integrative medicine
oracknows | October 11, 2017QEDCon is fast approaching (indeed, I can't believe I have to leave for Manchester tomorrow night), and because my talk there will be about the phenomenon of "integrative medicine," I've been thinking a lot about it. As I put together my slides, I can't help but see my talk evolving to encompass both "integrative" medicine and what I like to refer to as quackademic medicine, but that's not surprising. The two phenomenon are related, and it's hard to determine which has a more pernicious effect on science in medicine.
One aspect of quackademic medicine that I probably don't write about as much…
oracknows | September 29, 2017John Weeks has long been an activist for what is now known as "integrative medicine," earlier known as "complementary and alternative medicine"(CAM). Basically, for many years Mr. Weeks has been at the forefront of encouraging the "integration" of quackery with real medicine and promoting what I like to refer to as "quackademic medicine," a perfect term to describe the increasing encroachment of pseudoscience and quackery in medical academia in the form of—you guessed it—integrative medicine.
Despite his having zero background in scientific research or the design and execution of experiments…
oracknows | June 11, 2017If there's one thing about the march of the pseudomedical entity known as "complementary and alternative medicine" (CAM), "integrative medicine," "complementary and integrative medicine" (CIM), "complementary and integrative health" (CIH), it's that over the last 25 years or so its progress towards being mainstreamed has appeared utterly relentless.
I like to paraphrase Kyle Reese, the warrior from the future sent back in time to save Sarah Connor in The Terminator: "Listen, and understand. That terminator is out there. It can’t be bargained with. It can’t be reasoned with. It doesn’t feel…
oracknows | May 1, 2017"Integrative medicine" is a term for a form of medicine in which pseudoscience and quackery are "integrated" with real medicine. Unfortunately, as Mark Crislip puts it, when you mix cow pie with apple pie, it doesn't make the cow pie better; it makes the apple pie worse. Unfortunately these days, there's a lot of cow pie being mixed with apple pie. Worse, it's gotten to the point where integrative medicine is subspecializing. For instance, there is now a specialty known as "integrative oncology," which particularly burns me. Indeed, supportive care oncology has been very susceptible to the…
oracknows | March 8, 2017I've been writing about a phenomenon that I like to refer to as "quackademic medicine," defined as the infiltration into academic medical centers and medical school of unscientific and pseudoscientific treatment modalities that are unproven or disproven. I didn't coin the term. To the best of my knowledge, Dr. Robert W. Donnell did nine years ago. However, I adopted it with a vengeance, so much so that a lot of people think I coined the term. In any case, I first began sounding the alarm about the infiltration of quackery like acupuncture, "energy medicine," naturopathy, homeopathy,…
oracknows | February 28, 2017That the Cleveland Clinic has become one of the leading institutions, if not the leading institution, in embracing quackademic medicine is now indisputable. Indeed, 2017 greeted me with a reminder of just how low the Clinic has gone when the director of its Wellness Institute published a blatantly antivaccine article for a local publication, which led to a firestorm of publicity in the medical blogosphere, social media, and conventional media to the point where the Cleveland Clinic's CEO Dr. Toby Cosgrove had to respond. Dr. Cosgrove was—shall we say?—not particularly convincing. Indeed, even…
oracknows | February 13, 2017One of the overarching themes of this blog, if not the overarching theme, is to expose and combat the infiltration of quackery into medicine. What I'm referring to, of course, is the phenomenon that's risen over the last 25 years or so in which various pseudoscientific alternative medicine therapies (but I repeat myself) have found increasing acceptance, thanks largely to a major lack of critical thinking skills among both patients and, worse, the physicians who have embraced modalities such as acupuncture, naturopathy, chiropractic, and the like. In fairness, it's not just a lack of critical…
oracknows | January 22, 2017Of all the forms of unproven and disproven alternative medicine being enthusiastically "integrated" into science-based medicine by proponents of "integrative medicine" (formerly—and sometimes still—known as "complementary and alternative medicine," or CAM), so-called "traditional Chinese medicine" (TCM) is clearly among the most popular and seemingly the most accepted. After all, acupuncture, the most famous modality in the TCM armamentarium, is offered in dozens of academic medical centers and hundreds of medical centers in the US, but it goes beyond that. It doesn't matter that the totality…
oracknows | January 5, 2017If there's one thing that proponents of "integrative medicine" (or, as it's been called in the past, "complementary and alternative medicine," or CAM) take great pains to emphasize whenever defending their integration of prescientific and pseudoscientific medicine into medicine, it's that they do not recommend using "alternative medicine" instead of real medicine but in addition to real medicine. Indeed, even the "gods" of integrative medicine, such as Barrie Cassileth at Memorial Sloan-Kettering Cancer Center, not only emphasize that but actually often take umbrage when it is suggested that…
oracknows | December 19, 2016Blogging is a funny thing. Sometimes the coincidence involved is epic. For instance, as I do on many Mondays, yesterday I crossposted a modified and updated version of a post from a week ago from my not-so-super-secret other blog. This time around, it just so happened to be a post about what I like to refer to as the placebo narrative. As is my wont, I described in the usual ridiculous level of detail why that narrative is so popular among promoters of pseudoscientific medical treatments and, more importantly, why that narrative is approaches black hole density bullshit. It’s something that…
