Naturopathy

QEDCon is fast approaching (indeed, I can't believe I have to leave for Manchester tomorrow night), and because my talk there will be about the phenomenon of "integrative medicine," I've been thinking a lot about it. As I put together my slides, I can't help but see my talk evolving to encompass both "integrative" medicine and what I like to refer to as quackademic medicine, but that's not surprising. The two phenomenon are related, and it's hard to determine which has a more pernicious effect on science in medicine. One aspect of quackademic medicine that I probably don't write about as much…

John Weeks has long been an activist for what is now known as "integrative medicine," earlier known as "complementary and alternative medicine"(CAM). Basically, for many years Mr. Weeks has been at the forefront of encouraging the "integration" of quackery with real medicine and promoting what I like to refer to as "quackademic medicine," a perfect term to describe the increasing encroachment of pseudoscience and quackery in medical academia in the form of—you guessed it—integrative medicine. Despite his having zero background in scientific research or the design and execution of experiments…

Last week, the University of California, Irvine (UCI) announced that Susan and Henry Samueli were donating $200 million for it to set up a massive new integrative medicine initiative. The plan would basically transform biomedical sciences and medical education at UCI—and not in a good way. Remember what "integrative medicine" is. What is being "integrated" into medicine is, of course, quackery. Oh, sure, integrative medicine also emphasizes lifestyle modification, such as diet and exercise, but that is part of "conventional medicine" already. There is no good scientific or medical rationale…

It's not infrequently that, whenever I complain about the increasing infiltration of quackery and pseudoscience into medicine, I sometimes lament that skeptics and supporters of science-based medicine are massively outgunned, because we are. Thus, we have the continued growth of what I like to refer to as "quackademic medicine," the infiltration of pseudoscience into medical academia in the form of whole divisions, departments, and institutes dedicated to studying fairy dust like acupuncture, naturopathy, and other "unconventional" treatments that are then "integrated" into medicine. It's not…

A week ago, I wrote about a naturopath in Utah named Harry Adelson, who was advertising his use stem cells to treat lumbar and cervical disk problems, including degenerated and dehydrated disks. That alone was bad enough, but what elevated "Not-a-Dr." (my preferred translation of the "ND" that naturopaths like to use after their names to confuse patients because it's so close to "MD") Adelson above and beyond the usual naturopathic quackery is his cosplay of an interventional radiologist, in which he purchased a C-arm to use fluoroscopy to inject his "stem cells" right into the intervertebral…

Regular readers know that, as a cancer surgeon, I become particularly worked up about stories of naturopaths taking care of cancer patients, which all too often end in disaster for the patient. I've lost count of how many naturopaths I've seen, either on their websites, in talks, or in published literature, claiming that they can cure cancer "naturally," using any of a number of unproven methods, an example being the Gerson protocol, a form of quackery involving 13 larges glasses of raw vegetable and fruit juice, around 150 supplements, and five coffee enemas a day, each and every day. Others…

I write frequently about naturopathy here because, of all the dubious pseudoscientific medical "disciplines" out there, naturopathy (along with chiropractic) has achieved the most "respectability." Indeed, as I like to point out in my own specialty (breast cancer), the Society for Integrative Oncology (SIO) even admits naturopaths as members. Indeed, the immediate past president of SIO is a naturopath (and, depressingly, faculty at my medical alma mater, the University of Michigan), as was the SIO president in 2014. So entrenched are naturopaths in SIO that they have been prominent co-authors…

Alternative medicine, by definition, consists of medicine that either has not been shown to work or has been shown not to work. To paraphrase an old adage yet again, medicine that has been shown to work with an acceptable risk-benefit ceases to be "alternative" and becomes simply "medicine." Unlike the case for many conditions commonly treated with alternative medicine, whether or not a treatment works against cancer is determined by its impact on the hardest of "hard" endpoints: Survival. A patient either survives his cancer or he does not. Even the "softer" endpoints used to assess the…

Someone yesterday was not very happy with my attitude towards naturopaths, as evidenced in my post yesterday about the death of a young woman named Jade Erick due to intravenous infusion of curcumin by—you guessed it—a naturopath. Amusingly, that someone going by the 'nym of JR said that he or she didn't "like the tone of this article and it’s complete disregard for naturopaths." Well, JR, you're right. I do have a complete disregard for naturopaths because they are quacks who mix a small amount of good advice about diet and exercise with a whole lot of pure quackery (like homeopathy) and…

