complementary and alternative medicine
oracknows | May 24, 2012Well, screwed up transition to WordPress or not, I think it's time to get back to the business of doing what Orac does best: Laying down the Insolence, Respectful and Not-So-Respectful. While the remaining bugs are being ironed out, I'll work on trying to get the blog's appearance back to the way I like it as I harass the Seed/NatGeo overlords to fix things up for the benefit of you, my readers. (Well, it's also to my benefit, too. Using WordPress the way it's configured now is a real PITA, if you know what I mean.) I thought about wandering over to that despicable den of antivaccine iniquity…
oracknows | May 20, 2012Acupuncture has been a frequent topic on this blog because, of all the "complementary and alternative medicine" (CAM) modalities out there, it's arguably the one that most people accept as potentially having some validity. The rationale behind acupuncture is, as we have explained many times before, little different than the rationale behind any "energy healing" method (like reiki, for example) in that it claims to redirect the flow of "life energy" (the ever-invoked qi). The only difference is that acupuncturists claim to bring this therapeutic qi rearrangement about by sticking thin needles…
oracknows | May 18, 2012I'm sometimes asked why I do this. Why, people ask me, do I spend so much time generating post after post after post day after day after day? Obviously, one reason is that it interests me. Another reason is the passion that drives me to support science and science-based medicine and to detest the damage the pseudoscience, particularly pseudoscience in medicine, can do. There is, however, at least one more reason.
I'm referring, of course, to the adoration of my "fans."
Yes, the more I'm attacked, the more I know I've been effective against the forces of irrationality and pseudoscience. When…
oracknows | May 16, 2012I'm sometimes criticized for referring to various people who are "anti-science" as, well, "anti-science." People, for whatever reason, have a hard time believing that anyone is anti-science; so when I point out how much, for example, antivaccinationists, alternative medicine believers, or creationists are anti-science, they have a had time believing it. This is particularly true because, just as antivaccinationists loudly protest that they are not "antivaccine," those who are anti-science equally loudly protest that they are not "anti-science." Such protestations are almost inevitably…
oracknows | May 14, 2012I acquiesce.
I know that I'm not going to have a lot of control over my selection of blogging material for a given day when I see more than one or two requests for an analysis of an article. So it was, when links like these were showing up in my e-mail:
Acupuncture May Help Ease Symptoms of COPD
Acupuncture May Be Worth a Shot for COPD: Small Study Shows Acupuncture May Help People With COPD Breathe Easier
These two news stories refer to a study from Japan by Suzuki et al published online yesterday in the Archives of Internal Medicine entitled A Randomized, Placebo-Controlled Trial of…
oracknows | May 13, 2012Last week, I pointed out that, when referring to a therapy and considering whether it should be tested in clinical trials, plausibility does not mean knowing the mechanism. Today, I intend to elaborate a bit on that. As my jumping-off point, I couldn't ask for anything better (if you can call it that) than an article by homeopaths published last week online in Medicine, Health Care, and Philosophy entitled Plausibility and evidence: the case of homeopathy. You'll get an idea of what it is that affected Orac like the proverbial matador waving his cape in front of a bull by reading this brief…
oracknows | May 11, 2012It's been a while since I've done a bit of Your Friday Dose of Woo, and I actually kind of miss it. It's not that there hasn't been anything that hasn't been worthy of this "honor" for a while. On the other hand, there hasn't been anything in a while that combines just the right proportions of pure woo, utter ridiculousness, and pure pseudoscience to provide the perfect "inspiration" to start me on a roll. Oh, it's out there, but for some reason I've let myself become bogged down by topics that are just too serious. It's time to lighten up, at least for a little while.
So it was when I came…
oracknows | May 10, 2012One of my newer blogging interests is the "alternative" cancer doctor named Dr. Stanislaw Burzynski. Although I had heard of him years ago, mainly in the context of his desperate patients tapping into the generosity of kind-hearted strangers to pay for his "antineoplaston" therapy, I hadn't really written much about him until very recently. About six months ago, Burzynski came to my attention because of his clinic's use of an Internet legal thug named Marc Stephens, who threatened skeptical bloggers with legal action after they had criticized the Burzynski Clinic and then later disavowed him…
oracknows | May 8, 2012I tend to get lost in complexity from time to time.
I know, big surprise to my regular readers, but I suppose it's a good thing that at least I know that this is a weakness of mine. Indeed, it must be part and parcel of my seeming tendency to produce epic posts of ridiculous length that sometimes surpass 5,000 words, although, in all fairness, my average post length is probably less than 2,000 words, which is still too long for many people but not beyond the pale. Of course, part of the reason for this is that I like to leave no stone unturned. In particular, I tend to like to make my…
oracknows | May 7, 2012It's no secret that over the years I've been very critical of a law passed nearly 20 years ago, commonly referred to as the DSHEA of 1994. The abbreviation DSHEA stands for about as Orwellian a name for a law as I can imagine: the Dietary Supplement Health and Education Act. Of course, as we've pointed out time and time again, the DSHEA is not about health, and it's certainly not about education. Indeed, perhaps my favorite description of this law comes from blog bud and all around awesome internist Dr. Peter Lipson, who refers to it as a "travesty of a mockery of a sham." Rather, it's about…
oracknows | May 6, 2012One of the most inaptly named groups I've ever seen is called Thinking Moms' Revolution (henceforth abbreviated as TMR). Given the reality of what TMR really is, the word "thinking" applied to TMR is, as they say, so wrong it's not even wrong. As for a "revolution," what TMR really represents is nothing revolutionary at all, unless you consider antivaccinationism, run-of-the-mill antiscience paranoia, and big pharma conspiracy theories to be "revolutionary." I don't know about you, but I do not. I've followed such activities for well over a decade now, and in light of that experience,…
oracknows | May 4, 2012Denialism. You keep using that word. I do not think it means what you think it means.
