complementary and alternative medicine

Thanks to Autism News Beat, I've found the Penn & Teller: Bullshit! episode Vaccination in a streaming form. I have two warnings. First, if you're not familiar with Penn & Teller, you should be prepared for lots of profanity, including liberal use of the F-word. There is also one scene with a topless woman near the end. If you're easily offended, then you probably shouldn't watch. You have been warned. Second, you have to hit the arrow directly in order not to go to the website hosting the streaming video: I have to say, I've rarely seen a more visually effective way of portraying…
Here's a rather interesting (and telling) comment that, because it showed up on an old post, many readers might have missed: As a practicing acupuncturist I can only say that my sham techniques have frequently and often created such a powerful placebo effect that many patients coming to my office having exhausted "allopathic" cures find quick and lasting relief. Some doctors, having been impressed by my results have actually started referring patients to me. The real sham is the belief that Western Medicine has pure scientific roots that back up every treatment. If only it were the case (for…
After nearly six years subjecting the world to my meandering and often incredibly verbose stylings, I'm now what you would call an established blogger. Even more than that, I'm a reasonably high traffic blogger, at least in the medical blogosphere. What that means is that I get a lot of e-mail. A lot. While I do look at each and every e-mail that finds its way into the in box of one of my accounts, there's no way I can respond to them all. In order to save time, I look for shortcuts, and one of those shortcuts is not to devote more than a second or two to e-mails that are obvious sales…
It was nearly a month ago when I first marveled at how nonsense could be so well-organized. My marvel was expressed at the awesomeness that was the Periodic Table of Irrational Nonsense (which, by the way, is now available in "sanitized" versions, as well as versions in other languages). It turns out that Crispan's effort has inspired one of my readers to try his hand at this whole organizating nonsense thing. This blog being what it is and all and his proclivities being what they are, he decided to create...drumroll, please...The Periodic Table of Vaccine Rejectionism, which he's given me…
It's finally here! The long expected episode of Penn & Teller: Bullshit!, in which the boys take on the anti-vaccine movement in their usual inimitable fashion, will premiere tonight on Showtime at 10 PM. It's even the eighth season finale, which is appropriate. If there's a form of "bullshit" other than the irrationality that is the anti-vaccine movment that represents a threat to public health more profound, I have a hard time thinking of it, and it's hard to believe that Penn and Teller did nearly eight seasons of their show without taking it on. Here's a preview: Unfortunately,…
Yesterday, I wrote a rather lengthy post about germ theory denialism. As I put it, yes, there really are people who don't accept the germ theory of disease. As part of my Orac-ian length discussion (well over 4,000 words), I had a bit of fun with a video done by a hapless (is there any other kind?) naturopath named "Dr. Shawn." Our new buddy Dr. Shawn laid down a heapin' helpin' of napalm-grade burning stupid in the form of only the finest germ theory denialism coupled with some truly brain dead analogies, not to mention a whole lot of hating on swamps. Last night, exhausted by an even longer…
The longer I'm in this whole skepticism thing, the more I realize that no form of science is immune to woo. For example, even though I lament just how many people do not accept evolution, for example, I can somewhat understand it. Although the basics of the science and evidence supporting the theory of evolution as the central organizing principle of all biology, much of the evidence is not readily apparent to those who don't make it a calling to study biology, evolution, and speciation. It's not like, for example, gravity, which everyone experiences and of which everyone has a "gut level"…
Here's some sheer awesomeness in the form of an explanation of germ theory denialism: The only thing I would disagree with is the conclusion at the end that germ theory denialists are not much of a threat. In fact, germ theory denialism, usually softer germ theory denialism, such as the kind that says a healthy body can can fight off any bacteria or virus (the implication being that germs can cause disease only if there is some problem in the body) is a major strain of "thought" (if you can call it that) in anti-vaccine circles. In fact, it's a major strain of "thought" driving many forms…
If there's one aspect of medical education that I consider to be paramount, at least when it comes to understanding how to analyze and apply all the evidence, both basic science and clinical, it's a firm grounding in the scientific method. I advocate science-based medicine (SBM), which is what evidence-based medicine (EBM) should be. SBM tries to overcome the shortcomings of EBM by taking into account all the evidence, both scientific and clinical, in deciding what therapies work, what therapies don't work, and why. To recap, a major part of our thesis is that EBM, although a step forward…
I haven't really taken much note of Andrew Wakefield in a while, and in general that's a very good thing indeed. However, I found out recently that somehow I missed this gem from around the time of Autism One: That's right. I thought it was pretty bad that Andy Wakefield had appeared on Coast to Coast AM with George Noory, that all night conspiracy/UFO/paranormal radio show that's been so popular here in the U.S. for many years. It turns out that I missed an even worse one: Wakefield showing up on Alex Jones' even more looney conspiracy show, PrisonPlanet.tv. This is the same guy who…
Of all the bizarre forms of antivaccine autism quackery, one of the strangest has to be Mark and David Geier's "Lupron protocol." I've written about it many times, dating back to 2006 and, more recently, when the Chicago Tribune provided the first coverage I'm aware of of the Geiers' quackery in a major newspaper, thanks to Trine Tsouderos. If you want the details, feel free to click on the links, but I'll boil it down for purposes of this post. Basically, the father-and-son team of autism woo-meisters who operate out of the basement of the father's Silver Spring, MD house, Mark and David…
Continuing on the theme for today, I can't resist posting this little news report from Seattle that came up in my newsfeed: It kind of ruins the placebo effect to be left lying around after hours with a bunch of needles sticking in your back, doesn't it?