Kim Kelly, ND (Not A Doctor). He prescribed the dose of intravenous turmeric that killed Jade Erick. Finally, a mystery has been solved. Nearly five months ago, a 30 year old woman named Jade Erick suffered a cardiac arrest, most likely due to anaphylactic shock, during the infusion of intravenous curcumin ordered by a California naturopath named Kim Kelly, ND (for Not-a-Doctor). Because Erick's death was so sudden and dramatic, the story briefly made national news. I viewed the tragic incident as yet another example of why "licensed" naturopaths, such as those in California or other…

I wasn't sure if I should do this post, mainly because I could find so little information to elaborate on a bit of information that I discovered. Then I thought about it a bit more. Perhaps my not being able to find out will illustrate my point better than a detailed progress report on a woman whom I blogged about once nearly 16 months ago. Also, it's a hopeful story. At least I think it is, because it looks as though the young woman at the center of it has abandoned quackery. Basically, this was the story of a young woman with a bad cancer who had eschewed conventional therapy, particularly…

It's been over a month now since I started paying real attention to that wretched celebrity hive of scum and quackery founded by Gwyneth Paltrow known as Goop. It was a long time coming, and I feel a bit guilty for not really paying much attention to the "wellness," "lifestyle," and, of course, expensive quackery being sold by Paltrow and her minions through Goop. It began when Goop caught flack for selling pricey magic energy healing stickers. Well, it wasn't so much for that as much as for the amusing intervention of NASA, which slapped down Goop's claims that these stickers were made with…

One of the problems we as skeptics and advocates for science-based medicine face is that quackery and pseudoscience are legion. They are everywhere. Worse, in many cases, they can be a good business model. For example, back when Oprah Winfrey was peddling The Secret, the magical mystical belief that if you only want something badly enough, the universe will somehow provide it, and promoting Jenny McCarthy's antivaccine beliefs, skeptics were all over her. Many were the refutations of the nonsense that she promoted published in a wide variety of blogs, websites, and magazines; yet her brand…

You know how you know when you've been effective deconstructing quackery or antivaccine pseudoscience? It's when quacks and pseudoscientists strike back. It's when they attack you. As much as Mike Adams' near daily tirades against me last year caused problems and poisoned my Google reputation (which was, obviously, the goal), I could reassure myself with the knowledge that his attacks meant that I had gotten to him. When Steve Novella was sued by a quack, as much as I didn't want to be sued by anyone, I knew that the fact that someone would sue him was testament to his effectiveness.…

Orac gets fan mail. Yes, as hard as it is to believe, my blog sometimes ticks certain people off, and sometimes I even hear from them. For instance, last week a reader wrote me. The subject header read, "Why do you hate naturopathic physicians so much?" and the letter went something like this (OK, exactly like this other than the name of the reader, which I've withheld, and to whom I will refer as "T"): Having stumbled across one of your diatribes against licensed naturopathic doctors, I can't help but wonder what that profession has done to hurt you? If you have examined the evidence,…

In pseudomedicine, fake diseases predominate. Basically, fake diseases are diseases that do not exist in conventional medicine as diagnostic entities because there does not exist sufficient sufficient evidence to support them as one or there exists compelling evidence that they are not. Naturopaths, for instance, like to diagnose people with "adrenal fatigue," which is one of the prototypical "fake diseases." Basically, it involves a constellation of vague symptoms that may include a combination of several of the following: fatigue, inability to handle stress, cravings for salty foods,…

Orac note: While Orac is on vacation (fear not, he'll be returning on Monday!), he's rerunning some of the "best of" the blog (if you can call it that). Actually, he's rerunning whatever strikes his fancy. This one struck my fancy because I used to use the term "altie" all the time, but haven't used it in years. It was a good shorthand for someone like Gwyneth Paltrow. This post originally appeared on April 11, 2008; so some of the references are a bit dated, and some of the links no longer work. But the sentiment is true. Feel free to add your updates to the list until I return on Monday. It…

[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…

"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…

Ever 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…