medicine
oracknows | June 17, 2016A recurring theme of this blog is to shine a light on what I like to call “quackademic medicine.” I didn’t invent the term, but I’ve made it mine. Basically, quackademic medicine is a term that very aptly describes what’s going on in far too many academic medical centers these days, which is the infiltration of pseudoscientific medicine and outright quackery in the form of “complementary and alternative medicine” (CAM). Of course, the more recent term for CAM is now “integrative medicine,” which was coined to imply the “integration” of alternative medicine with science-based medicine as…
oracknows | June 15, 2016I sensed a disturbance in the antivaccine (i.e, the dark) side of the Force yesterday. No matter where I wandered online and on social media, I kept running into a new article, an article by Neil Z. Miller about vaccines. For example, the merry band of antivaccine propagandists over at Age of Autism seem to like Miller’s article very, very much. So did the vaccine truthers over at—where else?—VacTruth.org. I kept seeing it on Facebook and Twitter, too.
Even though the current vaccine schedule is safe and effective as well as evidence-based and the claim that we give too many vaccines too soon…
oracknows | June 15, 2016We in Michigan are dealing with yet another effort on the part of NDs, which stands for “naturopathic doctors” but more appropriately should mean “not a doctor, to achieve licensure in the form of Michigan HB 4531. As I mentioned when I first learned that HB 4531 was passed by the House Committee on Health Policy and sent to the full House for consideration, it’s a scary, scary bill. Moreover, it’s supported by the Michigan Association of Naturopathic Physicians (MANP), who are taking money from the supplement industry to lobby for this bill’s passage. It’s a bill that would grant NDs a wide…
oracknows | June 13, 2016Last week, I noted with great approval how a 12-year-old boy named Marco Arturo made a pro-vaccine video that was short, simple, and effective. Even better, it was as Insolent as anything Orac could expect to manage, making it that much more delicious. Indeed, I can’t resist including it again for those of you who haven’t seen it yet:
This video went viral, and, not surprisingly, antivaccine activists, particularly one antivaccine blogger, were not pleased. Oh, no. Not pleased at all. In response to Arturo’s video, he received a fair amount of abuse online. One blogger in particular, the…
oracknows | June 12, 2016Most scientists I know get a chuckle out of the Journal of Irreproducible Results (JIR), a humor journal that often parodies scientific papers. Back in the day, we used to chuckle at articles like "Any Eye for an Eye for an Arm and a Leg: Applied Dysfunctional Measurement" and "A Double Blind Efficacy Trial of Placebos, Extra Strength Placebos and Generic Placebos." (What saddens me is that this is basically what research into so-called “complementary and alternative medicine,” now more frequently referred to as “integrative medicine” boils down to.) Unfortunately, these days, reporting on…
oracknows | June 10, 2016A couple of days ago, I told the tale of a really bright and justifiably snarky 12-year-old boy named Marco Arturo, who posted a video of himself on Facebook with the caption “Vaccines DO cause autism”:
I know I posted that video just two days ago, but it’s so epic that I can’t resist posting it again, particularly given how it went viral and how its going viral drove antivaccinationists out of their minds. They posted online attacks that included comments like:
“I want to punt Marco in the jugular though honestly. ?“ (As if the laughing emoticon makes up for expressing the desire to kick…
oracknows | June 8, 2016Those of us living in Michigan who support science-based medicine have been forced to deal with a bill that, if passed, would grant practitioners of unscientific “medicine” a wide scope of practice—almost as wide as that of primary care practitioners such as pediatricians, internists, and family practice doctors. I’m referring to HB 4531, a bill that would license naturopaths who graduated from “accredited” programs. If this bill were to pass, the only difference between the scope of practice of primary care physicians and naturopaths would be that naturopaths wouldn’t be allowed to prescribe…
oracknows | June 7, 2016If there’s one thing I’ve learned about the antivaccine movement, it’s that its members dislike being criticized. Oh, hell, let’s be honest. The really, really hate criticism and react very, very badly to it. Whereas you or I or other skeptics might react to criticism by trying to address it using facts, science, and reason, the first reaction of many antivaccine loons is to attack, attack, attack.
