Surgery

Respectful Insolence

Category archives for Surgery

“Autism-induced” breast cancer

Gayle DeLong has been diagnosed with what she refers to as “autism-induced” breast cancer.” She’s even given it an abbreviation, AIBC. Unfortunately, as you might be able to tell by the name she’s given her breast cancer, she is also showing signs of falling into the same errors in thinking with respect to her breast…

Do negative clinical trials change practice?

One of the central themes of this blog from the very beginning is that all medicine, regardless of where it comes from or how it was developed, should be held to a single science-based standard with regards to efficacy, effectiveness, and safety. I tend to focus primarily on “complementary and alternative medicine” (CAM), now more…

Regular readers know that I’ve been a big Star Trek geek (more or less) ever since I first discovered reruns of the original Star Trek episodes in the 1970s, having been too young (but not by much!) to have caught the show during its original 1966-1969 run. True, my interest waxed and waned through the…

In a past life, before I became so specialized, I was a general surgeon. Like all surgical oncologists and even breast surgeons, before I became a specialist, I had to do a general surgery residency. In addition to the usual cancer problems a general surgeon faces, the two most common being breast and colon cancer,…

A lot of medical specialties have throwaway newspapers/magazines that are supported by advertising and somehow mysteriously managed to show up for free in the mailboxes of their practitioners. In my case, I’ve found myself on the subscription list for such papers about oncology, but, given that I trained as a general surgeon. I’m Board-certified as…

Placebo effects in surgery

Although I’m a translational researcher, I’m also a surgeon. That was my first and primary training and only later did I decide to get my PhD during my residency, when the opportunity to do so with a decent stipend presented itself. From my perspective, clinical research in surgery is difficult, arguably more difficult than it…

Blogging is a rather immediate endeavor. Over the last nine years (nearly), I’ve lost track of how many times I saw something that I wanted to blog about but but by the time I got around to it was no longer topical. Usually what happens is that my Dug the Dog tendencies take over, as…

A spectacular failure of a state medical board

One of the greatest mysteries I’ve encountered since I started following the case of Stanislaw Burzynski is how he’s managed to keep practicing for 36 years after he first began treating patients with his concoction of peptides purportedly isolated from blood and urine that he dubbed “antineoplastons” (ANPs) because of their alleged ability to inhibit…

I’ve frequently discussed the difference between what has come to be known as “evidence-based medicine” (EBM) and “science-based medicine” (SBM). Basically, SBM is EBM in which prior probability and plausibility of proposed medical and surgical therapies are considered along with clinical trial evidence. I don’t plan on getting into that specific issue in detail right…

I’ve pointed out before that pover the last couple of years I’ve become a bit of a fan of old time radio, having discovered Radio Classics on Sirius XM Radio. I don’t remember how I discovered it, but I rapidly became hooked on shows like Suspense, Yours Truly, Johnny Dollar, The Whistler, Gunsmoke, Dragnet, The…

I had been planning on either discussing a study or analyzing another cancer cure testimonial, but things have been (mostly) too serious around the ol’ blog the last few days. What with depressing posts about the return of whooping cough thanks to antivaccine idiocy, more evidence that Andrew Wakefield is a despicable human being, and…

Naturopaths vs. “stayin’ alive”

For all the good things about my life there are, there is one bad thing, and that was that I was born so that I reached high school age right at the height of the disco era. At least, that’s the way I viewed it at the time because at the time, like many teenaged…

Another Christmas is over, and we’re settling in to that strange week between Christmas and New Years when, or so it would seem, most of the world isn’t working except for retail. I’m half taking the week off from work in that I don’t plan on going into the office if I can possibly avoid…

Six medical “myths” that aren’t

I usually don’t do requests, at least not very often. As selfish as it might sound, I do this blog mainly to amuse myself, which means that I choose whatever topics interest me and write about them. Believe it or not, I’d probably still be doing this even if my readership were 1/100 of what…

A board certification in woo is born?

I’ve been harshly critical of the entire concept of “integrative medicine” (IM), which has over the last few years nearly supplanted the former term used for non-science-based medicine or medicine based on prescientific ideas represented as though it were scientific medicine, “complementary and alternative medicine” (CAM). Indeed, just last month I pointed out how IM…

ORAC NOTE: Work kept me out late last night going out to dinner with a visiting professor. Fortunately, it was actually pretty fun. Unfortunately, it kept me from cooking up a heapin’ helpin’ of the Insolence, either Respectful or not-so-Respectful, that my readers crave. So instead, here’s a repost from elsewhere. I didn’t think I…

Naturopathy invades the heartland

Many are the times I’ve referred to homeopathy as The One Quackery To Rule Them All. Because homeopathic remedies diluted greater than 12 C (12 serial hundred-fold dilutions) have been diluted more than Avagadro’s number, they are incredibly unlikely to have even a single molecule of starting compound in them. That makes them water. Given…

I should have popped up some popcorn. I had a feeling this was coming, but who knew it would be so entertaining when it finally happened? On Tuesday, I wrote about how famed vascular surgeon Dr. Lazar Greenfield had written a bizarre, sexist attempt at Valentines Day humor in which he implied that evolutionary biology…

Over the years, I’ve learned that a lot of surgeons are very religious. Actually, a lot of doctors are quite religious. Indeed, long ago in the history of this blog, back when I used to write about evolution a lot more than I do these days, I’ve pointed out that at least as many physicians…

I’d like to thank Buckeye Surgeon for reminding me of something I had seen and wanted to blog about but totally forgot about. Maybe it was so forgettable that I should just skip it, but as a surgeon I actually don’t think so. Basically, it’s a story of a surgeon making a fool of himself.…

Snow White and the Seven Surgeons

Just so you know, I claim the title of Mopey. Either that, or Sleepy, even though I’m not a trauma surgeon or OB/GYN.

Six years in the blogosphere…

Has it really been six years? Six years ago today, on a dim and dreary Saturday in December, almost on a whim I sat down, went to Blogspot, and started up the first version of Respectful Insolence with an introductory post with the cliched title, Please allow me to introduce myself. Here it is, six…

Another despicable abuse of a dead celebrity

I was originally going to switch it up and blog about something other than cancer. In fact, there is a particularly juicy bit of anti-vaccine nonsense that I wanted to write about because it shows the utter mendacity of a certain anti-vaccine website that, believe it or not, is not Age of Autism. I know,…

The Thanksgiving holiday weekend continues here in the U.S., and, believe it or not, I plan on taking it fairly easy, hanging out with my wife and (hopefully) going to see the new Harry Potter movie later today or tonight. However, even so, I can’t resist doing a bit of holiday mailbag fun, first because…

After chilling out for part of the weekend, yesterday I became so engrossed in writing my part of a training grant for my postdoc that, before I knew it, it was way too late to provide you with the Insolence you crave. Oh, well. Tomorrow for sure. In the meantime, I’ll post a couple of…