complementary and alternative medicine

So many adherents to "alternative" medicine detest modern medicine, which they see as not being "natural." In contrast, herbalism, homeopathy, acupuncture, various forms of "energy healing," are touted as being highly in tune with nature. They're right about one thing. Throughout the vast majority of human history, humans have relied on unscientific treatments for illness that were indeed much more "in tune" with nature (mainly because they didn't have the knowledge to do much else). Indeed, it's only been in the last 100 to 150 years that science advanced to the point where real advancements…
I realize that I haven't done an installment of Your Friday Dose of Woo for a while--well over a month, in fact. Because of the gap between woo installments, I had been thinking that today was the time. There are at least a couple of really good candidates (and a host of halfway decent ones) in my Folder of Woo. However, sadly, another installment in the unfortunately never-ending story of YFDoW will have to wait at least another week. You see, the Bat Signal went up (or should I call it the Woo Signal?), and duty calls. What is the particular instance of someone being wrong on the Internet…
I've been criticizing the grande dame of the anti-vaccine movement, Barbara Loe Fisher, for her cowardly attempt to shut up vaccine expert Dr. Paul Offit and to intimidate journalists into not writing exposes of the anti-vaccine movement by suing Dr. Offit, Amy Wallace, and WIRED Magazine for Wallace's excellent article in which Dr. Offit was quoted as saying "She lies" about Loe Fisher. Such is her commitment to free speech that she is trying to shut down criticism through legal bullying. That's why Barbara Loe Fisher's latest screed overloaded yet another of my irony meters and sizzled that…
As 2009 ended and 2010 began, I made a vow to myself to try to diversify the topics covered on this blog. Part of that vow was to try to avoid writing about vaccines and the anti-vaccine movement for more than a couple of days in a row. Unfortunately, even in the middle its very first full week, 2010 has already conspired to make a mockery of any "plans" I thought I might have for the blog, with a flurry of vaccine-related news items relevant to the pseudoscience that is the anti-vaccine movement coming fast and furious. Oh, well. I might as well just go with the flow and do what I do best--…
One of the key claims of the "autism biomedical" movement is that something about autism derives from or is exacerbated by the gut; i.e., that there is some sort of link between GI problems, particularly inflammatory diseases of the GI tract, and autism. Although I may not be as versed in the history of this claim as I could be, as far as I can tell, even if this idea didn't originate with Andrew Wakefield, he certainly did a lot to popularize it. Indeed, a common misconception about his misbegotten 1998 Lancet paper that launched the anti-MMR anti-vaccine movement in the U.K. is that it…
After yesterday's post about how anti-vaccine grande dame Barbara Loe Fisher is suing Dr. Paul Offit, almost certainly in order to harass and intimidate him into silence, there was something that still bugs me, and that's the issue of jurisdiction. The defendants live in three different states: Paul Offit in Pennsylvania, Amy Wallace in California, and Condé Nast in New York. For instance, get a load of this tortuous justification for suing in Virginia, straight from Loe Fisher's complaint: 8. This Court has personal jurisdiction over Defendants under Va. Code § 8.01- 328.1(A)(4) because…
In general, one of the biggest differences between those defending science-based medicine and those defending pseudoscience, quackery, and anti-science is that science inculcates in its adherents a culture of free and open debate. In marked contrast, those advocating pseudoscience tend to cultivate cultures of the echo chamber. Examples abound and include discussion forums devoted to "alternative" medicine like CureZone, where never is heard a discouraging word--because anyone expressing too much skepticism about the prevailing view on such forums invariably finds himself first shunned and…
Given my long known weak spot for Downfall parodies (even though they are an Internet fad whose time has come and probably already gone), how on earth did I miss this? PodBlack Cat shows me that, believe it or not, Hitler was a chiropractor. He's been asked to talk about the use of chiropractic for infant colic (you know, the same thing that Simon Singh got in trouble in the U.K. for criticizing), but there is a most unfortunate (and hilarious) complication: Best line: "Christ, there is more evidence that Elvis is still alive!" Well, maybe not. There are lots of good lines, and I had a hard…
You know, when Age of Autism starts announcing its yearly "people of the year" awards, there's always a lot of blog fodder there to be had. Given that this is the time of year when I ramp the blog down a bit and, trying to relax a little, don't spend as much time doing detailed deconstructions or analyzing peer-reviewed papers, it's perfect for some quick observations about the anti-vaccine movement, of which Generation Rescue promotes through its propaganda blog, Age of Autism. This time around, I'm noting how these year end awards reinforce the point that "autism advocacy" of the type that…
Vaccines save lives. In fact, they arguably save more lives than any other medical intervention devised by human beings. Unfortunately, the converse is also true. Anti-vaccine beliefs and the vaccine refusal that results from them kill. They leave children vulnerable to preventable diseases, and, sadly, here's yet more evidence that this is true: At least 30 children have died in eastern At least 30 children have died in eastern Zimbabwe where members of the Johanne Marange Apostolic Faith church have refused to allow their children to be vaccinated against the deadly communicable disease.…
