complementary and alternative medicine
oracknows | December 10, 2014
One aspect of my life that's kind of strange is how I've basically ended up back where I started. I was born and raised in southeast Michigan (born in the city of Detroit, actually, although my parents moved to the suburbs when I was 10). After going to college and medical school at the University of Michigan, I matched at a residency in Cleveland (regular readers know that it was Case Western Reserve University), and then did a fellowship in surgical oncology at the University of Chicago. Finally, I ended up taking my first "real" (i.e., faculty) job at the Cancer Institute of New Jersey…
oracknows | December 9, 2014
As I've said so many times before, this blog is my hobby. I write about what interests me for my own amusement. If it also interests you, that's awesome. Fortunately, I've found that several thousand people a day do like what I lay down on a daily basis, sometimes with occasional spikes to ridiculous levels of traffic (such as this Dr. Oz post, which for some reason broke all traffic records for this blog since the very beginning, and not by a little bit) and, more recently, this post about how the CDC did not apologize and "admit" that the flu vaccine this year doesn't work, which got…
oracknows | December 9, 2014
After having written about how the Society for Integrative Oncology (SIO) has promoted guidelines for cancer patients that are—shall we say?—less than scientifically rigorous, I was immediately confronted with just what we face in academic medicine when it comes to the infiltration of quackery, or, as I like to call it, quackademic medicine. It came in the form of an e-mail containing a Christmas message to the readers of the newsletter for the GW Center for Integrative Medicine (GW CIM), which is affiliated with George Washington University Medical Center.
All I can say is: Ugh.
Obviously…
oracknows | December 7, 2014
Last week, I discussed a monograph published in the Journal of the National Cancer Institute Monographs entitled Clinical Practice Guidelines on the Use of Integrative Therapies as Supportive Care in Patients Treated for Breast Cancer. As you might remember, I was completely unimpressed. However, those guidelines were not the only thing in that particular JNCI monograph. There were lots of other articles, and, given that some of them show just how deeply quackery has insinuated itself into oncology in the form of "integrative oncology," I thought it was worth revisiting one more time.…
oracknows | December 5, 2014
If there's one thing about having a demanding day job, it's that the cranks usually have the advantage. They can almost always hit first when a news story comes out that they can spin to attack their detested science. On the other hand, it usually ensures that by the time I get home, have dinner, and settle down in front of the TV with my laptop to discusse the latest bit of science, there's some tasty crankery to deconstruct.
Oddly enough, tonight appears not to be one of those times. Heck, as of this writing, even that wretched hive of antivaccine scum and quackery, Age of Autism,, doesn…
oracknows | December 4, 2014
Cancer cure testimonials due to alternative medicine have been a staple of this blog since its very inception. Unfortunately, another staple of this blog since very early on has included stories of children with cancer whose lives have been endangered when their their parents refuse effective cancer therapy for their cancer, in particular chemotherapy. The most recent such story is a particularly depressing one that cropped up last month in Canada. It was the story of an 11-year-old First Nations girl whose parents opted for what they called "traditional" medicine instead of effective…
oracknows | December 2, 2014I happened to have a busy day yesterday, and in addition today's a deadline to submit a letter of intent for a grant application, as well as to write a response to some criticism in a letter to the editor of my recent Nature Reviews Cancer article. (Trust me, it's fun.) Never one to let such an opportunity pass, I decided to take advantage in order to do a little shameless self promotion.
A week and a half ago, I gave a talk at Skepticon 7 in Springfield, MO entitled The Central Dogma of Alternative Medicine. It's now been posted on YouTube.
Because some of the sound didn't come through as…
oracknows | December 1, 2014
Every so often there's an article that starts making the rounds on social media, in particular Facebook and Twitter, that cries out for a treatment by yours truly. Actually, there are more such articles that are constantly circulating on social media that I could work full time blogging and still not cover them all. So I'm stuck picking and choosing ones that either (1) particularly pique my interest; (2) irritate me enough to goad me into action; or (3) reach a level of ubiquity that I can no longer ignore them. I don't think this one's hit #3 yet, but it certainly scores on #1 and #2.…
oracknows | December 1, 2014It should come as a surprise to no one that I'm not exactly a fan of "integrative oncology"—or integrative medicine, or "complementary and alternative medicine" (CAM), or whatever its proponents want to call it these days. After all, I've spent nearly ten years writing this blog and nearly seven years running another blog dedicated to promoting the scientific basis of medicine, and just this year managed to publish a lengthy commentary in a high impact journal criticizing the very concept of integrative oncology. Unfortunately, it seems to be the equivalent of the proverbial pissing in the…
oracknows | November 28, 2014
I hope my U.S. readers have all had a happy Thanksgiving. Today has been known at least since the mid-1970s as Black Friday, the busiest shopping day of the year. Whether it's still true or not, given the relentless proliferation, progression, and metastasis—yes, the use of terms related to cancer is intentional—of holiday sales right up until Christmas, I don't know. I do know that I plan on going nowhere near any store bigger than a convenience store until next week if I can possibly help it. I'm also sitting back and congratulating myself on one of the smartest decisions I've made in a…
