complementary and alternative medicine
oracknows | June 17, 2009Will wonders never cease? A recent story about how "homeopathic" Zicam managed to slide through a loophole in which the FDA doesn't require evidence of efficacy or safety for medicines labeled as homeopathic has been percolating through the blogosphere based on a recent warning that the FDA issued. It turns out that the zinc in Zicam can mess up your sense of smell, causing a loss of the sense called anosmia. Steve Novella has already done an excellent job of discussing the issues involved with this loophole, which is big enough to pilot the proverbial Death Star through.
However, a followup…
oracknows | June 17, 2009In keeping with Homeopathy Awareness Week (which still runs until June 21), I can't resist commenting on this gem of a story that was sent to me the other day. I mean, we're talking super duper heaving shopping in the very heart of London. It turns out that the Helios Homeopathy Shop right in Covent Garden will fix you up with homeopathic plutonium if you need it:
Dr Fiona Barclay, a chemist at RGB Research in west London, made this discovery. Her company specialises in selling collections of the periodic table elements (with the exception of those elements that are illegal or are so very…
oracknows | June 16, 2009Here we go again.
You may have noticed that I've been laying off that repository of quackery, autism pseudoscience, and anti-vaccine nonsense, The Huffington Post. I assure you, it's not because things have gotten much better there. Oh, sure, occasionally someone will try to post something resembling science and rationality, but it's impossible for so few to overcome so much history and so much woo. Indeed, even when someone tries, he can't help but be sucked into the morass of pseudoscience that is HuffPo. For example, Dr. Harvey Karp (the same guy who went toe-to-toe with Dr. Jay Gordon--…
oracknows | June 15, 2009On Friday, I expressed my irritation at the misunderstanding of science by NEWSWEEK's science columnist Sharon Begley, in which she opines that it is those nasty basic scientists who insist on learning new science and new physiological mechanisms of disease that are devaluing translational and clinical research, in effect ghettoizing them in low impact journals, and, as I sarcastically put it, "keeping teh curez from sick babiez!!!!!"
It turns out that both Steve Novella, Mike the Mad Biologist, and Tim Kreider have also weighed in. All are worth reading.
I also thought of another thing…
oracknows | June 14, 2009Last month, a frequent topic of this blog was the case of Daniel Hauser, the 13-year-old boy from Minnesota with Hodgkin's lymphoma who made the national news for his refusal (and his mother's support of that refusal) to undergo a second round of chemotherapy. Instead, he wanted to pursue "natural" therapy, including what sounded like alkalinization quackery. What was especially disturbing about this case was that he had a highly treatable form of cancer with close to a 90% expectation of long term survival with conventional treatment with chemotherapy and radiation. As with the cases of…
oracknows | June 14, 2009I bet you didn't know this (maybe because of homeopathic publicity), but today is the first day of Homeopathy Awareness Week, which runs from June 14 to 21.
It turns out that I'm torn over whether to mention or do much about this. On the one hand, publicizing the magical, mystical thinking that is homeopathy serves a purpose in emphasizing time and time again just how utterly implausible from a scientific standpoint homeopathy is, how most studies showing and "effect" from homeopathy are seriously flawed, and how the best quality studies of homeopathy show it to be no more effective than a…
oracknows | June 11, 2009I know I've been very hard on Oprah Winfrey the last couple of weeks, taking her to task for her promotion on her show of medicine that is at best dubious and at worst quackery, as promoted by frequent guests like Suzanne Somers, Dr. Christiane Northrup, and the queen of the anti-vaccine movement, Jenny "I'm not anti-vaccine but would never, ever vaccinate" McCarthy. Not that Oprah cares. After all, she's Oprah, and I'm only a lowly blogger who, although having one of the top medical blogs out there, is as an ant to Oprah's elephant of a media empire. Still, NEWSWEEK did a fantastic expose of…
oracknows | June 10, 2009I never thought I'd see it, but I have. After an a decent article on the infiltration of quackademic medicine into American medical centers and a very good article on cancer quackery, Marilyn Marchione of the AP has done it again:
AP IMPACT: $2.5B spent, no alternative med cures
It almost seems as though Ms. Marchione is channeling Orac:
BETHESDA, Md. -- Ten years ago the government set out to test herbal and other alternative health remedies to find the ones that work. After spending $2.5 billion, the disappointing answer seems to be that almost none of them do.
Echinacea for colds. Ginkgo…
oracknows | June 10, 2009"Empowerment."
What a grand word! After all, who doesn't want to be "empowered"? Certainly not me. Perhaps that's the reason why it's become the new buzzword in a movement known as "patient-centered" care. Old fart that I am, I'm a bit puzzled by exactly what that term means. After all, I've always thought I have been practicing patient-centered care, ever since my first days in medical school, but apparently these days it means something different, at least if this article from a few days ago in the New York Times is any indication. It's an interview with Dr. Donald Berwick, who advocates…
oracknows | June 9, 2009Yesterday, I marveled at an article that appeared on the Associated Press new feed that basically said a lot of things about the infiltration of quackademic medicine into academic medical centers, how so-called "complementary and alternative medicine" 9CAM) is finding its way into the mainstream despite almost nonexistent evidence for the efficacy the vast majority of them, and how supplements are virtually unregulated. If the article had mentioned the extreme scientific and biological implausibility of nearly all of the non-herbal CAM therapies that are routinely promoted, it would have…
oracknows | June 8, 2009Here we go again.
