medicine
oracknows | July 17, 2016Well, I've finally seen it. The things I do for my readers, the pain to which I subject myself by watching neuron-apotosing levels of pseudoscience, misinformation, and lies as antivaccine propaganda, in order to deconstruct them for your amusement and, I hope, education!
Yes, I've finally seen Andrew Wakefield and Del Bigtree's "documentary" VAXXED: From Cover-up to Catastrophe. Now, having watched Wakefield and Bigtree's "masterpiece," I can quite confidently say that it's every bit as accurate and balanced a picture of vaccine benefits and risks as Eric Merola's two movies about the quack…
oracknows | July 14, 2016As a cancer surgeon and physician, I can’t stand Ty Bollinger. I’m sure that comes as a surprise to absolutely none of my regular readers, given what a massive cancer quack he is. Most recently, he has become known for a series of deeply dishonest videos about cancer, chemotherapy, and alternative treatments for cancer called The Truth About Cancer. If there’s one rule I’ve learned in skepticism, be it about quackery or any other outlandish claims, it’s that any time I see a book, movie, or article called “The Truth About...” chances are at least 95% that the content is not the truth about…
oracknows | July 13, 2016One of the most insidious and oft-repeated myths of the antivaccine movement is that vaccines cause autism. Certainly, it is true that there was an antivaccine movement long before anyone thought of linking vaccines to autism. For example, in the the 1980s the DPT (diptheria-whole cell pertussis-tetanus) vaccine was linked to encephalitis and neurological damage, a scare that lead to a wave of lawsuits against vaccine manufacturers that threatened the US vaccine program. Congress replied by passing the National Childhood Vaccine Injury Act of 1986, a “no-fault” act in which vaccine…
oracknows | July 12, 2016Given the study that I’m going to discuss, I can’t help but start out with a brief (for me) reminiscence. Longtime readers know that I graduated from the University of Michigan Medical School in the late 1980s. Back when I attended U. of M., its medical school was considered stodgy and hard core even by 1980s standards. No organ systems approach to education for U. of M.! Oh, no. It didn’t matter that the organ systems approach, in which all classes are organized by organ systems and teach the same organ systems at roughly the same time (e.g., biochemistry teaching the biochemistry of the…
oracknows | July 11, 2016Welcome once again to Sh*t Naturopaths Say, my periodic look at what naturopaths say behind closed doors (metaphorically speaking). At least, it’s a look at what they say when they are discussing patient management with their peers. It is a series to which I can add new entires from time to time, thanks to Naturopathic Chat (NatChat, for short), a discussion forum with hundreds of naturopaths as members that also includes someone who goes by the ‘nym Naturowhat and occasionally leaks the content of the forum to a Pastbin. Also, it never hurts to remind my readers of the quackery that is…
oracknows | July 10, 2016Last week, I wrote about a man named Jim Gass, a former chief legal counsel for Sylvania, who had suffered a debilitating stroke in 2009 that left him without the use of his left arm, and weak left leg. He could still walk with a cane, but was understandably desperate to try anything to be able to walk unaided and function more normally in life. Unfortunately (at least given what ultimately happened), Mr. Gass was both driven enough, credulous enough, and wealthy enough to spend $300,000 pursuing stem cell tourism in China, Mexico, and Argentina over the course of four years. The result is…
oracknows | July 7, 2016If you grew up, as I did, a child of the 1970s in the US (I graduated from high school in 1980), you probably couldn’t escape the influence of Kris Kristofferson. He was big, and he was at his biggest during the 1970s, pumping out country music and mainstream hits, appearing in movies, and generally rocking an awesome beard. Anyway, the 1980s came, and Kris Kristofferson’s career went. Well, it didn’t exactly disappear. Kristofferson continued to work and appear in movies, and his records still sold fairly well. However, he was never again as big as he was in the 1970s.
It turns out that…
oracknows | July 6, 2016There are reasons that I’m not a pediatrician. First, and foremost, I like surgery. Indeed, when I first entered medical school, my intent was to become an academic internist, but things didn’t quite work out that way. To my surprise, when I did my surgery rotation I liked it way more than I ever thought I would, even with the then 100+ hour weeks. (This was long before the time of work hour restrictions on residents or medical students.) Then, when I did my internal medicine rotation, I found it far less interesting than I thought I would. So when it came time to apply to residencies, I…
oracknows | July 5, 2016This weekend was the 4th of July, Independence Day. It’s the most patriotic holiday of all, at least for Americans. We celebrated it in the usual way, with parades, fireworks, the odd lost digit or two, and barbecues. Unfortunately, there’s another thing that the 4th of July inevitably brings on as well, and that’s the invocation of liberty to support dubious causes. Given what happened last year around this time in California, regular readers probably have an idea where I’m going with this. Yes, I’m referring to antivaccine activists invoking “rights” and “freedom” to justify their refusal…
oracknows | July 4, 2016It's been over three weeks now since hockey legend Gordie Howe died at the age of 88. Detroit, as I've pointed out elsewhere, is a serious hockey town, as hockey-crazy as any town in Canada (just look at the fancy new hockey arena being built downtown only a mile from where I work), and it worshiped Gordie Howe for as long as I can remember growing up here.
