complementary and alternative medicine
oracknows | September 14, 2015[Note: My flight home from London was delayed until quite late; so unfortunately another "rerun" is in order. This one's from three years ago, and I actually consider it one of my "classics." It was also originally published at my not-so-super-secret other blog and represents the first time I tried to put together my concept of a "central dogma" of alternative medicine into a semi-coherent form. Ultimately, this lead to my talk The Central Dogma of Alternative Medicine, given at Skepticon last year. If you've been reading less than three years, it's new to you. If you haven't, you really…
oracknows | September 12, 2015NOTE: Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away.) Here's one from all the way back in 2007. Notice how, the more things change, the more they stay the same.
Evidence-based medicine is not perfect.
There, I've said it. Like anything else humans do in science or any other endeavor, evidence-based medicine (EBM) has its strengths and its weaknesses. On the whole, I consider it to be potentially vastly superior to the…
oracknows | September 10, 2015NOTE: Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away. Here's one from all the way back in 2008 in response to Dr. Offit's excellent book Autism's False Prophets. Notice how, the more things change, the more they stay the same.
One of the major points made by Dr. Offit in Autism's False Prophets is how badly the media deals with scientific issues and stories in which science is a major component. Indeed, he devotes two…
oracknows | September 9, 2015Orac's vacation continues apace.
Well, not quite. The main reason I'm in London right now is because I was invited to give an actual scientific (as opposed to skeptical) talk at a conference about—of all things—ion channels in cancer. That's where I am right now, at the Sir Alexander Fleming Building at Imperial College London, and that's where I'll be all day today and much of tomorrow. Having been invited, I decided to make a vacation of it. Basically, it's a big science sandwich, with two science days in the middle of two slices of vacation bread. I would also be lying if I didn't admit to…
oracknows | September 4, 2015It's not a secret to anyone who reads this blog that I have an incredibly low opinion of celebrity pediatricians who are, if not outright antivaccine, antivaccine-sympathetic or leaning antivaccine and use their authority as physicians to sow fear, uncertainty, and doubt (FUD) about vaccines. Without a doubt, chief among these pediatricians in this country right now is "Dr. Bob" Sears, author of The Vaccine Book: Making the Right Decision for Your Child. His book is a veritable object lesson in how to pander to the fears of vaccine-averse parents and make them feel special and superior for "…
oracknows | September 3, 2015You'd think that after all these years combatting quackery and blogging about science in medicine (and, unfortunately, pseudoscience in medicine) it would take a lot to shock me. You'd be right. On the other hand, Even now, 15 years after I discovered quackery in a big way on Usenet and ten years after the inception of this blog, I still have enough hope in humanity that even when I come across men like Jerry Sargeant, a.k.a. The Facilitator I am still capable of utter wonder that someone would advertise something as reprehensible and/or deluded as this. I half wondered if it were performance…
oracknows | August 31, 2015I didn't think I'd be writing about acupuncture again so soon after deconstructing another "bait and switch" acupuncture study less than a week ago. True, the quackery that is acupuncture and the seemingly unending varieties of low quality studies published to make it seem as though there is anything more than nonspecific placebo effects invoked by sticking needles into the skin against an even more unending variety of diseases, conditions, and complaints. Basically, according to its adherents, acupuncture can treat almost anything. Particularly galling to me as a cancer surgeon is the…
oracknows | August 30, 2015If there's one thing that is true of the antivaccine movement, it's that its members are rarely willing to admit that they are, in fact, antivaccine. Sure, there are uncommon exceptions who say it loud that they are antivaccine and proud and through their refreshing honesty and lack of self-delusion cause no end of problems for the more "reasonable" and "moderate" antivaccine activists determined to convince the world that they are "not antivaccine" but "pro-safe vaccine," "pro-vaccine safety," or "vaccine safety activists." The less deluded antivaccine activists are, after all, masters of…
oracknows | August 28, 2015I must admit that I'm surprised. Pleasantly surprised, but quite surprised. The reason is that yesterday the Department of Licensing and Regulatory Affairs Director Mike Zimmer rejected the recommendation of the Michigan Medical Marijuana Review Panel to add autism to the list of qualifying conditions for which cannabis can be prescribed in the state of Michigan. I didn't expect this outcome, but I am pleased.
Although I've changed my mind over past stands and am now in favor of legalizing marijuana for recreational use, I have been harshly critical of the "medical marijuana" movement. Indeed…
oracknows | August 26, 2015It's always disappointing to see a good journal fall for bad medicine, particularly when it's in your field. For example, the Journal of Clinical Oncology (affectionately referred to by its abbreviation JCO) is the official journal of the American Society of Clinical Oncology (ASCO) and probably the most read clinical journal by those involved in the clinical care of cancer patients. Just as most oncologists, surgeons, and radiation oncologists who specialize in the care of cancer patients belong to ASCO, most of them also at least peruse JCO on a regular basis because major results of large…
oracknows | August 20, 2015Acupuncture is a theatrical placebo, but it's hard not to grudgingly admire just how—shall we say?—malleable or adaptable a placebo it is. What I mean by this is that, if you believe its practitioners and adherents, acupuncture can treat almost literally any disease or health problem. Any! Pain? Acupuncture. Allergies? Acupuncture. Biliary colic? Acupuncture. Infertility? Acupuncture. Menstrual problems? Acupuncture. Prostate problems? Acupuncture. Asthma? Acupuncture.
