complementary and alternative medicine
oracknows | May 21, 2017Last week, I wrote about acupuncture, specifically how acupuncturists are unhappy that the UK National Institute for Health and Care Excellence (NICE), which provides guidelines for recommended treatments for diseases and conditions, does not recommend acupuncture for the treatment of knee osteoarthritis but does recommend arthroscopic washouts and debridement, for which the evidence is weak. My retort was simple: If this is true, the answer is not for NICE to start recommending quackery like acupuncture, but rather for it to stop recommending conventional medical and surgical treatments with…
oracknows | May 19, 2017Acupiuncture is a system of treatment rooted in the prescientific vitalism of traditional Chinese medicine (TCM). It doesn't work. For anything. As Steve Novella and David Colquhoun put it, acupuncture is basically a theatrical placebo, which is why rigorous studies consistently fail to find a treatment effect due to acupuncture that is detectably greater than placebo. Not that that's stopped acupuncturists and acupuncture advocates from trying desperately to show that acupuncture "works," even if it means hooking up acupuncture needles to electrodes and turning it into transcutaneous nerve…
oracknows | May 18, 2017It looks as though the check has finally cleared.
You might be wondering what I'm referring to. A little more than a week ago, I took note of how a truly awful survey masquerading as a "study" had risen from the dead once again as two publications in a notorious bottom-feeding predatory "open access" journal after having been retracted after publication in a somewhat less notorious but similarly bottom-feeding predatory "open access" journal. Whether or not these studies were actually retracted the second time around is somewhat unclear. What is known is that they were on the Open Access Text…
oracknows | May 17, 2017After yesterday's post about how antivaxers were utterly losing their mind about an ill-chosen idiom that appeared in a Boston Herald editorial last week. In it, the editor concluded by saying that how antivaxers have been preying on the Somali immigrant population in Minnesota, feeding them antivaccine misinformation that has resulted in two measles outbreaks, one in 2011 and one this year, which is up to 58 victims, a number that continues to climb, should be a "hanging offense." In my post, I emphasized the hypocrisy and disingenuousness of the response of antivaxers, who took an offhand…
oracknows | May 16, 2017Over the last few years, I've been doing a recurring series that I like to refer to as The Annals of "I'm not antivaccine." Amazingly, it's already up to part 23. It's a series based on an oft-repeated antivaccine claim that is either a like or a delusion (sometimes both), namely the claim made by antivaccine activists ranging from Jenny McCarthy to Robert F. Kennedy, Jr., the latter of whom is best known for making such claims after likening "vaccine-induced autism" to the Holocaust. (Indeed, RFK, Jr. takes denial to a ridiculous extreme by proclaiming himself not just "pro-vaccine" but "…
oracknows | May 14, 2017Of all the modalities of alternative medicine currently in use, arguably acupuncture is the one that has achieved the most mainstream acceptance in medicine. I've often asked why it has become so common in academic medical centers and elsewhere, despite the evidence being overwhelmingly in favor of the conclusion that it is nothing more than a theatrical placebo. It doesn't matter that acupuncture is part of a prescientific system of medicine now known as traditional Chinese medicine (TCM), whose concepts are rooted in vitalism. It doesn't matter that what has passed for acupuncture since the…
oracknows | May 10, 2017Over the last couple of days, I've been writing about two incredibly bad "studies" by Anthony Mawson, an antivaccinationist and Andrew Wakefield fanboi, who first published one of them in a bottom-feeding predatory open access journal and saw it retracted. Then he appears to have divided the study up two minimal publishable units and had them published as two papers in a bottom-feeding predatory open access journal even lower on the food chain that the first, after having promoted its second coming among the antivaccine crowd. Obviously, I'm not going to go into the details of each study's…
oracknows | May 7, 2017Some posts I really enjoy doing. I'm so fired up by the topic that the words flow, and I finish a post in record time. Other posts are more of a chore, written not so much because I'm excited by the topic, but because I feel duty bound to address it. I feel the need to write such posts when, for example, a bit of pseudoscience has gained traction in mainstream groups and readers keep writing me about it, to the point where I finally give in. This is one of the latter posts. None of this is to say that I don't still do my best with these posts to explain and argue my points. Fear not, I'll get…
oracknows | May 5, 2017Earlier this week, I took note of an ongoing measles outbreak in Minnesota. This outbreak affects the large Somali immigrant community there, and the reason for the outbreak is simple. Over the last decade, uptake of the MMR vaccine has plunged dramatically in the American-born children of the Somali community, from 92% to 42%, far below the level necessary for herd immunity. The reason for the drop is that antivaccine fear mongering has taken hold in the community, thanks to American antivaxers who targeted the community and Andrew Wakefield himself, who's visited the community at least…
oracknows | May 4, 2017I'm having flashbacks now. I feel as though it's 2012, and I was just in the midst of examining the Houston cancer quack known as Dr. Stanislaw Burzynski. As you recall, he's the Polish expat doctor who discovered peptides in the blood that he dubbed "antineoplastons" and postulated to be endogenous cancer suppressors. He ultimately made them into a cancer treatment that he's been using on patients for over 40 years now, despite never having demonstrated its efficacy or safety. Despite that, he's become a rock star in the world of alternative cancer cures, with two propaganda movies disguised…
oracknows | May 3, 2017[Editor's note: Sorry this is a few hours late. I forgot to change the status from DRAFT to SCHEDULE in WordPress last night. D'oh!]
