complementary and alternative medicine

Imagine you're a medical student in a dreaded "allopathic" medical school other than Georgetown. Imagine further that you're finding the grind of learning science- and evidence-based medicine a bit tiresome. After all, there's so much to learn: principles of biochemistry, physiology, anatomy (and not with acupuncture points), and neuroscience. You're reading multiple chapters a night, staying up all night cramming your mind full of minutiae of various signaling pathways and eponyms for anatomic structures. All those facts, all that evidence, it's all so...hard! It's all so soulless. Where's…
I got in somewhat late last night and was tired from the meeting, but there's been something that's been bugging me more and more, and Kimball Atwood's recent posts about the distortions of language used by "complementary and alternative medicine" advocates brought it to the forefront. I first noticed this particular term being used by alties a few months ago by quantum homeopathic woo-meister supreme Lionel Milgrom, and I've been seeing it more and more, particularly in antivaccinationist circles. I'm talking about the term "dis-ease." Believe it or not, I'm not all-knowing about such issues…
The must-read post of the day comes from Mark Crislip of the (in)famous Quackcast and was posted over at the Science-Based Medicine blog. It's about two things primarily: How evidence and science result in physicians practicing science- and evidence-based medicine to change their practice and why that seems disturbing to those who don't understand how science works and would prefer unchanging certainty and how this changeability of practice based on the lastest evidence is in marked contrast to most so called "complementary and alternative" medicine, the vast majority of which is based on…
Readers who have followed my little Friday bit of fun every week have probably, like me, at times sat in front of their computer screens, jaw drooping, a little bit of spittle starting to drip out of the corners of their mouths, and eyes agape with wonder at just how anyone on earth could believe some of this stuff. Indeed, it is truly unbelievable to anyone with just a modicum of critical thinking skills. Sometimes, as I have, you've almost certainly laughed out loud at the silliness. Sometimes, as I have, you've probably had to stop reading because you feared that the concentrated woo in…
After a bit of ranting earlier this week, I thought now would be a good time to cool it down a bit, if only for a moment. There's plenty more out there to rant about, but I'm intentionally ignoring it, if only for a day (or even half a day). If there's one thing I've learned about blogging in the three years I've indulged in this little habit of mine, it's that a blogger has to mix things up. Too many rants in a row, and even I start to get bored. And if I'm bored you're almost certainly bored. We wouldn't want that, now, would we? So it was with great interest that I came across, albeit…
Sometimes my readers save my butt. There I was earlier this week, looking through my Folder of Woo, as is my wont, and oddly enough nothing much was floating my boat. I know, I know, I've started this little weekly exercise before lamenting a lack of enthusiasm for the woo of which I am aware. Then as before then, I briefly wondered whether perhaps I had exhausted all the interesting woo. That seemed highly unlikely, given that I've only been at this about 20 months or so. After all, the woo supply is seemingly inexhaustible, and if I ever got tired of medical woo, there are so many other…
There's an idiotic poll up at Larry King Live with the question: "Do you believe vaccines cause or contribute to autism?" Idiotic, because it's science that says whether or not vaccines cause or contribute to autism. Whether the public thinks they do or not is irrelevant to the biological, medical, and clinical science that say, to the best of our knowledge, they do not. Even so, please go tell him the real science about vaccines and autism. The pseudoscientists have already stacked the deck, and clearly antivaccinationists are voting, as the numbers are running around 80% to 20% in favor of…
I should have seen this one coming a mile away in light of the concession of vaccine injury in the case of one child that led to the incredibly shrinking causation claim when it comes to vaccines and autism. Having had it conclusively demonstrated through several large studies in multiple countries that mercury in vaccines does not cause autism (nor do vaccines themselves), the mercury militia are rapidly changing course. No longer is autism a "misdiagnosis for mercury poisoning." Now it's a "misdiagnosis for mitochondrial diseases." Or it soon will be. Just wait. The new propaganda from the…
Yesterday was a rather long day, starting with a long commute in the morning, followed by a long day in the office mainly doing grant paperwork, and capped off by getting home late. Even so, I couldn't ignore this particular story for two reasons. First, it's about so-called "alternative" medicine. Second, it's about Steve Jobs, co-founder of Apple Computer and the creative, if at times arrogant and abusive, creative genius behind Apple's recovery from the brink of bankruptcy 11 years ago to its current situation, where its computers are cool; its operating system rocks; and it rules over the…
Perusing the news early this morning, I noticed an article on ABC News about placebos. One thing I found interesting about it was that it was a story about a research letter to JAMA, not a full study. Heck, there isn't even an abstract. Even so, the study was rather interesting and described thusly: The more expensive your pain medications are, the better the relief you get from taking them -- even if they're fake. That's according to a study published this week in the Journal of the American Medical Association, which suggests that sugar pills labeled as expensive drugs relieve pain better…