Well, maybe not asthma, but that doesn't stop acupuncturists from claiming that acupuncture can treat it.
Oh, and if you're a…
oracknows | August 17, 2015A recurring topic on this blog involves my discussion of stories about children with cancer whose parents refuse chemotherapy, thus endangering the children's lives. These stories usually take this general form: The child is diagnosed with a deadly, but treatable cancer that has a high probability of cure with proper chemotherapy. The child receives the first round of chemotherapy. The parents can't deal with the side effects. If they are woo-prone, they make the decision to use "natural healing" or some form of alternative medicine. Sometimes it's in response to the child's request.…
oracknows | August 14, 2015File this one under the category: You can't make stuff like this up. (At least, I can't.)
Let's say you're a die hard all-conspiracy conspiracy theorist and alternative medicine believer (a not uncommon combination). You love Alex Jones and Mike Adams and agree with their rants that there is a New World Order trying to suppress your rights. You strongly believe that vaccines not only cause autism, sudden infant death syndrome, a shaken baby-like syndrome, autoimmune diseases, sudden ovarian failure, and even outright death but are a depopulation plot hatched by Bill Gates and the Illuminati…
oracknows | August 11, 2015There's a delightful meme going around Facebook right now, featured above, that portrays five African women, fists raised, all wearing aprons proclaiming "Kick out polio!" Accompanying the meme is a message from the American Academy of Pediatrics celebrating that yesterday marked one full year since the last case of polio was recorded on the continent of Africa and praising African leadership in executing successful vaccination campaigns against this dread disease, in particular recent declarations in support of eradication from the African Union Heads of State Summit and the Organization of…
oracknows | August 10, 2015Alright, alright already! I get the message.
Over the course of the day yesterday I was bombarded by e-mails with a link to a New York Times article that shows a rather shocking lack of understanding of the science—more specifically, the lack of science—behind alternative medicine. Whenever something like this happens and I get so many requests to address a specific article, I'm always torn between my natural contrariness, which tempted me not to touch this article with the proverbial ten foot cattle prod (although something about this needs a cattle prod applied to it) and my desire to give…
oracknows | August 7, 2015Listicles. I hate Listicles. I don't do them. Yet, as much as I hate them, I can't deny that in this brave new world of click bait, listicles bring the clicks, which is why so many blogs and websites post them. Indeed, there's a website, Thrillist, that is dedicated to pretty much nothing but listicles. Not surprisingly, quacks and cranks love listicles as well, because they can go viral, getting passed around through the fevered swamp of antivaccine and quack Facebook pages and Twitter feeds like measles through a Waldorf School.
So it was that I came across yet another one of these annoying…
oracknows | August 6, 2015When I first started writing about the claims made for medical marijuana and the cannabis oil derived from it, it didn't take long for me to characterize medical claims for cannabis as the "new herbalism," as opposed to pharmacognosy, the branch of pharmacology devoted to the study of natural products. The reason is simple. Although I support legalization of marijuana for recreational use, when I look at how medical marijuana has been promoted as a "foot-in-the-door" prelude to legalization, I see testimonials and flimsy evidence ruling over all. I see all the hallmarks of alternative…
oracknows | August 5, 2015Here we go yet again.
I'm half tempted to use a YouTube clip of Al Pacino as Michael Corleone in The Godfather, Part 3, where he says, "Just when I thought I was out...they pull me back in." I'll restrain myself this time. Instead, I'll just tell you what I'm talking about, which is the manufactured scandal known as the "CDC whistleblower." It's an antivaccine conspiracy theory that I've written about many times before, most recently less than a week ago. The long version of the explanation is in the links, but the short version is that a CDC psychologist named William Thompson, who was…
oracknows | August 4, 2015About a month ago, a number of news stories were published reporting that the University of Toronto had offered a course in alternative medicine taught by a homeopath named Beth Laundau-Halpern that presented a segment that was clearly highly biased towards antivaccine pseudoscience. It was worse than that, though, because this homeopathy just happened to be married to a dean at the university named Rick Halpern. The whole thing blew up into an embarrassing fiasco that demanded a response from the University. Unfortunately, this came in the form of a weaselly report, in which Vivek Goel,…
oracknows | August 2, 2015Homeopathy is The One Quackery To Rule Them All.
There, I've started off this post the way I start off most posts about homeopathy, with a statement of just how enormous a pile of pseudoscientific (or rather prescientific) quackery that it is. You'd think that in 2015 no one would believe that diluting a substance (with vigorous shaking between each serial dilution step, of course, in order to "potentize" it) makes its effects stronger or that water has some sort of mystical "memory" that remembers the therapeutic substance but forgets all the other impurities, chemicals, and urine with which…