Michigan
oracknows | March 24, 2017I've written before about how our vaccination rate here in Michigan are...suboptimal. Indeed, a couple of years ago, health officials were so alarmed at the increases in personal belief exemptions to school vaccine mandates that a new regulation was instituted that require parents seeking nonmedical exemptions to school vaccine mandates to travel to an office of the state health department in order to receive instruction about vaccines. They can still get their personal belief exemption, but not without first undergoing instruction. So far, it's been working reasonably well, with decreases…
lborkowski | January 16, 2017As Congressional Republicans continue taking steps toward repealing the Affordable Care Act without providing a detailed, workable plan to replace it, more people are speaking out against ACA repeal.
GOP Governors John Kasich of Ohio and Rick Snyder of Michigan are speaking to journalists about how the ACA’s Medicaid expansion has helped their states. Governor Snyder explained to The Detroit News that the state accepted the Medicaid expansion but added requirements for recipients earning between 100% and 133% of the federal poverty level, and that the program is working and has the potential…
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 | 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 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 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 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 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…
dr. dolittle | May 5, 2016
I am very excited about the upcoming 3rd annual Michigan Physiological Society Meeting on May 12-13 in Detroit. This society is a local chapter of the American Physiological Society. I am most excited by their choice of a Comparative Physiologist for the keynote address: Dr. Hannah V. Carey from the University of Wisconsin School of Veterinary Medicine. Dr. Carey is a Past-President of the American Physiological Society. She will be presenting her research on how the gut microbiome of hibernators changes seasonally as well as the symbiotic relationship between the gut microbes and the host.
oracknows | February 4, 2016Well, it's finally done.
The grants that have been taking up so much of my time are finally with the grants office and, hopefully, won't have too many errors flagged as they go through the validation process. So it's time to get back into that blogging thing again, even though I'm admittedly tired. So I'll start out slow. No Orac-ian epics today, just another rather satisfying bit of news mirroring a previous post that I did last week about how making it more difficult to obtain personal belief exemptions to school vaccine requirements works. In states where PBEs are difficult to obtain or…
oracknows | January 29, 2016Michigan is a frustrating state to live in these days. Our state government has just shown itself to be epically incompetent in its handling of the Flint water crisis, which I've written about a couple of times before. Our legislature repealed our mandatory motorcycle helmet law, and as a result in this state motorcycles are more donorcycles than ever. Our state has historically had low vaccine uptake, to the point where outbreaks of vaccine-preventable diseases are too common, with pertussis returning with a vengeance. We have naturopathic quacks (but I repeat myself) trying to cure their…
oracknows | January 27, 2016It's been nearly three weeks since I wrote about how an imperative to save money at all costs combined with gross incompetence to poison Flint's children with lead. In (very) brief, the city of Flint decided to switch from buying water from the Detroit Water and Sewerage Department (DWSD) to a new water source. Unfortunately, the pipeline from that water authority, which was going to draw water from Lake Huron, wasn't scheduled to be completed until 2016. When DWSD learned that Flint was going to switch water sources, it gave a year's notice that it was going to void its long term contract…
oracknows | January 7, 2016This post will be different than my usual post. Let's just say that it has to do with quackery of a different kind than I usually write about here. It's about a public health disaster that was entirely preventable and had nothing to do with vaccines. It has to do with government malpractice on an epic scale, right here in my very own state. It's a story that's huge here in Michigan but doesn't seem to be penetrating the national news very much, at least not yet. I suspect that my international readers, most of whom are likely unaware of this story, will have to pick their jaws up off the…
oracknows | November 4, 2015Naturopathy is a cornucopia packed to the brim with virtually every quackery known to humankind, be it homeopathy, much of traditional Chinese medicine, vitamin C for cancer, or basically any other pseudoscientific or prescientific treatment for disease that you can imagine. I feel obligated to start most of my posts about naturopathy with a statement like this not just because it's true but because I want to remind my readers that it's true. I particularly want to remind my readers when I see naturopaths revealing their true quack selves when they think no one's watching, but I want to…
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 6, 2015When I first started writing about the claims made for medical marijuana and the cannabis oil derived from it, it didn't take long for me to characterize medical claims for cannabis as the "new herbalism," as opposed to pharmacognosy, the branch of pharmacology devoted to the study of natural products. The reason is simple. Although I support legalization of marijuana for recreational use, when I look at how medical marijuana has been promoted as a "foot-in-the-door" prelude to legalization, I see testimonials and flimsy evidence ruling over all. I see all the hallmarks of alternative…
oracknows | December 12, 2014
After yesterday's post on the depressingly high (and increasing, apparently) rate of personal belief exemptions to vaccination requirements for entering school in the state of Michigan, I felt the need to pontificate a bit further. The reason is that MLive.com has posted some followup stories. Also, I didn't have a lot of time last night to write because I had the pleasure of attending the CFI-Michigan Solstice dinner to hang out with fellow skeptics and heathens. Unfortunately, the topic of the high exemption levels in Michigan came up.
First up on the follow up story parade is one…
oracknows | December 10, 2014
One aspect of my life that's kind of strange is how I've basically ended up back where I started. I was born and raised in southeast Michigan (born in the city of Detroit, actually, although my parents moved to the suburbs when I was 10). After going to college and medical school at the University of Michigan, I matched at a residency in Cleveland (regular readers know that it was Case Western Reserve University), and then did a fellowship in surgical oncology at the University of Chicago. Finally, I ended up taking my first "real" (i.e., faculty) job at the Cancer Institute of New Jersey…
oracknows | October 28, 2014
One of the biggest medical conspiracy theories for a long time has been that there exist out there all sorts of fantastic cures for cancer and other deadly diseases but you can’t have them because (1) “they” don’t want you to know about them (as I like to call it, the Kevin Trudeau approach) and/or (2) the evil jackbooted thugs of the FDA are so close-minded and blinded by science that they crush any attempt to market such drugs and, under the most charitable assessment under this myth, dramatically slow down the approval of such cures. The first version usually involves “natural” cures or…
oracknows | August 13, 2014
There are times when supporting science-based health policy and opposing health policies that sound compassionate but are not are easily portrayed as though I’m opposing mom, apple pie, and the American flag. One such type of misguided policy that I’ve opposed is a category of bills that have been finding their way into state legislatures lately known as “right to try” bills. Jann Bellamy over at SBM and I have both written about them before. With the passage of the first such bill into law in Colorado in May, followed by Missouri and Louisiana, and its heading to the voters of Arizona as…