The reason I mentioned this is because in late 2014, Howe suffered a series of debilitating strokes that brought him close to death. He survived, but with major neurologic deficits. As a result of Gordie Howe's fame, representatives of a…
oracknows | July 1, 2016There are so many ridiculous alternative medicine treatments being “integrated” via “integrative” medicine into medicine, no matter how ridiculous they are, that it’s not only hard to believe, but it’s hard to keep track. Homeopathy is, of course, the most ridiculous, although “energy medicine” definitely gives homeopathy a run for its money in the Department of Stupid. The depressing thing is that most physicians, even “integrative medicine” physicians, know that homeopathy is bunk (at least when they even know what homeopathy is—most think it’s just herbal medicine). However, those same…
oracknows | June 29, 2016One of the most reliable indicators of a quack clinic that I know of (besides its offering homeopathy and reiki) is the inclusion of “detox foot bath” treatments on its roster of services. Detox foot baths, whatever the brand, are of a piece with other “detoxification” pseudoscience involving the feet, such as Kinoki foot pads. Basically, the idea is that you can some how remove toxins through the soles of your feet using either a nice mineral bath with a weak electrical current passed through it or a foot pad. Inevitably, nasty looking stuff is seen apparently coming out of the feet. In the…
oracknows | June 28, 2016Forgive me, dear readers.
Ever since Mike Adams, the crank who runs and “alternative health” empire and a website with as much traffic as the NIH website, started targeting me two months ago with a series of libelous posts, I haven’t mentioned him much, for the simple reason that I don’t want to drive any traffic his way. Also, after his having posted 25(!) articles targeting me over the last two months, the most recent just this weekend, I realized that addressing him directly is too much like wrestling a pig in mud. You get dirty, and the pig likes it. However, yesterday, Adams outdid…
oracknows | June 27, 2016I’ve been writing about this topic so long—ever since the very beginning of this blog—that it seems as though I’ve always been doing it even though this blog has been in existence only 11 years and I didn’t really come to appreciate the problem until after I had started this blog. No, I’m not referring to the antivaccine movement, which is another longstanding concern of mine. This time, I’m referring to what I like to refer to as “quackademic medicine,” defined as the infiltration of unscientific and pseudoscientific medicine into medical academia. Indeed, there was a time when I tried to…
oracknows | June 26, 2016One of the most frequent complaints about evidence-based medicine (EBM), in contrast to science-based medicine (SBM), is its elevation of the randomized clinical trial as the be-all and end-all for clinical evidence for an intervention for a particular disease or condition. Unknown but enormous quantities of "digital ink" have been spilled explaining this distinction right here on this blog, and I tened to like to refer to this aspect of EBM as "methodolatry," a term I originally learned from another ScienceBlogs blogger (now moved on) and defined as profane worship of the randomized…
oracknows | June 23, 2016A week ago, I wrote about an example of one of the most common topics on this blog, the infiltration of pseudoscientific medicine and outright fantasy into academic medicine, a trend I like to refer to as quackademic medicine. The institution was George Washington University, and the dubious intervention was something called the MEND™ Protocol, which is sold as a treatment for Alzheimer’s disease by Muses Labs. As I described, it’s a protocol that appears to rely on a proprietary computer algorithm of some kind that, according to Muses Labs, produces a “personalized” treatment plan for…
oracknows | June 22, 2016Yesterday, I took note of a meeting of advocates and lawyers with Rep. Jason Chaffetz (R-UT), the chair of the House Committee on Oversight and Government Reform (OGR), which makes him a very powerful Congressman. The group that met with him included Del Bigtree, the producer of Andrew Wakefield’s antivaccine propagandafest of a “documentary” VAXXED: From Cover-up to Catastrophe; Levi Quackenboss, the pseudonymous blogger best known recently for getting into a fight over vaccine evidence with a 12-year-old and losing badly, leading her to try to dox the child and look even worse as a result;…
oracknows | June 21, 2016I sense a disturbance in the antivaccine force. I had meant to write about it the other day, but other things intervened. Really, there’s so much pseudoscience out there at times that on some days it’s hard to decide what to tackle, and sometimes I feel as though I’m writing about vaccines too much. However, this time around I felt as though I couldn’t ignore this one because it involves two highly annoying and fact-challenged antivaccine activists and an attempt to influence a Congressional Representative.
The annoying antivaccine activists are Del Bigtree, the producer of Andrew Wakefield’s…
oracknows | June 20, 2016Living and practicing surgery in Michigan, it’s not surprising that I am very concerned about a bill being considered in the Michigan House of Representatives. The bill, HB 4531, would license naturopaths as health care providers. In fact, it would give them a very broad scope of practice, defined by a newly created board of naturopathic medicine. Basically, HB 4531 would give naturopaths a scope of practice almost as broad as that of primary care providers, like internists, family practitioners, and pediatricians. The only difference, if HB 4531 passes, would be that naturopaths would not be…
oracknows | June 19, 2016One of the most frequent complaints leveled at pro-science advocates who defend vaccines against antivaccine misinformation and pseudoscience is that we’re way too fast to label them as “antivaccine,” that we use the term as a convenient label to demonize their views. We’re not really antivaccine, they tell us. We’re vaccine safety advocates. Really. Now, I have no doubt that this is how most of these antivaccinationists masquerading as vaccine safety activists see themselves, to the point where sometimes I find it refreshing when I encounter an antivaccine activist who proudly labels herself…