Orac is the nom de blog of a humble surgeon/scientist who has an ego just big enough to delude himself that someone, somewhere might actually give a rodent's posterior about his copious verbal meanderings, but just barely small enough to admit to himself that few probably will. That surgeon is otherwise known as David Gorski. That Orac has chosen his nom de blog based on a rather cranky and arrogant computer shaped like a clear box of blinking lights that he originally encountered when he became a fan of a 30 year old British SF television show whose special effects were renowned for their BBC/Doctor Who-style low budget look, but whose stories nonetheless resulted in some of the best, most innovative science fiction ever televised, should tell you nearly all that you need to know about Orac. (That, and the length of the preceding sentence.)

DISCLAIMER:: The various written meanderings here are the opinions of Orac and Orac alone, written on his own time. They should never be construed as representing the opinions of any other person or entity, especially Orac's cancer center, department of surgery, medical school, or university. Also note that Orac is nonpartisan; he is more than willing to criticize the statements of anyone, regardless of of political leanings, if that anyone advocates pseudoscience or quackery. Finally, medical commentary is not to be construed in any way as medical advice.

To contact Orac: oracknows@gmail.com

I’ve seen it noted that our new President-Elect seems to be selecting his cabinet officers and directors of federal bureaucracies based on how much they oppose the mission of the department they are supposed to head. For instance, to head the Department of Health and Human Services, he picked an orthopedic surgeon who belongs to…

I wasn’t always a skeptic. Maybe I should rephrase that. I’ve probably always been a skeptic since a young age. It’s just that I didn’t start self-identifying as one until around 1998 or so. Oddly enough, my “gateway drug” into more organized skepticism was refuting Holocaust denial. I’ve told the tale on multiple occasions before,…

Old fart that I am, I’ve been a fan of The Rolling Stones since the mid-1970s, when I was in junior high school. Over the years, I’ve accumulated pretty close to all of their studio albums—and even bought multiple remastered versions of classics like Exile on Main Street and Beggar’s Banquet—and got access to the…

Yesterday, I noted the passage of the 21st Century Cures Act, a Hobson’s choice of a bill for those of us who support increased biomedical research funding that basically said: You can have an increase in the NIH budget. You can have the Cancer Moonshot. You can have President Obama’s Precision Medicine Initiative and his…

Well, it’s done. Today, the Senate passed the 21st Century Cures Act, a bill designed to weaken the FDA and empower pharmaceutical companies, sending it to President Obama’s desk. There’s no way Obama won’t sign it, as it contains provisions funding his Precision Medicine Initiative, and he supported it all along. For all its flaws,…

If there’s one thing about the reporting of the 2016 election that irritated me, it was the massive underreporting of certain antiscience views held by the man who is now our President-Elect. Sure, there was coverage about his denial of anthropogenic climate change from time to time. Much less reported was his long history of…

What “functional medicine” really is

I’ve frequently written about a form of medicine often practiced by those who bill themselves as practicing “complementary and alternative medicine” (CAM) or “integrative medicine” (or, as I like to refer to it, “integrating” quackery with medicine). I’m referring to something called “functional medicine” or, sometimes, “functional wellness.” Over the years, I’ve tried to explain…

Back in the day, I used to write posts with titles like When the outbreaks occur, they’ll start in California. I even wrote a followup, When the outbreaks occur, they’ll start in California, 2014 edition. The reason, of course, was that California was one of the epicenters of vaccine hesitancy as well as the home…

A week and a half ago, a conference was held at the NYU Langone Medical Center, Confronting Vaccine Resistance: Strategies for Success. It featured speakers and panelists whom I admire quite a bit, including Paul Offit, the man who is to antivaccine loons Satan, Darth Vader, Voldemort, and Sauron all rolled up into one. Also…

I’m always hesitant to write about matters that are more political than scientific or medical, although sometimes the sorts of topics that I blog about inevitably require it (e.g., the 21st Century Cures Act, an act that buys into the myth that to bring “cures” to patients faster we have to neuter the FDA and…

I don’t have many “rules” per se about blogging, but one informal rule that I do live by is that I never blog about a study if all I can access is the abstract. In general, I insist on having the complete study before I will blog it, because to me the abstract isn’t enough.…

