complementary and alternative medicine

Just yesterday, I commented on a typical whine from the antivaccine crew at the crank blog Age of Autism in which Dan Olmsted became indignant over being reminded that science does not support his belief that vaccines cause autism, that they don't work, and that they are dangerous. Olmsted, clueless as ever about science, viewed being reminded that the science overwhelmingly doesn't support his belief as being akin to George W. Bush trying to convince the country that Iraq had weapons of mass destruction as a pretext to invade or to Richard Nixon urging people to stop investigating Watergate…
I like the word "manufactroversy." It's a lovely made up word that combines the two words "manufactured controversy" and is, to boil it down, defined as the art of creating a controversy where none really exists. In the case of science, it's the concerted effort to make it seem as though there is a legitimate scientific controversy when in reality there is not. Indeed, one might say that the very purpose (or at least the main purpose) of this blog is to discuss manufactroversies. These include issues such as quackery, where promoters of pseudoscientific, unscientific, and prescientific…
As much as I write about the infiltration of quackademic medicine into medical academia, there is one particular area that is being increasingly invaded by such quackery. It's an area that you wouldn't necessarily expect, although anyone who's read The Men Who Stare at Goats might not be so shocked. Yes, I'm referring to the military, and, as I've documented time and time again, increasingly our men and women in uniform are being subjected to abject quackery. What they need and deserve is the very best science-based medicine that we as a nation have to offer. Instead, what more and more of…
I take back all those nice things I used to say about Nancy Snyderman. There's no doubt that she "gets it" about vaccines and, for the most part, even though she does occasionally go overboard, and her understanding of the issues involved in the use of various vaccines is anything but nuanced. I used to think that she "got it" with respect to SBM, but then I saw her recent segment on "complementary" medicine on NBC News the other night. Here's part one, which aired Monday night: Visit NBCNews.com for breaking news, world news, and news about the economy The very introduction made me groan,…
I hate to admit it, but I've known about this story since Friday night, when I received a couple of e-mails about it. I had meant to mention it here either over the weekend or on Monday, but I'm a bit like Dug the Dog in the movie Up. Think of it this way: Squirrel! Yes, I'm easily distracted. I shouldn't have been, but I was this time. I do, however, usually get back to business, and this is nasty business. In fact, it's a type of business of the sort that completely enrages me and the sort of thing I've blogged about many times in the past, namely the use of legal thuggery by promoters of…
In a week and a half, Harriet Hall, Kimball Atwood, and I will be joining Eugenie C. Scott at CSICon to do a session entitled Teaching Pseudoscience in Medical (and Other) Schools. As you might imagine, we will be discussing the infiltration of pseudoscience into medical academia and medical training, a phenomenon I frequently refer to as "quackademic medicine." It's a topic that has been much discussed on this blog; so I am quite confident that we are the people to tell our audience just how bad it is, why it's happening, and why you should be concerned about it. Also, from my perpective,…
And now for something completely different... Well, not really. It's a little different, but regular readers will soon recognize it as a variation on the same old theme. One topic I've been writing about since the very beginning of this blog is the alternative medicine cancer cure testimonial, or, more specifically, the breast cancer cure testimonial. Indeed, one of the very first (perhaps the very first) of my "classic" Orac-length deconstructions was about this very topic. It's a topic that's come up again and again, even quite recently. To make a long story short, many breast cancer cure…
Another year, another Breast Cancer Awareness Month. While most people who have either been touched by breast cancer or who have a professional interest in it, the significance of Breast Cancer Awareness Month is that it is a time, well, to increase awareness and to promote breast cancer research. There is another side to Breast Cancer Awareness Month, however, and it's not just the question of its excessive commercialization, which concerns some people. Rather, inevitably, just as the vaccine-autism quacks have come out of the woodwork for Autism Awareness Month each April, each October…
One of the hazards of standing up for science and science-based medicine (and against cranks) is that some of these cranks will try to contact you at work. That's why I have a policy about blog-related e-mails sent to me work address, and that policy is that I usually ignore them, whereas I might actually respond if it's sent to my blog e-mail address. Well, it's not an absolute policy. If it's a reporter or fellow skeptic who contacts me at work, I might well respond from my blog address, but crank e-mails sent to my work address are 100% guaranteed to be sent straight to the metaphorical…
On Friday, I wrote about the sort of case that outrages me every bit as much as cases of cancer quackery that lead to the death of patients. I'm referring to the case of Amanda Sadowsky, a four month old infant who died after suffering traumatic brain injuries that appeared consistent with shaken baby syndrome (SBS). As I've pointed out before, what I've found to be one of the most disturbing antivaccine claims of all is the assertion that SBS is a "misdiagnosis for vaccine injury." As you might recall, SBS is the name originally given to a triad of findings consisting of subdural hemorrhage…
