary and Alternative Medicine National Center for Complementary and Integrative Health NCCAM NCC Source Type: blogs

Review Examines Clinical Trial Evidence on Complementary Approaches for Five Painful Conditions | NCCIH
A review of evidence from clinical trials shows that a variety of complementary health approaches —including acupuncture, yoga, tai chi, massage therapy, and relaxation techniques—hold promise for helping to manage pain. The review, conducted by the National Center for Complementary and Integrative Health, was published in the journal Mayo Clinic Proceedings.Painful conditions are the most common reasons why American adults use complementary health approaches, on which they spend more than $30 billion yearly. About 40 million American adults experience severe pain in any given year, and they spend mor...
Source: Psychology of Pain - September 3, 2016 Category: Anesthesiology Source Type: blogs

Simulympics
SimWars! Huh! Yeah! What are they good for? Err… absolutely nothing. Enter Simulympics: The format: two sweaty, blood-spattered, MRSA-encrusted teams of four. From two of Queensland’s busiest and feistiest emergency departments. Side-by-side, 40 minutes against the clock. An obstacle course of broken body parts, spurting arteries and crunching ribs (made out of finest Laerdal plastic). And a very difficult judging panel: all critical, and no care. The only choking will be in the form of obstructed airways. If you want to see the spectacle, bag yourself one of the last 20 tickets for the Spring Seminar on...
Source: Life in the Fast Lane - August 31, 2016 Category: Emergency Medicine Authors: Jo Deverill Tags: Education Emergency Medicine Spring Seminar on Emergency Medicine SSEM Source Type: blogs

Cupping: bruises for the gullible, and other myths in sport
This is my version of a post which I was asked to write for Indy Voices. It’s been published, though so many changes were made by the editor that I’m posting the original here (below). Superstition is rife in all sports. Mostly it does no harm, and it might even have a placebo effect that’s sufficient to make a difference of 0.01%. That might just get you a medal. But what does matter is that superstition has given rise to an army of charlatans who are only to willing to sell their magic medicine to athletes, most of whom are not nearly as rich as Phelps. So much has been said about cupping during the l...
Source: DC's goodscience - August 10, 2016 Category: Science Authors: David Colquhoun Tags: acupuncture Anti-science badscience Bait and switch CAM Quackery Sports alternative medicine antiscience chiropractic cupping health fraud sports medicine TCM Traditional Chinese medicine Source Type: blogs

Research and Reviews in the Fastlane 146
This study looked at the 111 (19%) that had an isolated fat pad (anterior sail sign and/or posterior fat pad) but no other injuries seen on the x-ray. The standard practice for these patients was an elastic bandage and a sling, with orthopaedics follow-up in 1 week. (Where I work, children generally get a plaster splint, as we are concerned about occult supracondylar fractures.) At the 1 week follow up, there were no significant injuries identified, although they did not routinely get follow-up x-rays. Only 1 patients was transitioned to a cast because of ongoing pain. Unfortunately, they did lose 17% of the patients to fo...
Source: Life in the Fast Lane - August 10, 2016 Category: Emergency Medicine Authors: Justin Morgenstern Tags: Education Emergency Medicine Orthopedics Pediatrics R&R in the FASTLANE Trauma EBM literature recommendations research and reviews Source Type: blogs

Emergency acupuncture!
Many are the bizarre, dubious, and downright crappy acupuncture studies that I’ve deconstructed over the years. Just type “acupuncture” into the search box of this blog, and you’ll soon see. (If that pulls up too many results, try typing “acupuncture” and “study” or “acupuncture” and “clinical trial” in the search box.) I’m not the only… (Source: Respectful Insolence)
Source: Respectful Insolence - August 2, 2016 Category: Surgery Authors: Orac Tags: Clinical trials Complementary and alternative medicine Pseudoscience Quackery Skepticism/critical thinking acupuncture adenosine emergency room endorphins pain management Source Type: blogs

The VA and Dr. Tracy Gaudet: Integrating quackery into the care of veterans
I was originally going to write this post for the 4th of July, given the subject matter. However, as regular readers know, I am not unlike Dug the Dog in the movie Up, with new topics that float past me in my social media and blog reading rounds serving as the squirrel. But never let… (Source: Respectful Insolence)
Source: Respectful Insolence - July 25, 2016 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Politics Quackery acupuncture post-traumatic stress disorder PTSD traditional Chinese medicine VA Veterans Administration Source Type: blogs

Quackademic medicine and acupressure at my alma mater
Given the study that I’m going to discuss, I can’t help but start out with a brief (for me) reminiscence. Longtime readers know that I graduated from the University of Michigan Medical School in the late 1980s. Back when I attended U. of M., its medical school was considered stodgy and hard core even by… (Source: Respectful Insolence)
Source: Respectful Insolence - July 13, 2016 Category: Surgery Authors: Orac Tags: Clinical trials Complementary and alternative medicine Quackery acupressure acupuncture quackademic medicine traditional Chinese medicine university of michigan Source Type: blogs

What’s the harm? Cupping edition
There are so many ridiculous alternative medicine treatments being “integrated” via “integrative” medicine into medicine, no matter how ridiculous they are, that it’s not only hard to believe, but it’s hard to keep track. Homeopathy is, of course, the most ridiculous, although “energy medicine” definitely gives homeopathy a run for its money in the Department… (Source: Respectful Insolence)
Source: Respectful Insolence - July 1, 2016 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Homeopathy Naturopathy Quackery acupuncture burn cupping PTSD traditional Chinese medicine Source Type: blogs

What ’ s the harm? Cupping edition
There are so many ridiculous alternative medicine treatments being “integrated” via “integrative” medicine into medicine, no matter how ridiculous they are, that it’s not only hard to believe, but it’s hard to keep track. Homeopathy is, of course, the most ridiculous, although “energy medicine” definitely gives homeopathy a run for its money in the Department… (Source: Respectful Insolence)
Source: Respectful Insolence - July 1, 2016 Category: Surgery Authors: Orac Tags: Complementary and alternative medicine Homeopathy Naturopathy Quackery acupuncture burn cupping PTSD traditional Chinese medicine Source Type: blogs

Just take a pill!
I've written quite a bit here about chronic pain. As your humble correspondent has written many times, long-term opioid use is not just dangerous, it is ineffective. And most people don't benefit from other pharmaceutical treatments. They might be worth a try, but if you do have chronic pain of neurogenic origin, you will probably need what we call a bio-psycho-social approach. That means learning how not to let pain get the better of you. Physical therapy, graded exercise, cognitive behavioral therapy, all can help.I don't buy the full menu of non-pharmaceutical options listed by NYT reporters Meier and Goodnough -- acupu...
Source: Stayin' Alive - June 24, 2016 Category: American Health Source Type: blogs