evidence based medicine

Doctors can only tackle chronic disease with the right tools. Teach them nutrition

5 by / on 16 Jun 2016, / in evidence based medicine

Here’s a really bad idea. Send a dozen nutritionists to work alongside regular doctors in a Medecins Sans Frontières team providing emergency treatment to the wounded in a war zone. It’s a bad idea because they would lack any relevant skills. They might help speed up recovery but in the operating theatre they’d be be worse than useless as the wounded come in.

Meet a doctor who thinks for herself and wants you to as well

21 by / on 29 Apr 2016, / in evidence based medicine

The complicated and confusing debate about statins – are they worth taking or not; are they safe or do they have nasty side effect? – has suddenly plunged into anarchic and uncharted territory by the claims of a new rival drug.

Prozac is the safest drug for depressed children. Why this is a myth.

23 by / on 22 Mar 2016, / in evidence based medicine

There can be few people who think that putting an increasing number of children on SSRI anti-depressants is really a good idea but then reflect that it’s just one of those things. Cash strapped NHS; time-poor GPs; waiting lists of months for therapy; drugs cheap; they may help some.

Evidence based medicine doesn’t protect patients – it just prevents them getting unpatentable treatments

8 by / on 8 Jan 2016, / in cancer, evidence based medicine

Leafing through the New Year papers I was struck by the similarity between the housing crisis the diabetes and obesity epidemics. In one case rapidly inflating prices pushing virtually all properties out of reach of anyone on an average wage, in the other a relentless expansion of supermarket shelving devoted to refined carbohydrates, driving an inexorable inflation of the nation’s waistlines.

Utopia: A realistic blueprint for an honest drug industry

4 by / on 20 Oct 2015, / in evidence based medicine

Generally we don’t trust utopias. If they don’t remain fantasies but emerge into the real world, we expect them either to rapidly descent into rigid authoritarian hells or to disintegrate into factions and unproductive chaos.

Time For Diabetes UK To Unplug Ears and Respond To Chorus Of Disapproval Demanding U-Turn

25 by / on 29 Sep 2015, / in evidence based medicine, low carb diet

How much longer can the charity Diabetes UK continue to provide advice on diet to the UK’s 3.9 million people with type 2 diabetes that is based on the discredited Seven Countries Study carried out by Ancel Keys back in the 1940s? The urgency of this question cannot be overstated.

Dose of Jeremy Corbyn needed to make medicines safe

12 by / on 21 Sep 2015, / in evidence based medicine

It’s generally agreed that the NHS is not in good health but there’s no clear diagnosis. There are plenty of suggestions – lack of funding, uncompassionate nurses or box-ticking managers. But I want to suggest another one: the crisis in evidence based medicine (EBM).

How evidence based medicine is failing patients. What needs to be done to fix it

15 by / on 10 Jul 2015, / in evidence based medicine

It’s no secret that there are serious problems with the practice of scientific evidence based medicine (EBM). It’s obviously a good idea to have a system for ensuring treatments are safe and effective. But as a defence against dangerous or poor drugs, the working of our current one makes the pre-crash banking regulation look rigorous.

Less is more: How to save the NHS. Spend less on unnecessary drugs

10 by / on 18 May 2015, / in evidence based medicine

Here’s a radical idea. Why not use drugs for cases where they are appropriate, safe and effective. And don’t use them when they aren’t. Wild eh! It’s an idea that could save the NHS billions. Three clinicians I know are thinking along exactly these lines.

Your indispensable guide through the health advice jungle

5 by / on 7 May 2015, / in evidence based medicine

We are being doctored to death. GPs’ surgeries and public health bodies routinely warn of hazards lurking all around us. They tell us sunshine is bad. Drinking alcohol is bad. Cholesterol is bad. Saturated fat is bad. Being overweight is bad.

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