oracknows | November 26, 2014
I don't think I mentioned this, but I'm on a bit of a staycation this week. I figured, what the heck? After coming home from Skepticon I could do with a little R&R. Of course, fool that I am, I still can't resist blogging a bit. On the other hand, the day before Thanksgiving I realize I should dial it back a bit and keep it brief. Everyone in the US (which, sorry, international readers, still make up the vast majority of my readers) is generally busy getting ready and might not have time for checking in with their favorite blogs, particularly blogs of bloggers known for their logorrhea…
oracknows | November 25, 2014
I realize that I risk getting repetitive by writing about this again, but it's a rich vein that just keeps on producing and producing. It also demonstrates that, for every tragedy as huge as the ongoing Ebola outbreak that has killed over 5,000 people in West Africa thus far, there always exist well-meaning people who are into such utter quackery that they can't help but risk making things worse. In my talk at Skepticon on Saturday I discussed how The Secret's Law of Attraction is, to my mind, the Central Dogma of Alternative Medicine, the idea that, if you want something bad enough and…
oracknows | November 24, 2014(Orac note: I was away at Skepticon over the weekend, where I gave a talk entitled The Central Dogma of Alternative Medicine. (When the talk’s up on YouTube, I’ll provide a link, of course.) Because of all the fun and travel delays I didn’t get a chance to turn my slides and notes into a blog post yet. Also, I’m on vacation this week. However, this gives me the opportunity to resurrect a blog post from 2007, because I think the concept is interesting. I even use it in a slide that shows up in many of my talks (above). I’ve updated dead links and added some text to include relevant links to…
oracknows | November 21, 2014As this goes live I’ll be heading to the airport, my purpose being to wing my way to Skepticon 7, where I’ll be speaking tomorrow on a little ditty I like to call The Central Dogma of Alternative Medicine. It’ll be fun, and I’m looking forward to it. However, in true Orac fashion, I haven’t finished the slides and outline for my talk yet, something I hope to do on the planes (there are no direct flights to Springfield, MO from here) and the 3+ hour layover I have to look forward to in Chicago.
What this means is that I was busily tweaking my talk and making some slides last night instead of…
oracknows | November 20, 2014
Here we go yet again.
I’ve been interested in the Ebola outbreak that’s been going on for months in west Africa for a number of reasons. First, it’s a bad disease, and this is the largest outbreak in history. over 5,000 people have died. Second, there’s been a lot of unreasonable fear mongering about the disease here in the US far beyond its actual threat level to the country. Third, of course, and perhaps most pertinent given the usual subject matter of this blog, is that the Ebola outbreak in Africa has been a godsend for quacks, cranks, and conspiracy theorists. There is no quackery or…
oracknows | November 19, 2014
It was a long day in the operating room again, albeit unexpectedly so as a case that I had expected to be fairly straightforward turned out to anything but. Let’s just say, when I’m peeling tumor off of a major blood vessel, my anal sphincter tone is such that if someone were to stick a lump of coal up there it would come out a diamond. Fortunately, everything turned out fine (damn, if I don’t sometimes know what I’m doing), but that, plus the other cases, drained. This seems to be happening more and more often these days, which means that I’d better get my lab funded quick before I’m…
oracknows | November 18, 2014
I figured that yesterday’s post about the First Nations girl in Ontario with lymphoblastic leukemia whose parents stopped her chemotherapy in favor of “traditional” medicine would stir up a bit of controversy, and so it did, albeit much more at my not-so-super-secret other blog, which featured an expanded version of this post. Don’t worry, you didn’t miss anything. It was expanded in order to have a more in-depth discussion of the quack in Florida who’s treating this girl, something I’ve already discussed here and could just link to. Efficiency!
Before I launch into this, let me make one…
oracknows | November 17, 2014A few weeks ago, Steve Novella invited me on his podcast, The Skeptics’ Guide to the Universe, to discuss a cancer case that has been in the news for several months now. The case was about an 11-year-old girl with leukemia who is a member of Canada’s largest aboriginal community. Steve wrote about this case nearly a month ago. Basically, the girl’s parents have been fighting for the right to use “natural healing” on their daughter after they stopped her chemotherapy in August because of side effects. It is a profoundly disturbing case, just as all the other cases I’ve discussed in which…
oracknows | November 14, 2014
It’s been a long and entertaining week. Well, at least part of the week was entertaining. After all, it was hard not to be mightily amused at what happened when Dr. Mehmet Oz, known to the world as America’s Doctor but to skeptics as America’s Quack, asked his Twitter followers to ask him anything under the hashtag #OzsInBox. It was, to put it mildly, a train wreck, but to skeptics it was an enormously entertaining train wreck. It seems fitting to finish it off with yet another example that provides compelling evidence of just how quacky naturopathy is. Why? Because it’s a point that can’t…
oracknows | November 13, 2014
Of the many lies and myths about vaccines that stubbornly persist despite all evidence showing them not only to be untrue but to be risibly, pseudoscientifically untrue, among whose number are myths that vaccines cause autism, sudden infant death syndrome, and a syndrome that so resembles shaken baby syndrome (more correctly called abusive head trauma) that shaken baby syndrome is a misdiagnosis for vaccine injury, the lie that vaccines are being used for population control is one of the most persistent. In this myth, vaccines are not designed to protect the populations of impoverished…