One of the things that disturbs me the most about where medicine is going is the infiltration of quackery into academic medicine. So prevalent is this unfortunate phenomenon that Doctor RW even coined a truly apt term for it: Quackademic medicine. In essence, pseudoscientific and even prescientific ideas are rapidly being "integrated" with science-based medicine, or, as I tend to view it, quackery is being "integrated" with scientific medicine, to the gradual erosion of scientific standards in medicine. No quackery is too quacky, it seems. Even homeopathy and naturopathy can seemingly find…
A couple of days ago, I expressed my amusement at an e-mail sent to me by someone named "Carol." The amusement came primarily from the subject matter in the e-mail, which described something called a "biophoton ionizer," whatever that is. Knowing, as I do, how prevalent water woo is (after all, what is homeopathy but the grand daddy of all water woo?), I was naturally curious about what the heck a "biophoton ionizer" is. After all, what's the difference between a regular photon and a "biophoton"? What is the characteristic of the photon that makes it "bio," if you know what I mean. I was sure…
Funny how everything old is new again, isn't it? Yes, if there's one thing I've learned over nearly six years of blogging, it's that, sooner or later, everything is recycled, and I do mean everything. At least, that was the thought going through my mind when I came across PZ's discussion of a clueless wonder who appears to be advocating a science section in that cesspit of anti-vaccine quackery and quantum woo, The Huffington Post, whose proclivities for pseudoscience have led its activities to be characterized as a war on medical science. It's actually more than just a war on medical science…
Nancy Snyderman isn't helping. At least, she wasn't helping yesterday. Don't get me wrong. I like the fact that NBC's Chief Medical Editor Dr. Nancy Snyderman is a staunch defender of vaccination. She's one of the rare talking head doctors on TV who pulls no punches when going after the anti-vaccine movement, so much so that the big macher of the anti-vaccine movement and head of the anti-vaccine crank blog Age of Autism J.B. Handley has referred to her as a "NBC's pharma-whore in residence." Let's just put it this way: Anyone whom J.B. detests and labels with a term like that can't be all…
One of the odd things about blogging is the e-mail. True, I don't get anything near the quantity, quality, or sheer weirdness of the e-mail that, for example, PZ Myers, gets, but I do get my share. Some of it's praise; a lot of it ends up being rants against my being "close-minded" or excessively harsh on quackery; occasionally I get the odd rant about religion; and sometimes I get something that's just plain weird. In this latter category, very, very occasionally I get e-mails that show that the person sending it either doesn't have a clue or sent the e-mail to the wrong person. Enter "Carol…
About three weeks ago, fresh after having experienced my own attack by anti-vaccine activists who tried to get me fired, I noticed that Doctors Data was doing what cranks and crank organizations can't resist doing when they face scientific criticism, namely to lash out. Such lashing out can take many forms. In my case, as I mentioned, the cranks were the anti-vaccine loons at Age of Autism, and the attack consisted of an e-mail campaign against me to the board of directors of my university. To Dr. Barrett, who, thanks to his many more years taking on medical pseudoscience than I, is far more…
On Friday, I noted an e-mail circulating around the Internet in which disgraced University of Kentucky chemist and card-carrying general in the mercury militia, Boyd Haley, announced that he was suspending sales of his industrial chelator turned "antioxidant dietary supplement" OSR#1. Now, true to form, Trine Tsouderos at the Chicago Tribune has noticed and published a story on Haley's decision, Controversial supplement to come off shelves: Pharmacies are halting sales of OSR#1, a compound marketed as a dietary supplement to parents of children with autism, six weeks after the U.S. Food and…
Note: Parts of this post have appeared elsewhere, but not in this form. If there's one aspect of so-called "alternative medicine" and "complementary and alternative medicine" (CAM) is that its practitioners tout as being a huge advantage over what they often refer to sneeringly as "conventional" or "scientific" medicine is that -- or so its practitioners claim -- alt-med treats the "whole patient," that it's "wholistic" in a way that the evil reductionist "Western" science-based medicine can't be. Supposedly, we reductionistic, unimaginative physicians only focus on disease and ignore the "…