medicine
pharyngula | September 17, 2015
He has announced that Dr. Mehmet Oz is changing the direction of his show! No more quackery for him!
The entire upcoming season of The Dr. Oz Show — which kicks off Monday, September 14 — will focus on the mind-body connection and feature a partnership with former U.S. Surgeon General David Satcher, MD.
In the past, Dr. Oz has come under fire for the advice given on his show. Now, the newly focused program will use medical and other experts whose advice is based in research.
Orac is not impressed. Neither am I. It'll take a sustained improvement in rigor before I'll believe it.…
oracknows | September 17, 2015It just occurred to me that Breast Cancer Awareness Month is fast approaching, not the least of which because I did a Komen event last night as one of the breast cancer experts. I sometimes wonder if I suffer from a bit of the imposter syndrome, because sixteen years on I still sometimes can't believe that I'm considered some sort of "expert" in breast cancer, much less anything else. It's not that different than when, as a freshly minted faculty member, I was sent out to our cancer center's affiliates to attend their tumor boards as the "expert" from the mother ship.
In any case, in my…
oracknows | September 16, 2015Regular readers of this blog will find it no surprise that I don't think much of Dr. Mehmet Oz. The reason, of course, is that his daily television show, The Dr. Oz Show, has been a font of misinformation about medicine almost since it began airing six years ago. It's not for nothing that I long ago labeled him "America's Quack." Simply searching for the name Mehmet Oz on this blog will quickly produce examples of the many times when he's credulously promoted quackery and pseudoscience such as homeopathy (The One Quackery To Rule Them All), faith healing, fear mongering about GMOs, and…
oracknows | September 14, 2015Note added 9/17/2015: I knew it. The vaccine issue came up during the second debate and Donald Trump repeated basically the same nonsensical antivaccine tropes that he's been repeating for at least eight years. It rather puts the lie to his claim that he listens to experts and changes his opinion based on what they tell him. Hilariously, Mike Adams is painting it as an attempt by CNN to "destroy" Donald Trump using the vaccine issue. Depressingly, Ben Carson, while defending vaccines, fell into the "too many, too soon," trope, something a pediatric neurosurgeon should know better than to say…
oracknows | September 14, 2015[Note: My flight home from London was delayed until quite late; so unfortunately another "rerun" is in order. This one's from three years ago, and I actually consider it one of my "classics." It was also originally published at my not-so-super-secret other blog and represents the first time I tried to put together my concept of a "central dogma" of alternative medicine into a semi-coherent form. Ultimately, this lead to my talk The Central Dogma of Alternative Medicine, given at Skepticon last year. If you've been reading less than three years, it's new to you. If you haven't, you really…
oracknows | September 10, 2015NOTE: Orac is on vacation recharging his Tarial cells and interacting with ion channel scientists, as a good computer should. In the meantime, he is rerunning oldies but goodies, classics, even. (OK, let's not get carried away. Here's one from all the way back in 2008 in response to Dr. Offit's excellent book Autism's False Prophets. Notice how, the more things change, the more they stay the same.
One of the major points made by Dr. Offit in Autism's False Prophets is how badly the media deals with scientific issues and stories in which science is a major component. Indeed, he devotes two…
oracknows | September 9, 2015Orac's vacation continues apace.
Well, not quite. The main reason I'm in London right now is because I was invited to give an actual scientific (as opposed to skeptical) talk at a conference about—of all things—ion channels in cancer. That's where I am right now, at the Sir Alexander Fleming Building at Imperial College London, and that's where I'll be all day today and much of tomorrow. Having been invited, I decided to make a vacation of it. Basically, it's a big science sandwich, with two science days in the middle of two slices of vacation bread. I would also be lying if I didn't admit to…
oracknows | September 6, 2015This is a public service announcement—with skepticism. Orac needs a recharge:
Some of you might have seen it alluded to in the comments that I am on vacation this week. It is true, although it's not entirely a vacation. Basically, I was invited by a collaborator to give a talk at a two-day conference at Imperial College London, and my wife and I decided to make a vacation of it. What this means is that, depending upon my mood and the amount of time I have, there might or might not be new material this week. Worst case scenario, there will be reruns. Of course, if you're relatively new to…
pharyngula | September 5, 2015Tom Harkin is a toxin in the bloodstream of American science. Watch this report on his legacy: billions of dollars swirling down the drain of alternative medicine.
