Mark Sircus

You know how I sometimes lament that I’ve been writing too much about the hijinx of the antivaccine movement, its crimes against reason, science, and medicine? It’s become a bit of a trope around here at times, to the point where, when I bring it up, I tell myself I shouldn’t be repeating myself so often. Then I do it anyway because, heck, this is blogging and it’s impossible to blog for a decade without repeating one’s self. Besides, if I’m to start navel-gazing here in a blog sense, a successful blog actually needs certain repeating tropes, as long as they’re relatively entertaining or…
In medical school, or so we're told, aspiring young doctors are taught the fundamentals of medicine. What we science-based physicians usually mean by "fundamentals" includes the basic science necessary to understand human health and disease, the mechanism by which human disease develops, and the basics of how to treat it. We also learn a way of thinking about diagnosis and treatment, a systematic approach to differential diagnosis and how to hone in on a diagnosis based on history, physical findings, and imaging and laboratory tests. Fundamentals are important in any profession. Being a…