complementary and alternative medicine
oracknows | August 21, 2011Sadly, a crank has silenced another skeptic.
Many of you may know EpiRen, which is the Twitter and blog handle (and sometimes commenting handle here) of René Najera. René is an epidemiologist employed by the state public health department of health of an East Coast state and has been a force for reality- and science-based discussions of medicine, in particular vaccines. In fact, he's come out as a strong defender of vaccines against anti-vaccine lies.
Unfortunately, EpiRen is no more, at least online; that is, if he wants to keep his job.
As related to my by Liz Ditz, A Public Servant,…
oracknows | August 18, 2011I don't know if I should thank Peter Lipson or condemn him.
What am I talking about? Yesterday, Peter sent me a brain-meltingly bad study in so-called "complementary and alternative medicine" that shows me just how bad a study can be and be accepted into what I used to consider a reasonably good journal. I say "used to consider," because the fact that this journal accepted a study this ludicrously bad indicates to me that peer review at the journal is so broken that I now wonder about what else I've read at that journal that I should now discount as being so unreliable as to be not worth…
oracknows | August 18, 2011It's always frightening when lawyers delve into the realm of medicine. It's even worse when pre-law students and political science majors do the same.
Such was the thought running through my mind when I came across the most recent issue of the Yale Journal of Medicine & Law. The result is what I would most accurately characterize as--shall we say?--uneven. Even though the authors try to don the mantle of skepticism, for the most part they fail. Perhaps the best example of this failure is this particular article entitled Chiropractic Medicine: "Quackery's" Struggle for Fair Practice.…
oracknows | August 17, 2011Many have been the times that I've pointed out that many forms of "alternative" medicine are in reality based far more on mystical, religious, or "spiritual" beliefs than on any science. Indeed, one amusing event that provided me the opening to launch into one of my characteristic (and fun) Orac-ian outbursts occurred a couple of years ago, when the U.S. Catholic bishops declared that reiki is not compatible with Catholic teachings and shouldn't be offered in Catholic hospitals. Then, earlier this year, the fundamentalists weighed in, when a preacher from the Poconos named Kevin Garman…
"Integrative medicine" further evolves into "evidence-based complementary medicine." Nothing changes
oracknows | August 16, 2011One of these days I'm going to end up getting myself in trouble.
The reason, as I've only half-joked before, is that, even though I'm not even 50 yet, I'm already feeling like a dinosaur when it comes to "complementary and alternative medicine" (CAM) or, as it's called more frequently now, "integrative medicine" (IM). These days, we now have the National Center for Complementary and Alternative Medicine (NCCAM), the Bravewell Collaborative, and a number of other forces are conspiring to "integrate" quackery with real medicine. As part of that task, it's been necessary to rebrand quackery, a…
oracknows | August 14, 2011NOTE: I was on a lovely vacation for three days in Chicago over the weekend, where I visited old haunts. (Bathroom attendants? At one of my favorite pub hangouts when I lived in Lincoln Park, John Barleycorn? Handing out crappy brown paper towels? Plastering the walls there with endless rows of flat screen TVs turned continuously on sports and news? Really? Oh, the pain.) In any case, what that means is that I didn't write anything new for today (other than this introduction). I did, however, find a lovely post from over two and a half years ago to recycle and update. Remember: If you haven't…
oracknows | August 11, 2011The infiltration of quackademic medicine continues apace, except that it's not just quackademic medicine. Now, it goes way, way beyond that to encompass not just academic medical centers but community hospitals, hospitals of all sizes, large private hospitals, and health care institutions of all shapes and sizes. Frequently, proponents of quackademic medicine try to portray those of us who oppose the infiltration of pseudoscience into medicine as being behind the times, as futilely resisting the wave of the future. They portray so-called "complementary and alternative medicine" (CAM) as the…
oracknows | August 10, 2011Well, well, well, well...
I always wondered about this.
As I pointed out the other day, former NIH director Bernadine Healy died of a recurrent brain tumor. As regular readers know, over the last three or four years, she had become a convert to the vaccine/autism cause, as evidenced by her having been named Age of Autism's "Person of the Year" in 2008. Over the last few years, it puzzled me why she had abandoned science in this area. I also suspected, but couldn't prove, that she had been receiving her lines of nonsense that she had started promoting from the anti-vaccine movement. As a…
oracknows | August 9, 2011It came as a shock to me to find out yesterday that former director of the American Red Cross and former director of the NIH Bernadine Healy died. Chalk it up to my simply being ignorant of the fact, but I didn't know, or had forgotten, that she had brain cancer. Interestingly, she had had this glioma and survived 13 years. Compare that to David Servan-Schreiber, who survived his brain tumor for 20 years and attributed much of it not just to medical science, but to all the woo he came to believe in and practice.
