complementary and alternative medicine
oracknows | January 15, 2014Here we go again. In the wake of study after study that fails to find activity of various "complementary and alternative medicine" (CAM) beyond that of placebo, the campaign to a "rebrand" CAM as "working" through the "power of placebo" continues apace, in the wake of the successful campaign to "rebrand" various needle-based medical modalities as "acupuncture." Personally, I've argued that in reality this new focus on placebo effects as the "mechanism" through which CAM "works" is in reality more a manifestation of the common fantasy that wishing makes it so. Meanwhile I've argued that this…
oracknows | January 12, 2014There was a time when I used to blog about Jenny McCarthy a lot. The reason, of course, is that a few years ago, beginning in around 2007, she seized the title of face of the antivaccine movement in America through her "advocacy" for her son Evan, whom she described as having been made autistic by the MMR vaccine. She even described his diagnosis thusly to Oprah Winfrey in 2007:
Right before his MMR shot, I said to the doctor, I have a very bad feeling about this shot. This is the autism shot, isn’t it? And he said, “No, that is ridiculous. It is a mother’s desperate attempt to blame…
oracknows | January 10, 2014I realize that everyone, is looking forward to my deconstruction of Mike Adams' quacktacular attempt at being a real scientist (well, some of you, anyway). I must confess, though. I was a bit disappointed. And, being like Dug the Dog (a comparison I so frequently make), my attention was easily distracted. I'm sure I'll get back to Mikey eventually, but he really did show such a lack of imagination in his "big announcement" that I'm actually having a hard time motivating myself to apply any "Insolence" to it. It just doesn't seem worthy of the effort it would take, at least not right now.
In…
oracknows | January 8, 2014Well, that didn't take long. I knew it had been too quiet on the Burzynski front. In retrospect, that was almost certainly because of the holidays, but the holidays are over, and real life is here again.
Yes, the year 2014 is only a little more than a week old, and here comes Stanislaw Burzynski again, hurt but not defeated in the wake of all the negative publicity he received late last year, thanks to Liz Szabo's USA TODAY expose. Actually, in a way it might have been a good thing that I was delayed in addressing this a day by my little bit of weakness Tuesday night that led mere exhaustion…
oracknows | January 8, 2014Long day in the OR yesterday. By the time I got home, believe it or not, I was too beat to deliver one of my characteristic rants full of Insolence and science that my readers all know and love (well, mostly love). Consequently, today's a perfect day for a quickie. (No, not that kind of quickie; get your minds out of the gutter!) I'm referring to an observation that a reader sent in the other day about the upcoming yearly autism "biomed" quackfest known as Autism One. It's a little ditty I'd like to call Bleach Enema Karaoke:
It’s Kalcker’s Kerrioke Lounge hosted by the CD Community at…
oracknows | January 6, 2014Because of my involvement in this organization, I am hijacking my own blog for one day for my own nefarious purposes. To that end, I am republishing an announcement that originally appeared yesterday at a blog that a significant fraction of you are familiar with, but nowhere near all of you. And I want all of you to know about this, because I hope that some of you will join our cause.
I'm also going to add a few words of my own, because I can't help it. (As Hans Solo once said, "Hey, it's me.") The reason this new organization, the Society for Science-Based Medicine, is so needed is because,…
oracknows | January 3, 2014One of the more bizarre bits of cancer quackery that I've come across is that of an Italian doctor (who, like many cancer quacks, appears not to be a board-certified oncologist) named Tullio Simoncini, who claims that cancer is really a fungus and has even written a book about it, entitled, appropriately enough for this particular quackery, Cancer Is A Fungus. The first time I encountered Simoncini, about five years ago, I was floored by his arguments, not because of how bizarre they were (although that was part of it) because of their sheer stupidity. Seriously, Simoncini's reasoning—if "…
oracknows | January 1, 2014This is not what I wanted to write about for my first post of 2014, but unfortunately it's necessary—so necessary, in fact, that I felt the obligation to crosspost it to my not-so-super-secret other blog in order to get this information out to as wide a readership as possible.
