complementary and alternative medicine
oracknows | March 6, 2007Last week, I wrote a quick and (semi-) facetious piece about how my colleague and I are sweating to the NIH payline, as we wait to find out whether our R01 application will be funded or not. With its being rumored that National Cancer Institute (NCI) paylines will be in the range of the 12th percentile, it's going to be really, really tight whether we make it below that line or not, although my colleague's being a new PI will certainly help.
Wouldn't you know it that Writedit, the blogger whose excellent and highly useful blog, Medical Writing, Editing & Grantsmanship I discovered and…
oracknows | March 5, 2007One of the claims most frequently made by "alternative medicine" advocates regarding why alt-med is supposedly superior (or at least equal) to "conventional" medicine and should not be dismissed, regardless of how scientifically improbably any individual alt-med modality may be, is that the treatments are highly "individualized." In other words, the "entire patient" is taken into account with what is frequently referred to as a "holistic approach" that looks at "every aspect" of the patient, with the result that every patient requires a different treatment, sometimes even for the same disease…
oracknows | March 2, 2007I didn't get back home until late last night; unfortunately there was no time to do a segment of Your Friday Dose of Woo that was up to my standards. Fortunately, there's something that I've been holding in reserve for just such an occasion that fits right in. Long-timers may remember that, near the very beginning of my blog, I did a post entitled What is an altie? It was basically a Jeff Foxworthy-like listing of "You just might be an altie if..." statements that, I think, had a good point. For those of you not familiar with the term "altie," it was coined about three or four years ago on…
oracknows | February 28, 2007Another one has fallen.
Yes, another prestigious medical school has given in. First I lamented the decline in basic science education in medical schools. Then, I lamented even more the infiltration of woo into the curricula of far too many medical schools, spurred on by patient demand, a desire for a nice, high profit cash-on-the-barrelhead set of treatments, and, most depressing of all, the misguided and highly credulous advocacy of the American Medical Student Association (AMSA). Worse, my own alma mater, the University of Michigan, has infiltrated serious woo into its curriculum. But at…
oracknows | February 25, 2007Somehow, in all the blogging about dichloroacetate earlier this week, I somehow missed a mention of a truly annoying thing that the editors of Lancet Neurology did. In essence, they allowed ethically challenged mercury warrior Mark Geier a forum to review Richard Lathe's book Autism, Brain, and Environment.
Egads! How desperate wer the editors of Lancet Neurology for reviewers, that they'd let the biggest mercury-autism crank of all sully its pages with a dubious review of a rather fringe book?
Fortunately, Ben Goldacre's on the case. Money quote:
As I say, I'm not hostile to people like…
oracknows | February 24, 2007Remember how I alluded to the fact that perhaps I've been doing a little too much blogging about dichloroacetate and the unscrupulous "entrepreneurs" who are taking advantage of desperate cancer patients to sell the stuff to them? Well, I can't resist mentioning something truly amusing that I just noticed.
The "health freedom" warriors and "entrepreneurs" responsible for The DCA Site and BuyDCA.com appear to have noticed me and my humble efforts.
How do I know that they've noticed me? Remember the long exchange between Heather Nordstrom and two people questioning the ethics and legality of…
oracknows | February 9, 2007Apparently, while I've been at this meeting, Mayo Clinics Proceedings has published this systematic review of the scientific literature on the "efficacy" of homeopathy. Its conclusion:
The evidence from rigorous clinical trials of any type of therapeutic or preventive intervention testing homeopathy for childhood and adolescence ailments is not convincing enough for recommendations in any condition.
Actually, it would have been more accurate to say "not convincing at all." It's inevitably smaller, more poorly designed or non-randomized studies that purport to show treatment effects, which…
oracknows | February 9, 2007It's my last day in sunny Phoenix, and all I've done thus far is to go to conferences, work on a grant, and do a little blogging, usually late at night because I often have trouble falling asleep in hotel rooms, particularly given that the air conditioning always seems to be such that it's either too cold or too warm. I must be like Goldilocks, at least with respect to hotel heating/cooling systems, because it's always ridiculously hard for me to get it "just right."
In any case, I bet you were probably wondering if I'd pull off this week's Your Friday Dose of Woo. Actually, I wondered myself…
oracknows | February 7, 2007I happen to be in Phoenix today, attending the Academic Surgical Congress, where I actually have to present one of my abstracts. That means, between flying to Phoenix last night and preparing for my talk, I didn't have time to serve up a heapin' helping of that Respectful Insolence⢠you know and (hopefully) love. Fortunately, there's still a lot of stuff in the vaults of the old blog begging to be moved over to the new blog; so that's what I'll do today. I'll probably be back tomorrow, given that the conference will likely produce blog fodder. (Conferences usually do.) And, don't worry.…
oracknows | February 6, 2007I've written a lot about alternative medicine, much of which I consider to be woo; i.e., treatments for which there is no medical efficacy and the belief in which often requires magical thinking. I've expressed my disappointment in medical physicians who fall prey to and become purveyors or woo, doctors such as Dr. Deepak Chopra, Dr. Joseph Mercola, those pushing to "integrate" woo into medical school curricula, and physicians who sell expensive "screening tests" such as breast MRI whose value has not been shown in valid, well-designed clinical trials. All of these activities represent, to me…
oracknows | February 5, 2007Amazing!