For purposes of this blog, the reason her death is even worth noting briefly is…
oracknows | August 8, 2011Over the years that I've been following the anti-vaccine movement, I've become familiar with typical narratives that reporters use when reporting on the vaccine fears stirred up by anti-vaccine activists. One narrative is the "brave maverick doctor" narrative, in which an iconoclastic quack (such as Mark Geier or Andrew Wakefield, for example) is portrayed fighting a lonely battle against the scientific orthodoxy. This particular narrative is extremely popular because it feeds into the story of the "underdog," coupled with a healthy disrespect of the powers that be, particularly the…
oracknows | August 6, 2011Here's blast from the past.
Interestingly, this doesn't exaggerate all that much...
oracknows | August 5, 2011I admire Brian Deer. I really do. He's put up with incredible amounts of abuse and gone to amazing lengths to unmask the vaccine quack Andrew Wakefield, the man whose fraudulent case series published in The Lancet thirteen years ago launched a thousand quack autism remedies and, worst of all, contributed to a scare over the MMR vaccine that is only now beginning to abate. Yes, Andrew Wakefield produced a paper that implied (although Wakefield was very careful not to say explicitly) that the MMR vaccine caused an entity that later became known as "autistic enterocolitis" and later implied that…
oracknows | August 4, 2011Now this is some seriously funny stuff.
Anyone who's been reading this blog a while knows my opinion of Deepak Chopra. Basically, he's the quackiest of the quantum quacks, the godfather of quantum woo, the one woo-meister to rule them all. He did it first and did it "best" (if you can call it that), in the process garnering a devoted following of people with far more "spirituality" than understanding of science. All it took was a unrelenting abuse of quantum physics, a Lamarckian misunderstanding of evolution, combined with a bit of old-fashioned Cartesian mind-body dualism, all thrown into…
oracknows | August 3, 2011...the results aren't pretty.
If there's one thing about anti-vaccine loons that I've come to learn over the last decade or so, it's that when they think they're being clever, they're really not. Exhibit A for this case follows:
Yes, courtesy of a particularly brain dead anti-vaccine website (and, compared to Age of Autism, that's saying something), all we have in the video above is a rewarmed "toxins gambit." How to find toxins in 5 seconds or less? It's more like how to find toxic ignorance in five seconds or less. The guy who came up with is video is probably terrified of salt because it…
oracknows | August 2, 2011File this under "Well, duh!"
In thinking about "alternative" medicine, occasionally I contemplate the deepest, most profound questions having to do with health and healing, the difference between science-based medicine and evidence-based medicine, and how to maximize the therapeutic effect of scientifically validated treatments. Other times, I contemplate the question of just what is, based on logic and basic science alone, the most ridiculous "alternative medicine" therapy of all time.
Certainly, there are many contenders. For example, there is homeopathy, which is basically nothing more…
oracknows | August 2, 2011One of the very first themes I started hammering on in this blog, dating back to its very inception, is the analysis of alternative medicine cancer testimonials. One reason was (and is) that I take care of cancer patients and do research into developing new treatments for a living. Another reason is that, to the average lay person, most of whom don't have much of an understanding of cancer, alternative medicine cancer testimonials can sound extremely convincing.
For example, if you didn't know that breast cancer can have a highly variable course spreading out over years, Kim Tinkham's claim…
oracknows | July 31, 2011As hard as it is to believe, I've been blogging about anti-vaccine nonsense and autism quackery since early 2005. Before that, I had been a regular on the misc.health.alternative newsgroup, where I had also encountered anti-vaccine pseudoscience, but the topic had not been a top priority for me. In fact, when I started this blog back in late 2004, I did not imagine at that time that I would somehow end up becoming one of the "go-to" bloggers for taking on anti-vaccine nonsense. Yet somehow I did, and dealing with the misinformation, lies, and pseudoscience of the anti-vaccine movement has…
oracknows | July 29, 2011It's been around four years now since I first wrote a post about what I now like to call the "toxins gambit" favored by anti-vaccine loons. This particular gambit consists of finding scary-sounding chemicals in vaccines, such as formaldehyde, and then trying to stoke fear of vaccines based on their presence. This gambit, whether invoked through ignorance (which is common) or disingenuousness (which, I suspect, is even more common) is a blatant appeal to fear of chemicals that depends upon the average person's ignorance that, for example, formaldehyde is a normal byproduct of metabolism and of…
oracknows | July 28, 2011Once upon a time, there was quackery. It was the term used to refer to medical practices that were not supported by evidence and were ineffective and potentially harmful. Physicians understood that modalities such as homeopathy, reflexology, and various "energy healing" (i.e., faith healing) methodologies were based either on prescientific vitalism, magical thinking, and/or on science that was at best incorrect or grossly distorted. More importantly, they weren't afraid to say so.
Quacks did not think this good.
Then, sometime a few decades ago, supporters of quackery decided that they would…
oracknows | July 27, 2011The infiltration of quackademic medicine continues apace.
I know, I know. I say that a lot, but it's only because it is, alas, so very, very true and so very, very distressing to supporters of science-based medicine. It's not as though I haven't written about it many, many times over the last six and a half years; indeed, it's become a major theme of this blog and at least one other blog that regular readers here might be familiar with. Whether it be the American Medical Students Association (AMSA) pitching woo, Georgetown going beyond electives in "complementary and alternative medicine" (…