oracknows | September 4, 2015It's not a secret to anyone who reads this blog that I have an incredibly low opinion of celebrity pediatricians who are, if not outright antivaccine, antivaccine-sympathetic or leaning antivaccine and use their authority as physicians to sow fear, uncertainty, and doubt (FUD) about vaccines. Without a doubt, chief among these pediatricians in this country right now is "Dr. Bob" Sears, author of The Vaccine Book: Making the Right Decision for Your Child. His book is a veritable object lesson in how to pander to the fears of vaccine-averse parents and make them feel special and superior for "…
oracknows | August 31, 2015I didn't think I'd be writing about acupuncture again so soon after deconstructing another "bait and switch" acupuncture study less than a week ago. True, the quackery that is acupuncture and the seemingly unending varieties of low quality studies published to make it seem as though there is anything more than nonspecific placebo effects invoked by sticking needles into the skin against an even more unending variety of diseases, conditions, and complaints. Basically, according to its adherents, acupuncture can treat almost anything. Particularly galling to me as a cancer surgeon is the…
oracknows | August 30, 2015If there's one thing that is true of the antivaccine movement, it's that its members are rarely willing to admit that they are, in fact, antivaccine. Sure, there are uncommon exceptions who say it loud that they are antivaccine and proud and through their refreshing honesty and lack of self-delusion cause no end of problems for the more "reasonable" and "moderate" antivaccine activists determined to convince the world that they are "not antivaccine" but "pro-safe vaccine," "pro-vaccine safety," or "vaccine safety activists." The less deluded antivaccine activists are, after all, masters of…
oracknows | August 28, 2015I must admit that I'm surprised. Pleasantly surprised, but quite surprised. The reason is that yesterday the Department of Licensing and Regulatory Affairs Director Mike Zimmer rejected the recommendation of the Michigan Medical Marijuana Review Panel to add autism to the list of qualifying conditions for which cannabis can be prescribed in the state of Michigan. I didn't expect this outcome, but I am pleased.
Although I've changed my mind over past stands and am now in favor of legalizing marijuana for recreational use, I have been harshly critical of the "medical marijuana" movement. Indeed…
oracknows | August 27, 2015After a busy day yesterday and falling asleep early on the couch, I only have time for a quick take today. So file this under "only in America":
A 23-year-old Metro Detroit man robbed a South Lyon credit union earlier this month for his daughter, he told investigators according to South Lyon Police Lt. Chris Sovik.
Brian Randolph, who is currently jailed on a $500,000 bond and facing up to life in prison for robbery of a banking institution, told detectives he recently lost insurance coverage necessary to pay for cancer treatment his daughter required, Sovic said.
Randolph said his daughter…
oracknows | August 26, 2015It's always disappointing to see a good journal fall for bad medicine, particularly when it's in your field. For example, the Journal of Clinical Oncology (affectionately referred to by its abbreviation JCO) is the official journal of the American Society of Clinical Oncology (ASCO) and probably the most read clinical journal by those involved in the clinical care of cancer patients. Just as most oncologists, surgeons, and radiation oncologists who specialize in the care of cancer patients belong to ASCO, most of them also at least peruse JCO on a regular basis because major results of large…
oracknows | August 23, 2015As hard as it is to believe after over ten years of existence and over 5,000 posts on SBM, every so often, something reminds me that I've missed paper that cries out for some not-so-Respectful Insolence. So it was a couple of weeks ago, when I saw a familiar name in a news story that wasn't about vaccines. You might recall a news story last month when a shadowy group with ties to radical antiabortion groups, the Center for Medical Progress, led by a man named David Daleiden, ran a highly questionable "sting" operation (complete with fake IDs) to "prove" that Planned Parenthood was selling…
oracknows | August 20, 2015Acupuncture is a theatrical placebo, but it's hard not to grudgingly admire just how—shall we say?—malleable or adaptable a placebo it is. What I mean by this is that, if you believe its practitioners and adherents, acupuncture can treat almost literally any disease or health problem. Any! Pain? Acupuncture. Allergies? Acupuncture. Biliary colic? Acupuncture. Infertility? Acupuncture. Menstrual problems? Acupuncture. Prostate problems? Acupuncture. Asthma? Acupuncture.
Well, maybe not asthma, but that doesn't stop acupuncturists from claiming that acupuncture can treat it.
Oh, and if you're a…
oracknows | August 19, 2015Readers of this blog of a certain age and above are likely to remember a U.S. Senator from Wisconsin named William Proxmire. Sen. Proxmire made a name for himself in the late 1970s and throughout much of the 1980s by issuing what he dubbed "The Golden Fleece Award," which was meant to "honor" public officials who, in Proxmire's view, egregiously wasted taxpayer money. It was a popular and often headline-grabbing device to highlight wasteful spending. There was one big problem with the award, though, that I increasingly appreciated as time went on, to the point where I've referred to the…
oracknows | August 17, 2015A recurring topic on this blog involves my discussion of stories about children with cancer whose parents refuse chemotherapy, thus endangering the children's lives. These stories usually take this general form: The child is diagnosed with a deadly, but treatable cancer that has a high probability of cure with proper chemotherapy. The child receives the first round of chemotherapy. The parents can't deal with the side effects. If they are woo-prone, they make the decision to use "natural healing" or some form of alternative medicine. Sometimes it's in response to the child's request.…
oracknows | August 16, 2015The approval of new drugs and medical devices is a process fraught with scientific, political, and ethical landmines. Inherent in any such process is an unavoidable conflict between rigorous science and safety on the one side, which tend to slow the process down by requiring large randomized clinical trials that can take years, versus forces that demand faster approval. For example, patients suffering from deadly diseases demand faster approval of drugs that might give them the hope of surviving their disease, or at least of surviving considerably longer. This is a powerful force for reform,…