Science-Based Medicine: Guide to Quackademic Medicine

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  2. Science-Based Medicine: Guide to Quackademic Medicine
  3. More Books by Steven Novella
  4. Trumpism and the Bigotry of the Antagonists to Integrative Medicine and Health | HuffPost Life

In my opinion, they are misguided. That is an admirable and unobjectionable goal, but it has been distorted in practice. The results of clinical research are being converted into a one-size-fits-all cookbook.


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That was never the intention. Most published guidelines make it clear that they are not intended to be applied to every patient as a knee-jerk prescription. They are meant to guide physicians, not to dictate to them.

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The guidelines emphasize that prior to initiating statin therapy, the clinician and the patient should have a discussion covering:. There could be many reasons for stopping the medications, from side effects to cost and availability. They say that chronic diseases are rooted in social and behavioral determinants. They praise clinics that have no waiting rooms: patients are taken directly to a room designed to accommodate conversation among patient, family members, and clinicians; no exam table is in sight; a chair converts to an exam table when necessary.

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Science-Based Medicine: Guide to Quackademic Medicine

They point out that some solutions are already available but are inconsistently applied. Novella then cited a study that indicated that cancer patients who choose natural options do worse than those who comply with standard treatment recommendations.


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  • But this study looked at treatable cancers where patients irrationally undertook alternative therapies to the total exclusion of conventional surgery, radiation, chemo, hormonal treatment or immunotherapy. When I treat patients with cancer, I prefer to use natural and innovative therapies as an adjunct to standard care. Most studies of patients utilizing integrative medicine show that they are intelligent, well-educated, affluent and remain under standard care while exploring alternatives.

    Most surprising was Dr. He is afraid that doing so would legitimize them. I argued that, whether or not you agreed with them, medical alternatives have been embraced by a high percentage of patients, and it behooves doctors to learn about them. It is now the standard bearer for quackery in academic medicine.

    More Books by Steven Novella

    But natural therapies are embraced by nearly half of Americans, so is it reasonable to ignore them? Should doctors remain uninformed about what their patients are doing? Novella reserves special disparagement for the supplement industry which he claims is rife with fraud and adulteration.

    His way of thinking is in sharp contrast to that of evidence-based medicine, which has become almost a dogma in some medical circles.

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    Trumpism and the Bigotry of the Antagonists to Integrative Medicine and Health | HuffPost Life

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