It’s been a long time since I’ve encountered Glenn Sabin. You might remember him, though. He runs a consulting firm, FON Therapeutics, which is dedicated to the promotion of “integrative” health, or, as I like to put it, the “integration of pseudoscience and quackery with science-based medicine. What I remember most about Sabin is how…

This post is a bit later than usual, but there’s a good reason for it. Last night, I was in full food coma, having consumed the traditional Thanksgiving feast, along with a fair amount of wine. Besides, even a sometimes arrogant bloviator like myself, who uses a pseudonym based on a fictional, near-all-knowing supercomputer from…

Back in the day, Deepak Chopra used to be a frequent topic of this blog. He still pops up from time to time, such as when irony meters everywhere immediately self-destructed after Chopra criticized Donald Trump for being insufficiently evidence-based or when, after I wrote a post asking why medical conferences keep inviting Chopra to…

One of the great things about America has been the First Amendment, particularly the right to freedom of speech and freedom of assembly. These are rights allow us to gather together to protest when we see something that we don’t think is right and want to change. Unfortunately, there is one downside to these freedoms,…

I fear for medical science under Donald Trump

It’s been two weeks since Donald Trump unexpectedly won the Presidential election despite losing the popular vote. Regular readers of my not-so-super-secret other blog know my opinion of this; so I won’t belabor it too much here. If you’re curious, I have written about Donald Trump’s antivaccine views here many times dating back to 2007,…

Of all the vaccines out there, it’s hard for me to decide which among them antivaccine activists fear and detest the most. Sure, there’s the MMR vaccine, the original granddaddy bete noire, demonized so successfully by Andrew Wakefield as causing autism based on some of the flimsiest evidence ever, evidence later shown to be fraudulent.…

Acupuncture: Getting the point

I’ve frequently written about what I like to refer to as “quackademic medicine,” defined as the infiltration of outright quackery into medical academia, particularly medical schools and academic medical centers. There’s no doubt that it’s a significant problem as hallowed institutions like Memorial Sloan-Kettering Cancer Center embrace nonsense, pseudoscience, and quackery in the name of…

Whenever I write about homeopathy, I almost always refer to it at least once as “The One Quackery To Rule Them All.” It’s a phrase I’ve used to describe homeopathy for several years now, and for good reason. Of all the quackery out there, with the possible exception of reiki, homeopathy is the one that…

The Society for Integrative Oncology (SIO) doesn’t like me much. I understand. I haven’t exactly been supportive of the group’s mission or activities. So it wasn’t surprising that SIO wrote letters trying to rebut a Perspectives article on “integrative oncology” that I published in Nature Reviews Cancer two years ago. What depressed me about that…

John Weeks has long been an activist for alternative medicine—excuse me, “complementary and alternative medicine” (CAM) or, as it’s more commonly referred to these days, “integrative medicine.” Despite his having zero background in scientific research or the design and execution of experiments and clinical trials, for some bizarre reason in May he was appointed editor…

If you’re a skeptic dedicated to promoting science and reason, these are scary times. My country, the United States of America, just unexpectedly elected a racist, misogynistic, conspiracy-mongering, scientific ignoramus (who, by the way, is rabidly antivaccine) as its next President thanks to the political relic known as the Electoral College. In actuality, Hillary Clinton…

Well, I’m back. Yes, late last night, I re-entered returned home from vacation in Mexico before our new President-Elect has a chance to build his wall. I was so exhausted that I had no time to write anything and remain so. At least I wasn’t stupid enough to go back to work today and instead…

Yesterday, I wrote about alternative medicine clinics in Germany that offer a combination of alternative cancer cures plus experimental therapeutics administered improperly outside the auspices of a clinical trial. In particular, I discussed two cases. The first was British actress Leah Bracknell, who is raising money to go to one of these alternative cancer clinics…

A couple of months ago, I discussed patient deaths at an alternative medicine clinic in Europe, where a naturopath named Klaus Ross had been administering an experimental cancer drug (3-bromopyruvate, or 3-BP) to patients outside the auspices of a clinical trial. 3-BP is a drug that targets the Warburg effect, a characteristic of cancer cells…