I had thought that one of my favorite skeptical blogs, Photon in the Darkness, had gone the way of the Dodo. With no posts since last July, I thought Prometheus had given up blogging for good, never to be seen again. Hoping against hope that he'd reappear, I left his RSS feed in NetNewsWire, even as the months ticked by and the application labeled it a "dinosaur," signifying that it hadn't been updated in 60 days.
Amazingly, yesterday, I noticed a new entry. So please, let me be among the first to welcome Prometheus back to the blogosphere. Head on over and say "hi" for me, will ya?
oracknows | February 5, 2007Since DaveScot has made an appearance or two in the comments here, annoying everyone he comes in contact with, it's worth pointing out that mine isn't the only cluestick that could be used to pound some science into him about dichloroacetate, the supposed "cure" for cancer that's being "ignored" or "suppressed" by Big Pharma. Since my original article on the subject, two more excellent (and realistic) overviews of the promise and peril of DCA as an inexpensive chemotherapeutic agent to treat cancer have appeared, one of them by fellow ScienceBlogger Abel Pharmboy and one actually appearing on…
oracknows | February 5, 2007Pity poor David Kirby.
After all, he made his name by hitching his star to a losing hypothesis, namely that the mercury in thimerosal in vaccines causes autism. He wrote a book about it, Evidence of Harm, back in 2005 and has milked that sucker dry ever since. Most recently, his appearances culminated in a "debate" last month with Arthur Allen, whose book Vaccine: The Controversial Story of Medicine's Greatest Lifesaver just garnered a very favorable review in the New York Times, during which he did a most amusing dance around the issue by pointing to "other sources" of environmental mercury…
oracknows | February 2, 2007
You know, I really wish I could have made it to The Amazing Meeting this year. It would have been really cool to have a chance to hear in person such skeptical luminaries, such as The Amazing Randi, Penn and Teller (although I do concede that Penn's Libertarianism does occasionally border on credulity for some dubious propositions), and Phil Plait. And who wouldn't want to meet the purveyors of what's become my favorite skeptical podcast, The Skeptics' Guide to the Universe, such as Steve Novella and The Skepchick? And, of course, it's been a long time since I've had the opportunity to…
oracknows | February 1, 2007It's things like this over at Over My Med Body! that show our friend Graham really knows how to make a humble guy like Orac feel the love:
Big name bloggers like Orac and Dr. RW and KevinMD are all up in arms about how "medical schools are going the wrong way" and asking "Does anyone in academic medicine care about the integrity of medical education?" They like to talk about the fluffy "woo" of medical school, as if we're all hippies out in our commune who have sacrilegiously sacrificed our Evidence and Data to a golden cow.
Give. Me. A. Break.
They're whining as if this is the most…
oracknows | January 29, 2007Critics who don't like my insistence on applying the scientific method to the claims of alternative medicine sometimes accuse me of unrelenting hostility towards alternative medicine, as though no amount of evidence would ever convince me of the efficacy of various alternative medicine therapies. Nothing could be further from the truth; I merely insist, as I have from the very beginning, that, at the very least, the claims of alternative medicine should be subject to the same testing by the scientific method that "conventional" or "scientific" medical treatments (a.k.a. evidence-based…
oracknows | January 28, 2007Everyone who reads this blog regularly knows my dismay at the infiltration of the curriculum of American medical schools with increasing amounts of non-evidence-based woo. It's even gotten to the point where one medical school (Georgetown University) has is integrating alternative medicine into the mandatory curriculum during all four years, even though these modalities are not based in convincing scientific evidence and therefore are not considered standard of care. Well, this distressing trend just gets more and more disturbing. Now, it seems, you can do a residency or fellowship in "…
oracknows | January 26, 2007I hate to end the week on a downer, but I came across this last night and, given my attention to the case of Katie Wernecke (the girl whose parents chose dubious alternative medical therapy over the radiation therapy she needed for her lymphoma) over the last several months and the recent news that her cancer had returned with a vengeance, it's hard for me not to mention what I've found now, rather than waiting until the weekend or Monday.
First, Katie's father has posted a story written by Katie on the family blog: Hope. It was really hard for me to read this, as it's a heart-wrenching tale…
oracknows | January 26, 2007
After posting about the Donnie Davies, an alleged "youth minister" in Houston who has garnered a lot of attention throughout the blogosphere for his website in which he provides a hilariously off-base list of "gay bands" to avoid and "safe" bands, I was perusing my Folder of Woo, looking for this week's target, but it was hard. After all, whether Donnie is a big hoax or not, whether his atrocious video saying that "homosexuality is a choice" and that "God hates a fag" is meant to be satire or not, he was going to be hard to top. In fact, I don't think I'll even try. However, Donnie did…
oracknows | January 24, 2007At the risk of muscling in on Bronze Dog's territory, I've encountered a phenomenon that ought to be in his list of doggerel but doesn't appear to be. It appeared in the comments of my post about the Arthur Allen-David Kirby debate and my discussion of how the human tendency to see patterns where none really exist, coupled with the emotional investment the parents of autistic children have in their children and fueled by unscrupulous purveyors of harmful woo like Mark and David Geier, manages to keep the myth that mercury in vaccines is responsible for the "epidemic" of autism alive. My point…