They use a variety of methods to attack. One of their very favorite methods of attack when faced with a pseudonymous blogger is to do everything they can to “out” him or her, revealing name and…
oracknows | June 6, 2016One major thing that differentiated science-based medicine (SBM) from alternative medicine and quackery is that in SBM there is a generally accepted standard of care. This was even the case back in the days before the proliferation of evidence-based guidelines, in which professional societies and expert panels try their best to synthesize what is often an unwieldy mass of sometimes conflicting studies into guidelines on best care practices for different conditions. True, back then there was wider latitude because each physician was largely left to fend for himself in applying the medical…
oracknows | June 5, 2016There are certain myths that are frustratingly resistant to evidence, science, and reason. Some of these are basically medical conspiracy theories, where someone (industry and/or big pharma and/or physicians and/or the government) has slam-dunk evidence for harm but conspires to keep it from you, the people. For example, despite decades worth of negative studies, the belief that vaccines are harmful, causing conditions ranging from autism to sudden infant death syndrome, to all varieties of allergies and autoimmune diseases, refuses to die. Fortunately, this myth is one that, after more than…
oracknows | June 3, 2016After over 11 years at this blogging thing, I periodically start to fear that I’m becoming jaded. In particular, after following the infiltration of quackery in the form of “complementary and alternative medicine” (CAM), now more commonly known as “integrative medicine,” because it integrates CAM with evidence-based medicine. Of course, in reality, what “integrative medicine” really does is to integrate prescientific, pseudoscientific, and antiscientific quackery with real medicine, and that’s what I mean. I thought I had seen it all in academic medical centers and medical schools: the faith…
oracknows | June 2, 2016One common theme that has been revisited time and time again on this blog since its very founding is the problem of how science and medicine are reported. For example, back when I first started blogging, one thing that used to drive me absolutely bonkers was the tendency of the press to include in any story about vaccines an antivaccine activist to “tell the other side” or for “balance” to the story. So in a story on vaccines, on the one side you would have Paul Offit, a bona fide, legitimate vaccine expert, and on the other side you would have J.B. Handley, Jenny McCarthy, Andrew Wakefield,…
oracknows | June 1, 2016With a bill to license naturopaths (HB 4531) wending its way through the Michigan legislature supported by supplement manufacturers, its current status being in consideration by the full House of Representatives, periodically I feel the need to provide ammunition to the bill’s opponents, because we need to protect the patients in the state of Michigan from the naturopathic quackery that would be unleashed if this bill were to be passed into law.
If there is one area that naturopaths have been invading with a vengeance and even gaining enough seeming legitimacy to propose what they risibly…
oracknows | May 30, 2016Andrew Wakefield, his claims to the contrary, is antivaccine to the core. To be honest, I’m not sure if he was always antivaccine. After all, around 20 years ago when he was doing his “research” into whether the MMR vaccine causes autism, he was being generously funded by a barrister seeking to sue vaccine manufacturers and he was developing a competing measles vaccine (for which he filed for a patent) that would be unlikely to be profitable unless the MMR became discredited. In retrospect, knowing what I know now about these aspects of Wakefield’s “research,” I consider it highly likely that…
oracknows | May 27, 2016To say that I, as a cancer surgeon, am not a fan of Ty Bollinger is a massive understatement. He’s not exactly one of my fans, either, but I view the hatred of a man like Bollinger directed at me as a badge of honor. Indeed, if a man like Bollinger didn’t detest me, I would view my efforts as a failure because I view him as a quack whose desperately deceptive film series The Truth About Cancer has been correctly dubbed untruthful about cancer by Harriet Hall and whose message has led cancer patients into rejecting conventional medicine in favor of treating deadly cancers with alternative…
oracknows | May 25, 2016One of the more annoying health crazes going around right now is the gluten-free diet. While it’s a boon to the very small proportion of the population who have real celiac disease and thus truly cannot tolerate gluten, at the same time gluten has become the health demon that is touted as the cause of virtually all health problems, be they major or minor, with the cure—of course!—being the now nearly ubiquitous gluten-free diet. The gluten-free diet has become so popular that restaurants and food manufacturers ignore it at their financial peril. Indeed, restaurants that don’t have some gluten…
oracknows | May 25, 2016There's always been a major thread of distrust of the medical profession in the African-American community, understandably so given the history of abuses such as the Tuskegee Syphilis Experiment, in which the natural progression of untreated syphilis was studied in African-American men for 40 years. It’s not just that experiment that’s responsible, either. During the time of slavery, slaves often served as the subjects of medical experimentation. Dr. Crawford Long, for instance, conducted most of his early experiments with ether on slaves, while Dr. Walter F. Jones used slaves to test a…
oracknows | May 23, 2016Sigh. Here we go again. Robert De Niro is letting his antivaccine freak flag fly again, this time even higher than usual, by revealing that in the wake of the antivaccine debacle at his Tribeca Film Festival he is going to make his very own documentary about vaccines. It’s the continuation of a process that, depressingly, revealed Robert De Niro to be perhaps the biggest A-list antivaccine celebrity out there.
First, a bit of background to bring newbies up to speed. A couple of months ago, science-based medicine advocates were scratching their heads over news that the Tribeca Film Festival…
oracknows | May 22, 2016Over the years, I’ve taken care of women with locally advanced breast cancer so advanced that it’s eroded through the skin, forming huge, nasty ulcers filled with stinky dead cancer tissue that’s outgrown its blood supply, leaving the patient in chronic pain. If the patient is fortunate, her cancer has not metastasized beyond her axillary lymph nodes (the lymph nodes under her arm), and her life might still be saved by a combination of chemotherapy, radical surgery, and radiation. If the patient is not fortunate, either the cancer has metastasized and she is doomed or hasn’t metastasized yet…
oracknows | May 20, 2016it was less than a year ago that I described a bill wending its way through Congress called the 21st Century Cures Act “old vinegary wine in a new bottle.” The reason I characterized the bill that way was because it really was nothing new and it rested on a very old fallacy, namely that the only way to speed up medical “innovation” is to weaken the FDA and its standards for drug and medical device approval, which is exactly what the 21st Century Cures Act would do if passed into law. It’s basically the American cousin to the British Saatchi Bill, which in essence proposed to do very similar…