The single most persuasive strategies by which quacks sell their wares and believers in quackery persuade others to try the quackery they believe in is the personal anecdote. Indeed, I established very early on in the history of this blog a type of post that has become a staple that shows up several times a year. In these posts, I deconstruct "alternative cancer cure" testimonials, showing how the story as related doesn't provide convincing evidence that the…
oracknows | May 1, 2017"Integrative medicine" is a term for a form of medicine in which pseudoscience and quackery are "integrated" with real medicine. Unfortunately, as Mark Crislip puts it, when you mix cow pie with apple pie, it doesn't make the cow pie better; it makes the apple pie worse. Unfortunately these days, there's a lot of cow pie being mixed with apple pie. Worse, it's gotten to the point where integrative medicine is subspecializing. For instance, there is now a specialty known as "integrative oncology," which particularly burns me. Indeed, supportive care oncology has been very susceptible to the…
oracknows | April 30, 2017There are many harms attributable to the antivaccine movement and its promotion of antivaccine beliefs. Certainly, the harm those of us who have been combatting antivaccine misinformation fear is the return of vaccine-preventable diseases, which is something we've seen in the form of outbreaks, such as the Disneyland measles outbreak two years ago and, in my own state, pertussis outbreaks. The Disneyland outbreak was a wake-up call to California legislators, who in its wake passed SB 277, a law that eliminated personal belief exemptions (PBEs) to school vaccine requirements. Now, only medical…
oracknows | April 28, 2017I've been at this blogging thing for well over 12 years now. I know, I know. Sometimes it amazes even me that I been doing this so long. I also know that I've been mentioning just how long I've been blogging more frequently. Sometimes I worry that the blog will turn into nothing more than posts counting down the days since I started this whole crazy thing. Of course, the main reason I mention this is not so much out of a desire for repetition but as a way of expressing amazement when I find something new and/for bizarre that I don't recall having heard before.
So it was when I came across an…
oracknows | April 27, 2017I was going to write about this yesterday, but seeing a family of a child with terminal cancer seduced by the siren call of Stanislaw Burzynski and his antineoplaston quackery distracted me and I had to blog about it. It's actually an appropriate lead-in to this story, which was based on an announcement by the FDA that it was sending warning letters to 14 companies for selling products that they claimed were treatments for cancer:
The U.S. Food and Drug Administration today posted warning letters addressed to 14 U.S.-based companies illegally selling more than 65 products that fraudulently…
The failure of the Texas Medical Board: Houston cancer quack Stanislaw Burzynski is back in business
oracknows | April 26, 2017When last I wrote about Houston cancer quack Dr. Stanislaw Burzynski nearly two months ago, he had, as I characterized it, just mostly slithered away from justice once again. The Texas Medical Board had not removed his license and had only fined him relatively lightly given his offenses. True, he had conditions placed on his continued practice (more on that later), but it hasn't slowed him down, as you will soon see. Another family is raising funds, this time from the UK, to travel to Houston for his nostrums. Basically, by failing to revoke Stanislaw Burzynski's medical license, the Texas…
oracknows | April 24, 2017Ever since I first realized that naturopathy is a cornucopia of quackery administered by naturopaths in a "One from Column A, Two from Column B"-style of practice, I've opposed the licensure of naturopaths. Not surprisingly, naturopaths crave state licensure because it puts the imprimatur of the state on their pseudomedical profession. More importantly, it makes it more likely that health insurance companies will actually pay for their services. Unfortunately, thus far, 19 states, five Canadian provinces, the District of Columbia, Puerto Rico, and the US Virgin Islands have all passed laws…
oracknows | April 21, 2017Yesterday, I discussed a topic that has vexed me ever since long before I started this blog, namely the topic of how physicians are seduced by pseudoscience and ultimately embrace it whole-heartedly. The kinds of pseudoscience I've seen physicians embracing are many, including climate science denialism and creationism, but the ones that most interest me are ones that physicians should know better than to embrace. I'm referring, of course, to pseudoscience related to the medical profession, such as various forms of medical quackery (which, alas, have found all too cozy a home in medicine to…
oracknows | April 19, 2017Being a surgeon and physician, I've always been puzzled at how my fellow physicians and surgeons can become ensnared by pseudoscience and quackery to the point where they become proponents of various forms of irrational thinking. Examining "docs gone bad" has been an intermittent recurring theme of this blog going all the way back to at least 2005. Leaving aside obvious quacks, such as some of the cancer quacks I've discussed over the years, I've discussed a number of doctors who don't accept the validity of evolution, the most commonly discussed being Dr. Michael Egnor, the creationist…
oracknows | April 18, 2017If there's one thing about antivaxers, it's that they're single-minded beyond belief. No matter what the chronic health problem, it's always about the vaccines. To them, vaccines are always the cause. Autism? Vaccines must be the cause. Asthma? vaccines. Diabetes? Obviously vaccines. Sudden infant death syndrome (SIDS)? What else could it be but the vaccines? (Never mind that there's plenty of evidence suggesting that vaccinated children have a lower risk of SIDS.) That's how antivaxers think. Monomania doesn't even begin to describe it.
I was reminded of this yesterday when I came across yet…