complementary and alternative medicine
oracknows | January 5, 2011Pity poor Andrew Wakefield.
2010 was a terrible year for him, and 2011 is starting out almost as bad. In February 2010, the General Medical Council in the U.K. recommended that Wakefield be stripped of his license to practice medicine in the U.K. because of scientific misconduct related to his infamous 1998 case series published in The Lancet, even going so far as to refer to him as irresponsible and dishonest, and in May 2010 he was. This case series, thanks to Wakefield's scientific incompetence and fraud, coupled with his flair for self-promotion and enabled by the sensationalistic…
oracknows | January 5, 2011Hmmmm. Somehow I didn't think this was what one normally thinks of when one hears the term "coming out":
You know. Sometimes tolerance is not called for.
oracknows | January 4, 2011As a blogger, every so often I come across a link, file it away, and then when I look through my link collection looking for topics to blog about I rediscover the link but totally forget where I got it from. This is just one of these times. However, since it's less than three weeks until the event being promoted, I thought it might be entertaining to write about it. Unfortunately, it requires revisiting a topic that I've written about a few times before, albeit not recently. I'm referring to the American Medical Student Association and its embrace of woo, i which it has even gone so far as…
oracknows | December 30, 2010Part 1 is here.
Part 2 is here.
Part 3 is here.
I realize I say these things again and again and again, but they bear repeating because together they are a message that needs to be spread in as clear and unambiguous a form as possible. First, whenever you hear someone say, "I'm not anti-vaccine," there's always a "but" after it, and that "but" almost always demonstrates that the person is anti-vaccine after all. Second, for antivaccine loons, it's always about the vaccines. Always. It's not primarily about autism advocacy; it's primarily about the vaccines and blaming them for autism. Autism…
oracknows | December 27, 2010Christmas is over. Heck even Boxing Day is over. Still, Orac is doing something very unusual for him in that he's taking a bit of a staycation at home. Consider it a sanity break. Even though I'll be working on grants and a variety of other projects at home and even though I haven't signed out my pager to one of my partners, it is still a very good thing indeed not to see the inside of my office for ten days. As for blogging, understandably, given that readership has fallen off markedly the week between Christmas and New Years each and every year since I started blogging way back in 2004, I…
oracknows | December 24, 2010This being Christmas Eve and all, I hadn't planned on blogging. However, sometimes things happen that demand a change in plans. Consequently, although I don't plan on doing one of my usual logorrheic treatments of this issue, I do plan on mentioning something, because sometimes schadenfreude is a most excellent Christmas gift.
Remember Dr. Rolando Arafiles, Jr., a physician at Winkler County Memorial Hospital in Kermit, TX? He's the doctor trying to foist a whole boatload of woo on his patients about whom two brave nurses, Vicki Galle, RN, and Anne Mitchell, RN, complained to the Texas…
oracknows | December 23, 2010In discussing "alternative" medicine it's impossible not to discuss, at least briefly, placebo effects. Indeed, one of the most common complaints I (and others) voice about clinical trials of alternative medicine is lack of adequate placebo controls. Just type "acupuncture" in the search box in the upper left hand corner of the blog, and you'll pull up a number of discussions of acupuncture clinical trials that I've done over the years. If you check some of these posts, you'll find that in nearly every case I discuss whether the placebo or sham control is adequate, noting that, the better the…
oracknows | December 21, 2010When it comes to "alternative" medical practices from Asia (or from anywhere else, for that matter), I've ceased to be surprised by anything I hear. After all, if somehow, some way, people can justify just about any strange health that can be imagined. If you don't believe me, I have two words for you: Coffee enemas. If you still don't believe me, I have two more words for you: black salve (i.e., burning skin lesions off). Still don't believe me? I have three more words for you:
Vaginal steam baths.
Yep. I learned about it in a news story in the L.A. Times yesterday entitled Vaginal steam…
oracknows | December 20, 2010During the six years of its existence, one frequent complaint I've had on this blog, it's been about how the press covers various health issues. In particular, it's depressing to see how often dubious and even outright false health claims, such as the claim that vaccines cause autism, that cell phones or powerlines cause cancer, or that various questionable or even quack remedies work for various diseases are reported credulously. Often this takes the form of a journalistic convention that is more appropriate for politics and other issues but not so appropriate for scientific and medical…
oracknows | December 16, 2010There are multiple recurring messages on this blog that have evolved over the years, but, if there's one of them that has been consistent since the very beginning, it's been about the inherent unreliability of single person testimonials. I wrote about this very topic virtually at the inception of this blog in a post that I still quote from time to time, and I wrote about it just last week when I discussed the case of a woman named Kim Tinkham, a woman who gives every indication of having died of breast cancer, a cancer that had a good chance of being cured had she only pursued effective…
oracknows | December 14, 2010If you need some woo, and you need it fast, who ya gonna call? HuffPo!
