complementary and alternative medicine
oracknows | April 7, 2016There are a number of aphorisms that one imbibes over many years of medical education, especially in medical school. Some are useful; some are not; but some stick with you for reasons that even you can't figure out. For example, I still remember my first day of medical school over 30 (!) years ago. It started with an introductory session beginning at 8 AM that lasted about an hour, an "orientation," if you will, after which classes began as normal. During this orientation, members of the medical school leadership, such as deans and the chairs of certain major departments, got a chance to…
oracknows | April 5, 2016If there's one thing that really animates me and angers me, it's the unnecessary death of a child due to quackery. Competent adults, of course, are perfectly free to choose any form of quackery they wish for themselves or even to refuse treatment at all (which is less harmful than quackery). Children, on the other hand, must trust that their parents or guardians will act in their best interests. When they betray that trust and their duty to act in the best interests of the child, I wonder how this can happen. When there the government sides with the parents, I become even more agitated.
So it…
oracknows | April 3, 2016It's no secret that I'm a fan of John Ioannidis. (If you don't believe me, just type Ioannidis' name into the blog search box and see how many posts you find.) Over the last couple of decades, Ioannidis has arguably done more to reveal the shortcomings of the medical research enterprise that undergirds our treatments, revealing the weaknesses in the evidence base and how easily clinical trials can mislead, than any other researcher. Indeed, after reading what is Ioannidis' most famous article, "Why Most Published Research Findings Are False", back in 2005, I was hooked. I even used it for our…
oracknows | March 31, 2016I wish this post were an April Fools Day joke, but it is not.
Three weeks ago, Skeptical Raptor and I wrote posts describing how a particularly vicious, nasty antivaccine troll named Heather Murray had successfully gamed Facebook reporting algorithms intended to report abuse in order to silence pro-science bloggers. It is, unfortunately, a tactic that I first heard about over two years ago, when antivaccine activists affiliated with what was then called the Australian Vaccination Network (AVN) used the same sort of tactics to target pro-science bloggers and activists associated with a group…
oracknows | March 31, 2016Over the last week or so, I've noticed (or had brought to my attention) a series of articles discussing a phenomenon related to alternative medicine that I don't believe that I've addressed before, at least not directly anyway. I had filed some of these in my folder of topics for blogging, but somehow never got around to them because I let so much time and blog verbiage be dominated by a discussion of how Andrew Wakefield infiltrated the Tribeca Film Festival, only to see Robert De Niro reverse his decision a few days later and yank his film from the festival, after a brief attempt to defend…
oracknows | March 30, 2016And now for something completely different.
Yes, it's about time for that, isn't it? I've probably beat the Tribeca Film Festival story into the ground, even for me, having spent the last week blogging about it. Scratch that. There's no "probably" about it.
I frequently write at length about the quackery that is homeopathy. One reason I do this is because it is one of the most perfect forms fo quackery there is. There is about as close to no chance that it could work as there can be, and the only reason I don't call homeopathy completely impossible is because I have a hard time calling…
oracknows | March 29, 2016Whenever a story like Robert De Niro's decision to choose an antivaccine film by Andrew Wakefield for screening at his prestigious Tribeca Film Festival followed by his decision to drop the film like the proverbial hot potato upon being shown just how full of misinformation, distortions, and pseudoscience the film is shows up, I not infrequently feel as though the topic takes over the blog. And so it often does. It's been the main topic here for the last week. That's why I thought I'd move on to something else, but then, seeing the reaction of the antivaccine crankosphere yesterday to the…
oracknows | March 27, 2016I knew it wouldn't take long. I just knew it.
The moment I learned that Robert De Niro had reversed himself and decided to pull Andrew Wakefield's dishonest antivaccine propaganda "documentary" from his Tribeca Film Festival after having admitted that he was the one who had greased the wheels to get it accepted for screening there, I knew the conspiracy theories would fly fast and furious. And so they have.
So agitated by De Niro's decision are antivaxers that the chief antivaccine loon at his very own wretched hive of scum and quackery, Mike Adams, wrote not one, not two, but three posts in…
oracknows | March 26, 2016Well, well, well, curiouser and curiouser.
Earlier this afternoon on the Tribeca Film Festival page:
UPDATE: 3/26/2016 Statement from Robert De Niro, co-founder of the Tribeca Film Festival, regarding VAXXED at the Festival:
"My intent in screening this film was to provide an opportunity for conversation around an issue that is deeply personal to me and my family. But after reviewing it over the past few days with the Tribeca Film Festival team and others from the scientific community, we do not believe it contributes to or furthers the discussion I had hoped for.
