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: orac@scienceblogsllc.com

It’s no secret that I’m a big fan of John Oliver. When my aging body allows me to stay awake late enough on Sunday nights and there’s a new episode on, I’ll almost always be watching. Since starting his own show Last Week Tonight With John Oliver on HBO, Oliver’s become quite the expert at…

I realize that it’s a cliché to say so, but some clichés are true. Time really does fly. It’s hard to believe that a year ago California—and, by proxy, the rest of the country—was in the throes of a major political war over the bill SB 277. SB 277, you will recall, was a bill…

Many are the cancer quacks—and just plain quacks—whom I have discussed over the years. Some of them, like Robert O. Young, have been truly horrendous, so bad that I’m left shaking my head and wondering how anyone can fall for their obvious misinformation and outright lies. For instance, Robert O Young claims that all cancer—not…

As regular readers of this blog and related blogs know, over the last two or three decades there has been a successful effort to legitimize quackery in the form of what is now called “integrative medicine.” Three decades ago, modalities like homeopathy, acupuncture, much of traditional Chinese medicine, reflexology, chiropractic, and many other modalities based…

[Note: Since this was written, Donald Trump won Indiana and Ted Cruz has suspended his campaign. This is why I changed the title of this post on Tuesday night. Meet your presumptive nominee, Republicans.] I haven’t written anything about Donald Trump and vaccines in a while. When last I did write about him, I enumerated…

If there’s one lesson that I like to emphasize while laying down my near-daily dose of Insolence, both Respectful and not-so-Respectful, it’s that practicing medicine and surgery is complicated. Part of the reason that it’s complicated is that for many diseases our understanding is incomplete, meaning that physicians have to apply existing science to their…

Three days ago, I noted a disturbance in the antivaccine Force. Last night, I noticed that that disturbance continues. The first time around, it was Brian Hooker, a biochemical engineer turned incompetent antivaccine “epidemiologist” completed the circle of clueless conspiracy mongering, who was at the center of the disturbance. His conspira-woo tapped into the Dark…

I hate these stories, because they so seldom end well. Unfortunately, this one is more messy than even the usual messiness of the typical story of this type. The type of story I’m referring to, of course, is one that I’ve told from time to time ever since near the first year of this blog’s…

About a month and a half ago, I became aware of the case of Ezekiel Stephan, a 19-month-old Canadian toddler living in Alberta who in 2012 developed bacterial meningitis. Unfortunately for Ezekiel, his parents, David and Collet Stephan, were believers in alternative medicine. They didn’t take Ezekiel to a real doctor. Instead, they relied on…

There is a disturbance in the antivaccine Force. I can sense it. Actually, it doesn’t take any special talent to detect this. You don’t have to be some sort of pro-science Jedi. The evidence is everywhere. The most prominent examples of posts in the antivaccine crankosphere that tipped me off are on—of course!—the antivaccine propaganda…

Arguably, one of the most popular forms of so-called “complementary and alternative medicine” (CAM) being “integrated” with real medicine by those who label their specialty “integrative medicine” is acupuncture. It’s particularly popular in academic medical centers as a subject of what I like to refer to as “quackademic medicine“; that is, the study of pseudoscience…

I heard the news yesterday morning. I was in clinic seeing patients. It was a bit of a slow morning; there was time between patients. So I spent it, as is my wont when clinic is a bit slow, signing charts (OK, signing off on charts in the electronic medical record; I haven’t actually physically…

Now that I’ve dispensed with Mike Adams’ attacks (for now), It’s time to get back to business as usual. No way am I going to let Adams interfere with the business of this blog for more than one day to take note of it, even though he’s now gone basically batshit crazy. Unfortunately, no sooner…

Several of you have noticed that a certain friend of the blog has been under attack from one of the quackiest of Internet quacks out there. Here is his response. The paranoia and stupidity are black hole level density. (Yes, instead of posting the whole thing, I’ve simply posted a link to our friend’s discussion…

It sucks to be diagnosed with cancer at any age, but it especially sucks to be young and diagnosed with cancer. The prompt application of science-based cancer treatment is important for anyone with cancer, but it’s especially important for young people with cancer, because they have the most life-years to lose if they dawdle or…

I often describe “integrative medicine” as integrating quackery with medicine because that’s what this inadvertently appropriately named branch of medicine in essence does. The reason, as I’ve described time and time again, is to put that quackery on equal footing (or at least apparently equal footing) with science- and evidence-based medicine, a goal that is…

J.B. Handley is an antivaccine activist, founder of the mercury militia “autism biomed”-loving group Generation Rescue, and apparent discoverer of the original clueless antivaccine celebrity Jenny McCarthy, who became president of the organization he had founded. It was a position from which McCarthy proceeded to do her best to drive down vaccination rates by publicly…

Celebrities who support pseudoscience and quackery are worse than regular, run-of-the-mill believers because they have a much larger soapbox than any of us do. I have a pretty healthy blog traffic for a medical blog, but even I don’t reach more than maybe 10,000 people a day. Even at my not-so-super-secret other blog, we only…

Of all the forms of quackery that have been “integrated” into medicine of late, arguably one of the most popular is acupuncture. It’s offered in fertility clinics. It’s offered in hospitals and medical clinics all over the place. The vast majority of academic medical centers that have embraced quackademic medicine offer acupuncture. (Quackademic medicine, for…

Over the last two decades, quackery has been slowly but steadily infiltrating conventional scientific medicine. It began in earnest back in the 1990s, but the groundwork had been laid for at least a couple of decades before, going back to when traditional Chinese medicine made its first foray into the “West.” Unfortunately, over the last…

It’s no secret that I’m not particularly fond of the National Center for Complementary and Integrative Health (NCCIH). Formerly known as the National Center for Complementary and Alternative Medicine (NCCAM) and before that the Office of Alternative Medicine, NCCIH has been the foremost government agency funding research into quackery and the “integration” of quackery into…

Nearly two weeks ago, a story that I had been blogging about almost nonstop for a week reached its conclusion when Robert De Niro decided to pull the antivaccine movie Vaxxed: From Cover-up to Catastrophe from the Tribeca Film Festival, of which he was one of the co-founders. Before that, he had revealed that it…

All drugs are poisons, and that’s OK

There are a number of aphorisms that one imbibes over many years of medical education, especially in medical school. Some are useful; some are not; but some stick with you for reasons that even you can’t figure out. For example, I still remember my first day of medical school over 30 (!) years ago. It…

If there’s one thing that really animates me and angers me, it’s the unnecessary death of a child due to quackery. Competent adults, of course, are perfectly free to choose any form of quackery they wish for themselves or even to refuse treatment at all (which is less harmful than quackery). Children, on the other…

It’s no secret that I’m a fan of John Ioannidis. (If you don’t believe me, just type Ioannidis’ name into the blog search box and see how many posts you find.) Over the last couple of decades, Ioannidis has arguably done more to reveal the shortcomings of the medical research enterprise that undergirds our treatments,…