medicine
oracknows | March 5, 2012Remember Gayle DeLong?
Last summer, DeLong published a paper in the Journal of Toxicology and Environmental Health, entitled A Positive Association found between Autism Prevalence and Childhood Vaccination uptake across the U.S. Population. As I pointed out at the time, it showed nothing of the sort. Besides botching the introduction by citing a panoply of studies by luminaries of the antivaccine movement, such as Mark Blaxill, Mark and David Geier, Russell Blaylock, and Laura Hewitson, DeLong performed a simplistic analysis that had "ecological fallacy" written all over it in such big…
denialism | March 4, 2012We've discussed it before, why are costs so much higher in US healthcare compared to other countries? The Washington Post has a pointless article which seems to answer with the tautology costs are high because healthcare in America costs more. How much more? Well, we spend nearly twice as much per capita as the next nearest country while failing to provide universal coverage:
In the WaPo article they make a big deal of the costs of individual procedures like MRI being over a thousand in the US compared to $280 in France, but this is a simplistic analysis, and I think it misses the point…
oracknows | March 4, 2012A fascination with quackery was one of the things that inspired me to start this blog. Some of it was disbelief that anyone could take some of the modalities that I write about seriously. Perhaps one of the most prominent examples of this reaction was when I first learned that there were people who are actually antivaccine. I'm sorry (well, no I'm not), antivaccine views are utter hogwash, and there's no good evidence that they they cause autism. There aren't fetal parts in vaccines, nor are there deadly toxins. What chemicals that are there are not dangerous. Moving on to the broader area of…
oracknows | March 2, 2012I was originally going to write about an amazing article that appeared in the NEJM today, but then, as happens all too often, something more compelling caught my eye. Unfortunately, it's compelling in exactly the wrong way. It's infuriating and saddening, all at the same time. It's also yet another example of how it's so very, very difficult to blog about these cases. Yes, unfortunately, it's Dr. Stanislaw Burzynski again in the news, and this time around he's managed to snare yet another unfortunate family into believing the hype about his "antineoplastons," his "personalized, gene-targeted…
oracknows | March 1, 2012I've always been reluctant to attribute antiscientific attitudes to one political persuasion or another--and justly so, or so I thought. While it's true that antiscience on the right is definitely more prominent these days, with the Republican candidates conducting virtual seminars on how to deny established science. Evolution? They don't believe in it because, apparently, Jesus told them not to. Anthropogenic global warming? they don't buy that, either, because to admit that human activity is resulting in significant climate change would be to be forced to concede that industry isn't an…
denialism | February 29, 2012Turns out I gave Virginia governor McDonnell too much credit after he rejected the VA ultrasound bill on the grounds the state should insert itself into medical decisions. He's gone and flip-flopped as a slightly revised version of the bill passes through the VA Senate:
The 21 to 19 vote, mostly along party lines, came a week after Gov. Robert F. McDonnell (R) asked legislators to revise the bill following protests on Capitol Square and repeated mocking on national television. Lawmakers amended the original bill, which mandated that women undergo a transvaginal ultrasound, a procedure that…
oracknows | February 28, 2012If there's one thing I've learned over the last seven years, it's that there are a handful of people in the "natural health" movement (a.k.a., quackery movement) who can reliably counted upon to bring home the crazy in spades. There is, of course the granddaddy of all conspiracy sites, Whale.to, and its creator John Scudamore, for whom no quackery is too quacky, no pseudoscience too ridiculous, and no conspiracy theory too outlandish. Truly, that is a high bar of crazy to surpass, but there are certainly people out there trying to do it. Perhaps the one I encounter the most is Mike Adams,…
oracknows | February 28, 2012Yesterday was a rough day for me; so I'll be uncharacteristically brief today.
As I've pointed out time and time again, these days, advocates of "complementary and alternative medicine" (CAM) don't like it so much anymore when their preferred quackery is referred to as "CAM." Now the preferred term has--shall we say?--evolved to a happy term designed to paint their woo as being co-equal with real medicine: "integrative medicine" in a way that the term "CAM" does not. After all, CAM is "complementary," which implies that it's subsidiary, the icing on the cake so to speak, and it's "alternative…
denialism | February 28, 2012Pennsylvania is poised to enact a ultrasound bill even more stringent than Virginia's failed bill.
Even as the transvaginal ultrasound bill in Virginia was causing national outrage, Pennsylvania conservatives were quietly pushing a even more restrictive abortion bill. The legislation is designed with so many difficult and differing restrictions that long-time abortion policy analyst Elizabeth Nash at the Guttmacher Institute told Raw Story, "I've never seen anything like it."