Here we go again. A week ago, I tried to exercise my blogging powers (such as they are) for some good by rallying my readers to appear at rallies organized by the antivaccine movement against California Bill AB 2109. Fortunately, ultimately Governor Jerry Brown signed the bill, although he did try to insert weasel words in his signing statement to create a religious exemption from the requirement for informed consent from a health care professional before being allowed a philosophical exemption. All in all, it was a transparent and cowardly attempt to placate opponents and privilege religion…
I suppose it's possible that there might be doubt that Rob Schneider has become a complete and total antivaccine wingnut. Possible, but not reasonable. After all, he's shown his cards and risen to prominence with his attacks on vaccine science made as part of his effort to oppose the passage of California Bill AB 2109, which was finally passed and signed by Governor Jerry Brown, but not without an attempt to water it down by adding a pointless (and probably unconstitutional) set of instructions for implementation in a signing statement. Leading up to this, Schneider had "made a name for…
Every so often there are articles or posts about which I want to blog that, for whatever reason, I don't get around to. I've alluded before to my observation that blogging tends to be a "feast or famine" sort of activity. Sometimes, there isn't a lot going on, and, if there's one thing I've failed to learn, it's not to try too hard to find blog fodder when not much is going on and just chill out. On the other hand, one thing I have learned is not to try too hard to blog about everything you want to blog about when the blog fodder is hitting you fast and furious, as it sometimes does. It's…
It's feast or famine in the ol' blogging world, and right now it's such a feast that I can't decide what to blog about. For instance, there are at least two studies and a letter that I wouldn't mind blogging about just in the latest issue of the New England Journal of Medicine alone. Then there's SaneVax and Dr. Sin Hang Lee, who has apparently released another study again claiming that the anti-HPV vaccine Gardasil is contaminated with—horror of horrors!—DNA. A quick perusal of it tells me that it's probably the same principle of PCR that I've discussed before, namely that it's quite…
Homeopathy is what I like to call The One Quackery To Rule Them All. Depending upon my mood, I'll use more or less of J.R.R. Tolkien's famous poem about the One Ring from The Lord of the Rings, but the point is usually made. Homeopathy is major quackery. And it is, too. On the off chance that there's a newbie reading this who hasn't been a regular reader of this blog or other skeptical blogs and doesn't know what homeopathy is. (Regulars can skip this paragraph if they wish, but I wouldn't. It's entertaining.) Basically, homeopathy is a system of magical medicine thought up over 200 years ago…
The Human Genome Project (HGP) was one of the most massive scientific undertakings in recent years and, from a basic science and technology development standpoint, one of the most productive. The data gained formed the basis of the genomic revolution. And "revolution" is the right word. A mere 12 years after the human genome sequence was first published in papers in Nature and Science, we now have petabytes of sequence data pouring out of universities, research institutes, and genomics institutes. Sequencing a genome, which took several years to do for the HGP and cost billions of dollars,…
In common colloquial usage, there is a term known as "gaydar." Basically, it's the ability some people claim to have that allows them to identify people who are gay. Whether gaydar actually exists or not, I don't know, but I claim to have an ability that's similar. That ability is the ability to sniff out antivaccinationists. Over the last decade, I've become very good at it, so much so that it's almost instinctual and rarely wrong. My guess is that it's nothing more than my having internalized all the tactics and tropes that antivaccinationists like to use to the point where I don't need to…
I sense a disturbance in the skeptical blogosphere. It is something that I half-expected, but, even so, it nonetheless somewhat surprised me when it arrived in the form of comments on my blog and e-mails from readers, fellow supporters of science-based medicine, and others asking me what I thought. In a way, it makes me glad that I didn't blog about this back on Monday, when the study that is the focus of this disturbance was published. Had I written about it then, all I would have had as fodder was the study itself. However, waiting a couple of days has allowed me to see the reaction of the…
One of the overarching issues, if not the overarching issue that makes so-called "complementary and alternative medicine" (CAM)—or, as it's now more commonly called, "integrative medicine"—so problematic is prior plausibility. It's also one of the most difficult to explain to the lay public, because to someone not trained in science it can sound like not being open-minded. I like to joke about this whole concept by saying that it's good to be open-minded but not so open-minded that your brains fall out. In other words, the main difference between science-based medicine (SBM) and evidence-…
On the antivaccine front, this year began with antivaccine hero Andrew Wakefield filing suit against investigative reporter Brian Deer, the BMJ, and Fiona Godlee (the editor of BMJ) for libel based on a series that Deer published in the BMJ outlining the evidence for Wakefield's scientific fraud in his (in)famous 1998 Lancet case series. This resulted in a massive rallying of the antivaccine troops around Wakefield, as well as temporarily making him appear relevant again after so many much-deserved humiliations and defeats, in the wake of his having had his license to practice medicine in the…