Yes, as I've pointed out since its very inception, if there's one thing The Huffington Post is good at doing, it's butchering medical science and serving up regular heapin' helpings of the purest woo. Be it the anti-vaccine pseudoscience that has dominated its pages from the very beginning (including posts by our old friend Dr. Jay Gordon), the quantum woo favored by Deepak Chopra, or the rank quackery that's been showing up on HuffPo's pages more and more frequently over the last two years or so, there's no "respectable"…
oracknows | December 13, 2010Egads!
You remember my fun little post about a Sokal-type hoax perpetrated by John C. McLachlan, when he completely fooled the "scientific review" committee of a complementary and alternative medicine conference with a hilarious Sokal-inspired hoax in which he created, in essence, butt reflexology. I thought it was an amusing and fairly original bit of made-up woo.
It turns out I was wrong. A reader just pointed me to Jacqueline Stalline's Rumpology. It turns out that she's an astrologer, and that she thinks she can tell a lot about you by reading your rump:
Jacqueline Stallone has revived…
oracknows | December 13, 2010I can't think of a better way to start year seven on the ol' blog.
Remember how I speculated that perhaps Age of Autism or NaturalNews.com would provide me with the first topic of my next year of blogging? It turns out that I was wrong. It didn't come from either of those sources, although I will reassure the antivaccine loons at AoA and Mike Adams at NaturalNews.com not to fear. I'll get to them soon enough. The Huffington Post, too, given that apparently Mark Hyman's back with his woo. In any case, AoA and Mike Adams may at times be utterly hilarious, but they can't compare to what readers…
oracknows | December 11, 2010Has it really been six years?
Six years ago today, on a dim and dreary Saturday in December, almost on a whim I sat down, went to Blogspot, and started up the first version of Respectful Insolence with an introductory post with the cliched title, Please allow me to introduce myself. Here it is, six years later. On this cold December Saturday, I still find it difficult to his blog is considered one of the "top" medical blogs by one measure, and some actually--shockingly--consider me somewhat of a "famous" skeptic. I know, I know, I still can't wrap my head around the concept myself. At least,…
oracknows | December 9, 2010I was originally going to switch it up and blog about something other than cancer. In fact, there is a particularly juicy bit of anti-vaccine nonsense that I wanted to write about because it shows the utter mendacity of a certain anti-vaccine website that, believe it or not, is not Age of Autism. I know, I know, it's hard to believe, but there actually is an anti-vaccine group that is giving Generation Rescue a run for its money when it comes to sheer crazy. It'll keep, though, until next week. In the meantime, I have even worse crazy to deal with. In the meantime, I have even more despicable…
oracknows | December 8, 2010Two women died of breast cancer yesterday. One was named Kim Tinkham. One was named Elizabeth Edwards.
In some ways, these women were similar. True, one was older than the other, but both of them died far sooner than they should have, one at age 53, the other at age 61. Both engaged in activism about breast cancer. Both were ambitious, driven women. Both died in the presence of their friends and family. Both died within hours of each other. Both demonstrated the implacable killer that breast cancer can be.
There the similarities end. One of these women (Kim Tinkham), for example, died…
oracknows | December 6, 2010In the wake of the revelation that Kim Tinkham is dying of what was almost certainly metastatic breast cancer to bones, lungs, and liver after having rejected conventional therapy for her disease in favor of Robert O. Young's acid-base woo, Young's response is now (possibly) known. In the comments after part 6 of Young's interview with Kim Tinkham (discussed by me here), a commenter by the 'nym of inhisgrace7 reports:
I wanted to find out for myself the truth so I wrote to Dr. Young and here is his response. Kim has always made her own decisions about cancer. Before I met her she had…
oracknows | December 1, 2010No, no, no, no, no!
I hate it when a fellow ScienceBlogger goes astray!
Fortunately, it's been a long time indeed since I felt obligated to administer a dose of Insolence, Respectful or otherwise, to a fellow ScienceBlogger. It's been even longer (as in, I think, never) that I've ever seen one whose resource I use regularly screw up so amazingly. I'm talking about Coby of A Few Things Ill-Considered, whose How To Talk To A Climate Skeptic (also found here) is a resource I turn to again and again and again when faced with denialist arguments about anthropogenic global warming. Indeed, I've…
oracknows | December 1, 2010I don't recall if I ever mentioned this before, but back when I was in college I had quite the interest in a couple of sciences that you might not have expected or guessed at, namely anthropology and archaelogy. Indeed, an archeology class that I took as a senior was one of the most memorable and fascinating classes I took during my entire four years in college. If I have one regret about my college years, it was my laser-like focus on getting into medical school. It was that intense focus that kept me taking far more classes related to chemistry, biology, and other sciences that I thought…
oracknows | November 23, 2010They call it the Nobel disease.
Linus Pauling is the prototypical example. A brilliant chemist who won two Nobel Prizes, one for chemistry and the Nobel Peace Prize, in his later years Pauling became convinced that high dose vitamin C was a highly effective treatment for cancer and the common cold and, expanding upon that, came to believe in the quackery that is orthomolecular medicine. As a result, Pauling's reputation was tainted for all time, and he became known more for his crankery than his successes. Since his death, Pauling's successors have continued to chase his dream with minimal…