White Coat Underground

Archives for April, 2009

Naturopathy—a final word

First, I’d like to thank everyone who participated in the naturopaty primary care challenge. It was far more successful than I could have hoped. A number of naturopaths and their supporters responded, most of them quite rationally. It takes guts to walk into the fire. It also takes fanaticism. I have always rather assumed that…

On second thought…

So naturopaths want to be licensed to practice “primary care”. I’ve come down pretty hard on this idea, but one of my colleagues is asking me to reconsider for some pretty good reasons. If we license them as PCPs, then they must be held to the same standards as MDs, meaning they must provide insurers…

Naturopath challenge–follow up

Yesterday I issued a challenge to naturopathic physicians to justify why they should be considered competent primary care physicians. The best and most comprehensive answer received so far is the one from “Mona”. Here is my analysis. Her response, while not entirely “wrong”, shows a frightening level of chaotic thinking and unsophistication. As a naturopathic…

The death and rebirth of vitalism

One of the common themes in biology and medicine is the feeling that somehow there must be more. Creationist cults simply know that life must be more than matter, and mind-body dualists (which includes most alternative medicine advocates) are certain that humans are more than an “ugly bag of mostly water” (sorry for the geek…

The money quote is near the end

Yes, we all know that Jon Stewart is a genius, but you have to watch this one to fully appreciate what a genius he really is. The Daily Show With Jon Stewart M – Th 11p / 10c Baracknophobia – Obey thedailyshow.com Daily Show Full Episodes Economic Crisis Political Humor

April PalCast Update

The PalCast is, obviously, a little behind. Due to real-life problems, it’s been tough to find the 90 minutes of solitude and quiet necessary to crank out a decent podcast. However, I do have one in the hopper for this week…hopefully it will be out by tomorrow or so. Thanks for your patience.

Naturopath challenge

Yesterday’s piece about naturopathy lead to a nice conversation, but I realized we’re missing something. We don’t actually have a naturopath to defend the profession. You see, if, for example, you are curious what your primary care physician might recommend to you, you can go to the American College of Physicians website, or the US…

I’m a primary care physician. What I, other internists, pediatricians, and family medicine docs do is prevent and treat common diseases. When we get to diseases that require more specialized care, we refer to our specialist colleagues. There is a movement afoot to broaden the role of naturopaths to make them primary care doctors. The…

I’m not real interested in blogging about politics. It’s just not my thing. But the recent increase in absurd and frankly scary rhetoric from the right is giving me the shpilkes. It’s not just the tea-baggers (heh heh…I said “tea bagger”), but I might as well say something about their lame-ass tea parties. These tea…

Hag Sameach!

I’m not one for long posts on religion, but with the Jewish festival of Pesach (Passover) upon us and Easter rapidly approaching, there are a few things worth noting. Spring festivals have probably been going on since people began planting crops. Easter (and the Passover from which it descended) are both, at their heart, reinterpretations…