medicine
oracknows | May 23, 2017I hesitated over discussing this story because it only comes from one source and that source is not one that I normally trust, The Washington Free Beacon. It might be fake news. On the other hand, it is a story that is not implausible and appears to be reasonably well reported, complete with a reproduction of an invitation to the event being reported on. Moreover, even though this particular source is unabashedly conservative and partisan, it has done some reporting that even Nick Baumann at Mother Jones admitted to be pretty good. So it is with a little bit of trepidation that I note this…
oracknows | May 22, 2017As much as I like to deconstruct pseudoscientific claims, particularly about health, medicine, and health care, Sometimes it gets a bit draining. There's just so much pseudoscience, so much credulity, so much sheer idiocy out there that trying to refute them and encourage a more skeptical mindset often feels like pissing into the ocean, for all the effect it has. In the age of fake news and Donald Trump, it even feels as though we're going backward—and not slowly, either. That's why I felt it was time for a bit of a break, a bit more optimism than I've been able to muster before. So it was a…
oracknows | May 21, 2017Last week, I wrote about acupuncture, specifically how acupuncturists are unhappy that the UK National Institute for Health and Care Excellence (NICE), which provides guidelines for recommended treatments for diseases and conditions, does not recommend acupuncture for the treatment of knee osteoarthritis but does recommend arthroscopic washouts and debridement, for which the evidence is weak. My retort was simple: If this is true, the answer is not for NICE to start recommending quackery like acupuncture, but rather for it to stop recommending conventional medical and surgical treatments with…
oracknows | May 19, 2017Acupiuncture is a system of treatment rooted in the prescientific vitalism of traditional Chinese medicine (TCM). It doesn't work. For anything. As Steve Novella and David Colquhoun put it, acupuncture is basically a theatrical placebo, which is why rigorous studies consistently fail to find a treatment effect due to acupuncture that is detectably greater than placebo. Not that that's stopped acupuncturists and acupuncture advocates from trying desperately to show that acupuncture "works," even if it means hooking up acupuncture needles to electrodes and turning it into transcutaneous nerve…
oracknows | May 18, 2017It looks as though the check has finally cleared.
You might be wondering what I'm referring to. A little more than a week ago, I took note of how a truly awful survey masquerading as a "study" had risen from the dead once again as two publications in a notorious bottom-feeding predatory "open access" journal after having been retracted after publication in a somewhat less notorious but similarly bottom-feeding predatory "open access" journal. Whether or not these studies were actually retracted the second time around is somewhat unclear. What is known is that they were on the Open Access Text…
oracknows | May 17, 2017After yesterday's post about how antivaxers were utterly losing their mind about an ill-chosen idiom that appeared in a Boston Herald editorial last week. In it, the editor concluded by saying that how antivaxers have been preying on the Somali immigrant population in Minnesota, feeding them antivaccine misinformation that has resulted in two measles outbreaks, one in 2011 and one this year, which is up to 58 victims, a number that continues to climb, should be a "hanging offense." In my post, I emphasized the hypocrisy and disingenuousness of the response of antivaxers, who took an offhand…
oracknows | May 16, 2017Over the last few years, I've been doing a recurring series that I like to refer to as The Annals of "I'm not antivaccine." Amazingly, it's already up to part 23. It's a series based on an oft-repeated antivaccine claim that is either a like or a delusion (sometimes both), namely the claim made by antivaccine activists ranging from Jenny McCarthy to Robert F. Kennedy, Jr., the latter of whom is best known for making such claims after likening "vaccine-induced autism" to the Holocaust. (Indeed, RFK, Jr. takes denial to a ridiculous extreme by proclaiming himself not just "pro-vaccine" but "…
oracknows | May 14, 2017Of all the modalities of alternative medicine currently in use, arguably acupuncture is the one that has achieved the most mainstream acceptance in medicine. I've often asked why it has become so common in academic medical centers and elsewhere, despite the evidence being overwhelmingly in favor of the conclusion that it is nothing more than a theatrical placebo. It doesn't matter that acupuncture is part of a prescientific system of medicine now known as traditional Chinese medicine (TCM), whose concepts are rooted in vitalism. It doesn't matter that what has passed for acupuncture since the…
oracknows | May 12, 2017Normally, I like to mix up my topics, but it's been one of those weeks where basically discussing the antivaccine movement has taken over. Sometimes when that happens, I just go with the flow. Besides, there really is one more story involving that antivaccine movement that I want to comment on. Remember last week, when the story of how the antivaccine movement had targeted Somali immigrants in Minnesota, with a resultant plunge in MMR uptake among that population over the last decade. Completely unsurprisingly, given that MMR uptake among the Somalis fell from 92% to 42% in over a decade,…
oracknows | May 8, 2017[Editorial update: I woke up this morning to find out that the answer to my question in the title is almost certainly yes. The post has been quickly altered to reflect that. See below.]