I've always had a bit of a love-hate relationship with Facebook. On the one hand, I like easily how it lets me stay in contact with family and friends across the country, people whom I would rarely see more than once or twice a year, if even that. On the other hand, I have the same privacy concerns that many other…
oracknows | December 31, 2013As I write this, 2013 is drawing to a close, with only a little more than 12 hours to go before the crowds now gathering at Times Square and elsewhere ring in 2014. For some of you, 2014 has already arrived or will arrive many hours before it does for me. I'm not normally one to do much navel gazing, but 2013 has been a mixed year. As far as this blog goes, for instance, readership is up, with over 3.5 million page views for the year, although that's still a little below the blog's height before the whole "Pepsigate" thing. (It's really hard to believe that was almost three and a half years…
oracknows | December 24, 2013It's Christmas Eve, and the blogging is light. I was going to have some fun with a truly ridiculous—is there ever any other kind?—segment on Dr. Oz's show in which he actually combined a quack and a psychic with some EEGs to become a "100% believer" in psychic scammer "Long Island Medium" Theresa Caputo. However, Steve Novella got to it before I did; so there isn't much left, and with Christmas tomorrow my blogging schedule will become a lot more intermittent for the next few days. By the time I get back into the regular groove, other quackery will likely have popped up, and Oz's latest…
oracknows | December 22, 2013It was a couple of weeks ago that I last provided an update on the case of Sarah Hershberger, the 11-year-old Amish girl from Medina County, Ohio with lymphoblastic lymphoma whose parents decided to stop her chemotherapy because of how sick it was making her. As I explained early on and on multiple occasions afterward, Sarah had about an 85% chance of long term survival with the chemotherapy regimen she was undergoing but a close to zero percent chance of surviving without it. In other words, her parents, Andy and Anna Hershberger, are committing gross medical neglect of their child. I…
oracknows | December 20, 2013One of the frequent topics on this blog is, unsurprisingly, cancer quackery. Be it the Gerson therapy and its propensity for encouraging patients to take hundreds of supplements and to shoot copious amounts of coffee where it really doesn't belong (where the sun don't shine), the Gonzalez protocol, homeopathy, naturopathy, or various other nonsensical and dangerous cancer therapies with no scientific basis, I take them on because, as a cancer surgeon, I can't stand seeing cancer patients abused this way. If they're curable, I hate seeing them seduced into throwing away their chance for cure,…
oracknows | December 19, 2013I remember during medical school that more than one of my faculty used to have a regularly repeated crack that the only thing that taking vitamin supplements could do for you was to produce expensive pee. My first year in medical school was nearly thirty years ago now; so it's been a long time. During the nearly three decades since I first entered medical school, I have yet to see any evidence to persuade me otherwise. If you eat a well-rounded diet, you don't need vitamin supplementation. Of course, none of that stops the supplement manufacturers from trying to convince us that taking…
oracknows | December 18, 2013Rats.
Everyone's blogging about all the studies showing (as if it needed to be shown yet again) that vitamin supplementation is not necessary for most people, nor does it decrease the risk of heart disease or cancer, and I can't, at least not yet. Why not? Because my friggin' university doesn't subscribe to the Annals of Internal Medicine! I know! Can you believe it? And, you, my regular readers, know that I never blog a study (or three studies) without having the actual studies in front of me. Abstracts alone, as I've shown time and time again, can be deceiving. So, until one of my partners…
oracknows | December 13, 2013Thanks, Daily Kos.
Well, not really. You'll see why in a minute, but first here's the background. There's a general impression out there that the political right is associated with the antiscience that includes anthropogenic global warming denialism, denial of evolution, and denial of aspects of reproductive biology that don't jibe with their religious beliefs, and that consensus while the political left's brand of antiscience includes antivaccine beliefs and fear mongering about genetically modified organisms (GMOs). Of course, as I've discussed many times before, it's more complicated than…
oracknows | December 11, 2013The central mystery of Stanislaw Burzynski is how he keeps managing, no matter what is thrown at him by state and federal medical authorities, to keep on treating patients with deadly cancers. He's like the Energizer Bunny; he just keeps going and going and going and going. Or maybe he's like the game Whac-A-Mole™, where, as soon as one strategy seems on the verge of shutting him down he pops up elsewhere with another angle.
Burzynski, as regular readers know, is the Houston doctor (I refuse to call him a cancer doctor, because he has no formal training in oncology or even board certification…
oracknows | December 10, 2013Vaccines against the human papilloma virus (HPV), such as Gardasil and Cervarix, seem to have a strange power over people who are otherwise reasonable about science and vaccines. For some reason, HPV vaccines seem to have an uncanny ability to turn such people into raging antivaccinationists almost as loony as the merry band of antivaccine loons over at Age of Autism. At the very least, they seem to make seemingly reasonable people susceptible to blandishments and tropes for which they'd normally otherwise never fall. Truly, Gardasil and Cervarix seem to be vaccines that make reasonable…
oracknows | December 9, 2013Three weeks ago, USA TODAY published an expose of the Burzynski Clinic by Liz Szabo that was devastating in its scope and detail. Early on, Stanislaw Burzynski and his minions tried to do some damage control, with hilarious results given how inept and unconvincing his excuses were for all the violations of ethics and patient care and abuse of clinical trials detailed by Szabo. Later, Burzynski presented some abstracts at the Society of Neuro-Oncology meeting in San Francisco. Let's just say that the case report and his reports of a phase 2 clinical trial were...similarly unimpressive. Overall…
oracknows | December 8, 2013I am afraid. I am afraid that the Amish girl with cancer whose parents' battle to treat her with "natural" therapy instead of effective science-based chemotherapy has made international news, is doomed. It might take longer than doctors have estimated, but it seems inevitable now. I will explain.
It's hard to believe that it's been two months since I first became aware of the case of Sarah Hershberger, the now 11-year-old Amish girl from Medina County, Ohio near Akron with lymphoblastic lymphoma whose parents stopped her chemotherapy after only two rounds. It was around that time that, after…
oracknows | December 6, 2013Well, wouldn't you know it? Mike Adams thinks he's an actual scientist!
Regular readers are all too familiar with Mike Adams, a.k.a. The Health Ranger, arguably the most quacktastic site on the Internet. Sure, Joe Mercola is probably the most trafficked quackery site on the Internet, but, being number two (or number three or four, I'm not sure), Mike Adams definitely tries harder. In addition, Joe Mercola steers mostly clear of politics and non-medical pseudoscience. Sure, he promotes just as much quackery as Mike Adams does, if not more, but he doesn't delve into Tea Party-drenched New World…