As regular readers know, I've lamented long and loud the infiltration of unscientific "complementary and alternative medicine" (CAM, or what Dr. RW dubbed "quackademic medicine, a term I very much like) into medical school curricula, academic medical centers, and postgraduate medical education. A while back, in particular, I got rather worked up over how the University of Maryland's respected Shock Trauma Center. But it wasn't just any woo. Rather, it was one of the absolute woo-iest of woos, namely reiki, which is nothing more than magical faith healing based on Eastern…
oracknows | June 6, 2009Dr. Jay is back.
You remember Dr. Jay (namely Dr. Jay "I'm not anti-vaccine but I give vaccines only 'reluctantly' and am convinced that they cause autism" Gordon), pediatrician to Evan, Jenny McCarthy's son and frequent apologist for the antivaccine movement in the media. Specifically, he was most unhappy over my posts about Dr. Bob "too many too soon" Sears and about a child who died of Hib. If you peruse the comments in those two posts, you will see him once again disparaging science, touting his own personal clinical experience over the science failing to find a link between vaccines and…
oracknows | June 5, 2009SETTING: A NONDESCRIPT CLINIC IN AUSTIN, TEXAS
TIME: AFTER DARK
It had been a long, hard day at the clinic. The man trudged to the back of the building and plopped himself down on a large, cushy leather office chair, causing it to spin around. He was fiftyish, but still boyish in appearance, possessed of a seemingly unflappable self-confidence. Even so, he was not happy.
Damn, I hate being here. He thought. I'd much rather be back in London than stuck in this hick state. At least Austin is about as good as it gets here. I suppose it could be worse; I could be in Arkansas.
He sighed. "Damn…
oracknows | June 4, 2009
Back in May many of us in the skeptical blogosphere were alarmed to learn of what British law blogger Jack of Kent termed "an astonishingly illiberal ruling" by Sir David Eady against science writer Simon Singh. Eady was the judge presiding over another bit of legal thuggery by practitioners whose feelings were hurt when Simon Singh called them out in print for their 'promotion of chiropractic to treat all sorts of conditions for which it is utterly useless, referring to the British Chiropractic Association as promoting "bogus" remedies. When I wrote about this case nearly a month ago, I…
oracknows | June 4, 2009I've warned time and time again what the price will be if the Jenny McCarthy and her fellow arrogantly ignorant band of vaccine "skeptics" continue to get more and more traction. So have many others. It is true that, for the moment, vaccination rates overall remain high in the U.S., but there are numerous troubling signs that the propaganda being spread by Generation Rescue and the anti-vaccine movement is having an effect, with outbreaks of vaccine-preventble diseases popping up in areas with high levels of "philosophical" exemptions. In such areas, vaccination rates can easily fall well…
oracknows | June 3, 2009What should a drug company do if it spends millions of dollars on a compound and it doesn't do anything? Easy:
(Click on the panel to see the whole cartoon.)
In fact, I'm surprised more pharmaceutical companies don't do this...
oracknows | June 1, 2009Last week I wrote a bit about what I've been tempted to call Oprah's War on Science but settled for the title of a documentary called The Oprah Effect. The reason, as I have mentioned before, is that arguably there is no single person who does more to promote pseudoscientific and dubious health practices than does Oprah Winfrey. I was happy to learn that more people are questioning Oprah's promotion of outright quackery than I recall ever having seen before.
It wasn't always so. Oprah Winfrey is an extremely powerful media figure, having been the host of the highest rated syndicated talk show…
oracknows | May 28, 2009Here's one of the stranger "alternative cancer cure" cases I've seen in a while. Basically, a man seems to think that a daily helping of his daughter's breast milk will cure his metastatic colon cancer:
When Tim Browne sits down to a bowl of corn flakes in the morning, he slurps up one unusual, and controversial, extra ingredient: his own daughter's breast milk.
He doesn't do it for the taste -- Browne initally said his daughter Georgia's breast millk tasted "not unpleasant, but slightly pungent" -- but for his health.
Nearly two years ago, the retired teacher and musician from Wiltshire,…
oracknows | May 28, 2009Today is a very good day indeed.
I say that because Daniel Hauser, the 13-year-old boy with Hodgkin's lymphoma who ran away with his mother to avoid having to undergo chemotherapy ordered by a judge, who had found that his parents were engaging in medical neglect in not getting him effective treatment, and returned on Monday, will begin his course of chemotherapy today. I'm very happy to hear that Daniel and his parents have decided to stop fighting:
After Daniel and his mother returned to Minnesota this week, both his parents told a judge they will let Daniel undergo chemotherapy because…
oracknows | May 26, 2009Hot on the heels of yesterday's paper in Pediatrics showing that vaccine refusal elevates the risk of pertussis in a child by nearly 23-fold, a commentary in PLoS Biology asks what can be done to combat anti-vaccine misinformation. Entitled A Broken Trust: Lessons from the Vaccine-Autism Wars, it's an interview with a professor of medical anthropology at UCSF named Sharon Kaufman, who took a 26 month hiatus from her usual work on aging and longevity to study the anti-vaccine movement from an anthropological perspective. Her observations in some way echo observations I've been making as a…