oracknows | December 18, 2016I write quite a bit about placebo effects. Of course, part of the reason is that placebo effects are just plain interesting from a scientific perspective. After all, if one can relieve symptoms with inert sugar pills or other ineffective interventions because of the power of expectation, that’s something we should want to understand. Also, given the mission of this blog, another major reason is that placebo effects are inextricably bound to the question of whether the alternative medicine modalities that are being “integrated” into medicine through the brand of integrative medicine actually…
oracknows | November 27, 2016It’s been a long time since I’ve encountered Glenn Sabin. You might remember him, though. He runs a consulting firm, FON Therapeutics, which is dedicated to the promotion of “integrative” health, or, as I like to put it, the “integration of pseudoscience and quackery with science-based medicine. What I remember most about Sabin is how he once proclaimed that “integrative medicine” was a brand, not a specialty. Unfortunately, he was correct in his assessment. Basically, he declared, “CAM [complementary and alternative medicine] is dead. The evolution of evidence-based, personalized integrative…
oracknows | November 13, 2016John Weeks has long been an activist for alternative medicine—excuse me, “complementary and alternative medicine” (CAM) or, as it’s more commonly referred to these days, “integrative medicine.” Despite his having zero background in scientific research or the design and execution of experiments and clinical trials, for some bizarre reason in May he was appointed editor of the Journal of Alternative and Complementary Medicine (JACM). It didn’t take him long at all to use his new post to launch a nasty broadside against CAM critics in general (such as yours truly) and those who criticized a…
oracknows | October 23, 2016A little over a month ago, I wrote about how proponents of "complementary and alternative medicine" (CAM), now more frequently called "integrative medicine," go to great lengths to claim nonpharmacological treatments for, well, just about anything as somehow being CAM or "integrative." The example I used was a systematic review article published by several of the bigwigs at that government font of pseudoscience, the National Center for Complementary and Integrative Health (NCCIH) about CAM approaches for the management of chronic pain. You can read my whole post for yourself if you want the…
oracknows | October 11, 2016What is it about Florida and quacks? It’s as though it’s the Wild West there when it comes to regulating the practice of medicine. There, quacks can get away with almost anything, or so it would seem. After all, Brian Clement, who isn’t even a doctor and isn’t even really a naturopath either, has been practicing his quackery for decades, even going so far as to travel to Ontario to look for new marks among the indigenous peoples and to Europe and the UK, leading to at least one preventable death and to a young mother with incurable breast cancer to waste her precious remaining time and effort…
oracknows | October 4, 2016There’s a class of studies that I sometimes refer to as “Well, duh!” studies because their conclusions are so mind-numbingly obvious that one wonders why anyone did the study in the first place. Sometimes that name is meant sarcastically, as in, “Why did these investigators waste the time, effort, and resources to do this study? No, really, why?” Sometimes, though, “Well, duh!” studies are useful and justified because they confirm a conclusion that everyone strongly suspected but for which there wasn’t direct evidence. So it was with a “Well, duh!” study that was published in the October…
oracknows | September 27, 2016It’s been nearly three weeks since we learned that the Medical Board of California had initiated disciplinary proceedings against the most famous antivaccine physician not named Andrew Wakefield. I’m referring, of course, to “Dr. Bob” Sears, author of The Vaccine Book: Making the Right Decision for Your Child and creator of an “alternate” vaccine schedule that “spreads out the vaccines.” Unfortunately, it’s a book that’s been very influential, in particular promoting the idea of “too many too soon” and claiming that delaying vaccines will reduce a child’s risk of autism. Basically, the…
oracknows | September 20, 2016One of the most pernicious changes in medicine that’s occurred over the last 25 years or so is the infiltration of what I like to refer to as “quackademic medicine.” It’s a term that was, as far as I know, coined by Dr. Robert W. Donnell in 2009 to describe the infiltration of pseudoscience and quackery into medical schools and academic medical centers under the mantle of “complementary and alternative medicine” (CAM), now more commonly referred to as “integrative medicine. However, over the years, I’ve embraced the term to describe the “integration” of quackery and pseudoscience into…
oracknows | September 15, 2016When I first heard that Donald Trump, the Republican nominee for President, was scheduled to appear on The Dr. Oz Show, my first thought was, basically, “Of course he is. What took him so long?” After all, it’s a crank pairing made in heaven. Given that, I considered it my skeptical blogging duty at least to watch the show, even if I never actually blogged about it. So I dutifully set my DVR to record it, and, after I got home from work, did my evening bike ride and ate dinner, I settled down in front of the television to see if this appearance would be as bad as I predicted in my mind.
I’m…
oracknows | August 9, 2016As I mentioned yesterday, there are news events involving medicine (more specifically pseudoscience in medicine) that are so ubiquitous and irritating that they’re enough to bring me briefly out of my vacation to bang out a quick post. So it was when I wrote my post yesterday about Michael Phelps’ enthusiasm for cupping, a practice attributed to traditional Chinese medicine that is actually an ancient practice that seems to have been independently thought up in multiple cultures, such as the ancient Egyptians. Basically, cupping therapy is a near-universal practice dating back at least 3,500…