While I'm recovering fro Christmas this weekend and away a good chunk of tomorrow, here's a question to ponder as 2009 draws to its inevitable close. Val Jones has listed what she views to be the top five threats to science-based medicine that dominated 2009 and look likely to continue to threaten science in medicine during 2010. So, to complement my previous question regarding the worst pseudoscience of the decade, I'd point to Val's post on the top five threats to science-based medicine of 2009 and ask: What were the worst threats to science-based medicine, not just of 2009, but of the…
If there's one thing that's irritated the crap out of me ever since I entered the medical field, it's celebrities with more fame than brains or sense touting various health remedies. Of late, three such celebrities have spread more misinformation and quackery than the rest of the second tier combined. Truly, together, they are the Unholy Trinity of Celebrity Quackery. The first two of them, of course, are that not-so-dynamic duo of anti-vaccine morons, Jenny McCarthy and her much more famous and successful boyfriend Jim Carrey. Having apparently decided that selling "Indigo Child" woo was not…
It's a really tough competition, but if I had to choose the most ridiculous form of quackery out there, I'd have to choose homeopathy. Although it's common for so-called "alternative" medicines to be so utterly implausible from a scientific standpoint that it is not unreasonable, barring very compelling positive evidence, to provisionally reject them as impossible, homeopathy goes one further than most forms of alt-med. In fact, it goes many further than nearly any form of alt-med. First, it combines the principle of "like cures like," a principle based far more on ancient concepts of…
(NOTE ADDED 12/7/2010: Kim Tinkham has died of what was almost certainly metastatic breast cancer.) If there's been one theme running through this blog every since the very beginning, it's the unreliability of testimonials as "evidence" for the success of a cancer treatment. Indeed, if you go back to one of the very first "Orac-length" posts was about that very topic. Indeed, almost exactly five years ago, I analyzed a common type of testimonial for "alternative" cancer therapies and explained why it sounds so convincing to lay people who don't understand cancer biology and treatment. It's a…
It's the end, the end of the '70s It's the end, the end of the century. Joey Ramone, 1979 As amazing as it is to me, the first decade of the 21st century is fast approaching its end. It seems like only yesterday that my wife and I were waiting for the dawn of the new millennium with the fear that civilization would go kablooey because of the Y2K bug. (Remember that?) Obviously, civilization didn't end. Given the rise of pseudoscience over the last several years, it only seems that way sometimes. However, even though it's an entirely arbitrary construct and a human imposition of our own wishes…
If there's one thing that irritates me about the anti-vaccine movement, it's the utter disingenuousness of the movement. How often do we hear the claim from anti-vaccine loons that "we're not 'anti-vaccine'; we're 'pro-safe vaccine'"? I've tried to pin such people down time and time again to answer just what it would take in terms of scientific studies and evidence or in terms of what "toxins" would have to be removed to convince them that vaccines are sufficiently safe that they will have their children vaccinated? Inevitably, the answer involves levels of evidence that are beyond what can…
There are times when I get really depressed writing this blog. It's not because I don't enjoy it, although like any long term hobby my blogging does occasionally feel like more of an obligation than a hobby. That's only part of the time, though. Most of the time I really do enjoy what I do. That doesn't mean that it doesn't get to me from time to time, however. After all, how much quackery, pseudoscience, and woo can a plastic box of blinking multicolored lights stand on a daily basis for five years. I would submit to you that Orac is made of quite stern stuff indeed. Still, it's depressing…
It would appear that during my mini-hiatus (indeed, a homeopathic hiatus, so to speak) to celebrate having passed the fifth anniversary of the start of this blog and being irritated by some of my colleagues enough to risk getting myself in a little trouble, I actually missed something that normally I'd leap on like a starving hyena. Normally, such woo would have been like waving the proverbial red cape in front of the bull, holding a slab or bloody red steak in front of a starving pit bull, or a rabbit zipping in front of my late lamented dog. The not-so-Respectful Insolence would have been…
I've decided to chill this weekend after five years of insanity. However, while you anxiously await yet another hemidecade of Insolence, both Respectful and not-so-Respectful, what better way to do so than checking out the awesome Tim Minchin and his most excellent nine minute beat poem "Storm": Who says skepticism and art don't mix?
Has it really been that long? It was a dismally overcast Saturday five years ago when, on a whim after having read a TIME Magazine article about how 2004 was supposedly the Year of the Blogger, I sat down in front of my computer, found Blogspot, and the first incarnation of Respectful Insolence was born. If anyone is curious, this was my first test post, and this was my first substantive post (well, sort of). Every year (at least the ones where I remember my blogiversary, I find it particularly interesting to go back to the beginning and see how true to my original vision for this blog I've…