The story might be apocryphal, and it might not even be true, but it's often used as a metaphor. I'm referring to the "boiling frog" story. Basically, the idea is supposedly based on an observation that a frog, when placed in a pot of hot water, will immediately jump out. However, or so the story goes, if the frog is placed in room temperature water and the water is heated gradually enough, the frog won't notice and will eventually boil to death without trying to escape. The metaphor, of course, is designed…
oracknows | May 2, 2012Over the years that this blog has been in existence, beginning very early on, there has been one overarching theme. That theme is that the best medicine is science-based medicine. Sure, we could quibble about how that was originally defined, and I used to be more of a booster of evidence-based medicine until its blind spot with respect to "complementary and alternative medicine" (CAM) and "integrative medicine" (IM). That blind spot, as I've explained time and time again, both here and elsewhere at my not-so-super-secret other blogging location under my real name, that blind spot is prior…
oracknows | April 27, 2012Almost exactly a year ago, I came across a bit of woo so incredible, so spectacularly stupid and unbelievable, that I dedicated one of the last segments I've done in a long time of Your Friday Dose of Woo to it. Basically, it was about a movie called Eat the Sun, which described a bunch of people who believe that they can imbibe the energy they need to keep their bodies going by "sun gazing," which involves, as the name implies, staring directly into the sun. The idea is to stare directly into the sun for as long as possible at sunrise or sunset, so as not to burn out your retinas by staring…
oracknows | April 20, 2012It just occurred to me that, even though there was news about it, I never mentioned what's happened recently with respect to California bill AB2109. As you might recall, I wrote about this bill about four weeks ago. In brief, this bill, if passed into law, would require that California parents seeking a "personal belief" exemption for vaccines to meet with a physician and have a physician sign off on what is more or less an informed consent form stating that the parents had been informed of the risks and benefits of vaccines and, more importantly for purposes of the personal belief exemption…
oracknows | April 18, 2012I thought that a solid basic understanding of basic and clinical science was a prerequisite to be a bioethicist. AFter all, the prefix "bio" is in the word "bioethicist," which implies to me that bioethicists study the ethics of biology and medicine, which, of course, they do. Some bioethicists are even physicians. After all, to be able to study the ethics of a medical issue, it's rather necessary to understand just what the medical and scientific issues that cause the ethical issues and dilemmas being studied. Unfortunately, as I found out yesterday, it doesn't always work out that way.…
oracknows | April 16, 2012Periodically, I like to make fun of homeopathy and homeopaths. I realize that to some that might seem like the proverbial shooting of fish in a barrel, but it is amusing and educational. However, it's not always amusing. For instance, I am not amused when I see The One Quackery To Rule Them All (my favored term for homeopathy these days) being used either in areas where a lack of treatment can result in great harm (and, given that homeopathy is nothing more than water shaken up a bit with a magic spell, that's what homeopathy is, a lack of treatment) or when I see homeopaths promising what…
oracknows | April 15, 2012If there's one difference between so-called "complementary and alternative medicine" (CAM) and science-based medicine (SBM), it's the role of anecdotes in each. CAM and SBM each take a very different view of anecdotes. In SBM, anecdotes are relegated to a very low rung on the evidence ladder. They are a starting point in that, if well-documented enough and convincing enough, they can serve as the basis to suggest that clinical research or clinical trials might be indicated. Sometimes, in the case of rare diseases where numbers of patients are so small that randomized clinical trials are not…
oracknows | April 13, 2012You know, I really, really hate the way quacks abuse molecular biology. I know, I know. I've said it before, but certain quacks have a way of willfully misunderstanding the latest advances in genomics, molecular biology, and biology in general. Of course, this isn't limited to just medicine, unfortunately. After all, we have Deepak Chopra and his quantum woo, which abuses physics and quantum theory in the name of "proving" mind-body dualism, a bastardized version of "intelligent design" creationism that is based on Eastern mysticism rather than Christianity, and, of course, a "conscious…
oracknows | April 12, 2012Proof. You keep using that word. I do not think it means what you think it means.
That thought kept running through my mind as I perused an article appearing on an antivaccine website. Another thought that rant through my mind is that this was clearly not a scientist of any sort speaking. In science, in general, we don't speak of "proof." We speak of evidence and experimentation. Lawyers speak of proof, as in "proof beyond a reasonable doubt." Scientists speak of evidence in shades of gray, because most evidence is on a continuum. Besides, the article asked the question, "Has 'science based…