Category Archives: General

Dr. Shawn on Alison Averis’ Essay Fooling Yourself

The tireless promoter of “natural” veterinary medicine (whatever that is) and himself, Dr. Shawn Messonier, has applied his characteristic fuzzy logic and love of strawmen and misleading hyperbole to a recent guest post by Alison Averis on Fooling yourself: An … Continue reading

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The Mysterious Vanishing Placebo Effect?

I have written about the placebo effect before, but a recent update to a Cochrane review entitled Placebo Interventions for All Conditions has prompted me to revisit the subject. It has been clear for some time that the so-called placebo … Continue reading

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What Scientists Say and What the Public Hears

There are many barriers to public understanding of science and scientific research, ranging from low levels of science literacy in the general population to frequently  poor communication skills among scientists. I recently ran across a pithy summary of some common … Continue reading

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The Dunning-Kruger Effect: Why incompetence is blind to itself.

“The trouble with the world is that the stupid are cocksure and the intelligent are full of doubt.” Bertrand Russell “Ignorance more frequently begets confidence than does knowledge.” Charles Darwin “It is one of the essential features of such incompetence … Continue reading

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More Natural Nonsense and Unethical CAM Marketing

A colleague recently saw an older dog who had vomited up roundworms and was doing some coughing. He diagnosed and treated the patient appropriately, but the client later contacted him with questions about some alternative remedies that had been recommended … Continue reading

Posted in General, Miscellaneous CAVM | 8 Comments

Specialist’s Statement on Integrative Methods

A colleague recently received the following statement, as part of a follow-up report from a board-certified specialist to whom she had referred a case. The pet received a number of alternative medical therapies as well as conventional treatment for its … Continue reading

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Fooling Yourself-A Guest Post By Alison Averis

A reader recently sent me an account of a case which demonstrates the placebo effect by proxy and the general unreliability of our subjective assessments of medical interventions. Her story is engaging and nicely illustrates these common issues, and she has … Continue reading

Posted in General, Guest Posts | 5 Comments

Does the Truth Matter?

One of the most common responses I get when I point out the lack of evidence for particular CAM therapies is, “So what? If it doesn’t do any harm and if people feel better, even just because of a placebo … Continue reading

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Warning Signs of Quackery Ahead

Though it’s certainly not an original observation, I’ve begun to see some repeating patterns of behavior associated with unreliable and unscientific medical claims, and I think it might be useful to review some possible warning signs that one is dealing … Continue reading

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Balancing Doctor Expertise and Patient Autonomy

My recent brush with the “healthcare choice” concept, as well as a podcast interview I listened to with Dr. Paul Offit on Point of Inquiry put me in mind of an interesting and challenging puzzle in the philosophy of medical … Continue reading

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