In addition to mandating the much-maligned transvaginal ultrasound requirements since rejected by the state of…
oracknows | February 26, 2012Every so often, something happens that rekindles the need in me to discuss what, exactly, it means to be "antivaccine." As many of my readers know, if there's one thing about antivaccinationists, it's that they assiduously avoid ever admitting that they are antivaccinationists. In order to avoid having to make that admission, they'll go through all sorts of transparent rhetorical contortions to try to convince people that they are not antivaccine. The most common (and transparent) of these is a gambit I like to call "I'm not 'antivaccine'; I'm pro-safe vaccine" or "I'm a vaccine safety…
oracknows | February 24, 2012Back in September, I merrily applied a little not-so-Respectful Insolence to the service of deconstructing the overwhelmingly silly fear mongering by a group known as SANE Vax over the alleged discovery of HPV DNA in the HPV vaccine. SANE Vax, as you may recall, is a group founded by a woman named Norma Erickson dedicated to spreading misinformation about the HPV vaccine. If you peruse the SANE Vax website, you'll see that the common antivaccine tropes are all there; they're just directed mainly at the HPV vaccine. The hysterial fear mongering over the alleged discovery of DNA fragments of…
oracknows | February 23, 2012Any regular reader of this blog knows who Andrew Wakefield is. He's the British gastroenterologist who almost singlehandedly ignited a panic about the MMR vaccine (well, not quite single-handedly; the sensationalistic British press helped a lot) with his shoddy, fraudulent research linking the MMR vaccine to "autistic enterocolitis" and then later to autism itself. Ultimately, his support for non-science-based speculation (not to mention his unethical behavior) caught up with him, and he was "struck off," which is a lovely bit of British verbiage describing his having his license to practice…
oracknows | February 23, 2012There's something about the prefix "anti" that provokes all too many people, even some who consider themselves "skeptics," to clutch at their pearls and feel faint. Antivaccine? Oh, no, you can't say that! They're not "antivaccine"? Who could be so nutty as to be "antivaccine"? Even members of the antivaccine movement don't like the term because even they realize that to be antivaccine is akin to being "anti" Mom, apple pie, and America. So they come up with the defense that they are not "antivaccine" but rather "pro-safe vaccine." They'll come up with silly analogies about how being for…
oracknows | February 21, 2012If there's one thing I've learned during the last seven years about the antivaccine crowd invested in the idea that vaccines cause autism, it's that it reacts with extreme hostility to any sort of studies that cast doubt upon their pet idea that vaccines cause autism. That's somewhat understandable, given how much of their identity so many members of the antivaccine movement have invested in their idea, but not all studies that fail to support the central dogma of the antivaccine movement (i.e., that vaccines cause autism and are in general evil) are created equal, at least not with respect…
oracknows | February 20, 2012
Like many geeks, I enjoy The Big Bang Theory. I know, I know, you're shocked to hear that, but it's true. I've seen nearly every episode since the first season. Over the last couple of seasons, the male-centric show has been considerably improved by its move towards more of an ensemble cast that includes two new female characters: Bernadette Rostenkowski, played by Melissa Rauch, who is Howard's girlfriend, and Amy Farrah Fowler, played by Mayim Bialik, who is Sheldon's girlfriend. Both characters are smart and in many ways as geeky as the guys, but in a different way.
Oddly enough, I…
oracknows | February 19, 2012If there's one thing that purveyors of "complementary and alternative medicine" (CAM)--or, the preferred term these days, "integrative medicine" (IM)--and hospital administrators seem to agree on, it's that "patient satisfaction" (whatever that means) is very, very important. Hospital administrators live and die by patient satisfaction surveys, in particular a common measurement derived from Press-Ganey surveys. In fact, Press-Ganey itself sells its services as "driving performance excellence" in health care. The inherent assumption is that if patients are satisfied then they are doing a good…
denialism | February 19, 2012Many bloggers and commentators have expressed outrage over the decision by Virginia to require ultrasound examination, possibly transvaginal ultrasound, prior to women obtaining an abortion. From Bill Maher to Dahlia Lithwick people are outraged and have even suggested that it should be considered rape to force women to undergo vaginal examination by ultrasound prior to receiving abortion. Worse, it's clear from statements like this one by delegate Todd Gilbert, that there isn't a medical concern related to this intervention. It's simply designed to humiliate women and interfere with the…
jeure | February 17, 2012No one credits heavy drinking with making people smarter - the mind-numbing effects are well documented. Odds are that if you haven't experienced this personally, you've witnessed it in the foolish antics of others. The clear correlation between rapidly diminishing intelligence and rising alcohol consumption is no secret.
But the long-term effects may go deeper than a morning headache or a need to wear sunglasses inside. A new study conducted at Brookhaven National Laboratory reveals that genetic factors can make some individuals more susceptible than others to lasting neurological damage…
denialism | February 16, 2012**Update, the NYT has an editorial in their Sunday edition recommending the passage of two bills in congress requiring advanced notice from drug manufacturers in event of likely shortage.
Health affairs discusses the increasingly frequent shortages of critical, life-saving, generic drugs. This is a serious problem that seems mostly limited to the U.S. healthcare system, and may adversely affect you or someone you know.
Many of the same drugs are not in such short and unpredictable supply in Europe, where in some cases they carry higher prices. This provides one major clue to the root cause…
oracknows | February 16, 2012Since 2012 was rung in a month and a half ago, I've been writing a lot more about placebo medicine than I have in a while. Specifically, I've written a lot more about placebo effects than usual. This proliferation of posts on the topic was sparked by how Harvard University's very own not-a-PhD faculty, credulous promoter of acupuncture and all things "integrative medicine," and generally clever propagandist for woo, Ted Kaptchuk seemed, like Elvis, to be everywhere for a while. The message he was spreading was, although he didn't admit it or put it that way, a response to the growing body of…