"The Festival doesn't seek…
oracknows | March 25, 2016Over the last three days I've been complaining about how the Tribeca Film Festival selected for screening Andrew Wakefield's antivaccine propaganda- and conspiracy-laden quackfest of a documentary entitled Vaxxed: From Cover-up to Catastrophe. I also took TFF to task for its extremely disingenuous response about its being about "discussion and dialogue." You might also recall that I speculated, based on Andrew Wakefield's having bragged to the faithful that Leonardo DiCaprio was promoting his film (and then, just as fast, denying that he had ever said any such thing) that perhaps Leonardo Di…
oracknows | March 25, 2016After a trilogy of posts on the lamentably bad decision on the part of the Tribeca Film Festival to screen a pseudoscience- and misinformation-filled documentary by hero to the antivaccine movement, Andrew Wakefield, that is basically one long conspiracy theory, I thought it was time for a change. I had briefly toyed with the idea of having some fun with the flying monkeys (a.k.a. antivaccine commenters) who've descended upon the Tribeca Film Festival entry for the documentary, but, as of this writing, the total number of comments is over 1,700 and it wouldn't surprise me if it were over 2,…
oracknows | March 24, 2016Ever since I mentioned on Tuesday that the prestigious Tribeca Film Festival had taken a massive dump on reality and science by selecting for screening Andrew Wakefield's antivaccine propaganda "documentary," Vaxxed: From Cover-up to Catastrophe, dedicated to the so-called "CDC whistleblower," the topic has taken over, as topics sometimes tend to do here. In response to the mounting criticism for featuring a film by a scientific fraud clearly intended as an "I'll show you all" moment to persuade viewers that Wakefield was right after all about his long discredited claim that the MMR vaccine…
oracknows | March 23, 2016I wasn't sure if I was going to write about this again so soon, because one post seemed adequate to describe the massive dump that the Tribeca Film Festival just took on reality by announcing the screening of a pseudoscientific antivaccine propaganda film by The One Antivaccine Quack To Rule Them All, Andrew Wakefield. Any skeptic with an interest in medicine and vaccines knows that he's one man most responsible for creating the myth that the MMR vaccine can cause autism. As a result, MMR vaccine uptake plummeted in the UK, and the measles came roaring back. I speculated why this might have…
oracknows | March 22, 2016When last we left Andrew Wakefield, hero to the antivaccine movement, he was a headliner on the Conspira-Sea Cruise, a cruise filled with conspiracy theorists, crop circle chasers, cranks, quacks, and antivaccine activists. It was a huge come down from his formerly exalted position as chief spokesman and "scientist" for the antivaccine movement, a position he enjoyed for many years before he was struck off (i.e., had his medical license stripped from him) in the UK and later had his scientific fraud documented so thoroughly by investigative reporter Brian Deer. Since then, it's all been…
oracknows | March 18, 2016When I wrote about a systematic review of the medical literature regarding measles and pertussis outbreaks that demonstrated quite convincingly that, for these two diseases at least, the nonmedical exemptions and vaccine refusal endanger everyone, not just the unvaccinated, I was rather disappointed. I was rather disappointed because, although the article had been in press a couple fo days at the time, no antivaccine loon had taken it on with the bad arguments that I mentioned. If there's one thing that seems to escape antivaccinationists, it's that the unvaccinated are at much more risk in…
oracknows | March 16, 2016One of the more frequent claims of antivaccine activists often comes in the form of a disingenuous question. Well, maybe it's not entirely disingenuous, given that many antivaccinationists seem to believe premise behind it. The question usually takes a form something like, "If your child is vaccinated, why are you worried about my children? They don't pose any danger to you." Of course, the premise behind that question is, ironically, one that conflicts with many of the beliefs behind antivaccinationism, in particular the belief that vaccines are ineffective. Yet, the premise behind this…
oracknows | March 16, 2016Last night was one of those nights where, for whatever reason, I ran out of steam. Whether it was residual effects from the change to daylight savings time this weekend or just a day in the operating room, I don't know, but I crashed on the couch hard, at least until lighting and thunder from the storms rolling through between 2 and 3 AM woke me up for a little while.
Fortunately, I do have a little tidbit to post, a very good one as well. Remember, the "pH Miracle Living" quack, Robert O. Young? He claims to be a naturopath, but even that claim, like pretty much everything he claims, seems…
oracknows | March 15, 2016I write about homeopathy fairly regularly on this blog because there is no quackery that is (1) so obviously quackery and (2) such a perfect topic to use to illustrate a lot of issues relevant to medical science, such as issues in clinical trials resulting in false positives and, of course, placebo effects. Basically, homeopathy is an excellent quackery to use to illustrate just how it is that a treatment that, in most cases, is nothing but water can give the appearance of being effective when in fact it is not.
Make no mistake, either. Homeopathy is quackery. It is a modality cooked up over…
oracknows | March 13, 2016One of the most pernicious lies promoted by the antivaccine movement is a trope that I've labeled the "toxins gambit." Basically, it's the lie, oft repeated in hysterical terms, that there are all sorts of horrible toxic chemicals in vaccines, and it is those toxic substances that are responsible for the claimed adverse effects of vaccines. Now, it is true that there are substances in vaccines that can be toxic, but the toxins gambit completely ignores a little thing known as the dose-response curve or, if you want to go hundreds of years back in time, the admonition attributed to Paracelsus…
oracknows | March 11, 2016A couple of days ago, I wrote about a story of a sort that I've had to write about far too many times over the last eleven years. I wrote about the death of a child—but not just any death of a child, the death of a child who could have—should have—lived. The child's name was Ezekiel Stephan, and his parents are David and Collet Stephan. The reason that child should have lived is because he suffered from a disease that medicine can treat, meningitis. Unfortunately, his parents didn't take him to a real doctor. They took him to a naturopath, who recommended maple syrup, juice with frozen…