Believe it or not, I overlooked something in yesterday's post about a putrefying, rotting mess of a "vaccinated versus unvaccinated" study carried out by an Andrew Wakefield fanboi named Anthony Mawson that purported to have found that vaccinated children have a much higher prevalence of neurodevelopmental disorders (NDDs) and and diseases not preventable by vaccines than unvaccinated children. I'll refer you…
oracknows | May 5, 2017Earlier this week, I took note of an ongoing measles outbreak in Minnesota. This outbreak affects the large Somali immigrant community there, and the reason for the outbreak is simple. Over the last decade, uptake of the MMR vaccine has plunged dramatically in the American-born children of the Somali community, from 92% to 42%, far below the level necessary for herd immunity. The reason for the drop is that antivaccine fear mongering has taken hold in the community, thanks to American antivaxers who targeted the community and Andrew Wakefield himself, who's visited the community at least…
oracknows | May 4, 2017I'm having flashbacks now. I feel as though it's 2012, and I was just in the midst of examining the Houston cancer quack known as Dr. Stanislaw Burzynski. As you recall, he's the Polish expat doctor who discovered peptides in the blood that he dubbed "antineoplastons" and postulated to be endogenous cancer suppressors. He ultimately made them into a cancer treatment that he's been using on patients for over 40 years now, despite never having demonstrated its efficacy or safety. Despite that, he's become a rock star in the world of alternative cancer cures, with two propaganda movies disguised…
oracknows | May 3, 2017[Editor's note: Sorry this is a few hours late. I forgot to change the status from DRAFT to SCHEDULE in WordPress last night. D'oh!]
The single most persuasive strategies by which quacks sell their wares and believers in quackery persuade others to try the quackery they believe in is the personal anecdote. Indeed, I established very early on in the history of this blog a type of post that has become a staple that shows up several times a year. In these posts, I deconstruct "alternative cancer cure" testimonials, showing how the story as related doesn't provide convincing evidence that the…
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 | April 28, 2017I've been at this blogging thing for well over 12 years now. I know, I know. Sometimes it amazes even me that I been doing this so long. I also know that I've been mentioning just how long I've been blogging more frequently. Sometimes I worry that the blog will turn into nothing more than posts counting down the days since I started this whole crazy thing. Of course, the main reason I mention this is not so much out of a desire for repetition but as a way of expressing amazement when I find something new and/for bizarre that I don't recall having heard before.
So it was when I came across an…
oracknows | April 27, 2017I was going to write about this yesterday, but seeing a family of a child with terminal cancer seduced by the siren call of Stanislaw Burzynski and his antineoplaston quackery distracted me and I had to blog about it. It's actually an appropriate lead-in to this story, which was based on an announcement by the FDA that it was sending warning letters to 14 companies for selling products that they claimed were treatments for cancer:
The U.S. Food and Drug Administration today posted warning letters addressed to 14 U.S.-based companies illegally selling more than 65 products that fraudulently…
The failure of the Texas Medical Board: Houston cancer quack Stanislaw Burzynski is back in business
oracknows | April 26, 2017When last I wrote about Houston cancer quack Dr. Stanislaw Burzynski nearly two months ago, he had, as I characterized it, just mostly slithered away from justice once again. The Texas Medical Board had not removed his license and had only fined him relatively lightly given his offenses. True, he had conditions placed on his continued practice (more on that later), but it hasn't slowed him down, as you will soon see. Another family is raising funds, this time from the UK, to travel to Houston for his nostrums. Basically, by failing to revoke Stanislaw Burzynski's medical license, the Texas…
oracknows | April 24, 2017Ever since I first realized that naturopathy is a cornucopia of quackery administered by naturopaths in a "One from Column A, Two from Column B"-style of practice, I've opposed the licensure of naturopaths. Not surprisingly, naturopaths crave state licensure because it puts the imprimatur of the state on their pseudomedical profession. More importantly, it makes it more likely that health insurance companies will actually pay for their services. Unfortunately, thus far, 19 states, five Canadian provinces, the District of Columbia, Puerto Rico, and the US Virgin Islands have all passed laws…
oracknows | April 23, 2017Anyone who has been reading this blog for the last three years or so knows that I'm not a fan of "right-to-try" laws. Basically such laws, which have sprung up like kudzu since 2014 and now exist in 33 states, purport to allow terminally ill patients the "right to try" experimental therapeutics. Thus far, they have been sold to the public as giving terminally ill patients "one last shot" and touting how such laws could save lives. As a result, as I've grimly quipped on multiple occasions, to politicians opposing right-to-try laws is akin to opposing motherhood, apple pie, and the American…
oracknows | April 21, 2017Yesterday, I discussed a topic that has vexed me ever since long before I started this blog, namely the topic of how physicians are seduced by pseudoscience and ultimately embrace it whole-heartedly. The kinds of pseudoscience I've seen physicians embracing are many, including climate science denialism and creationism, but the ones that most interest me are ones that physicians should know better than to embrace. I'm referring, of course, to pseudoscience related to the medical profession, such as various forms of medical quackery (which, alas, have found all too cozy a home in medicine to…