I saw this and was going to write about it, but it turns out that Abel Pharmboy at Terra Sigillata beat me to it. Basically, the makers of Airborne have been slapped down bigtime for false advertising: WASHINGTON--The makers of Airborne--a multivitamin and herbal supplement whose labels and ads falsely claimed that the product cures and prevents colds--will refund money to consumers who bought the product, as part of a $23.3 million class action settlement agreement. The company will pay for ads in Better Homes & Gardens, Parade, People, Newsweek, and many other magazines and newspapers…
If there's one type of so-called "complementary and alternative medicine" that I've always been very up front about, it's that I consider homeopathy to be the ultimate in pseudoscientific twaddle when it comes to CAM. The reasons should be obvious to anyone with a background in basic science. After all, homeopathy is nothing more than the most magical of magical thinking writ so large that it's a wonder than anyone can believe it. Think about it. What are the two main principles of homeopathy? The first is "like cures like," which postulates on the basis of the prescientific observations of…
A couple of days ago, I wrote about a particularly deceptive and idiotic article by David Kirby about the settling of a case of vaccine injury by the U.S. government. Fellow skeptical physician Steve Novella couldn't resist taking a shot at Kirby as well and in doing so came up with one of the best lines about Kirby that I've ever heard in reference to Kirby's attempt to bring AZT into the discussion: Among stiff competition, this is perhaps the most absurd and scientifically ignorant thing Kirby has every written. Damn. I wish I had thought of that line. However, I would say to Steve that he…
Well, now I'm really in a pickle as far as the 2008 Presidential election goes. I really don't like Hillary Clinton and consider Barack Obama not ready for prime time; i.e., he's too inexperienced and too liberal for my liking. On the other hand, I used to like John McCain--at least until he started pandering to the religious right and became a cheerleader for the Iraq war. Now I have another reason not to vote for John McCain, which leaves me with not a single Presidential candidate that I can see myself voting for right now. John McCain has credulously fallen for the blandishments of…
Earlier today I was perusing incoming links. (Yes, most bloggers do that because we like to know who's linking to us; any blogger who doesn't do this from time to time is atypical or lying about it.) What to my wondering (and I do mean wondering) eyes should appear, but Respectful Insolence appearing on a most unusual list, so much so that I didn't know whether to be proud or embarrassed. That's right, this blog is listed as one of the Top 50 Alternative Medicine Blogs on Live Smarter. Now, I'm as vain as the next blogger, possibly even more so, but even my vanity did not protect me from the…
It's very bad when I have a week off. Very, very bad. The reason is that when I have a week off I have this rather unfortunate tendency to stay up late at night, and when I stay up late at night I have an even more unfortunate tendency to check out late night infomercials that show up between the hours of 2 AM and 4 AM. Such was the case the other night when I found myself sitting in bed bathing in the glow of the LCD screen, staring in utter awe at the woo I found until my wife's annoyed retort told me that I was yelling at the TV screen. Even so, I still wondered whether I should use it for…
I didn't want to blog about this. I really didn't. No, the reason why I didn't want to blog about this latest screed by mercury militia enabler David Kirby is not because it is about any sort of slam-dunk proof that vaccines do after all cause autism, a mistaken impression that you might get if you just looked at the crowing throughout the antivaccination blogosphere. Rather, it's because I've been forced once again to wade through Kirby's smug, self-congratulatory, and intentionally obfuscatory prose to try to figure out just what the hell he was talking about and then try to make sense of…
In a way, I have to hand it to Mike Adams. As you may recall, Mike Adams is the man behind what is arguably one of the top two or three woo-filled sites on the Internet, NaturalNews.com (formerly known as NewsTarget.com). I'm hard-pressed to come up with an example of someone who can deliver delusional paranoid conspiracy-mongering against the FDA, CDC, and big pharma, antivaccination lunacy, overblown claims about cancer, and (in my considered medical opinion, of course), dangerous cancer quackery, all in one tidy, ranting package. Sometimes the stuff Adams writes is so over-the-top that I…
You can read parts I and II first, if you like. Yet another reason Bill Maher is an idiot can be found in the video below, taken from Real Time With Bill Maher from the February 8 episode. I happened to catch it in reruns and was looking for a transcript or YouTube version. It's truly appalling. This guy claims to be a rationalist and mocks religion for its irrationality, and here he is spouting off the more of his usual ignorant, idiotic, stupid ideas about medicine and, yes, downright woo, to the point where even his guests start to wonder what the heck is going on. They seem to back away…
I recently wrote about the cowardly manner in which Netcetera booted the Quackometer off of its servers unceremoniously in response to a truly vacuous legal threat from a quack named Joseph Chikelue Obi. Now, the little black duck has found a new ISP. The Quackometer is back in business! Hilariously, "Dr." Obi is already making threats again, only this time not just against Le Canard Noir, but against the entire skeptical blogosphere: Alighting from the back seat of an Extended Black Daimler Limousine at the start of a Whirlwind Alternative Medicine Tour , essentially spanning right across…